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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:
Agencies in SF/Marin (Northern CA) charge upwards of $37/hour or more. If you know a CNA or people working through an agency, you can always ask if they have 'friends' you could hire directly.
What is a Certified Nursing Assistant (CNA)? | NursingAssistantGuides ... https://
While some here say private care requires you/client to pay taxes, this is not true for independent contractors who pay their own taxes (as I do). I did not even know a client could pay for my worker's comp - which would be a great ins benefit to have. Although, if I required that, most in this area would not hire me-they'd fine someone else.
One has to consider all factors - the cost - the benefits of an elder staying in their own home - if 24/7 on call med staff is available in a facility. Depending on what kind of work is needed, some young people are excellent and reliable. It is a matter of finding a good fit and you screening thoroughly. I would always get references - and from the client's family, 'too' - not just the client/past history.
bmf224: My mother used a LPN for a 12-hour night shift. Her bargain rate was $12/hr in 2013. So using the bargain rate of $12/hr for a 24-hour shift, you would owe $14,976/yr. BUT I STRESS THAT IS A BARGAIN RATE. Plus you will need to take into account inflation, i.e. it's 5 years later.
bmf224: My mother used a LPN for a 12-hour night shift. Her bargain rate was $12/hr in 2013. So using the bargain rate of $12/hr for a 24-hour shift, you would owe $14,976/yr. BUT I STRESS THAT IS A BARGAIN RATE.
LeeMac I'm a private caregiver also for long time... The current Client has Alz and COPD , I'm with her almost 6 years... and have two other caregivers, I do 3 days (72 hours) Others (60 hrs and 36 hrs ), Our Client Has Long Term Care Ins... and she get $240 a day from Ins, Co. Of Course rate are It's negotiable and my rate are about 20 % higher than $240 , so I don't know other caregivers charges, but we are so much experienced and a lot of teamwork and her family are very supportive, Yes we do so many things for our client till I couldn't do it anymore,,,, It is so difficult to keep good caregiver for sure at private home.
I am an independent contract. I pay my own taxes. Each client is different and I negotiate my cost. Light care at $15/hour. 24 hour care (if I can sleep at least 6 hours) and client mild to moderate dementia a or fall risk I charge $240 per 24 hours. Each independent care giver negotiates their fee. I specialize in meal prep (nutritionist), I am a personal trainer, specializing in senior exercise programs, rehab exercise, etc. I research specific medical conditions of a client and monitor meds for side effects and bad interactions.
It will depend on several factors: (1) Region where you live in the country (in Northern CA-Marin Cty, hourly for ind contractors is around $25-30) (2) Pay independent care provider (who pays their own taxes) (3) Above, as an employee status - you pay taxes (4) Agency-some have more than a 4-hour minimum.
I'm an ind contractor and pay my own taxes. I could not get 'bonding insurance' myself for myself. As I offer assessments and care management, I charge according to services I provide: coordinating medical needs, research, writing, advocacy, for example.
* IMPORTANT: Get references, require a print out of police/criminal record; clearance (I had to get fingerprinted through the local police dept) and get a copy of car insurance.
I work for a home care agency - let me explain a little about the charges. First - most caregivers, like most of us all, would prefer to go one place at 8 AM and work in that same place until 6 PM (or later!). As an agency, we will do whatever we can to get our best, longest-term employees into a situation like that because that's what they want. Less-experienced, or less-good caregivers get the less desirable shifts. If you want only a few hours of care, you're going to get stuck with the less-experienced caregivers - unless you're willing to pay a few dollars more per hour to give an incentive to the really good caregivers to take the shorter-hours cases. Does that make sense?
Regarding agency overhead: yes, it is cheaper per hour to hire privately. But, as many have pointed out, now you are legally liable for taxes for the person you hire. If you don't care about this, then just don't tell me about it. If you work through an agency, we deal with insurance, taxes, training, etc. If the caregiver gets ill, or her car breaks down, we'll get a replacement there (a big, reputable agency will often staff an "extra" caregiver to cover unforeseen emergencies). Also, in times of stress people can sometimes behave badly, yelling at the caregiver or worse (my M-I-L with dementia one time actually physically struck her caregiver who was trying to prevent her from driving away). Our staffing managers will coach caregivers on how to deal with situations like this, and our client care managers will work with the client and his or her family to resolve conflict.
Remember - caregivers (and agency owners) are people. Some are excellent, others not so much. Shop around carefully to make sure you are working with the best, whether you hire privately or not.
And yes, as several have pointed out, a facility can be less expensive than round-the-clock care at home. That's a trade-off you need to consider.
Agencies are expensive and, truth be told, I was not thrilled the few times I used one. My mother did not need round the clock care but I needed help bathing her or, on occasion, someone to stay with her if we were gone. I found one excellent caregiver through a neighbor who has a Special needs daughter. I also used Care.com. Caregivers advertise, set their own fees, and you can interview them yourselves. Again, I hired a woman through them and chrcked references. She was excellent also and less then an agency.
Is there a reason why your 93-year-old dad lives alone and still preparing his own meals? See if he qualifies for meals on wheels... Then have doctor sign necessary documents to obtain a bedside comode and an extended shower chair. Check out your local medical supply company as to the requirements. I simply bought my mother's off of Craigslist. The extended shower chair has 2 legs OUTSIDE the tub and you sit then slide across. Less fall risk. I then got a 6-foot shower head hose attachment so mom can sit and shower with a little bucket next to her with her essentials, back brush, shampoo etc. Best of Luck
I checked in this for my MIL in 2015. She lived in Texas. The cost of full-time home care was 173,500 per year. Due to the cost and dialysis, She went into a NH. It was very sad
It was financially unwise to keep my parents at home. I found them a wonderful place for a 1/3 of the cost of what it would be with home care. Perhaps this is something to consider? Unless of course, he has plenty of money. All the best to your dad!
