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Please clarify ALF - since you stated she needs 24 hour care, most "regular" ALFs aren't going to monitor her. Hopefully this is a Memory Care AL or has some kind of lock down capability.

While it seems like a role reversal, parent-child, it's really different than that. Advocate is more appropriate, although many times it can seem like dealing with a petulant child! A POA can be anyone, even an attorney. It doesn't have to be an adult child or other family member. POA is really a legal means for managing a person's affairs, such as finances, bill paying, signing documents, arranging medical care, etc, in their stead when they can no longer manage it. The rest, difficult as it can be sometimes, is being a caring adult child who is watching over a parent, to ensure their care and needs are met.

Absolutely do not give her checks and credit cards. POAs do not negate the fact that this is her account and won't stop them from processing any check she might write/use. In most cases, this stuff is all automated and no one really checks anymore. Even back in the day stuff would go through. If she has checks and writes them out, someone will try to cash them. Then you have to fight to reverse it! Many years ago my dad was writing out all the bills, but put 2 in the wrong envelopes. BOTH places cashed them AND the bank paid them, despite them being made out to a different company! In my case, the one and only time the company shut down for Christmas week, the credit union was closed as well. Processing still happened and imagine my surprise when I got notices in the mail for payments rejected for insufficient funds. There should have been enough, but looking at the amounts, I knew something was wrong. One was for $12,000!!! Due to divorce issues, I had a hold on phone inquiries. When I returned to work and deposited checks, the balance was less than what I put in. I called the main office and stated I know they can't provide info to me, but I don't need info, I need someone to figure out what's going on. Turns out somehow one of those "starter" check books got my account number on them. So, despite these checks belonging to someone else AND being signed by someone else, they attempted to process them. Of course I didn't have enough to cover all THEIR checks! The CU had to back out all the transactions and manually process my checks for about 3 months - what a PAIN that was!

If she *MUST* have her "things", cancel the credit cards and give them to her. For checks, they sell "play" ones online that look real. Get her those instead. If she insists on having cash, either play money, which looks very real sometimes, or a handful of $1 bills, which looks like a lot. She shouldn't need any way to pay for anything, so please don't give in with the real items!

As for her behavior, it is possible that some memory/reality has jogged something to upset her. However, sudden changes in demeanor or behavior can be due to UTIs, other infections, imbalances. If she doesn't calm down after "getting her way", I'd recommend a urine culture and blood work, to rule those out.

As noted, yes, it is hard to watch a once capable person devolve like this, but be patient. Try not to argue with her and avoid saying NO. If she demands something, tell her you'll look into it, or you're working on it and try to change the subject. We acknowledge whatever it is they want/say and then defer it, even though we know it won't happen.

Note about SS and debts to be added as a reply to this comment.
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disgustedtoo Sep 2021
NOTE: Her SS is likely being deposited into this account that has your name on it. Initially I just took over mom's account, checks, bills, etc, as I was also joint on her account. Once she moved to MC and the condo was being prepped for sale, I had to change the mailing address. NO federal agencies honor any kind of POA - they all have their own process (IRS, SS, Medicare, VA, etc.) You also can forward federal mail. Mom's pension was from dad and was federal too, so THAT was fun (not.) The only way I could change the mailing address for SS was to sign up as Rep Payee. Once I received the paperwork in the mail, it clearly states that NO ONE is allowed (legally) to manage another person's SS funds unless they become Rep Payee.

Would they find out you didn't? Maybe, maybe not. There are a few on the forum who just continued to pay the bills and skip the SS process. Honestly, it isn't that hard to do or manage once done and saves hassles down the road.

Legally you should contact SS (call the local office) and sign up as Rep Payee. You don't have to take her there - I went alone to MY local office in a different state and applied. They ask a lot of questions and then submit it. They will send notice to her as well, so if the AL can hold her mail, it will help avoid flare ups. Mom's MC took to holding anything that didn't look like a card or personal letter after handing her a bill for medication! So, the SS notice just went to me when I was visiting.

Once approved, you open a special Rep Payee account. The first payment under this will be a check, but when you have the account ready, call the local office again and request electronic deposit, giving them the new account number. Only you can access the funds. You have to report yearly, but it can be done online and isn't hard, esp since her whole check goes to the AL (I think it was lumped as housing/food.) They may question it (they did, every year, for me!) saying they have other needs - sure they do, but some have other assets!!! Plus that SS didn't even cover 1/4 of the MC cost. Just an annoyance and waste of precious SS funds! Instead of just responding yes, this is correct, I suggested they document my response (detailed) and file it for future reports. Likely would take an act of Congress, and we know how that works!

As for her debts, unless/until her funds are depleted and she goes on Medicaid, you likely need to at least pay the minimum requested. IF the collections people are reasonable (not likely), perhaps you can negotiate a smaller balance or payment. See if you can negotiate with them. I wouldn't hold my breath, but it's worth a try. When she's out of funds and goes to Medicaid, then they can eat it. YOU don't owe ANY of it and should NEVER pay with your funds, only hers, so long as you were not a signatory on the debts.

Last note - she may be the youngest there, but when my mother moved into MC 5 years ago, there were several women who were younger than me! They weren't even early SS age. There was a judge who was mid-70s. Age isn't really the deciding factor. I feel bad for ALL of them, but felt especially bad for those young women - it's like having many years taken off your life span. My mother had a good long run - she was just over 90 when dementia crept in.

So, chin up. Hang in there. If you need to vent or have questions, this is the place to come! If it's medical or legal issues, you should consult with proper authorities, but sometimes some of us can at least guide you to the right place!
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