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San Diego Elder Law Center E-News
Serving the legal needs of San Diego's elder and  disabled communities, their families and caregivers
March 2009 - Vol 5, ISSUE 3
In This Issue
Retirement Home Can Force Resident to Move
Do You Have the Right Fiduciary?
What Supplemental Insurance is Right?
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Retirement Home Can Force Resident to Move to Higher Level of Care

Below is a summary of a legal issue that may have implications for many of our readers. The reported case is contrary to a Southern District decision within the last 2 years.  Look for this to be a growing issue as "CCRCs" (Continuing Care Retirement Communities) become more popular.  CCRCs are facilities with multiple levels of care, where residents can transition to higher levels of care based on need and the underlying contractual agreement with the facility.   In some CCRCs there is a significant financial incentive for the facility to move the resident from independent living apartments to assisted living wards, as the independent units often can be re-sold for substantial amounts by the facilities, and are the true "selling point" for the marketing departments ability to attract new membership.   However, the facilities potential liability if they fail to provide needed care is also noted in the reported case, and was dispositive in this matter.  Look for more decisions in the future parsing these competing arguments. -Phil Lindsley

A federal court has ruled that a continuing care retirement community (CCRC) can force one of its residents to move from her private apartment to an assisted living unit.

Sally Herriot, 90, is a resident of Channing House, a CCRC in Palo Alto, California, that provides three levels of care -- independent living, assisted living and skilled nursing. Since moving to the facility with her now-deceased husband in 1991, Ms. Herriot has lived in a spacious independent living apartment. After Ms. Herriot returned from a hospital stay in 2006, Channing House determined that it was necessary to transfer her from her apartment to a much smaller, hospital-like assisted-living unit where she could be served by a trained nursing staff. Ms. Herriot, her family and her physician objected to the transfer, arguing that she is able to remain in her apartment with the help of round-the-clock private aides she had hired. Channing House rejected this arrangement.

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Do You Have the Right Fiduciary?


When creating an estate plan, an important decision is naming your fiduciary. A fiduciary is a legal term for the person who will take care of your property for you if you are unable to do it yourself, such as the executor of an estate, the trustee of a trust, or an attorney-in-fact under a power of attorney. Your first instinct might be to name one of your children as a fiduciary, but if you want to avoid conflict among your children, this might not be the best option.

When naming a fiduciary, it is important to be able to trust the individual, which is why people often name family members as fiduciaries. However problems can arise when a parent with two or more children names one child as a fiduciary: 


What Supplemental Insurance is right for you?


Once you become eligible for Medicare, you may be inundated with offers from insurance companies for Medigap (supplemental insurance) policies. Sorting through these offers can be confusing. Not only are there nine standardized plans, but there can be huge differences in premiums between companies.

Medicare plans A and B cover only a portion of medical costs. Medigap policies are designed to fill in the "gaps" in coverage. The government created 12 standardized plans (Plans A through L), but Plans H, I, and J, which include prescription drug coverage, are not available to new buyers.

 

 

This publication is intended for general information purposes only. It is not intended to constitute individual legal advice to any specific client.

San Diego Elder Law Center: Our knowledge, your peace of mind . . .
Philip P. Lindsley, Certified Elder Law Attorney
San Diego Elder Law Center
 
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