Although you only requested advice for an immediate issue, I am wondering if that was really the only issue.
You state that you are your mother's only caregiver. She has come home in worse condition than before. As her only caregiver, are you physically, mentally, and emotionally capable of meeting her ever need (want/demand?)?
How long has she been living with you? How did she come to live with you? How is YOUR life?
The issue is that my mother fell under the care of another rehab-and broke her hip-while healing from a hip replacement-from a fall in the middle of the night at home.
At the next facility- I refused to sign an Arbitration Agreement. No accountability? Not safe. They were not happy with this. Looked for reasons to send her home. The new rehab neglected to treat the first broken hip- hospital did not transfer this info to them. Until I asked why my mother is being rushed home with two broken hips- they looked confused. Kepro agreed my mother was being discharged prematurely and she stayed 2 more weeks. They did not like me reaching out to Kepro - going above them so to speak. They did not like having a patient that was suing a sister rehab. They need to be held accountable for their actions. I guess another issue was they didn't like that I caught Covid in their facility-and could not come to one scheduled training. They had two outbreaks while my mother was there.
Update: It turned out to be a big problem this evening. The Discharge Nurse didn't acknowledge my question. So, I asked Kepro if they could help. Once Kepro begins the appeal process- they then take over communication. The rehab facility thought very differently about this. I received a text two hours later that said "You need to come get her. We may have to resort to calling DCF in situations like this...". My husband explained that his lifted truck has a/c, and he just got home. But we would need help lifting my mother "up" and into truck. They said "No, we cannot assist." They needed my mother out-ASAP. I felt like dirt. They then asked for an insurance card, and they would check to see if a transport was covered. They agreed that 11 am was the latest my mother could stay. I think calling DCF would be appropriate if I subjected my mom to 96 plus degrees for 25 minutes.
As "hot as she is". I don't understand. You may need to arrange ambulance transit home, cab transit home. Speak to the discharge planner or social worker on site. Do not attempt to remove your Mom if your transportation is in some way unsafe. Hope you will update
As hot as it is- today is the hottest day of the year and the drive to our home it too long with no a/c. My husband can put freon in but doesn't come home till 6. Is it going to cause an issue if I need a few more hours? Thank you for your reply
You state that you are your mother's only caregiver. She has come home in worse condition than before. As her only caregiver, are you physically, mentally, and emotionally capable of meeting her ever need (want/demand?)?
How long has she been living with you? How did she come to live with you?
How is YOUR life?
At the next facility- I refused to sign an Arbitration Agreement. No accountability? Not safe. They were not happy with this. Looked for reasons to send her home.
The new rehab neglected to treat the first broken hip- hospital did not transfer this info to them. Until I asked why my mother is being rushed home with two broken hips- they looked confused. Kepro agreed my mother was being discharged prematurely and she stayed 2 more weeks. They did not like me reaching out to Kepro - going above them so to speak.
They did not like having a patient that was suing a sister rehab.
They need to be held accountable for their actions.
I guess another issue was they didn't like that I caught Covid in their facility-and could not come to one scheduled training. They had two outbreaks while my mother was there.
My life is great- my mom is happy to be home.
It turned out to be a big problem this evening.
The Discharge Nurse didn't acknowledge my question.
So, I asked Kepro if they could help.
Once Kepro begins the appeal process- they then take over communication. The rehab facility thought very differently about this.
I received a text two hours later that said "You need to come get her. We may have to resort to calling DCF in situations like this...".
My husband explained that his lifted truck has a/c, and he just got home. But we would need help lifting my mother "up" and into truck.
They said "No, we cannot assist."
They needed my mother out-ASAP. I felt like dirt.
They then asked for an insurance card, and they would check to see if a transport was covered.
They agreed that 11 am was the latest my mother could stay.
I think calling DCF would be appropriate if I subjected my mom to 96 plus degrees for 25 minutes.
She can stay longer at rehab but she will have to pay out of pocket for the additional time.
I don’t know if you will have to pay a fee for her to be transported to your home. Most likely you will have to pay. Not sure about this.
Call the rehab facility and explain the situation and see what they say
Thanks for letting us know that they will provide transportation. Makes sense because not everyone drives or even owns a car.
Or they may not have anyone to pick them up.
You may need to arrange ambulance transit home, cab transit home. Speak to the discharge planner or social worker on site. Do not attempt to remove your Mom if your transportation is in some way unsafe.
Hope you will update
Is it going to cause an issue if I need a few more hours?
Thank you for your reply
Does mom have funds to private pay? Is she on community Medicaid? Have you applied for long term care Medicaid?
Ask if she can be admitted as "Medicaid PENDING".
You can say no to taking her home, but the NH has to get paid, whether by Medicare, Medicaid or Mom.
I just need a few more hours.