The Comfort Homes, LLC
Select this if you need expert advice to evaluate and navigate appropriate care options before or during a medical episode.
Select this if you need Comfortable Accommodations
for Hospice or post-hospital rehabilitation with a concierge approach to family support.
Honor God. Serve People. Empower Families.
Comfortable Accommodations
for Hospice or post-hospital rehabilitation with a concierge approach to family support.
ALCY’S
PLACE
The Comfort Homes, LLC
Find Me @ 1-888-597-2829
As a Licensed Social Worker, Patty Merker has years of experience in Transitional Care Units (TCU), skilled nursing homes, dementia care, home care agencies, in-patient Geri-psych, and acute care hospitals. Her journey to become a Certified Clinical Aromatherapist and Healing Touch Advanced Practitioner began with one of her hospice patients in a nursing home. Her experience with end-of-life care for her own family members gives her the heart to serve others who are beginning the same journey. Patty’s skills and passion come together to help patients and families at one of life’s most difficult times as they care for a loved one.
Honored to have been there...
Gloria
1940 - 2012
Step Mom- hospice planned but not started. She died
in the hospital.
Halford
1931 - 2018
Dad- hospice care at his home by family
for about 2 weeks.
Patricia
1935 - 2014
Mom- hospice care at her home by her five daughters for 6 weeks.
Alcy
1933 - 2021
Mother-in-law - whose hospice experience
was the seed for
The Comfort Homes, LLC
Where Do We Begin ?
We start with a Complimentary
Conference via Zoom
Local options will be reviewed. Family can then decide on the best plan for their loved one.
Patricia Merker, LSW, CCA, HTAP
Find Me @ 1-888-597-2829
Knowing the Types of Care
Palliative Care
Palliative care is a form of medical care for people living with a serious illness, such as cancer or heart failure. Patients may receive medical care for their symptoms along with restorative treatment intended to cure their serious illness. Palliative care is meant to enhance a person's current care by focusing on quality of life for them and their family.
Comfort Care
Comfort care is a form of medical care that focuses on relieving symptoms and optimizing comfort as patients undergo the dying process. Comfort care is appropriate when restorative or curative measures are no longer effective and the patient chooses to stop those treatments. This can allow a better quality of life at the end of life. In the hospital, doctors may change orders to reflect the goals for comfort (vs. restorative/ curative).
Knowing the Types of Care
Hospice Care
Hospice is a Medicare covered program of care for terminally ill people (life expectancy 6 mo. or less). The focus is on comfort during the dying process, not curing an illness. Services typically include physical care, counseling, drugs, equipment, and supplies. A whole-person approach includes the physical, emotional, social, and spiritual needs for patient/family with intermittent visits to patient home throughout the week. Hospice staff do not provide 24/7 supervision. Medicare benefit for hospice typically starts after discharge from the hospital.
The patient’s family is expected to make arrangements for 24/7 care/supervision or arrange for admission to a facility that provides it. The hospice team is another layer of caregivers in addition to family or facility staff.
Hospice care is not a replacement for
full-time caregiving.
Hospice Care Team
Physicians * Nurses * Aides * Music Therapists * Social Workers * Dieticians * Massage Therapists * Chaplains * Bereavement Counselor * Volunteers
Where To Go ?
stay in the Hospital
Acute care hospitals do not allow a comfort care patient to stay admitted when there are discharge alternatives that can accommodate their needs. Medicare does not cover hospice while a patient is admitted to the hospital.
Daily rate in excess of $5,100/day can be billed for a non-covered hospital stay.
REsidential Hospice
An all-inclusive care model typically with a flat daily rate. Some allow hospice agency choice, while others require the use of their own agency. Care delivery usually does not allow for families to be primary caregivers in order to reduce costs.
Average cost is $600/day.
Between 3-7 day non-refundable minimum.
Skilled Nursing Homes
Placement is based on room availability; many nursing homes have an abundance of shared rooms and a private room is not guaranteed. Private rooms can have additional daily fees between $20-$50+/day
Average cost is $400-$600/day with 15-30 day deposit on admission.
Go to www.medicare.gov for options in your area and facility ratings.
