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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.
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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.
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Rehab has suggested that she needs 24 hr care. What a crock, I've been there every day and she is still the same as she was while being in AL. AL just needs to help with walking, how can they just kick her out?
Broken hips are no joke in the elderly. It's a bummer that you've paid the rent for 2 months, only to get this bad news. That hurts!
So, you said AL "just" needs to help with walking? If she can not walk safely on her own, this sounds like a huge problem. Are you saying she was immobile, just like this, before she broke her hip? If so, had they talked to you about the high demand on staff this was creating?
Was rehab unsuccessful? It would seem like in 2 months she would be in a pretty good position physically. I know my mom was in rehab for 1 week and she had to tow the line and do the work. Oh wait, was she in a rehab facility or in a NH for rehab (much different, IMHO)?
Anyhow, her needs really sound like they are too high for AL. My daughter worked in one for a few years and they were really not able to handle patients like this because that's not what AL is for. My aunt was living there and when she started sundowning and staff had to spend hours with her every night, they said she needed to moved - she is now in MC where she gets the care she needs.
According to her profile, mom needs a lot more help than just walking. She’s 95, Alzheimer’s/dementia and incontinent. I think her mom does need more care than an AL provides.
As just explained different AL facilities have different criteria. For example: my mother was in a facility which was a for profit one in NY. They did not accept patients in wheelchairs. We moved all of us to SC. She is in a facility here. It is a not for profit one. In the general AL section of the facility there are 2 floors for residents. My mother is on the 2nd floor. The first floor has residents who require more care with some being in wheelchairs. Separately from this is another section for MC and another one for residents who need a NH environment. These sections don't interact although the 2 floors of the AL facility do.
I am sorry you have this new dilemma but I do think it would be best for her to be where they feel they can provide needed care.
First of all, YOU should NOT be paying her bills. No way - and that may cause harm down the road when you want to place her. She must pay her own care. Go to the Office on Aging in your county and your doctor and let them know she cannot come home - period. Someone must place her somewhere even if it is not where she was. She has to be put somewhere but not in your home at once. Get help - it can be done and must be done.
If your mother needs help with walking, she probably does need more care than is offered by AL. Assisted Living facilities do not provide that much in home help. The resident has to hire his or her own home care aide.
If you feel she's back to her level of functioning before the hip fracture I would call the ALF and request that they come to the SNF and evaluate her. ALF's do evaluations on potential residents. I have had therapist in SNF's recommend skilled care for clients and when the ALF evaluated them they were able to return to the ALF.
I work in Missouri, here there are two levels of ALF, and Assisted Living I and an Assisted Living II. In an Assisted Living II the resident does not have to be able to make a pathway to safety and can age in place, up to having Hospice Services in the ALF. I would check the laws of your state and see if they have different levels of ALF's. Either way, I would definitely request the ALF to evaluate your loved one.
Your problem is the rehab and the rehab doctor who wrote this. You need to get this changed ASAP and speak with the doctor who filled in the forms. He doesn't know what her ALF is like and needs to be told she "can't go home" with this diagnosis written in stone. My brother had a "needs help with medications" which would have bumped him up 200.00 a month. Guess what, he takes one aspirin a day only. And was checked to be oriented and able to take walks on his own and leave facility on his own. We spoke with the doctor who quickly changed that check mark. Go NOW to the Rehab and speak with the doctor. If she cannot thrive in her ALF it will soon be apparent. Be clear. This is the Rehab doctor problem, not your Assisted Living. Call now at once and say you need to see/speak to him at once because this is virtually a massive life change for your Mom otherwise, one that could "just kill her". This is time for drama. I am overall not a fan of drama, as many will know, but there are times for it and this is one. Update us if you will.
Your mother is 95 years old and has dementia. Now she can't walk by herself. She needs a much higher level of care. Whether you used your own money or hers to pay for her room, which sat empty for 2 months while she was in rehab, seems irrelevant to me. ALs are for-profit businesses, and their contracts are written so as to give them as much leeway as possible. Work with the social worker where she is now to get her placed in a facility that can meet her many needs. Her needs are only going to increase.
Check the contract that you signed with the AL. If you have paid the money to hold the room, then I would go to the BBB and see if they can offer help to you unless the contract states other terms besides paying to hold the room for her.
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.
So, you said AL "just" needs to help with walking? If she can not walk safely on her own, this sounds like a huge problem. Are you saying she was immobile, just like this, before she broke her hip? If so, had they talked to you about the high demand on staff this was creating?
Was rehab unsuccessful? It would seem like in 2 months she would be in a pretty good position physically. I know my mom was in rehab for 1 week and she had to tow the line and do the work. Oh wait, was she in a rehab facility or in a NH for rehab (much different, IMHO)?
Anyhow, her needs really sound like they are too high for AL. My daughter worked in one for a few years and they were really not able to handle patients like this because that's not what AL is for. My aunt was living there and when she started sundowning and staff had to spend hours with her every night, they said she needed to moved - she is now in MC where she gets the care she needs.
Good luck
I am sorry you have this new dilemma but I do think it would be best for her to be where they feel they can provide needed care.
I work in Missouri, here there are two levels of ALF, and Assisted Living I and an Assisted Living II. In an Assisted Living II the resident does not have to be able to make a pathway to safety and can age in place, up to having Hospice Services in the ALF. I would check the laws of your state and see if they have different levels of ALF's. Either way, I would definitely request the ALF to evaluate your loved one.