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Should You Sign A Nursing Home Admission Agreement?
Written by: Barbara E. FriesnerArticle Overview: Admitting a loved one to a nursing home can be very stressful. In addition to dealing with a sick family member and managing all the details involved with the move, you must decide whether to sign all the papers the nursing home is giving you. Nursing home admission agreements can be complicated and confusing, so what do you do?
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Should You Sign A Nursing Home Admission Agreement?
Admitting a loved one to a nursing home can be
very stressful. In addition to dealing with a sick family member and
managing all the details involved with the move, you must decide
whether to sign all the papers the nursing home is giving you. Nursing
home admission agreements can be complicated and confusing, so what do
you do?
It is important not to rush, but rather to read. Read the agreement carefully because it could contain illegal or misleading provisions. If possible, try not to sign the agreement until after the resident has moved into the facility. Once a resident has moved in, you will have much more leverage. But even if you have to sign the agreement before the resident moves in, you should still request that the nursing home delete any illegal or unfair terms.
Two items commonly found in these agreements that you need to pay close attention to are a requirement that you be liable for the resident's expenses and a binding arbitration agreement.
Responsible party
A nursing home may try to get you to sign the agreement as the "responsible party." It is very important that you do not agree to this. Nursing homes are prohibited from requiring third parties to guarantee payment of nursing home bills, but many try to get family members to voluntarily agree to pay the bills.
If possible, the resident should sign the agreement him- or herself. If the resident is incapacitated, you may sign the agreement, but be clear you are signing as the resident's agent. Signing the agreement as a responsible party may obligate you to pay the nursing home if the nursing resident is unable to. Look over the agreement for the term "responsible party," "guarantor," "financial agent," or anything similar. Before signing, cross out any terms that indicate you will be responsible for payment and clearly indicate that you are only agreeing to use the resident's income and resources to pay.
Arbitration Provision
Many nursing home admission agreements contain a provision stating that all disputes regarding the resident's care will be decided through arbitration. An arbitration provision is not illegal, but by signing it, you are giving up your right to go to court to resolve a dispute with the facility. The nursing home cannot require you to sign an arbitration provision, and you should cross out the arbitration language before signing.
Other Provisions
The following are some other provisions to look out for in a nursing home admission agreement.
- Private pay requirement. It is illegal for the nursing home to require a Medicare or Medicaid recipient to pay the private rate for a period of time. The nursing home also cannot require a resident to affirm that he or she is not eligible for Medicare or Medicaid.
- Eviction procedures. It is illegal for the nursing home to authorize eviction for any reason other than the following: the nursing home cannot meet the resident's needs, the resident's heath has improved, the resident's presence is endangering other residents, the resident has not paid, or the nursing home is ceasing operations.
- Waiver of rights. Any provision that waives the nursing home's liability for lost or stolen personal items is illegal. It is also illegal for the nursing home to waive liability for the resident's health.
Barbara Friesner
AgeWiseLiving LLC
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Article Tags: admission, arbitration, caregiving, dad, dementia, elder care, finances, generation, mom, nursing home, sick family member, stress
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About the Author: Barbara E. Friesner RSS for Barbara E.'s articles - Visit Barbara E.'s website  In addition to her FREE weekly Senior care newsletter filled with tips for taking care of the elderly, Barbara is the Eldercare Expert and writes a monthly senior care guide column for the National Association of Baby Boomer Women. In addition, Barbara has been quoted in newspapers and magazines throughout the US. For over 25 years as a senior care manager, first for her grandmother and for the past 17 years for her mother (with dementia), Barbara learned firsthand how overwhelming, stressful, and time consuming senior care can be. As a result, Barbara started AgeWiseLiving to help others navigate through this challenging time, and avoid the emotional and frustrating task of finding the answers themselves and trial-and-error implementation. Barbara has collaborated with hundreds of family members who are providing senior care, professionals with Senior clients, and employees of Assisted Living communities to help them successfully build relationships and address critical senior care issues. As an adjunct professor at Cornell University, Barbara created and taught "Seniors Housing Management" at the School of Hotel Administration. Prior to starting AgeWiseLiving, Barbara was the Director of Education & Development for Loews Corporation and Dean of Loews University. She received her Master of Business Administration from Boston University. Click here to visit Barbara E.'s website   Another Eldercare Issue Hoarding Great Gifts for Your Aging Loved Ones Keeping in Touch How to Avoid Return to Sender Communication that Works with Aging Parent or Older Clients Helping Your Aging Parents Help Themselves Step One |
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