Hospital to Rehab; One Consumer's Experience
I find that a lot of posters are caught off-guard when their parents go to rehab from a hospital and then turn out to need long term care. Often, the patient has no funds, is going to have to apply for Medicaid and the facility where they've been placed will not accept "Medicaid Pending" residents. It's SO very important while your parent is in the hospital to meet with the discharge planning folks, discuss what the long term plan might be and to be upfront about what resources your parent has. I can recall doing this with the RN who did planning at the hospital my mom was in, post hip fracture, which was 2 months after a stroke. She was a sweet but very businesslike woman who said "okay, what does mom have, asset-wise?" My brother and I were put off, but CPA/MBA sister in law had all the figures in her head, and having been through this with both of her parents knew what the nurse was looking for. If your parent can private pay for some number of months or years, many facilities will accept a patient for rehab and transition them to long term care, knowing that the funds are there to private pay for a certain term until the spend down and Medicaid application. I think it's absolutely essential to understand this. It's also good to know, if parent has NO funds, that it might be better to place them in a facility that accepts Medicaid from the outset of rehab so that you're not left scrambling to find them a "Medicaid pending placement" down the road.