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Live-in Senior Caregiver and "private residence"

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legallearner

Junior Member
What is the name of your state (only U.S. law)? WA

WA

I am not sure where to post this, so “elder care” seemed like a good place to start…

Is an independent living apartment in a retirement community considered a “private residence” for purposes of privately employing a live-in senior caregiver?

My mother currently resides in a month-to-month independent retirement community (that also offers assisted living services, but is not a CCRC), and requires and has had a live-in caregiver for several years for a variety of health reasons, including some dementia.

She does not require nor get any health or medical services from the community (i.e., no assisted living services or anything else – if she collapses, we are on our own); only amenities provided by the rental contract (utilities, activities, building security). And, we expect no medical or health services from them – that is what the trained, certified, bonded and insured caregiver is for (who is through a licensed agency). My mother moved into this community before she needed a caregiver or any medical attention.

However, this community is over 50 miles away from, me, the only living relative.

The live-in caregiver has been with my mother for years, and they have a tight bond and friendship – we consider the caregiver “family.” Thus, this particular caregiver is important for my mother’s livelihood, and is very much an essential and trusted companion – much like a spouse in some ways -- with the added benefit of being able to attend to medical needs and help with activities of daily living.

I would like to move my mother and her caregiver closer to where I live. I have found a couple of communities that offer independent living apartments, assisted living services and memory care wards on the same campus.

I would like to duplicate what we now have – an apartment in the independent living area and the live-in caregiver stays on for the reasons already stated. We would expect nothing from the community other than amenities provided in the rental agreement – no medical, assisted living, nursing or otherwise services. We would even sign a liability waiver as any care is why we pay a caregiver.

However, the communities are saying that my mother would have to go into their memory care unit, and use their nursing assistants (at a ratio of 5-10 patients per one nurse aid). These communities are month-to-month rentals, not CCRCs. The caregiver would not be allowed. They are saying that, by law, if they offer memory services then we have to use theirs – even though we are not asking for memory care or any care from them.

My question: if we are paying the rent, require no health or medical services from the community since we have a 1:1 caregiver full-time, assistance with activities of daily living are provided by us and the caregiver, my mother would not be a detriment to the community (she and the caregiver are actively involved in community activities at her current residence), she does not require any treatment from the facility, finances are not an issue (i.e., no Medicaid or other assistance needed), we furnish the rental unit, she can come and go freely, and we just want her to be able to keep her long-time companion (much like a spouse taking care of a loved one with medical and mental needs, except this person is licensed and trained as well), in a lively place for seniors with senior-oriented activities and entertainment (as opposed to just renting an apartment somewhere), wouldn’t an independent apartment in a senior community be considered a “private residence” and they should allow this set-up? The apartment, while in a retirement community, would be a separate and distinct dwelling maintained by us. If my father were alive, would they have to split into two different parts of the community?

If something were to go awry (such as the caregiver needing to quit, or memory issues become invasive on others’ ability to enjoy the community), then we could take care of that by the agency providing a replacement caregiver for the short-term until we moved my mother to a full-care part of the facility or similar. I’ve read that even hotel rooms can be considered “private residences”.

Even my mother’s doctors agree that losing this particular caregiver would be detrimental to her, and she would most likely go downhill quickly.

I hope this made sense. Thank you.
 


LdiJ

Senior Member
What is the name of your state (only U.S. law)? WA

WA

I am not sure where to post this, so “elder care” seemed like a good place to start…

Is an independent living apartment in a retirement community considered a “private residence” for purposes of privately employing a live-in senior caregiver?

My mother currently resides in a month-to-month independent retirement community (that also offers assisted living services, but is not a CCRC), and requires and has had a live-in caregiver for several years for a variety of health reasons, including some dementia.

She does not require nor get any health or medical services from the community (i.e., no assisted living services or anything else – if she collapses, we are on our own); only amenities provided by the rental contract (utilities, activities, building security). And, we expect no medical or health services from them – that is what the trained, certified, bonded and insured caregiver is for (who is through a licensed agency). My mother moved into this community before she needed a caregiver or any medical attention.

However, this community is over 50 miles away from, me, the only living relative.

The live-in caregiver has been with my mother for years, and they have a tight bond and friendship – we consider the caregiver “family.” Thus, this particular caregiver is important for my mother’s livelihood, and is very much an essential and trusted companion – much like a spouse in some ways -- with the added benefit of being able to attend to medical needs and help with activities of daily living.

I would like to move my mother and her caregiver closer to where I live. I have found a couple of communities that offer independent living apartments, assisted living services and memory care wards on the same campus.

I would like to duplicate what we now have – an apartment in the independent living area and the live-in caregiver stays on for the reasons already stated. We would expect nothing from the community other than amenities provided in the rental agreement – no medical, assisted living, nursing or otherwise services. We would even sign a liability waiver as any care is why we pay a caregiver.

However, the communities are saying that my mother would have to go into their memory care unit, and use their nursing assistants (at a ratio of 5-10 patients per one nurse aid). These communities are month-to-month rentals, not CCRCs. The caregiver would not be allowed. They are saying that, by law, if they offer memory services then we have to use theirs – even though we are not asking for memory care or any care from them.

