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Catherine23 Asked August 2017

Can nursing facility refuse to put mom on waiting list?

My mother was sent to rehab after surgery and now needs long care nursing.

JoAnn29 Aug 2017
I think she is talking about an Assisted living. Yes, they can turn Mom away. ALs are limited in the care they r able to give.

igloo572 Aug 2017
If the facility mom is currently in is actually more of a dual highly specialized rehab & ltc facility, they may not take her into the LTC wing if her care plan is more routine. They can refuse her placement onto their waiting list. Could this be the situation?

I've known of this situation twice. Both were serious auto accident trauma with brain injury & major reconstructive surgery. Went to a specialized rehab facility that also has LTC side. Once out of rehab, they transition to LTC side & LTC still had a pretty specialized staff & limited # of beds. Once they get better, they transition again from the specialized LTC to a regular NH or go home. But they cannot stay there indefinitely.

If this at all spunds to you like the situation you're in, please Really try to clearly find out what the anticipated care plan is for your mom & what type of facility can provide it.

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GardenArtist Aug 2017
To clarify, you're referring to a long term care facility, accepting someone from a shorter term rehab facility? And this would be in-facility care, not long term home care, right?

BarbBrooklyn Aug 2017
So, a bit more of a tale; my mom had a stroke, went to acute rehab for about a week and we were then told to find her a sub acute facility.

We found her a lovely place that had an AL attached. Long term plan! Yay us!

Vascular dementia developed while mom was in sub acute rehab. This particular place did not accept AL clients who had a pre-existing dx of dementia. No amount of arguing this point got them to change their stance.

So, the reason they would not accept mom had to do with her dx. Have you asked about that?

BarbBrooklyn Aug 2017
Go talk to the business office and find out what the story is.

pamstegma Aug 2017
Well, they can't just throw her out into the street. There has to be a reason why she is not on the waiting list. Is she insistent on going home? Is she refusing to pay the bill? Is she competent or incompetent? Usually there is a social worker and a discharge coordinator who consults with the patient and family members.
If mom gave away assets, Medicaid won't pay until the assets are recovered.
In some states with "filial responsibility" laws, the children can be forced to pay for the nursing home if they received assets from mom or dad.
Elders who sign the house over to kids, or the car, or bank accounts, thinking Medicaid will pick up the tab for the nursing home are in for a shock when Medicaid asks for 5 years of financial records. It gets very messy.

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