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Your Guide
to Protecting Your Personal Health.
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Simplified Answers to the.
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Complex Questions
surrounding Healthcare, Empowering you
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to take control of your health
and wellness.
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“You are the most knowledgeable
about health policy”.
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And now America's
Healthcare Advocate Cary Hall.
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Hello, America.
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Welcome to America's Healthcare
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Advocate show broadcasting coast
to coast across the USA.
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Our producer, Mr. Darren Willhite.
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I'm your host, Cary Hall.
This is your show, America.
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Thank you for joining us
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and making us one of the most listened
talk shows throughout the United States.
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We have a brand new affiliate in Lincoln,
Nebraska,
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KLIN AM 1400 and FM 99.3.
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We are very happy to have you on board
and happy to be in the Cornhusker State.
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So welcome aboard.
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You're part of America’s
Healthcare Advocate family,
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but we really appreciate that opportunity
and have you join our family
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and look forward to talking
to all the folks in Lincoln, Nebraska.
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You can follow me on Facebook
or on Instagram and we're on pocket
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casts, Speakers, Spotify,
Google Podcasts, RSS Feed Podcast, TuneIn
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Podcast, Amazon, Pandora, Overcast,
Stitcher, SoundCloud and Apple Podcasts.
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And oh, by the way, we're on YouTube
where over the last four months
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we had 90,600 minutes of people
watching our broadcasts.
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So all I can say to all of you
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who download this podcast
and who listen to this is thank you.
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Whether you're listening on the podcast
platforms, the 12 I just named,
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or if you're up on YouTube,
we really appreciate what you're doing.
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Any feedback
you want to send, we're happy to hear.
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And it appears that we're going
rather rapidly on the podcast side.
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So once again, I want to say thank you
to everybody for tuning us in here
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live on the radio,
but also for picking those podcasts.
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If you are looking for Medicare
special needs program.
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So those folks that have chronic illnesses
are in a nursing home
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or receiving home health care
equivalent to nursing home or they are on
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Medicaid can qualify for Medicare
special needs program.
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Now, there's a lot of paperwork
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and there's a lot of government nonsense
to go through.
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But you don't have to do that
because you can call.
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Carolee Steele, Joyce Thompson
or Maria Ahlers At RPS Benefits by Design.
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877-385-2224
If you've got a loved one, you're
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you know somebody,
you know, maybe it's one of your family
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members, your grandmother,
whatever the case may be.
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And you know, these programs are amazing.
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They offer greatly enhanced benefits.
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They offer money for groceries
and utilities, and $4,000 worth of dental.
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I mean, there's just a host of things
you can get with these.
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You can't get on a typical Medicare
Advantage plan.
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Call one of those ladies.
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They'll be happy to help you.
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And if you're aging into Medicare,
they can do the same thing for you.
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All right.
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Joining me in studio once again,
Steve Kuker from Senior Care Live.
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That is his radio show.
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His company is Senior Care Consulting.
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And we're going to talk about
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what do you do when you have a loved
one that needs to go into a facility?
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How do you find out where they should go?
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How do you find out what the best fit is?
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What can they afford?
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How do you evaluate this stuff?
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Well, that's why we've got Steve in here.
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So, Steve, welcome.
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Thank you, Cary.
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I appreciate the opportunity to be
on your program and address your audience.
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Thank you so much. Well,
we're just happy to have you here.
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You know, you know, I'm 73,
which I make no secret about this
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when I talk about various things
in this broadcast.
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I've got friends of mine
that are of equal age, who have parents
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who are in their nineties
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or they're in their sixties
and parents are in their eighties.
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I just had one gentleman the other day,
a friend of mine
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in a men's group I belong to.
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His father is 86 years old
and they're having a real difficult time
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getting him to into a place
where he's going to be happy.
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He doesn't have any memory issues,
all of that.
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But he's not ambulatory enough
to take care of himself
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and they're not close by,
so they can't be there every day.
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I mean, this is
this is a we've got a tsunami of people
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hitting this,
you know, the boomers going into 65 plus.
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Well, the second tsunami is the boomers
that are boomers anymore.
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That's right. That's right.
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We're aging into the need. Right.
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Thank you. Yeah.
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Yeah, They're octogenarians. I think it's.
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What is it, septuagenarian?
Just one of those. Yeah.
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I don't know. Maybe Darren would know,
but I know he doesn't know either.
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Okay, never mind.
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But so, you know.
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But when people start pushing
past 80, oftentimes they just,
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you know, it gets to a point
where they just can't function
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in order to stay in their own home or
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if they need home health care,
how do they even get that?
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So let's
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just kind of spoiled a bit of that
and and the different elements and things,
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whether it's memory care or assisted
living or full blown nursing home homes.
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Well, once you get into the eighties,
we become more frail
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and it takes something very minor
to make a major change in our lifestyle.
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And so it could be a fall,
it could be an illness that we just don't
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fully recover from.
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And all of a sudden
we need a lot more help than we did
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two or three months ago
or maybe last week even.
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So the change can come on very quickly.
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In my case, my grandmother took a fall
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in the middle of the night
and she fractured her neck.
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She survived it.
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She was not paralyzed.
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But that boom,
that was an instant game changer.
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So accidents can also happen
to change that situation.
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And so you have to look at it
and you have to say,
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okay, now that I'm not fully independent,
I need some help.
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Can I remain independent in my home?
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And if so, what does that look like?
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So you can remodel your home
to age in place?
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The bathroom is a big area
where you know, get rid of the bathtub,
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put in a you know, I walk in, walk in tub
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or a zero entry shower
where you could even
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if someone had to roll you in on a shower
chair.
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Right.
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There are no barriers.
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I mean, you could do that.
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I refer a lot of folks to a local,
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you know, remodeler that can handle that
very quickly and efficiently.
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So that is what somebody specializes
in that.
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Exactly.
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You don't just go off on a website and,
you know, know this is what they do.
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Their tried and true.
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It's somebody you endorse
and you recommend. Absolutely.
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That way they know
they're going to get a quality product
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from somebody that's going to be reliable
and do the job the.
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Right.
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Remodelers, unfortunately.
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Sorry, don't start
sending me emails about that.
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But they're notorious. Okay?
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I've had enough of them to know
for not being reliable,
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not doing what they tell you
they're going to do and cost overruns.
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Right. So you have to be careful.
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But with with that, with who you hire.
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But the other thing is
what if you need your personal care?
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So now we're looking at bringing
in a home care company
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that's non-medical in-home assistance
to help you on an hourly basis.
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And unfortunately, with COVID
and I don't know where all of these people
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work now,
but there's a severe staffing shortage.
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It was bad before
COVID. It's catastrophic now.
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So I'll tell you a little interesting side
note that in The Wall Street
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Journal today, there was a huge
article on employers hiring,
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not use the word illegal
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aliens
will use the word undovumented immigrants.
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Okay. Okay.
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Hiring undocumented immigrants
because they can't fill those positions
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that you're talking about.
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Okay.
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Well, and so, too, to get
so what I've seen here in the last
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oh, I don't know, six months
maybe is to get the best staff.
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Okay.
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And you're going to have to pay them
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a lot more
because you're competing with hiring
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higher wages
because everyone's in the same boat.
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So now used to be able to pay 20 to $25
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an hour for a homecare company
to come out and help you in your home.
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But now you're looking at 30 to $35
an hour,
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maybe upper thirties and
and you still may not.
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The company you work with
still may not have enough staff
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to meet all of your needs.
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So this is becoming
a very difficult situation.
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And quite expensive.
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But it can be done
and you can remain independent
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in your home,
but it's going to be expensive.
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So if you've got a seven,
it looks like a seven day week typically
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and you need help
at least three days out of that seven
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and it's 3 hours, the laundry, clothing,
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food and
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maybe help with bathing, shaving,
whatever the case may be.
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You're looking at, you know, $300 a week.
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A week? Yeah, just for.
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1200 dollars.
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And that's only for three. Days
and for 3 hours a day.
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So that's that's minimal help.
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But you know what? That may be enough.
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That may be just enough to help you stay
home and avoid having to move somewhere.
