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Contact Nancy Comenitz Real Estate

If you have any questions or need more detailed information, please feel free to contact me via phone at 617.232.4186 or fill out the form to let us know how we can help with your real estate needs.

Office Location 77 Pond Avenue,
Brookline, MA
Phone: (617) 232-4186
Fax: (617) 232-7954

               Consumer Checklist

 

Resident Information

22816425_19 How many units in the ALR?______________________________

22816425_19 Is there a Special Care Residence(SCR)?

      Yes_________      No__________         # Units_____________

22816425_19 What type of special needs does the Special are Residence address?

_______________________________________________________

22816425_19 Is there a subsidy program available in the Residence for people with                 limited incomes and assets? ________________________________

_______________________________________________________

Services Included in the Monthly Fee

Assistance with:

  Daily Weekly Time Limit
 Bathing   
 Dressing   
 Grooming   
 Transferring   
 Toileting   
 Meals (#day)   
 Housekeeping   
 Shopping   
 Laundry   
 Transportation   
 Snacks   
 Activities   

 

 

 

 

 

 

 

 

 

 

 

OTHER Serrvices Included:

____________________________________________________________

____________________________________________________________

____________________________________________________________

22816425_19  Self-Administered Medicine Management (SAMM)
       black_square_6x6_6_02  Included in the monthly fee?   Yes____     No ____
       black_square_6x6_6_02  If no, what is the cost per month: $_______________

 

22816425_19  Limited Medication Administration (LMA)
       black_square_6x6_6_02  Does the Residence provide LMA?  Yes_____  No  ____
       black_square_6x6_6_02  Included in the monthly fee?                Yes____    No ____
       black_square_6x6_6_02  If no, what is the cost per month: $_______________
 

ALR-Monthly Fee:      $___________________

SCR- Monthly Fee:    $___________________

 

Other Questions to Consider

22816425_19  What other services do you need that are not included in the basic service package?

_____________________________________________________________

_____________________________________________________________

 

22816425_19  What are the associated  costs for those services you are seeking that are not included   in the basic service package

$______________________________________________________________

 

22816425_19  Does your Residence offer the opportunity for a respite swtay? If so what is the cost per day?  $___________ per day

 

22816425_19  Is the Residence conveniently located to:

family members_____________________________________________
                                             friends____________________________________________________
                               doctor_____________________________________________________
                                        hospital____________________________________________________
                              shopping___________________________________________________
                                                                                                                                                     place of worship______________________________________________
                                                  other:______________________________________________________ 

Notes______________________________________________________

___________________________________________________________


___________________________________________________________

Final Checklist

Before you sign an agreement, review the list below to make certain that all of your   needs will be met for a cost you can afford:

bd15136__copy_12  Know what all of the upfront costs are:

     black_square_6x6_6_02  Entrance Fee:     $________________

     black_square_6x6_6_02  Application Fee: $_________________

     black_square_6x6_6_02  Deposit:               $_________________      

 

  Know what the basic service package includes as well as the cost for that package:

$____________________/month

 

  Know the cost of additional services:
                                                                                                                                               Service___________________________     $________________
                                                                                                                       Service___________________________     $________________
                                                                                             Service___________________________     $________________
         

 

  Understand exactly what services you are going to receive each day.

 

  Know the circunstances of how often fees will increase and how much advance notice is given to the resident.

 

  Receive a complete copy of the Residency Agreement and the Disclosure Statement.

 

  Take one final tour of the Residence and surrounding community.

 

  Have the name and number of your contact and Residence for follow-up questions.

 

Notes: 

__________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

 

For more imformation you may call:

Massachusetts Executive Office of Elder Affairs
1-800-243-4636
TTY: 1-800-872-0166
Website: http://www.800ageinfo.com/

 

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