About Us/Client Profile | Golden Rule Senior Placement Services

About Us

Linda M. McKenna

As the Owner and Senior Care Advocate of Golden Rule Senior Placement Services, LLC, I understand firsthand how emotionally challenging and overwhelming it can be for families to navigate the process of senior living placement.

My personal journey began when I had to place both of my parents into care at the same time. This deeply personal experience inspired me to launch this business with the mission of supporting others through similar transitions.

With over 25 years of experience in the home health care field, I specialize in all types of senior living communities. I am also a Certified Assisted Living Administrator, which provides me with access to detailed information about licensed senior care facilities. These communities are regularly reviewed and monitored by the State to ensure high standards of care.

I am dedicated to offering personalized, compassionate service tailored to your unique needs—because every family deserves guidance they can trust during this important time.

You have Golden Rule Senior Placement Service’s promise…

“We treat our Seniors as we would want to be treated ourselves.”

Date:

Referred By:

Have you communicated with any other placement services? (online or other)

Yes

If you answer yes, which one(s)

Have you navigated and /or contacted any senior living communities on your own?

Yes

If yes, which one(s)

Prospective client's name:

Where does the prospective client live? (state, county, city)?

Date of birth:

Prospective client's primary language:

Contact name: (if different from prospective client above)

Relationship to prospective client:

Are YOU the prospective client's POA (power of attorney)?

YES

If not, please provide the current POA's name.

Contact telephone #:

Cell phone # (for texting purposes):

Contact resides in:

Contact's e-mail address:

Medical healthcare insurance of prospective client (Part A/Part B):

Prospective client's primary care physician:

Are you aware that residency in a Senior Living Community is primarily private pay (not including LTC Insurance Policies, Veterans Benefits, Etc.)?

YES

What is the prospective client's monthly budget and affordability long term?

Is prospective client currently on state funded long term care Medicaid program?

Yes

If yes, which long term care Medicaid program is the prospective client currently on?

If no, is the prospective client planning to apply for the above?:

Yes

Is obtaining long term care Medicaid (which is only applied to care costs) a key factor in being able to afford senior living along with the currently budget and overall long term affordability?

Yes

Veteran:

Spouse of veteran:

Active during war time?:

What type of senior living placement are you interested in?

Prospective client's room/apartment preference?

Preferred geographical placement location:

Prospective client primarily utilizes:

Cane

Walker

Wheelchair

Motorized Scooter

No assisted devices

Does prospective client suffer from any of the following?

Decreased Mobility

Oxygen Dependent

Diabetic Insulin Dependent

Speech/Swallowing

Incontinence

Low Vision

Hearing Deficit

None of the above

Has prospective client been medically diagnosed with any memory impairment?

Has prospective client been diagnosed with any mental illness?

What other medical diagnoses does the prospective client need monitoring for? (please specify all)

Prospective client's social interests (i.e. Activities, Hobbies, etc..)

Prospective client's spiritual denomination:

Time frame for placement: Within 30 days?

31 Days or More? (please be specific)

Please enter any other pertinent information we need to know that will assist in the placement process:

About Us

PROSPECTIVE CLIENT PROFILE

PLEASE FILL IN THE ENTIRE PROFILE AS THE INFORMATION PROVIDED IS VITAL TO POTENTIAL PLACEMENT