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Caring for a parent from far away

Many retirees here moved from somewhere else, and their children did not come with them.

Quick answer

A durable power of attorney, a health care surrogate designation and HIPAA releases naming the out-of-state child, plus a list of doctors, medications, accounts and passwords kept somewhere both of you can reach.

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What documents should be in place?

A durable power of attorney, a health care surrogate designation and HIPAA releases naming the out-of-state child, plus a list of doctors, medications, accounts and passwords kept somewhere both of you can reach.

Florida requires two witnesses and a notary for a durable power of attorney. Without these documents, even routine conversations with a doctor or a bank can stall.

Who can be our eyes and ears locally?

A trusted neighbor or friend from church, a geriatric care manager hired privately, the parent's doctor's office, and, once a parent is in a facility, the administrator and the Long-Term Care Ombudsman Program for advocacy.

Ask a local helper to visit at varied times. A home that looks fine on Sunday afternoon may look different on a Wednesday morning.

How do we vet facilities from a distance?

Use the AHCA profile and inspection history (our directory reproduces them), CMS ratings for nursing homes, video tours, calls at different times of day, and at least one in-person visit before signing anything.

Among the 47 local ALFs licensed for 40 or more residents with a posted standard survey, the newest standard survey is a median 14 months old and cited a median of 0 deficiencies. Ask each facility how it communicates with distant family: a care conference schedule, email updates and who to call after hours.

How should visits be used?

Plan visits around appointments and care conferences, check the medication list and supplies, look at the room and the refrigerator, talk to the aides as well as the managers, and leave with a short list of follow-ups.

Flights into Daytona Beach International, Orlando and Jacksonville all serve the area; Palm Coast is roughly halfway between Daytona Beach and Jacksonville.

What local services can be arranged by phone?

Meals, home care, transportation, Medicaid screening and caregiver support can all be started by phone through ElderSource (1-888-242-4464), and home health or hospice can be arranged through the parent's doctor.

A senior advisor can shortlist licensed options and schedule tours so a short trip covers the most ground.

At a glance

From a distance you canFrom a distance you cannot
RecordsCheck licenses, inspections and CMS dataSee how staff treat residents day to day
ServicesArrange meals, home care and screening by phoneReplace a regular local visitor
DecisionsAct under a power of attorneyAct without one

Sources: Chapters 408, 429 and 651, Florida Statutes; Florida Administrative Code chapters 59A-36 and 65A-2; publications of AHCA, DCF, OIR and the Department of Elder Affairs; and the CareScout and VA tables named on the page. See our editorial standards for how figures are checked.

Not sure where to begin?

Answer five short questions and a local advisor will get back to you with licensed senior care options in Volusia and Flagler counties that match your situation and budget. It costs nothing and commits you to nothing.

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