Placement Information Packet

Placement Information

  • Step 1– Intake
  • Step 2– Phone, Virtual or In-Person Meeting with a Placement Navigator®
  • Step 3– Depending on the urgency, tour potential facilities
  • Step 4– Assessment needs scheduled (If an urgent admission is required, schedule at meeting)
  • Step 5– Move or start in-home care services
  • Step 6– Gather necessary items listed:
    • Medications need brought in (prescriptions for any new medications will need filled.)
    • The move-in agreement with the facility will need to be completed.
    • Full payment including deposits and move-in fees needs paid.
    • Bring basic toiletries, clothing and if possible a couple of items that will feel like home.
    • If there is any memory loss, a simple sign can help assist the individual in self-orienting.
    • Schedule a follow-up with the primary care physician preferably within 2 weeks.
    • Give yourself permission to check in with the facility if you are worrying about your loved one.
    • Your loved one will need transportation to get the client to the facility.
  • Step 7– Follow up with our Follow Up Nurse, Amy.

reading togetherMaking the Transition

Change can be tough. Even an alert and oriented individual doesn’t always handle change easily.

  1. Watch for an increased risk of depression. Many individuals who have been isolated may become social reducing this risk. Many families report that the depression subsides, however there are no guarantees. Please consult with the caregivers and the physician to see what your loved one may need.
  2. Allow time for the change to occur. Since change isn’t easy the individual needs to get used to his or her environment.

Individuals with dementia may have normal transitional changes within the first few weeks of moving in. These may include your loved one doing the following:

  1. Asking to go home
  2. Having increased confusion and even acting out
  3. Feeling lost or uncertain about what to do
  4. Having an increased risk of depression. Many individuals who have been isolated may become social reducing this risk. Many families report that the depression subsides, however there are no guarantees. Please consult with the caregivers and the physician to see what your loved one may need.

If you have concerns, contact your placement navigator or our office at 253-777-3804.

Important Information and Disclaimers:
Home Admission Plan: Please consult with the discharge planner of your current facility, unless not applicable.
Written agreement with the facility to admit: We recommend that any deals between the facility and the client are received in writing. If you have any concerns regarding your contract with a facility, please review it with an attorney.
Disclaimer about our services: Every situation is unique and we cannot guarantee the referral to be a success: We provide as much information as possible to help educate and empower you to make a sound decision in a short time frame. Should the placement not turn out to be the right fit, we will be happy to help you tour options that would better suit your specific needs.

Welcome to CayCare –

Welcome to CayCare CayCare offers a variety of services for those in need of assistance in managing care, or for those ready to find an assisted living community or an adult family home. We provide high quality customer service and premium care, often at no cost to you.

We know every story is unique Whether it’s placement or in-home care coordination, our team of professionals will learn the details of your story and weave that into the fabric of the care solution or placement. This is why we get such excellent results and reviews from our clients.

We want our clients to succeed  CayCare was established in this community by a registered nurse who wanted to help families to find, not just any care or housing, but the right solution the first time. Statistically, an elderly client has an increased chance of losing their independence with every fall, injury or illness that they have. The earlier the right care or placement is in place, the more this risk is reduced.

We are there for you From the very first phone call, CayCare will walk alongside you helping you navigate your options. You will have your own assigned placement navigator and access to a clinical team who can do everything from supporting options for challenging behaviors to answering care questions.

Customer Quote “CayCare has it all. I was able to count on the whole team supporting my mom.” -Ann

Tips for Touring – Homework Assignment

Finding the right fit is important and every facility is unique. Don’t be afraid to ask questions. When touring assisted living communities or adult family homes. Your placement navigator is always there to guide you.

Questions to ask when touring

Meals                                                                          

  • What type of food do you primarily cook
  • Am I able to share meals with my family?
  • Can treats be brought in and does there need
    to be enough for everyone?

Costs

  • What do I do to hold a room? $_______
  • Any fees I should be aware of?
  • How are rate increases communicated
  • What services cost extra?