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So even though it's expensive in the
in the in the bigger picture,
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six to 8 to $9000 for assisted
living per month, about 9000 to about
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$15,000 a month to live in long term care,
which is also known as a nursing home.
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So it could do it could do the trick
and keep you in-home in your home
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for a while and still be relatively cost
efficient.
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Absolutely. Relatively is the key term.
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Yeah. Yeah. Relatively is the key term.
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When I come back to break up,
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I want to go over something
that may help you with that.
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Okay.
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In terms of being able to afford it.
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We'll be right back after the break.
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You're listening to America's
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Healthcare Advocate broadcasting
here on the HIA radio network.
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Look, if you want to connect with Steve,
the website is
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Senior Care Consulting dot com
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913-945 2800
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I don't care
where you're at in the country,
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if you need help, call this man.
He will talk to you.
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He will help you.
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Give him a call.
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913 945 2800. Stay tuned.
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We've got more.
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You're listening to America's
Healthcare Advocate.
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Broadcasting here on the HIA
radio network.
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Coast to coast across the U.S.,
even in Lincoln,
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Nebraska.
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Well, tell me darlin am my right, I'm
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Welcome
back, You're listening to America's
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00:11:14,573 --> 00:11:18,177
Healthcare Advocates broadcasting coast
to coast across the USA.
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00:11:18,177 --> 00:11:19,578
My producer, Mr. Darin Wilhite.
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I'm your host, Cary Hall, in studio
with me.
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Steve Kuker from Senior Care Live.
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That is his radio show
that is nationally syndicated as well.
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And his company is Senior Care
Consulting website is Senior Care
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Consulting dot com,
the phone number 913-945-2800.
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I'm going to tell you something.
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I've I had people call me with this stuff
all the time and I referred in the Steve
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but if you go out there
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and you try to do this yourself,
first of all, it's time consuming as hell.
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Secondly, you really don't know
what you're doing, okay?
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You walk into a place,
they sell you a bill of goods
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and tell you you're going to do this.
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I've got a friend right now
with an 87 year old.
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No, he's 90 year
old mother in a nursing facility.
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He goes over there every day.
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He can do this. Okay.
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To make sure she's getting what he needs
because he doesn't trust the staff,
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because they're not giving him
what he That's the problem.
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When you have to do this
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yourself, you get into a place
you don't know if it's tried and true.
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Looks good on the outside,
look good on the inside.
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They tell you they're going to do
all these wonderful things
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and maybe they've got a staffing shortage
or maybe they're just not competent
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00:12:20,906 --> 00:12:21,607
summaries.
237
00:12:21,607 --> 00:12:25,611
Those are things that Steve knows
because this is what he does for a living.
238
00:12:25,778 --> 00:12:27,079
He knows exactly.
239
00:12:27,079 --> 00:12:28,314
Oh, and by the way,
240
00:12:28,314 --> 00:12:31,183
don't go to a place for mom
or some of these other places, okay?
241
00:12:31,550 --> 00:12:33,586
Because they get paid
by the nursing homes.
242
00:12:33,586 --> 00:12:36,422
I don't know if I can get Steve
to talk about that or not, but they do.
243
00:12:36,589 --> 00:12:36,922
All right.
244
00:12:36,922 --> 00:12:39,792
And they get paid by the nursing homes
to put people in there.
245
00:12:39,925 --> 00:12:43,195
So that's not what I would call
unbiased approach if you want help.
246
00:12:43,395 --> 00:12:47,266
Once again, the poll numbers 913945 2800,
247
00:12:47,366 --> 00:12:49,502
the website senior care
consulting dot com.
248
00:12:49,502 --> 00:12:51,270
You know those special needs programs
249
00:12:51,270 --> 00:12:53,172
that I mentioned
at the beginning of the broadcast.
250
00:12:53,172 --> 00:12:56,142
People with chronic conditions
like if you've got a heart condition
251
00:12:56,142 --> 00:13:00,112
or type one diabetes,
if you're on Medicaid or if you are in a
252
00:13:00,112 --> 00:13:04,150
nursing home or need home health care,
which is what we just talked about,
253
00:13:04,316 --> 00:13:07,319
there is money available
on those special needs programs.
254
00:13:07,319 --> 00:13:08,888
So, you know, once again,
255
00:13:08,888 --> 00:13:11,991
if you reach out to those ladies
over to US benefits by design,
256
00:13:12,591 --> 00:13:13,592
they can help you with that.
257
00:13:13,592 --> 00:13:16,462
But that's one of the beauties that
because I don't know what the number is
258
00:13:16,462 --> 00:13:19,265
for home health care,
what they give you in terms of dollars.
259
00:13:19,431 --> 00:13:21,634
But let's just say it's $2,000 a month.
260
00:13:21,634 --> 00:13:22,868
Well, how many hours is that?
261
00:13:22,868 --> 00:13:23,402
30 day.
262
00:13:23,402 --> 00:13:26,572
But, you know, I'm not good at math,
so whatever. 33.
263
00:13:26,572 --> 00:13:29,041
Okay. There you go. It's sexy.
He is good at math.
264
00:13:29,141 --> 00:13:31,677
Is it's that's that's a lot of hours.
265
00:13:32,077 --> 00:13:32,711
Okay.
266
00:13:32,711 --> 00:13:36,515
That that that would be So if you had that
and you had to pay another
267
00:13:36,682 --> 00:13:38,284
two or three or $400,
268
00:13:38,284 --> 00:13:41,420
now you've got maybe enough care
that you can stay in your home,
269
00:13:41,554 --> 00:13:43,455
your mother, your grandmother,
your father,
270
00:13:43,455 --> 00:13:46,125
whatever the case may be,
and not have to go to a facility.
271
00:13:46,392 --> 00:13:48,694
So those special needs programs
worth looking at.
272
00:13:48,861 --> 00:13:49,829
Can make the difference.
273
00:13:49,829 --> 00:13:51,530
Yeah, it could be good enough.
274
00:13:51,530 --> 00:13:54,500
Yeah, no doubt. Okay. Yeah,
it really is a big difference.
275
00:13:54,500 --> 00:13:56,635
There's also a program
available under the VA
276
00:13:57,169 --> 00:13:59,772
if you're not aware of that
and if you reach out to us, we'll be happy
277
00:13:59,772 --> 00:14:00,806
to tell you about that as well.
278
00:14:00,806 --> 00:14:03,075
So let's kind of get back to this
for a minute. Okay.
279
00:14:03,209 --> 00:14:05,444
So we talk a lot about home health care.
280
00:14:05,444 --> 00:14:06,412
You know, it's important.
281
00:14:06,412 --> 00:14:10,149
It's no different from the standpoint
of knowing what quality is
282
00:14:10,816 --> 00:14:13,586
and who's reliable versus
and we'll do the nursing home thing
283
00:14:13,586 --> 00:14:15,020
in the next in the next segment.
284
00:14:15,020 --> 00:14:17,923
We've got a lot of time, but I want to
kind of stay on this for a little while.
285
00:14:18,157 --> 00:14:19,692
How do you determine,
286
00:14:20,860 --> 00:14:21,160
you know,
287
00:14:21,160 --> 00:14:24,797
a home health care company, Like you said,
they're having staffing problems?
288
00:14:24,997 --> 00:14:25,331
You know,
289
00:14:25,331 --> 00:14:27,800
I read in The Wall Street
Journal this morning a lot of these jobs
290
00:14:27,833 --> 00:14:29,668
being filled by immigrants, which is fine.
291
00:14:29,668 --> 00:14:33,105
Hey, if they're willing to do the work
and they can do the work, God bless them.
292
00:14:33,138 --> 00:14:33,539
Yeah. Okay.
293
00:14:33,539 --> 00:14:35,407
Somebody needs to do it. Yeah. Okay.
294
00:14:35,407 --> 00:14:37,476
So how how do you
295
00:14:37,476 --> 00:14:39,311
how are you able
to go through a process to say,
296
00:14:39,311 --> 00:14:40,646
you know,
I know that company is really good
297
00:14:40,646 --> 00:14:42,648
and they provide quality
people, Steve. Well.
