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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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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:
Mom clears about $4K/month from a combination of Social Security and a military pension. She has been living by herself with an occasional caregiver (20 hours per week) but her condition is getting worse and the social worker at the hospital said she needs 24/7 supervision because she is legally blind and a fall risk. She fell and broke her wrist which is how she ended up in the hospital to begin with.
We increased her care level to 40 hours per week, which was the limit of what she could afford, but truthfully it hasn't made much difference and seems like a waste of money because she is still home alone a lot and most of her restlessness happens once the caregiver leaves (in the middle of the night).
We have been looking at memory care for her and the prices are really high: $8500 and up. She can't afford that. The social worker says she's not safe. I agree. I asked her for a solution. Her suggestion was to move her in with me. Yeah, that's not gonna happen.
The VA says that she may qualify for A&A benefit which is $2300 per month but that's still short of what it will cost. We live in California and applied for Medi-Cal and she was denied because her income is too high for a Medicaid Waiver.
Adult Protective Services keeps coming to check on her after the fall (3 times now) to make sure she is being cared for but they don't provide any solutions.
We have visited a lot of facilities but she can't afford any of them. She has no assets at all to sell. She doesn't need skilled nursing yet. Now what?
This is such a hard situation, and I want you to know you are clearly doing everything possible for your mother. The gap between what she needs and what exists at her income level is a genuine systemic failure, and your frustration is completely justified. A few things worth exploring that might not have come up yet: PACE Program: This might be the most important thing I can share. The Program of All-Inclusive Care for the Elderly provides comprehensive care, including supervision, medical services, and social support for people who need nursing home-level care but want to stay in the community. In California, it is covered by Medicare and Medi-Cal for eligible participants at zero cost to the family. It is specifically designed for situations like your mother's. Search "PACE program California" with your mother's county, eligibility is based on need level, not just income. Medi-Cal Spend Down: Being denied because her income is too high doesn't necessarily mean she's permanently ineligible. California has a spend-down provision where income above the limit is applied to medical costs first. An elder law attorney or Medi-Cal specialist can often find pathways that the initial application process misses. Many offer free consultations specifically for this. VA A&A Application Support: If the $2,300 A&A benefit hasn't been formally applied for yet, a VA-accredited claims agent can help navigate the application at no cost to you. Many families leave this benefit unclaimed simply because the paperwork is overwhelming. On the nighttime restlessness specifically, this is one of the hardest parts of caring for someone at this stage. The transition period after the caregiver leaves is when anxiety peaks for many elderly people. Sometimes, consistent evening phone companionship, a familiar voice that calls at the same time every night, can genuinely reduce that restlessness even when it can't replace physical supervision. It's not a solution to the larger problem, but it can make those hours safer and calmer for her and less terrifying for you. For nighttime restlessness, I can assist you. Can share details with you if you'd like. Wishing you and your mother real solutions very soon. This community is here for you. Also, you can ask me anything whenever. 💙
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.
A few things worth exploring that might not have come up yet:
PACE Program: This might be the most important thing I can share. The Program of All-Inclusive Care for the Elderly provides comprehensive care, including supervision, medical services, and social support for people who need nursing home-level care but want to stay in the community. In California, it is covered by Medicare and Medi-Cal for eligible participants at zero cost to the family. It is specifically designed for situations like your mother's. Search "PACE program California" with your mother's county, eligibility is based on need level, not just income.
Medi-Cal Spend Down: Being denied because her income is too high doesn't necessarily mean she's permanently ineligible. California has a spend-down provision where income above the limit is applied to medical costs first. An elder law attorney or Medi-Cal specialist can often find pathways that the initial application process misses. Many offer free consultations specifically for this.
VA A&A Application Support: If the $2,300 A&A benefit hasn't been formally applied for yet, a VA-accredited claims agent can help navigate the application at no cost to you. Many families leave this benefit unclaimed simply because the paperwork is overwhelming.
On the nighttime restlessness specifically, this is one of the hardest parts of caring for someone at this stage. The transition period after the caregiver leaves is when anxiety peaks for many elderly people. Sometimes, consistent evening phone companionship, a familiar voice that calls at the same time every night, can genuinely reduce that restlessness even when it can't replace physical supervision. It's not a solution to the larger problem, but it can make those hours safer and calmer for her and less terrifying for you. For nighttime restlessness, I can assist you. Can share details with you if you'd like.
Wishing you and your mother real solutions very soon. This community is here for you. Also, you can ask me anything whenever. 💙