Senior Care Live: March 28, 2026

Listen in as host Steve Kuker, President of Senior Care Consulting, reviews the Top 10 Reasons you could receive an unwanted discharge from Assisted Living.  Don’t miss the Consumer Alert about #9 on the list!  Then, Steve discusses what steps you can take to avoid an unexpected discharge from Assisted Living!  #SeniorCare #SeniorCareLive #SeniorCareConsulting #SeniorLiving #KansasCitySeniorCare #SeniorCarePlacement #SeniorCareAdvisor #Franchise #SeniorCareFranchise #AssistedLiving  

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Transcript

Speaker 3 0:23

Hello, and welcome to Senior Care Live. I'm Steve Kuker, your senior care consultant, and I really appreciate you tuning in today. This one is going to be very good. Pay special attention. I am about to share with you the top 10 reasons that you may receive an unwanted discharge from the assisted living level of care. This is all too common, and we just need to talk about this. Well, Steve, does that mean that you don't like assisted living? Nope. That is no. In fact, I think the assisted living level of care is fantastic. It is a perfect fit for so many people, but you just have to know what you're getting into, and you also have to understand the top 10 reasons that you could receive an unwanted discharge. You see, the assisted living level of care is not a standardized model. I mean, I talk about this all the time. Long-term care, also known as a nursing home, that is a very standardized model. They all offer the same thing, exact same thing. Now, obviously, some deliver much better than others, but it's a very standardized model. Assisted living is all over the board. And when I make presentations and I do a ton of presentations for churches and for the general public and employers and client bases, et cetera, et cetera, et cetera, I have this graphic, and the wide center lane of all of your options is assisted living. The reason it's wide is because you have some variables here. Some on the left side of this very wide lane offer little support. And they can do that. It's a marketing thing. Hey, come to our assisted living community. We're thriving, we're very active, and we're pretty independent, and et cetera, et cetera. And they can do that. That's their option. And then some in the assisted living lane are way over on the right-hand side, approaching long-term care. These folks are bending over backwards to keep you at that assisted living level and hopefully prevent you from having to move to long-term care, offering a tremendous amount of support. Oh, and by the way, everything in between. So that's why I say the assisted living level of care is the second most difficult level for the average person just to go out into the market to try to figure out which place is best for you. You could go to five different assisted living communities, hear five different stories, and they could all be right. So that's why I'm saying the assisted living level of care is not a standardized model at all. And many assisted living residents have to discharge to a higher level of care. That would be long-term care. And there's just so much conflicting information in the marketplace. So let's jump into this. The top 10 reasons you can be discharged or receive an unwanted discharge from the assisted living level of care. All right, number one, becoming a two-person transfer. All right. So, you know, not too long ago, I received a call from a fella, and he was he was pretty hot. He was hopping mad, actually, and very, very upset. Steve, we went to this assisted living place and they said, Oh, don't worry. Your dad could can live here for the rest of his life. We're an age in place community. And now he's only been there a few months, and now we received a 30-day discharge letter saying they cannot or they can no longer meet his needs. Did they lie to me? And I'm like, I don't know, I wasn't there. So I mean, I don't know who said what, so I can't comment on that. But clearly, this is a case of overpromise, under deliver. So most of the time, you didn't ask the right questions, and they didn't share with you their limitations. It's just as simple as that. Just a communication issue. I might throw in the footnote here, a shameless plug, shameless, with senior care consulting. That is never an issue. We will not let you make that mistake. We won't let you do it. It's not gonna happen. All right, so a two-person transfer, what that means is that it takes not one staff person, but two staff to help you transfer or move from point