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You may not need to go to a nursing home now, but maybe a loved one needs nursing home care more urgently. I am sharing some valuable information, applicable to retirees, and those who are advising retirees and seniors.
A nursing home is the same as a skilled nursing facility. This does not include an independent living facility, a personal care home or assisted living facility. This distinction is important, because nursing homes or skilled nursing facilities are the only care centers which are paid for by Medicaid. When someone needs long term care, they often pay privately, which means that you have to pay for every aspect of care from your own pocket.
However, if you are in a nursing home, you can get Medicaid to pay for care. This unfortunately happens after you go broke. While the sick spouse needs long term care, the healthy spouse is still living in the family home. They can’t afford to go broke paying for long term care, because the healthy spouse needs money to live. This is when Medicaid is the best option to pay for care.
Long Term Care Costs
I have had family members and clients go broke over the years due to long term care expenses. This is avoidable, by putting some assets into a trust, to protect yourself from long term care expenses. When you end up in a skilled nursing facility, the average cost is about $13,000 per month. This equates to $160,000 a year, which most people can’t afford to pay for too long before going broke. Most people who end up in nursing homes, don't go “nursing home shopping”. They don't have the benefit of time to assess which facility is appropriate for them.
With nursing home admissions, a senior who has been getting their care at home or in a personal care home, may suffer a potentially serious health care issue. They may have been admitted to hospital for care, and the hospital subsequently discharged them to a skilled nursing facility for rehabilitation. The rehab stay may last a couple of weeks, after which a decision must be made regarding the senior’s need for care. The social workers, care planners and discharge planners attempt to find this senior a nursing home to do rehabilitation. The family agrees on the decision based on it being a short term stay.
They may not realize that their loved one may actually need long term care. The family may not have had the opportunity to review the nursing home’s contract, but they also don’t want to move their loved one to another facility. With their loved one settled in the nursing home, there is paperwork for the family to sign.
What to Look Out For
Nursing homes are licenced in two different ways in Pennsylvania. There are standalone skilled nursing facilities, and there are also facilities licenced as Continuing Care Retirement Communities (CCRC). A standalone skilled nursing facility cannot require you to sign a contract, to give up your legal rights to apply and qualify for Medicaid benefits. As a result, families have options to rely on for Medicaid planning. In that situation, we can often protect significant assets for the healthy spouse living at home and we can get Medicaid to pay for care.
In contrast to the standalone skilled nursing facilities, there are the CCRC's, which require you to sign a contract and agree to go broke in their facility. The CCRC’s have a benevolent care fund whereby they will still take care of you if you go broke. That doesn't help the healthy spouse living in the family home who is broke, while trying to maintain a house. From my standpoint, I wouldn't want the benevolent care fund. I want the ability to protect my wife, while getting the care I need. I don't want to sign a contract giving up my legal rights to pursue Medicaid benefits.
Finding the right care for Seniors
Some of the CCRCs are prepared to negotiate. We make contact with them and offer to show them how we can protect their bottom line, while my client qualifies for Medicaid benefits. If you are in this situation, perhaps we can negotiate on your behalf. We want to find seniors the care they need without going broke. The nursing homes are not the bad guys - they are providing needed care. I have so much respect for what the nursing homes do for their residents. The problem lies in the broken government system requiring people to go broke before getting financial assistance.
Protecting Assets
We can still protect assets, even after a nursing home admission. Most families assume that all nursing home contracts are the same. If a loved one is already in a nursing home getting the care they need, the family signs the contract. If you know someone currently in a nursing home, or who will need care in a nursing home, they should contact us or another certified elder law attorney, to review the contract. We will help you determine whether to sign the contract or not. Not all attorneys understand the difference between how these facilities are licenced, but at Sechler Law Firm, we are able to advise you.
Be Aware of the Arbitration Clause
If you ever have to sign a nursing home contract, please be aware of the voluntary arbitration clause. The nursing home contract is a legal document, but nursing homes cannot require residents to sign the arbitration clause. Arbitration agreements take away your right to hold your nursing home accountable in court. Should a resident suffer from any negligence or wrongdoing in a nursing home, pleading their case in front of a jury will result in a better outcome. With an arbitration, a private arbitrator decides the outcome of a dispute. Unfortunately this does not often favor the resident.
