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RU2Fedup Asked February 2022

Rehab/skilled nursing facility wants to discharge my dad, but he can't even sit unassisted on the toilet. How do I contest his early release?

He has multiple fractures, 9 broken ribs, broken neck, broken shoulder blade, broken arm, wrist, and hip. He is 83 years old.

MargaretMcKen Feb 2022
You will have worked out from the other answers that Rehab is for Rehabilitation, in other words getting Dad able to do things that he can’t currently do. If that’s not going to happen, then Rehab is genuinely inappropriate and won’t be paid for. When you appeal/ talk to them, don’t focus on what he CAN’T do, focus on whether more physio etc might make him able to do things that he can’t do now. That justifies Rehab, and that's what you put in your contested discharge appeal.

If he just needs time to let the broken bones knit, or recover generally, he is probably largely bed-bound, and needs nursing care, not Rehab. Go back to his insurance, and see whether a different option would be better. Good luck!

RU2Fedup Feb 2022
I should have familiarized myself with the difference between a skilled nursing facility and a separate inpatient rehab facility. My dad is in a separate inpatient rehab facility. He has been progressing and completing the tasks that are asked of him however, he still is so weak and has only been there for five days. He was only in the hospital for three days and that included the surgery he had on his hip. The man can't shower alone, walk unassisted, or dress. He has too many broken bones. He will be going back to his home and my Mom who is not in the best of health will care for him. Other family members will help as well when they are able to do so. He has excellent insurance and money to pay for any extras. I will contest the discharge. Thank you all for your help.

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Daughterof1930 Feb 2022
Is the discharge due to dad not progressing in therapy?

JoAnn29 Feb 2022
Rehab is not skilled nursing. Its mainly physical therapy. If Dad has hit a plateau or is not progressing, Medicare will not pay for rehab. Your Dad seems to need skilled nursing which Rehab does not do. You may have to transfer him to SN but its expensive. You may have to apply for Medicaid if he has no money.

BarbBrooklyn Feb 2022
You start by saying "no".

Have they given you official discharge papers? There is information on those how to file an appeal. Do so immediately.

Get in touch with the head of the therapy department, or his physical therapist. Why is he being discharged? Lack of progress? Is dad saying "no, I'm too tired"?. Refusing therapy will get him discharged.

What are your plans for where dad goes next?

Have you considered him staying at this facility as a long term care residemt?

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