A to point B. Now, all of them can provide a one-person transfer. So you have some strength, you need a little bit of help from one staff person, and you can get out of bed to your walker or to your wheelchair, in and out of your chair, in and out of the shower, on and off the toilet, that kind of thing. Okay. But if you weaken to the point of requiring a two-person transfer, two people helping you move from point A to point B, I will say that the vast majority of assisted living communities, they're just not staffed to accommodate that. Now, as soon as I say that, remember it's a wide lane, as soon as I say that, some assisted living communities will provide a two-person transfer. Okay, and some of them might even be able to use or willing to use a mechanical lift to help transfer a person from point A to point B. I would say the vast majority of them do not do that though. All right. So if your loved one weakens to the point of becoming a two for two-person transfer, you could receive an unwanted discharge from the assisted living level of care. Number two, just requiring too much care. So the staffing model has limitations at most assisted living communities. And if you need, if it's just here's the bottom line if you need more care, more assistance than they can offer, you're out. That's it. I mean, it's just as simple as that. So if you are re requiring more and more care and they're not able to keep up with it, that's uh the another reason that you could and probably will receive an unwanted 30-day discharge notice. All right, number three, incontinence care. So incontinence care is becoming more and more necessary. Now, most places can help you with this, help you with some you know, incontinence management, and uh and they can help out, but all of them will help to a point. And if you need more help in the area of incontinence management than they can provide, then they're gonna say, you know what, this is just uh increasing and increasing. It's turning into more of a of a skilled need. So uh here's your discharge notice, you're gonna need to move to long-term care for the proper management of that. And again, it's related to staffing, staffing levels. All right, number four, if your loved one needs a low air loss mattress to prevent wound issues and skin breakdown. So that's for someone maybe you have some you know very thin skin, maybe you're in bed for you know hours per day, you know, over and above when we sleep at night, and and and God bless you, you're you're just you're just in bed too often and you start to have some skin breakdown issues. If you need a low air loss mattress, uh that's uh that's probably going to be a no-go at most assisted living communities. Number five, if your loved one needs uh true medical care, such as, and this is a little bit related to number four, wound care. If your loved one needs wound care, again, you're laying in bed, maybe you don't have that low air loss mattress. We all have pressure points if we're laying down on our our tailbone, our heels, our shoulders, those sort of things, right? And you eventually your skin will wear thin and then it will break through. And now we have we have a bed sore or a wound care issue. They're just not staffed to be able to do that. Compression wraps for lymphedema. So that is you have the wraps that go up and down your legs, maybe it's attached to a pump. A lot of nursing homes can't even offer that. Okay, that that's a big one. Now, if it's just pulling on compression stockings like a Tet hose or something like that, that's not a problem. But once you get into the heavier duty stuff, the wraps because you have swelling in your legs and your ankles, et cetera, et cetera, and especially if it's connected to a pump, that requires some special, some special attention, special work. Uh someone requiring a mechanical lift, maybe someone who needs tube feeding or urinary catheter care or for sure IV therapy, all of those things are going to uh going to cause a discharge because they're they're just they're just not they're just not able to handle that. Okay. If you have questions about yourself or your loved one in assisted living, maybe you're concerned that you may be headed uh to to unfortunately to receiving one of these unwanted 30-day discharge, give us a call. We'll talk to you about that. Senior Care Consulting 913-945-2800, or visit online at SeniorCareConsulting.com. Now the Senior Care Live question of the week. All assisted living communities are private pay only. Is that statement true or false? What do you think?

