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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.
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Patient wants to pay for caregivers daughters tuition. Patient feels that it’s not the agencies business. What he does with his money. How do I stop this from happening?
You are correct that this is illegal, and fraud/abuse of an elder. Report directly to the Agency. Let them know you are reporting directly to APS at the same time and do that. Do not count on the agency to do that. Also go to Police to make out a report or local Sheriff's office. I would in fact also contact the DA office.
This could possibly be seen as financial abuse. This is very tricky waters. If the patient gifts the amount that you are indicating there may be a problems IF the patient ever needs to apply for Medicaid. (I know probably not likely but you never know what might happen...) Most Agencies prohibit monetary gifts that are above a set amount, typically about $25.00. They want no appearance of financial abuse, coercion and favoritism for one caregiver for another. (How would you feel if you were a caregiver and found out that another caregiver taking care of the same person was gifted $5000.00 and you were given a $25.00 gift card to Panera?)
If you are the recipient of the gift, decline it. If you are aware of the gift to another, all you can do is report it to a supervisor. And this is tough but if it were me if this is a patient you I would be caring for I would be inclined to step away from this client. (The temptation is there and I would not want to stand on that slippery slope)
My aunt was left a house in the will of someone she cared for in a professional capacity. This left my aunt open to accusations of wrongdoing. My lovely, caring aunt.
Even my mum briefly questioned her sister's integrity when she heard. Yet it was a shock to my aunt that this had happened.
The thing is, my aunt was kind and she made her patients feel that they mattered. She wasn't coercive or a con artist. She had been a nurse since she left school in the 1950s. She had dedicated her life to looking after others and became a carer when she retired as a ward sister.
I think we should be more careful when making judgments about the intended recipient of the $5000; we don't actually know the circumstances. Nevertheless, a large gift is not a good idea for numerous reasons.
When I was a guardian for my mom, I periodically had meet a guardian ad litem (GAL) and I had yearly financial staments. The GAL told me that over $600 were the most noticeable. This excluded rent and medical.
But this is a caregiver and an unethical money transfer called undue influence. This can be reported to the caregivers boss or APS, or police report. If you want to keep this caregiver, then have a frank conversation with the person.
What makes you think this is undue influence, from what you've read? It's the cared for person who is insistent. They are the ones who need speaking to about why this should not happen.
You contact the bank and tell them a vulnerable elderly is being financially abused by their caregiver. In writing is best. If you are POA and need this on file at the bank.
I feel this should be reported to the agency and police do so immediately. The agency has defined rules in place to protect them and their clients.
Wanting to pay for a non relative and employee daughters tuition indicates cognitive decrease in reasoning skills.
I don't think that it's right that carers take large sums of money from people in their care and that there could be cognitive impairment contributing to poor financial judgment. However, wanting to help pay for tuition, whatever the relationship, is not an indication of reduction in reasoning skills - on its own. Human relationships are not cut and dried, they're complicated and messy. So, it's perfectly possible for someone to create a strong bond with someone who they see day in day out.
There could be other reasons why the elderly person wants to gift tuition, such as my stepdad always liked to be seen as a generous man and would want to gift accordingly. He can't do that anymore and knows it - no cognitive impairment there. Or, perhaps, the carer has gone above and beyond, or treated the person like family. We don't know.
For those reasons, I don't think it's necessary to report this as suggested, either, unless there actually is a suggestion of coercion involved. That's not indicated here.
But, it's not a good idea to gift large sums of money, whether there is impairment or not. It leaves the carer open to accusations of wrongdoing and could leave the cared for person with difficult financial questions and problems if they then need help from the state.
Caregiver should never ask for nor accept the "gift". And more to the point, if this patient needs Medicaid in the next 5 years, that "gift" would be included in the lookback period and could prevent them from getting the care they need in a SNF because of the gap.
And additionally - is this a one time gift? Tuition is typically ongoing unless the caregiver's child is graduating after this semester. How many times does the patient intend to "gift" tuition?
If I were that caregiver I wouldn't accept that money. If you are also a caregiver to this patient/client you are a mandated reporter of abuse. If this client has a diagnosis of impairment, then this would be abuse. If I were that client's family (and the FPoA) I'd be enraged. You stop it by reporting the client's intentions to the agency so that the agency can alert the family or PoA or whoever hired the agency.
Is this person making other decisions that may not be in his best interests? Is there cognitive decline or dementia? Is there a long term relationship between patient and caregiver where they’ve mutually grown close? Would reporting this to agency result in caregiver being fired? Does patient understand need for preserving assets for caregiving needs to come and possibly intensify? See, there are a lot on questions to help figure this out
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.
Report directly to the Agency. Let them know you are reporting directly to APS at the same time and do that. Do not count on the agency to do that.
Also go to Police to make out a report or local Sheriff's office.
I would in fact also contact the DA office.
This is very tricky waters.
If the patient gifts the amount that you are indicating there may be a problems IF the patient ever needs to apply for Medicaid. (I know probably not likely but you never know what might happen...)
Most Agencies prohibit monetary gifts that are above a set amount, typically about $25.00. They want no appearance of financial abuse, coercion and favoritism for one caregiver for another. (How would you feel if you were a caregiver and found out that another caregiver taking care of the same person was gifted $5000.00 and you were given a $25.00 gift card to Panera?)
If you are the recipient of the gift, decline it.
If you are aware of the gift to another, all you can do is report it to a supervisor.
And this is tough but if it were me if this is a patient you I would be caring for I would be inclined to step away from this client. (The temptation is there and I would not want to stand on that slippery slope)
This left my aunt open to accusations of wrongdoing. My lovely, caring aunt.
Even my mum briefly questioned her sister's integrity when she heard. Yet it was a shock to my aunt that this had happened.
The thing is, my aunt was kind and she made her patients feel that they mattered. She wasn't coercive or a con artist. She had been a nurse since she left school in the 1950s. She had dedicated her life to looking after others and became a carer when she retired as a ward sister.
I think we should be more careful when making judgments about the intended recipient of the $5000; we don't actually know the circumstances.
Nevertheless, a large gift is not a good idea for numerous reasons.
But this is a caregiver and an unethical money transfer called undue influence. This can be reported to the caregivers boss or APS, or police report. If you want to keep this caregiver, then have a frank conversation with the person.
I feel this should be reported to the agency and police do so immediately.
The agency has defined rules in place to protect them and their clients.
Wanting to pay for a non relative and employee daughters tuition indicates cognitive decrease in reasoning skills.
However, wanting to help pay for tuition, whatever the relationship, is not an indication of reduction in reasoning skills - on its own. Human relationships are not cut and dried, they're complicated and messy. So, it's perfectly possible for someone to create a strong bond with someone who they see day in day out.
There could be other reasons why the elderly person wants to gift tuition, such as my stepdad always liked to be seen as a generous man and would want to gift accordingly. He can't do that anymore and knows it - no cognitive impairment there. Or, perhaps, the carer has gone above and beyond, or treated the person like family. We don't know.
For those reasons, I don't think it's necessary to report this as suggested, either, unless there actually is a suggestion of coercion involved. That's not indicated here.
But, it's not a good idea to gift large sums of money, whether there is impairment or not. It leaves the carer open to accusations of wrongdoing and could leave the cared for person with difficult financial questions and problems if they then need help from the state.
And additionally - is this a one time gift? Tuition is typically ongoing unless the caregiver's child is graduating after this semester. How many times does the patient intend to "gift" tuition?
I agree with Daughterof1930, the patient's cognitive health may be of concern.