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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.
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When my mother-in-law was in the nursing home for rehab because of a broken hip, it was her INSURANCE that decided when she had to leave. When the patient stops progressing either because the therapy has done as much as it could, OR the patient just wouldn't do the work for whatever reason.
Health insurance, including Medicare, will pay for rehabilitation, but not for LTC. The NH will need to discharge him to the usual places -- home, AL, or some other place of your choosing. Do you have an LTC or AL option in place for him?
If Medicare doesnt think they are making progress or unwilling to rehab, they will dismiss them. If they do rehab and reach their peak plateau they will then release them.
I believe the little town that my parents live in has a waiting list for their Long Term Care. As I am experiencing this w/ my family I am finding out that this is a pretty harsh system and very sad. Why dont we just put old people down like sick animals?
I wish the US was more like Norway, a country that believes all people are equal and worthy of the same treatment without regard to age, gender, or race. I look at how things are structured -- low cost daycare for children, free schools, financial assistance for college, etc. And the old people? Not our problem, says the same society that supports children so well. And I wonder at what age do people cease to merit consideration and respect. This country needs to grow up IMO.
It is a shame on how our county , looks a pond elderly , my Mom is 80 and all I can do is watch her die, she has all her wits about her , she wants to live , My Mom lives with my younger sister who works 50 hours a week , The family does not have resources to have a full time sitter , I am beside my self , The women went to the hospital on 4/15/12 for infected toe , they keep her for approx 3 wks went to rehab where she sustain a wound on her opposite foot and a bout of VRE infection ,back to the big hospital, there they treated VRE and sent her home with it, primary doc sets up home care and about 25 different med less than 2 wks she rush back to big hospital with loss of blood , they give blood, gonna send her back home next day, but she had existing wound on her good foot , she was week from blood loss, they had order a low bed , the bed was to arrive that afternoon, well 1am on release day my mom had to go to the bathroom and no one came she got out of bed and fell and broke her hip, after she broke her hip , the new low bed arrives , My mom is in intensive care her status as far as i am concern is critical she is still losing blood , the hospital is making plans on sending her home and to a regular room .The hospital in the state of Florida has a licence to kill !! they cannot be held accountable , get this , Because the children cannot sue ,spouse only :(
jeanie, what a mess! I understand completely. When my father was admitted to the hospital from ER, they immediately asked where we wanted to discharge him. The man was dying and had just gotten there. He lived three more days, which I spent looking at SNFs. I finally decided on Hospice. We were going to take him home. He died right before Hospice arrived and didn't make it home.
And I wondered why the hospital was so intent on getting a dying man out the door. They knew he would soon be dead. We knew it. So why didn't they just leave us alone instead of going through that silly game with us.
I believe it's political. Don't keep them alive because they are draining SS. Never mind that they paid in for years while we have illegals, welfare am Nd those that "take" from taxpayers. What happened to honor your elders? The times I have had to take mom to ER they check her over and say " well, at her age she is going to have these "chinks" in her armor". And send her home. Even with a UTI. Thank God I have a prescription foe meds. Bt I think she may need a different kind oe IV antibiotics. They don't care. She is 93 and MY mom and I love her and want to keep her.
I called the nursing home director today and told him my concerns. I am still at a loss that the nursing home says my dad isnt making progress w/ his rehab so they report it to medicare and he gets released...but to what and where? funny the director was more worried when i told him that my family had the impression that all the ppl working their seemed like they have given up helping my dad. He was like "oh no, we dont want ppl to have that kind of impression or our nursing home"....
I have been through this with my mom on skilled nursing at our hospital. She is now in a very large, nice nursing home. She is in a Medicare bed and as long as she makes progress, she will continue in that unit and her horrible Humana insurance will pay for it. She is out of network, so she is paying $6000 for the first 100 days, which is less than in network for that long, go figure.
As long as she shows progress and participates in therapy, she can stay there. If she stops showing progress, I am thinking, they will put her in a different unit and she goes to private pay. Medicare and their replacement plans don't pay for actual nursing home care, the patient has to need some type of therapy or skilled care.
Do they have a theory why he is not progressing? Do you think that theory is correct? Based on my experiences you can consider the following: 1. Does he has something new physically wrong? Like an Urinary tract infection or just having a bad day? If a legitimate additional illness, the nursing home can pause the therapy and let him remain there until he recovers but there is still a total maximum days that Medicare pays toward rehab. 2. How about the timing of the physical therapy? Is he is morning person and they are doing it in the afternoon? are they doing it when he is hungry? Ask for a change of schedule. 3. Are the pts working with him not a good match? Have you attended any sessions and watched how they work with him? Do they put him somewhere and go and work on 3 other patients ? or give him one on one therapy? Ask for a change in pts if you think this will help. The reality is that some pts are not as good and as motivating as others. 4. If in there for example a broken hip, maybe he is in pain and they need to give tylenol or whatever prescribed pain meds at least one hour before pt so they kick in. Ask the dr to order this.
If able to go back home, ask for an order for pt in the home. Medicare covers this.
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.
And I wondered why the hospital was so intent on getting a dying man out the door. They knew he would soon be dead. We knew it. So why didn't they just leave us alone instead of going through that silly game with us.
Never mind that they paid in for years while we have illegals, welfare am
Nd those that "take" from taxpayers.
What happened to honor your elders?
The times I have had to take mom to ER they check her over and say " well, at her age she is going to have these "chinks" in her armor". And send her home. Even with a UTI. Thank God I have a prescription foe meds. Bt I think she may need a different kind oe IV antibiotics. They don't care. She is 93 and MY mom and I love her and want to keep her.
funny the director was more worried when i told him that my family had the impression that all the ppl working their seemed like they have given up helping my dad. He was like "oh no, we dont want ppl to have that kind of impression or our nursing home"....
As long as she shows progress and participates in therapy, she can stay there. If she stops showing progress, I am thinking, they will put her in a different unit and she goes to private pay. Medicare and their replacement plans don't pay for actual nursing home care, the patient has to need some type of therapy or skilled care.
I am new at this, but that is my understanding.
1. Does he has something new physically wrong? Like an Urinary tract infection or just having a bad day? If a legitimate additional illness, the nursing home can pause the therapy and let him remain there until he recovers but there is still a total maximum days that Medicare pays toward rehab.
2. How about the timing of the physical therapy? Is he is morning person and they are doing it in the afternoon? are they doing it when he is hungry? Ask for a change of schedule.
3. Are the pts working with him not a good match? Have you attended any sessions and watched how they work with him? Do they put him somewhere and go and work on 3 other patients ? or give him one on one therapy? Ask for a change in pts if you think this will help. The reality is that some pts are not as good and as motivating as others.
4. If in there for example a broken hip, maybe he is in pain and they need to give tylenol or whatever prescribed pain meds at least one hour before pt so they kick in. Ask the dr to order this.
If able to go back home, ask for an order for pt in the home. Medicare covers this.