Assisted Living Facility Eviction Amanneɛbɔ anaa Facility a Wɔto mu Mpofirim¶

Sɛ wonya nnafua 30 amanneɛbɔ a ɛkyerɛ sɛ wɔatu obi afi aboafo a wɔte hɔ (ALF), fie a wɔhwɛ wɔn a wɔte hɔ, anaa beae a wɔhwɛ wɔn a wɔkae, anaasɛ wote sɛ adwumayɛbea no reto mu esiane sikasɛm mu ahokyere, tumi krataa a wɔagye, anaasɛ nea wogye nti a, ɛde dan ne ayaresa ho haw ba ntɛm ara ma ɔpanyin a ne mfe akɔ anim. Nea ɛnte sɛ aban nkwakoraa ne mmerewa fie mmara ahorow a ɛma hokwan ahorow a wɔde kɔdan aban wɔ ɔman no mu nyinaa no yɛ pɛpɛɛpɛ no, wɔhyɛ atrae a wɔboa nkurɔfo no ho mmara titiriw wɔ ɔman, ɔmantam, anaa kurow no mu denam akwahosan ho tumi krataa ho mmara ne ofie wura ne ɔdansefo adan ho mmara a ɛka bom so. Nnwumayɛbea ahorow taa de saa nsonsonoe yi di dwuma denam ka a wɔka kyerɛ mmusua sɛ ɔtefo bi "abɔ akwakoraa" wɔ wɔn hwɛbea, ɔda adwenemhaw a ɛyɛ basaa adi, anaasɛ ontumi nsan mfi ayaresabea tra a emu yɛ den mu bio, na wɔhwehwɛ sɛ abusua no hyehyɛ dan no mu nneɛma wɔ nna kakraa bi mu.

Ɛho nhia sɛ wutu wo dɔfo no fi adi wɔ beae no bere nhyehyɛe a wopɛ no so, na adwumayɛbea bi ntumi ntoto obi a ɔte hɔ no mu wɔ mmara kwan so, mfa wɔn nneɛma nhyɛ ɔkwan no so, anaasɛ wonnyaw wɔn nkɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so a wonni mmara kwan so nhyehyɛe a wɔde bɛtu obi afi fie ne nea wɔde gyae no dwoodwoo no akyi. Sɛ́ ebia woreko atia nnafua 30 "ɔhwɛ gyinabea" amanneɛbɔ a ɛmfata a wɔde bɛma wo sɛ woayi wo afi ayaresabea, worekasa atia pow a wɔpow sɛ wobɛsan agye wo bere a woakɔ ayaresabea akyi, anaasɛ woredi ɔdan no nyinaa sikasɛm mu ahokyere a wɔato mu ho dwuma no, mmara ne ayaresabea akwan a wɔfa so ko tia ntɛm ara no ma w'abusua muni no kɔ so tra fie na wɔbɔ no ho ban bere a worepere amanneɛbɔ no ho akansi anaasɛ wunya nsakrae a ahobammɔ wom.

Yɛ eyi mprempren¶

1. Fa ɔtefoɔ no sie wɔn dan mu na mfa wo nsa nhyɛ apam biara a ɛfiri wo pɛ mu sɛ wobɛtu afiri hɔ. Kyerɛw ka kyerɛ Executive Director ne Director of Nursing sɛ: "Yɛmpene so sɛ wɔbɛyi no afiri hɔ, na yɛrentu ɔtefoɔ no mfi hɔ kɔsi sɛ wɔbɛwie mmara mu nhwehwɛmu a ɛfata na wɔanya beaeɛ foforɔ a ahotɔ wɔ mu, a ɛfata wɔ aduruyɛ mu. Mfa wo nsa nhyɛ addendum waiving notice periods ase da anaasɛ wopene so sɛ wubefi wo pɛ mu afi hɔ.
2. Wɔhwehwɛ sɛ wɔkyerɛw krataa a ɛkyerɛ sɛ wobetu obi afi fie anaasɛ wɔayi obi afi afiase a mmara mu nneɛma a ɛyɛ ahyɛde nyinaa ka ho. Kɔkɔbɔ a wɔde ano ka anaa email a wɔde ma a ɛnyɛ hwee a efi ɔhwɛfo bi hɔ no nni mmara mu tumi biara. Hwehwɛ amanneɛbɔ a wɔakyerɛw wɔ mmara kwan so a ɛkyerɛ nea enti pɔtee a wɔayi no afi ayaresabea, da a wɔde bedi dwuma, ayaresabea nkrataa a ɛfoa ka a wɔka sɛ adwumayɛbea no ntumi nni ɔtefo no ahiade ho dwuma, beae a wɔahyɛ sɛ wobegye no a ahobammɔ wom, ne nsɛm a ɛfa bere tenten a wɔhwɛ so ho nsɛmmɔnedifo ne ɔman no tumi krataa adwumayɛbea no ho.
3. Frɛ Bere Tenten Hwɛ Ombudsman ne Ɔman Tumi Krataa Dwumadibea nnɛ. Di wo mantam Bere Tenten Hwɛ Ombudsman nhyehyɛe (a ɛwɔ U.S. mantam biara mu wɔ aban Amerikafo Nkwakoraa ne mmerewa Mmara ase), wo Mantam Akwahosan Dwumadibea anaa Asetra mu Nnwuma a Wɔboa Asetra Tumi krataa Dwumadibea, anaa wo mpɔtam hɔ Care Quality Commission (CQC wɔ United Kingdom) ne Local Authority Adult Social Care kuw no nkitaho. Bisa Ombudsman no sɛ ɔmmue nhwehwɛmu a wɔbɛyɛ ntɛm ara wɔ atuo a wɔbɛtu obi afiri hɔ no ho na ɔnkɔ ɔhwɛ nhyehyɛeɛ nhyiamu no ase.
4. Fa ofie wura ne ɔdansefoɔ asɛnnibea ahobanbɔ di dwuma sɛ wo tumidi no de mmoa a wɔboa wɔn ma wɔtena mu no to hɔ sɛ ɛyɛ atraeɛ dan a. Wɔ U.S. aman ne Canada amantam dodoɔ no ara mu no, ɔdan a wɔboa no yɛ atraeɛ a wɔagye a ɔman no dan wura ne ɔdansefoɔ mmara abɔ ho ban. Sɛ nnafua 30 amanneɛbɔ bi twam mpo a, adwumayɛbea no ntumi nyi obi a ɔte hɔ no honam fam, nsakra apon no, anaasɛ ntoto aduan ne n’ankasa hwɛ mu a wɔmfa asɛm a mmara mma ho kwan sɛ wɔde obi a wɔde no ato afiase (a wɔpam no) nkɔ asɛnnibea na wonnya ɔtemmufo ahyɛde.
5. Pow "ayaresabea a wɔtow gu" sɛ mprempren ɔtefo no wɔ ayaresabea dan a egye ntɛmpɛ anaa ward a emu yɛ den mu a. Sɛ beae a wɔboa wo ma wɔtra ayaresabea no somaa w'awofo kɔɔ ayaresabea sɛ ɔmmɛhwe ase, ɔyare mmoawa, anaa suban bi na afei frɛ ayaresabea asetena mu nsɛm ho dwumayɛni no sɛ "Mfa wɔn nsan nkɔ, yɛrepow sɛ wɔbɛsan agye wɔn bio," bɔ ayaresabea a wɔayi wɔn afi hɔ ho nhyehyɛefo ne Bere Tenten Ɔhwɛ Ombudsman amanneɛ ntɛm ara sɛ beae no te a wodi obi fi fie a mmara mma ho kwan a wɔmfa da biara nni dwuma a wɔmmɔ wɔn amanneɛ.
6. Sɛ adwumayɛbea no nyinaa reto mu esiane sikasɛm mu ahokyere anaa tumi krataa a wɔagye afi mu nti a, kyerɛw wo din ntɛm ara wɔ Ɔman no Tukɔ Kuw no nkyɛn. Hwehwɛ akontaabu a wɔagye atom sɛ wobɛsan de ama wo mpɔtam hɔ kwan a wobɛfa so akɔ, ahobammɔ sika a wode asie, ne ɔsram biara dan ka a wɔadi kan atua ho ka, gye ɔtefo no Aduruyɛ Ho Kyerɛwtohɔ (MAR) ne aduruyɛ ho nhyehyɛe a edi mũ wɔ krataa so ansa na adwumakuw no kɔmputa ahorow no akɔ offline, na fa ACH sikakorabea a ɛyɛ adwuma ankasa no to free drafts kɔma operator a odi nkogu no.