Ask your local service organizations like Rotary, Lions, Kiwanis if they have resources. Is your father a veteran? Check out Meals on Wheels. Also check and see if you have a geriatric nurse practitioner or a visiting nurse service in your area who can hook you up with resources.
You can hire through care.com and they have a process to pay your caregiver. This is much cheaper than an agency, but you have to find the help. I do private pay and it runs $5,300 a month. Watch out for agencies-they will run up the bill by putting employees on overtime which costs YOU more money. They will also tell you that you have to hire 2 people, when that is not legally required, not in this state anyways. Just be careful, once you receive a bill from an agency, you are stuck with it. Had one employee who worked a crazy amount of overtime for around 4 months before the agency caught on. Feel sorry for the family coz the agency didn't rotate people and keep the costs down. Be careful, read any agreements thoroughly.
This is a timely question. I am going thru the process of hiring a replacement for one caregiver that recently quit for a better paying gig. And the rates I have been quoted are between 24-25/hr, with a 4 hr minimum requirement. What i have the most trouble with is finding someone to do a split shift. My husband goes to a senior center while I am at work. I do not want to pay someone during the hours he is at the center. I have tried to private-pay a friend but been told that I’d pay her benefits too. So, always go through an agency. Easier to fire if you are unhappy.
Yep--about $25 an hour, per hour. Many agencies have a 4 hour minimum for their employees. The employees gets about $10 of that. Bear that in mind--these people (I was one for years) work their tails off for basically minimum wage.
If you go private--you need to have them bonded and sometimes extra insurance. Different rules in different states.
Most my clients did wind up in NH's after a while, financially, it was a better "fit". Also, they of course, deteriorated to the point that keeping them home with 24/7 care was prohibitively costly.
bmf224, my own Dad had around the clock caregivers at his home, 3 shifts per day. It cost him $20k per month. The caregivers were through an agency that was licensed, bonded, insured, and had workman's comp for their caregivers.
If you hire a person who is not part of an agency, your Dad would need to purchase "workman comp" insurance in case the caregiver got hurt on the job.
Dad found out that by home selling his house and moving to senior facility, the cost was much less then having caregivers at home.
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.
If you know a CNA or people working through an agency, you can always ask if they have 'friends' you could hire directly.
What is a Certified Nursing Assistant (CNA)? | NursingAssistantGuides ...
https://
While some here say private care requires you/client to pay taxes, this is not true for independent contractors who pay their own taxes (as I do). I did not even know a client could pay for my worker's comp - which would be a great ins benefit to have. Although, if I required that, most in this area would not hire me-they'd fine someone else.
One has to consider all factors - the cost - the benefits of an elder staying in their own home - if 24/7 on call med staff is available in a facility. Depending on what kind of work is needed, some young people are excellent and reliable. It is a matter of finding a good fit and you screening thoroughly. I would always get references - and from the client's family, 'too' - not just the client/past history.
(1) Region where you live in the country (in Northern CA-Marin Cty, hourly for ind contractors is around $25-30)
(2) Pay independent care provider (who pays their own taxes)
(3) Above, as an employee status - you pay taxes
(4) Agency-some have more than a 4-hour minimum.
I'm an ind contractor and pay my own taxes. I could not get 'bonding insurance' myself for myself. As I offer assessments and care management, I charge according to services I provide: coordinating medical needs, research, writing, advocacy, for example.
* IMPORTANT: Get references, require a print out of police/criminal record; clearance (I had to get fingerprinted through the local police dept) and get a copy of car insurance.
Regarding agency overhead: yes, it is cheaper per hour to hire privately. But, as many have pointed out, now you are legally liable for taxes for the person you hire. If you don't care about this, then just don't tell me about it. If you work through an agency, we deal with insurance, taxes, training, etc. If the caregiver gets ill, or her car breaks down, we'll get a replacement there (a big, reputable agency will often staff an "extra" caregiver to cover unforeseen emergencies). Also, in times of stress people can sometimes behave badly, yelling at the caregiver or worse (my M-I-L with dementia one time actually physically struck her caregiver who was trying to prevent her from driving away). Our staffing managers will coach caregivers on how to deal with situations like this, and our client care managers will work with the client and his or her family to resolve conflict.
Remember - caregivers (and agency owners) are people. Some are excellent, others not so much. Shop around carefully to make sure you are working with the best, whether you hire privately or not.
And yes, as several have pointed out, a facility can be less expensive than round-the-clock care at home. That's a trade-off you need to consider.
I found them a wonderful place for a 1/3 of the cost of what it would be with home care.
Perhaps this is something to consider? Unless of course, he has plenty of money.
All the best to your dad!
If you go private--you need to have them bonded and sometimes extra insurance. Different rules in different states.
Most my clients did wind up in NH's after a while, financially, it was a better "fit". Also, they of course, deteriorated to the point that keeping them home with 24/7 care was prohibitively costly.
If you hire a person who is not part of an agency, your Dad would need to purchase "workman comp" insurance in case the caregiver got hurt on the job.
Dad found out that by home selling his house and moving to senior facility, the cost was much less then having caregivers at home.