NURSING HOMES, ELDERLY NURSING HOMES, ABOUT NURSING HOMES, ORANGE COUNTY, ORANGE COUNTY PROBATE WILLS TRUSTS, IRVINE ATTORNEY, LAGUNA WOODS ATTORNEY, LEISURE WORLD ATTORNEY, ALISO VIEJO ATTORNEY - LAGUNA BEACH ATTORNEY - ORANGE COUNTY LAWYER | ATTORNEY Southern California,, Laguna Woods Probate Attorney, Liesure World, Wills, Probate Lawyer, AB Trusts, ABC Trusts, Trust Funding, Life Insurance Trusts, Business Succession, Gifting, Retirement Planning, Business and Tax Planning, Special Needs Trusts, Life Insurance Trusts, Retirement Trusts, Simple Trusts, Charitable Gifts, Generation Skipping Planning, Marital Agreements, International Estate Planning, Elder Law, Conservatorships, Guardianships, Real Estate Inheritance, Aliso Viejo, Costa Mesa, Dana Point, Huntington Beach, Irvine, Laguna Beach, Laguna Hills, Laguna Niguel, Lake Forest, Mission Viejo, Newport Beach, Orange, Placentia, Rancho Santa Margarita, San Clemente, San Juan Capistrano, Seal Beach, Tustin, Villa Park, Coto de Caza, Ladera Ranch

___________________________________________
ORANGE COUNTY

PROBATE ATTORNEY - LAWYER
Trusts, Wills, Probate and Estate Planning
..

Free Initial Consultation - House Calls Upon Request
___________________________________________

9070 Irvine Center Drive, Suite 100, Irvine, CA 92618
Specializing in Probate, Trust Funding and Administration, Wills, Appointment of Guardianship for Children, Special Needs Planning, Incapacitation Planning, Advanced Health Care Directives, Business Succession Planning and More
"There is comfort in taking care of your loved ones"
Call Us Today! (949)916-6020

. Estate Planning
Creating a Trust in Orange County, California
Orange County Wills Lawyers
Advance Health Directive
Advanced Estate Planning
Business & Tax Planning
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Frequently Asked Questions

Contact Us


Hello, I'm Tracy Murphy
and
Our Law Office is located
in Orange County
Irvine, California:

"We are close to the
5 freeway and Bake
Parkway."


Our Address is:
Tracy Murphy
Attorney At Law
9070 Irvine Center
Drive, Suite 100
Irvine, CA 92618

Tel: (949)916-6020
Fax: (949)861-6520


"For Driving Directions
Click Here"


ARTICLES:
Article 1: What is Probate in California?
Article 2: Most Frequently Asked Questions About Probate in California,
Article 3: Glossary of Probate Terms
Article 4: California Probate Code
Article 5: How To Hire A Good Attorney
Article 6: What is a Living Trust?
Article 7: What is an Advance Health Care Directive?
Article 8: What is a Conseritorship or Gardianship?
Article 9: About Elderly Care
Article 10: Assisted Living
Article 11: Adult Day Care
Article 12: Long Term Care for the Elderly
Article 13: Nursing Homes
Article 14: Home Care

 

 

ABOUT ORANGE COUNTY


Tracy Murphy is
a Law graduate of
Loyola Law School
in Los Angeles.






Attorney Tracy Murphy
was a Professor of
Estate Planning for the
University of Phoenix







Tracy Murphy is
a lawyer member of the
California Bar Association




LINKS:
About Orange County
California
Where the majority
of my clients are located

 

 

 

 

TRACY MURPHY,
ATTORNEY AT LAW,
Specializes in:


Estate Planning

Trusts

Wills

Advanced Health
Care Directive

Probate Administration

Advanced
Estate Planning

Business Succession
and Tax Planning



Probate Administration

Probate Litigation

Real Estate Inheritance

Leisure World Estate Planning

Assisting,
guiding,
securing and
protecting you
and your family
now and
for the future in:

ESTATE PLANNING ATTORNEY ORANGE COUNTY

ORANGE COUNTY WILLS TRUSTS LAWYER

PROBATE ATTORNEY Southern Californiia

LIVING TRUSTS, WHY DO YOU NEED A LIVING TRUST, WHAT IS A LIVING TRUST?



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ARTICLE 13:



ELDERLY CARE: NURSING HOMES


A nursing home, skilled nursing facility (SNF), or skilled nursing unit (SNU), also known as a rest home, is a type of care of residents: it is a place of residence for people who require constant nursing care and have significant deficiencies with activities of daily living. Residents include the elderly and younger adults with physical disabilities. Adults 18 or older can stay in a skilled nursing facility to receive physical, occupational, and other rehabilitative therapies following an accident or illness.