If you're in this situation or know somebody who is, please reach out to us for help and advice. Call us at 724-564-6615.
There are plenty of reasons for family members to take care of aging or disabled loved ones. The role can be rewarding, bringing people closer to the people they love and allowing them to tailor care to their personal needs and preferences. But even the most dedicated family caregivers need a break to focus on their own well-being, especially around the busy holiday season. Thats where respite care comes in.Despite the fact that 1 out of every 5 Americans acts as a caregiver to a loved one, only 15% take advantage of respite care services available to them. Respite care can create better outcomes for caregivers and their loved ones alike. It gives family members time to rest and recharge so they can come back to the role with fresh eyes and renewed spirit.But what is respite care, and is it right for you? Lets take a look at the many benefits of hiring a home care agency to give you a helping hand when you need it.What is In-Home Respite Care?In-home respite care is a form of temporary relief from the responsibilities of caretaking. You get to set the termsit could mean hiring a professional aide for an afternoon, for several weeks, or anything in between. At ComForCare, our highly trained staff can come to your loved ones home to perform many of the duties you provide on a daily basis, including:Preparing meals and helping them eatHelping them groom, bathe, and dressProviding medication remindersGrocery shopping, picking up medications, and related errandsCoordinating care and transporting them to and from doctor appointmentsLight housekeepingUnlike adult day-care centers or respite care facilities, in-home care reduces the stress on your loved one by bringing care to them. They get to stay in their familiar environment with minimal disruption to their routineand you get a break to focus on your needs.Benefits of Respite CareManage Stress & Ward Off BurnoutOver half of family caregivers in an AARP survey reported that they experience moderate to high levels of stress related to their roles responsibilities. Combined with the added pressures of the holiday season, the winter months can quickly lead to burnout for those taking care of loved ones. Respite care gives you room to breathe, just like taking time off work. After all, though it can be deeply rewarding, caretaking is a form of labor. Working so hard without rest can take a serious toll on your mental health, which in turn can affect your ability to care for your loved one.Reduce Health Risks for Your Loved OneWhen were burnt out, busy, or bustling around more than usual, we can overlook important signs of illness or disease progression. Were only human, and can only focus on so many things at once. ComForCares home aides are specially trained to watch for warning signs that your loved one needs medical intervention or additional help. They can also provide you with a fresh perspective after months or even years of seeing your loved one every day.This is especially true if your loved one has recently suffered an injury or had a medical procedure. Temporary respite care during their recovery can reduce the risk of infection and rehospitalization. Its a way to optimize their healing process while taking some time to focus on your health, too.Find Support & a Social NetworkBetween 40% and 70% of family caregivers struggle with feelings of depression, often compounded or caused by isolation and loneliness. During this time of the year when were supposed to be celebrating togetherness, that struggle can begin to feel unmanageable. Not enough caregivers realize that there are support groups for people just like them, where they can come together, socialize, and share their experiences. Home care agencies like ComForCare can connect you with those resources.We do everything in our power to take care of our clientsand that means helping family caregivers just as much as it means assisting their loved ones with their daily needs. We have a wealth of knowledge about mental health resources and support systems, and were glad to share those with you while we give you a helping hand. Respite Care Isnt SelfishIts a GiftOne of the biggest hurdles to self-care can be feelings of guilt. Its easy to see taking time for yourself as a selfish act. But the reality is, taking a break is a gift to your loved one, too. Whether all you need is a day alone to catch up on errands or a week to take your first vacation in years, youll return as a more resilient, more compassionate, and more capable caregiver.At ComForCare, all of our employees are background checked, highly trained, and vetted for a passion for treating all their clients with dignity and respect. Whether they meet your loved one only once or on a regular basis, theyll provide the highest level of care so you can rest easy. To learn more about our work and find a schedule that will fit into your life and your budget, get in touch with us today!
