Free retirement community referral sources may come at an unexpected high cost

Author

Country Meadows of Hershey

For more information about the author, click to view their website: Country Meadows Retirement Communities

Posted on

Feb 13, 2024

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Pennsylvania - South Central PA

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You have probably seen advertisements for senior care referral services promising to find the best retirement community care for you or a loved one at “no cost to you.” Some of these services even utilize paid celebrity spokespersons to pitch their senior living placement services. However, these services do have a high cost in the form of missed opportunities. It is important for you to understand how these retirement community referral services such as A Place for Mom, Caring.com and SeniorAdvisor work.

Some retirement communities pay to play

Many retirement community referral services tout their services as free to the consumer, implying the assistance they provide is done as part of a not-for-profit model. This couldn’t be further from the case. These retirement community referral services require senior living providers to pay high fees for inclusion on the service’s list of preferred communities. Many consumers assume, incorrectly, that a service’s preferred communities are evaluated or rated based on the quality of care provided. Unfortunately, the only reason a senior living facility earns this “preferred” status is simply that the retirement community has opted to pay a fee. A high fee. If a “free” service recommends a particular retirement community to you, be sure to do your own research to confirm it truly is the right fit for you or your loved one.

Retirement community advisors paid by commission

Many retirement community referral services employ “advisors” who assist consumers by calling a toll-free phone number seeking help and advice in finding senior care.  According to one referral service’s website, “The advisor will conduct an assessment to gather information on you or your loved one’s lifestyle, care needs and budget.” The website omits an important piece of information: Advisors are often paid commissions when a caller moves into a recommended retirement community. This encourages advisors to recommend more expensive locations as the cost paid by participating retirement communities is typically one month’s rent, which may be equivalent to several thousand dollars.

It is important to know the qualifications of the person advising you in such an important life decision. Ask the advisor about his/her professional qualifications to truly understand you or your loved one’s needs and why he/she recommends a particular retirement community. If the advisor cannot list specific qualifications, you are most likely interacting with a subcontractor whose top concern may not be in your best interest. In fact, these individuals may do more harm than good since the senior living facility suggested might not always be based on your or your loved one’s needs, rather driven by the prospective commission fee to be earned. Find out for yourself and ask the advisor how he/she is paid and ask for the individual’s qualifications to make recommendations.

Quality care in each featured retirement community is not guaranteed

While the retirement community referral service advisor may seem to care deeply about your personal situation, it is critical to know that this person is doing his/her job. Once the advisor makes retirement community recommendations, arranges tours and assists you in making your final decision, this is where the relationship ends. Most times a free service will not monitor the care received by you or your loved one at the senior living facility. You can take things a step further by asking your advisor if the retirement community referral service carries liability insurance. If he/she asks you to sign a document stating that the retirement community referral service is not liable for the quality of care received at the recommended location, DO NOT use the service.

Honesty is more than not lying

While conducting research for this article, we called a retirement community referral service for a first-hand experience. When inquiring specifically about a Country Meadows Retirement Communities location, the advisor said, “You don’t want to go there. They are too expensive.” In truth, the three retirement communities the advisor recommended cost more or were the same monthly cost as Country Meadows.

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Staffing Requirements in Assisted Living

Staffing requirements in Assisted LivingStaffing requirements in assisted living facilities vary based on state regulations, resident needs, and facility size, but there are common standards and roles that most facilities must fulfill. Heres an overview: Core Staffing Requirements (General)Most states mandate a mix of the following positions:1. Administrator/Executive DirectorRequired in all facilities.Must be licensed or certified (requirements vary by state).Oversees daily operations, compliance, staffing, and finances.2. Direct Care Staff (Caregivers/Aides)Assist residents with activities of daily living (ADLs) such as bathing, dressing, eating, and mobility.Must meet minimum training hours (often 4080 hours).Staffing ratios (residents per caregiver) vary widely but typically range from:1:1015 during daytime1:20+ overnight3. Licensed Nurses (LPNs/RNs)Not always required on-site 24/7, but often required on-call.Responsible for medication management, assessments, and health care coordination.Some states require a nurse if the facility provides certain health services.4. Medication Aides/TechniciansAdminister medications under nurse supervision or per state guidelines.Must complete state-approved medication administration training.5. Housekeeping and MaintenanceEnsure facility cleanliness, safety, and order.Not typically subject to state staffing ratios but are essential for resident well-being.6. Food Service StaffPrepare and serve meals based on dietary plans and nutritional guidelines.Some states require a certified dietary manager or licensed dietitian to oversee meal plans. Staffing Ratios (Examples by State)StateMinimum Staffing RequirementCaliforniaNo fixed ratio; must meet sufficient staff to meet resident needsFloridaRequires an administrator, at least one staff per 20 residents during the day, and one awake staff at nightTexasMust have sufficient staff 24/7; no fixed ratiosNew YorkRequires at least one staff per 25 residents during the day, plus a supervisorOregon1 caregiver per 15 residents during the day; 1 per 25 at night (if residents need assistance at night) Training RequirementsMost states require:Initial training (ranging from 20 to 80 hours)Ongoing in-service training (e.g., dementia care, infection control, emergency response)CPR and First Aid certification Important NotesMemory care units often require higher staffing ratios and specialized dementia training.Staffing must be sufficient to provide services in the resident care plan, regardless of fixed ratios.During inspections or audits, under-staffing is a top citation issue.In Florida, assisted living facilities (ALFs) must comply with both statutory and regulatory staffing requirements to ensure resident care and safety. 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Local Services By This Author