298
00:14:42,681 --> 00:14:46,585
I know I'm
very aware of some of the top providers
299
00:14:47,086 --> 00:14:50,222
here where I live in my area in the city
marketplace.
300
00:14:50,656 --> 00:14:51,757
Yes. Yes.
301
00:14:51,757 --> 00:14:56,228
Here's the challenge is a lot of times
there is not a licensure
302
00:14:56,228 --> 00:14:59,531
in a particular state
or if there is a licensure,
303
00:14:59,531 --> 00:15:01,901
it's just it's a piece of paper
and no one monitors it.
304
00:15:01,901 --> 00:15:04,904
So it's very easy to hang your shingle
305
00:15:04,904 --> 00:15:07,773
on the walls, says,
you know, Jim, Bob's home care company.
306
00:15:08,007 --> 00:15:11,110
And so far
there's just not a lot of regulation
307
00:15:11,110 --> 00:15:15,681
because it's non medical
in-home assistance. Wow.
308
00:15:15,681 --> 00:15:17,449
So so that's the scary thing.
309
00:15:17,449 --> 00:15:21,453
So just here in our metro area
where we live now, obviously
310
00:15:21,453 --> 00:15:25,257
this is broadcast around the country,
but what is it, 2 million, two
311
00:15:25,257 --> 00:15:26,725
and a half million, You know, Metro.
312
00:15:26,725 --> 00:15:29,361
Yeah, we have at least 300
313
00:15:29,795 --> 00:15:32,464
home care providers now, most of them
you've never heard of.
314
00:15:33,232 --> 00:15:35,000
Okay. Because they're very small.
315
00:15:35,000 --> 00:15:39,171
They might work in just a very small area
and they do a very
316
00:15:39,238 --> 00:15:41,540
small amount of business,
but some of them are very big.
317
00:15:41,540 --> 00:15:47,846
And so I created a document and
it's a home care provider screening tool.
318
00:15:48,280 --> 00:15:50,950
And so with my with my clients
319
00:15:51,350 --> 00:15:54,853
and I provided free of charge,
I just email it out to whoever wants it.
320
00:15:55,020 --> 00:15:58,724
But I have a list of very good questions
321
00:15:58,891 --> 00:16:02,561
and I recommend
find your top three home care providers.
322
00:16:02,828 --> 00:16:05,531
What would you call it on Yelp
or something to do that or a phone?
323
00:16:05,531 --> 00:16:08,334
I would ask your doctor
and I would ask someone in the hospital.
324
00:16:08,334 --> 00:16:09,635
I would ask for referrals.
325
00:16:09,635 --> 00:16:13,205
Okay. So. So I would I would I would.
326
00:16:13,205 --> 00:16:15,007
I would identify your top three
327
00:16:15,007 --> 00:16:17,276
that you've heard of
that you've interested maybe you've used
328
00:16:17,276 --> 00:16:21,113
before your neighbor used, somebody's
church, your doctor recommend so
329
00:16:21,480 --> 00:16:25,551
and find three and then ask them
the same questions and it will help you
330
00:16:25,551 --> 00:16:28,988
very quickly clarify which one you feel
is the best fit for you.
331
00:16:29,154 --> 00:16:29,455
All right.
332
00:16:29,455 --> 00:16:30,689
If you want to get that,
333
00:16:30,689 --> 00:16:33,625
you know, you can go to his website
Senior Care consulting dot com.
334
00:16:33,826 --> 00:16:36,562
He'll email you the thing free of charge.
I mean, there's.
335
00:16:36,562 --> 00:16:37,429
No strings attached.
336
00:16:37,429 --> 00:16:39,231
I'd just be happy to send that out to you.
337
00:16:39,231 --> 00:16:42,134
And that might make a big difference
because, you know, again,
338
00:16:42,401 --> 00:16:46,805
you think you've got the right person
and then six months later you find out
339
00:16:46,805 --> 00:16:50,109
have you have your grandmother's jewelry
just disappeared? Duh.
340
00:16:50,676 --> 00:16:52,044
And that happens. Okay.
341
00:16:52,044 --> 00:16:53,746
I've had it happened. Friends of mine. So.
342
00:16:53,746 --> 00:16:56,248
Well, and here's a here's a key question.
343
00:16:56,248 --> 00:17:00,919
When you're when you're screening home
care providers, if my caregiver
344
00:17:00,919 --> 00:17:06,425
is not able to come today to fill
that shift, do you do you have backup,
345
00:17:07,459 --> 00:17:08,827
another another staff that
346
00:17:08,827 --> 00:17:12,998
will come in and take my shift
because I have doctor's appointments.
347
00:17:12,998 --> 00:17:15,200
I have very important things
that I cannot put off.
348
00:17:15,200 --> 00:17:18,337
And so some time
I've heard way too many stories of,
349
00:17:18,604 --> 00:17:20,906
yeah,
well, so-and-so is not able to come today.
350
00:17:20,906 --> 00:17:23,342
We sure hope she shows up tomorrow.
351
00:17:23,342 --> 00:17:25,244
Well, that's the wrong answer.
352
00:17:25,244 --> 00:17:28,280
Know? Well, no,
not only it's wrong answer.
353
00:17:28,280 --> 00:17:29,148
It's a tragedy.
354
00:17:29,148 --> 00:17:29,481
It is.
355
00:17:29,481 --> 00:17:33,218
You're the 86 year old that can't take
a bath by yourself for a shower.
356
00:17:33,218 --> 00:17:34,219
So what does that mean?
357
00:17:34,219 --> 00:17:34,953
You don't bathe.
358
00:17:34,953 --> 00:17:37,790
You don't shower.
Yeah, you know, you can't.
359
00:17:37,790 --> 00:17:39,925
Maybe you have trouble making meals.
What does that mean?
360
00:17:39,925 --> 00:17:42,094
You're going to microwave
whatever you think you can eat
361
00:17:42,094 --> 00:17:43,862
for the next two or three days
362
00:17:43,862 --> 00:17:46,265
instead of having some kind of a decently
prepared meal.
363
00:17:46,465 --> 00:17:49,735
Or you've got laundry to do
and you don't have enough clean clothes,
364
00:17:50,002 --> 00:17:52,671
you don't have enough clean underwear.
I mean, let's just get real practical.
365
00:17:52,671 --> 00:17:54,840
Yeah, yeah, yeah.
That missing that kind of...
366
00:17:55,207 --> 00:17:58,777
And I do this for a perspective of
my daughter's got four in Washington,
367
00:17:58,777 --> 00:18:00,412
Pasco, which, by the way,
we're all up there.
368
00:18:00,412 --> 00:18:02,147
We're very happy about that.
369
00:18:02,147 --> 00:18:05,484
She's got four children,
two of which are twins, nine month old,
370
00:18:05,651 --> 00:18:08,887
a two year old and five year old
when the nanny doesn't show up.
371
00:18:08,887 --> 00:18:10,923
Yeah.
And she's got four of them to juggle.
372
00:18:11,290 --> 00:18:13,525
All hell breaks loose, right?
I know. Because they've been there.
373
00:18:13,892 --> 00:18:14,660
Yep, yep, yep.
374
00:18:14,660 --> 00:18:17,629
I just spent a week up there
not too long ago, just for that reason,
375
00:18:17,763 --> 00:18:19,198
because the nanny quit.
376
00:18:19,198 --> 00:18:23,902
All right, So it's the same thing with
with with with seniors in this situation,
377
00:18:24,169 --> 00:18:26,472
you've just created a disaster
for these people
378
00:18:26,805 --> 00:18:30,442
because they've got nowhere else
or or you've got to call your son
379
00:18:30,442 --> 00:18:32,211
or your daughter,
and they have to take a day off
380
00:18:32,211 --> 00:18:34,213
work to come and try to help you.
381
00:18:34,213 --> 00:18:36,682
Well, that's good if they're in your city.
