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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.
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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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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:
Is this caregiver from an agency or someone you hired yourself?
The contract should be very detailed and very thorough so there are no misunderstandings later on and you should go over the contract with the caregiver prior to her starting in case she has any questions or concerns.
I'm just going to throw my 2 cents in and I'm sure others will come up with other items that need to be addressed in a contract.
-- This is a live-in caregiver? The hours you expect her to work should be detailed. The hours she has off should be detailed. You should include that on her off hours she is not expected to grocery shop or otherwise do errands relating to her job. Her hours off are her hours off.
-- She is allowed at least 6 uninterrupted hours of sleep at night. If you can't provide her with this then maybe hiring two 12-hour caregivers would be better.
-- Her rate of pay as a beginning caregiver. She should earn time-and-a-half for major holidays (New Year's, Memorial Day, Independence Day, Labor Day, Christmas Eve and Christmas Day).
This is not a comprehensive list but the more detailed the contract the less likely there are to be problems and hurt feelings.
The contract should include a clause how to end the contract, such as: Upon two weeks written notice, either party may terminate the contract without further liability on either party's part" All duties must be carefully spelled out including bathing, dressing, cooking, cleaning, wound care and when to call 911 and emergency contact numbers. Wages and room and board must be specified. Time off and vacation pay or other benefits must be spelled out. Any arrest or criminal charges should trigger immediate termination. If the caregiver is driving, proof of license and insurance is critical.
I would think that as the elderly person's condition(s) progress, increased duties might be needed, and someone the contract would have to have room to include increased pay for more duties, or a way to address if the job "grows" to be more than just companion care (for example). It's one thing to do light cleaning, cooking, some bathing assistance, and a doctor appointment here & there, and quite another to be dealing with dementia/extreme forgetfulness, and total incontinence/changing adult diapers, and total feeding care. Perhaps some type of annual or semi-annual review. And of course what type of written documentation will the caregiver have to fill out?
I think it would work better if you had three caregivers working an 8 hour shift each with whom you have a written contract with. Otherwise, one 24/7 caregiver will be burning out one right after another.
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.
The contract should be very detailed and very thorough so there are no misunderstandings later on and you should go over the contract with the caregiver prior to her starting in case she has any questions or concerns.
I'm just going to throw my 2 cents in and I'm sure others will come up with other items that need to be addressed in a contract.
-- This is a live-in caregiver? The hours you expect her to work should be detailed. The hours she has off should be detailed. You should include that on her off hours she is not expected to grocery shop or otherwise do errands relating to her job. Her hours off are her hours off.
-- She is allowed at least 6 uninterrupted hours of sleep at night. If you can't provide her with this then maybe hiring two 12-hour caregivers would be better.
-- Her rate of pay as a beginning caregiver. She should earn time-and-a-half for major holidays (New Year's, Memorial Day, Independence Day, Labor Day, Christmas Eve and Christmas Day).
This is not a comprehensive list but the more detailed the contract the less likely there are to be problems and hurt feelings.
All duties must be carefully spelled out including bathing, dressing, cooking, cleaning, wound care and when to call 911 and emergency contact numbers.
Wages and room and board must be specified.
Time off and vacation pay or other benefits must be spelled out.
Any arrest or criminal charges should trigger immediate termination.
If the caregiver is driving, proof of license and insurance is critical.
Perhaps some type of annual or semi-annual review.
And of course what type of written documentation will the caregiver have to fill out?