Most nursing home admissions happen under extremely difficult situations. It can be an overwhelming task of finding the best nursing home placement for a loved one. For example, where do you begin? Although this can be a difficult job, it can be done with some planning, organization and a little help.
The Center for Medicare & Medicaid Services [CMS] [a federal government agency] has as a part of its Web site that you can utilize when comparing nursing homes [Nursing Home Compare]. The site identifies facilities that have a history of poor performance. The Nursing Home Compare reports nursing homes that have repeatedly violated state and federal health and safety rules and that rank in the worst 5 to 10 percent of all inspected facilities in a given state. Using Nursing Home Compare, you can obtain detailed inspection information about each nursing facility that interests you, comparing various government-rated "quality measures" such as:
• Percent of Residents Who Have Moderate to Severe Pain;
• Percent of High-Risk Residents Who Have Pressure Sores;
• Percent of Residents Who Were Physically Restrained; and
• Percent of Residents Who Spend Most of Their Time in Bed or in a Chair.
The Nursing Home Compare Web site also rates the care and services that each facility provides to its residents, and allows you to view how each facility stacks up in staffing hours for each type of health care worker against the state and national averages.
U.S. News and World Report also recently started providing rankings of America's nursing homes. The U.S. News rankings rely on Nursing Home Compare but provide some advanced search engine capability. According to U.S. News, their new feature --America's Best Nursing Homes addresses these and other issues. Nursing homes are presented in tiers within each star category, based on their total stars in all three of the major areas. Within each tier, nursing homes are listed alphabetically. If you're looking for a nursing home by location, and too many results show, search terms can be combined in order to narrow the results. For example, perhaps you want to search just for nursing homes that have a religious affiliation, or that accept Medicaid residents. Or you can launch a multipronged search, perhaps searching for non-profit four-star nursing homes that accept Medicaid and are located within 25 miles of a particular city.
Another free Web site that lets you compare nursing homes is memberofthefamily.net, which features easy-to-read, color-coded assessments of nursing homes nationwide.
Despite the ratings, in my experience nothing can substitute for visiting a nursing home in person. Virtually every nursing home will have some deficiencies. Here are a few more tips to find the best possible nursing home for your family's situation,
- Determine what is most important for your family in looking for a facility. The resident’s needs and desires must be included in this evaluation. Consider variables such as location of the facility, whether a special care unit (such as for dementia) is available, and what types of payment sources are accepted.
- Identify the facilities in your area which meet the criteria you have established.
- Tour those facilities you have identified in step two. You don’t need to schedule your visits in advance. If you show up during regular business hours, you should be able to meet with an administrative staff member, who should be able to answer all your questions. You will also want to tour a second time, in the evening or on the weekend, to see if there is a drastic difference in the atmosphere of the facility or the care being provided. It is important to tour at least two facilities so you can see the difference in the physical facility and the staff.
While you are touring the facility, pay attention to your gut feelings. Ask yourself:
• Do I feel welcome?
• How long did I have to wait to meet with someone?
• Did the admissions director ask about my family member’s wants and needs?
• Is the facility clean?
• Are there any strong odors?
• Is the staff friendly?
• Do they seem to genuinely care for the residents?
• Do the staff seem to get along with each other?
Listen and observe. You can learn a lot just by watching and paying attention and asking questions. You want to be sure that the facility is giving proactive care, not just reacting to crisis.
Here are a few examples of the types of questions the staff should be able to answer:
- How do you ensure that call lights are answered promptly, regardless of your staffing?
- If my loved one is not able to move or turn his/herself, how do you ensure that he/she is turned and does not develop bedsores?
- How do you make sure that someone is assisted with the activities of daily living like dressing, toileting and transferring?
- Can residents bring in their own supplies?
- Can residents use any pharmacy they wish?
- How many direct care staff members do you have on each shift? Does this number exceed the minimal number that state regulations require, or do you just meet the minimum standard?
- What sources of payment do you accept?
- How long has the medical director been with your facility?
- What is your policy on family care planning conferences? Will you adjust your schedule to make sure that I can attend the meeting?
Don't Forget Expert Help
In addition to finding the facility you like best, don't forget that you need expert assistance as part of the nursing home planning process. Without proper planning and advice from an experienced Advisor, many families needlessly squander their life savings on long-term care, and unnecessarily jeopardize their own care and well-being, as well as the security of their family. The way to get the best care in any nursing home is to make sure that you choose a nursing home that accepts Medicaid and work with an advisor or Attorney who specializes in Medicaid Asset Protection and can get your loved one qualified for Medicaid benefits quickly.
What is the goal of this type of planning? The goals differ from person to person and family to family. Generally, the main financial goal is to preserve as much of the families assets as possible. For a married couple the most important goal is to ensure that the spouse remaining at home is able to live the remaining years of his or her life in utmost dignity, without having to suffer a drastic reduction in his or her standard of living. For a single or widowed client, the most important goal is typically to be able to enjoy the highest quality of life possible in the event of an extended nursing home stay while passing along as much of their savings to the family as possible. When there is an adult child or grandchild who is disabled, the primary goal is typically to protect assets to be used for the benefit of that disabled family member who is often also receiving Medicaid and other government benefits. Money that is protected through proper planning can be used to provide a nursing home resident with an enhanced level of care and a better quality of life while in a nursing home and receiving Medicaid benefits.
For instance, protected assets can be used to hire a private nurse or a private health aide — someone to provide one-on-one care to the resident — to help the resident get dressed, to help the resident get to the bathroom, to help the resident at mealtime, and to act as the resident’s eyes, ears and advocate. Money that is sheltered through proper planning can also be used to purchase things for the nursing home resident or disabled child that are not covered by Medicaid — such as special medical devices, upgraded wheel chairs, transportation services, trips to the beauty salon, etc.
If you need Medicaid planning or nursing home planning contact us today;
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