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.
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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:
Are you wanting to find out what kind of place it is? If it's a decent place? If that's the case you can take a tour. Call ahead and they'll arrange a tour for you.
You can also try to find information online. There may be reviews but take them with a grain of salt.
Spend some time wading through the Medicare site of reviews for various kinds of facilities. It might have been reviewed by Medicare, depending on its specific classification.
Another thought - research to see if there are any ombudsperson agencies in the area of the facility; contact them and ask if there are any good or bad reports about the facility.
As a therapist, I have to agree, visit the place in the middle of the day and observe their rehab. Stay for a while. Ask to talk to the head of therapy and observe their response to your discussion of your sisters special needs. One thing to ask about is nursing staff. Your sister will be a two person transfer for a while and this will require CNA staff to transfer her to a bed side commode, to wheelchair etc. More than likely the therapy staff will attempt sliding board transfers but they are not usually successful with toileting. There will also need to be therapy staff that can work around her dialysis appointments. Medicare will require that she have 5 days of therapy/week and this sometimes is very hard for those who are exhausted from dialysis. However, Medicare requires this therapy time no matter what. So you sister needs to know she will have to participate at some level each day. This is also important to meet her goals and get stronger to return home. Good luck.
FYI- working with the therapists will be critical but there is equipment available for safe/independent bed transfers for amputees (even double amputees). Also can help many people that have little/no leg strength such as paraplegia, advanced MS, leg neuropathy, etc.
Great question. Agree that Google and Medicaid are two places to find reviews of specific places. When you visit, at least in our state, there should be a binder available in the lobby with a list of state inspection results. That's another place to see what the state inspections found.
We found the online reviews that came up via Google to be pretty accurate of the place where our LOs landed.
It sounds like your sister is rather medically needy and will need excellent PT as well as hour by hour help just managing the day as other have already stated. Look at the aid to patient ratio. That's key. The higher the better.
Finally, no matter where your sister goes, your personal and in-person involvement is likely critical to your sister receiving the best care the facility can offer. We have seen that patients carry little weight even with all their mental faculties, but an involved family member advocate has much more impact. The outsider with the most impact is whomever has the medical proxy/POA and can make medical decisions for your sister. Sometimes a facility will blow off a family member who doesn't have POA.
What you can do is arrange a meeting with an admin of that facility. Write down all the questions that you have about the facility and patient care. Request a tour of the facility. If possible, greet a few staff and even a few of the patients if they happen to be mingling. Find out as much as you can about what life is like inside the facility. Another good idea is to take your loved one with you and give them the chance to see the facility. That way, there are no surprises later. They can also get the chance to meet some of the people they will be staying with if you find out which area of the potential intake will be staying. That's the area you want the patient to start getting used to so that by the time it's time for admittance into the facility of your choice, the patient will already be familiar with not only the surroundings, but also some of the people.
The Department of Public Health in your state should be able to provide information on how good a facility is. They all have to be licensed and state inspected periodically.
I forgot to mention that if you discover any reviews about the facility, take them seriously, especially if they happen to be negative ones. People go in and out of these facilities all the time, and you never know when someone may have had a real bad experience. Never, ever ever ever ignore a bad experience, even if it's just one. Take it very seriously and listen to what those who had a bad experience had to say.
Go to your states AHCA website you can go to background screenings there will be a drop down screen for SN, ALF etc... and highlight rehabilitation....you can look up the facility and see if they have had any warnings,fines, write ups from the state and for what. Of course go and check the facility in person unannounced, take a tour, talk or observe the therapists and nursing staff and buildings, meals etc...-make sure they have the correct equipment she will need for rehab....many are glorified ALF's with a treadmill, weights and bike.....I am just going through this now and found only 2 facilities out of approx 25 in my area that had the proper equipment to get my mom to try to stand and balance her weight again. Good luck to you!! Try this site... just substitute your state, hopefully it will help!. http://www.floridahealthfinder.gov/facilitylocator/FacilitySearch.aspx
Google the h*ll of of them and visit in person if you can. And do it unannounced too. The rehab/NH shills will paint the place like it's Xanadu, you have to see for yourself though. Bombard them with questions (write a bunch down so you don't forget them while you're there).
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.
You can also try to find information online. There may be reviews but take them with a grain of salt.
We found the online reviews that came up via Google to be pretty accurate of the place where our LOs landed.
It sounds like your sister is rather medically needy and will need excellent PT as well as hour by hour help just managing the day as other have already stated. Look at the aid to patient ratio. That's key. The higher the better.
Finally, no matter where your sister goes, your personal and in-person involvement is likely critical to your sister receiving the best care the facility can offer. We have seen that patients carry little weight even with all their mental faculties, but an involved family member advocate has much more impact. The outsider with the most impact is whomever has the medical proxy/POA and can make medical decisions for your sister. Sometimes a facility will blow off a family member who doesn't have POA.
http://www.floridahealthfinder.gov/facilitylocator/FacilitySearch.aspx