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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.
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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.
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Each AL has their own protocols in place. My father was a 1 person assist and accepted at the 2 ALs he lived in. When he became a 2 person assist is when the issues began. But, with hospice on board, dad's AL was fine with keeping him until he passed, even being a 2 person assist.
Check the ALs in your area. Each elder must be evaluated to see if they are determined to be in able enough condition to live there.
We had an uncle in assisted living with advanced Parkinson’s. When his caregiving needs got intense, involving having to be fed for every meal, and a two person assist for every transfer, the assisted living place kept him while fully admitting it was beyond their scope of care. This happened because the family had shown up daily, gotten to know the staff, and befriended them. They were liked there and uncle was a kind, cooperative man. Your basic answer is “depends on the place and the regulations” but having a cooperative, well like resident and family can make a big difference as well
Not for most ALF, no. At least not for my brother's. But the care level for someone w/c bound with need for transfer would be quite high. This often requires two caregivers and with some frequency.
For all of these things it is best to discuss disabilities of ANY kind with the facility itself, and to request a list of care levels and what they consist of, and cost.
If you are looking at a specific facility ask what their regulations are. Most if not all AL and most MC can not use equipment to transfer a person. The use of equipment is regulated in Skilled Nursing. This is a safety precaution for both the staff and the resident. It may also depend on how much help a person needs to transfer. If it is minimal help that is different than a staff member doing all the work during the transfer. Might actually depend on if the person is a 295 pounds or 105. And if this is a 1 or 2 person transfer. Not a good reason or excuse but reality ....With the staffing shortage if 1 or 2 staff persons have to help 1 person 5, 6, 7 times a day that is taking time that other residents may need help.
It varies according to state regs as well. In Connecticut, you can be a two person assist and still be in AL while in neighboring New York, only NHs are able to admit 2 person assists. At least that was the case in 2013.
There are always exceptions and rules vary. What matters is what you need and who will provide it. People going into ALFs are in transition. The manpower is more limited in ALF than a NH. My DH aunt went into an ALF while bedfast. She’s a small woman, was on hospice, had an aide daily. So there are many factors that might make a difference in a decision to accept a patient or not.
I believe she may be correct. If someone cannot stand up, pivot and then take a step to get on a toilet or into another chair, etc, then it requires 1 or 2 people to safely lift them up and get them where they need to be. Unfortunately, assisted living is not staffed to accommodate those needs. AL can give meds, wash your clothing, provide meals in a dining room setting (that you have to be able to get to) arrange group outings to the store, etc. If someone need hands on care, they probably need a nursing home and maybe skilled nursing depending on what other issues are going on.
That information is based on my experience at my moms previous assisted living facility. There may be other AL's that provide different levels of care than the one mom was in.
It depends. Most assisted living facilities do not take residents who cannot transfer themselves, are invalid, or whose dementia has regressed them back into a toddler who needs 24 hour supervision.
Assisted living means there are staff who will 'assist' a resident with certain ADL's like meals, housekeeping, laundry, medication supervision, and hygiene. Not provide total invalid care for a person who can't even get up on their own.
I was a supervisor at a very nice AL some time back. Our citeria for residence was that a person had to be able to walk without assist of another person and we did not allow wheelchairs. Walkers or canes were fine. A resident had to still be using a toilet without assistance. An actual toilet because we did not allow bedside commodes. No one who was diaper-dependent was allowed to move in, or stay if they became so. If you used a pull-up or pad for extra security that was fine. Residents had to be able to properly dispose of these things in their own. We had residents with dementia, but when it progressed and the resident no longer met our criteria for residency, they had to go.
This is how most assisted living facilities operate.
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.
Check the ALs in your area. Each elder must be evaluated to see if they are determined to be in able enough condition to live there.
That's unusual about where your uncle was because it would pose an issue with their liability insurance coverage.
For all of these things it is best to discuss disabilities of ANY kind with the facility itself, and to request a list of care levels and what they consist of, and cost.
Best of luck.
It may also depend on how much help a person needs to transfer. If it is minimal help that is different than a staff member doing all the work during the transfer. Might actually depend on if the person is a 295 pounds or 105. And if this is a 1 or 2 person transfer.
Not a good reason or excuse but reality ....With the staffing shortage if 1 or 2 staff persons have to help 1 person 5, 6, 7 times a day that is taking time that other residents may need help.
The manpower is more limited in ALF than a NH.
My DH aunt went into an ALF while bedfast. She’s a small woman, was on hospice, had an aide daily. So there are many factors that might make a difference in a decision to accept a patient or not.
That information is based on my experience at my moms previous assisted living facility. There may be other AL's that provide different levels of care than the one mom was in.
Assisted living means there are staff who will 'assist' a resident with certain ADL's like meals, housekeeping, laundry, medication supervision, and hygiene. Not provide total invalid care for a person who can't even get up on their own.
I was a supervisor at a very nice AL some time back. Our citeria for residence was that a person had to be able to walk without assist of another person and we did not allow wheelchairs. Walkers or canes were fine. A resident had to still be using a toilet without assistance. An actual toilet because we did not allow bedside commodes. No one who was diaper-dependent was allowed to move in, or stay if they became so. If you used a pull-up or pad for extra security that was fine. Residents had to be able to properly dispose of these things in their own. We had residents with dementia, but when it progressed and the resident no longer met our criteria for residency, they had to go.
This is how most assisted living facilities operate.
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