382
00:18:36,715 --> 00:18:40,819
But if they live in Iowa
and you're in you're in Florida
383
00:18:40,986 --> 00:18:44,723
or you're you're in Florida and you know
they're in Florida and you're in Iowa,
384
00:18:44,790 --> 00:18:45,757
you're you're out of lot.
385
00:18:45,757 --> 00:18:46,058
Yeah.
386
00:18:46,058 --> 00:18:50,362
And so, you know, I know some companies,
too, where, you know, they have kind of
387
00:18:50,362 --> 00:18:55,367
a backup pool of staff that is available
at a moment's notice to fill a shift.
388
00:18:55,367 --> 00:18:57,636
So they run their business properly.
And guess what?
389
00:18:57,636 --> 00:19:02,307
If no one else is available,
the person running that homecare business,
390
00:19:02,541 --> 00:19:06,111
she personally will go out
and fill that shift until some
391
00:19:06,211 --> 00:19:09,515
I mean, they do whatever it takes
to take care of their client.
392
00:19:09,515 --> 00:19:12,184
See, that's the thing right there.
That's the commitment.
393
00:19:12,184 --> 00:19:13,185
You're looking for it.
394
00:19:13,185 --> 00:19:14,586
That doesn't have to be a big company.
395
00:19:14,586 --> 00:19:17,222
No, it could be a smaller company.
It could be five people, ten people.
396
00:19:17,389 --> 00:19:19,491
But that kind of commitment
is what you're looking for.
397
00:19:19,658 --> 00:19:21,393
That's why this stuff is so important.
398
00:19:21,393 --> 00:19:23,462
If you want information
you want to talk to,
399
00:19:23,462 --> 00:19:25,430
if you've got somebody in that situation.
400
00:19:25,430 --> 00:19:28,267
Senior Care Consulting dot
com is the website, the phone number
401
00:19:28,267 --> 00:19:31,003
913-945-2800.
402
00:19:31,036 --> 00:19:32,271
We come back from the break.
403
00:19:32,271 --> 00:19:34,806
We're going to talk about
how do you find an assisted
404
00:19:34,806 --> 00:19:37,509
living facility
or a nursing home, memory care, etc..
405
00:19:37,643 --> 00:19:39,845
How do you determine the right place
for your loved one?
406
00:19:39,845 --> 00:19:40,612
Stay tuned.
407
00:19:40,612 --> 00:19:44,750
You're listening to America's Healthcare
Advocate broadcasting on the HIA radio
408
00:19:44,750 --> 00:19:52,391
network Coast to Coast across the USA.
409
00:19:59,798 --> 00:20:01,600
Welcome
back, you're listening to America's
410
00:20:01,600 --> 00:20:03,602
Healthcare Advocate broadcasting coast
411
00:20:03,602 --> 00:20:07,072
to coast across the fruited plain
here on the HIA Radio Network.
412
00:20:07,339 --> 00:20:08,006
You can find out
413
00:20:08,006 --> 00:20:11,577
more about us by going to the website
America's Healthcare Advocate dot com.
414
00:20:11,843 --> 00:20:15,647
Also, 12 podcast platforms,
a market name all again.
415
00:20:15,847 --> 00:20:17,950
But if it's out there, we're on it. Okay.
416
00:20:17,950 --> 00:20:21,086
And YouTube,
we have a huge presence on YouTube now.
417
00:20:21,320 --> 00:20:24,823
So you want so maybe you've got it,
you know, maybe
418
00:20:24,856 --> 00:20:26,491
it's your aunt,
maybe it's your grandmother,
419
00:20:26,491 --> 00:20:29,595
maybe you're, you know,
you're having an entire family discussion,
420
00:20:30,395 --> 00:20:31,763
maybe not a very pleasant one about
421
00:20:31,763 --> 00:20:35,000
how we're going to get mom into a facility
or dad or whatever the case may be.
422
00:20:35,634 --> 00:20:37,769
Go pull this show down and listen to it.
423
00:20:37,803 --> 00:20:38,136
Okay.
424
00:20:38,136 --> 00:20:40,472
Senior Care live with Steve Kuker. Okay.
425
00:20:40,672 --> 00:20:42,007
The show's going to be Steve Kuker.
426
00:20:42,007 --> 00:20:44,509
Senior Care Consulting com
is this company.
427
00:20:44,509 --> 00:20:46,078
And just tell them to listen to it.
428
00:20:46,078 --> 00:20:49,881
Listen to what this man has to say
and the right way to do this,
429
00:20:49,881 --> 00:20:51,183
whether it's home health care.
430
00:20:51,183 --> 00:20:55,220
Now we're going to talk about getting into
a facility, But either one of those two,
431
00:20:55,254 --> 00:20:57,089
this guy is an expert.
He knows what he's doing.
432
00:20:57,089 --> 00:20:58,357
He can help you anywhere.
433
00:20:58,357 --> 00:21:00,492
You may be in the country
if you want to reach out to him.
434
00:21:00,659 --> 00:21:03,195
It's Senior Care Consulting dot com,
435
00:21:04,796 --> 00:21:07,132
913-945-2800.
436
00:21:10,168 --> 00:21:11,870
And my producer, Darren Wilhite.
437
00:21:11,870 --> 00:21:14,506
I'm your host Cary
Hall, in studio with me, Mr.
438
00:21:14,506 --> 00:21:15,474
Steve Kuker. All right.
439
00:21:15,474 --> 00:21:20,212
Let's switch now and talk about facilities
because this gets really tricky.
440
00:21:20,512 --> 00:21:21,446
Okay?
441
00:21:21,713 --> 00:21:24,449
And people go out there and they look
at two or three or four places.
442
00:21:24,449 --> 00:21:25,851
First of all, one of the problems
right now
443
00:21:25,851 --> 00:21:28,186
is trying to get in some of these places.
Yeah, it's a problem.
444
00:21:28,186 --> 00:21:29,254
Yeah, it is a problem.
445
00:21:29,254 --> 00:21:33,225
And the second thing is,
so let's say you've got a certain issue,
446
00:21:33,225 --> 00:21:36,762
maybe your mom's got a little dementia,
maybe your dad's got the beginning
447
00:21:36,762 --> 00:21:39,531
of Alzheimer's or it's grandma or whatever
the case may be.
448
00:21:40,165 --> 00:21:43,535
How do, how do you determine, you know,
where am I?
449
00:21:43,568 --> 00:21:47,306
First of all, how do I find a place
where they're going to take care of them
450
00:21:47,539 --> 00:21:49,775
and they're not going to be abused
or have issues?
451
00:21:50,008 --> 00:21:52,844
And secondly,
how do I find a place I can afford?
452
00:21:52,844 --> 00:21:54,513
Because if you don't have long term care,
453
00:21:54,513 --> 00:21:57,182
which about what,
10% of the people in this country do, if.
454
00:21:57,182 --> 00:21:59,184
That which. Is insanity. Yeah. Okay.
455
00:21:59,184 --> 00:22:00,952
I have a long term care policy.
456
00:22:00,952 --> 00:22:02,754
I can't
I don't know how many years I've had it.
457
00:22:02,754 --> 00:22:04,423
Okay. I bought it I think when I was 54.
458
00:22:04,423 --> 00:22:07,592
Laurie and I
and I will never get rid of that policy.
459
00:22:07,592 --> 00:22:13,098
Well, the fact is 75% of us
will use or require long term care and.
460
00:22:13,432 --> 00:22:15,200
75% correct.
461
00:22:15,200 --> 00:22:17,869
And of that, 10% have got long term care.
462
00:22:17,869 --> 00:22:20,605
Right. So that money's
going to come from somewhere.
463
00:22:21,640 --> 00:22:22,140
Yeah.
464
00:22:22,140 --> 00:22:25,043
And the question is where? Somewhere
out of your pocket.
465
00:22:25,043 --> 00:22:28,814
And once you are out of assets,
then you have to depend
466
00:22:29,014 --> 00:22:30,282
on the Medicaid program.
467
00:22:30,282 --> 00:22:31,850
And so let's talk about that
468
00:22:31,850 --> 00:22:33,885
because a lot of people go,
oh, Medicare will pay for it.
