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Finding the right path…

We are committed to maximizing the independence of older adults. We strive to ensure that the highest quality and most cost-effective services are secured on your behalf.

We help you to obtain home care, to select an Adult Day Program, Assisted Living Community or Nursing Home, as appropriate.

We guide you through the Medicaid process from start to finish whether at home, in assisted living or in a nursing home.

Each person’s situation is unique. There are times when family members or friends find it increasingly difficult to manage the responsibilities of caregiving. It is so important to avoid naturally occurring caregiver “burnout”, when the caregiver feels exhausted, overwhelmed, irritable, discouraged and susceptible to illness.

We will prepare you in advance of our initial consultation. We will meet to review your family’s health care and financial needs and develop strategies tailored to achieve your goals.

We will be available to answer your questions. Our goal is to provide the security of knowing that we will address your issues together. We would like to give you the support you are looking for.

You will not be doing this alone.
We can provide information and referrals to legal, financial, health care, support groups and other social service agencies and professionals who specialize in working with older adults and their families.

Care Coordination

We will:

  • Help you to obtain the appropriate assistance so your loved one can remain at home
  • Home Care, downsizing and organizing
  • Assist with selecting the right model (Social or Medical) Adult Day Program
  • Assist with the selection of an Assisted Living Community that will meet your needs and budget and refer you, if requested, to a move manager to make the transition a smooth one
  • Assist with the selection of and admission process to a nursing home

When indicated, you can work with a Board-Certified Patient Advocate, to easily access the care you need for your loved one that will address their individual needs.  Our mission is for our clients to enjoy fuller health and a quality of life while YOU as the concerned and loved one get to BE the loved one as WE get the health care in place.  Providing you with the answers to your care needs is at the heart of everything we do.


The process of obtaining Medicaid funded care can be lengthy and complex. We will outline the steps we need to take to achieve the best outcome.

For Community based Medicaid, we will:

  • Guide you as you collect required documentation
  • Prepare a Pooled Income Trust to shelter surplus income, if needed
  • Prepare and file a complete application
  • Coordinate home care and managed long term care (MLTC) services

For Long Term Nursing Home based Medicaid, we will:

  • Guide you through the admission process, including referral for a PRI (Patient Review Instrument)
  • Guide you as you collect required documentation
  • Maintain communication with the nursing home
  • Prepare and file a complete application

In all cases, we follow Medicaid applications through to completion.

Professional Background

Pam has a Master’s Degree in Gerontological Services Administration and is a Certified Senior Advisor.

She has enjoyed working with older adults for over 30 years in positions which have broadened her awareness and strengthened her desire to address their needs.

  • Elder Care Consultant
  • Elder Law Paralegal
  • Associate Director of the NYC Department for the Aging’s Alzheimer’s Resource Center
  • Director of a Multi-Service Senior Center, where she administered a unique medication monitoring program, staffed by a Registered Pharmacist and Nurse Practitioner
  • Assistant Director of Activities at a nursing home
  • Volunteer Support Group Leader for family caregivers of those with Alzheimer’s Disease
EGF of Brooklyn, New York:

It has been my experience that Pam Klagsbrun is devoted to her work, a consummate professional. When addressing your family’s needs, Pam will always go the extra mile. You will find that no question will go unanswered, no problem will go unresolved.

HB of Queens, New York:

We had to move my 94 year old mom back to NY after residing in Florida for many years. I didn’t know where to start in the search for assisted living. Pam helped me through this maze, making appointments for me to meet with the directors of different places. She continues to help, walking me through what’s involved in a move like this – all the little details of a senior’s life – doctors, on-line medications, Social Security. Pam is so knowledgeable about these things, but more than that her warmth and concern isn’t fake – she truly cares and goes out of her way to help you and your parent. I keep calling her to ask questions and she never makes me feel silly.

DQ of Bronx, New York:

I don’t know if you’ll remember me.  I’m DQ; you helped my sister R and me get our mom D onto Community Based Medicaid a few years ago.  

Mom died last fall of dementia, but her last years were spent in the care of great aides who were made possible through your expertise.This is a late but heartfelt thank you for your skill and kindness. 

I’ve recently recommended you to a friend and will happily continue to do so.  

GV of Corales, New Mexico:

Thanks for everything. It goes without saying that, without your help, we never would have gotten this approval from Medicaid.

PG of Westbury, New York:

Pam is knowledgeable, supportive and reliable. I never felt alone during a most difficult time. She is reassuring and got the job done in a timely, efficient manner and is always available to answer my many questions and concerns. If Pam is working with you, you can relax.

RG of Brooklyn, New York:

Pam’s knowledge and professionalism eased us through what might have been a long and emotionally difficult process. My mother was happy at her residence but was requiring an increasing amount of aid. The escalating costs were unsustainable. The family had to make the difficult decision to move her from a place she loved to a place that would accept Medicaid. Not only did Pam suggest a place that Mother adjusted to quickly and loves, but Pam coordinated the difficult Medicaid bureaucratic process seamlessly and within a few short months, we had the resources to keep Mother secure and happy. We are extremely grateful for the compassion and professionalism Pam offered, averting what might otherwise have been a dark time for our family.

MB of Little Neck, New York:

I am not a person who usually writes testimonials but, in Pam’s case, she is worthy of so many accolades that I had to try to put them into words.  My mother required way more assistance than I could provide, and I needed her to be safe but, wanted to keep her in her home.  I had no idea as to what to do and turned to Pam for help.  She came to my mother’s house, met with her and was able to convince her to allow someone to come in and care for her.  Pam arranged everything methodically – the Medicaid process with all its paperwork, establishing a pooled trust, and referrals to home care agencies.  She is determined when dealing with the bureaucracies and somehow had my mom “hooked up” within a few months! She was and is always available to listen during and even after the process is complete.  She is a calm, kind, and knowledgeable presence during a very trying phase.  She is part of our family and we will forever be grateful!