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:
You need to be proactive on this with the NH. If you are MPOA, then you request in writing that she is not allowed to leave unless she is accompanied by you and whomever else is on a very short list that you provide.
If you think this is very likely to happen, then don't let her have any cash. The NH can easily do a resident trust fund so she has to go and sign off for any $ taken out so she can get $ to buy things like candy or magazines but getting funds could be the trigger that she is going for an "escape" and the staff will be on the lookout.
Also there is nothing like getting friendly with the front desk, they usually know everything and can easily keep an eye out for potential escape. There is a couple of fast food places close to my mom's NH and the front desk gals and the nursing staff for her wing each get a small gift card from Wendy's or Taco Cabana on the odd occasion. Works wonders for helpfulness.
I would guess that the NH has some legal responsibilities to keep track of its residents. I doubt that a cab company does. If your mother said, "I'm through visiting my friend now and I'm ready to go home," how is a cab driver supposed to know any different?
But that is just a guess, and I'd be interested to hear more informed opinions.
Once my husband wanted to stay home from his Adult Day Program to watch a sporting event. No, he needed to go. Much to my surprise he showed up at home a couple hours early that day -- he simply called the transportation company and asked them to come take him home early. Well on that particular day, no harm done. I had already handled my scheduled errands, etc. and happened to be home, but it would not have been so good if he'd come home to an empty house, especially since he can't always remember how to get in on his own. I called the Day Program. They had not missed him yet, and the director about had apoplexy hearing that he was at home watching sports! How could he have just walked out without them knowing it?! They had staff meetings and tightened up some procedures, but I can see how it could happen. Participants do leave at various times, for dental appointments, etc. and the mere fact that someone was walking out the door and into approved transportation at an odd time would not necessarily draw attention.
In the wonderful book "Water for Elephants" the elderly gentleman who is the central character goes missing from his NH when the family member who was to visit him fails to show up on time. That was quite believable.
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.
If you think this is very likely to happen, then don't let her have any cash. The NH can easily do a resident trust fund so she has to go and sign off for any $ taken out so she can get $ to buy things like candy or magazines but getting funds could be the trigger that she is going for an "escape" and the staff will be on the lookout.
Also there is nothing like getting friendly with the front desk, they usually know everything and can easily keep an eye out for potential escape. There is a couple of fast food places close to my mom's NH and the front desk gals and the nursing staff for her wing each get a small gift card from Wendy's or Taco Cabana on the odd occasion. Works wonders for helpfulness.
I would guess that the NH has some legal responsibilities to keep track of its residents. I doubt that a cab company does. If your mother said, "I'm through visiting my friend now and I'm ready to go home," how is a cab driver supposed to know any different?
But that is just a guess, and I'd be interested to hear more informed opinions.
Once my husband wanted to stay home from his Adult Day Program to watch a sporting event. No, he needed to go. Much to my surprise he showed up at home a couple hours early that day -- he simply called the transportation company and asked them to come take him home early. Well on that particular day, no harm done. I had already handled my scheduled errands, etc. and happened to be home, but it would not have been so good if he'd come home to an empty house, especially since he can't always remember how to get in on his own. I called the Day Program. They had not missed him yet, and the director about had apoplexy hearing that he was at home watching sports! How could he have just walked out without them knowing it?! They had staff meetings and tightened up some procedures, but I can see how it could happen. Participants do leave at various times, for dental appointments, etc. and the mere fact that someone was walking out the door and into approved transportation at an odd time would not necessarily draw attention.
In the wonderful book "Water for Elephants" the elderly gentleman who is the central character goes missing from his NH when the family member who was to visit him fails to show up on time. That was quite believable.
It must be a real challenge for care centers!