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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.
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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.
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got Mom new roommate now, its her friend so they know each other...hope it works, well she can't get up and go bathroom by her self so she will have assistence so thats a help. thanks for all the support. Monayou
It's a tough call. You never know what the next roommate may be like. I think I might discuss getting the problems resolved. Is the sun shinning directly on the roommate? Could she be moved to the other side of the room with a time limit on how soon in the day the blinds may be closed? Would the roommate even understand what this is all about?
Someone should be cleaning the room more if roommate is making a mess. Maybe it's the roommate who needs a more hands on location. Maybe the roommate could be moved.
My concern is due to my LO first roommate. She could not hear or see very well and constantly yelled out mean comments. No matter how loud you spoke or what you said, she was yell, WHAT! Then she would make negative remarks. It was not good at all and they moved my LO out in 2 days. It happened before I even made the request. She now has a wonderful situation. Good luck!
thanks for responding to my answer...i do feel i treat staff very nice, bring them candy or pens, but they could care less. i am worried about the disorianted Mom will become if i move her, its a step down on her dementia.
I agree with Jeanne and think there is no question that you ask for a room transfer for your mother. I found the staff where my mother was living to be quite open and helpful with respect to room changes. I had to request room changes for my mother and there was no problem. However, it might take a bit longer than you would like to find another room.
But, as Jeanne said - your mother should not have to live in a dark cave - that is simply not acceptable and rather depressing. It's understandable for the roommate with paranoid tendencies - but should not be forced on your mother.
If the staff does not cooperate or understand; you can always contact the nursing home ombudsman in the area. These are the people that represent the patients and their job is to ensure that the patient is receiving the care they require, etc. The representative for the NH where my mother was; stopped by on many occasions while I was there and left her name and number should there be any problems that she could help resolve. I believe their number was posted in the lobby of the NH as well. Or Elder Services in the town could give you the number. Hope you find a new room for your mother. Take care.
Yes, monayou, I think you should request a room transfer for your mother. Expecting your mother to live in a dark cave because her roommate is paranoid is not in her best interests. For the unsanitary behavior, that could perhaps be handled by more frequent attention by cleaning staff and that could be discussed. But there is no way to compromise or work around the blinds being drawn all day. If the staff cannot help settle the roommate down about these issues, then I hope you succeed in getting Mom moved.
The NH does not move people unless there are complaints or conflicts. There are no guarantees the next roommate will be better. How does Mom feel about it? If she likes her roommate, let her be.
she is very parnoid so cant open blinds in day, no lights on, urinates on seat of toliet not cleaning after her self, spills on floor too. and sink leaves dirty spit...Is this reasson for asking for my Mom to move to another room? she is in nursing home long term.
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.
Someone should be cleaning the room more if roommate is making a mess. Maybe it's the roommate who needs a more hands on location. Maybe the roommate could be moved.
My concern is due to my LO first roommate. She could not hear or see very well and constantly yelled out mean comments. No matter how loud you spoke or what you said, she was yell, WHAT! Then she would make negative remarks. It was not good at all and they moved my LO out in 2 days. It happened before I even made the request. She now has a wonderful situation. Good luck!
But, as Jeanne said - your mother should not have to live in a dark cave - that is simply not acceptable and rather depressing. It's understandable for the roommate with paranoid tendencies - but should not be forced on your mother.
If the staff does not cooperate or understand; you can always contact the nursing home ombudsman in the area. These are the people that represent the patients and their job is to ensure that the patient is receiving the care they require, etc. The representative for the NH where my mother was; stopped by on many occasions while I was there and left her name and number should there be any problems that she could help resolve. I believe their number was posted in the lobby of the NH as well. Or Elder Services in the town could give you the number. Hope you find a new room for your mother. Take care.