flowchart TD
    A["Asetra mu ɔhaw a wɔboa: Nnafua 30 a wɔde bɛbɔ amanneɛ sɛ wɔatu obi afi fie, ayaresabea a wɔbɛto mu, anaasɛ adwumayɛbea a wɔbɛto mu"] --> B{"Ahunahuna bɛn na ɛrekɔ so?"}
    B -->|"Nnafua 30 anaa nnafua 14 aduruyɛ anaa suban ho amanneɛbɔ a ɛkyerɛ sɛ wɔatu obi afi fie"| C["Pow sɛ wubefi wo pɛ mu atu akɔtra baabi foforo; kɔ so tra dan mu na kɔ so tua base rent"]
    B -->|"Facility pow sɛ wɔde resident bɛsan afi ayaresabea"| D["Kɔkɔbɔ Ayaresabea Asɛm sohwɛfo ne Ombudsman: da biara a wɔpam obi a mmara mma ho kwan a wɔmfa mmara kwan so amanneɛbɔ mma"]
    B -->|"Facility bankruptcy, receivership, anaa tumi krataa a wɔato mu"| E["Twa auto-debit ACH no mu; aduruyɛ ho nhyehyɛe ne MAR ho mfonini; kɔka Ɔman Tumi Adwumakuo no ho"]
    C --> F["Hwehwɛ amanneɛbɔ a wɔakyerɛw, ɔhwɛ ho kyerɛwtohɔ a edi mũ, ne Ɔhwɛ Nhyehyɛe Nhyiam a wɔahyɛ da ayɛ a wo ne Ombudsman yɛ"]
    F --> G{"So ɔtefoɔ wɔ Medicaid HCBS a wɔayi afiri hɔ anaa dɛmdifoɔ dabere ahiadeɛ?"}
    G -->|"Yiw"| H["Fa Medicaid Fair Hearing asɛm kɔdan + Federal Fair Housing Act (FHA) dabere a ntease wom ahwehwɛde"]
    G -->|"Dabi: Ankorankoro akatua"| I["Fa State Licensing administrative appeal kɔdan aban na fa Landlord-Tenant asɛnnibea nhyehyɛe ahobammɔ ahorow di dwuma"]
    D --> J["Hyɛ facility ma san gye wɔ mmara kwan so amanneɛbɔ mfɛnsere mu ANAA ma ayaresabea nsakrae tẽẽ kɔ SNF rehab"]
    E --> K["Fa Priority Consumer Deposit Claim (11 USC 507(a)(7)) kɔma sɛ adwumayɛfoɔ no de Ti 11 anaa Ti 7 kɔeɛ a"]

Mmara mu nsonsonoe a ɛda nkwakoraa ne mmerewa fie ne baabi a wɔboa wɔn ma wɔtra mu ntam¶

Mmusua taa yɛ nwonwa sɛ wɔbɛte sɛ Assisted Living Facilities (ALFs), Residential Care Facilities for the Elderly (RCFEs), ne Personal Care Homes no, mmara nhyehyɛe soronko bi na ɛhwɛ so sen Skilled Nursing Facilities (SNFs / nkwakoraa ne mmerewa afie). Sɛ wo dɔfo no wɔ nkwakoraa ne mmerewa fie a wɔwɔ tumi krataa sen sɛ ɔbɛtra baabi a wɔboa no a, fa yɛn akwankyerɛ a ɛfa ho no di dwuma nkwakoraa ne mmerewa fie ayayade, anibiannaso, ne fie a mmara mma ho kwan.

Wɔ United States no, aban Nkwakoraa ne mmerewa fie Nsakrae Mmara (42 CFR § 483.15) na ɛkyekyere nkwakoraa ne mmerewa afie, a ɛma obiara a ɔte hɔ no hokwan a ɛba ara kwa sɛ obetie ɔman no mpanyimfo asɛm a ɛbɛma wɔagyae obi a wotu obi fi fie no. Atenaeɛ a wɔboa no titire no yɛ ankorankoro akatua anaa wɔde sika nam ɔman Medicaid Home and Community-Based Services (HCBS) a wɔayi afiri hɔ so, na ɔman tumi krataa adwumayɛbea ahodoɔ na ɛhwɛ so. Nanso, wɔn a wɔboa wɔn a wɔte ase no wɔ mmara kwan so kyɛm abien a tumi wom a adwumayɛbea so ahwɛfo ntaa nda no adi: ɔman atrae dan wura ne ɔdansefo a wɔatu wɔn afie ho ahobammɔ ne ɔman no mmubuafo mmara a ɛko tia nyiyim.

Anoyi anum a mmeae a wɔboa wɔn a wɔtra hɔ de tu nkwakoraa ne mmerewa (ne sɛnea wobedi wɔn so nkonim) .¶

Wɔn a wɔboa wɔn ma wɔtra ase no di wɔn mpɔtam hɔfo ho gua sɛ "anyin wɔ beae" atrae. Nanso bere a ɔtefo bi hwɛ ahiade bɛyɛ nea egye adwumayɛfo pii, bere a wɔtew nnwumakuw adwumayɛfo dodow so, anaasɛ bere a ɔtefo bi dan fi ankorankoro akatua dodow so kɔ ɔman no Medicaid a wɔayi afi hɔ so no, adwuma no mpanyimfo taa de nnafua 30 a wɔmpɛ sɛ wɔayi no afi afiase no ho amanneɛbɔ ma mpofirim. Ase hɔ no yɛ anoyi anum a wɔtaa de di dwuma ne sɛnea wobedi so nkonim.

1. "W'awofoɔ hwɛ ahiadeɛ seesei boro yɛn hwɛ anaa ɔman tumi krataa so".¶

Ɔhwɛfo no ka sɛ mprempren ɔtefo no hwehwɛ sɛ wɔde "nnipa baanu kɔ baabi foforo," "ayarehwɛfo a wɔn ho akokwaw hwɛ," "ɔhwɛ a wontumi nhyɛ wɔn ho so," anaa "nnɔnhwerew 24 hwɛ" a adwumayɛbea no ntumi mfa mma.