United States
In the United States, nursing homes are required to have a licensed nurse on duty 24 hours a day, and during at least one shift each day, one of those nurses must be a Registered Nurse. In April, 2005 there were a total of 16,094 nursing homes in the United States, down from 16,516 in December, 2002. Some states have nursing homes that are called nursing facilities (NF), which do not have beds certified for Medicare patients, but can only treat patients whose payments source is Private Payment, Private Insurance or Medicaid.

Services
Services provided in nursing homes include services of nurses, nursing aides and assistants; physical, occupational and speech therapists; social workers and recreational assistants; and room and board. Most care in nursing facilities is provided by certified nursing assistants, not by skilled personnel. In 2004, there were, on average, 40 certified nursing assistants per 100 resident beds. The number of registered nurses and licensed practical nurses were significantly lower at 7 per 100 resident beds and 13 per 100 resident beds, respectively. Nursing facilities that participate in the Medicare and Medicaid programs are subject to federal requirements regarding staffing and quality of care for residents.[1] In 2004, 98.5% of the 16,100 nursing facilities nationwide were certified to participate in Medicare, Medicaid, or both. Medicare covers nursing home services for beneficiaries who require skilled nursing care or rehabilitation services following a hospitalization of at least three consecutive days. The program does not cover nursing care if only custodial care is needed for example, when a person needs assistance with bathing, walking, or transferring from a bed to a chair. To be eligible for Medicare-covered skilled nursing facility (SNF) care, a physician must certify that the beneficiary needs daily skilled nursing care or other skilled rehabilitation services that are related to the hospitalization, and that these services, as a practical matter, can be provided only on an inpatient basis. For example, a beneficiary released from the hospital after a stroke and in need of physical therapy, or a beneficiary in need of skilled nursing care for wound treatment following a surgical procedure, might be eligible for Medicare-covered SNF care. SNF services may be offered in a free-standing or hospital-based facility. A freestanding facility is generally part of a nursing home that covers Medicare SNF services as well as long-term care services for people who pay out-of-pocket, through Medicaid, or through a long-term care insurance policy. Generally, Medicare SNF patients make up just a small portion of the total resident population of a free-standing nursing home. Medicaid also covers nursing home care for certain persons who require custodial care, meet a state's means-tested income and asset tests, and require the level-of-care offered in a nursing home. Nursing home residents have physical or cognitive impairments and require 24-hour care. Almost no one can afford to pay for nursing home care "out of pocket."[clarify] They cost $5,000 per month or more.[clarify] Some deplete their resources on the often high cost of care. If eligible, Medicaid will cover continued stays in nursing home for these individuals. However, they require that the patient be "spent down" to poverty levels first, thus depleting their life savings.

Government regulations and oversight
All nursing homes in the United States that receive Medicare and/or Medicaid funding are subject to federal regulations. People who inspect nursing homes are called surveyors or, most commonly, state surveyors. The Minimum Data Set (MDS) is part of the U.S. federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes. This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems. For United States homes, the Centers for Medicare and Medicaid Services has a website which allows users to see how well facilities perform in certain metrics (see "Nursing Home Compare Tool" in the external link section below). CMS also publishes a list of Special Focus Facilities - nursing homes with "a history of serious quality issues." The US Government Accountability Office (GAO), however, has found that state nursing home inspections understate the number of serious nursing home problems that present a danger to residents. The GAO concluded that while CMS oversight has improved, there are still weaknesses in its oversight of nursing homes.[4][5] Care homes for adults in England are regulated by the Commission for Social Care Inspection. Nursing homes are subject to federal regulations and also strict state regulations. The nursing home industry is considered one of the two most heavily regulated industries in the United States (the other being the nuclear power industry)

Consumer choices
Current trends are to provide people with significant needs for long term supports and services with a variety of living arrangements. Indeed, research in the U.S as a result of the Real Choice Systems Change Grants, shows that many people are able to return to their own homes in the community. Private nursing agencies may be able to provide live-in nurses to stay and work with patients in their own homes. When considering living arrangements for those who are unable to live by themselves, potential customers consider it to be important to carefully look at many nursing homes and assisted living facilities as well as retirement homes, keeping in mind the person's abilities to take care of themselves independently. While certainly not a residential option, many families choose to have their elderly loved one spend several hours per day at an adult daycare center. Beginning in 2002, Medicare began hosting an online resource known as Nursing Home Compare . The program is intended to foster quality improving competition between nursing homes. Informed consumer choice has long been missing from decisions regarding the placement of the elderly in need. The website My Patient Guide provides a directory of New Jersey nursing homes and assisted living communities, along with a question-and-answer section.