Speaker 2 10:42

You're listening to Senior Care Live on the Senior Care Broadcasting Network. For more information, visit SeniorCareLive.com. We'll have more with Steve coming up next.

Speaker 3 11:04

Welcome back. You're listening to Senior Care Live on the Senior Care Broadcasting Network. For more information, visit SeniorCareLive.com. All right, back to the Senior Care Live question of the week. All assisted living communities are private pay only. Is that statement true or false? And the answer is false. The answer is false. Well, Steve, you said that assisted living, they don't like to work with Medicaid. Well, yep, they don't, and most of them don't. However, there are a few assisted living communities that will work with the Medicaid program, but there are some strings attached to that. So for example, maybe you have to be able to pay uh, say, 12 months private pay, meaning you know, out of your out of pocket. And then maybe after that 12 month, then they're willing to work with the Medicaid program. It could be 18 or 24 months private pay requirement. And then even then, sometimes Medicaid just doesn't pay enough for the assisted living level of care, which drives me crazy. I talked about that last week a little bit. Sometimes it would require the family to make what I just call a family contribution, just to kick in an extra, you know, $300,000, $500,000, $700,000 a month to make that work. But uh technically, that statement is false. There are some assisted living communities that will work with Medicaid. All right. So we're talking today about the top 10 reasons that you may receive an unwanted discharge from the assisted living level of care. And I'm a huge fan of assisted living. You just got to know what you're getting into. You have to make sure that you're asking all the right questions. You have to make sure that they are truly the right fit in every way. And if you need help with that, give me a call at Senior Care Consulting. We are experts at this. I'm a former nursing home administrator and assisted living executive director. I understand this stuff forwards and backwards. I have forgotten more than some people know about this subject. I'm just I'm just telling you, I'm not bragging, I'm just telling you how it is. Okay, so if you need help with that, we can definitely help you find the right place, get it right, 913-945-2800 or online, senior careconsulting.com. All right, so let's go back to the top ten reasons that you may receive an unwanted discharge from the assisted living level of care. Number six, if your loved one requires pain management, that is more than they can provide. So pain patches, pain injections, managing a pain pump, all of those sort of things. Uh again, this is kind of falling into that medical category. Assisted living is more of a social model, not really a medical model. So that could do it. Or you know what, it could be as simple as a diabetic needing diabetic management with insulin injections. Now, most assisted living communities will allow a resident to move in if they can manage that on their own. And they can demonstrate that they do it properly, et cetera, et cetera. And these uh CGMs, a continuous glucose, continuous glucose monitor, it's the little thing that you know sticks on your left tricep and they kind of have this little piece of adhesive over it, and then that constantly monitors your blood sugar and then reports it to your phone. You can set limits and alarms, and it makes that so simple. And gone are the days of the little finger sticks, which are very kind of painful and really annoying. So it but anyway, if you can do that on your own, most places are are cool with that, they're fine with that. However, what if you have someone who has some cognitive impairment and they're not keeping track of this and they're gonna need some help managing that? Well, most assisted living communities do not have round-the-clock LPNs, and that would be the requirement for that. Okay, so some assisted living communities can help with diabetic management and insulin injections, but uh I would say the majority of them that would be a deal breaker for them if they were responsible for it 24-7, if that makes sense. Okay. Number eight, help eating your food or needing a specialized diet, such as a parade diet or thickened liquids, something like that. I will say over the last few years, it's been getting better and better. Uh however, and so some places are you know more flexible today than they were maybe five or ten years ago, but it's still an issue. So if you need a highly specialized diet, that could cause an unwanted discharge.

