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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:
You can't use deadbolt -- in emergency situation it is vital to be able to escape from the house or, for that matter, for ambulance/police department to be able to come in. You can buy an alarm for every door/window. It is about $7-$8 in Home Depot and easy to install. The second option would be to hire somebody to stay at home over night -- it will give you chance to rest. One more option is to find locked-in facility.
There are also alarm pads available to use in the bed. Just place it under the sheet or pillow and you will hear it every time when the person gets off the bed. Depending on where that person is going you might consider a small alarm to use under the door of bedroom. Yes, you will hear annoying sound when door is closed or open.
I bought A key pad lock and put it on my basement door backwoods so my mother can't fall down there . All I Have to do is press 2 numbers to open it myself and on the other side is always open
I put a child safety cap over the door in my mom's room. I can open it but with her frail hands she is unable to open it. We found it at home depot. We also have alarms on all of our doors that chime/alarm when opened. Those are great if you want to be awakened all night long by your alarm going off. We found that the child safety cap works great and she can't open her down to the outdoors any longer.
What you can use depends on which door you are wanting to lock. A quick phone call to your city/county building department should answer your questions.
ie: Exterior doors can have a keyed dead bolt both sides except for one door must have a thumb latch on the interior side instead of a keyed dead bolt.
I put double keyed deadbolts on all exterior doors. Home Depot will rekey the locks to your original key for about $5 each. Everyone who visits is given a key to wear around their neck in case of emergency. This is great for your peace of mind. Keep the old locks and change back before you sell the house.
I have an expensive slide lock waaay up high on the exterior doors. That's ok if the person is short like my Mom. On the bedrooms that we don't want her in we have a bedroom door lock that has a (key) that you put in the little hole in the outside knob and either push or turn. We keep it on a hook or nail way up high next to the frame of the same door. Mom likes to go in other bedrooms and take a nap.
The geriatric hospital with which I am familiar have a two latch system that can be operated on either side. one is at no0rmal level and the other is placed high up on the door, almost at the top. Operating both latches simultaneously will open the door from either side.
In the majority of cases this arrangement precludes wanderers that would not be safe outside the therapeutic community from opening doors and going astray.
It need not be a lock, only a latch, preferably with handles or levers, with the topmost one operated in the upward direction and the lower one in a downward direction. It need not cost the earth, since most handy persons will find it easy to fit a rim-latch.
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.
You can buy an alarm for every door/window. It is about $7-$8 in Home Depot and easy to install. The second option would be to hire somebody to stay at home over night -- it will give you chance to rest. One more option is to find locked-in facility.
We also have alarms on all of our doors that chime/alarm when opened. Those are great if you want to be awakened all night long by your alarm going off. We found that the child safety cap works great and she can't open her down to the outdoors any longer.
ie: Exterior doors can have a keyed dead bolt both sides except for one door must have a thumb latch on the interior side instead of a keyed dead bolt.
In the majority of cases this arrangement precludes wanderers that would not be safe outside the therapeutic community from opening doors and going astray.
It need not be a lock, only a latch, preferably with handles or levers, with the topmost one operated in the upward direction and the lower one in a downward direction. It need not cost the earth, since most handy persons will find it easy to fit a rim-latch.