Trends
Nursing homes are beginning to change the way they are managed and organized to create a more resident-centered environment, so they are more "home-like" and less "hospital-like." In these homes, nursing home units are replaced with a small set of rooms surrounding a common kitchen and living room. The staff giving care is assigned to one of these "households." Residents have far more choices about when they awake, when they eat and what they want to do during the day. They also have access to more companionship such as pets. Some organizations working toward these goals are the Greenhouse nursing home, the Pioneer Network, and the Eden Alternative. Many of the facilities utilizing these models refer to such changes as the "Culture Shift" or "Culture Change" occurring in the LTC industry.


Probate, Trusts, Wills, and Estate Planning Attorney

Servicing Orange County, Irvine, Laguna Woods, Leisure World, Seal Beach, Laguna Beach, Laguna Hills, Lake Forest, Mission Viejo, Laguna Niguel, Aliso Viejo, Coto De Caza, San Clemente, Newport Beach, Huntington Beach

Orange County's friendly and caring estate planning law office. The Law Office of Tracy Murphy is located in the city of Irvine, in Orange County, California. Tracy Murphy represents individuals, families, and small business owners in estate planning, business planning, and tax planning. Tracy Murphy is a knowledgeable estate planning attorney who understands the value of establishing trustworthy, long-term relationships with each client. Clients appreciate the availability of house calls and hospital visits at no additional cost.

Tracy Murphy, Attorney At Law sets the highest standards
in Custom Estate Planning, dedicated to today's needs and tomorrow's realities. Thorough and thoughtful evaluation of your needs guarantees the optimum solution for your circumstances - no matter how simple or complex.

Your attorney should be your advocate.
I will help you
plan one of the most important aspects of your future - your legacy. With information assembled in one-on-one meetings, we will personalize a trust that will put a legal frame to your needs and anchor your financial legacy.

Together we will set objectives, address concerns and custom-build an Estate Plan tailored to reflect your needs, lifestyle and goals. Caring continuing attention to the administration of your estate offers comfort to loved ones and helps avoid unnecessary family hardship.

"I believe the most important estate planning objectives are protecting what you have earned, and planning to provide for your loved ones" - Tracy Murphy.

Legal Services:  
   
SERVICES WILLS & TRUSTS
Estate Planning: Wills, Trusts, Probate, Revocable Living Trusts (inter vivos trusts)
Special Needs Planning Last Will & Testament
Incapacitation Planning Special Needs Trusts (Disabled)
Buy Sell Agreements Pour-over Will
Marital Agreements Accumulation and Maintenance trusts
Domestic Partnership Agreements Living Wills (End of life choices)
Trust Transfer Documents Discretionary Trusts
Property Deeds and Affidavits Incentive Trusts
HIPAA Releases Codicils
Powers of Attorney IRA Trusts
Guardianships Life Insurance Trusts (ILIT)
Trust Administration Irrevocable Trusts
Small Business Planning Qualified Terminable Interest Trusts (Q-TIP)
Federal Estate Tax Planning A/B Trusts
Advance Directives ABC Trusts
Marital Property Agreements Credit Shelter Trusts
Durable Power of Attorney for Finances Bypass Trusts
Durable Power of Attorney for Health Care Exemption Trusts
Charitable Giving Disclaimer Trusts
  Testamentary Trusts
Charitable Trusts
PROBATE ADMINISTRATION
Settling any disputes
Collecting all probate property of the decedent
Paying all debts, claims and taxes owed by the estate
Collecting all rights to income, dividends, etc.
Distributing or transferring the remaining property to the heirs
   
.

ABOUT ORANGE COUNTY WHERE THE MAJORITY OF OUR CLIENTS ARE:

Orange County is a county in Southern California, United States. Its county seat is Santa Ana. According to the 2000 Census, its population was 2,846,289, making it the second most populous county in the state of California, and the fifth most populous in the United States. The state of California estimates its population as of 2007 to be 3,098,121 people, dropping its rank to third, behind San Diego County. Thirty-four incorporated cities are located in Orange County; the newest is Aliso Viejo.

Unlike many other large centers of population in the United States, Orange County uses its county name as its source of identification whereas other places in the country are identified by the large city that is closest to them. This is because there is no defined center to Orange County like there is in other areas which have one distinct large city. Five Orange County cities have populations exceeding 170,000 while no cities in the county have populations surpassing 360,000. Seven of these cities are among the 200 largest cities in the United States.