• Hyɛ nsonsonoeɛ a ɛda "Ɔman Tumi krataa a Wɔbara" ne "Facility Staffing Refusal" ntam: Hwehwɛ sɛ Executive Director no mfa ɔman no administrative code fã a ɛyɛ pɛpɛɛpɛ a mmara bara sɛ wɔbɛkora ɔtefoɔ no so. Wɔ aman dodow no ara mu no, mmara a wɔboa ma wɔtra ase no bara sɛ wɔbɛkora wɔn a wɔte hɔ a wɔwɔ nhyɛso akisikuru a ɛyɛ Ɔfã 3 anaa 4 a entumi nkɔ so (gye sɛ wɔhwɛ wɔn a wɔhwɛ wɔn a wɔn ho akokwaw anaasɛ wɔhwɛ wɔn a wɔn ho akokwaw), hwehwɛ sɛ wɔkɔ so de IV sa yare a wɔmfa nnuru nni dwuma wom nnɔnhwerew 24, wɔda mpa so daa a wontumi nsan wɔn ho, anaasɛ wɔde ɔyare mmoawa a efi mframa mu a ɛyɛ nnam ba no nkutoo. Mmoa a wɔhwehwɛ wɔ tiafi, mmubuafo akongua a wɔde kɔ baabi foforo, anaasɛ adwenemhaw a wɔhwɛ so no ntaa mmu adwumayɛbea bi ɔman tumi krataa so; adwumayɛbea no mpɛ sɛ wɔde adwumayɛfo a wɔdɔɔso bɛma kɛkɛ.
• Audit Pre-Move-In Marketing and Assessments: Twe mfitiaseɛ Residency Agreement, aguadi ho nwoma, ne Individualized Service Plan (ISP) a ɛtwa toɔ no. Sɛ adwumayɛbea no bɔɔ "aging in place" ho dawuru anaasɛ wɔmaa wo ɔsram biara hwɛ-gyinabea ho ka so asram abien a atwam ni de tuaa tebea pɔtee a mprempren wɔkyerɛ sɛ wontumi nni ho dwuma no ho ka a, fa saa adanse no kyerɛ Ɔman Tumi Krataa nhwehwɛmufo no.
• Fa Federal Fair Housing Act (FHA) "Reasonable Accommodation" Hokwan no di dwuma: Wɔ US Fair Housing Amendments Act (42 U.S.C. § 3604(f)(3)(B)) ne nnipa hokwan ho mmara a ɛne no di nsɛ wɔ Canada, UK, ne Australia ase no, dan a wɔboa ma wɔtra mu yɛ atrae, na mfe a obi adi nti a ɛkɔ fam no yɛ nea wɔabɔ ho ban dɛmdi. Fa Abisadeɛ a wɔakyerɛw a ɛfa Dabere a nteaseɛ ho a ɛkyerɛ sɛ wode Fie Akwahosan Dwumadibea a Medicare tua ho ka (ɔyarehwɛfoɔ a ne ho akokwa/PT), Medicare Hospice, anaa ɔboafoɔ a wɔafa no wɔ kokoam bɛba wɔ nnɔnhwereɛ a asiane kɛseɛ wɔ mu. Wɔ ɔman no adan ho mmara ase no, obi a ɔde mmoa ma no ntumi ntu ɔtefo a wadi dɛm mfi hɔ esiane ɔhwɛ a ɛho hia kɛse nti sɛ nnwuma a ɛto so abiɛsa siw nsonsonoe no ano a wɔmfa adesoa a ɛnsɛ nto ɔdan no so a.

2. "W'awofo renya suban mu nsɛm, kyinkyin, anaa basabasayɛ".¶

Sɛ obi a ɔte baabi a wɔboa obi ma ɔtena hɔ anaasɛ ɔhwɛ obi a ɔkae ade no nya adwene a ɛyɛ basaa anwummere, ɔsɔre tia aguare, ɔteɛteɛm, anaasɛ ɔbɔ mmɔden sɛ obefi ɔpon bi mu a, mmeae ahorow taa kyerɛw ɔtefo no sɛ "asiane ma wɔn ankasa anaa afoforo" na wɔde nnafua 14 anaa nnafua 30 amanneɛbɔ a egye ntɛmpɛ ma sɛ wobetu no afi hɔ.

• Rule Out Acute Medical Triggers First: Ɛkame ayɛ sɛ basabasayɛ, paranoia, anaa kyinkyin wɔ ɔpanyin a ne mfe akɔ anim mu mpofirim nyɛ abrabɔ bɔne a wɔhyɛ da yɛ da; ɛyɛ sɛnkyerɛnne a wɔtaa hu a ɛkyerɛ sɛ obi anya nsu mu yare a wonhuu bi (UTI), nsu a ɛho ntew, electrolyte a ɛnkari pɛ, akisikuru, ɛyaw a wɔansa, anaa nnuru a ɛne ne ho di nkitaho. Hwehwɛ aduruyɛ mu adwuma ntɛm ara na hwɛ yɛn akwankyerɛ ahorow a ɛfa ho no mu owiatɔe, basabasayɛ a emu yɛ den, adwenem naayɛ a ɛma obi yɛ basaa, ne adwenemhaw a ɛba fam na polypharmacy, nnuru a wɔnom boro so, dodow a wɔannye, ne mfomso a ɛwɔ pill organizer mu.
• Wɔhwehwɛ sɛ Behavioral Intervention Log na Kura Memory Care no mu ma ɛne Ne Gyinapɛn: Ɔman mmara hwehwɛ sɛ adwumayɛbea ahorow no san susuw ɔtefo no ho, sesa wɔn ISP, na wɔbɔ mmɔden sɛ wɔbɛtew wɔn ho a ɛnyɛ nnuruyɛ mu a wɔakyerɛw ho asɛm ansa na wɔafi ase agyae aduru a wɔmpɛ. Bisa Ayarehwɛfo Panyin no sɛ ɔmma no nneyɛe ho kyerɛwtohɔ a wɔde bere ahyɛ mu, trigger analyses, ne adwumayɛfo san ntetee ho nsɛm a wɔakyerɛw wɔ nnafua 30 a atwam no mu; sɛ zero care plan updates sii ansa na wɔretu krataa no a, amanneɛbɔ no nyɛ adwuma wɔ nhyehyɛe mu wɔ aman dodow no ara mu. Sɛ w'awofo te "Memory Care" ntaban a wɔato mu dedaw a wotua sika pɔtee wɔ adwenemhaw hwɛ ho na wɔpam no esiane Alzheimer yare ho sɛnkyerɛnne a ɛyɛ daa nti a, bɔ beae no ho amanneɛ kyerɛ Ɔman Tumi Krataa Dwumadibea ne Ɔman Mmaranimfo Panyin Adetɔfo Ahobammɔ Dwumadibea.