Extras

  • What is the earliest time that visitors are allowed?
  • Are there pets in the home? Can pets visit?
  • Do you celebrate holidays or have special events? Do you go on outings?
  • Is there visiting entertainment?

Services

  • Do you have a beautician that comes in?
  • Is there transportation provided?
  • Is there a home doctor, podiatrist
  • Do you have visiting lab and mobile x-ray services?

Things to look for when touring

  • Residents that are happy and engaged -ask them for their feedback
  • Home or facility looks and smells clean
  • Home or facility is the type of environment the resident would find familiar or comfortable
  • Social interaction of current residents
  • Caregiver interaction with residents and visitors
  • Safety concerns such as stairs, exits, etc.

What to expect after placement

Transition is difficult and moving into a new environment takes adjustment. Here are a few things families report as normal behaviors for their loved one during the first few weeks following a move-in.

  • Asking to return home
  • Having increased confusion or acting-out
  • Uncertain about what to do and feeling lost
  • Risk of increased depression if feeling hopeless – Many families report the depression subsides as socialization increases and routine develops however, there are no guarantees. A physician should follow and treat symptoms of depression.

If you have concerns once you move into a facility or start care, contact your placement navigator or contact our office at 253-777-3804.

Assessment Information –

Resident Assessment (for Adult Family Homes) While all licensed facilities require an assessment or evaluation the adult family home assessment is specifically explained since it is unique how it is done. You will obtain the assessment separate from the adult family home allowing for unbiased information to be gathered. This assessment is required by the state prior to moving into an Adult Family Home. A re-assessment is required annually, and any time there is a significant change in condition of the individual. It is an out of pocket care expense. The charge is considerably less than a larger community that charges for this evaluation through their move-in fees.

Washington Administrative Code 388-76-10330 Resident Assessment: (Summary below)

  1. Obtain a written assessment that contains accurate information about the prospective resident’s current needs and preferences before admitting a resident to the home.
  2. Not admit a resident without an assessment except in cases of genuine emergency.
  3. Ensure the assessment contains all of the information required in WAC 388-76-10335.
  4. Obtain an element of the required assessment information; and
  5. The assessor documents the attempt to obtain the information in the assessment.
  6. Be knowledgeable about the needs and preferences of each resident documented in the assessment.

Frequently Asked Questions:

  1. Will my insurance cover the cost of the assessment? Medical insurance does not compensate for this service. They consider the assessment part of the custodial care which is not covered. Long Term Care Insurance will sometimes reimburse for this need by bundling the cost into the payment for the home. The client is responsible for payment at the time of service.
  2. How long will this assessment take? The assessment appointment is approximately 2 hours. The assessor typically spends the first 30 minutes reviewing the chart, usually away from the individual.
  3. What can I expect at the assessment? After reviewing the chart the assessor will join you and review what was noted. Following this will be a series of questions and discussion about the individual’s care needs, abilities, and preferences. The assessor will need to observe the individual perform a transfer how it is normally done by either staff or family.
  4. When will the report be completed? Assessments started prior to 3pm will be completed by 5pm. Assessments started at or after 3pm will be completed by 10am the following business day. We make every effort to make arrangements for evening/weekend discharges. Please note that in cases where pertinent medical information is not available the assessor will submit a preliminary assessment and the missing information will be noted.
  5. Can I have a copy of the assessment? CayCare makes every effort to be a green company. We will be happy to email a PDF of the assessment to you. We only print and mail assessments by special request.

Nurse Delegation Explanation – 

Nurse delegation is the training of non-nursing caregivers to perform specific types of care for an individual. Washington State Law requires adult family homes, assisted living facilities, and private caregivers to receive nurse delegation.

Washington Administrative Code 388-76-10455 Nurse Delegation Law:

  1. Obtain a written assessment that contains accurate information about the prospective resident’s current needs and preferences before admitting a resident to the home.
  2. Not admit a resident without an assessment except in cases of genuine emergency.
  3. Ensure the assessment contains all of the information required in WAC 388-76-10335.
  4. Obtain an element of the required assessment information; and
  5. The assessor documents the attempt to obtain the information in the assessment.
  6. Be knowledgeable about the needs and preferences of each resident documented in the assessment.