Orange County is also famous as a tourist destination, as the county is home to such attractions as Disneyland and Knott's Berry Farm, as well as sandy beaches for swimming and surfing, yacht harbors for sailing and pleasure boating, and extensive area devoted to parks and open space for golf, tennis, hiking, kayaking, cycling, skateboarding, and other outdoor recreation. It is at the center of Southern California's Tech Coast, with Irvine being the primary business hub.

The average price of a home in Orange County is $541,000. Orange County is the home of a vast number of major industries and service organizations. As an integral part of the second largest market in America, this highly diversified region has become a Mecca for talented individuals in virtually every field imaginable. Indeed the colorful pageant of human history continues to unfold here; for perhaps in no other place on earth is there an environment more conducive to innovative thinking, creativity and growth than this exciting, sun bathed valley stretching between the mountains and the sea in Orange County.

Orange County was Created March 11 1889, from part of Los Angeles County, and, according to tradition, so named because of the flourishing orange culture. Orange, however, was and is a commonplace name in the United States, used originally in honor of the Prince of Orange, son-in-law of King George II of England.

Incorporated: March 11, 1889
Legislative Districts:
* Congressional: 38th-40th, 42nd & 43
* California Senate: 31st-33rd, 35th & 37
* California Assembly: 58th, 64th, 67th, 69th, 72nd & 74

County Seat: Santa Ana
County Information:
Robert E. Thomas Hall of Administration
10 Civic Center Plaza, 3rd Floor, Santa Ana 92701
Telephone: (714)834-2345 Fax: (714)834-3098
County Government Website: http://www.oc.ca.gov

CITIES OF ORANGE COUNTY CALIFORNIA:


City of Aliso Viejo, 92653, 92656, 92698
City of Anaheim, 92801, 92802, 92803, 92804, 92805, 92806, 92807, 92808, 92809, 92812, 92814, 92815, 92816, 92817, 92825, 92850, 92899
City of Brea, 92821, 92822, 92823
City of Buena Park, 90620, 90621, 90622, 90623, 90624
City of Costa Mesa, 92626, 92627, 92628
City of Cypress, 90630
City of Dana Point, 92624, 92629
City of Fountain Valley, 92708, 92728
City of Fullerton, 92831, 92832, 92833, 92834, 92835, 92836, 92837, 92838
City of Garden Grove, 92840, 92841, 92842, 92843, 92844, 92845, 92846
City of Huntington Beach, 92605, 92615, 92646, 92647, 92648, 92649
City of Irvine, 92602, 92603, 92604, 92606, 92612, 92614, 92616, 92618, 92619, 92620, 92623, 92650, 92697, 92709, 92710
City of La Habra, 90631, 90632, 90633
City of La Palma, 90623
City of Laguna Beach, 92607, 92637, 92651, 92652, 92653, 92654, 92656, 92677, 92698
City of Laguna Hills, 92637, 92653, 92654, 92656
City of Laguna Niguel
, 92607, 92677
City of Laguna Woods, 92653, 92654
City of Lake Forest, 92609, 92630, 92610
City of Los Alamitos, 90720, 90721
City of Mission Viejo, 92675, 92690, 92691, 92692, 92694
City of Newport Beach, 92657, 92658, 92659, 92660, 92661, 92662, 92663
City of Orange, 92856, 92857, 92859, 92861, 92862, 92863, 92864, 92865, 92866, 92867, 92868, 92869
City of Placentia, 92870, 92871
City of Rancho Santa Margarita, 92688, 92679
City of San Clemente, 92672, 92673, 92674
City of San Juan Capistrano, 92675, 92690, 92691, 92692, 92693, 92694
City of Santa Ana, 92701, 92702, 92703, 92704, 92705, 92706, 92707, 92708, 92711, 92712, 92725, 92728, 92735, 92799
City of Seal Beach, 90740
City of Stanton, 90680
City of Tustin, 92780, 92781, 92782
City of Villa Park, 92861, 92867
City of Westminster, 92683, 92684, 92685
City of Yorba Linda, 92885, 92886, 92887

Noteworthy communities Some of the communities that exist within city limits are listed below: * Anaheim Hills, Anaheim * Balboa Island, Newport Beach * Corona del Mar, Newport Beach * Crystal Cove/Pelican Hill, Newport Beach * Capistrano Beach, Dana Point * El Modena, Orange * French Park, Santa Ana * Floral Park, Santa Ana * Foothill Ranch, Lake Forest * Monarch Beach, Dana Point * Nellie Gail, Laguna Hills * Northwood, Irvine * Woodbridge, Irvine * Newport Coast, Newport Beach * Olive, Orange * Portola Hills, Lake Forest * San Joaquin Hills, Laguna Niguel * San Joaquin Hills, Newport Beach * Santa Ana Heights, Newport Beach * Tustin Ranch, Tustin * Talega, San Clemente * West Garden Grove, Garden Grove * Yorba Hills, Yorba Linda * Mesa Verde, Costa Mesa