3. "Hospital Dumping" (Pow a wɔpow sɛ wɔbɛsan agye ɔtefo no bere a wakɔ ER nsrahwɛ anaa ayaresabea atra akyi) .¶

Adeyɛ a ɛfa mmoa a wɔkyere nkurɔfo ho ba bere a beae bi a wɔboa nkurɔfo ma obi a ɔte hɔ kɔ ayaresabea dan a wɔhwɛ ntɛm so wɔ mpɔtam hɔ bere a wahwe ase anaasɛ wayɛ basaa akyi, na afei ɔfrɛ ayaresabea a woyi obi fi ayaresabea ho nhyehyɛefo no ma ɔka sɛ: "Yɛpow sɛ yɛbɛsan de ɔtefo no akɔ efisɛ wonni ahobammɔ mma yɛn adwumayɛbea no."

• Nea Enti a Ayaresabea Pow Yɛ Zero-Day Eviction a Mmara Mma Ho Kwan: Bere tenten a w’awofo lease no yɛ adwuma, wotua wɔn dan ka, na wɔn dan mu nneɛma wɔ wɔn dan mu no, saa unit no ne wɔn atrae wɔ mmara kwan so. Sɛ wɔde obi a wɔagye dan kɔ dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu na wɔpow sɛ wɔbɛsan aba no twa nnafua 30 a wɔkyerɛw too gua a ɛyɛ ahyɛde no ho, twa ɔhwɛ nhyiam no ho, na ɛyɛ ɔkwan a mmara mma ho kwan a wɔfa so to mu a ɛma denhyɛ.
• Wo ne Ayaresabea a Wɔayi Wɔn Ho Nhyehyɛe ne Ombudsman no nyɛ biako Ntɛm ara:
• Ka kyerɛ ayaresabea asetena mu adwumayɛfoɔ no sɛ: "Atenaeɛ a wɔboa wɔn no rebɔ mmɔden sɛ wɔbɛto mu a mmara mma ho kwan a wɔmfa nnafua aduasa krataa a ɛkyerɛ sɛ wɔatu obi afiri hɔ a ɛfata mma anaasɛ wonnya asɛnnibea ahyɛdeɛ. M'awofoɔ wɔ dan a wɔatua ho ka wɔ saa address no so."
• Frɛ Term Care Ombudsman ne State Assisted Living Licensing Inspector fi ayaresabea mpa ho. Wɔn a wɔma tumi krataa no betumi ne ALF Executive Director no adi nkitaho tẽẽ de abɔ kɔkɔ sɛ sɛ wɔpow sɛ wɔbɛsan agye wɔn akɔ wɔ bere a wɔde amanneɛbɔ a ɛyɛ nnam mu a oduruyɛfo ahyɛde a egye ntɛmpɛ nni mu a, ɛyɛ mmara a enni hɔ ntɛm ara ne nea wɔagyae no a wobu so.
• Bɔ Ayaresabea Gyinabea Ho Ban Bere a Woresi Akan wɔ Lockout no ho: Sɛ sankɔhwɛ nyɛ ahobammɔ bere a woreyɛ nhyehyɛe de wo akɔ Skilled Nursing Facility (SNF) a, n fa w’awofo nkɔ w’ankasa wo fie. Fa yɛn akwankyerɛ no di dwuma wɔ akasa atia ayaresabea a ahobammɔ nnim anaasɛ rehab a wɔayi no afi ayaresabea sɛnea ɛbɛyɛ a w’awofo bɛtra ayaresabea hɔ dwoodwoo anaasɛ wobɛdan wɔn tẽẽ akɔ Skilled Nursing Facility rehab mpa a Medicare tua ho ka so.

4. Tumi a wɔde tua obi fi fie a wɔde tua so ka wɔ abusua anwiinwii anaa Medicaid a wɔayi afi hɔ a wɔsakra no akyi¶

Mmusua a wonwiinwii wɔ nnuru a ɛyera, adwumayɛfo a wonni, anaasɛ akuru a wɔapirapira ho, anaasɛ wɔbɔ mpanyimfo amanneɛ sɛ ɔtefo bi rebisa Ɔman Medicaid Assisted Living Waiver no, taa nya nnafua 30 a wɔayi wɔn afi ayaresabea mpofirim a ɛka "ɔhwɛ dodow" ho haw ahorow a emu nna hɔ ho asɛm.

• Twerɛ Aweredi Bere Nhyehyɛe: U.S. mantam ne amanaman ntam tumidi biara bara wɔn a wɔde adan ma no sɛ wɔntua obi a ɔte hɔ no so ka esiane sɛ ɔde gyidi pa ho nsɛm kɔdan Ombudsman, ɔman no mmarahyɛfo, anaa adwumayɛfo mpanyimfo nti. Wɔ aman pii mu no, amanneɛbɔ biara a ɛkyerɛ sɛ wɔatu obi afi fie mu a wɔde ma wɔ nnafua 90 kosi 180 akyi wɔ anwiinwii a wɔabɔ ho ban akyi no de mmara kwan so adwene a ɛne sɛ wɔatua aweredi a mmara mma ho kwan ba a ɛsɛ sɛ adwumayɛbea no kyerɛ sɛ ɛnyɛ nokware wɔ asɛnnibea.
• Fa Federal CMS HCBS Settings Rule for Medicaid Waiver Residents: Sɛ adwumayɛbea no de ne ho hyɛ State Medicaid Home and Community-Based Services (HCBS) Assisted Living Waiver nhyehyɛe mu a, federal mmara 42 CFR § 441.301©(4)(vi)(A) hyɛ sɛ tebea biara a wɔde sika a wɔde gyae adwuma no ma wɔn a wɔte hɔ no mmara kwan so dan a wɔde ma a wɔhyɛ so ne ofie wura ne ɔdansefo a wɔpam no ho ahobammɔ a edi mũ, a Medicaid Fair Hearing asɛm a wɔde kɔdan asɛnnibea ka ho.

5. "Care Tier" sika a ɛkɔ soro a akyinnyegye wɔ ho, a wɔmmɔ ho amanneɛ a wontua¶

Atenaeɛ a wɔboa no pii gye dan a wɔde tua ho ka a wɔde gyina so ka "Care Level" ho ka a ɛsakra a ɛkɔ soro $800 kɔsi $2,500 bosome biara berɛ biara a beaeɛ no bɛsi gyinaeɛ sɛ ɔtefoɔ no hia simma pii a wɔde bɛboa adwumayɛfoɔ. Mfa base rent a wonnye ho akyinnye no nsie da wɔ sikatua ho akasakasa bi mu, efisɛ base rent a wontua no ma adwumayɛbea no nya kwan ntɛmntɛm sɛ wobetu afi hɔ. Fa check tua ɔsram biara dan ka a wonnye ho akyinnye no ka sika a wɔadi kan apene so wɔ ɔhwɛ-gyinabea no ho, na hwehwɛ mmara kwan so nnafua 30 kosi 60 a wɔadi kan akyerɛw a ɛkyerɛ sɛ wɔbɛma sika dodow akɔ soro aka da biara da adwumayɛfo adwuma ho kyerɛwtohɔ a wɔde wɔn nsa ahyɛ ase ho ansa na woatua ɔhwɛ-gyinabea ho ka biara a wɔde bɛsan aba.

