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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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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.*
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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:
You might want to consider another option - a board and care facility that specializes in memory care. They only house 6 people per house, but provide 24 hour care at around $5-6,000. per month. It more residential and home like than assisted living. We have a local group with 12 homes in their company - each has different levels of dementia. As much as my father wanted to stay at home, he told us while he was still alert that he didn't want his money spent that way - $17K per month here in California. Its worked out well for us so far.
We are doing in home care for dad right now because he is only getting 6 hours per day. He's really needing 8 hours or more. He pays about $5000 per month for what he has which is still under the threshold of memory care at about $6500 plus if we moved him to memory care, I will have to hire caregivers to take him to church and the doctor appointments. For now, this is the lesser of two options but I am told assisted living is no longer an option for him. If he leaves his house, he will have to go to memory care but then, he still has 'it' upstairs a bit so he would be very, very bored in memory care (his caregivers get him out of the house almost the entire 6 hour shift because he hates being inside).
harryhel, to compare both in-home care with that of assisted living, one major decision is price.
My Dad, a major fall risk, needed around the clock caregivers and the cost was $20k per month in my area. Yes, $20k per month. Then Dad wondered about the cost of being in an Independent Living facility and later Assisted Living [sundowning]. The monthly cost was $5k, then $7k for Memory Care. The cost depends on what options are included in the price, and what options are extra.
If those prices aren't within your budget, then see if your wife could be accepted by Medicaid [which is different from Medicare]. Each State has their own programs. Some States offer a waiver to help pay part of Assisted Living, while other States will only offer nursing home care. Tough decisions.
Let us what what your decide, and if you have any others question feel free to ask.
Your profile indicates your wife has dementia so at some point she is going to need 24/7 supervision and care. At that point a LTC facility is probably going to be needed unless you have a lot of financial resources to pay for 24/7 in home care. In the early and middle dementia stages, in home care can probably provide adequately, particularly if you have even limited outside support from friends or family. Medicare will provide some in home support, such as help with bathing, but it's not much. If your wife qualifies for Medicaid, there is some additional in home support services available. If you can find an adult day care program she can attend 3-5 days a week, it will significantly extend the time you will be able to support her at home. The time to take care of your own appointments, shopping, etc. or just rest without worrying about your wife significantly reduces your stress. Remember that in order to take care of her, you must take care of yourself too. When you get to the point that you cannot physically perform her care needs or you fear for her safety when you're not actively watching her, it's time to move to LTC. Please contact your Area Agency on Aging and ask what programs are available in your community to help.
It depends on a lot of things. How much care is your wife in need of? Insurance will help some, but if she needs care 24/7, paying for it will mostly be up to you. Home Health Aides can cost $15 -$20 an hour. If all she needs is an hour or so a day to help with activities of daily living, having someone come in may be the way to go.
Bear in mind that in a facility, she will have the benefit of 3 shifts of caregivers 24/7 if she needs that. If you are unable to pay for AL out of pocket, private insurance, Medicare and Medicaid may help, but don’t pay for everything.
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.
My Dad, a major fall risk, needed around the clock caregivers and the cost was $20k per month in my area. Yes, $20k per month. Then Dad wondered about the cost of being in an Independent Living facility and later Assisted Living [sundowning]. The monthly cost was $5k, then $7k for Memory Care. The cost depends on what options are included in the price, and what options are extra.
If those prices aren't within your budget, then see if your wife could be accepted by Medicaid [which is different from Medicare]. Each State has their own programs. Some States offer a waiver to help pay part of Assisted Living, while other States will only offer nursing home care. Tough decisions.
Let us what what your decide, and if you have any others question feel free to ask.
Bear in mind that in a facility, she will have the benefit of 3 shifts of caregivers 24/7 if she needs that. If you are unable to pay for AL out of pocket, private insurance, Medicare and Medicaid may help, but don’t pay for everything.