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Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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He has been in a Psyche hospital for 5 weeks with no further episodes. He now has the right medication but the NH filed a police report and there is not a facility in the tri-state area that will take him, what can I do? No one was harmed.
You can refuse to allow an unsafe discharge from the psyc hospital. Tell them they will have to find placement where he can be medicated. You are not responsible for taking him in. If you currently have POA I would see an attorney to resign it. Be certain you do not take on guardianship as you will be held responsible and cannot quit without a Judge's permission; we have seen a case recently on forum where the guardian was not allowed to quit. I would leave your brother in the care of the state who will seek placement and medical supervision. There are many things you are not qualified to handle in this life, and I suspect this is one; don't attempt to do so.
You- yes YOU - do not go and pick him up from the NH or wherever he is. Do NOT do it. When asked why state: “it would be an unsafe discharge for him; I cannot provide the care, safety & security needed”.
if he is in a NH (a NH not AL or MC) then the facility is a SNF aka skilled nursing facility and so has Medicare for how they accept payment for some of the services done in house*. If that is the case, they - the NH - cannot discharge him to the street, they have to discharge him to a facility that too has skilled care services unless they can get family to come and get him. What the NH will do as there is no other NH that will take him, is find a reason to call EMS to come and take him to the ER as it looks like something has happen that needs emergency room oversight. Often it’s a TIA a transient ischemic attack as these are real subjective in how they look. Then when the hospital calls the NH to say they are sending him back the NH says they have no open beds and cannot have him return.
He then becomes a problem for the discharge plan at the hospital to find someone / someplace to place him. That discharge planner will first and foremost call you and every family member they can find to come and get him. Again you say your mantra and be sure to tell everyone in your family NOT TO GO & GET HIM. The hospital will eventually find a psych bed somewhere for him…. could be far away but eventually they will. That is what discharge folks do and have the info and resources a available to them.
* an example of Medicare billing is like the NH does annual flu shot for all the residents and it is billed to Medicare
That is the scenario step for step it’s just that now his time at the psyche hospital is up and they have done all they can. Maybe they will find him placement 500 miles away from his home, we may have to do that for a short period of time, but I just can’t agree with that. I feel like he’s being railroaded and punished for being sick. It’s so outrageous that he can be treated like this by people by Medicare by Medicaid and it’s OK, this needs to change, I don’t know how or even where to start, but I’m not going to stop until he is treated fairly like anyone else with a physical illness. Thank you for your advice .
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
if he is in a NH (a NH not AL or MC) then the facility is a SNF aka skilled nursing facility and so has Medicare for how they accept payment for some of the services done in house*. If that is the case, they - the NH - cannot discharge him to the street, they have to discharge him to a facility that too has skilled care services unless they can get family to come and get him. What the NH will do as there is no other NH that will take him, is find a reason to call EMS to come and take him to the ER as it looks like something has happen that needs emergency room oversight. Often it’s a TIA a transient ischemic attack as these are real subjective in how they look. Then when the hospital calls the NH to say they are sending him back the NH says they have no open beds and cannot have him return.
He then becomes a problem for the discharge plan at the hospital to find someone / someplace to place him. That discharge planner will first and foremost call you and every family member they can find to come and get him. Again you say your mantra and be sure to tell everyone in your family NOT TO GO & GET HIM. The hospital will eventually find a psych bed somewhere for him…. could be far away but eventually they will. That is what discharge folks do and have the info and resources a available to them.
* an example of Medicare billing is like the NH does annual flu shot for all the residents and it is billed to Medicare
Thank you for your advice .