Are you sure you want to exit? Your progress will be lost.
Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
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 ConsumerFeedback@aplaceformom.com 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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*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.
Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
If assessments are that the patient has reached the level of ability he is capable of reaching, yes, a Rehab can by reading assessments say that there are no services they can provide that are likely to improve condition, and they can refuse.
Nursing homes are a different situation. As you can imagine, nursing homes have MANY patients who are wheelchair bound and cannot transfer; in fact they have patients who are bedbound. But a Nursing Home can refuse an admission for whom they have no current adequate "beds" or no current adequate staffing and etc.
I can tell you my FIL was transported from the hospital to rehab and they had to move him from bed to wheelchair and wheelchair to bed using a hoyer lift.
Once he arrived at the rehab facility - we had to remind him that if he did not regain his ability to transfer - he would have to be placed permanently in a SNF because Rehab would discharge him as "non-rehabilitatable" after some time period of non-compliance. If the hospital believes they can regain a benchmark of transfer - they will be moved to Rehab.
But if they do not regain transfer ability, rehab will discharge, And if they cannot go home, they must go to a SNF.
You need to provide a little more information. Usually the case manager/social worker at the hospital can put in applications to all rehab facilities that your loved one can apply to. Some facilities have limited space for those with Medicare or Medicaid. Some facilities may not have devices if your loved one is larger than average size. Some facilities may not have the intensive PT/OT that your loved one needs. If your loved one has very specific dietary, hygiene or other requirements... then they may deny based on the difficulty meeting the requirement(s).
Is this a Medicare insurance patient over 65 or a younger patient with Traditional/HMO/PPO insurance?
Typically with a Medicare insured patient, after a trauma surgery, the hospital does IP rehab. Next, after the patient reaches the medical standard of improvement to discharge, the patient will be qualified for SNF rehab for more extensive therapy for 100 days or if the medical staff has deemed non progress and LTC is needed or fully progressed patient ready for discharge.
First, lets make sure we're talking about the same type of facility. I am surprised at how often I hear people referring to care homes and assisting living facilities as "nursing homes".
Skilled nursing facilities exist to provide the type of services that this patient seems to require, so it would be unusual for them to refuse him based on his inability to transfer. Insurance companies are a common reason that a patient is not accepted to a preferred facility.
Rehab facilities will want to ensure that patient is sufficiently healed up and able to pursue a more vigorous course of therapy, so they might not accept him.
Assisted living facilities cannot legally accept a patient who needs more than one aide to help them transfer, so they are obligated to refuse him.
As KNance stated, the purpose of rehab is to improve function and mobility. I think we’re missing some crucial information so please give us some more details.
How much does he weigh? My neighbor's sister was over 350 lb and was placed 90 minutes away from home. The issue was that the hoyer lifts in local facilities either did not have that capacity or there was a limit based on how much a ceiling lift could hold. After several months, the sister was moved across state lines which was only 20 minutes away. The facilities in the next state had different scope of practice and a couple of facilities had the appropriate lifts. Is this something similar?
My husband (84) had a below knee amputation last December. Hospital PT opportunity was literally nonexistent. I asked for resistance bands and activities to do with him. Then moved to rehab for 3 months. The daily intensive PT and OT was wonderful. Rehab will require residents actively participate in therapy. He started with a stand aide device and first day taught how to stand and pivot from bed to chair. Is he cooperating with PT and nursing staff?
Yes, a skilled nursing rehab center will cover up to 100 days with Medicare. Also, a patient who has gone through physical therapy hits a plateau. The therapist will decide there is nothing more that can improve the patient. I personally think it is BS. Medicare will provide continued therapy at home or in a personal care home. If the patient goes back into the hospital, the hospital will provide more therapy. This can all change for the worse under the new administration, since they want to cut back on anything beneficial. Please go through every resource to continue PT.
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 ConsumerFeedback@aplaceformom.com 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.
Nursing homes are a different situation. As you can imagine, nursing homes have MANY patients who are wheelchair bound and cannot transfer; in fact they have patients who are bedbound. But a Nursing Home can refuse an admission for whom they have no current adequate "beds" or no current adequate staffing and etc.
Once he arrived at the rehab facility - we had to remind him that if he did not regain his ability to transfer - he would have to be placed permanently in a SNF because Rehab would discharge him as "non-rehabilitatable" after some time period of non-compliance. If the hospital believes they can regain a benchmark of transfer - they will be moved to Rehab.
But if they do not regain transfer ability, rehab will discharge, And if they cannot go home, they must go to a SNF.
Typically with a Medicare insured patient, after a trauma surgery, the hospital does IP rehab. Next, after the patient reaches the medical standard of improvement to discharge, the patient will be qualified for SNF rehab for more extensive therapy for 100 days or if the medical staff has deemed non progress and LTC is needed or fully progressed patient ready for discharge.
Skilled nursing facilities exist to provide the type of services that this patient seems to require, so it would be unusual for them to refuse him based on his inability to transfer. Insurance companies are a common reason that a patient is not accepted to a preferred facility.
Rehab facilities will want to ensure that patient is sufficiently healed up and able to pursue a more vigorous course of therapy, so they might not accept him.
Assisted living facilities cannot legally accept a patient who needs more than one aide to help them transfer, so they are obligated to refuse him.
See All Answers