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My 85 year old mother is currently living long term in a California nursing home. She qualifies for the ALWP (low income & health issues). The program pays to move people out of nursing homes and into RCFE's, residential care facilities. My mother is wheelchair dependent, and needs assistance with most things due to beginning stages of dementia but at least she can transfer herself from chair to toilet or to bed still. I just want to know if there are any success stories from any if you that have used this program? I'm hoping to get my mother into a more home like setting. The nursing home is loud and institutional and the CNA's are way too busy for TLC. I have heard that some smaller RCFE's have more time for each resident.

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One thing to be aware of in these programs is estate recovery. Whatever you decide make sure that you speak to an elder law firm and a Geriatric PC doctor (not the one at the home she is in) prior to signing anything. Im sure that you want what is hers to go for her care but you dont want her to be left penniless while she is still alive.
http://www.dhcs.ca.gov/services/Pages/TPLRD_ER_cont.aspx
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What is an RCFE? ..... the long version was next to the shandhand version, in Pamrs's text......Yet I have not run across that term.... here is what I found online when I googled: "explain what a RCFE is?"
RCFE stands for Residential Care Facility for the Elderly. Sometimes called “assisted living” or “board and care” facilities, they are non-medical facilities that provide a level of care that includes assistance with activities of daily living. RCFEs serve persons 60 and older, providing room, board, housekeeping, supervision and personal care assistance with basic activities like personal hygiene, dressing, eating and walking. ...Facilities usually store and distribute medications for residents to SELF-administer. The care and supervision found in these facilities are for people unable to live alone, but who do not need 24-hour nursingcare. These facilities are not required to have nurses, certified nursing assistants or doctors on staff.
Well... I've only known that as "Assisted Living"... and that is known as not doing nursing-care... Some may remind you of taking your meds {yourself}, which are kept in your room... as in my sister-in-law's case... I think they try to do as little as possible, under the guise of saying it's good for the patient to keep doing things for themselves...that's about it !!!
It was not long before my Nephew was told... take her to a skilled facility.
The condition described by Pamrs may very well require a Skilled NSG-facility....
Yet again, each State, or County even, runs things a bit differently.
So sorry to hear about the care described...that has to be given... It's not only hard on the caregiver... it's hard on the patient to realize how disabled he is !!! .......God Bless and I do wish you all well. !!!
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So sorry, I goofed... should have said in this case ..." it's hard on the patient to realize how dependent "SHE" has become... again... God Bless... and give you strenght.!!!
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Could you explain what a RCFE is?
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I don't know if our state Connecticut and the state we will move too-New York State have that option. I can't get Long Term Care insurance for hubby (after his stroke) but I did get it for myself. It is very expensive. Mine would pay only $100 per day for me and I think that is even limited to 2 years.

One policy would have been $600 per month. I surely can't afford that!

We are both almost 68 now and he is very handicapped. I pay for minimal help and know that will probably increase as time goes on. I pay about $1800 per month for people to come in to get him out of bed in the morning and to put him in bed in the evening. they wash him all over and change his diaper and dress/undress hi. I also added an afternoon aide twice a week to do his shave, haircut, exercises, teeth brushing better than the hit and miss daily brushing.

chris
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many thanks!
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Another goof, ...I am tired today... there is no such thing as a "shandhand ",,, should have re-read my text before posting it.....meant to say: ""... the long version was next to the SHORTHAND - version, in Pamrs's text... ""
And
I got curious about the Q. about an RCFE in NY State, since my son keeps wanting me to move there....
I put it into Google this way..." NY State 6-bed RCFE facilities " ...
I found online that there are 20 such facilities north of Schenectady. This area came up as I had to put in my son's area code of upstate NY...
..Also if Medicaid gets involved... they do get their money back from the estate of the patient..... that is what happened with a distant relative up there, who got homecare through Medicaid, who then attached her house as payment {I think that payment happened after her death}... which now, after her death, is being bought back by the patients family, via monthly payments .....
Hope that helps a bit....... wishing you well, and success with your endevours... !!!
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Here's a link to read about the ALWP for low income individuals with no assets that want to get out of a nursing home and go to a 6 bed or larger home. This is for CA but it is available in most states.
http://www.dhcs.ca.gov/services/ltc/Documents/RCFEInformationManual.pdf
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