Country Meadows of Hershey

Memory Care 451 Sand Hill Rd, Hershey, Pennsylvania, 17033

One of the main reasons our residents and their families first considered a retirement community was for an easier, safer environmentwhat all basic senior citizen housing and assisted living facilities provide. But, one of the main reasons they chose Country Meadows was to get back to living life through our full array of social events, fitness, spiritual enrichment programs, recreational activities and lifelong learning.

Country Meadows of Hershey

Independent Living 451 Sand Hill Rd, Hershey, Pennsylvania, 17033

One of the main reasons our residents and their families first considered a retirement community was for an easier, safer environment what all basic senior citizen housing and assisted living facilities provide. But, one of the main reasons they chose Country Meadows was to get back to living life through our full array of social events, fitness, spiritual enrichment programs, recreational activities and lifelong learning.

Country Meadows of Hershey

Assisted Living 451 Sand Hill Rd, Hershey, Pennsylvania, 17033

One of the main reasons our residents and their families first considered a retirement community was for an easier, safer environmentwhat all basic senior citizen housing and assisted living facilities provide. But, one of the main reasons they chose Country Meadows was to get back to living life through our full array of social events, fitness, spiritual enrichment programs, recreational activities and lifelong learning.

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        • 5: {"uuid":"8471e115-5786-4236-bfeb-d683fadccc42","displayName":"App\\Jobs\\TrackLibrary","job":"Illuminate\\Queue\\CallQueuedHandler@call","maxTries":null,"maxExceptions":null,"failOnTimeout":false,"backoff":null,"timeout":null,"retryUntil":null,"data":{"commandName":"App\\Jobs\\TrackLibrary","command":"O:21:\"App\\Jobs\\TrackLibrary\":5:{s:13:\"\u0000*\u0000track_data\";O:45:\"Illuminate\\Contracts\\Database\\ModelIdentifier\":5:{s:5:\"class\";s:18:\"App\\Models\\Listing\";s:2:\"id\";a:3:{i:0;i:4066;i:1;i:3414;i:2;i:4067;}s:9:\"relations\";a:0:{}s:10:\"connection\";s:5:\"mysql\";s:15:\"collectionClass\";N;}s:13:\"\u0000*\u0000usercookie\";s:18:\"us734trb76et634tbr\";s:7:\"\u0000*\u0000type\";s:7:\"article\";s:13:\"\u0000*\u0000event_type\";s:6:\"appear\";s:16:\"\u0000*\u0000inputDataType\";s:4:\"data\";}"}}
        Backtrace
        • vendor/laravel/framework/src/Illuminate/Queue/DatabaseQueue.php:188
        • vendor/laravel/framework/src/Illuminate/Queue/DatabaseQueue.php:99
        • vendor/laravel/framework/src/Illuminate/Queue/Queue.php:338
        • vendor/laravel/framework/src/Illuminate/Queue/DatabaseQueue.php:93
        • vendor/laravel/framework/src/Illuminate/Bus/Dispatcher.php:244
      • 3968f797b22a9c6b17ff202289cdb425.php#51seniorsbb_db_dev20.21msselect * from `company` where `company`.`id` = '7352' and `company`.`id` is not null and `company`.`deleted_at` is null limit 1
        Bindings
        • 0: 7352
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:51
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#54seniorsbb_db_dev5.07msselect * from `company` where `company`.`id` = '7352' and `company`.`id` is not null and `company`.`deleted_at` is null limit 1
        Bindings
        • 0: 7352
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:54
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#66seniorsbb_db_dev28.68msselect `books`.*, `bookeditionmapping`.`recordId` as `pivot_recordId`, `bookeditionmapping`.`bookId` as `pivot_bookId` from `books` inner join `bookeditionmapping` on `books`.`id` = `bookeditionmapping`.`bookId` where `bookeditionmapping`.`recordId` = 11760 and `bookeditionmapping`.`type` = 'article'
        Bindings
        • 0: 11760
        • 1: article
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:66
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#70seniorsbb_db_dev10msselect `books`.*, `bookeditionmapping`.`recordId` as `pivot_recordId`, `bookeditionmapping`.`bookId` as `pivot_bookId` from `books` inner join `bookeditionmapping` on `books`.`id` = `bookeditionmapping`.`bookId` where `bookeditionmapping`.`recordId` = 11760 and `bookeditionmapping`.`type` = 'article'
        Bindings
        • 0: 11760
        • 1: article
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:70
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#85seniorsbb_db_dev18.99msselect * from `listingcontacts` where `listingcontacts`.`listingId` = 11760 and `listingcontacts`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 11760
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:85
