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My husband is going to need long term acute care that they dont provide in the usual nursing home setting. We are in Pennsylvania. This kind of care is sparse to nonexistant.
Are there states that have better options ?

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I could use more information to give a helpful answer. It depends upon your husband's age. Is he eligible for Medicare? Medicaid? I'm not sure what you mean by long term acute care. Acute care is usually considered short term.

Medicare and most insurances do not pay for long term custodial care but do pay for acute care. I always recommend that people invest in Long term care insurance.

There are a lot of options for long term care and acute care. There are books that explain the various options such as assistive living and board and care.

I am not sure which Skilled Nursing Facilities you have investigated for your husband. They provide more skilled care than the other options. There is also the option of home care services.

Sorry that I can not be more specific but it would be easier to answer if I knew more about your husband's situation.
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It is available where you live...keep looking.
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I checked this out about two years ago given the unknown future life expectancy for my husband. Arkansas was the best nationwide that I found. Despite living in California, I kept Arkansas in my 'back pocket' as a possibility should it be needed. I share this only to say that sometimes we need to think outside the box or in this case, outside our local area and even or state to find the care for our loved ones that we can afford and still have enough money to provide for our care when our turn comes.
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Michigan is NOT good at this time. The Nursing Home Association pumped approximately $37K into Gov. Snyder's campaign & now do whatever they please. It is NOT a good state to be an elder or family caregiver.
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We are North of Pittsburgh and have been researching assisted living and memory care facilities for the past three months for my mother. There are usually "levels of care". Looking at the highest level of Dementia or Altzheimers care, the typical daily rate is $172. per day. I have found that "Faith based" care is more likely to keep the patient when their money spends down.
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My parents used to live in central Pennsylvania (eastern Clearfield Co) and had very few options for care, at least not within a reasonable distance. We moved them to Cincinnati where there are many kinds of options. In addition, we found nursing home care to be considerably less expensive in Cincinnati ($200 per day, as opposed to $262 in PA).
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