I am the POA (health only and not to her Estate) to my 89 friend whom I call Grandmother. She has lived with me in my private home for 3 years and I took care of her FT. She fell & broke her hip in late Aug 2014. After hip surgery she was transferred to a skilled nursing home for rehab. She has been transferred to 4 other facilities (at my request/lack of isolated room availability), due to lack of proper care and in & out of the ER/Hospital. She did not receive proper rehab & now deemed to never walk again by Ortho. Too many neglect issues to list. The current skilled nursing home (in CA) called me on 1/15/15 to inform me they received a call (same day) from Scan Health Insurance that the 100 days Medicare covers for skilled nursing, was exhausted on 12/13/14 (30 days later). Out-of-pocket expenses are due. No written or oral notification given by either party prior to 1/15/15. I told the SNH social worker to immediately contact all parties involved to get approval to discharge her. I also stated, she is not in agreement to pay-out-of pocket or to continue to stay at the facility under these circumstances. On 1/18/15 I called the doctors assistant to find out what was the delay. Can my Grandmother be discharged without harm to her health. The Doctors assistant was "not" informed of what was going on until I told her . She agreed to process the paperwork to discharge my Grandmother back to my private home and would order all medical supplies needed for me to continue her care. I attended how to flush her G-tube and bed transfer. My Grandmother has severe/acute UTI, G-tube (in stomach) & C-Diff. On 1/19/15 I confirmed with the SNH Social worker the that she did receive the discharge notice and the orders of the food/bed etc. She stated she has already began to process the orders. She asked if she could get her qualified for Medicare. I told her she does not qualify for Medical nor should she spend her bank account down to qualify for Medical (under these circumstances). Again, I told the Social worker at SNH (skilled nursing home) she is not in agreement to pay-out-of pocket & not in agreement to continue care. The Social worker at the SNH said she would file an Appeals Notice with Scan on her behalf. I believe I have done "everything" I can do to expedite her discharge, which the doctor assistant said it would be at least 24 hours . SNH has not process the doctors orders and all equipment to discharge her. A week later I'm being told her Primary Care doctor needs to order all her medical supplies. Today (1/29/15) I received a call from the Admin office of the SNH that she "is" financially responsible for private pay since 12/13 and "I" need to file an appeal. The Admin asked for me to come in to sign all the "New Patience" paperwork, bring ID and the POA. (Last week I was told that the paper work would be left in my Grandmother's room. It was not there).
Can I be financially responsible to pay?
Should my Grandmother be financially responsible to pay?
Why is the SNH not releasing her to me?
Do I need to sign the paperwork now?
Do I need to provide them with a copy of the POA?
What are their intentions?
Why didn't I receive a written or oral notice from her Medicare Advantage or the Rehab facility?
When calling a doctor of the skilled nursing facility, within how many days must they return your call? Or they don't have too?
Within how many days should the skilled nursing facility return my call?
Who is responsible to file an appeal? To Medicare or Scan?
Thanks for reading and any questions that you can answer!