My dad is going to need around the clock care when he gets out of rehab. (could be in the next few days - I have talked to him 3 times about making these arrangements and he has done nothing) Here I am at the last minute trying to arrange care for him. So far the only thing I can get out of him is he wants to go back to his house. His house is paid for. I think a reverse mortgage may be the only way he can pay for his care and remain in his home. There are a lot of reverse mortgage advertisements out there.
What have been your experiences with reverse mortgages?
Thanks!
Assuming there is no family to provide the 24/7 care for him and his finances do not allow for that sort of care, you need to be talking with the social worker at the rehab to be sure they understand he cannot return home while he requires caretakers to be with him. While they are asking you questions - they should ask you about the safety in his home. At this point, you tell them it would be totally unsafe to send him home because he lives alone. You can point out what they currently do for him at the rehab to drive this statement home to them. No one at his home to help him...period.
He will probably need to be moved to another type of facility depending on his needs and finances. If he has too much money in bank accounts or other liquid assets (not his house, car), he will use that money to self pay until it runs out. Then he should be able to transfer to Medicaid bed - or if Soc Security/retirement is enough, he may just continue as a self pay.
I don't think either of you is prepared for him to return home in the next few days so a discussion with the social worker for other placement would be the quicker response to his situation.
Do not do a reverse mortgage without being fully educated and/or advised on it. The investment of time and money with a certified elder law attorney will save you and your father much grief in the long run. Everyone's financial situations are different and even with a reverse mortgage the value of the home will eventually run out with 24/7 care and then he will wind up elsewhere anyhow.
If someone in the family can do this, it’s an painless way to save some money.
What we did was draw up a contract with a lawyer agreeing to give a monthly amount (with 1% interest).
When your Dad passes, you’ll have preserved the value of house, as well. When house sells, that debt, your accumulated amount, will be repaid at the time of sale. Make sure it’s a legal document.
These marketing techniques are used as bait directed toward vulnerable seniors who wish to believe that a reverse mortgage will solve all of their problems. It’s sad.
At least at a casino there is a slim chance of winning. That is if the person gets up and walks out of the door with money in hand. Habitual players will end up putting all their winnings back in the machine. It’s a mind game. Don’t fall for it. It’s entertainment. Gambling isn’t a guaranteed source of income, even for professional gamblers. Reverse mortgages are the same. It’s risky. They are looking for desperate people to bite the bait. Don’t be tempted by these commercials for a reverse mortgage. Look for alternative solutions for help.
Naturally mortgage lenders are in it for a profit. They are going to make money off of their customers or else why would they be in business.
If/when you find an AL for him, you would want these POAs in place, so you sign for him AS his agent. You should not sign anything, not AL, Medicaid, nothing, as yourself (your signature, but followed by DPOA.) If you don't have these documents (including will, medical POA, financial POA, etc), the atty would have to determine if he was competent to sign for them. If not, you would have to get guardianship in order to make decisions for him, sign documents and manage his finances.
Given all the issues he has, he might not outlive the RM, but as someone else pointed out, what if he does? Then he has nothing.
Also, the amount of care he would need at home would likely be a lot more than you think! Some see the amounts AL, MC and NHs get and think it is less exp to bring in help, but in reality it isn't, not if they need full time care. We paid to have someone check on our mother, 1 hr min/day, and it was $20/hr. That was years ago, just a CNA, no nurses, and costs vary wildly from one region to the next. Using that old figure, 16h/day (excluding 8 hr for sleep, although he may not sleep!) for a year would cost almost $117,000. Don't forget to tack on RE taxes, utilities, meals, maintenance, etc. It is WAY more expensive to have full time care at home!
As for what he can/can't do in AL, you would have to check various ALs and ask a LOT of questions. Draft up what questions you can and take notes. Cost, what that cost covers, what extra charges there might be, do they have MC (assuming you want to start with just AL) he can transition to if needed, etc. I know that my mother's facility (IL/AL/MC) allows residents to smoke outside (not the MC residents!), but that is just one place. Each place would have their own rules, regulations, costs, care plans, etc. I wouldn't think his radio equipment would be an issue, so long as it doesn't take up ALL his space in the room! If an outdoor antenna is needed, you would have to ask about that, but it should all be on your list of questions to ask. Add more Qs as you get responses, more than likely the answers will result in more questions!
Might be good to work on getting legal consult, while you explore the ALs. For the short term, if he is to go home soon, you'll have to care for him or pay for care. If his income is low enough, he might qualify for Medicaid, but they will put a lien on the house. Either way, more than likely the house will be "lost", unless he doesn't live too long. The other option is to sell it and private pay until he runs out, then go for Medicaid. Caveat: Medicaid covered AL is a rarity, but if you think Medicaid might be in his future, you have to narrow your search for places that might accept it. This is why you should get legal consult while looking for an appropriate place for him. Many EC attys will give you maybe 30 m free consult, so have all your questions ready before you go and like checking AL, take notes!
Best of luck and do stick around, come back and let us know how things went!
My dad had several people that smoked where he was, they had outdoor areas set up to accommodate them. My dad had a little dog that they helped with. Another guy wanted to have coffee and walks all the time and they did their best to keep him going. Other places refused the dog and no smoking areas. I had to look at many places before I found one that he could afford and seemed to offer the best fit.
Make a list of what is really important for your dad and ask lots of questions. When you narrow it down make the facility put things in writing to ensure you are not surprised. I would also ask if they have others that have these hobbies.
Get a needs assessment from rehab. This will help you find the right place.
He's a HAM radio operator. Are there different types of assisted living?
Any help is appreciated.
What happens when the money runs out? Then he will have no house, no home, and no capital to pay for care.
As a recent amputee with - to pick two - diabetes and dementia, it would be surprising if he were in any fit state to make major long-term decisions. In your place, my first step would be to consult the discharge planner at rehab. Does your father have any other savings, capital, investments? What's his income? - the reason I ask is that his level of care may reduce in the short to medium term, and it may be that for a limited length of time there are other ways to find the money.
There are precious few circumstances in which reverse mortgages are the right choice; and I don't think this is among them. Certainly do not arrange one for him without first-rate advice from a reputable elder care planning specialist.
For my MIL her reverse mortgage was a godsend. She had a valuable and fully paid for home, and had only social security. She was determined to stay home and had no funds to pay for the care she needed. The reverse mortgage on her home allowed her to hire care and remain home until her death. Then her son, my partner, sold the home, paid off the reverse mortgage, and as her heir recovered the remainder asset in the home.
As I said don't move on this by what the reverse mortgage company says; and some of them are little better than crooks. You need someone who understands whether this is a good idea for this senior or not. We have had people on forum whose elders were convinced they got to meet the actor in the most common commercial out there if they got one. We have had seniors who had the bad idea to take one to pay for long term care insurance (yet another thing you shouldn't get without knowing all the ins and outs of the contracts.
Good luck. Get expert guidance on this. So many things go beyond the pay grade of those of us giving out advice on the forum. Hope you will update us on how you move forward.
Call and get a couple of different contracts and read them, using a dictionary to look up every word and be sure and look up what that word means in the lending world.
If your dad needs long term care, he may need to sell his house and use the money to pay for a facility. Just because he doesn't want to not be home doesn't mean that you need to jump through flaming hoops to accommodate him. He needs to participate in decisions or he isn't able and that means he doesn't get a say.