Speaker 1 16:20

Ladies and gentlemen, your attention, please. This is a consumer alert. Consumer alert.

Speaker 3 16:30

All assisted living communities care for residents with cognitive impairment. So if you contact one, they will say, Oh, yeah, we we offer memory care. We care for residents. Many of our residents have dementia, or you know, they're they're forgetful, or they have a little bit of memory loss, that kind of thing. So we can take care of your loved one, even if they have dementia. So come on in, take a tour, and you might you might sign up, you might move in. So, again, all of these places do care for residents with cognitive impairment. However, here's the warning when the memory issues exceed their limits, you will be asked to move. Well, what do you mean, Steve? They said that they they care for residents with mild cognitive impairment and that sort of thing. Well, here's an example. So your loved one is doing well at an assisted living community. Everything's going fine, and and everything's just wonderful, just perfect. Then there's a decline, a rapid cognitive decline, and all of a sudden your loved one has never done this before, but all of a sudden your loved one is wandering. They're walking around, uh, they're they're not trying to cause any issues, but they're just cruising around and and it's it this is causing some issues. They could even walk outdoors and unintentionally place themselves in harm's way. Zero degrees, a hundred degrees, there's traffic. Now we have a we have a big problem here. And the industry calls that an elopement risk or a flight risk. And this is something brand new that no one saw coming. So you're not a flight risk until the day that you become a flight risk. That's kind of how this goes. Most assisted living communities will have what's called a wander guard system to help out with this. It's a little transmitter, like a little looks like a little watch or a little bracelet. If you get too close to the external doors, then an alarm goes off, and then staff can redirect the resident to uh focus on something else and not trying to get outside and again potentially place themselves in harm's way. It's a great tool to prevent your loved one from leaving the building unattended and again, you know, potentially being being getting hurt. Okay. So if your loved one, though, is setting off that alarm, you know, 50 times a day because they're like, hey, I don't, this isn't where I live, I'm going home. All right. That's it. That that it's going to be too much for them and they're going to ask you to move. So, but if the assisted living community has a memory care neighborhood, then your loved one can be transitioned to the memory care part of it, and that will take care of it. So just make sure you know what you're doing when we're dealing with cognitive impairment.

Speaker 1 19:33

Proceed with caution. This has been a consumer alert, brought to you by Senior Care Live. And coming up next, I'm going to get to number 10.

Speaker 2 19:43

You're listening to Senior Care Live on the Senior Care Broadcasting Network. Have a question? Visit SeniorCareLive.com. Stick around. We'll have more with Steve coming up next. A recent internet search for nursing homes in Kansas City provided 32 million results. It's daunting to think that there are over 350 senior care communities to choose from in the Kansas City Metro. And on average, you'll spend 50 to 100 hours trying to find a place for your loved one. If this sounds overwhelming, that's because it is. I invite you to reach out to Senior Care Consulting. We've been serving families since 2002. With our premium service, we do most of the work for you. You'll spend just a few hours of your time finding the best place available. And you can trust us to be objective because we don't receive reimbursement from any provider. We work for you. To learn more, call Senior Care Consulting at 913-945-2800. 913-945-2800. A placement service with integrity at SeniorCareConsulting.com.