Care at Home
Having a loved one at home for end-of-life care has many benefits. There are some needs to be considered that may support this care being provided ‘off-site.’ See below.
Considerations for Care at Home
Who Pays ?
medical insurance
Medical insurances (BCBS, Medica, UCare, Health Partners, etc.) do not pay for long-term care in a Residential Hospice or nursing home. These insurance plans are generally for short term TCU/rehab stays; not room and board.
Medicare
Medicare pays for Hospice care. It does not pay for room & board or caregivers.
Medical Assistance
Medical Assistance pays for long-term skilled nursing homes while on hospice. Approval for this benefit can take approx. 30-90 days after a qualified application is submitted to the County. Total assets generally need to be at or below $3,000. Contact your County directly for more information. Alcy’s Place does not accept MA as payment.
veteran benefits
Assistance can be provided by contracted Home Care Agencies. Benefits for Aid & Attendance and Home & Community Care programs may be available. Hospice is a covered benefit. Help is available from the VA to determine benefits.
long term care insurance
Long-term care insurance policies generally cover a portion of the costs for skilled nursing homes or private duty care. Agencies are able to help determine policy coverage and assist with billing.
Private resources
When a person needs somewhere to go, and others to take care of them in their final days, private financial resources may be needed for room & board and/or caregivers.
Why Alcy’s Place?
Supports Family
A supportive space for extended family to gather and visit and relax. A guest room is available for one family member or caregiver to stay overnight (included in rate).
flexible care options
Family can manage all care (24/7) to contain costs or may privately contract for home care services with an agency (see resource page). Around-the-clock care must be provided since Alcys Place does not offer any personal care or supervision.
room with a view
A spacious room with windows all around. Double sliding doors allow staying connected to all the action in the living/dining room and not feel ‘put aside’; closing for privacy as needed. Low windows showcase the garden and woods for a beautiful relaxing view. Room is equipped with an adjustable bed and is ready for move-in.
Second room available with advance notice.
Shared space approximately 1500sqft. which includes two bedrooms, a living room, dining area, kitchenette, bathroom with walk-in shower. Outdoor patio. Piano.
Daily rate based on customized care plan..Call for rates.
Alcy’s Place - Care Planning
The Comfort Homes, LLC
provides Care Coordination based on individual patient needs and family budget.
Family & Friends
Family and friends are excellent caregivers and often the individual’s first choice. Though there may be clinical needs, often the tender, compassionate care provided by the family for many hours of the day is exactly ‘what the doctor ordered’.
This can provide the peaceful, restful, tenderness that is needed at that time.
A combination of family help and paid staff is often a great plan.
Private Duty/Private Pay
Alcy’s Place encourages family to hire an agency for professional care support. This allows the family to rest and their loved one to ‘settle in’ as the days leading up to the move have often been long and emotionally exhausting for everyone.
Customized care plan will be developed with referred agencies.
The Comfort Homes, LLC
12527 Central Ave NE, Suite 130
Blaine, MN 55434
The end of life deserves as much beauty, care and respect as the beginning.
Honor God. Serve People. Empower Families.
Resources
Home Care Agency Links
Residential Hospice Links
Other Resources
Room with a View
Living, Dining, Kitchenette
Guest Room
Bathroom
Outdoor Patio & Garden
by Antonin Dvorak
The hymn is "Going Home", set to the music of Dvorak's 9th Symphony, third movement
Goin' home, goin' home, I'm a goin' home;
Quiet-like, some still day, I'm jes' goin' home.
It's not far, jes' close by,
Through an open door;
Work all done, care laid by,
Goin' to fear no more.
Mother's there 'spectin' me,
Father's waitin' too;
Lots o' folk gather'd there,
All the friends I knew, All the friends I knew.
Home, I'm goin' home!
Nothin lost, all's gain,
No more fret nor pain,
No more stumblin' on the way,
No more longin' for the day,
Goin' to roam no more!
Mornin' star lights the way,
Res'less dream all done;
Shadows gone, break o' day,
Real life jes' begun.
There's no break, there's no end,
Jes' a livin' on;
Wide awake, with a smile
Goin' on and on.
Goin' home, goin' home, I'm jes' goin' home,
goin' home, goin' home, goin' home!