Benefits of Senior Care at HomeAs we grow older, our needs change, and sometimes we require a little extra help to maintain our quality of life. Senior care at home has become an increasingly popular option for many families, offering numerous benefits that cater to the unique needs of older adults. Let's explore why this type of care can be so valuable for our loved ones.Comfort and FamiliarityOne of the greatest advantages of senior care at home is the ability to remain in a familiar environment. For many older adults, their home is filled with cherished memories and provides a sense of comfort that cannot be replicated elsewhere. Staying at home can help reduce stress and anxiety, which is particularly important for those dealing with memory issues or cognitive decline.Personalized CareEvery individual has unique needs, and senior care at home allows for a tailored approach to meet these specific requirements. Whether it's assistance with daily tasks, medication management, or specialized care for conditions like dementia, a personalized care plan ensures that your loved one receives the exact support they need.Companionship and Social InteractionLoneliness and social isolation can have serious negative effects on an older person's health and well-being. In-home caregivers not only provide practical assistance but also offer much-needed companionship. They can engage in conversations, share activities, and provide a friendly face to look forward to each day.Maintaining IndependenceMany older adults fear losing their independence as they age. Senior care at home allows them to maintain a sense of control over their lives while receiving necessary support. Caregivers can assist with tasks that have become challenging, enabling seniors to continue living life on their own terms.Family InvolvementHome care encourages family involvement in the caregiving process. This collaborative approach ensures that the family remains an integral part of the support system, promoting a holistic and well-rounded care experience.Flexible Care OptionsAs needs change over time, in-home care can be adjusted accordingly. Whether it's increasing the level of support or adding specialized services, the flexibility of home care allows for seamless transitions without the need for a major upheaval in your loved one's life.Peace of Mind for FamiliesKnowing that a trained professional is caring for your loved one can provide immense peace of mind for family members. This is especially true for those who live far away or have demanding work schedules that make it difficult to provide regular care themselves.Cost-Effective CareIn many cases, in-home care can be more cost-effective than moving to a residential facility, especially if 24/7 care is not required. It allows families to pay only for the services needed rather than a comprehensive package that may include unnecessary amenities.Promoting Overall Well-beingSenior care at home goes beyond just meeting physical needs. It encompasses emotional and mental well-being too. Caregivers can encourage seniors to stay active, engage in hobbies, and maintain social connections, all of which contribute to a higher quality of life.Specialized Care for Unique NeedsFor seniors with specific health conditions, such as Alzheimer's or Parkinson's disease, in-home care can provide specialized support tailored to these unique challenges. Caregivers trained in these areas can offer expert assistance and help manage symptoms effectively.Remember, growing older doesn't mean giving up on the joys of life. With the right support, seniors can continue to thrive in the comfort of their own homes, maintaining their independence while receiving the care they need. It's not just about adding years to life but adding life to years. Quality Care You Can TrustWith over a decade of experience and a team led by a registered nurse, you can trust that your loved one is in good hands with Rita's Home Care. We are passionate about helping those in need and ensuring they receive the best care possible, just as we would for our own family members.Whether you need traditional home care services for an elderly loved one, specialized dementia care support, or end-of-life care, our team is trained and equipped to handle it all. We understand that every individual has unique needs, which is why we offer personalized care plans to ensure your loved one receives the specific support they need to thrive.
