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Sthbell1 Asked May 5, 2023

What do we need to do to get my mother into skilled nursing immediately?

My mother has congestive heart failure, dementia, a UTI and a small fracture in her back. When we took her to ER they would not admit her and when we made a Dr. appointment for the next day, she sent her home despite saying she couldn't stay home alone. She also said that she would write her in after the x-ray result. In reality, she canceled her home health because my mother's long term Dr. retired and then didn't write her for anything. So, no skilled nursing or antibiotics. She has Medicare A and B and pays $330 a month for Pekin supplement ins. Yet, they turned her away even though we were verbally told once that following an x-ray, she could be admitted into skilled nursing. My family is stunned by the treatment of an 89-year-old tax paying, law abiding, and insurance holding citizen. Please, any advice on what to do next? We feel lost, frustrated and she's getting weaker by the day.

mstrbill May 6, 2023
I'm a little confused, hopefully OP can come back and clarify. Are you looking to have mom go into a NH long term? Or just for rehab? It appears the professionals didn't think she needs rehab in a SNF for anything in particular. Did the Xray not show enough damage to allow her to be placed? Even if she were admitted, Medicare would only pay for a limited amount of days. If you would like to place her in a NH for long term care, you need to call on the various NH's in the area and see if they have open beds. Then you would apply to the ones you like that have openings. You would have to pay the facility until mom's money ran out, then you would apply for LTC Medicaid.

Way2tired May 6, 2023
You could call your local department of aging , or elderly services . Different regions have different names for it . Check your county and state websites . A social worker will be sent out to see mother in law and can assist with finding a facility . Tell the social worker you can’t care for her any more . Is your mother refusing to leave her home ?
This is not the same as APS , ( adult protective services ).

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Ohwow323 May 5, 2023
Hospital should refer you to a social worker so you can get her into a nursing facility. Call the doctor and have him refer you to one.

ZippyZee May 5, 2023
is the issue she can’t afford it, or is she refusing to move?
Way2tired May 6, 2023
Good question
ventingisback May 5, 2023
If she's still mentally competent (dementia doesn't automatically mean mentally incompetent; there are many levels of dementia), then she can't be forced into a NH.

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