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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.
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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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Not in the Assisted Living places my folks have lived in, nope. When an unqualified person cuts fingernails & toenails for an elder, they run the risk of cutting too deeply and causing a bleed. Many elders are taking blood thinners which can lead to profuse bleeding and a trip to the ER can ensue. A qualified Podiatrist normally comes into the facilities to do these trims, and Medicare normally pays for it too. My mother has it done every 3 months (which is how often Medicare will pay, according to her plan) and she pays the co pay of about $38 I believe it is.
My motto with Assisted Living is, in for a penny, in for a pound. There are certain services you do not want to scrimp and save money on. Not to mention, how, exactly, does this ED feel like he's 'saving money' by having his CGs cut the nails of the residents? Makes NO sense!
I don't see why not, if the caregiver is comfortable doing so. I know that sometimes when people get older their toenails in particular, get quite thick and can be more tricky, but with the proper nail clippers they can be cut. My husband was completely bedridden in our home for the last 22 months of his life and I was the one who cut his fingernails and toenails, with no issues. I know that most facilities have professionals come in on a regular basis to do peoples nails, and of course the patient or their families have to pay for that service. Not clear as to why this assisted living facility doesn't want to offer that anymore when it's the patient who pays for the services, not the facility. Unless there's a seperate fee that I'm not aware of.
If I was a CG at an ALF or MC, I'd flat out REFUSE to cut a resident's fingernails or toenails & then have holy hell to pay when the family had a fit when the resident started bleeding and/or the nails were trimmed incorrectly! The liability of such a thing is TREMENDOUS! The ED of this ALF must truly be a newbie in the field to even suggest such a thing, imo!! He's opening up a huge can of worms!!!!!!!! :(
No, they should not. Cutting the nails on toes of seniors is a very dangerous pursuit Often the nails are hardened and thickened. A small nick on the toe of a senior can have such dire repercussions that they can lead to death. There are many dangers with circulation of elders. Some a diabetic, and a small cut could result in the danger of infection, gangrene, amputation, sepsis. My recommendation to any personnel working in Senior Assisted Living or doing inhome care would be absolutely NO to nail cutting.
Hm. I'm with BarbB, how does that save money? At my mom's nursing home the psw's could trim fingernails but not do any foot care, that was done by an outside agency and we paid extra for it.
Most facilities do not allowed the staff to cut patients toenails because of potential for injury, infection and liability, all of which could lead to an amputation of a toe, foot or part of leg, especially in diabetic patients with poor circulation. My mother is a diabetic and she has her appointment every 9 weeks with a podiatrist for cutting and trimming her toenails. I would never cut my moms toenails and risk injury or infection. It is best to leave the task to a professional podiatrist.
In most places the CNA's or nurses aren't allowed to cut finger and toe nails. An aide will file someone's nails sometimes, but they won't trim them. Usually a facility offers podiatrist services at different times if a resident needs nails trimmed. It always costs extra though. It won't be covered in the regular monthly bill.
The caregivers at my mom's place file fingernails, but don't usually cut them. They did cut her nails today because she's started scratching herself bloody, but that's not the norm.
As far as toes -- podiatrist only. Cutting the toenails of an old person is like trimming a rhinoceros' horn.
As said, Medicare pays for a podiatrist to cut toenails. Not sure if its a policy of the facilities or a regulation of the state. I cut my Moms finger nails. You may want to tell your ED it maybe a liability to have aides do it for the reasons mentioned.
My MILs facility won't even let a licensed/certified/experienced pedicurist come in and do anything to her feet. We've asked and they absolutely won't permit it. But they will allow a family member to do it... it's not as easy as it sounds. The nails get very thick and the LO doesn't cooperate when you touch her feet.
I can somewhat understand the cutting of fingernails to prevent scratches etc. However, toenails are a different story! Done incorrectly, ingrown nails can occur, if diabetic, injury and infection can take place without the patient even knowing because of neuropathy.
My Aunts facility has a Podiatrist that comes once a month. I private pay $70.00 to have her toenails cut properly.
IMHO, the facility has no business cutting nails!!
I think you should contact the local Council on aging for assistance!
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.
My motto with Assisted Living is, in for a penny, in for a pound. There are certain services you do not want to scrimp and save money on. Not to mention, how, exactly, does this ED feel like he's 'saving money' by having his CGs cut the nails of the residents? Makes NO sense!
I know that most facilities have professionals come in on a regular basis to do peoples nails, and of course the patient or their families have to pay for that service. Not clear as to why this assisted living facility doesn't want to offer that anymore when it's the patient who pays for the services, not the facility. Unless there's a seperate fee that I'm not aware of.
My recommendation to any personnel working in Senior Assisted Living or doing inhome care would be absolutely NO to nail cutting.
At my mom's nursing home the psw's could trim fingernails but not do any foot care, that was done by an outside agency and we paid extra for it.
Usually a facility offers podiatrist services at different times if a resident needs nails trimmed.
It always costs extra though. It won't be covered in the regular monthly bill.
As far as toes -- podiatrist only. Cutting the toenails of an old person is like trimming a rhinoceros' horn.
I can somewhat understand the cutting of fingernails to prevent scratches etc. However, toenails are a different story!
Done incorrectly, ingrown nails can occur, if diabetic, injury and infection can take place without the patient even knowing because of neuropathy.
My Aunts facility has a Podiatrist that comes once a month. I private pay $70.00 to have her toenails cut properly.
IMHO, the facility has no business cutting nails!!
I think you should contact the local Council on aging for assistance!
God bless!!