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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
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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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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.
Share a few details and we will match you to trusted home care in your area:
How much extra work are you doing just for him? Is he eating a lot - requiring specific or special food and drink? How much space is allotted just for him? Are you running him out on errands and appointments or even making special trips to the store just for him? What are his habits regarding heating and cooling? Water usage? Is he using the internet and watching cable TV?
In other words some specifics would help to better assess his personal liability to the family budget.
Lastly - what shape are his own finances in? Existing on social security or nice retirement nest egg?
He basically needs 24 hour care. We need to shop for him, cook, clean up, sort his meds, drive him to Dr. appts., manage visitors, his laundry, etc. He has his own room, and shares the family room, kitchen, and a bathroom. Once a week we bring him upstairs to take a shower. He can walk with a walker. He needs to be awakened in the morning, his vitals taken, meds given (3 times daily). He can barely walk. He needs basically everything done for him. My wife, myself, or one of my children need to be with him at all times.
Husker - I just read your other post that mentioned a spend-down towards the possibility of Medicaid covering if your FIL eventually needs to be placed in a skilled nursing facility- fancy talk for nursing home. So I'm gonna roll that into this reply as it's probably more important than a shared expense dollar figure - cart before the horse and all that.
You mentioned your FIL is receiving a pension along with social security. Depending on the amount of each it could be possible that your FILs monthly income level would be too high to qualify for Medicaid assistance.
So before you start spending all his currently saved assets it would probably be a good idea to find an elder care attorney who specializes in Medicaid in your state.
If your FIL does not qualify for Medicaid due to his monthly income - you're going to want to investigate a Miller Trust - which is a way to legally portion off the excess monthly money and therefore become eligible for Medicaid.
If your FILs monthly income is under the amount needed to qualify for Medicaid- but he has saved assets- yes, you are likely going to want to begin a legal spend down. Spend down laws/guidelines can vary from state to state so you need to find out what's allowable in yours.
But for sure - no state allows a spend down by way of gifting - which can be intrutpted as such if rent or "shared expenses" is not carefully and legally contracted. This is when a legally drawn up - by an attorney- caregivers contract comes into the picture. You could set a monthly rate for your FIL to pay at this time that would be a comprehensive figure.
I would also suggest discussing with the attorney who is advising you on all the stuff I've already mentioned - the legalities of using the term "shared expenses" vs "rent" or even leaving out either term and grouping it all under "caregiver agreement". What might save you in Income taxes - might cost you in Medicaid penalties. I could just be over cautious here - but better safe than sorry, right?
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.
How much extra work are you doing just for him? Is he eating a lot - requiring specific or special food and drink? How much space is allotted just for him? Are you running him out on errands and appointments or even making special trips to the store just for him? What are his habits regarding heating and cooling? Water usage? Is he using the internet and watching cable TV?
In other words some specifics would help to better assess his personal liability to the family budget.
Lastly - what shape are his own finances in? Existing on social security or nice retirement nest egg?
You mentioned your FIL is receiving a pension along with social security. Depending on the amount of each it could be possible that your FILs monthly income level would be too high to qualify for Medicaid assistance.
So before you start spending all his currently saved assets it would probably be a good idea to find an elder care attorney who specializes in Medicaid in your state.
If your FIL does not qualify for Medicaid due to his monthly income - you're going to want to investigate a Miller Trust - which is a way to legally portion off the excess monthly money and therefore become eligible for Medicaid.
If your FILs monthly income is under the amount needed to qualify for Medicaid- but he has saved assets- yes, you are likely going to want to begin a legal spend down. Spend down laws/guidelines can vary from state to state so you need to find out what's allowable in yours.
But for sure - no state allows a spend down by way of gifting - which can be intrutpted as such if rent or "shared expenses" is not carefully and legally contracted. This is when a legally drawn up - by an attorney- caregivers contract comes into the picture. You could set a monthly rate for your FIL to pay at this time that would be a comprehensive figure.
I would also suggest discussing with the attorney who is advising you on all the stuff I've already mentioned - the legalities of using the term "shared expenses" vs "rent" or even leaving out either term and grouping it all under "caregiver agreement". What might save you in Income taxes - might cost you in Medicaid penalties. I could just be over cautious here - but better safe than sorry, right?