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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?
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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.
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Barb - ditto for me. So Midget, is the ? About your concern that if mom goes into SNF and onto Medicaid to pay for her stay, that medicaid will want her house as repayment for care paid?
Is that it? If so, you need to do whatever to have it such that Medicaids estate recovery program aka MERP excludes the house as an asset of her estate BECAUSE you will qualify for the caregiver exemption to MERP. Exemption is basically you show you were a full time caregiver for usually 2 years that kept mom put of a Nh and on Medicaid; it will need some supporting documentation from moms current MD or SW. Now just how best to do this is pretty interdependent on just how your state runs Medicaid and state laws for probate & property. Personally I think mom & you would be best off meeting with an elder law atty NOW to figure out how to do this & BEFORE mom ever goes into SNF or applies for Medicaid. If your state allows for the caregiver exemption to be done upon her entering the SNF so house transfers to your name then, it's better. Mom could live another 6 mos or 6 years, stuff can happen & what if down the road you want to sell house & move into something smaller/better but it's still in mom name; or she dies and your too bereaved to deal with MERP..... Really see if atty can do the whatever's to get house to your name & in tandem with moms application & update moms legal too. Good luck!
This would be nice for you, I am sure. Making you fee that you have obeyed Mom's wishes...funny thing about EOL, there isn't always a moment when you think "OK, yes, today we can bring them home and we'll have the family around, etc." Usually, the patient dies in their own time. Not everyone requires Hospice.
It would require some monumental planning in advance, and perhaps it wouldn't bring the "comfort" you think it will. Is this for her, or more for you? Not judging, just asking.
My daddy died at home, with the family around and he was completely unaware of any of us. This was for us. My FIL died in a hospital, again, surrounded by family, and he too had no idea where he was.
Both were peaceful, quiet experiences.
Would your mom even be aware that she was "home". How is her mental state now? You could take her home and she could linger, requiring a LOT of care for a lot longer than you'd think. Just think it through before you make a commitment to anyone, including yourself. Perhaps she is better off where she is. You're not giving us a lot to go by.
Let me see if I can understand this.... are you asking if you place Mom in a skilled nursing facility, and it comes time for her to pass, that you want to bring her back home for her final days? Is that correct?
Sounds like Mom at one time or more mentioned she wanted to die at home. As Mom progresses with dementia, she may or may not have that option. It depends on her condition in the future and if she would be able to travel back to her home. You would need to pay for Mom transportation back home if she needs medical transport. There might be things you would need to get for Mom to make her comfortable, such as a hospital bed, porta-potty, etc.
Hospice, if you use them, will help Mom whether she is in a skilled nursing facility or if she is 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.
Is that it? If so, you need to do whatever to have it such that Medicaids estate recovery program aka MERP excludes the house as an asset of her estate BECAUSE you will qualify for the caregiver exemption to MERP. Exemption is basically you show you were a full time caregiver for usually 2 years that kept mom put of a Nh and on Medicaid; it will need some supporting documentation from moms current MD or SW. Now just how best to do this is pretty interdependent on just how your state runs Medicaid and state laws for probate & property. Personally I think mom & you would be best off meeting with an elder law atty NOW to figure out how to do this & BEFORE mom ever goes into SNF or applies for Medicaid. If your state allows for the caregiver exemption to be done upon her entering the SNF so house transfers to your name then, it's better. Mom could live another 6 mos or 6 years, stuff can happen & what if down the road you want to sell house & move into something smaller/better but it's still in mom name; or she dies and your too bereaved to deal with MERP..... Really see if atty can do the whatever's to get house to your name & in tandem with moms application & update moms legal too. Good luck!
It would require some monumental planning in advance, and perhaps it wouldn't bring the "comfort" you think it will. Is this for her, or more for you? Not judging, just asking.
My daddy died at home, with the family around and he was completely unaware of any of us. This was for us. My FIL died in a hospital, again, surrounded by family, and he too had no idea where he was.
Both were peaceful, quiet experiences.
Would your mom even be aware that she was "home". How is her mental state now? You could take her home and she could linger, requiring a LOT of care for a lot longer than you'd think. Just think it through before you make a commitment to anyone, including yourself. Perhaps she is better off where she is. You're not giving us a lot to go by.
Sounds like Mom at one time or more mentioned she wanted to die at home. As Mom progresses with dementia, she may or may not have that option. It depends on her condition in the future and if she would be able to travel back to her home. You would need to pay for Mom transportation back home if she needs medical transport. There might be things you would need to get for Mom to make her comfortable, such as a hospital bed, porta-potty, etc.
Hospice, if you use them, will help Mom whether she is in a skilled nursing facility or if she is at home.