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  1. #11
    Missouri Star

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    Default Re: What should we ask?

    Quote Originally Posted by MRoy View Post
    Regarding gifting money/assets...I worked with the Kentucky Medicaid agency for over 25 years. In KY, if money or other resources are given away prior to entering a facility, Medicaid may consider it a prohibited transfer of resources and determine the person ineligible for assistance for a period of time based on the value of the asset(s) given away. The transfer look back period can be as much as 5 years. The policy may vary by state, but I recommend not transferring any resources without checking into this first.
    very good points. now with mom the house was never an issue cause it was already gone, but we were advised that we could pre-pay funeral expense and a few other allowable expenses Wasn't that big of a deal since mom had few assets. Now I thought this meeting was with a SW from agency on aging or something similar, not a specific facility. maybe I misread.
    “What we do for ourselves dies with us. What we do for others and the world, is and remains immortal.”

    ― Albert Pine

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  3. #12
    Missouri Star

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    Default Re: What should we ask?

    The meet with Social Services wasn't hard when I had to do it for mom. We just reviewed financing and the Social worker came up with a list of available facilities. The most difficult part was actually selecting the home.

    Find out if her doctor(s) have a preference or recommendations of which one they would work with. Some stumbling blocks I avoided by checking with him first were: The facility used their own doctors and didn't allow meds to be prescribed by her regular doc. The facility used a hospital but her doctor had no admission privileges there so couldn't follow her if she developed additional medical problems.

    This is the best resource I found ... and it was written just this year. https://health.usnews.com/health-new...a-nursing-home I asked many the same things when my mom went into a home for a lengthy stay just for re-hab. I was allowed liberal visitation (7am - 11pm) and they even brought in a recliner so I'd be comfortable. She was allowed to go out of the facility but needed prior approval so we had to plan her outings 2 days in advance. It was important to her that she be treated as part of the decision making process so everything was explained to her as I found the info. It's important to their mental well-being that they not feel like this is just a warehouse for them to be stuck in.

    PM anytime, Beth. This is never an easy process because it's a great responsibility.

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  5. #13
    Missouri Star

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    Default Re: What should we ask?

    Quote Originally Posted by bakermom View Post
    now with mom the house was never an issue cause it was already gone, but we were advised that we could pre-pay funeral expense and a few other allowable expenses Wasn't that big of a deal since mom had few assets. Now I thought this meeting was with a SW from agency on aging or something similar, not a specific facility. maybe I misread.
    Yes, there are allowable expenses that money can be used for and not be considered a transfer. Also, the person in a facility can transfer some funds to their spouse who is still at home. Many states now publish their Medicaid policy manuals online. The best person to explain the policy is an Adult Medicaid worker at your local social services/family services office.
    *~* Myrna *~*
    *~* Quilters lead pieceful lives *~*

  6. #14
    Missouri Star

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    Mar 2015
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    Default Re: What should we ask?

    Definitely check out with the state if there have been any complaints or if the facility has any history of fines or failed inspections.

    Ask about staff to resident ratio. Ask about staff turnover and how they hire (background checks). Ask about their protocol for preventing bedsores.

    Find out the policy if the patient falls. I work for the ambulance service and in our local area there are a couple facilities that require the patient to go by ambulance to the hospital for any fall. They require the patient go even if the patient does not want to go. That can get expensive because sometimes those transports are considered not necessary.

    Good luck, it's a tough decision to make.

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  8. #15
    Missouri Star

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    Sep 2014
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    Default Re: What should we ask?

    Someone mentioned that the patients get better care if they have frequent visitors. I think that is true, sad to say. From my experience, the better you get to know the staff, the better treatment your loved one will get. Take the staff homemade cookies, get to know their names and who will be working days or evenings. If your loved one is cognizant, these staff will become her friends and she will know all about them. So you need to know, too.
    And just because the facility may not look very pretty doesn't mean the residents are unhappy or uncared for.
    Also, if you are not allowed to pop in any old time for a visit, you should be wary. Well, maybe not the middle of the night. But I even had to do that when I had to tell Mom that Dad had passed. Wow, bad memories coming up.

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  10. #16
    The Guild President

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    Sep 2017
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    Default Re: What should we ask?

    Thanks for all the advice and positive thoughts. Meeting went well, now we know what we need to do next, it starts with a sit down with both of them and all of the siblings on Saturday morning, although Dad has been asking questions about placing Mom nothing concrete has ever really been discussed with them both together. The social worker (family friend) will be there to assist with the meeting. I am so grateful that I am only an in-law and will not be attending-but I wish I could be a fly on the wall.


    Beth
    Happiness is a FULL bobbin!

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