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
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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?
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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:
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What Supplemental Insurance
is right for you?
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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.
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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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