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.
You are correct about the LTC insurance. Often they will ONLY pay when there is a full time RN on duty at the least. That is true at least of some policies. You will have to explore exactly what your Dad's insurance WILL pay for. These policies are often VERY expensive and seniors often do end up having to pay their own money because of restrictions of the policy.
Can't really advise you other than to get all the information you can from policy, and from SNF, and to wish you good luck.
If they don’t take Medicaid & take Medicare for short term rehab I am thinking this specific facility hasn’t or didn’t want to acquire a CMS Provider number. They do not have to take the lower reimbursement rates offered by Medicaid/Medicare & charge what they like. The rules are different.
If the facility is consistently able to get private pay, kudos to them. That’s why it sounds like an AL not a SNF.
Interesting set up. I’m not familiar with a center being structured this way financially. I’m curious about what level of care the long term folks receive (AL, MC or Skilled nursing).
1. Rehab only is done here, once Medicare stops paying the patient is discharged.
2. For LTC they ONLY except those people in the Community who can pay privately.
So, your Dad can't stay. Your lawyer is wrong. Rehab beds are just that, beds for people needing rehab. I think what your lawyer is thinking is "unsafe discharge". Which no, the facility can't do but Dad has money to find another LTC facility. And in my opinion should. The facility has told you Dad cannot stay. Looks like they get no government funding since they do not except Medicaid. That may be why they don't, so they can pick and chose their residents. If they don't want to except Dad, they don't have to.
As said, there are nice LTC facilities that except a certain number of Medicaid recipients but there are also residents that private pay. Because they except Medicaid does not mean they are substandard. My daughter says staff is not made aware who is PP and who is on Medicaid. All residents are treated the same.
A transfer or discharge is necessary for your welfare and your needs cannot be met by the nursing home. Your doctor must write in your medical chart why the discharge or transfer is necessary.
The transfer or discharge is appropriate because your health has improved sufficiently so that you no longer need the services provided by the facility. Your doctor must write in your medical chart why the discharge or transfer is appropriate.
You are endangering the health or safety of an individual in the nursing home. A doctor must write in your medical chart why the discharge or transfer is necessary.
You have failed to pay or have others pay the nursing home for your stay. The facility must have given you reasonable and appropriate notice of the amount you owe.
The facility has stopped operating or, if you are a Medicare or Medicaid recipient, the facility has been decertified or withdrawn from the program.
Essentially, if we keep paying, the lawyer said they can't discharge him. BTW, its not that Medicaid nursing homes aren't good. It's that given my dads probable life expectancy and the fact that he has a good 5 year LTC policy, he will never qualify for Medicaid. So, if you are going to be private pay for the rest of your life, you minus well do it at a place that has private rooms and only accepts private pay. That's the whole rational for this.
They really have to reserve their nursing beds for the long time residents, so my dad is really there using a "backdoor" method. The care director agreed to consider our application for a long term nursing stay, but we haven't heard back. Our lawyer thinks my dad has enough assets. He has LTC that pays $350/day for 5 years. My dad has IRA assets in the 1.5M range and owns his home outright. But, we still haven't gotten invited to stay long term.
The lawyer says that the issue that might be problematic will be if he needs a hospital stay. The facility may have more leeway to say they won't accept him back after the hospitalization.
Hmmmm
Kinda like the folks who paid the entrance fee and the monthly rent for however long being in the same LTC bed as your dad - who did not pay. Or worse - they lose that bed and remain paying rent while on the waiting list still - having lost the bed to your dad.
Hey, I won’t lie. If it were my dad, I’d do the exact same thing.
Just sayin’...
See All Answers