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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:
Babalou: Sorry, I have been ill for a bit. You mean the poster, "zytrhr" when you were telling someone to ignore her post on this topic. I agree. Thanks, Babalou!
The nursing home will want to know how the care will be paid for. Talk with an elder law attorney in your state to determine the options for private payment and whether you are eligible for coverage from Medicare and Medicaid.
The elder law attorney can help you properly calculate and report any assets.
If you are asking on behalf of someone else, Federal Medicare and Medicaid law says that family members cannot be required to sign as a “Responsible Party” for payment of nursing home care costs. 42 USC §1396r(c)(5)(A)(ii). Some facilities have asked family members to “volunteer” to act as a responsible party. The federal law says: “a nursing facility must (ii) not require a third party guarantee of payment to the facility as a condition of admission (or expedited admission) to, or continued stay in, the facility.” To read the nursing home law: https://www.law.cornell.edu/uscode/text/42/1396r
Scroll down to §1396r(c)(5)(A)(ii)
There are also state laws and regulations the prohibit a facility from requiring a resident to provide a third party guarantee of payment to the facility. Example from my state, Massachusetts:
Z seems to think that medical professionals work for free. I wonder if he gets paid for what he does, or if he offers his services for no money.
I help children on the autusm spectrum. I work for a large public school organization. I get paid a salary. Public education is something that we take for granted in the US ; it's funded by tax dollars and everyone pays their share. It's thought to be part of the common weal, to educate all of our children.We don't assign healthcare the same value. We should.
Freqflyer is correct. The doctors that work in the hospitals (at least where I live) are contracted to work at the hospital ONLY. They are hospitalists. The don't have the time or inclination to work 2 jobs. My son is a doctor working in a hospital. He works 12-14 hour days. He could never do a second job in a nursing home, too. Nursing home doctors are just that -- they work in the nursing home. They may have a private practice but they definitely don't work at a hospital.
Communication is the key. When your loved one is in the hospital, make sure you speak to the doctor and RN assigned to the patient regularly. My parents were in the hospital quite frequently at the end of their years and we were never blindsided the "day before" as another poster stated to be discharged to a specific NH. We worked with the discharge planner over several days prior to discharge to find a mutually acceptable place. The crux is, though, that a NH has the last word if they want to accept the patient based on the application you fill out (which includes all the patient's financials). It's amazing that a bed opens up miraculously at a "nice" NH when you have the money. If your not well off, there's not a lot of choice. Sad.
zytrhr, about the money??? They can't work for free or run a building for free.
A building doesn't freeze in time, there is constant maintenance, repairing and updating. The cost for a new air conditioner could run up to $1 Million. Then there is the cost of payroll and workman comp insurance. Food service costs are always going up.
Cost of utilities, if you think your home utilities cost a lot, imagine a building the size of a nursing home. Cleaning service cost. Linen service cost. Cost of medicines for each patient. Hospital beds are not cheap. Then there is the cost of oxygen for some patients. Parking lot maintenance, snow plowing costs. Landscaping costs.
Malpractice insurance costs are through the roof as so many people are sue happy. Imagine the property taxes. Licensing costs.
Thank goodness for profit, or companies would shut down.
As for a nursing home doctor who works at a hospital... how in the world do they find the time? They can't direct a patient to come to a certain rehab center/nursing home. The patient goes where there is an empty bed or they go home and have at home rehab.
Very true, what was posted, Doctor not only is affiliated with hospital but is a NH doctor as well. He has several NPs that serve NHs he visits. He also has staff that handles tasks at the hospitals he is at (4 Hospitals at least 4 NHs). One of his staff did try to convince me to send my mom to one of these facilities he, well his NP goes to, and was upset when I chose a place that was right in the same hospital she was at, but a couple floors up.
Receiving her Medicare and other insurance statements he and his NPs did submit claims to be paid, even on the day she passed. I stand by what I posted.
You may be a little misinformed about hospital to NH. Many doctors have figured out what you posted, especially ones that do double duty at a NH as well. Those doctors, and their staff, wait until the day before to let a family know their loved one is going to be discharged. They want to try to convince the family to use a NH they practice at, whether it is good or not, reason being, every time they visit the patient in the NH, they bill Medicare. It is about the money
Sure there are 5 star NH that could suck, for the most part the lower rated ones deserve the ratings they get, especially if they are For Profit ones.
A credit check is entirely different than a background check. The question regards the nursing home doing a credit check on a patient before accepting them. The answer is yes. When you apply for a nursing home (or assisted living or any apartment living), an application is required. It's usually several pages. They want typical information like your bank account balances and Social Security #, etc as well as asking what assets you own, what debts you have, and generally there's a place in the application to consent to a credit history check.
Nursing homes want to be paid. If you don't have enough money to get you through at LEAST 6 months to a year before beginning the Medicaid process, many "nice" NH won't even consider the application. Then you end up in a less desirable NH. If the patient is currently in a hospital, discuss the patient's discharge with the discharge planner. That's their job to assist you. Do your due diligence!!! Don't just accept the first NH that accepts the patient. Research these facilities --- ask friends, neighbors or an elder law firm for recommendations. Don't just rely on Medicare.gov's ratings. My Mom was in a supposed 5-star facility and it sucked. She didn't last 3 months there before she died. I'm still depressed about it.
