she has a peg and most places won't accept those with a peg or is incontinent...We don't have much time left in the rehab facility and no one there is very helpful..
It sounds like she might need long term care (LTC) at a skilled nursing facility (SNF) also called nursing home (NH). If she is at acute rehab, a rehab hospital, they usually don’t have any other levels of care and she will be discharged when she makes maximum progress or is not progressing. SNF rehab, also called subacute rehab are in a SNF. Often they have the rehab wing and a different wing/hall for long term care. In my area, assisted living does not provide total care or even close. Memory care maybe but if a patient is total care or unable to transfer with 2 people, many say no. Beyond their scope. I’ve been told about personal care homes as an alternative. They seem to mostly known by word of mouth in our area. Social workers at the current rehab should be able to tell you what is there in your area. Most only have 3-4 residents so space not always available. Being on hospice may help, as someone already said. A memory care that takes higher care needs patients may be more willing to accept if the person is on hospice. Long term Acute care hospital (LTAC) usually take patients who are on long term ventilators and unable to wean or who are receiving acute care like IV antibiotics or complex wound care or many IV medications that can’t be given safely or practically at home or snf.
Sounds like you want an Assisted Living that you private pay for. No AL will take a person who needs that much care. They may have one RN, an LPN and the rest of the staff are aides who are not medically trained. These facilities are not capable of caring for your sister with the problems she has.
You need a skilled nursing facility. I would pick one that takes Medicaid. Use up sisters money for her care and when gone apply for Medicaid.
This is a question for discharge planning/social workers at the rehab facility where your loved one currently is. This is something to get on right away with rehab placement. When you know that the loved one cannot return to their own or your home environment the social workers need to get to work at once contacting nearby facilities that will accommodate such a resident. You may have much better luck if your loved on is on hospice care, but in any case the social workers at rehab will let you know. The POA or next of kin needs to get on this ASAP and I sure wish you good luck. Hope you will update us as you go along, as information provided on AC helps others. Best out to you.
"here in behalf of my sister Carol who is 73 and recently had a fall that resulted in severe brain trauma...She spent a month in the hospital and is now in rebhab for 21 days.. She does not seem to be getting much better,, Memory is scattered,, she has Peg and is incontinent.. Not sure how much better she will get and the next step is finding a suitable and affordable place for her..A lot of places do not take patients with a Peg or that does not toilet themselves.."
Have you looked into LTC facilities? Have you spoken to a social worker at the rehab center? Are you your sister's PoA (medical, financial, both)?
If no one is her PoA then you will definitely need to talk to a social worker. Your sister can transition directly into a facility. She may need a court-appointed guardian so that someone is legally able to make decisions for her and manage her affairs. You or some other (younger) family member can pursue guardianship for her, but it is expensive and takes time unless you can get emergency guardianship. I would consult with an elder law attorney first and foremost since this is a legal issue and the rules vary by state and this is a global forum.
I'm so sorry about your sister's injury. I wish you all the best as your work to find her the best care possible.
My mother lived in a nursing home after a hemorrhagic stroke left her paralyzed, with a feeding tube, impaired speech and vision, and unable to go to a bathroom without a two person assist. It was the only option after she didn’t progress in intensive therapy in rehab. I don’t know of any other option that exists now. A social worker helped our family with getting a room in the nursing home we preferred.
You need a skilled nursing facility. I would pick one that takes Medicaid. Use up sisters money for her care and when gone apply for Medicaid.
This is something to get on right away with rehab placement. When you know that the loved one cannot return to their own or your home environment the social workers need to get to work at once contacting nearby facilities that will accommodate such a resident. You may have much better luck if your loved on is on hospice care, but in any case the social workers at rehab will let you know. The POA or next of kin needs to get on this ASAP and I sure wish you good luck. Hope you will update us as you go along, as information provided on AC helps others. Best out to you.
It sounds like she needs either a Nursing Home or Long Term Acute Care Hospital.
"here in behalf of my sister Carol who is 73 and recently had a fall that resulted in severe brain trauma...She spent a month in the hospital and is now in rebhab for 21 days.. She does not seem to be getting much better,, Memory is scattered,, she has Peg and is incontinent.. Not sure how much better she will get and the next step is finding a suitable and affordable place for her..A lot of places do not take patients with a Peg or that does not toilet themselves.."
Have you looked into LTC facilities? Have you spoken to a social worker at the rehab center? Are you your sister's PoA (medical, financial, both)?
If no one is her PoA then you will definitely need to talk to a social worker. Your sister can transition directly into a facility. She may need a court-appointed guardian so that someone is legally able to make decisions for her and manage her affairs. You or some other (younger) family member can pursue guardianship for her, but it is expensive and takes time unless you can get emergency guardianship. I would consult with an elder law attorney first and foremost since this is a legal issue and the rules vary by state and this is a global forum.
I'm so sorry about your sister's injury. I wish you all the best as your work to find her the best care possible.