EXAMPLES – Examples of care tasks that require Nurse Delegation:

  • Medication administration – The act of a caregiver putting a medication in the individual’s mouth, or applying a cream, patch, or drops that the individual cannot apply on their own.
  • Wound care (other than first aid for injuries)
  • Eye drop administration
  • Foley catheter irrigation
  • Non-sterile suctioning
  • Glucose checks and insulin injections when the client needs more than set-up assistance

Examples of the Cost of Nurse Delegation Services with CayCare

  • Initial delegation visit                                                                      $400.00 + Travel
  • Subsequent delegation visit, required every 60-90 days         $200.00 + Travel
  • Insulin delegation w/follow-up (5 visits total)                           $1000.00 + Travel
  • Travel is one-way from our office (using Google Maps)          $20.00/10 minutes

NOTE: Average cost is up to $3.96/day versus $200/hour for a nurse to perform.

Frequently Asked Questions:

  1. Will my insurance cover the cost of nurse delegation? Medical insurance does not compensate for nurse delegation as they consider it part of custodial care. Long-term care insurance may reimburse for this need by bundling the cost into the payment for the assisted living or adult family home. The client is responsible for payment at the time of service.
  2. Does a family member need to be present for nurse delegation? Nurse delegation is for the registered nurse to train the caregivers on the necessary task. Family does not need to be present during this time.
  3. How often are nurse delegation visits? An initial visit is required upon beginning services and subsequent visits will be at least once every 90 days. Additional time may be needed in-between visits for new orders or changes in any delegated care needs. Whether a visit is needed for this depends on the need and is at the nurse’s discretion.

 

Placement Navigation®

(No cost to you)When you, or your loved one, are ready to choose retirement living you may feel lost in the sea of choices. We can offer the caring support you need to navigate those decisions, free of charge.

Our knowledgeable placement navigators know the options. They are familiar with the homes and facilities in your preferred area. They know who can provide a higher level of care, who has longevity with their staff, and what social environments are available.

This can be a stressful transition and our skilled placement navigators do everything they can to make it as smooth as possible. They will use their experience to connect you with the right care and services so you are empowered to make the very best choice.

In-Home Care Coordination

(No cost to you) By listening to the needs and wants of our clients and catering the search for care to those criteria, CayCare is able to provide the best care solutions for our clients.

Our dedicated team members will help determine exactly what care is needed. From transfers, personal care, meal preparation, toileting, bathing, night time needs, behavior needs, exercises, hospice care, or even relief for a family member providing care, we can assist in finding the best services for our clients individual needs.

We utilize a family care plan to help assist getting the right care for our clients. Our staff will provide follow up support in case the plan for care needs to change for any reason. The experience and dedication of our in-home care coordinators means our clients have access to their own personal expert to answer questions should they come up.

The cost for our in-home care coordination service is free. This includes intake, coordinating care, and performing follow-up with. Expected cost for in-home care services ranges from $25-35 per hour or $300-400 per day.

 Care Management Services (RN Care Mgmt. Fees Apply)

Care management is a service for those who need assistance with determining their care needs, understanding the options available, and creating a plan of action for themselves or their loved one. The care managers can perform the adult family home, state required assessment for a fee. There is a discount for the annual.

Benefitting from the knowledge and expertise of experienced care managers, our care management clients will receive the best recommendations and support for necessary care and services tailored toward their individual needs.

Whether it’s a Care Analysis™ to help determine the immediate and

long-term needs of a client, or ongoing care management which  provide regular check-ins that can help to reduce hospital visits, our professional care managers offer friendly service and years of expertise.

General Information About The Process

Frequently Asked Questions On free services, how are you compensated? Our exemplary customer service offers guidance in finding the best fit for clients looking for placement or in-home care, at no cost to them. When we have connected a provider with our client and they are paying privately for service, the in-home care agency or long-term care facility pays CayCare a commission through their marketing budget as per industry standard. If a client is on Medicaid, we are not compensated and assist on a pro bono basis.