My question: if we are paying the rent, require no health or medical services from the community since we have a 1:1 caregiver full-time, assistance with activities of daily living are provided by us and the caregiver, my mother would not be a detriment to the community (she and the caregiver are actively involved in community activities at her current residence), she does not require any treatment from the facility, finances are not an issue (i.e., no Medicaid or other assistance needed), we furnish the rental unit, she can come and go freely, and we just want her to be able to keep her long-time companion (much like a spouse taking care of a loved one with medical and mental needs, except this person is licensed and trained as well), in a lively place for seniors with senior-oriented activities and entertainment (as opposed to just renting an apartment somewhere), wouldn’t an independent apartment in a senior community be considered a “private residence” and they should allow this set-up? The apartment, while in a retirement community, would be a separate and distinct dwelling maintained by us. If my father were alive, would they have to split into two different parts of the community?

If something were to go awry (such as the caregiver needing to quit, or memory issues become invasive on others’ ability to enjoy the community), then we could take care of that by the agency providing a replacement caregiver for the short-term until we moved my mother to a full-care part of the facility or similar. I’ve read that even hotel rooms can be considered “private residences”.

Even my mother’s doctors agree that losing this particular caregiver would be detrimental to her, and she would most likely go downhill quickly.

I hope this made sense. Thank you.

If your mother has a full time caregiver then why move her into an elder community at all? Just rent a house or apartment, or buy a condo for her and the caregiver. I understand the lure of senior activities but there are other options for that.
 

legallearner

Junior Member
Thank you.

Why a senior community? Because that is what she is living in now, and she enjoys being able to be around people her own age, the weekly musical performances, "field trips", being able to eat in the community's restaurant, and other amenities focused on the senior person. I considered an apartment or condo, but realized that in order to be "social" (good even for dementia patients), they would have to leave the building and go find entertainment or otherwise elsewhere-- sometimes in places that aren't geared for mobility impaired people. Around here, there are no senior centers or community centers that focus on ages other than younger people. Apartments and condo buildings have young, working singles/couples -- leaving a virtually "dead" environment that is not engaging at all.

So, I am looking to duplicate what she has now, with her caregiver -- who, aside from me, is her best friend right now. Wouldn't the definition of "private residence" as far as domestic caregiver under FLSA apply?

thanks.
 

LdiJ

Senior Member
Thank you.

Why a senior community? Because that is what she is living in now, and she enjoys being able to be around people her own age, the weekly musical performances, "field trips", being able to eat in the community's restaurant, and other amenities focused on the senior person. I considered an apartment or condo, but realized that in order to be "social" (good even for dementia patients), they would have to leave the building and go find entertainment or otherwise elsewhere-- sometimes in places that aren't geared for mobility impaired people. Around here, there are no senior centers or community centers that focus on ages other than younger people. Apartments and condo buildings have young, working singles/couples -- leaving a virtually "dead" environment that is not engaging at all.

So, I am looking to duplicate what she has now, with her caregiver -- who, aside from me, is her best friend right now. Wouldn't the definition of "private residence" as far as domestic caregiver under FLSA apply?

thanks.

In that case, leaving her where she is may be your better choice. It sounds like a particularly active community and that might be difficult to duplicate, even if you didn't have the problem of them not wanting to allow her caregiver.
 

legallearner

Junior Member
Thanks. However, she lives over 50 miles away from me, and I cannot get over there as often as she or I would like. And, the community near me is equally active and engaging, plus closer to me.

I believe that the community near me would be in violation of the Fair Housing Law, as retirement communities are housing communities and cannot require a person to be capable of independent living and not allow a caregiver. A caregiver could be considered a reasonable accommodation, wouldn't it? These are salespeople who are telling me my mother has to go into their memory care ward. I can understand if we wanted her in memory or assisted living care that a private caregiver would wreak havoc on liability issues, but we are not. We are taking full ownership of the situation.

So, banning my mother from an independent unit and stating that they know what is best for my mom (i.e., no caregiver companion and put in memory care), and barring her from enjoying her life with a live in caregiver that relieves them of care and liabilty (for care, not building negligence or similar) would be discriminatory, wouldn't it, under FHA?

If it is, then I have my answer and will promptly educate these salespeople.

Thanks.
 

xylene

Senior Member
Dementia is generally a progressive medical condition.

You could go to a lot of work to move mom and need to escalate her care.

The stress of a move could destabilize her.

At best you can replicate something 'like' what she had.

Consider moviing closer yourself.
 

legallearner

Junior Member
thank you. I appreciate your responses. But, I am well aware of my mother's medical situation, pretty knowledgeable about the progression of dementia and Alzheimers, and we have my mother's doctors agreeing that she should be closer to me and that her caregiver is important to her livelihood, and I cannot uproot my family and change jobs and schools for me, my husband and children. I do not need medical advice nor situational counsel.

Since this is a legal forum, I am requesting legal advice on the legal merits of a retirement facility denying a request for a live-in caregiver when no care is expected from the facility. It seems that the Federal Fair Housing Act covers this, and that allowing for a live-in caregiver would be a reasonable accommodation (doesn't harm the facility's business plan or asks them to do anything)...

So, any legal guidance about the legal aspects of a independent living unit being a private residence and if the Fair Housing Act allows for live-in caregivers, would be appreciated.

Thank you.
 

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