All of the facilities we have checked have denied my husbands brother. Why is this happening and what can we do?

He has insurance and is already in a Secured Memory Care Unit over 200 miles from home. The assisted living facility states he must move asap per doctors orders but we can not get a skilled nursing home to accept him.

He is in an assisted living home at this time, however, the social worker there, says the doctor says he must be moved to a skilled nursing facility asap. The social worker just told us because of his health and falling with dementia, he was just going to get worse off. She explained to us that we can refer him to any skilled nursing home. We have tried every skilled nursing home, with memory care unit and locked down and still he is being denied. No one is not really telling us much accept that they just can not take him.

Is he private pay or does he have insurance to cover the cost? Why does he need skilled nursing care? I don't understand why he would need skilled nursing care for dementia and falling. Nursing care is for medical problems.

Has he been evaluated by a professional to see what level he needs. Most of the facilities that I know of require that a doctor or health care professional complete a form that states what daily activities the resident needs assistance with and of course, if they need skilled nursing care due to a physical problem. If he wanders, he may need a Secure facility. I'd read a lot about the differences in regular AL, Secure Memory Care AL and nursing homes.

I've never heard of a person not being able to find some facility that meets their needs, even if they have to get on a waiting list. I will say that depending on his level of dementia, he could need a Memory Care facility. You might explore that. They are focused on those with significant dementia. Some residents in them are mobile and can talk, while others are bedbound and have to be hand fed, so there are various levels. In the Secure Memory Care unit where my cousin resides, they do everything for the resident, except they do not provide skilled nursing care. As long as they do not require skilled nursing care, they live there until the time of their death. Hospice comes to the facility and they are kept comfortable and supported throughout the rest of their lives. You might visit some and see if they could accommodate his needs.

The facilities are not giving us any reasons for this. However, we did have one facility to tell us they could not offer him a bed because his dementia exceeded the care that they could give him. For some reason my husband's brother got sent to an assisted living 200 miles from home. Now they are saying the doctor says he must move to a skilled nursing home because of the dementia and falling. We are trying to get him close to home but all the facilities are telling us they can not accept him. We just do not know what else to do.

What reasons are the facilities giving you? What do your BIL's doctors and other supporting professionals suggest?