Unincorporated communities These communities are outside of the city limits in unincorporated county territory: * Coto de Caza * El Modena * Ladera Ranch * Las Flores * Midway City * Orange Park Acres * Rossmoor * Silverado Canyon * Sunset Beach * Surfside * Trabuco Canyon * Tustin Foothills

Adjacent counties to Orange County Are: * Los Angeles County, California - north, west * San Bernardino County, California - northeast * Riverside County, California - east * San Diego County, California - southeast
.

 
     


ORANGE COUNTY
PROBATE ATTORNEY - PROBATE LAWYER
Trusts, Wills, Probate and Estate Planning
..

Free Initial Consultation - House Calls Upon Request

LIVING TRUSTS, WHY DO YOU NEED A LIVING TRUST, WHAT IS A LIVING TRUST?

Disclaimer: The information contained on this Southern California estate planning website is not intended as a source of legal advice. You should not act upon or rely on information at this or any other website without the advice of a competent Southern California Estate Planning attorney, especially if you reside outside the State of California, where we are not licensed to practice law and do not give legal advice. Please note that making a phone call or sending an e-mail does not create an attorney-client relationship; this requires a written agreement. Do not e-mail any confidential information to us until an agreement is signed. This website is intended for educational and informational purposes only.

Tracy Murphy Attorney At Law, 9070 Irvine Center Drive, Suite 100, Irvine, CA 92618
Tel: (949)916-6020, Fax: (949)861-6520

"For Driving Directions Click Here"


Specializing in Trusts, Trust Funding and Administration, Wills, Appointment of Guardianship for Children, Special Needs Planning, Incapacitation Planning, Advanced Health Care Directives, Business Succession Planning and More


OUR CUSTOMERS COME FROM THE FOLLOWING CITIES FOR TRUSTS, WILLS, AND FINANCIAL PLANNING:

Aliso Viejo, 92653, 92656, 92698, Anaheim, 92801, 92802, 92803, 92804, 92805, 92806, 92807, 92808, 92809, 92812, 92814, 92815, 92816, 92817, 92825, 92850, 92899, Brea, 92821, 92822, 92823, Buena Park, 90620, 90621, 90622, 90623, 90624, Costa Mesa, 92626, 92627, 92628, Cypress, 90630, Dana Point, 92624, 92629, Fountain Valley, 92708, 92728, Fullerton, 92831, 92832, 92833, 92834, 92835, 92836, 92837, 92838, Garden Grove, 92840, 92841, 92842, 92843, 92844, 92845, 92846, Huntington Beach, 92605, 92615, 92646, 92647, 92648, 92649, Irvine, 92602, 92603, 92604, 92606, 92612, 92614, 92616, 92618, 92619, 92620, 92623, 92650, 92697, 92709, 92710, La Habra, 90631, 90632, 90633, La Palma, 90623, Laguna Beach, 92607, 92637, 92651, 92652, 92653, 92654, 92656, 92677, 92698, Laguna Hills, 92637, 92653, 92654, 92656, Laguna Niguel, 92607, 92677, Laguna Woods, 92653, 92654, Lake Forest, 92609, 92630, 92610, Los Alamitos, 90720, 90721, Mission Viejo, 92675, 92690, 92691, 92692, 92694, Newport Beach, 92657, 92658, 92659, 92660, 92661, 92662, 92663, Orange, 92856, 92857, 92859, 92861, 92862, 92863, 92864, 92865, 92866, 92867, 92868, 92869, Placentia, 92870, 92871, Rancho Santa Margarita, 92688, 92679, San Clemente, 92672, 92673, 92674, San Juan Capistrano, 92675, 92690, 92691, 92692, 92693, 92694, Santa Ana, 92701, 92702, 92703, 92704, 92705, 92706, 92707, 92708, 92711, 92712, 92725, 92728, 92735, 92799, Seal Beach, 90740, Stanton, 90680, Tustin, 92780, 92781, 92782, Villa Park, 92861, 92867, Westminster, 92683, 92684, 92685, Yorba Linda, 92885, 92886, 92887, Coto de Caza, El Modena, Ladera Ranch, Las Flores, Midway City, Orange Park Acres, Rossmoor, Silverado Canyon, Sunset Beach, Surfside, Trabuco Canyon, Tustin Foothills