Speaker 3 21:06

Welcome back. You're listening to Senior Care Live on the Senior Care Broadcasting Network. For podcasts of the program, visit SeniorCareLive.com or wherever you choose to get your podcasts. So just to put a bullet point before we move on to number 10 on getting that unwanted discharge because of memory-related issues. So I've just heard so many times when people have contacted an assisted living community. Oh, yeah, yeah, yeah. Yeah, yeah, we do memory care. What they really mean is we care for residents with cognitive impairment. However, we don't have a separate part of the building that's dedicated to memory support, providing memory care, a special type of care for a resident with cognitive impairment. Impairment. They leave that part out. You gotta be careful with this stuff, folks. If you get it wrong, and you'll you'll you'll get this unwanted discharge. That's that's why I'm reviewing all this stuff. I am not beating up or throwing assisted living under the bus. I am just telling you kind of how it is. You gotta be just you gotta be careful out there, okay? So so that is uh that that's that's a big one. That's why I package that in a consumer alert. All right, number 10. If you run out of money, you're going to get discharged, period. The vast majority of assisted living communities in our area are private pay only. Now, once upon a time, a whole bunch of them were willing to work with the Medicaid program. But Medicaid cutback and cutback and cut back, and the the only shot that we have for assisted living that's Medicaid certified is on the Kansas side of the state line through the HCBS program, home and community-based services. Missouri, I don't even know why you bother. Oh, yeah, we our our Medicaid in Missouri will pay for uh assisted living. Well, yeah, you'll you'll kick a whopping 292 bucks a month towards that. Why bother? It's a joke. It's an absolute joke. So, for all intents and purposes, do not count on that in the state of Missouri for the assisted living level. In Kansas, it could work, but all sorts of strings attached. And the bottom line is if you run out of money, you're probably going to be moving. Even if you've lived there for years and years and years, the second you run out of money, you're out. And I've shared this story before, but really early on with senior care consulting, I get this call from this young lady. She was weeping. Her mother, her grandmother called her Grams. Her grandmother had spent over $350,000 at an assisted living community. $350K. She lived there a long time. I mean, this is part of they were all family at this point. She gets a 30-day discharge notice and she just panics. She goes in, what did we do something wrong? What happened? And they're like, Oh no, no, you didn't do anything wrong. But your grandmother is just about out of money, and we don't take Medicaid, so you're gonna have to move her. Well, she didn't ask and they didn't tell. That's just what happened. Does this happen with senior care consulting clients? Nope. We have this all worked out and figured out before we ever even go to look or take a tour of some of these communities. If you think you may be having an issue here, if you're running out of money at the assisted living level and you're gonna have to move, give us a call. We can help you with that next step, 913-945-2800 or online at SeniorCare Consulting.com. All right, so let me give you a couple of bonus reasons if the top ten isn't enough. Number 11, this is a big one. If your loved one is falling too much at the assisted living level, so again, this is an issue of staffing. They just can't keep an eye on everyone for every minute 24-7. So if your loved one is is experiencing a lot of falls, well, first of all, they need to try to figure out a non-pharmacological intervention here. Maybe it's being caused by some of the medications the person is on. Or maybe there's some other issues going on. Maybe they could benefit from some physical therapy for strengthening and balance and gate training, that sort of thing. And and they'll work on that. They'll they'll try to get to the bottom of it. But the bottom line is if you're falling too much, you're probably gonna get that discharge. Now, here is a giant, I should do a giant uh, I'm not gonna do another consumer alert. Do not ever sign a negotiated risk agreement. You will thank me later. I'm telling you, don't sign it. So I've heard of some places that says your loved one is falling too much, we can no longer guarantee their safety. So you can either move them to a nursing home or you can sign this negotiated risk agreement that says if your loved one falls and gets injured, it's not our fault. You can't come back on us for that. Okay? Look, what this whole thing is screaming out is you're at the wrong level of care. You need to move to a place that has a lot more staffing, get to the right level of care. This is not it for you. Do not sign a negotiated risk agreement. Don't do it. In my opinion, I you shouldn't you should never sign one of those. There's no reason you should ever want to sign one of those. Okay. Last but not least, number 12, give you a couple of bonuses here. If your loved one has any negative, I'm putting my air quotes up, behaviors, they will be discharged. It could be too much wandering, it could be want and and God bless these people. That's they're not trying to cause problems, but they have dementia. And this is one of the things that happens with many people with dementia. They're they're just cruising around. They're walking they're just walking around, they're not trying to cause problems, but sometimes it does cause problems. Wandering in and out of other residents' rooms. So someone's in their room and you walk in, and you know, yeah, this is my room, and they're like, What are you doing? And then you then they lay down in your bed or start you know, taking their clothes off and putting your clothes on. It's very upsetting, very disruptive for the person in that room. And that that that's gonna cause some issues. If you're exit seeking, so that's that is a bigger issue than uh the uh the wandering issue, exit seeking. So you're you're here, again, you have some cognitive issues, you're looking around, and you're like, you know, this is a pretty nice place, but this isn't where I live. This isn't my house. I'm out of here, I'm going home. You're you're out. You're trying the doors ten times a day. Okay, you're exit seeking, you are trying to get out. One place I have no idea how this guy did this. He he was and God bless him. Okay. I just have to laugh and cringe at the same time on this one. Somehow he uninstalled a window from the inside. I uh that's that's uh how do you even do that? Windows are installed from the outside. They're they're they're screwed in and bolted in from the outside. I have no clue how he did it, but he sure did do it. Uninstalled the window, and just jumped out the window. Now, fortunately, it was about two feet off the ground, it was a ground floor. Fortunately, it was not a second story situation, okay. Otherwise, that could have been disastrous. Okay, but yeah, obviously that's a problem. Uh the uh uh unwanted negative behavior could be foul language or inappropriate language with the opposite sex, can't have it, and and and this person it's it's not the person, it's the disease, but you you can't have that, it's too disruptive in a lot of settings. It could be inappropriate sexual advances. I have so many stories. Okay, and again, God bless these people, they would probably just be mortified if they actually had the wherewithal to realize what was going on, but they don't. It's not the person, it's the disease. It could be someone who is now very aggressive or maybe even having combative behavior. It could be hallucinations causing some issues, being disruptive. Uh, so so all of these things would fall into that category of quote unquote negative behaviors. So there's the top 10, and then we'll call it the top 12 because I gave you a couple of bonus uh uh reasons that you could receive an unwanted discharge from the assisted living level of care. If you are concerned about this at all, if you want to look at some other options, or maybe you're just getting ready to start your search and you're like, wait a minute, we don't know anything about that. Give us a call at Senior Care Consulting. We would be honored to visit with you to show you how we can help you with that. 913-945-2800 or online at SeniorCareConsulting.com. And coming up next, what you can do to avoid an unwanted discharge from assisted living.

