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To answer your other question about rising prices, yes it can happen. When my mom's incontinence got worse, her monthy bill went up by $800. But it only happened one time and any annual increases were not as significant.
My Moms AL had steps and Moms care was #4 the highest level of care. ALs are just that, they assist. The person should be able to do most of their ADLs. The more that needs to be done for them, the more fees will be included.
I just watched a video showing how to use this inhaler. Its fairly easy but there is a certain way it must be used. He has to breath a certain way for it to work. The capsule does have to be placed correctly or it won't be pierced. Needing help in any way there will be a charge.
The facility itself makes the levels of care and the careplans. You have the choice basically to accept their assessment or to move. There really isn't a whole lot of wiggle room in all of this. And this amounts really to the number of caregivers and the amount of time that must be spent with the resident.
You sure can discuss with management; that's about ALL you can do unfortunately. I am surprised that assistance with the inhaler, if it is routinely given, not PRN (as needed; as requested) isn't a part of medications, as this takes moments only. I am NOT surprised at the needs for management of incontinence if that continues to be an issue.
I wish you luck and hope you'll update us.
When you initially viewed his facility, did they go over these costs with you?
When I toured a few assisted living facilities for my mom years ago, they went over the basic costs and the extra expenses. They also said that some of the ‘add on’ fees were negotiable.
If I were you I would try to negotiate with them for the lowest cost. I suppose that it would depend on who owns the facility?
Is your father’s facility run by a corporation or privately owned by a group of individual investors? A corporation may be less likely to negotiate with you.