My idea was kind of to stay with private pay. I just figured it would be less complicated, and like you, figured that might make a difference as far as JAHCO and all that. I also did anticipate that I would need a business licence.
I definitely COULD do skilled nursing care if needed. That was one of the things I thought would appeal to the residents, is if there is an RN on site. I guess my main idea was for ADLs but if there is wound care, or one of the residents goes to hospital for whatever reason, need IV antibiotics, tube feeding, etc.. you get my drift. I would be able to provide that. The only employee I thought to have is a CNA, live-in, like I mentioned in the OP. I considered maybe getting someone for night shift, or something like that, to relieve ME, but not sure about that. I suppose it would depend on the dependence levels of the residence.
As far as vacations, see, things like that are why I wanted to bring it up on here. Vacations hadn't occurred to me. I suppose I could hire a temp from an agency or something to cover. That would definitely increase the cost of my vacation, but, I guess thats what happens when you have your own business.
I am sure that I would require some pretty substantial coverage as far as home/business insurance, liability, malpractice, all things the attorneys you mentioned could inform me on.
I hadn't thought about disabled kids, much less severely disabled ones. I thought that would probably be a LOT more work, as well as risk. IE, child with CP, immobile, requires q2h repositioning, but gets a pressure ulcer anyways? And with that, might be harder to find private pay, no? I mean, might be harder to find residents who fit that bill, and are STILL private pay.
I am so conflicted though. Ever since this popped into my head it's been floating around in there. I would anticipate a lot of work, and it is definitely a risk, just like any 'business' is. But then again, a nurse in LTC typically has what, 30-40 patients in her charge? I think to have 4-5 would be do-able. And the CNA who gets hired for that would probably be pretty happy too I would think!
I appreciate the response and input JeanMarie!
Quote from Jean Marie46514
I don't know anything about this, but, it's an interesting concept. I do NOT know this, but, i wonder-------, if you are private pay only,
mayyyybe you might not need to bother with JAHCO, doctor's orders (for diet, activity, etc,)
NPI numbers, HIPAA forms,
you still might need a Federal employer identification number (EIN) etc. And a "business" license.
If you are going to try for third party payors, oh yeah, i can imagine you now have tons and tons of requirement to be met, but, that is just a guess.
I bet some of these answers, will vary state to state.
Will you be doing any "skilled" nursing care for these people?
Or just food, ADLs and general supervision?
Do you plan to have employees?
Do you ever take vacations? If so, who watches these people while you are gone?
If patient declines, and you 'miss' noticing it, how hard will you be sued? I think you'd need a lot of legal advice for this project. If your home caught fire, and all 5 oldsers don't get evacuated, i think there's a liability there, too.
If you are busy with oldsters #1 -#4, while 5th oldster is trying to sneak into basement and falls, or drinking drano, i think you mihgt be the one who is responsible.
I see a lot of ways you could end up sued....Might be easier and safer to take in severely disabled, immobile foster kids who often come with many hours of their own nurses, therapists, etc. and all of their medical supplies are paid for, (you still get paid)
to take in 4 or 5 walking talking semi-helpless oldsters, who will only be getting MORE helpless with each passing year,
but, i don't know.
Either way, foster kids, or oldsters, is a ton of work, imo.
I'd get liability insurance and malpractice insurance, and red your home-owner's insurance policy reeeeal carefully with a lawyer next to you.
And i'd see a lawyer, about if you should become an LLC or incorporate yourself. (me, i'd see several lawyers on this, lawyers who specialize in nursing law, etc)
I'm also guessing you'd need a real good accountant to help you with your taxes.