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#237seniorsbb_db_dev20.82msselect * from `listingattachment` where `listingattachment`.`listingId` = 4066 and `listingattachment`.`listingId` is not null and `type` = 'listing' and `primary` = 1 limit 1
        Bindings
        • 0: 4066
        • 1: listing
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:237
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#253seniorsbb_db_dev19.12msselect * from `categorymapping` where `categorymapping`.`slug` = 'MC' and `categorymapping`.`slug` is not null limit 1
        Bindings
        • 0: MC
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:253
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#256seniorsbb_db_dev2.45msselect * from `category` where `category`.`id` = 'MC' and `category`.`id` is not null limit 1
        Bindings
        • 0: MC
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:256
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#237seniorsbb_db_dev17.63msselect * from `listingattachment` where `listingattachment`.`listingId` = 3414 and `listingattachment`.`listingId` is not null and `type` = 'listing' and `primary` = 1 limit 1
        Bindings
        • 0: 3414
        • 1: listing
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:237
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#253seniorsbb_db_dev4.55msselect * from `categorymapping` where `categorymapping`.`slug` = 'IL' and `categorymapping`.`slug` is not null limit 1
        Bindings
        • 0: IL
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:253
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#256seniorsbb_db_dev10.17msselect * from `category` where `category`.`id` = 'IL' and `category`.`id` is not null limit 1
        Bindings
        • 0: IL
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:256
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#237seniorsbb_db_dev25msselect * from `listingattachment` where `listingattachment`.`listingId` = 4067 and `listingattachment`.`listingId` is not null and `type` = 'listing' and `primary` = 1 limit 1
        Bindings
        • 0: 4067
        • 1: listing
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:237
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#253seniorsbb_db_dev1.74msselect * from `categorymapping` where `categorymapping`.`slug` = 'AL' and `categorymapping`.`slug` is not null limit 1
        Bindings
        • 0: AL
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:253
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#256seniorsbb_db_dev4.04msselect * from `category` where `category`.`id` = 'AL' and `category`.`id` is not null limit 1
        Bindings
        • 0: AL
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:256
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev15.74msselect * from `listingattachment` where `listingattachment`.`listingId` = 15280 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15280
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev9.76msselect * from `listingattachment` where `listingattachment`.`listingId` = 15274 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15274
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev21.15msselect * from `listingattachment` where `listingattachment`.`listingId` = 15258 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15258
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#301seniorsbb_db_dev8.15msselect * from `listingattachment` where `listingattachment`.`listingId` = 15258 and `listingattachment`.`listingId` is not null and `type` = 'article' limit 1
        Bindings
        • 0: 15258
        • 1: article
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:301
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 6162bf581736fa7f4e9b70a52a1034b4.php#2seniorsbb_db_dev13.06msselect * from `articles` where `articles`.`deleted_at` is null order by `id` desc limit 3
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/6162bf581736fa7f4e9b70a52a1034b4.php:2
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      App\Models\Article
      7Article.php#?
      App\Models\ListingAttachments
      6ListingAttachments.php#?
      App\Models\Listing
      3Listing.php#?
      App\Models\CategoryMapping
      3CategoryMapping.php#?
      App\Models\ArticleCategory
      2ArticleCategory.php#?
      App\Models\Company
      2Company.php#?
      App\Models\Books
      2Books.php#?
      App\Models\Category
      1Category.php#?
          ClearShow all
          Date ↕MethodURLData
          #12025-07-07 10:07:25GET/articles/free-retirement-community-referral-sources-may-come-at-an-unexpected-high-cost42926