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
[email protected] 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 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.
Pre admission screening and records review.
in order To go into a NH and have Medicaid pay for it, the individual has to meet whatever criteria set by the state or insurance to show they are “at need” for skilled nursing care. It’s pretty standard stuff. Really any insurer will have something like this..... like to ensure that they have solid documentation that they need the level of care the insurance is getting billed for. I’m not sure if PASRR is federal acronym or one used by selectively by some states.
What was the backstory on how your mom entered the NH?
Like was she hospitalized (MediCARE) and then discharged for rehab (MediCARE) at a NH; her rehab ended and now she transitioned from rehab patient to LTC resident? & applied for Medicaid to pay for the NH?
OR
Did she move from living independently or with family to the NH without a hospital stay?
If this is private pay, usually they are all ok on residents as long as they are current on their private pay bill.
Please realize these are VERY VERY different ways to go into a NH.
the hospital stay & rehab path will have a nice fat medical chart for the records review and ime for these it’s a pretty perfunctory lookie-Lou in her hospital & rehab charts, RXs, so totally ace the “needs assessment”.
BUT
If it’s a move into a NH from living independently or in AL, likely will not have detailed documentation to show “need” for skilled nursing care. What seems to happen (this for my mom who was in IL then into a NH totally bypassing AL phase) is that the fat hospital medical chart is not there. So preCovid, a assessment duo (RN & SW) would visit them in the NH (like within first week of admission) to do an on-site in person assessment. If there are issues, it’s for the “medically needy” aspect of Medicaid. & as such it will be the NH who takes the lead on this as their medical care is under the MD medical director and DON at the NH; but the resident or their Dpoa needs to sign off for or maybe send a request for old medical records & lab reports to be sent to the NH. For my mom, it was that meds were left off and a comorbity was overlooked. NH called me, I filed an Medicaid medical appeal & got a hearing date but NH got all the info needed and put it in moms chart & scanned a copy up to the state. State approved her & so hearing date dismissed.
If your mom is getting a second assessment, there’s imo something amiss in her being “at need” for the level of care this NH can provide. I’d suggest that you contact SW at the NH to ask what the issues are.
It’s not totally unusual for a facility to be unable to do the level of care needed. It’s not nefariousness necessarily. It can be something straightforward.... like too too obese for staff to care for; or could be super detailed health care thats beyond standard skilled nursing care, like 25/7 vent care which tends to need a specialized acute care place.
what’s her care needs?