Anamɔn biara nhyehyɛe a wɔde bɛyɛ akontaabu na wɔagyae nnafua 30 a wɔboa nkurɔfo a wɔte ase ho amanneɛbɔ¶

Anamɔn 1: Hwɛ amanneɛbɔ a wɔakyerɛw no mu hwɛ sɛ ebia mmara mu sintɔ ahorow bi wɔ hɔ anaa¶

Wɔ ɔman no asetra a wɔboa ho mmara ase no, amanneɛbɔ a wɔde yi obi fi afiase a wɔmfa wɔn ho nhyɛ mu no yɛ mmara kwan so mfomso sɛ ɛyi mmara kwan so nsɛm a wɔda no adi a ɛyɛ ahyɛde fi mu a:

• Wɔkyerɛw kɔmaa ɔtefo no ne mmara kwan so ananmusifo no nyinaa (Power of Attorney / Health Care Proxy).
• Ɛde mmara kwan so amanneɛbɔ mfɛnsere a edi mũ ma (mpɛn pii no ɛyɛ kalenda nnafua 30, anaa nnafua 14/45/60 wɔ ɔman biara mu). Sɛ adwumayɛbea no ka sɛ "wɔayi no afi ayaresabea ntɛm ara" a, hwɛ sɛ oduruyɛfo bi a ɔwɔ tumi krataa de ne nsa hyɛɛ ahyɛde a wɔakyerɛw ase a ɛkyerɛ sɛ nkwa anaa ahobammɔ ho asiane kɛse bi wɔ hɔ mprempren.
• Ɔka ayaresa anaa mmara kwan so ntease pɔtee, sen sɛ ɔbɛka kasasin a wɔde di dwuma wɔ ɔkwan a ɛkɔ akyiri so. (Sɛ wɔkyerɛw "Resident exceeds level of care" kɛkɛ a wɔankyerɛw aduruyɛ tebea pɔtee, nna a wɔde yɛɛ nhwehwɛmu, ne ɔman mmara a wɔafa aka no din a, ɛyɛ mfomso wɔ aman pii mu.)
• Bobɔ beae pɔtee bi a ɛfata, a ɛwɔ hɔ a wobegye din. "Abusua Fie" a wɔbɛkyerɛw bere a abusua no ntumi mfa ɔtefo no ntra dwoodwoo no bu mmara a ɛfa ahobammɔ a wɔde gyae obi ho.
• Ɔkyerɛw Ɔman Bere Tenten Ɔhwɛ Ho Ombudsman ne Ɔman Tumi Krataa Dwumadibea no din, address, telefon nɔma, ne email.

Sɛ biribiara adeɛ bi ayera a, kyerɛw krataa bɔ Executive Director no amanneɛ sɛ amanneɛbɔ no tia ɔman no tumi krataa mmara so na nnafua 30 mmara kwan so dɔn no mfii aseɛ.

Anamɔn 2: Hwehwɛ ɔtefo kyerɛwtohɔ a edi mũ ne Ankorankoro Ɔsom Nhyehyɛe (ISP) .¶

Wɔ aban HIPAA Kokoamsɛm Mmara (45 CFR § 164.524) ne ɔman no mufoɔ hokwan ho mmara ase no, hwehwɛ sɛ wɔgye Ankorankoro Dwumadie Nhyehyɛeɛ (ISPs) nyinaa bi ntɛm ara firi tu kɔsi mprempren, nnafua 90 a ɛtwa toɔ a ɛfa Aduruyɛ Ho Kyerɛwtohɔ (MARs), ADL flow sheets, Asɛm / Ahweaseɛ Amanneɛbɔ, ayarehwɛfoɔ nkɔsoɔ nsɛm a wɔakyerɛw, ne Residency Agreement a wɔde wɔn nsa ahyɛ ase.

Anamɔn 3: Nya oduruyɛfo adansedi krataa a ɔde ne ho na fa FHA Reasonable Accommodation abisade mena¶

Yɛ nhyehyɛe ma nhwehwɛmu a egye ntɛmpɛ ne ɔtefo no oduruyɛfo titiriw anaa nkwakoraa ne mmerewa ho oduruyɛfo a ɔde ne ho no de kyerɛw di adanse sɛ wobetumi adi ɔtefo no tebea no ho dwuma wɔ asetra a wɔboa no mu bere a wɔahyɛ Medicare Part A Home Health (ayarehwɛfo a wɔn ho akokwaw, PT, OT) anaa Medicare Hospice Care wɔ ɔdan no mu no. Fa oduruyɛfoɔ krataa yi ka Abisadeɛ a ɛfa Dabere a ɛfata ho wɔ Fair Housing Amendments Act (42 U.S.C. § 3604(f)(3)(B)) a ɛsrɛ kwan sɛ wɔmfa Medicare Home Health, Hospice, anaa ankorankoro boafoɔ foforɔ nni dwuma (hwɛ ofie akwahosan boafo no-show, gyaw, anaa korɔnbɔ), anaasɛ wɔbɛsrɛ sɛ wɔmma wɔn ntrɛwmu nnafua 60 kosi 90 na wɔasiw adwenemhaw a wɔde bɛkɔ baabi foforo no ano.

Asɛmfua-asɛmfua nkyerɛwee a wɔde bɛkasa atia obi a wɔboa obi a wɔte ase a wɔpam obi fi fie¶

Fa saa scripts yi fa email ne mail a wɔagye atom a wɔabisa sɛ wɔmfa krataa a wɔde bɛsan aba no so mena.

Script 1: Ɔkasa tia a wɔakyerɛw wɔ ɔkwan a ɛfata so wɔ nnafua 30 "Level of Care" amanneɛbɔ a wɔde bɛma obi a wɔatu obi afi fie no ho¶

"De kɔma: [Edin], Ɔkwankyerɛfo Panyin, ne [Edin], Ayarehwɛfo sohwɛfo wɔ [Adwumayɛbea Din]. Kɔpi kɔ: Ɔmantam Bere Tenten Ɔhwɛ Ho Ombudsman ne Ɔman Boa Asetra Tumi Krataa Dwumadibea. Re: Ɔsɔretia a Wɔkasa tia wɔ ɔkwan a ɛfata so wɔ Amanneɛbɔ a Wɔde Ma Wɔayi Wɔn a Wɔmpɛ sɛ Wɔayi Wɔn Afi Hɔ ma [Ɔtefo Din, Ɔdan #].

Yɛsrɛ sɛ monhyɛ no nsow sɛ me ne [Ɔtefo Din], sɛ mmara kwan so ananmusifo a wɔama no tumi no, yɛkasa tia [Date] Notice of Discharge no wɔ ɔkwan a ɛfata so na yɛde asɛm no kɔdan asɛnnibea. Yɛnnye ntom sɛ [Resident Name] ahiade boro wo adwumayɛbea no tumi krataa so, na yɛrenmfi Apartment [#] mu bere a wɔrehwɛ akasakasa yi mu wɔ mmara kwan so no.