Speaker 2 31:42

You're listening to Senior Care Live on the Senior Care Broadcasting Network. To contact Steve or a guest of his show, visit SeniorCareLive.com. We'll have more coming up.

Speaker 3 32:00

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Speaker 3 33:09

You're listening to Senior Care Live on the Senior Care Broadcasting Network. Have a question? Visit SeniorCareLive.com. So I've gone on ad nauseum about all the all the different things that could go wrong that would get you kicked out of assisted living. How about that? That's exciting, isn't it? But it's important to know this stuff. It's important. So what can you do to avoid all of that stuff? Avoid a discharge and ultimately extend or maximize your stay at your chosen assisted living community. Here it is. Number one, ask the right questions about their limitations. So in that story where the young lady and her grandmother spent $350,000, she didn't ask the questions and they didn't mention their limitations. So just throw that out right up front. It's like negotiating a contract. You actually talk in your contract, you talk about what happens if the whole thing goes south. So you actually talk about the divorce as well as the good stuff. What's a deal breaker and what could cause problems, that sort of thing. Just ask good questions. Ask the right questions about their limitations. Understand what you're getting into and how much care they actually provide. Do not ever assume anything. Ever. And again, remember assisted living is not a standardized model in any way. A lot of them have some pretty significant differences. So you have to understand what you're getting into here. Number two, if your loved one has memory issues or you think they may develop into some memory issues in the future, just make sure you choose a place that provides memory care that offers a separate memory care neighborhood, separate part of the building dedicated to memory support. Again, providing care for a resident with cognitive impairment. It's a special type of care. It's a separate part of the building. Memory care neighborhood is generally how I describe that. Make sure they have that. Well, Steve, well, they said they they take care of residents with memory issues. Well, that's not offering memory care. Just make sure they offer memory care a separate part of the building that is segregated. Codes on the doors, all the things that I've talked about a million times on the show before. Make sure they have that, and then you've got that part covered. Number three, this one will take care of a lot of potential issues. Choose an assisted living community that is connected to long-term care. So if your loved one needs more care than they can provide at that assisted living level, then they can easily transition down the hall or across the lawn or how if it's a campus-style setting. Most of the time it's in the same building. It's with the same organization. Usually it's in the same building. Or it's in the building across the lawn or down the way. Okay? That'll take care of a whole bunch of this stuff. And then last but not least, understand the finances of it all. Do the math. I I do this every time I meet with a client. We we get pretty close on our math calculations. I want to know about the income, any assets that are available. We we just and I don't need like super detailed information, but I like to give us an estimated range of you know how many months or years can we pay X dollars a month for this care? We make some projections there. We can usually we're usually pretty good with that. But do the math and calculate how long your loved one can afford to pay privately. Then ask yourself the question are you willing to move them again one more time at that time that they run out of money? Now, if you're willing to move them one more time, then don't worry about it. When they're getting close to running out, you understand this. You know you have to move one more time, and then just move. Most people, this is an unexpected issue, and they haven't done this homework, right? So are you willing to move one more time if they run out of money? If the answer is no, again, choose a place that's connected to long-term care, that the long-term care portion of that community is Medicaid certified, and then that way we plan for their needs for the long term. So hopefully that makes sense. Hopefully that has helped out a ton of people, thousands and thousands of people listen to this program each and every week. I'm always so honored and humbled by that. I just hope I've helped uh even a few people out there uh and then I've then I've done my job here. Now, just a uh just kind of a quick uh alert. I've been getting lots and lots of calls here lately. And and I think the word is getting out. People are listening to the program and they're and they're they're taking this advice very seriously. I've been getting a lot of calls saying, Steve, we don't really want to move my mom or my dad, my loved one, out of the assisted living community where they're at right now. But the fact is they are running out of money, so we need to start planning for that next step for them to move to long-term care and get qualified for Medicaid. And all of that is usually just completely overwhelming to an individual or a family. Because now what is Medicaid? How do you qualify for it? What does it pay for? Who can help me with the Medicaid application? All those sort of things. And then what are our options? And are we gonna have to share a room? Can we get a private room? If Medicaid only pays for a shared room, would we have the option for the family to kind of pitch together and kick in some extra money to upgrade to a private room? Is there a private pay requirement, like private pay, you know, a certain certain number of months to be paid privately before they'll work with Medicaid? Or will they work with Medicaid on a shorter time frame? Like, you know, we've got probably enough money to pay for, you know, two or three months, and then boom, we're gonna need Medicaid. So are there places that will work with us in that limited financial capability kind of a situation? And the answer is you know, yes to all of the above. And that's what we do with senior care consulting. And I'm just constantly preaching this. Don't wait until you are completely out of money because you're out of money and you're you're you're just about out of options. So don't wait. Prepare now, move now, move when you still have some funds and some money to work with. So again, you're going to be spending down to that Medicaid qualification number of $2,000 of assets in the state of Kansas, $5,909 in the state of Missouri. Once the assets are down to that number, then Medicaid will pay for the majority of the cost of your stay in long-term care. But you may need to work with an elder law attorney on the legal side of all of this stuff, and you may not, but you may, right? So with some of that money, you can pay your legal fees, some of that money you can hire my firm, Senior Care Consulting. Our reasonable, very reasonable flat fee for service can be included as part of that spend down. So if you have any questions on any of this stuff, give me a call, 913-945-2800, or visit online at senior careconsulting.com. We'd be happy to visit with you about all of this stuff. All right, I'm Steve Kuker, and I wish you grace and peace. May God bless you and your family on this day and always. Join me next week, right here on Senior Care Live.

Speaker 41:51

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Speaker 3 42:51

Quid pro quo, a Latin phrase that means an exchange of goods or services where one transfer is contingent upon the other. Here's an example. I'll recommend your senior care community if you'll pay me a huge kickback for my referral. The free referral services have a vested interest in you choosing one of their business partners. That's how they make their money. Does this paid recommendation sound objective or credible? Of course not. I'm Steve Kuker with Senior Care Consulting. I'm so proud to say we have never received a single penny from any provider. Ever. We offer a placement service with integrity. For help finding the right senior care community without conflict of interest and without the Quid Pro Quo, call 913 945 2800. 913 945 2800. A placement service with integrity at SeniorCareConsulting.com.