469
00:22:33,885 --> 00:22:37,522
Medicare doesn't pay for a damn thing
when it comes to long term care.
470
00:22:37,522 --> 00:22:40,892
You get 90 days in a facility or 120,
whatever it is.
471
00:22:40,892 --> 00:22:42,227
Okay. And that's it.
472
00:22:42,227 --> 00:22:44,262
So get the Medicare thing
out of your head.
473
00:22:44,396 --> 00:22:46,732
It's Medicaid and explain how that works.
474
00:22:46,832 --> 00:22:49,835
Medicaid looks at your liquid assets,
475
00:22:49,835 --> 00:22:52,738
so not including your house,
your car, everything in your house.
476
00:22:53,171 --> 00:22:53,672
Okay.
477
00:22:53,672 --> 00:22:56,708
They look at your liquid assets, checking
savings, money market, mutual
478
00:22:56,708 --> 00:22:59,978
fund, CDs, IRAs for your own case,
all of those sort of things.
479
00:23:00,145 --> 00:23:03,982
And what's that number once
those dollars are down to?
480
00:23:04,383 --> 00:23:06,351
And I'll just give you the Kansas
and Missouri numbers.
481
00:23:06,351 --> 00:23:08,487
All of the states are very similar.
482
00:23:08,487 --> 00:23:12,958
Once you are down to $2,000 in the state
of Kansas, you're almost broke, right?
483
00:23:13,191 --> 00:23:15,060
5000 that you are broke.
484
00:23:15,060 --> 00:23:15,961
Exactly. Exactly.
485
00:23:15,961 --> 00:23:17,929
$5,000 in the state of Missouri.
486
00:23:17,929 --> 00:23:21,266
And again,
most most of the states are in that range.
487
00:23:21,266 --> 00:23:24,136
So you're literally
almost out of money then
488
00:23:24,636 --> 00:23:28,907
and only then will the Medicaid program
help pay for your care.
489
00:23:28,907 --> 00:23:32,711
And then there are some
some significant limitations to that.
490
00:23:32,811 --> 00:23:35,981
So if you've socked away
a half a million dollars and you blow
491
00:23:35,981 --> 00:23:39,551
through that, believe me,
okay, I've got friends who have done this
492
00:23:39,718 --> 00:23:41,987
and they've run out of money
after a year or two years,
493
00:23:42,220 --> 00:23:45,123
then then you're done,
then you're going to Medicaid.
494
00:23:45,123 --> 00:23:48,427
So you were in a really nice facility,
a decent place.
495
00:23:48,427 --> 00:23:48,860
It was good.
496
00:23:48,860 --> 00:23:51,196
They had great care,
but you can't afford it now.
497
00:23:51,196 --> 00:23:52,264
Where are you going?
498
00:23:52,464 --> 00:23:57,335
So what you can do
is you can proactively address that
499
00:23:57,602 --> 00:24:01,773
and say, when I look at these,
you know, X number of facilities,
500
00:24:02,240 --> 00:24:06,144
I suspect that I may outlive my assets.
501
00:24:06,545 --> 00:24:09,381
You look for a facility that is Medicaid
502
00:24:09,381 --> 00:24:14,686
certified, and then when you move in
and you spend your money down,
503
00:24:14,920 --> 00:24:18,256
then they will convert
to billing Medicaid.
504
00:24:18,423 --> 00:24:21,226
Once you hit that point
and they will not kick you out.
505
00:24:21,893 --> 00:24:23,695
So long to recap that.
506
00:24:23,695 --> 00:24:29,000
So you move into a facility that's a nice
facility kind of upgrade, nice place.
507
00:24:29,267 --> 00:24:30,202
Take good care of you.
508
00:24:30,202 --> 00:24:33,438
Food quality, good cleaning is good staff.
509
00:24:33,438 --> 00:24:34,606
The whole deal.
510
00:24:34,606 --> 00:24:37,909
They're saying, look, we'll take you,
you've got enough for five years
511
00:24:37,909 --> 00:24:39,644
or seven years, whatever it may be.
512
00:24:39,644 --> 00:24:43,281
And when you run out of money, we'll let
you stay here and your care won't decline.
513
00:24:43,281 --> 00:24:45,450
And we'll. Build Medicaid.
And we'll build Medicaid. Yeah.
514
00:24:45,917 --> 00:24:47,652
So now see,
that's something I didn't know.
515
00:24:47,652 --> 00:24:48,520
And that's remarkable
516
00:24:48,520 --> 00:24:50,856
because so
but you got to know how to find it
517
00:24:50,856 --> 00:24:52,591
and you got to know how
to qualify exactly.
518
00:24:52,591 --> 00:24:55,160
In a lot of these places
that are Medicaid certified.
519
00:24:56,094 --> 00:24:59,998
It looks good on paper, but they
they don't put this on the website.
520
00:25:00,165 --> 00:25:01,266
You have to be able to pay
521
00:25:01,266 --> 00:25:05,070
private pay for at least two years
or three years or 12 months or five years.
522
00:25:05,270 --> 00:25:09,040
And then they'll work with Medicaid
because typically they're losing money
523
00:25:09,040 --> 00:25:11,076
when they're reimbursed by Medicaid.
Of course they are.
524
00:25:11,810 --> 00:25:13,745
The hospitals lose money on Medicaid.
525
00:25:13,745 --> 00:25:15,247
That's one of the problems with Medicaid.
526
00:25:15,247 --> 00:25:19,184
Yeah, the pay structure for medical care
in this country is Medicaid,
527
00:25:19,417 --> 00:25:22,821
Medicare, break even, and then private
health insurance, which carries
528
00:25:22,821 --> 00:25:26,324
the other two essentially is the reason
why the hospitals can stay in business.
529
00:25:26,324 --> 00:25:28,627
The doctors continue to do what they do.
530
00:25:29,194 --> 00:25:30,829
Well, that's a different job, right?
531
00:25:30,829 --> 00:25:32,197
Just saying it's the same.
532
00:25:32,197 --> 00:25:34,699
You're talking the same thing here. Yeah,
it is the same thing.
533
00:25:34,900 --> 00:25:36,501
So here's the giant catch.
534
00:25:36,501 --> 00:25:41,139
There are two giant catches,
not all facilities are Medicaid certified.
535
00:25:41,439 --> 00:25:42,541
What does that mean?
536
00:25:42,541 --> 00:25:44,509
They're private pay only.
537
00:25:44,509 --> 00:25:48,980
Okay, So a lot of people make the mistake
of they're moving in and they assume,
538
00:25:49,180 --> 00:25:51,383
you know what? Assume does. Yeah,
I sure do.
539
00:25:51,917 --> 00:25:54,319
So they assume. Oh, well, well, whatever.
540
00:25:54,319 --> 00:25:56,588
I don't know what it means.
It means make an answer to you.
541
00:25:56,588 --> 00:25:58,890
And I just want to make sure you do this.
Okay? You.
542
00:25:59,224 --> 00:26:00,191
No, go ahead.
543
00:26:00,392 --> 00:26:02,894
But. So. So. So they assume that.
544
00:26:02,961 --> 00:26:06,565
And trust me, I get the calls from from
people and I have to fix it for them.
545
00:26:06,831 --> 00:26:09,134
But they assume that, oh, well,
whenever I'm out of money,
546
00:26:09,134 --> 00:26:12,170
they'll bill that Medicare,
that Medicaid thing and I'm fine.
547
00:26:12,270 --> 00:26:16,107
Well, and then they get down to $2,000
and they get the discharge letter saying
548
00:26:16,107 --> 00:26:18,109
you have to move out and you're like,
what happened?
549
00:26:18,109 --> 00:26:19,010
Did I do something wrong?
550
00:26:19,010 --> 00:26:21,279
No, you didn't do anything wrong,
but you're out of money.
551
00:26:21,279 --> 00:26:22,414
And now they're panicked.
552
00:26:22,414 --> 00:26:24,883
And now you have to move. You're
so you have no money.
553
00:26:25,150 --> 00:26:28,687
You have to leave your home
and you have to now look for a medicaid
554
00:26:28,887 --> 00:26:31,656
certified facility.
