The Special Focus Facility program is a great tool for the Centers for Medicare and Medicaid Services as well as for consumers. I don’t image many nursing home facility administrators brag about their participation in the SFF program so this is one of those things you need to research on your own.

Connecticut had only two facilities on the most recent Special Focus Facility report. Chelsea Place Care Center is included in the list of nursing homes that have shown improvement while being a Special Focus Facility for 11 months. The Wethersfield Health Care Center is also identified as showing improvement while being in the SFF program for 37 months. Hopefully Wethersfield Health Care Center will graduate from the program soon after such a prolonged stay.

Additional information on what the Special Focus Facility program is and what it means to you as a consumer can be found here.

It is no secret that Connecticut’s nursing home “system” leaves a lot to be desired. We pay outrageous costs for average and below average care in many cases. A new federal report revealed an even more alarming trend. Connecticut nursing homes are distributing anti-psychotic drugs to residents that do not need them. And for the big picture perspective, Connecticut nursing homes are distributing these medications faster than every other state in the country except Louisiana.

Unfortunately this report highlights why many families choose to have an attorney involved in their nursing home advocacy. A family member in a nursing home is vulnerable and rarely in a position to protect their own rights.

Source: WTNH Report

This is the second post in my series on critical mistakes people make when facing a Connecticut Medicaid situation. Today I am going to look at a strategy that many people use for different reasons, disinheritance and non-binding oral trusts.

There can be a lot of anxiety when a loved one is in a nursing home and your assets are dwindling at the rate of +$9,000 every month. Unfortunately this anxiety can also lead to poorly informed decisions. Some families I meet come to me with an estate plan that disinherits a loved one that is in a nursing home or on Connecticut Title 19 Medicaid. The logic of this plan is to protect the family assets from being wiped out. This is a knee-jerk reaction that creates more problems than it solves in my opinion.

What can go wrong?

Many times I have family members contact me because a parent has disinherited the other parent (living in a nursing home or diagnosed with dementia) with the understanding that one child or all the children would actually use the funds to provide care for the surviving parent.

The first issue is that such an arrangement is almost non-existent on the scale of enforceability. At best there could be an oral trust but one side of the oral contract is deceased and if there is a conflict it is obvious that the other side of the contract (the child who received the funds) is saying there is no contract. Where is the evidence? At worst, the funds received by the child or children are treated as they look, outright bequests with no strings attached.

A second issue is liability concerns. The funds you intend to care for the surviving parent are now exposed to the liabilities of the person chosen to hold the funds. Common liability risks include divorce, bankruptcy, or even a car accident.

A family with a loved one in a nursing home or on a government benefits program has a choice. Disinheritance is not the only option. Disinheritance is not the preferred option and the government even recognizes this fact by providing specific protection to specific estate planning strategies.

A Special Needs Trust allows you to leave a legacy of care for a loved one in a nursing home without handing over everything to pay nursing home bills. It is absolutely critical that this unique planning is done by an experienced Connecticut special needs attorney because these trusts are reviewed by government benefits agencies and in Connecticut they are usually reviewed by the Attorney General’s office. One mistake in the document and the assets of the trust could be used to pay for bills you did not intend to pay.

I have seen too many families torn apart by using disinheritance as asset protection. There is no need for it. You have a choice. Put your plan on paper and leave your family with some security.

As we kick off the new year it is a good time to take a look back at 2007.

I am proud of what this site accomplished in 2007. Starting with no visitors as all sites do and moving up to 600 visitors a month is great, and exceeded my expectations. I appreciate everyone that stops by and takes the time to get educated about Connecticut estate planning and elder law issues. I hope you find the information here valuable and will visit again.

The most popular posts of 2007 were:

1. Estate Planning for Title 19;
2. 9 Questions to Ask BEFORE Entering a Nursing Home;
3. Revocable Trusts and Connecticut Medicaid;
4. Title 19 Penalties and Gifts;
5. Myths and Realities of Living Trusts in Connecticut.

Five is enough. I won’t bore you with a top ten.

I’m already working on making 2008 a great follow-up to what we accomplished in 2007. Stay tuned for details. Have a happy and healthy new year.