My LO has been a resident at corporate run, for profit AL for about 2 years. He is wheelchair bound, almost 90 and developing some mild memory loss. Since he has been there, it almost seems like they have a strategy to break us down and make us accept care level increases that I think are somewhat arbitrary. I wonder if others have experienced something like this.
After the first 6 months, they called and said they needed to move him up to the next care level because his cognitive abilities declined (this would be a $30/day increase) I complained and asked if anyone has done a formal diagnosis or any cognitive tests. I also asked if they could tell me how they are measuring the decline and explain what extra care he will now receive. The care director looked at his chart and said she could lower his incontinence level and that would allow them to keep him at the lower care level.
So, a year goes by and they try they same strategy again. They say he has cognitively declined and needs more care. I complain again (very similar method as before.) Again, she looks at the chart and says that she can change him from 3 showers a week to 2 showers a week and this will keep him at the current care level.
Another 6 months go by and we come to today. Now they won't back down. They say he has really cognitively declined and requires much more care. They say that really he should have been at the higher level a year and a half ago, but they moved it back as a favor because he was right on the bubble in terms of care assessment score. Now, he is clearly over the line. What evidence could they provide? He uses his call button a lot and he lashes out at the staff when he his not happy and his memory has gotten worse. Honestly, I have noticed his memory has declined somewhat. Does it mean he needs substantially more care? I don't know. I can't even visit. He seems fairly normal in conversations.
Is what they are doing some sort of common strategy to break the family down and get them to accept the care level increase? By saying they were being nice earlier (but also saying he really should have been at the higher level earlier?) Just curious if others have gone through this.