Nea edi kan no, amanneɛbɔ no ntumi mfa ɔman no tumi krataa ho bara pɔtee bi nkyerɛ anaasɛ ɛnkyerɛw nsakrae a wɔadi kan ayɛ wɔ [Resident Name] no Individualized Service Plan (ISP) no mu. Nea ɛto so abien, sɛnea ɔman no Fair Housing Amendments Act (42 U.S.C. § 3604(f)(3)(B)) ne ɔman no mmubuafo mmara kyerɛ no, yɛnam eyi so de Abisade a ɛfata a ɛfa Dabere a Ɛfata Ho a ɛfata ma [Ɔtefo Din] ma kwan ma wɔtra wɔn dan mu denam Medicare Part A Home Health / Hospice mmoa foforo a yɛde bedi dwuma [ne/anaasɛ ankorankoro ɔhwɛ mmoa foforo] a yɛde bedi dwuma de adi ho dwuma no so ɔhwɛ ahiade ahorow a wɔakyerɛ wɔ wo krataa no mu, anaasɛ ɔkwan foforo so no, nnafua 60 a wɔbɛtrɛw mu de asiw adwenemhaw a emu yɛ den a wɔde bɛkɔ baabi foforo no ano bere a wɔresusuw baabi a ɛfata a wɔde bɛkɔ no ho no. Yɛsrɛ sɛ fa [Ɔtefoɔ Din] nhyehyɛeɛ, ISP nhwehwɛmu, MARs, ne nsɛm a ɛsisiiɛ ho amanneɛbɔ a ɛwie pɛyɛ ma wɔ nnɔnhwereɛ aduanan nwɔtwe mu wɔ nnafua 90 a atwam no mu, na yɛ nhyehyɛeɛ ma Ɔhwɛ Nhyehyɛeɛ Nhyiamu berɛ a Bere Tenten Ɔhwɛ Ho Nsɛm ho Amanneɛbɔfoɔ no bɛtumi akɔ. Base monthly rent bɛkɔ so atua wɔ bere ano."

Script 2: Ahwehwɛde a egye ntɛmpɛ bere a baabi a wɔboa wɔn ma wɔtra hɔ pow sɛ wɔbɛsan agye wɔn afi ayaresabea ("Hospital Dumping") .¶

"De kɔma: [Edin], [Assisted Living Facility] no sohwɛfo panyin; Fa kɔma: Ayaresabea Nsɛm a Wɔhwɛ So, Bere Tenten Ɔhwɛ Ho Ombudsman, ne Ɔman Tumi Krataa a Wɔde Di Dwuma.

Wo adwumayɛbea no de ano bɔɔ ayaresabea a wɔayi wɔn afiri hɔ ho nhyehyɛefoɔ no amanneɛ nnɛ sɛ worepo sɛ wobɛma [Ɔtefoɔ Din] kwan ma wɔasan akɔ wɔn atraeɛ a wɔagye atom wɔ Apartment [#] mu wɔ wɔn dan a wɔhwɛ ntɛmpɛ mu nhwehwɛmu akyi. [Resident Name] wɔ active residency apam, mprempren dan ka a wotua, ne n’ankasa agyapade wɔ Apartment [#].

Wɔ ɔman tumi krataa ho mmara ne dan wura ne ɔdansefo a wɔte hɔ ho mmara ase no, pow a wɔpow sɛ wɔbɛsan agye ɔdansefo afi ayaresabea nsrahwɛ a emu yɛ den mu a wɔmfa nnafua 30 a wɔkyerɛw krataa a ɛkyerɛ sɛ wɔayi no afi afiase no mma, ɔhwɛ nhyehyɛe ho nhyiam a wɔyɛ, na wodi nhyehyɛe a wɔde tu obi fi fie a wɔahyɛ da ayɛ no akyi no yɛ da biara a wɔde bɛto afiase a mmara mma ho kwan na wɔagyaw ɔyarefo. Ayaresabea oduruyɛfo a ɔhwɛ no no agye [Ɔtefo Din] sɛ ɔnsan nkɔ asetra a wɔboa no mu [a ofie akwahosan/ayarehwɛbea mmoa ka ho]. Yɛsrɛ sɛ si so dua kyerɛ ayaresabea asetena mu adwumayɛfoɔ no ansa na [Time] adu nnɛ sɛ wobɛgye [Ɔtefoɔ Din] akwantuo a ɔde bɛsan aba no atom, anaasɛ wobɛkyerɛw mmara kwan so tumi pɔtee a woreto saa ɔdansefoɔ yi mu wɔ wɔn dan a wɔtua ho ka no mu berɛ a Ɔman no Ombudsman ne Licensing Division reyɛ nhwehwɛmu."

Nea ɛsɛ sɛ woyɛ bere a baabi a wɔboa wɔn ma wɔtra hɔ bɔ amanneɛ sɛ wɔato mu mpofirim, wɔabɔ ka, anaasɛ wobegye sika no¶

dan no nyinaa mu adwumayɛbea a wɔto mu ba bere a adwumayɛfo bi sika sa, ontumi ntua ne dan a wɔagye no, ɔde Ti 11 anaa Ti 7 bankruptcy kɔdan aban, anaasɛ wɔatwa ne ɔman adwumayɛ tumi krataa no mu. Wobetumi ama mmusua baabiara fi nnɔnhwerew 72 kosi nnafua 60 sɛ wɔmfa mpanyimfo 50 kosi 150 a wɔyɛ mmerɛw nkɔ mmeae foforo bere koro mu bere a adwumayɛfo fi adwuma no mu no.

Ɔfã 1: Nnɔnhwerew 24 a edi kan (Honam fam ahobammɔ, nnuru, ne aduruyɛ ho kyerɛwtohɔ ahorow a wogye) .¶

1. Hwɛ asetra mu ahobammɔ tebea horow a ɛwɔ hɔ ntɛm ara no ankasa: Hwɛ nnuan a wɔahyehyɛ, HVAC, elevators, ne adwumayɛfo a wɔwɔ fam. Sɛ adwumayɛfoɔ afiri adi na wɔagyaw wɔn a wɔte hɔ no a wɔnni aduane, nsuo, ɔhyeɛ, anaa nnuru a wɔde ma mprempren a: Frɛ wo mpɔtam hɔ ntɛmpɛ nɔma (911 wɔ United States ne Canada, 112 wɔ Europa Aman Nkabom Kuo no nyinaa mu, 999 wɔ United Kingdom) na frɛ State Department of Health Emergency Hotline ne Adult Protective Services (APS) na fa ntɛmpɛ State Kuw a Wɔgye Nneɛma.
2. Twe krataa so mfonini ne smartphone mfonini a ɛfa aduruyɛ ho kyerɛwtohɔ no nyinaa ho ansa na server no ayɛ sum: Nya mprempren Aduruyɛ Ho Kyerɛwtohɔ (MAR), active Signed Physician Orders, Abakɔsɛm ne Nipadua (H&P) a ɛyɛ nnansa yi ara ne TB / Chest X-ray clearance (a wɔhwehwɛ denam facilities a wubenya ansa na woanya move-in), ne mfitiaseɛ POLST / MOLST / DNR kratasin ne Power of Attorney.
3. Hwɛ nnuru ne agyapadeɛ a ne boɔ yɛ den: Hwɛ baabi a wɔde nnuru a wɔde akisikuru ahyɛ mu ma, insulin kyerɛwdua, ne Schedule II-V controlled substances sie, na bisa oduruyɛfoɔ a ɔkyerɛw no sɛ ɔmfrɛ nnafua 30 ntɛm bridge refill nkɔ abɔnten nnurutɔnbea. Yi agude, check nwoma, afiri a wɔde te asɛm a ɛho nhia, sẽ a wɔde yɛ, ne nkrataa a ɛkyerɛ sɛ obi yɛ onipa wɔ Da a ɛdi kan (hwɛ mpanyimfo sikasɛm mu mfaso ne nsisi ho banbɔ).