My husband was accepted at a nursing home under Medicaid Pending. I don't know whether a credit check was done, but I had to file copies of several months' bank statements for each of us.
You cannot do almost anything without someone running a credit check. Even to get a job nowadays requires a credit check. Everyone needs to check it free yearly annualcreditreport and keep on top of credit, payments, etc.
I would imagine they do. They get all your information and your SS# and if you are signing any kind of contract with anyone selling you anything its probably standard procedure.
I worked at an assisted living facility for a few years and they do require a background check on it's employees. . If they find anything. Suspicious that employee is terminated,
If a nursing home or Assisted Living does run a credit background check, someone would need to give written approval to do so. The signer would need to be either the patient or that patient's POA.
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.
The elder law attorney can help you properly calculate and report any assets.
If you are asking on behalf of someone else, Federal Medicare and Medicaid law says that family members cannot be required to sign as a “Responsible Party” for payment of nursing home care costs. 42 USC §1396r(c)(5)(A)(ii). Some facilities have asked family members to “volunteer” to act as a responsible party. The federal law says: “a nursing facility must (ii) not require a third party guarantee of payment to the facility as a condition of admission (or expedited admission) to, or continued stay in, the facility.”
To read the nursing home law:
https://www.law.cornell.edu/uscode/text/42/1396r
Scroll down to §1396r(c)(5)(A)(ii)
There are also state laws and regulations the prohibit a facility from requiring a resident to provide a third party guarantee of payment to the facility. Example from my state, Massachusetts:
http://www.mass.gov/ago/docs/regulations/940-cmr-4-00.pdf
A credit check would only confirm what you will already need to disclose to the nursing home, and the Medicaid agency if you apply.
I help children on the autusm spectrum. I work for a large public school organization. I get paid a salary. Public education is something that we take for granted in the US
; it's funded by tax dollars and everyone pays their share. It's thought to be part of the common weal, to educate all of our children.We don't assign healthcare the same value. We should.
Communication is the key. When your loved one is in the hospital, make sure you speak to the doctor and RN assigned to the patient regularly. My parents were in the hospital quite frequently at the end of their years and we were never blindsided the "day before" as another poster stated to be discharged to a specific NH. We worked with the discharge planner over several days prior to discharge to find a mutually acceptable place. The crux is, though, that a NH has the last word if they want to accept the patient based on the application you fill out (which includes all the patient's financials). It's amazing that a bed opens up miraculously at a "nice" NH when you have the money. If your not well off, there's not a lot of choice. Sad.
A building doesn't freeze in time, there is constant maintenance, repairing and updating. The cost for a new air conditioner could run up to $1 Million. Then there is the cost of payroll and workman comp insurance. Food service costs are always going up.
Cost of utilities, if you think your home utilities cost a lot, imagine a building the size of a nursing home. Cleaning service cost. Linen service cost. Cost of medicines for each patient. Hospital beds are not cheap. Then there is the cost of oxygen for some patients. Parking lot maintenance, snow plowing costs. Landscaping costs.
Malpractice insurance costs are through the roof as so many people are sue happy.
Imagine the property taxes. Licensing costs.
Thank goodness for profit, or companies would shut down.
As for a nursing home doctor who works at a hospital... how in the world do they find the time? They can't direct a patient to come to a certain rehab center/nursing home. The patient goes where there is an empty bed or they go home and have at home rehab.
Very true, what was posted, Doctor not only is affiliated with hospital but is a NH doctor as well. He has several NPs that serve NHs he visits. He also has staff that handles tasks at the hospitals he is at (4 Hospitals at least 4 NHs). One of his staff did try to convince me to send my mom to one of these facilities he, well his NP goes to, and was upset when I chose a place that was right in the same hospital she was at, but a couple floors up.
Receiving her Medicare and other insurance statements he and his NPs did submit claims to be paid, even on the day she passed. I stand by what I posted.
I'm sorry about your mom.
You may be a little misinformed about hospital to NH. Many doctors have figured out what you posted, especially ones that do double duty at a NH as well. Those doctors, and their staff, wait until the day before to let a family know their loved one is going to be discharged. They want to try to convince the family to use a NH they practice at, whether it is good or not, reason being, every time they visit the patient in the NH, they bill Medicare. It is about the money
Sure there are 5 star NH that could suck, for the most part the lower rated ones
deserve the ratings they get, especially if they are For Profit ones.
Nursing homes want to be paid. If you don't have enough money to get you through at LEAST 6 months to a year before beginning the Medicaid process, many "nice" NH won't even consider the application. Then you end up in a less desirable NH. If the patient is currently in a hospital, discuss the patient's discharge with the discharge planner. That's their job to assist you. Do your due diligence!!! Don't just accept the first NH that accepts the patient. Research these facilities --- ask friends, neighbors or an elder law firm for recommendations. Don't just rely on Medicare.gov's ratings. My Mom was in a supposed 5-star facility and it sucked. She didn't last 3 months there before she died. I'm still depressed about it.