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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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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:
Your profile says she has dementia (and so I also assume memory impairment). You can start researching facilities (before she totally runs out of money) that are local and reputable. The admissions staff will need to assess her to see what level of care she will need. You will also need to make sure they accept Medicaid (not all places do).
Going into a facility on private pay may help avoid waiting lists for entry. In most states, Medicaid only pays for LTC when someone qualifies for financial aid part. You should consider consulting with a Medicaid Planner for her state right away to know what lay ahead in this process.
Better to find places now rather than having to do it in a crisis. Your MIL and her son do not need to know what you're doing.
This past month my 100-yr old Aunt with advanced dementia fell in her home and broke her hip. We opted out of surgery, which would have been the answer to "fix" it. She was in the rehab facility for maybe 2 weeks before UnitedHealthcare decided they wouldn't pay because she couldn't do PT and wasn't improving. Then I had to work hard and fast to find LTC facilities that had openings. Once UHC gave the "cut" order it was almost immediate (although there is an appeal process but they kept denying the coverage).
Do the legwork now to avoid the stress of doing it under duress. If you get all the ducks in a row and find a good place for her, you then tell MIL a therapeutic fib to get her to move to the facility (the house has an "infestation" and needs to be treated; the house has a gas leak, the house requires the heat/ac/water be turned off for repair) and she will need to stay in an "apartment" until she can go back. Whatever it takes to calmly get her there.
If she is resistant to the idea of going into care, you may need to wait until she is hospitalized. Once admitted to the hospital, you talk to the discharge planners about how sending her home would be an "unsafe discharge". They can then get her into a rehab unit that is within a NH; from there she can transition to being a permanent resident.
That is exactly what my wife did with her mother. She did have DPOA and MEDICAL POA. We had to use private pay and this will probably last her lifetime but if it appears it won’t then we will have time to get Medicaid ready.
if you cant get her to dr wait until she falls and do not pick her up and let ambulence people take her to the hospital, from there it is easier to place her then from home,
I agree with Geaton77 , below.. contact your county office of aged and disabilities.. google care advisors, get someone local who can cut thru the red tape and help you find suitable placement. You don’t pay them , they are paid by the facility. Local is key , they know the ins and outs, availability and costs.. I used a franchise called care patrol. A period of self pay is optimal as choices go down with less self pay.
This is something I would like to know how to deal with too. My MIL is 91, has been falling more often lately, doesn't appear to be showering or bathing. She has dementia. She is very narcissistic and has the belief, still, that she is perfect and everyone else isn't. I have posted before about our situation and have basically been told we need to wait for something to happen.
Does anyone have POA for her? I have it for my mom with dementia and arranged her move to AL without her knowledge then told her it was time to move and off we went. She was MAD! And SAD! But she adjusted and is relatively happy there now.
As fast as you can, find a LTC that has 'continuum of care' AND that also accepts Medicaid. By this I mean that the client can enter using her own resources, but when her Estate is depleted, the Facility switches her over to a Medicaid approved placement.
You need some help deciding how best to learn about Medicaid. I agree BarbBrooklyn that getting her out of the house might not be possible until she is hospitalized for a fall or for an illness. AT THAT POINT, you must be ready to move her to the Facility that you have already researched, that takes Private Pay but which also takes Medicaid..
Please look into in home care instead! There are programs to help people not only get the care they need right at home, but also the funding to pay for it and other things they may need.
We have a program here called IRIS that is wonderful. It will give them the funds they need to pay for care givers (including family caregivers) and also provide anything needed to alter the home or special furnishings. They will also help pay for therapies and other activities outside of the home if not covered by their insurance.
Every state has programs like this. It is a far better (and happier) life they would live at home, than in a nursing care facility where they would loose everything they have only to find themselves trapped there with people who neglect and sometimes even abuse them.
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.
Going into a facility on private pay may help avoid waiting lists for entry. In most states, Medicaid only pays for LTC when someone qualifies for financial aid part. You should consider consulting with a Medicaid Planner for her state right away to know what lay ahead in this process.
Better to find places now rather than having to do it in a crisis. Your MIL and her son do not need to know what you're doing.
This past month my 100-yr old Aunt with advanced dementia fell in her home and broke her hip. We opted out of surgery, which would have been the answer to "fix" it. She was in the rehab facility for maybe 2 weeks before UnitedHealthcare decided they wouldn't pay because she couldn't do PT and wasn't improving. Then I had to work hard and fast to find LTC facilities that had openings. Once UHC gave the "cut" order it was almost immediate (although there is an appeal process but they kept denying the coverage).
Do the legwork now to avoid the stress of doing it under duress. If you get all the ducks in a row and find a good place for her, you then tell MIL a therapeutic fib to get her to move to the facility (the house has an "infestation" and needs to be treated; the house has a gas leak, the house requires the heat/ac/water be turned off for repair) and she will need to stay in an "apartment" until she can go back. Whatever it takes to calmly get her there.
Does your husband have Power of Attorney?
Does she have Medicaid?
If she is resistant to the idea of going into care, you may need to wait until she is hospitalized. Once admitted to the hospital, you talk to the discharge planners about how sending her home would be an "unsafe discharge". They can then get her into a rehab unit that is within a NH; from there she can transition to being a permanent resident.
From your profile: "I am primary caregiver for my mother in-law."
The "how" answer to your question above is that you stop being her caregiver.
google care advisors, get someone local who can cut thru the red tape and help you find suitable placement. You don’t pay them , they are paid by the facility. Local is key , they know the ins and outs, availability and costs.. I used a franchise called care patrol. A period of self pay is optimal as choices go down with less self pay.
You need some help deciding how best to learn about Medicaid. I agree BarbBrooklyn that getting her out of the house might not be possible until she is hospitalized for a fall or for an illness. AT THAT POINT, you must be ready to move her to the Facility that you have already researched, that takes Private Pay but which also takes Medicaid..
We have a program here called IRIS that is wonderful. It will give them the funds they need to pay for care givers (including family caregivers) and also provide anything needed to alter the home or special furnishings. They will also help pay for therapies and other activities outside of the home if not covered by their insurance.
Every state has programs like this. It is a far better (and happier) life they would live at home, than in a nursing care facility where they would loose everything they have only to find themselves trapped there with people who neglect and sometimes even abuse them.
Contact Elder Law Attorney for facts and strategies for appropriate placement for all of you.
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