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If a secured locked down LTC SNF will not accept a patient with dementia, what do you do? Maybe, I am wrong, but I would think a facility such as this would be able to manage any type of dementia problems? (wanderer, combative, verbal etc)
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If he is assualtative, he would need a secure psychiatric facility. You nned to talk to the geriattic psychiatrists who have evaluated him

Best case scenario, in my mind, he's admitted to a secure senior behavioral init and behaviors gotten under control with meds.
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Unit, not init
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Thanks for the advice BarbBrooklyn.
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Hi I went through this also with our mother. She had a history of bipolar disorder and as soon as facilities would see this they would say no. She also was on Medicaid and we learned quickly that it is very hard to find a decent place that will accept Medicaid and then that has an opening. They often only allow for a small amount of rooms/beds to be allocated to people with Medicaid so the waiting list can be very long. Also some places require them to pay as private pay for a year or so and then they will accept the Medicaid which I never understood because if they are on Medicaid it means they have little resources or money so how do they expect them to pay, but that is another matter. I just know that any history of mental illness is always a red flag to many facilities and as much as it sucks, you just have to keep calling. If he has Medicaid he must have a social worker assigned to his case so just keep hounding them to help you find a place. It is their job to help you. In the meantime it is hard and all the being turned down can start to really get you down and frustrated. There will be a place that will take him. If you get on your states DSHS site they have a list you can print that has just facilities that accept Medicaid and print it and just start calling. Best of luck.
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