So that's the one giant catch.
555
00:26:31,656 --> 00:26:35,293
The other giant catch is now,
there are always exceptions,
556
00:26:35,460 --> 00:26:39,831
but Medicaid will pay all day, every day
for a nursing home
557
00:26:39,831 --> 00:26:42,934
that long term care level
because it's a medical model.
558
00:26:42,934 --> 00:26:44,669
They'll pay all day, every day.
559
00:26:44,669 --> 00:26:48,840
And and so but not all nursing
homes are Medicaid certified, by the way.
560
00:26:48,873 --> 00:26:50,275
Some of them are private pay only.
561
00:26:50,275 --> 00:26:51,876
So you got to be really careful.
562
00:26:51,876 --> 00:26:57,949
But I would say most of them are
in Medicaid for all intents and purposes.
563
00:26:58,216 --> 00:27:01,386
It does not pay for the assisted
living level of care.
564
00:27:01,419 --> 00:27:04,022
Okay. That's why I was going to ask.
That's a huge catch.
565
00:27:04,022 --> 00:27:07,158
So like my mother was in an assisted
566
00:27:07,158 --> 00:27:10,161
living facility slash nursing home here.
567
00:27:10,161 --> 00:27:15,133
It was called St Mary's, I believe, if I
remember correctly, Catholic was well-run.
568
00:27:15,166 --> 00:27:19,070
Yep, But she had met it
and she spent down,
569
00:27:19,070 --> 00:27:24,042
she had Medicaid and we paid extra
to make sure she could stay there.
570
00:27:24,209 --> 00:27:26,544
She did okay
until she got sick and passed.
571
00:27:26,811 --> 00:27:31,716
But having said that,
that was a quality facility.
572
00:27:32,417 --> 00:27:36,554
If you don't if you if you
get into a place like he's talked about
573
00:27:36,554 --> 00:27:40,191
and then you run out of money
and that's traumatic as hell.
574
00:27:40,191 --> 00:27:41,826
Oh, those people. Yeah.
575
00:27:41,826 --> 00:27:43,828
First of all, people
don't like going in the first place.
576
00:27:43,828 --> 00:27:45,964
Then they get used to it.
They create a circle of friends.
577
00:27:46,464 --> 00:27:47,866
They like where they are.
578
00:27:47,866 --> 00:27:49,401
And now you're going to uproot everything.
579
00:27:49,401 --> 00:27:52,103
And I mean, that's obviously
got to have a tremendous impact.
580
00:27:52,103 --> 00:27:53,071
On it is.
581
00:27:53,071 --> 00:27:55,874
And one of the stories
that will stick with me forever,
582
00:27:55,874 --> 00:27:59,878
it was early in in with senior Care
Consulting.
583
00:27:59,878 --> 00:28:02,981
I received a call from like a 30 year old
584
00:28:02,981 --> 00:28:06,618
granddaughter caring for her grandmother,
and she was crying on the phone.
585
00:28:06,618 --> 00:28:09,554
And long story short,
she found a great place for her.
586
00:28:09,554 --> 00:28:11,056
She called her gram's.
587
00:28:11,056 --> 00:28:11,723
She lived there.
588
00:28:11,723 --> 00:28:14,092
It was assisted living memory care
they provided.
589
00:28:14,092 --> 00:28:15,360
They did a great job.
590
00:28:15,360 --> 00:28:17,328
Everyone loved her. She loved them.
591
00:28:17,328 --> 00:28:22,500
And in seven years into this,
she gets a discharge letter.
592
00:28:22,500 --> 00:28:24,536
She's like, Well,
what happened? Well, nothing.
593
00:28:24,536 --> 00:28:25,904
But your grandma is out of money
594
00:28:25,904 --> 00:28:28,239
and we don't take Medicaid,
so you're going to have to move.
595
00:28:28,606 --> 00:28:30,942
And so she was devastated.
596
00:28:31,042 --> 00:28:35,280
Her mother,
her grandmother, spent $350,000. My.
597
00:28:35,280 --> 00:28:36,881
God, at this place.
598
00:28:36,881 --> 00:28:41,753
And she assumed that, oh, you just bill
that Medicare Medicaid thing.
599
00:28:42,320 --> 00:28:43,521
She's she did that.
600
00:28:43,521 --> 00:28:46,291
And so I had to then turn around
601
00:28:46,491 --> 00:28:50,061
and find a medicaid
certified long term care community.
602
00:28:50,195 --> 00:28:52,630
And she had to move her grandmother
one more time.
603
00:28:52,697 --> 00:28:55,834
She did not want to do that,
and she wouldn't have chosen that place
604
00:28:55,967 --> 00:28:58,770
had she known about that
on the front end of this.
605
00:28:58,770 --> 00:28:59,838
And that's the difference.
606
00:28:59,838 --> 00:29:02,841
That that's that's why that's
why we're doing this show today, is
607
00:29:03,041 --> 00:29:06,277
you need to be informed as we do
a lot of shows like this.
608
00:29:06,277 --> 00:29:09,080
This is one of the reasons why we do them
so people don't go out there
609
00:29:09,080 --> 00:29:13,551
and make mistakes and do things
that are going to have $350,000.
610
00:29:13,718 --> 00:29:16,521
She could have easily gotten
into a good facility
611
00:29:16,755 --> 00:29:18,389
that then would reverted to Medicaid.
612
00:29:18,389 --> 00:29:19,491
She never would have had to move
613
00:29:19,491 --> 00:29:22,460
because they would have been happy
to get that $350,000,
614
00:29:22,660 --> 00:29:25,697
which would have offset the remaining
years of her life on Medicaid.
615
00:29:25,697 --> 00:29:26,564
Right. Right.
616
00:29:26,564 --> 00:29:30,034
And what I would have done with her
had I worked with her initially is
617
00:29:30,034 --> 00:29:34,239
I would have looked at an assisted
living community with memory care
618
00:29:34,773 --> 00:29:37,675
because she needed that attached
to a long term
619
00:29:37,675 --> 00:29:41,412
care community that was Medicaid
certified, that had memory care.
620
00:29:41,412 --> 00:29:44,816
And all of a sudden when she spends down,
she easily transitions
621
00:29:44,816 --> 00:29:48,052
to the long term care
part of that community that offers both.
622
00:29:48,052 --> 00:29:50,221
And she didn't change her address.
623
00:29:50,221 --> 00:29:53,057
She's with the same organization
and it was smooth as silk.
624
00:29:53,057 --> 00:29:56,728
And that's what I would have done
had I worked with her on day one.
625
00:29:56,728 --> 00:29:58,463
You know what they say
an ounce of prevention
626
00:29:58,463 --> 00:29:59,931
is worth a pound to cure people.
627
00:29:59,931 --> 00:30:03,067
And this this is you know,
this is preventing something
628
00:30:03,067 --> 00:30:06,738
from becoming a disaster that impacts
you and impacts that loved one.
629
00:30:06,738 --> 00:30:08,606
If you want help, the man can help you.
630
00:30:08,606 --> 00:30:14,379
He is Steve Kuker
is website is seniorcareconsulting.com
631
00:30:14,379 --> 00:30:21,853
he can help you anywhere in the country
913-945-2800.
632
00:30:21,953 --> 00:30:23,021
We come back to break.
633
00:30:23,021 --> 00:30:24,989
We're going to talk about
memory care facilities
634
00:30:24,989 --> 00:30:28,827
and something Steve is doing coast
to coast that you might find interesting.
635
00:30:28,860 --> 00:30:29,460
Stay tuned.
636
00:30:29,460 --> 00:30:30,862
We'll be right back after the break.
637
00:30:30,862 --> 00:30:34,666
You're listening to America's Healthcare
Advocate broadcast live on the HIA
638
00:30:34,699 --> 00:30:46,010
radio network Coast to coast across USA.
639
00:30:49,013 --> 00:30:49,781
Welcome back.
640
00:30:49,781 --> 00:30:53,418
You're listening to America's Healthcare
Advocate broadcasting coast to coast.
