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Who are you caring for?
Which best describes their mobility?
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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?
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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.
Remember, this assessment is not a substitute for professional advice.
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Her illness is degenerative and she will not get better, so 100 days in a place would not be enough. She has Medicare and SCAN insurance. Her total income is $3000.
I'm assuming that precautions (such as removing rugs, adding grab bars), etc. have been taken but that the course of the illness indicates these actions won't provide the type of security she needs.
I'm not familiar with SCAN insurance. There are people here who are very knowledgeable on Medicaid issues though and I'm sure they will suggest that you attempt to qualify her for that. It seems that would in fact be the next step.
I don't know whether the social worker(s) at her current facility would be willing to help, but you could also contact your county goverment and ask if there are social workers there who can help with your application.
In the meantime, I would begin searching for a facility that will accept Medicaid, list the criteria for a placement and begin interviewing the ones that are candidates. Be sure to go around dinnertime to see what support patients are given before and after. Sometimes if the aide level is insuffucient, patients are left in need of toileting assistance because the staffing ratios are insatisfactory.
Medicare also has a section in which various facilities can be reivewed, infractions noted, and you can compare them. I found that helpful but nothing replaces an onsite inspection.
This might be a long shot, but you might contact one of the charitable organizations focusing on the illness your sister has and ask if they have a list of facilities that specialize in care of people with this illness.
I'm sorry for your sister's situation and hope you're able to find a placement that provides physical and emotional assistance to help her.
My only experience with Assisted Living was with my sister who had MS. Once she could no longer stand by herself or get into and out of bed by herself she was out of there and had to go to a nursing home. They have their liability limits. I don't know about falling, but I would imagine that the Assisted Living facility is not a good place for her. Look for a long term care facility, one who has a nursing home attachment so as her condition deteriorates they can work her through the proper treatment channels in house. Many do accept Medicaid but there might be a waiting period so move quickly.
She might look into a board and care situation. They usually only have about 5 or 6 clients and it is in a private home. There are caregivers there 24/7 and they also provide meals. It is not a very stimulating environment but usually costs less than an assisted living and they do provide meals and safety features such as bathing and dressing and help with the medications.
I would begin looking for a new placement. It is rough to find a good NH which does take Medicaid. Second, if she is in a rehab assisted living under Medicare which can be given up to 90 or 100 days, however from experience these facilities seem to get more funds for the first 30 days and therefore they are determined to get the elder home after the first month to 6 weeks and get a new person in the bed who is in their first 30 days---it is a business to them.
I am concerned that your sister is falling. Given her condition you would think she would be "assisted" for transfers or walking times. If she isn't being assisted then why is she in assisted living.
My understanding that Assisted Living has a lesser amount of direct care than a Nursing Home placement. It ha taken me awhile to realize the difference. It sounds like now she needs a Nursing Hoe placemen. I would think the facility she is in would help you find an appropriate placement. Usually there is a Social Worker to help with that. I am learning the ropes myself. I hope you can get some good help with this. chris
In more remote areas they will sometimes take the majority of your sisters income to care for her in assisted living or a private personal care home. You will need the 100 days that Medicare approves to find a suitable place for her, call your area on aging for support but this type of placement usually requires a lot of phone calls to secure this type of placement and they often have waiting lists. If you are kind and communicative and your sisters disposition is pleasant people in this type of place will sometime push you through on the wait list.
If your sister is falling several times per week, her needs are beyond what assisted living can provide. She needs to go to a long term care facility where is staff to help her so she won't fall. The last thing you want is for her to fall & fracture a hip or arm. Long term care facilities will get her on Medicaid if she has no assets. Is $3,000 her monthly income or annual income? Look for a long term care facility that will help you get her on Medicaid & work out the financials. She needs more supervision & help than what she gets in assisted living.
Typically Assisted Living is not a Medicaid 'function'. There are unknowns here such as assets & property..... If so; had prior planning to protect them taken place. Or are they part of the private pay spend down....
Are there enough assets available from somewhere to pay a private pay NH for about 3 months, {that will also accept MEDICAID} so you have a choice, (if she meets the health criteria for Medicaid)
Call your local Department of Health and/or Aging and Disability Center. Also try a local Senior Center. Ask for information regarding medicaid.
There might be programs in your area for assisted living such as a waiver program. Otherwise, you will need to look at nursing homes for medicaid options.
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.
I'm not familiar with SCAN insurance. There are people here who are very knowledgeable on Medicaid issues though and I'm sure they will suggest that you attempt to qualify her for that. It seems that would in fact be the next step.
I don't know whether the social worker(s) at her current facility would be willing to help, but you could also contact your county goverment and ask if there are social workers there who can help with your application.
In the meantime, I would begin searching for a facility that will accept Medicaid, list the criteria for a placement and begin interviewing the ones that are candidates. Be sure to go around dinnertime to see what support patients are given before and after. Sometimes if the aide level is insuffucient, patients are left in need of toileting assistance because the staffing ratios are insatisfactory.
Medicare also has a section in which various facilities can be reivewed, infractions noted, and you can compare them. I found that helpful but nothing replaces an onsite inspection.
This might be a long shot, but you might contact one of the charitable organizations focusing on the illness your sister has and ask if they have a list of facilities that specialize in care of people with this illness.
I'm sorry for your sister's situation and hope you're able to find a placement that provides physical and emotional assistance to help her.
I am concerned that your sister is falling. Given her condition you would think she would be "assisted" for transfers or walking times. If she isn't being assisted then why is she in assisted living.
Good luck.
There are unknowns here such as assets & property.....
If so; had prior planning to protect them taken place. Or are they part of the private pay spend down....
Are there enough assets available from somewhere to pay a private pay NH for about 3 months, {that will also accept MEDICAID} so you have a choice, (if she meets the health criteria for Medicaid)
There might be programs in your area for assisted living such as a waiver program. Otherwise, you will need to look at nursing homes for medicaid options.
Take care.