I've finally managed to talk my 84 yo father into visiting an assisted living apartment next week. He's gotten more and more frail especially since my mom passed away earlier this year. I moved in with them both several years ago but now I can't take care of him and he certainly can't take care of himself. I hired a home health aide to come in 4 hours each day but the rest of the time I'm about it when I get home from work at a hospital nearby. I'm exhausted and depressed and finally lied to him and said I need to go out of town a few weeks and the doctor says he can't be alone anymore. He of course thinks he's fine but can hardly get out of the chair without help. Now the last three weeks he's had colitis with near constant diarrhea (house stinks) and I finally made the decision he has to go.
I found a very nice place nearby where he can have a nice 1br apt and they'll do care thru end of life so I'd never have to worry about the dreaded nursing home. He finally realized its a good idea and this house is to big and I need to just be a son not a caregiver. Of course I have to hope he doesn't change his mind!
Anyway some questions.
1. I have full poa, including medical, financial and mental health. Can I "make" him move if it comes to that? I know I can get his doctor to write he can't care for himself.
2. My biggest worry is him being taken advantage of. How can I ensure he won't change his poa or anything after he moves? He's so lonely he'd be an easy target for a swindler lady type I read about here. I manage everything now and I have a good paying career so I need to know I can continue to manage his affairs.
3. He sits around the house here waiting for me to get home (unfair). Have you noticed after moving to assisted living that the person makes friends? Right now he does nothing but my hope is he develops a social circle.
4. Do I need to get guardianship? What is involved with that?
Like I said my biggest worry is him being scammed or marrying some lady he thinks he loves because he's lonely. He has $$ so he is a potential target.
Thanks.
There is also a home health nurse that visits once a week who assists with his bath, does his vitals, checks up on him and his meds, etc. If we want, they can also send a home health aide to come in and do light housekeeping. And that is paid for by his medicare insurance.
So if I were you, I would look around for adult daycares that accept your father's insurance so you don't have to pay.
Then look into home health care services so they can have a home nurse come and visit. Do an assessment and evaluation on him, assist with his bath, do light housekeeping and light meal preparation, check and refill his meds, send a home health doctor to come, physical therapy, etc. Most of them accept medicare so you don't have to pay either.
Hope this helps!
I'd highly suggest that you look into more than 1 AL facility. If he has the ability to private pay for AL, then there are lots more options out there and 1 AL might not be the best fit for him. What you don't want to have happen is to move Dad in and then within the next 90 days you get a letter from the facility that although they just love Dad, his level of care needed is not what they do at this AL and he needs a higher level of care. For my mom, when I moved her into IL (it is a "tiered" facility that has IL, AL, NH and hospice unit), she had to go to 2 visits to the IL...they were both obviously looking to see if she was suited for IL. She "passed" but I know of friends of her's who didn't and 1 went to AL and the other NH. When they are coming from living at home (my mom from her home of 50+ years), it is often really hard for family to be objective with their parents ability and to be realistic about just what a IL, AL or NH will provide. I'd be concerned about his chronic diarrhea 7 his inability to transition (move from chair to chair, from bed to chair to potty), that is more of a skilled nursing needed placement. A resident who always has diarrhea will be a liability for the AL and the other residents and they may ask him to move.
The ability to move from bed to chair, etc, well they kinda expect the resident to be able to do most of this on their own with some assistance. Totally needing others to do this or need a full bathing team to get clean is usually a NH placement. Really you don't want to have to go through all this all over again if you can help it.
Also although you may think that Dad has the funds to private pay, the $ goes fast.
AL can cost 3K - 5k a month plus whatever charges are placed in addition. If they live long enough (unless they are generationally wealthy) they will eventually run out of $ and will decline to the point of needing skilled nursing care (a NH) and will have to apply for Medicaid. You want to plan ahead for that possibility and the 5 year look-back. Really take some of Dad's $ and see an attorney to get their experience on how to deal with this and how Medicaid is managed in your state.
Good luck.
With that said, I think taking him on a tour would be a great idea (we did that with Mom so she was mentally prepared). I met residents who were literally picked up and dropped off by one of their children into ALF and it was very traumatic for them.
No stage of caring for our parents is smooth or easy. It's just another faith walk and trial, really. Blessings.
While it's true that someone can change their POA at any time and it can be difficult to get a guardianship, that's no reason to sit idle and watch someone gain your father's trust then swindle him. Sit with a good elder law attorney and work on securing his finances in a way that makes him a less attractive target for someone with dubious motives.
It is his money and he can do as he pleases with it, but that's not a reason to leave him vulnerable to being taken advantage of. His assets are what gives him lots of choices as he continues to decline, you have every right to try to protect them for him. If his money goes, the only choice he is left with is Medicaid and the nursing home.
To be safe, why not set up an appointment with your attorney and ask him what he suggests.
Do not be overly suspicious, some people are just nice. My mom's cleaning lady grew into a true family friend. She would drop by on my parents and bring food when I was out of town on business or vacation.....NEVER, asked for a penny for her gestures. She visits mom once in a while just to keep her company. I see as a family and personal friend. The fact that we originally met as an employee is just a happenstance of how this kind person came into our lives.
Good luck
L
You cannot force him into living or staying in AL if he doesn't want to be there or determines later that he no longer wants to live there. I suggest you enlist his drs or case workers help in convincing him to go. If he is not mentally incompetent there is nothing you can do to force it. He can discharge himself and a court will support his wishes if he says he wants to stay at home and hire nurses or assistants to care for him.
You do not want guardianship. This will take legal action at your expense not his to have independent evaluations, doctors, court and lawyer fees. Once you get guardianship you will still be accountable so it's not the easy way out.
What do you intend to do with the house? Is it in his name? Can he sell it to pay for his care long term? These are things you need to consider. Will you live there? He's young at 84 so he could live a long time.
Lastly, check all the fees for assisted living. If he needs any assistance, there could be extra fees so you need to understand what those are and anticipate your monthly fees.
It is likely he will have new friends and activities but no guarantee that he will participate. My FIL went for 2 wks to AL as respite and refused to leave his room and wanted many meals in his room. Although this was a great facility and they coaxed him, they didn't waste a lot of time forcing the issue so he didn't get the great benefits of socialization we'd hoped for.
The other posters have it correct about the POA. As long as he is competent, he has control and can change at will, though usually not likely as it costs with attorney to change...but there are always those unscrupulous individuals that will offer to pay the attorney Out of their own pocket "to help him" if they think there is more to gain. You have to remain involved with whatever you decide with dad and be diligent in managing.
Good luck.