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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.
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Are there laws that dictate whether a person is eligible for Independent living vs Assisted vs dependent living? Or is eligibility up to the housing facility?
Good point Bobby, anyone who can't transfer on his own would need help getting out of bed, possibly with dressing (pulling up pants), getting into and out of the shower, and on/off the toilet and then getting back in bed... not really independent.
In most cases, independent living is just that. They don't need assistance. My friend is in a CCRC (I'm POA) and I see people in IL that shouldn't be there but sometimes they allow them to hire their own CNAs if they have lived there a long time. We had to move from AL memory floor to Skilled once he became a 2 person assist from a broken femur. In AL they cannot be on puréed or mechanical soft diets or need two persons to assist in toiletting or bedcare. AL usually means one person helps them get dressed but then they are on their own to come to the nurse for meds and to dinner except on the memory floor. What is really needed is a middle step from AL to Skilled. Sometimes they need more assistance than AL gives but are not truly skilled care patients.
Eligibility is up to the doctor. It needs to be prescribed, then the facility determines the services necessary. However, unless the person is incompetent it is up to them.
There are laws about what assisted living, for example, can and cannot provide. If someone needs care that the ALF can't provide, they typically turn the applicant down.
To be more specific 5-6 years ago, we had my father-in-law who was in a wheel chair in an independent living facility and we were forced to move him because the facility said that MO state law requires that you must be able to get yourself to safety in the event of an emergency. He was in perfect health except he needed assistance transferring himself to his wheel chair. Because he couldn't get into the wheel chair by himself he failed independent living requirements.
Current day...my mother is in an independent living facility and I see many people who would clearly not be able to get themselves to safety in the event of an emergency....many even have wheel chairs on 2-3 levels and are not able to walk down the stairs.
Was the facility several years ago just not wanting to deal with my father in law or is the facility where my mother at now, not complying with state laws?
My dad was living in assisted living and developed a condition that made him unable to bear weight for which he was hospitalized. While he was in the hospital I was told that he could not go back to AL because of this and he would have to move to a nursing home. Unfortunately his condition worsened and he was transferred to a hospice facility and passed away there.
A sales guy at a Continuing Care Retirement Community in FL told my husband and I that as long as one of us was ambulatory, we would be eligible to stay in independent living. I wonder if that could be why some folks in your mother's facility are able to remain--because they have an able roommate. They could also be able to transfer themselves to the wheel chair unassisted.
To Barb -- if the individual is a 2-person lift, then absolutely needs SNF. The # of aids per # patient drive that need. There are 2 levels of Assisted Living (AL1 & AL2). Here's a link to one of my favorite brochures that help explain some of the differences: http://health.mo.gov/seniors/ombudsman/pdf/res_care_brochure.pdf
See the Federal Fair Housing Act as the more people who know about this and enforce it the better. Do an internet search for these legal articles and READ THEM: Bazelon Center's "The Illegality of Independent Living Requirements in..." (search for it), and "For the Rest of their lives: Seniors and the Fair Housing Act" by Michael Allen and Robert G. Schwemm; "Disability Discrimination in Long Term Care: Using the Fair Housing Act to Prevent Illegal Screening in Admissions..." from the Notre Dame Journal of Law Volume 21 Issue 2, Article 4; "Fair Housing Compliance in the Senior Living Context" by Daniel Sternthal; Fair Housing Rights of Seniors with disabilities" from the John L Marshall school of law 2006; "Fair Housing Challenges for Senior Housing Providers" by Robin Dale and Paul Gordon; and Dykema Law Group presentation "Basic Provisions of the Federal and State Fair Housing acts, Feb. 25, 2015" -- this presentation references and recaps several cases about places trying to (illegally) insist upon independent living requirements and wheelchairs and all sorts of issues that were found in violation of FHA
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.
Current day...my mother is in an independent living facility and I see many people who would clearly not be able to get themselves to safety in the event of an emergency....many even have wheel chairs on 2-3 levels and are not able to walk down the stairs.
Was the facility several years ago just not wanting to deal with my father in law or is the facility where my mother at now, not complying with state laws?
http://health.mo.gov/seniors/ombudsman/pdf/res_care_brochure.pdf
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