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.
I am so sorry. I thought he was already in ALF. I’m glad you have hospice.
I read your bio but somehow off I went with him in ALf. Well since he is not, then no, he probably would not be accepted at this stage. Although when DH aunt went into ALF she was on hospice and bedfast. She had an aide that went with her from home, she had her hospice care and the ALF was good for her to be there. She went in with them knowing it was temporary. She transferred to the SNF to get rehab and then on private pay a few months and then transitioned to Medicaid. DH aunt had dementia and was about 94 at the time. They did offer for her to stay as she had been there long enough for them to see that her care was light compared to the active ones.
I had an aunt with Parkinson’s and LBD. My cousin cared for her at home along with my uncle who developed vascular dementia. It was very hard. My cousin paid a terrific price in her own mental health and QOL. My aunt passed at home. She was very sweet and easy to care for. Not so much my uncle.
We have a small number of posts (relatively speaking) who mention divorce. Usually it is implied that once a person has dementia, no divorce but I have never had a need to speak with an attorney on this subject. I did see a poster just last night who said she was having to divorce her DH of 15 years due to needing to file for Medicaid.
I googled SC divorce and this came up which might be something to look over before your meeting with your attorney. Please know that all attorneys do not have the same level of experience.
https://www.south-carolina-divorce.com/Medicaid-Divorce.html
Read this article about Lewy Body
https://parkinsonsblog.stanford.edu/category/webinars/
My husband has Parkinson’s but no dementia.
If his mobility declines and he requires wheelchair that will be 2 people’s transfer. He will need 24/7 care.
If he declines slowly as he is healthy otherwise unless something else comes along, then person with PD can live 20+ years.
I looked at my own situation and I can see our only option going to AL as caregiving expenses would exceed our budget.
It is the best as we stay together and the worst for me as I am some 20 years younger than most in AL, healthy and extremely independent.
Either way, I think us as spouses are going to face tough choices.
Please do go to the certified elder attorney. It is very important not to do these things that are so important for the rest of both your lives w/o the best advice you can find. But prior to that have a talk with his doctor and the management at the ALF about any options and his prognosis.
If you decide to talk to hospice Negotiate for a daily CNA but know that it might only be two or three times a week. A nurse will come at least weekly and will be on call. The time to get concessions is before you sign the papers. And always know you can change your mind.
It all depends on the flexibility of the ALF he is in if they will keep him on. The ALF will likely have a hospice provider they use or you may have friends who have used one they liked and would recommend. Talk to more than one. They are not all the same. And if he does have to transfer to a SNF at some point, know that the same hospice company can see him wherever he is if you make that a requirement ahead of time. That gives you continuity of contact regardless of the changes that might take place in the ALF or NH. My DH aunt has had the same hospice from home, to ALF and now at SNF.
Separation of assets is the attorney will determine which portion of your assets and income should go to each of you. A home is exempt at this point and one car is allowed. Sometimes when a spouse goes on Medicaid the community spouse (you) may need a portion of the Medicaid spouse’s income in order to manage their own life. There are established formulas/amounts allowed. The attorney can help you with that as it is state specific and individual circumstances are considered.
The ALF would be easier for you but of course they don’t usually take Medicaid so it would continue to be private pay.
My husband is in hospice care now. I’ve been taking care of him alone at home with one aide to bathe him 2X week and a helper 2 days a week for 4 hours each so I can run errands and have appointments. The nurse visits frequently and his medications are managed by a Dr I talk to on the phone. He had been on palliative care but he could not /would not participate in the therapies.
My MIL went thru issues of assets going to a facility when my FIL developed dementia. Her Virginia attorney told her the only way to protect her was to divorce my FIL. So she did. Have you heard of that tactic? Seemed really unkind to me. If not unethical.
An Elder lawyer can split assets you may have. DHs going towards his care when almost gone you apply for Medicaid. Once on Medicaid, you remain in the home, have a car and enough of your monthly income to live on.
And yes, now is the time your hubby would need MC or nursing home for care.
You have exploring to do asap. No attorney who reschedules you over and over is worth seeing AT ALL. Find another in your area. You should be able to get this question answered from Trust and Estate attorney as well.