Are you sure you want to exit? Your progress will be lost.
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 acknowledge and authorize
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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.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
I would ask them what, exactly, they offer and when they get on with it. They put off my mother until she died; 1 whole month.
Get recommendations from actual family of patients in the hospices you're looking at, rather than taking the word of any facility or anyone working for them. Nurses in private doctors' offices have all heard stories about the different ones and they'll be happy to talk.
If they don't include family don't feel bad about finding a new hospice that does what they say they'll do. This is an important time. Don't do what I did and let them make promises they won't bother to keep. If you're not satisfied find another! (Sorry, still really raw and angry.)
You can interview them by calling and scheduling an appointment. It is easier if your doctor has already said hospice.
You want to ask them how they deal with:
Family, what support do they offer to help the family remain strong and stable during and after.
Pain, will they prescribe something besides morphine.
Equipment, what kind of bed, wheelchair, oxygen etc. and how is it dealt with when there is a problem.
Medications, do they deliver and what they cover.
Problems, ie UTI, or other infections that cause unnecessary pain. Will they treat them.
Response time when called for a unscheduled visit.
How many weekly visits and by whom, nurse, social worker, aids, chaplain if requested.
What is the companies main purpose and goals.
Are they a nonprofit or for profit.
Do they offer respite.
Do they have or are they affiliated with a hospice facility.
Do they have volunteers and what does that offer to help you, companion sitting, music therapy or???
What is the company policy for dealing with complaints.
How does it work if you find that it is not a good match, what are the procedures for you to get another hospice on board.
Can you request specific people or refuse specific people.
Any hospice should be happy to answer all of the above, if not, red flag.
I am sorry you are facing this with your loved one. I pray that you find a wonderful hospice and their employees are a true blessing to you and your family.
I've actually fired a hospice agency once already. My mother currently doesn't need one just yet. In my case, I've decided to go with one that I've worked with before. They're one of the oldest hospices in the state (TX) and they know what they're doing bc they're not a franchise or a small family owned/operated service. I also asked the doctor and nurses at my mothers NH and they gave me good feedback. Hope this helps.
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.
Get recommendations from actual family of patients in the hospices you're looking at, rather than taking the word of any facility or anyone working for them. Nurses in private doctors' offices have all heard stories about the different ones and they'll be happy to talk.
If they don't include family don't feel bad about finding a new hospice that does what they say they'll do. This is an important time. Don't do what I did and let them make promises they won't bother to keep. If you're not satisfied find another! (Sorry, still really raw and angry.)
You want to ask them how they deal with:
Family, what support do they offer to help the family remain strong and stable during and after.
Pain, will they prescribe something besides morphine.
Equipment, what kind of bed, wheelchair, oxygen etc. and how is it dealt with when there is a problem.
Medications, do they deliver and what they cover.
Problems, ie UTI, or other infections that cause unnecessary pain. Will they treat them.
Response time when called for a unscheduled visit.
How many weekly visits and by whom, nurse, social worker, aids, chaplain if requested.
What is the companies main purpose and goals.
Are they a nonprofit or for profit.
Do they offer respite.
Do they have or are they affiliated with a hospice facility.
Do they have volunteers and what does that offer to help you, companion sitting, music therapy or???
What is the company policy for dealing with complaints.
How does it work if you find that it is not a good match, what are the procedures for you to get another hospice on board.
Can you request specific people or refuse specific people.
Any hospice should be happy to answer all of the above, if not, red flag.
I am sorry you are facing this with your loved one. I pray that you find a wonderful hospice and their employees are a true blessing to you and your family.