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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 acknowledge and authorize
✔
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.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
Yes. It said to write a title. Then no place for content. My Dad was found on the floor collapsed, undressed, he had phnumonia, was extremely anemic, and a mild heart attack. He would have died, but for a neighbor who gave me her phone number to check on him. My dad also had cancer, not discovered until Oct. last year. They radiated it. He's also VERY hard of hearing, has the tv so loud I can't stand being in the same room, and this is a1bdrm, condo. Also, there was about 20+ yrs. of filth and spiders, plus a nasty bird cage on a card table where he read the paper. (He's been an asthmatic for 49 yrs, and has COPD , prostate problems and congestive heart failure. He is doing very well now, just tired. He's 87 and rides his bike . As for me, I moved out at 18. We were never close, but now I have a relationship. I just need some time for myself. I have ddd- degenerative disk disease, and suffered an achillies tendon repair. I'm used to quiet, I am the creative type who likes to get lost in my projects. My supplies are in the corners, hidden away for the most part. When we cleaned this condo, there were canned goods and food like eggs 8-10 years old. It's a miracle there were no roaches, just spiders everywhere. Dad is too active and fierce about his independence. he said if he went in a home he'd kill himself. His mother lived to be 100. The neurologist said he does not have alzh.,just a shriveled brain from old age. He can't be alone anymore, and knows it. My only social life is a knit and crochet group once a week. Other than that, he wants to go everywhere with me. I can't even take out the trash by myself. I'm sick of being in a choke-hold . If I slip out for a few hours, he has the neighbors call me. Sometimes I am just wanting to Scream,,, "Leave me alone!!!!" Thank You for listening. Karen
Does he rent or own the condo? Have you giving up your own place? Where did you live before this medical crisis? What about an independent living situation for him? If you plan to cooperate with his idea of not going "into a home", how about upgrading to a two bedroom condo. If his doctor thinks he could live in a facility and you live with him for 2 years, preventing him from needing to go into a home, the house would be protected from Medicaid recovery. The two of you should see a NAELA attorney for better planning. At the very least, you need a healh POA and a durable financial POA.
Carolyn, my Dad's condo is paid for. I'm the sole beneficiary, we are on a Joint Tenency Deed. The place will transfer directly to me. I was living with my Mom, after my leg injury. We are living on $1511.00 per month, and I make a few dollars on-line. He won't up-grade. We would have to sell and take on mortgage we can't afford. I just liquidated the $15,000 in mutual funds- to his checking account. I'm understanding that he cannot have more than $2,100.00 cash assets to qualify for any respite care, or for me to be paid as his caregiver. He lets me pay all the bills. He has no debts. Also, I am going to arrange his final expenses now that finances are there. I'm really only concerned if the condo will be garnished if he is placed anywhere. Even though it has been my legal residence for over 1 year. I was told to go to Social Security to apply for payment for me. Haven't done that- I forgot. I really would love that 2bdrm, but the values here are on the moderately high end.
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 was found on the floor collapsed, undressed, he had phnumonia, was extremely anemic, and a mild heart attack. He would have died, but for a neighbor who gave me her phone number to check on him.
My dad also had cancer, not discovered until Oct. last year. They radiated it. He's also VERY hard of hearing, has the tv so loud I can't stand being in the same room, and this is a1bdrm, condo. Also, there was about 20+ yrs. of filth and spiders, plus a nasty bird cage on a card table where he read the paper. (He's been an asthmatic for 49 yrs, and has COPD , prostate problems and congestive heart failure.
He is doing very well now, just tired. He's 87 and rides his bike .
As for me, I moved out at 18. We were never close, but now I have a relationship. I just need some time for myself. I have ddd- degenerative disk disease, and suffered an achillies tendon repair. I'm used to quiet, I am the creative type who likes to get lost in my projects. My supplies are in the corners, hidden away for the most part. When we cleaned this condo, there were canned goods and food like eggs 8-10 years old. It's a miracle there were no roaches, just spiders everywhere. Dad is too active and fierce about his independence. he said if he went in a home he'd kill himself. His mother lived to be 100. The neurologist said he does not have alzh.,just a shriveled brain from old age. He can't be alone anymore, and knows it. My only social life is a knit and crochet group once a week. Other than that, he wants to go everywhere with me. I can't even take out the trash by myself. I'm sick of being in a choke-hold . If I slip out for a few hours, he has the neighbors call me. Sometimes I am just wanting to Scream,,, "Leave me alone!!!!"
Thank You for listening. Karen
He won't up-grade. We would have to sell and take on mortgage we can't afford.
I just liquidated the $15,000 in mutual funds- to his checking account. I'm understanding that he cannot have more than $2,100.00 cash assets to qualify for any respite care, or for me to be paid as his caregiver. He lets me pay all the bills.
He has no debts.
Also, I am going to arrange his final expenses now that finances are there. I'm really only concerned if the condo will be garnished if he is placed anywhere.
Even though it has been my legal residence for over 1 year. I was told to go to Social Security to apply for payment for me. Haven't done that- I forgot.
I really would love that 2bdrm, but the values here are on the moderately high end.