641
00:30:53,718 --> 00:30:55,220
My producer, Mr. Darren Wilhite.
642
00:30:55,220 --> 00:30:57,322
I'm your host, Cary Hall, in studio
with me is Steve Kuker.
643
00:30:57,922 --> 00:31:00,325
You want to reach out to this man
Senior Care Consulting
644
00:31:00,358 --> 00:31:03,862
dit com, 913-945-2800.
645
00:31:03,862 --> 00:31:05,930
He has a wealth of information.
646
00:31:06,431 --> 00:31:09,968
Once again, this show 12 podcast platforms
and YouTube.
647
00:31:10,001 --> 00:31:13,271
It's up there under Senior Care
Consulting Steve Kuker.
648
00:31:13,438 --> 00:31:15,740
So you want to tell somebody
in your family about this
649
00:31:15,740 --> 00:31:16,841
or maybe that guy said
650
00:31:16,841 --> 00:31:20,778
there's an entire family discussion about
how do we deal with mom or grandma?
651
00:31:20,979 --> 00:31:22,313
Go listen to the podcast.
652
00:31:22,313 --> 00:31:23,248
You'll learn a lot.
653
00:31:23,248 --> 00:31:25,617
Okay, So let's switch gears here.
654
00:31:26,751 --> 00:31:28,887
Let's memory facilities a big deal.
655
00:31:28,887 --> 00:31:31,389
Okay. You know, Alzheimer's, dementia.
656
00:31:31,389 --> 00:31:32,957
My mother had it. It was hell.
657
00:31:33,892 --> 00:31:36,828
And let's, you know, let's talk about how
658
00:31:37,395 --> 00:31:40,832
how do you find the proper facility now?
659
00:31:40,899 --> 00:31:43,034
You got to meet some. Let's say it's just.
660
00:31:43,067 --> 00:31:44,402
It's just starting.
661
00:31:44,402 --> 00:31:45,103
Okay.
662
00:31:45,103 --> 00:31:47,405
It's not the point yet
where they can't function, but they're.
663
00:31:47,672 --> 00:31:49,307
They're having problems, right?
664
00:31:49,307 --> 00:31:50,675
Well, maybe they go into an assisted
665
00:31:50,675 --> 00:31:53,845
living facility to start with,
and then as it progresses
666
00:31:53,845 --> 00:31:57,582
and it gets worse,
they go into a more intensive program.
667
00:31:57,782 --> 00:31:59,684
How do you put all that together?
668
00:31:59,684 --> 00:32:00,818
Oh, and by the way,
669
00:32:00,818 --> 00:32:04,022
I want to make sure she's got some money,
but I want to make sure that after
670
00:32:04,022 --> 00:32:07,158
we sell the house and liquidate assets
so we can pay for all this,
671
00:32:07,392 --> 00:32:08,760
that she doesn't get kicked out.
672
00:32:08,760 --> 00:32:10,295
How do you pull all of that together?
673
00:32:10,295 --> 00:32:12,330
Well, so you have lots of moving parts.
674
00:32:12,330 --> 00:32:13,364
Too many.
675
00:32:13,564 --> 00:32:13,798
Yeah.
676
00:32:13,798 --> 00:32:14,399
And that's.
677
00:32:14,399 --> 00:32:16,801
That's what I get paid to help people.
678
00:32:16,868 --> 00:32:19,604
I help people to not make a mistake.
679
00:32:20,305 --> 00:32:21,673
And I hope people live well.
680
00:32:21,673 --> 00:32:23,975
I have some great. Way to put. That.
I help them get it right.
681
00:32:24,309 --> 00:32:25,076
So? So.
682
00:32:25,076 --> 00:32:28,212
So the first question is you have to
figure out what level of care you need.
683
00:32:28,513 --> 00:32:31,282
Do you need assisted living
or do you need long term care?
684
00:32:31,416 --> 00:32:32,750
Or maybe you need both.
685
00:32:32,750 --> 00:32:34,452
You could start. With assisted living.
686
00:32:34,452 --> 00:32:36,688
It's,
you know, it's going to devolve. Yeah.
687
00:32:36,888 --> 00:32:40,558
And you may want them connected to where
you can transition to long term care,
688
00:32:40,758 --> 00:32:44,462
which is more like heavier
medical needs versus assisted living
689
00:32:44,462 --> 00:32:48,533
to help you with your daily activities
bathing, dressing, grooming, meal time,
690
00:32:48,533 --> 00:32:49,467
you know, all of those.
691
00:32:49,467 --> 00:32:51,569
Medication management, etc..
692
00:32:51,569 --> 00:32:53,805
So so once you determine
your level of care,
693
00:32:54,005 --> 00:32:56,841
then we know we have a memory
related issue.
694
00:32:56,841 --> 00:33:00,144
We have some cognitive impairment,
early dementia, early Alzheimer's,
695
00:33:00,411 --> 00:33:03,147
but you don't need a memory care
696
00:33:03,147 --> 00:33:06,751
part of the building and memory care
what they refer to as a neighborhood Okay.
697
00:33:07,185 --> 00:33:10,722
So so you just
you're okay with general care.
698
00:33:10,722 --> 00:33:13,658
So when you talk to these places,
every single place will say,
699
00:33:13,825 --> 00:33:17,795
Oh yeah, we do memory care
and they're there right to a point.
700
00:33:18,262 --> 00:33:20,631
So every provider
701
00:33:21,032 --> 00:33:23,768
provides
care for someone with cognitive issues.
702
00:33:24,469 --> 00:33:25,903
Here is the rub.
703
00:33:25,903 --> 00:33:27,739
Here is that breaking point.
704
00:33:27,739 --> 00:33:31,542
When those cognitive issues
get to a certain point
705
00:33:31,542 --> 00:33:32,810
and you become an elopement
706
00:33:32,810 --> 00:33:35,847
risk or a flight risk,
meaning you were wanting to leap.
707
00:33:35,847 --> 00:33:36,981
Down the. Freeway. Yeah.
708
00:33:36,981 --> 00:33:37,181
Yeah.
709
00:33:37,181 --> 00:33:38,449
You're going to walk out of the building
710
00:33:38,449 --> 00:33:40,551
and unintentionally
put yourself in harm's way.
711
00:33:40,752 --> 00:33:44,389
That's when you have to have that memory
care neighborhood
712
00:33:44,389 --> 00:33:48,292
or part of the building
that is a secured area of the building.
713
00:33:48,292 --> 00:33:50,928
So they have codes on the doors, right?
714
00:33:50,928 --> 00:33:53,464
So you you can't get out
unless you're a company
715
00:33:53,464 --> 00:33:55,299
for your own safety and security.
716
00:33:55,299 --> 00:33:56,467
So that's number one.
717
00:33:56,467 --> 00:33:58,369
The second thing that will get you in
718
00:33:58,369 --> 00:34:02,607
a memory care neighborhood in a minute
is becoming overstimulated.
719
00:34:02,607 --> 00:34:04,642
So you're out in the part of the building.
720
00:34:04,876 --> 00:34:07,412
There are a hundred people. It's noisy.
721
00:34:08,012 --> 00:34:09,380
There's just too much going on.
722
00:34:09,380 --> 00:34:13,451
And if you have dementia, at some point,
you can easily become overstimulated.
723
00:34:13,651 --> 00:34:14,652
And then what happens?
724
00:34:14,652 --> 00:34:17,422
You become angry, agitated, aggressive.
725
00:34:17,422 --> 00:34:20,625
You could become combative
because you just can't handle it all.
726
00:34:20,825 --> 00:34:26,998
So the memory care neighborhood
has a much a much lower census.
727
00:34:26,998 --> 00:34:31,669
So they may have 20 people
instead of 120 people in this small area.
728
00:34:31,803 --> 00:34:35,540
You can handle a 30 foot hall better than
you can handle a 100 foot long hallway.
729
00:34:36,007 --> 00:34:39,243
The activities are 20 minute increments
rather than 60 minute.
730
00:34:39,243 --> 00:34:41,446
And the things you would never,
never would.
731
00:34:41,813 --> 00:34:43,815
We've done these shows for
I don't know how long.