Ɔfã 2: Sikasɛm mu ahobammɔ (ACH drafts a wobegyae na wɔasan de sika a wɔde asie wɔ bankruptcy mu) .¶

Ɔfa 3: "Transfer Trauma" a wobesiw ano bere a wɔretu akɔ baabi foforo a egye ntɛmpɛ¶

Asoɛe a wɔde kɔ baabi foforo mpofirim no ma asiane a ɛwɔ hɔ sɛ wɔbɛhwe ase, adwenemhaw a emu yɛ den, ne adwenemhaw no yɛ mmɔho abien wɔ nnafua 90 a edi kan no mu. Fa saa Anamɔn Anum Transfer Trauma Shield yi di dwuma: 1. Sɛnea dan mu nneɛma geometry pɛpɛɛpɛ wɔ dan foforo no mu ansa na woadu hɔ: Fa mpa no to ɔfã koro no ara pɛpɛɛpɛ sɛ wɔde toto aguaree pon no ho, fa anadwo pon, kanea, ɔdan a wɔde tena so, ne ɔfasu so dɔn no si nhyehyɛe a ɛte saa ara mu, na sɛn abusua mfonini a wonim no yiye ansa na ɔtefo no akɔ mu na amma anadwo ahwe ase. 2. Ma mpa, kuntu, ne pillow a wunim no nhohoro nnɔnhwerew 72 a edi kan no: Hua a wunim no ma limbic system no dwo wɔ ayarefo a wɔwɔ adwenemhaw a wonni nnuru a ɛma obi dwo no mu. 3. Tu kɔ wɔ nnɔnhwerew a ɛwɔ adwene mu kɛse mu (10:00 AM kosi 1:00 PM) a wotwe wo ho fi nneɛma a wɔhyehyɛ mu basabasayɛ ho: Fa ɔtefo no fi adi kɔdidi awia bere a wɔahyɛ dan no mu ma na wɔasiesie wɔ beae foforo no, enti wofi dan a edi mũ mu na wɔnantew kɔ dan a edi mũ mu. 4. Deliver a 1-Page "Warm Handoff" Safety Sheet: Kyerɛw nea ɔtefo no pɛ sɛ wɔfrɛ no, wɔn aso ne aniso mfiri (hwɛ sẽ a wɔamene, aniwa ahwehwɛ a abubu, anaasɛ afiri a wɔde te asɛm a ayera), ɔkwan a wɔfa so de wɔn ho kɔ baabi foforo (hwɛ nkwakoraa ne mmerewa asehwe ho a wɔsan nya bere a wontumi nnyina hɔ no), ne nnuru a egye bere pii. 5. Pow Chemical Restraints (New Antipsychotics) sɛ "Settle" Ɔtefo no: Haloperidole, risperidone, anaa quetiapine a wofi ase wɔ ɔpanyin a watu foforo mu no ma nantew ntumi nnyina kɛse na ɔhwe ase; yɛ abusua nsrahwɛ ho nhyehyɛe wɔ awiabere nnɔnhwerew mu (3:30 PM kosi 7:00 PM) dapɛn a edi kan no mmom.

Amanaman ntam ne ɔmantam mmara a ɛne no sɛ¶

• United States: Fa **Eldercare Locator so di nkitaho wɔ Eldercare Locator wɔ 1-800-677-1116 (https://eldercare.acl.gov), wo State Assisted Living Licensing Agency, na fa Fair Housing dabere a ɛfata ho anwiinwii kɔma HUD FHEO wɔ 1-800-669-9777 na wobɛtumi akyerɛw.
• United Kingdom: Care Quality Commission (CQC) a ɛwɔ England (Care Inspectorate wɔ Scotland ne Wales; RQIA wɔ Northern Ireland) na ɛhwɛ so. Wɔ UK Competition and Markets Authority (CMA) Care Homes Guidance ne Consumer Rights Act 2015 ase no, ofie bi ntumi ntu mfi hɔ wɔ nnafua 28 amanneɛbɔ a nteaseɛ a ɛfata, a ɛyɛ botaeɛ biara nni mu, ɛsɛ sɛ ɔyɛ nsakraeɛ a nteaseɛ wɔ Equality Act 2010 ase, na ɛntumi mfa anwiinwii ho ka. Wɔ Ɔhwɛ Mmara 2014 no nkyekyɛmu 48 kɔsi 52 ase no, sɛ UK ɔhwɛfoɔ bi di nkoguo wɔ sikasɛm mu anaasɛ ɔto mu mpofirim a, Mpɔtam hɔ Aban Mpanyimfo Asetra mu Hwɛ kuo no wɔ mmara kwan so asɛdeɛ sɛ wɔde wɔn ho hyɛ mu ntɛm ara enti nsonsonoeɛ biara nni ɔhwɛ mu ma wɔn a wɔte hɔ a ɔman no sika ne wɔn ankasa sika nyinaa.
• Canada ne Australia: Wɔ Ontario no, Retirement Homes Regulatory Authority (RHRA) ne Residential Tenancies Act (RTA) a Landlord and Tenant Board (LTB) de di dwuma no na ɛhwɛ pɛnhyen afie so; wɔ BC no, di Assisted Living Registry ho nkɔmmɔ. Wɔ Australia no, di Aged Care Quality and Safety Commission (ACQSC) ne Older Persons Advocacy Network (OPAN) ho nkɔmmɔ wɔ 1800 700 600; wɔ Aged Care Act ase no, ɔdemafoɔ bi ntumi nhwehwɛ sɛ ɔtefoɔ bi mfi hɔ kɔsi sɛ ɔhwɛfoɔ a ɔde ne ho bɛsɔ ɔtefoɔ no ahwɛ na dabere foforɔ a ɛfata a ne boɔ yɛ den aba ankasa.

Nsɛm a wɔtaa bisa¶

So beae bi a wɔboa me so betumi ato m’awofo mu anaasɛ wɔde wɔn nneɛma ato abɔnten so wɔ Da a ɛto so 31 a wɔde amanneɛbɔ a ɛkyerɛ sɛ wɔatu me afi fie no mu?¶

Dabi, wɔ U.S. amantam dodow no ara mu, Canada amantam, United Kingdom, ne Australia no, baabi a wɔboa nkurɔfo a wɔte hɔ no ntumi nyɛ obi a wotu obi fi fie a ɔboa wɔn ho wɔ mmara kwan so denam apon a wɔbɛsesa, aduan a wɔbɛto mu, anaasɛ wobeyi obi a ɔte hɔ no afi hɔ honam fam wɔ Da a ɛto so 31 a asɛnnibea ahyɛde a ɛfata anaasɛ ɔman akwahosan dwumadibea ahyɛde a egye ntɛmpɛ a wɔde bɛma obi foforo no so. Bere tenten a wokɔ so di nkitaho, kɔ so tua base rent a wonnye ho akyinnye no, na woabɔ Bere Tenten Ɔhwɛ Ho Ombudsman ne ɔman tumi krataa adwumayɛbea no amanneɛ sɛ wonnya nnyaa baabi a ahobammɔ wɔ no, ɛsɛ sɛ beae no di nhyehyɛe a ɛfata a wɔde tu nkurɔfo fi fie akyi bere a wɔtoa so hwɛ da biara da na wodi aduan no.

