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We're stuck between two communities

The questions that break a tie once the tours all start blurring together.

Quick answer

The questions that break a tie once the tours all start blurring together.

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By this point you have toured enough that the buildings have merged. These are the questions that still separate them.

Short answer

The questions that break a tie once the tours all start blurring together.

What to do, in order

  1. Compare the all-in numbers, not the base rents. Ask each community for the total monthly cost at your parent's assessed care level, in writing.
  2. Compare the rate increase histories. Three years of actual increases from each.
  3. Compare overnight staffing, not daytime. Daytime ratios look similar everywhere. Overnight is where they diverge.
  4. Pull both state inspection records. Read the surveyor narratives rather than counting citations.
  5. Ask the Medicaid waiver question of both. If private funds might run out, a community that does not hold a waiver provider agreement is a future forced move.
  6. Go back unannounced. Same building, evening on a weekday.

Questions families ask

Where can hospice care happen -- does it require moving to a special facility?

No. Hospice care is delivered wherever the patient lives -- a private home, an assisted living community, or a nursing facility -- and is also available at dedicated inpatient hospice units for patients who need a higher level of symptom management than can be managed at home.

Does Medicare pay for hospice care?

Yes. Hospice is a well-established Medicare benefit, covering hospice-related physician services, nursing care, medical equipment, medications related to the terminal diagnosis, and grief/bereavement support for the family, once a physician certifies eligibility.

What is the 'We Honor Veterans' program mentioned by some Milwaukee-area hospice providers?

It's a national partnership between hospice providers and the Department of Veterans Affairs that trains hospice staff on veteran-specific end-of-life needs and helps recognize a veteran's military service as part of their hospice care. VITAS Healthcare's Milwaukee office describes running this program on its own site.

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