Are you sure you want to exit? Your progress will be lost.
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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
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:
Any bills like credit card debt will probably have to be written off by the creditors, if the debt is solely in her name.
The item that usually causes the most trouble for qualifying is the audit that Medicaid will complete to verify mom has not gifted cash or other assets to anyone in the past five years.
Thank you for the responses. Much appreciated. We are having a hard time with Mom because she doesn't want to go to the Doctor for Geriatric Psychiatric Evaluation.
She says she will go and cooperate then when the time comes she refuses and accuses us of trying to deceive her. We made countless reschedules because the doctor said if she refuses we cannot force her.
Sad situation all around. Meanwhile our sister who is the primary caregiver is totally burnt out and hates my mom, us (her siblings) and the whole world.
Electroguy, please note that up to 40% of family caregivers will die leaving behind the love one they were caring. Thus, no wonder your sister is totally burnt out.
Your Mom is in total denial that your sister can no longer help her, because in most elderly parent's eyes, their grown children are still in their 20's and 30's with all the energy in the world.
Sometimes we have to wait until there is a medical emergency, 911, hospital, rehab, then into a nursing home. I had to wait with regard to my own Mom who was 98 and wanted to remain in her house.
No, any of her future medical bills will not be your responsibility. If you have co-signed any loans, this is still your responsibility. If you sign anything on her behalf as her PoA (and not as an individual) they are her responsibility. As long as no one else's name is on a bill or credit card, it is only her responsibility. Medicaid's "look back" period is 5 years, which means if she transfers any asset to you within the past 5 years it can be claimed by Medicaid.
If there are gifts or assets that have been gifted mom will be penalized an amount equal to the value. Care would have to be paid for by someone until the penalty has been repaid.
No, her bills are her bills, unless someone else cosigned on the loans. If creditors call looking for her, tell them where she is, but don't ever let yourself be pressured by them or made to feel you have to pay them from your own funds. You're not liable or responsible. Please remember that.
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.
Any bills like credit card debt will probably have to be written off by the creditors, if the debt is solely in her name.
The item that usually causes the most trouble for qualifying is the audit that Medicaid will complete to verify mom has not gifted cash or other assets to anyone in the past five years.
She says she will go and cooperate then when the time comes she refuses and accuses us of trying to deceive her. We made countless reschedules because the doctor said if she refuses we cannot force her.
Sad situation all around. Meanwhile our sister who is the primary caregiver is totally burnt out and hates my mom, us (her siblings) and the whole world.
Your Mom is in total denial that your sister can no longer help her, because in most elderly parent's eyes, their grown children are still in their 20's and 30's with all the energy in the world.
Sometimes we have to wait until there is a medical emergency, 911, hospital, rehab, then into a nursing home. I had to wait with regard to my own Mom who was 98 and wanted to remain in her house.
A geriatric psych evaluation is an inpatient procedure. And do not tell her that!
Get sis a break!