Why do I have to sign a release of information in order to receive services? Our client’s privacy is very important to us and the information provided is essential to receive the best care and services possible for their situation. In order to determine the best fit possible, health information needs to be shared; therefore, an information release is required.

Will my insurance cover the cost of care management? Medical insurance does not compensate for care management services, which they consider part of custodial care. Long-term care insurance may cover this cost and we recommend reviewing your long-term care policy to see if care management is included. If you need assistance in reviewing your policy, please contact our office toll free 1-844-582-7767, locally 253-777-3804, or via email at contact@caycare.com and we can connect you with an experienced insurance resource.

Important Contacts

Ombudsman: 1-800-997-9990 The Long-Term Care (LTC) Ombudsman Program is mandated in the Federal Older American’s Act to educate and advise consumers and governments on issues that affect residents of long term care facilities.

Complaint Hotline: 1-800-562-3022 Washington State has an entire process and procedure for handling complaints. It starts with reporting the complaint to their hotline. This hotline can be anonymous and allows families to feel that a concern is being handled in a manner that ensures the safety of the community as well as the individual.

Medicaid (DSHS): 1-800-532-3022 When a resident is transitioning to state assistance we recommend that individuals communicate this potential transition up front to the facility, in writing. It can be added as an addendum to a resident agreement. This assures the individual, as well as the facility, has total clarity to when this transition is likely to occur and allows the facility to plan to accommodate this need.

Caregiver Coping If you have been the main caregiver for the individual receiving care, we recommend a plan for coping with this transition. You may want to have an activity that you can turn to during this transition such as scrapbooking, painting a room, sorting pictures, planning a short visit to friends or relatives, or learning a new craft or sport. There are many caregiver support groups available as well. Please contact our office toll free 1-844-582-7767, locally 253-777-3804, or via email at contact@caycare.com if coping is difficult.

Feedback and Follow-up Our follow-up nurse will be in contact with you following discharge from a hospital or skilled nursing facility, or if you have set up in-home care or care management services. We will email a short survey to the email on file. Please take a moment to let us know how the referral process was and to provide us with any feedback that will allow us to improve our services.

Our team strives to provide the highest level of service we can. Please don’t hesitate to contact us with concerns or questions toll free 1-844-582-7767, locally 253-777-3804, or via email at contact@caycare.com

Please Share Your Story With Others

If you are happy with the service you have received from the CayCare team, we would love to know. You can share with our follow-up nurse, by emailing contact@caycare.com, or by sharing your thoughts on our social media sites. The very best compliment you can give is to tell others about your experience, including the person who referred you to us.

Here’s are a few links to help navigate you quickly:
Google: [(https://www.google.com/#q=caycare]
Facebook: [https://www.facebook.com/pg/caycareplacement/reviews/?ref=page_internal]
Yelp: [https://www.yelp.com/biz/caycare-orting]

Definitions 

Nurse Delegation: Under Washington State law, nurse delegation allows nursing assistants and home care aides working in certain settings to perform certain tasks normally performed only by licensed nurses. These care tasks can include medication administration, would care, eye drop administration, topical patches or creams, enemas, suppositories, blood glucose monitoring, insulin administration, etc. Nurse delegation services are patient specific and this care cannot be provided by a nursing assistant without delegation. There is a fee for this service. For more information on nurse delegation regulations in Washington, visit www.doh.wa.gov. *See insert for additional information.

Resident Assessment: Washington State law requires an assessment on a resident prior to admission to a long-term care facility. This assessment is performed by a nurse or social worker and includes a detailed breakdown of the resident’s abilities to dress, bathe, and feed themselves. Their behaviors, needs, and ability to perform their personal care are also assessed. There is a fee for this service and must be performed annually or whenever there is a significant change in condition. A resident assessment can affect the rate of care so it may be beneficial to have an objective assessor (not affiliated with the facility) perform the assessment. *See insert for additional information.

In addition to our placement, in-home care, and care management services, CayCare can perform nurse delegation and resident assessments. If you have questions regarding these services, please contact our office toll free at 1-844-582-7767, locally at 253-777-3804, or contact@caycare.com.