“I am worried that mom may outlive her income. What will happen then?” Asked Claire
This is a common worry for many adult children. With the cost of living continuing to rise and the needs of an elder loved one increasing also, you are right to be concerned. After all, you need to be a good money manager.
“Our goal was to keep Mom out of a Medicaid nursing home bed. Having worked in the industry I knew that once money runs out and you need to go on Medicaid your choices are very limited. Mom had dementia. The truth is there are not a lot of facilities who accept Medicaid and are trained in caring for someone with dementia here in Texas.” ~Emily
Emily is right. The truth is if you are looking for a secured facility for someone with Alzheimer’s disease or another type of Dementia you will probably have a hard time in Houston Texas. They’re just are not a lot of them that accept Medicaid.
Perhaps your mom doesn’t need a secured unit because she can no longer walk. You could still run into the problem that Lori ran into. The nursing home where her mom was insisted that Lori come every day from 4 in the afternoon till 10 at night to take care of her mom.
Her Mom suffered from sundowning. This is common in people with dementia. It causes behavior changes. Someone who has this will often become very agitated. This is what happened to Lories Mom. She would scream, “Help, help, help!”, over and over again. If Lorie refused to come the nursing home threatened to throw her mother out. Unfortunately, this happens a lot. Most nursing homes are short staffed and someone with dementia may need a lot more attention and care than is available.
Sometimes planning ahead can make a big difference. Sitting down with an elder law attorney just makes sense if you’re concerned. Most attorneys offer complimentary workshops or consultations. See our workshop schedule here.
Also, an elder law attorney is very connected in the community. They are connected to financial advisors, hospice and home care companies, elder care advisors and even nonprofits that may be able to help you. They will know about many different resources that you can use to help stretch your dollars.
Often what we see is that the children wanted mom to have the very best. So they put her in the most expensive and luxurious place they could find. Chances are they felt guilty placing her at all. And they wanted her to have the best. They may have thought that mom had just a couple of years left. But then they began to realize that Mom just might live quite a while longer. As the money began to drain out of her accounts, they began to get worried.
Sitting down with an elder law attorney in the early stages is the best option. This way plans can be made. And if there is little money and you know that eventually, mom will probably end up in a Medicaid facility you can plan for that. You can also find ways to stretch those dollars to buy more time.
When Robert and Carol brought their MIL to Houston after a broken hip they had choices to make. They could place her in a large assisted living facility with care 24/7 or they could place her in an Independent Living Community with a minimal amount of additional home care.
Since they lived close by they could visit often and help out. Carol could do her laundry each week and Robert could make sure she got to her doctor’s appointments. The community supplied all meals, entertainment and activities and some light housekeeping services.
For a few additional $$ they had the home care company help her get up in the morning. They helped her dress and made sure she took her medication. A caregiver would also come at night and help her change into her PJ’s. More services could be added as needed. And about a year later more services needed to be added. After 2 years, the time had come to move her to an assisted living facility. She needed someone to be available around the clock. But they saved about $50,000 placing her in the independent living community for those first two years.
Knowing what is available and where to go can make a huge difference. Planning ahead if a Medicaid bed is in your future can make sure that you are able to find one when the need comes. If you wait until the money is all gone you may be in for a shock. With proper planning, you will have time to visit and choose the best facility for your loved one. You will need to move in before the money runs out with the understanding that you will be given a Medicaid bed when you need it. Your attorney can help you work with the facility you choose.
The truth is nobody knows how long someone will live. And even though it seems like Mom has a lot of money it is important to be prudent and spend those dollars wisely.