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Work out a financial arrangement and a reasonable request on the roommate so your aunt is not completely upset by both a new person and someone with behavior issues
Mom's roomie passed last month and her last week was not pleasant - her memory care moved a new resident in late yesterday and this woman is known to scream for help a lot - she was in a room with another woman who screamed a lot too and died last weekend
If her screaming keeps mom awake at night then I will request a change based on reasonableness clause in the contract - her first roommate screamed in a foreign language all night and after 5 nights they moved her after I complained
What does your Aunt think about this?
Maybe you could come up with a solution that will benefit all. Like for the duration of the stay that someone will be sharing a room there is no extra fee and for the same length of time after your extra out of pocket is reduced by half. So if the roommate is there for 6 months you will get a reduced rate for the next 6 months once the other person leaves.
What reason is the NH giving you for insisting on a shared room? I assume you will then not be paying the extra charge.
Is Medicaid paying for the NH? They set upper limits on how much they will pay, and it typically is not enough for a private room.