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We just moved MIL into an ALF and I started the process to cancel her medical alert necklace she'd had in her apartment prior to going to AL. The facility has a couple of corded call buttons in her room/bathroom, and I can pay for her to have a medic alert necklace that calls them directly. That's what I planned to do.


It occurred to me yesterday that I could also just keep the medic alert box and necklace she currently has and set the facility phone number as the first place to call if the button is pressed, then us, then 911. This way, I'll at least have a record in her online account that a call was made to them, and if they don't answer at all for some reason, then we would get a call and know to check in with them ourselves.


This also might confuse her. I could see her thinking she could press the button on the medic alert box when she wanted someone from staff to come up and help her with something. At the facility, you press the in-room button/cord for any need, whether it's mundane or an emergency (not a great plan if you ask me, how do they know if they need to rush because you're having a heart attack, or if you just want a snack?).


Anyone used a medic alert in AL, and did you use the in-house system that only calls them, or an outside one like I'm talking about? Which is better?

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It only works if she remembers how it works, how to use it and wears it. Had a similar problem with my 104-yr old Aunt. I asked her where her alert necklace was and she pointed to the basket of her walker. Which won't help if she falls in the bathroom or shower since she can't take the walker in there.

Make sure you have a good discussion with admin before committing. There's always staff turnover so there's always the risk that "someone" didn't get informed of the alert situation. They may not allow it due to liability issues.
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I have a friend who is currently living in a memory care facility after having a brain bleed during a brain surgery.

She is still very compromised, and one thing she does is push the call button up to 100xs in an hour. She doesn't realize she's doing it, but she does wonder why nobody checks on her. (They do, she doesn't remember anything longer than about 10 minutes out).

I didn't KNOW all this and when I went to visit her last week, she kept pushing that call button. It was making ME crazy--so I walked down to the central Nurses desk and asked why Ms K's calls were being ignored. They said "Oh, we had to disconnect her. She had us running off our feet for nothing." Ah. So they put a watch type device on her wrist and that lets them know if she goes wandering or falls.

I know her family worries that she might be being neglected,, but while I was there, 2 cna's popped their heads in to talk to her. She was NOT neglected!

I think most facilities would go crazy if everyone had a call button AND a fall pendant.

Fall pendants are great if you can keep your LO wearing one. MIL has thrown away 4 of them, as she thinks they MAKE her fall. Her kids decided to quit trying to have her wear one, she just refused. She'll fall, she hasn't gone a month without falling for several years.
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AL probably wants to make money and wants you to use their necklace.
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I would talk to the facility. My Mom had Dementia and never knew how to use the cord. I did get rid of her alert but she may have remembered to use that.
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The facility into which I moved (although "independent living") offered a pull cord in the living room of my apartment and bathroom to use for emergencies. But I questioned, "What if I cannot get to a cord on the wall due to an immobilizing injury or unconsciousness".
So, since I live alone, I brought the emergency notification I had paid for in my home.

I had a chance to test it for, it turned out, for a not-too-serious injury. MY system worked well. However, at 4 AM there was no one at the reception desk and the paramedics were unable to get in! The facility's assigned employees were unreachable as they were on their "lunch break"... somewhere. Luckily, I was not disabled and was able to let the paramedics in myself.

I say this to advise that you might not want to cancel your own emergency service too quickly. Many of the employees, esp. overnight ones, have little training and sometimes little sense of urgency. What you pay for an outside service is expensive, but it may be worth your piece of mind.

Do question the facility closely about their policies and how they are enforced. The facility where I live finally offered an "around the neck pendent", which I (among others) forget to wear consistently. A much better choice is a waterproof button that is worn like a wristwatch. These are also available and sometimes come at a minimal cost.
Don't ever hesitate to question personnel or even directors (politely...you don't want enemies there).
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Overwhelmed23: Perhaps you can pose your questions to the facility.
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The phones in an AL are not necessarily monitored and answered 24/7, if the call goes unanswered the follow up may mean the service sends out EMS, fire and police - the AL will not be amused.
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my Dads facility has a call cord in the bathroom and we pay for a medical alert button that he is supposed to wear around his neck. It sits in his dresser 24/7. Our best way to keep an eye on him to make sure he hasn’t fallen and alone were cameras in the bedroom and bathroom.
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I would discontinue the medical alert device. Can you place a camera in the room? It’s legal in our state. Or call the front desk to check on your MIL.
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If you have POA, install your own cameras to monitor for falls, neglect, mean treatment etc. As others have pointed out, using your own medic alert will likely trigger EMS to appear at the AL if no one answers the call from the service. That could get old quick. On the other hand, it might encourage them to be more attentive to alerts since they know that you know the reason EMS was dispatched is that no one at the facility responded. That only makes sense to do if you are certain your LO knows when it is appropriate to press the button.
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