Na sɛ beae a wɔboa ma wɔtra hɔ no de m’awofo kɔɔ ayaresabea ER sɛ ɔmmɛyɛ adwenemhaw ho basabasayɛ na afei wɔpow sɛ wɔbɛma wɔasan aba nso ɛ?¶

Pow a wɔpow sɛ wɔbɛsan agye obi a ɔte hɔ a wɔboa no bere a wɔakɔsra baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ anaasɛ wɔatra ayaresabea bere tiaa bi akyi a wɔmfa nnafua 30 krataa a ɛfata a wɔkyerɛw sɛ wɔmfa nkɔ ayaresabea no mma no yɛ nna a mmara mma ho kwan a wɔde tu obi fi hɔ a ɛma denhyɛ a wɔfrɛ no ayaresabea a wɔtow gu. Ntɛm ara bɔ ayaresabea asetena mu nsɛm ho dwumayɛni ne nea ɔyɛ nhyehyɛe a wɔde yi wo fie no amanneɛ sɛ w’awofo wɔ dan a wɔde tua ho ka a ɛyɛ nnam wɔ beae a wɔboa no, frɛ Bere Tenten Ɔhwɛ Ho Ombudsman ne wo man Assisted Living Licensing adwumayɛbea no fi ayaresabea hɔ ma wɔbɔ amanneɛ sɛ wɔatoto obi a mmara mma ho kwan na wɔagyaw obi a ɔte hɔ no, na pow sɛ wode w’awofo bɛkɔ kokoam fie a ahobammɔ nnim bere a ayaresabea no ne mmarahyɛfo hyɛ beae no sɛ wɔnsan nnye anaasɛ wɔnyɛ nhyehyɛe sɛ wɔmfa nkɔ baabi a wɔwɔ tumi krataa tẽẽ no Ayarehwɛfo Ahokokwaw Dwumadibea.

So metumi de ɔman no Fair Housing Act no asiw baabi a wɔboa ma wɔtena mu no kwan sɛ wɔbɛpam m’awofo afi hɔ esiane sɛ ohia ɔhwɛ pii nti?¶

Yiw, wɔ ɔman no Fair Housing Amendments Act (42 U.S.C. § 3604) a ɛwɔ United States ne dɛmdi ho mmara a ɛne no sɛ wɔ amanaman ntam ase no, ɔdan a wɔboa ma wɔtra mu yɛ atrae a wɔakata so na nipadua anaa adwene mu tebea horow a ɛfa mfe a obi adi ho no yɛ dɛmdi a wɔabɔ ho ban. Wubetumi de Dabere a ntease wom ho Adesrɛ a wɔakyerɛw a ɛhwehwɛ sɛ adwumayɛbea no ma kwan ma wɔde mmoa a ɛto so abiɛsa, te sɛ Medicare Part A Home Health ayarehwɛ, nipadua mu ayaresa, Medicare Hospice hwɛ, anaasɛ ɔhokafo boafo a wotua no ka wɔ kokoam wɔ nnɔnhwerew a asiane kɛse wom mu, de adi ɔtefo no hwɛ ahiade ahorow ho dwuma sɛnea ɛbɛyɛ a wobetumi atra wɔn dan mu dwoodwoo.

Mɛyɛ dɛn atumi asan anya sika kɛse a wɔde tua ho ka wɔ ɔkwan a wɔfa so kɔ mu anaasɛ sika a wɔde asie sɛ m’awofo boa no de krataa kɔma sɛ wɔabɔ ka a?¶

Nea edi kan no, twa ACH sikakorabea tumi krataa biara a wɔde di dwuma wɔ ɔkwan a ɛyɛ adwuma so wɔ wo sikakorabea no mu ntɛm ara sɛnea ɛbɛyɛ a sika foforo biara rensi ɔsram biara. Afei, hwehwɛ wo mantam tumi krataa adwumayɛbea hɔ sɛ ebia ɔman no mmara hwehwɛ sɛ adwumayɛbea no de sika a wɔde asie a wɔde bɛbɔ ɔtefo no ho ban anaasɛ sika a wɔbɔ wɔ ɔkwan a wɔfa so kɔ mu no sie wɔ escrow anaa trust akontaabu a wɔatew wɔn ho mu, a ɛda so ara yɛ ɔtefo no agyapade wɔ bankruptcy agyapade no akyi; sɛ wɔde sika frafrae a, fa Proof of Claim (Official Form 410) a ɛyɛ mmara kwan so de kɔ asɛnnibea a ɛfa sikasɛm mu ahokyere ho a wɔde federal Consumer Deposit Priority a ɛwɔ 11 U.S.C. § 507(a)(7) na bɔ Patient Care Ombudsman a asɛnnibea apaw no amanneɛ.

Sources a wɔhwɛɛ mu¶

• Administration for Community Living (ACL, United States): Mpɔtam Bere Tenten Ɔhwɛ Ombudsman Dwumadie Mmara kwan so Tumi a ɛwɔ Amerikafoɔ a Wɔanyinyin Mmara (45 CFR Ɔfa 1324) ase.
• Asoɛe a ɛhwɛ Medicare ne Medicaid Dwumadibea so (CMS, United States): HCBS Nsiesiei Mmara a Etwa To (42 CFR § 441.301©(4)(vi)(A): Adanse ne Tumi Ho Ahobanbɔ).
• United States Atemmu Dwumadibea (DOJ) ne HUD: Asɛm a Wɔaka abom a ɛfa Dabere a Ɛfata Ho wɔ Adan a Ɛfata Mmara no ase (42 U.S.C. § 3604(f)(3)(B)).
• United States Sikakorabea Mmara: 11 U.S.C. § 333 (Ayarefo Hwɛ Ho Ɔpanyin) ne 11 U.S.C. § 507(a)(7) (Nea ɛdi kan wɔ Adetɔfoɔ Sika a Wɔde Sie).
• Akansie ne Guadiɛ Aban (CMA, United Kingdom) ne DHSC: UK Care Homes Consumer Law Advice on Evictions and Care Act 2014 Nkyɛmu 48-52 (Ɔdemafoɔ a wɔdi nkoguo).
• Aged Care Quality and Safety Commission (ACQSC, Australia): Ahobanbɔ a ɛwɔ Tenure Asɛdeɛ a ɛwɔ Aged Care Act ase.

Akwankyerɛ ahorow a ɛfa ho¶

• Nkwakoraa ne mmerewa fie ayayade, anibiannaso, ne fie a mmara mma ho kwan
• Ayaresabea anaa rehab a wɔayi obi afi ayaresabea a ahobammɔ nnim anaasɛ ntɛm a wɔbɛkasa atia
• Owiatɔe, basabasayɛ a emu yɛ den, adwenem naayɛ a ɛma obi yɛ basaa, ne adwenemhaw a ɛkɔ soro
• Senior sikasɛm mu a wɔde di dwuma ne nsisi ho banbɔ
• Wiase nyinaa dodow a egye ntɛmpɛ