Lets Get Heart Smart February Is American Heart MonthBy the time you read this, the reported deaths from COVID-19 and its variants in the U.S. will be close to 900,000. As staggering as that statistic is, its 400,000 short of the number of Americans killed by Heart Disease in the same time period. Heart disease is the leading cause of death for men and women of most racial and ethnic groups.Lets not allow the topic to overwhelm the fact theres a miracle inside your chest. Weighing about as much as a grapefruit, the heart is a powerful pump that drives five to six quarts of blood to every microscopic part of your body every second. And if it fails for even a second, the body is very unforgiving. Even though its the one piece of machinery driven by the brain, we tend to treat the heart like a kitchen appliance that we take for granted. Rarely serviced, rarely cleaned, and overworked until it burns out. Although heart bypass and transplant have become routine since the pioneering operations in the 1960s, its not like replacing the coffee maker you neglected too long.One Thing at a TimeThe better way to treat your heart with the respect it deserves is to start with changing just small habits. That way, youll avoid the relapse from trying to change everything at once and falling back to unhealthy heart habits inside of a month. The most obvious: if youre a smoker or heavy drinker, work on that first. Imagine a small team of remodelers arriving at your heart to do a makeover. The first thing theyre going to say is, Well, we cant do anything with the plumbing until we clear the smoke.Look for Help During Heart MonthQuitting smoking and reducing alcohol is never easy, but this is probably as good a time as any during the year to start a cessation program with help. February is American Heart Month, so youre likely to be reminded frequently of heart health and offered tips on modifying your routine to help your heart and prolong a happy life. If you only look to one place, trust the American Heart Association www.heart.org. Prediabetes and Heart DiseaseWhats your blood sugar level? If you dont know, you should find out from your doctor if youre not already monitoring it yourself. You could be pre-diabetic without knowing it or showing any symptoms. Theres a good chance you could avoid becoming diabetic and reverse your pre-diabetic blood sugar to normal with relatively little change to your diet and a slight increase inyour activity. Diabetes has long been linked to heart disease, but recent studies suggest that reversing prediabetes is also linked to fewer heart attacks and strokes. [Reversing Prediabetes linked to fewer heart attacks, strokes, heart.org, Jan. 26, 2021.]While youre at it, get your cholesterol tested and routinely monitor your blood pressure.If youre worried you might be at risk for heart disease, ask your doctor to perform a simple cholesterol test to let you know if youre at risk and should adjust your diet. Home blood pressure monitors are not expensive, theyre digital, and theyre easy to use. Blood pressure stations are common in supermarkets now, and you can also check your weight and pulse.Womens Heart HealthWhy the emphasis on womens heart health? The American Heart Association tells us that cardiovascular disease is the No. 1 killer of women, causing 1 in 3 deaths each year about one woman every minute. They devote an entire website to womens heart health: Go Red for Women (www.goredforwomen.org). Here are just a few of the common misconceptions about womens heart health:Myth: Heart disease is for men, and cancer is the real threat for womenFact: Heart disease is a killer that strikes more women than men and is more deadly than all cancer forms combined. While one in 31 American women dies from breast cancer each year, heart disease is the cause of one out of every three deaths.Myth: Heart disease is for old peopleFact: Heart disease affects women of all ages. For younger women, the combination of birth control pills and smoking boosts heart disease risks by 20 percent. Heart defects are more common than you might think: 1.3 million Americans alive today have some form of congenital heart defect and at least nine of every 1,000 infants born each year have a heart defect. Even if you live a completely healthy lifestyle, being born with an underlying heart condition can be a risk factor.Myth: I run marathons no way I could be at risk.Fact: Factors like cholesterol, eating habits, and smoking can counterbalance your other healthy habits. You can be thin and have high cholesterol. The American Heart Association says to start getting your cholesterol checked at age 20. Earlier, if your family has a history of heart disease.Age and Heart HealthMany things, like wine and most people, grow better with age. The heart, however, takes more tending than a glass of fine wine. Avoid things that weaken your heart beyond the normal aging process. These are the usual suspects: smoking and tobacco use, lack of exercise, diet, alcohol, overeating, and stress. Some preexisting conditions you cant control: irregular heartbeat, congenital (inherited) heart defects, sleep apnea (although this may be a product of obesity or alcohol consumption).Viruses and MyocarditisMyocarditis is an inflammation of the heart muscle mostly caused by a virus, including COVID-19, and can lead to left-sided heart failure. The left ventricle of the heart is the part that pumps oxygen-rich blood back to the body. This valve tends to stiffen with age. Thats one of the many reasons why age combined with a preexisting condition puts you at greater risk of death from COVID-19. Even survivors of the novel coronavirus infection can sustain permanent heart damage. All people must protect themselves and others from COVID-19 by observing precautions, not just because of its immediate lethality but also because of its impact on the heart, known and unknown.How to Start with Your HeartThe factors involved in heart health and the onset of heart disease are many, varied, and complicated. But the common preventions (listed here, from the Mayo Clinic) are simple. You probably already know them by heart, so to speak:Not smokingControlling certain conditions, such as high blood pressure and diabetesStaying physically activeEating healthy foodsMaintaining a healthy weightReducing and managing stressThose may seem like six significant challenges, especially if you take on all six. But you should notice something else about them. Almost every one of them can affect the other five. So, if you pick one, youll find it easier to take on the next one. People who quit smoking usually discover that they have more energy within the first week, and exercise becomes easier. A little exercise and switching out one unhealthy food will help with weight, stress, blood pressure, and diabetes. Easy does it, especially if youre 65 and older. Youve spent a whole life learning one way. You can take your time. Learn to enjoy your healthier heart. But start today.First, Get a Checkup!Most of the questions this article has raised in your mind (Whats my blood sugar level? Whats my blood pressure? I used to smoke am I at risk?) can all be answered in a single doctors visit with simple lab work done a few days before. Schedule it now, before you start a program of exercise and diet. And schedule a regular exam per your doctors recommendation. Relieving the stress of not knowing will be a good start on your way to a healthier heart.