732
00:34:43,815 --> 00:34:45,383
I would have never thought of that.
733
00:34:45,383 --> 00:34:49,320
Yeah, it's a special kind of care
for a cognitively impaired
734
00:34:49,320 --> 00:34:52,190
resident, and it's very specialized.
735
00:34:53,057 --> 00:34:54,225
A friend of mine.
736
00:34:54,225 --> 00:34:57,295
Another friend of mine,
mother put her in a facility.
737
00:34:57,328 --> 00:34:59,530
It was a assisted living facility.
738
00:34:59,530 --> 00:35:00,898
She had cognitive, though.
739
00:35:00,898 --> 00:35:02,233
No problems at all.
740
00:35:02,233 --> 00:35:04,235
He gets called one day.
She's gone. We can't find her.
741
00:35:05,269 --> 00:35:07,071
She got in her car and she.
742
00:35:07,071 --> 00:35:10,741
She was going to go to the grocery store
all by state trooper got her in Nebraska.
743
00:35:11,342 --> 00:35:12,310
Nebraska.
744
00:35:12,310 --> 00:35:14,045
She made it all the way to Nebraska.
745
00:35:14,045 --> 00:35:16,547
Silver lining,
and the trooper pulled her over.
746
00:35:16,781 --> 00:35:19,250
I can't hear why.
What made him think to pull her over?
747
00:35:19,250 --> 00:35:20,418
He pulled her over.
748
00:35:20,418 --> 00:35:22,420
She said, why are you pull me over?
749
00:35:22,420 --> 00:35:24,522
I'm just I'm just a few blocks from home.
750
00:35:24,522 --> 00:35:25,223
Just going to the. Store.
751
00:35:25,223 --> 00:35:27,625
And he said, Ma'am, where do you live?
752
00:35:27,825 --> 00:35:29,026
And she knew where she lived.
753
00:35:29,026 --> 00:35:34,699
And he said, You're so so this this friend
of mine, Dave, had to get in his truck
754
00:35:35,066 --> 00:35:39,637
and go get her and then have her car
towed back to Kansas City, Missouri,
755
00:35:39,637 --> 00:35:43,708
because she had just
and this facility was like, But why?
756
00:35:43,708 --> 00:35:44,542
Why did you know?
757
00:35:44,542 --> 00:35:46,644
How did she get out of here?
And you not know this?
758
00:35:46,811 --> 00:35:49,747
Well, because they weren't ready
and they weren't monitoring her.
759
00:35:49,747 --> 00:35:52,383
They're not prepared to manage memory
related issues.
760
00:35:52,383 --> 00:35:52,884
No, they weren't.
761
00:35:52,884 --> 00:35:55,686
That's another assume. Okay.
762
00:35:55,920 --> 00:35:58,823
Oh, they say they do memory care
and you move in there.
763
00:35:58,823 --> 00:36:03,261
Well, once you move into any community
assisted living, a long term care
764
00:36:03,494 --> 00:36:07,365
that cannot manage those risks,
and if they don't have
765
00:36:07,365 --> 00:36:11,202
that memory care part of the building
and many of them do not, then guess what?
766
00:36:11,235 --> 00:36:13,371
You're moving, you have to move again.
767
00:36:13,905 --> 00:36:15,306
That's we got 2 minutes left.
768
00:36:15,306 --> 00:36:18,109
I want you to talk about what you're doing
because I think it's pretty exciting
769
00:36:18,109 --> 00:36:19,844
and might interest
a lot of folks out there.
770
00:36:19,844 --> 00:36:22,413
Well, this is the first announcement
ever. You're on.
771
00:36:22,413 --> 00:36:25,416
My show. Right here on on Cary's show.
772
00:36:25,416 --> 00:36:26,317
Thank you.
773
00:36:26,417 --> 00:36:30,454
But I have wanted to do this for a very
long time with Senior Care Consulting.
774
00:36:30,621 --> 00:36:34,225
And what we do is we help families
through the search and selection process
775
00:36:34,458 --> 00:36:37,261
when needing an assisted
living community, long term
776
00:36:37,261 --> 00:36:40,865
care, continuing
care, community, memory care, etc..
777
00:36:41,065 --> 00:36:44,902
So if it involves moving from somewhere
to one of these communities,
778
00:36:44,969 --> 00:36:47,405
that's the narrow niche that we live in.
779
00:36:47,405 --> 00:36:51,275
I am now very excited
and proud to announce
780
00:36:51,542 --> 00:36:54,979
that I am expanding the business
nationwide
781
00:36:55,379 --> 00:37:00,551
and offering franchise opportunities
and so I am so excited
782
00:37:00,551 --> 00:37:04,522
to speak with people who are interested
in partnering with me, in operating
783
00:37:04,522 --> 00:37:09,260
their own business of senior care,
consulting in their local market.
784
00:37:09,260 --> 00:37:12,897
I'm so excited
and the vision of my company
785
00:37:13,097 --> 00:37:15,866
is to become the nation's top alternative
786
00:37:16,133 --> 00:37:20,104
to the free referrals services,
and it will be from day one.
787
00:37:20,271 --> 00:37:22,607
The place for mom services.
788
00:37:22,607 --> 00:37:23,874
Okay. Yeah.
789
00:37:23,874 --> 00:37:26,944
So, you know,
I wanted him to announce that here.
790
00:37:26,944 --> 00:37:28,446
I've known this guy for a long time.
791
00:37:28,446 --> 00:37:30,047
And I will tell you something.
792
00:37:30,047 --> 00:37:32,183
He's a straight
shooter. He's an honest guy.
793
00:37:32,183 --> 00:37:36,053
And if you're fortunate enough to have him
accept you, if you choose to do this,
794
00:37:36,554 --> 00:37:40,224
you'll have a real partner, because that
that's what Steve's all about.
795
00:37:40,224 --> 00:37:43,828
And I would suggest if you want to send
him an email, learn more that you do that.
796
00:37:44,061 --> 00:37:47,164
It's senior care consulting dot
com If you think you might be interested
797
00:37:47,164 --> 00:37:51,135
in this baby you maybe you're you know,
semi-retired, whatever the case may be.
798
00:37:51,135 --> 00:37:54,171
And you want to do something,
this might work out really well for you.
799
00:37:54,171 --> 00:37:54,839
It just depends.
800
00:37:54,839 --> 00:37:58,042
Or maybe one maybe a spouse could do it
while the other one's working.
801
00:37:58,042 --> 00:38:00,044
I don't know.
But you're going to find out.
802
00:38:00,044 --> 00:38:01,245
You need to reach out to him.
803
00:38:01,245 --> 00:38:05,383
Senior Care Consulting dot
com 913-945-2800.
804
00:38:05,416 --> 00:38:08,286
That's how you get a hold of him
thank you for doing this today.
805
00:38:08,452 --> 00:38:10,421
You're welcome.
Thank you so much for having me.
806
00:38:10,421 --> 00:38:14,392
Well it was great having you in here and
as always it is a wealth of information.
807
00:38:14,392 --> 00:38:17,061
So again,
this shows up on the podcast platform.
808
00:38:17,061 --> 00:38:18,062
Go listen to it.
809
00:38:18,062 --> 00:38:20,431
And now I'll leave you with this
thought from Albert Einstein,
810
00:38:20,464 --> 00:38:23,601
the one who follows the crowd will
usually get no further than the crowd.
811
00:38:23,868 --> 00:38:28,072
The one who walks alone is likely to find
himself in places no one has ever been.
812
00:38:28,372 --> 00:38:30,107
Remember,
friends. It's a funny thing about life.
813
00:38:30,107 --> 00:38:33,477
People refuse to accept anything
but the very best.
814
00:38:33,644 --> 00:38:35,079
You most often get it.
815
00:38:35,079 --> 00:38:37,648
Thank you for listening to America's
Healthcare Advocate show
816
00:38:37,648 --> 00:38:43,521
broadcasting here on the HIA Radio Network
Coast to Coast across the USA.
817
00:38:43,521 --> 00:38:45,923
Good bye, America.