At Sechler Law Firm, LLC, our mission is to help families make great plans. A great estate plan is more than just a set of documents. It is a comprehensive and well thought out written strategy on how to deal with lifes unfortunate twists and turns. Our process first provides you with the education necessary to make informed decisions with regard to your planning. Then we put the proper documents and legal framework in place to respond to lifes unfortunate changes.Our Estate Planning law office is headquartered in Cranberry, PA. From this office, we happily serve the residents of Cranberry, Mars, Wexford, Pittsburgh, Butler and the residents of surrounding communities. As one of the regions only Certified Elder Law Attorneys, Tim Sechler and his team often assist families from across Western Pennsylvania.We understand that the pursuit of health, wealth and happiness is the goal of most families. We want you to be able to pursue these goals, or whatever goals you may have, knowing that you have a back up plan if life throws you a curveball like a death, disability or nursing home need. With education as our foundation, we will work with you to make decisions to Shield What Matters Most to you.Practice AreasEstate PlanningCustomized planning doesnt have to be difficult for you. We strive to make the process easy. The first step is to identify your concerns so that we can make suggestions regarding your plan.Elder Law Crisis PlanningA significant percentage of our practice is dedicated to helping families navigate the long term care maze. We help with Asset Protection and eligibility for Medicaid and Veterans Benefits.Trust And Estate AdministrationIf you have lost a loved one, we can help you take the necessary steps to help handle their affairs.Tims estate planning practice is focused on guiding clients through the complicated maze of balancing transfer strategies, wealth preservation, and family values in the planning process.Tim is a Combat Veteran, having served in Afghanistan as a member of the West Virginia Air National Guard. Prior to leaving the military, Tim had attained the rank of Staff Sergeant. His experiences in the military have led him to thoroughly enjoy working with Veterans and their families.Tim received his law degree from Duquesne University School of Law, and his Master of Business Administration from the Duquesne University Donahue Graduate School of Business. He received his Bachelor of Science in Business Administration from West Virginia University, majoring in Finance. Tim is licensed to practice Law in Pennsylvania and West Virginia.Recently, Tim has been seen frequently as a guest on KDKAs Pittsburgh Today Live, and has been quoted in several local print publications. For the last several years, he has been honored to be chosen as a Super Lawyers Rising Star, an award given to less than 2.5% of Tims peers. Tim enjoys educating the public about Elder Law and Estate Planning. He has spoken to thousands of people regarding estate planning and has averaged more than 50 speaking events per year.Tim became a Certified Elder Law Attorney* in 2017. A CELA is more than just an attorney who specializes in the field of elder law. CELAs are committed, through certification, to maintaining and improving their proficiency with continual practice and continuing legal education. Becoming certified in elder law validates a lawyers specialty to handle issues that affect senior citizens.Tim and his wife, Robyn, are raising three beautiful children in their home in Mars, PA.*Certified as an Elder Law Attorney by the National Elder Law Foundation.