Many patients don't understand their share of cost agreement. I did have one patient use her check to pay her mortgage, utilities, car insurance etc. and then just assumed Medicaid would pay the rest. She was completely bedbound/hoyer lift and insisted she was going to go back home soon. The NH has since gotten rep-payee status.
Shebar - was the "30 day" due to his being denied Medicaid (so he was admitted "Medicaid Pending") OR that his Medicaid application still hasn't finished being processed and it's over the 4 - 6 months that this place allows for "pending" so a "30 Day" notice was sent as it's routine; OR for some other financial issue?
If it's something involving $ & or Medicaid, and he is leaving the old place with a past-due owed, in order for a new facility to take him as a resident he will either have to put down a significant deposit (maybe 2 months room & board) and either he or someone within the family will need to sign off on a binding contract admissions agreement. If Medicaid is at all involved, the new facility can get his eligible/ineligible status. The new facility will contact the old place for both his medical needs and financial status as a matter of routine.
If this is about a Medicaid transfer penalty, your choices are kinda limited & stark: dad moves back into a family members home for the entire penalty period of time and family caregives; or family walk on any responsibility and dad becomes an emergency ward of the state - the facility will contact APS to get this rolling & usually on the 30 day notice it is CC'd to APS, pro-bono legal services and maybe the ombudsman program at the Area on Aging; or family personally signs off a contract to private pay the past due and current costs and dad gets to stay in the facility.
As others have said, the reason as to why the 30 day was sent is the key on just how to deal with it.
I wonder why he was given the notice, and depending on the answer to that, any other assisted living facility may not be able to provide what he needs either. If it is because he requires more care than they can provide, it may be he needs a fully staffed "skilled nursing facility" and/or memory cares, which has RN's on 24 hours, etc. Assisted living is not required to have RN there all the time, and are for more independent seniors. Lots of people live in Assisted livings just like an apartment for seniors, because it has a nice restaurant-like dining hall and someone to help you with minor household chores, and some type of minor medical help (like making sure you take all of your prescriptions 3x per day and not skipping any). Heck some day I will probably be in Assisted Living, and loving it. The ones I've visited were like a full-service Hotel! And nothing could ruin that experience for all the other residents, more than a single resident who really needed much more care than everyone else. So it is always in the "interests" of an Asstd Living place, to politely ask those who no longer "fit" with them, to please move out. At least they gave 30 days---it is probably in the rental contract, maybe go read that document.
The why is the big word. My mom had dementia and it just became too hard working and doing laudry 3x a day towards the end so my dad & I had no choice send her to a resthome facility for a few months then brought her home when her needs elevated. But she'd wander the halls at night and whenever they'd call I'd just go and spend the night with her and promise to be there when she woke up. And if she didn't have a roommate they'd let me sleep in the bed acorss from her. She was just such a peach. I didn't want her to wake up and roam looking for me.
The big question here is ..Why was he given notice to leave? If it is a matter of the current facility no longer being able to properly care for him then you should have no problems finding another facility. As a matter of fact the Social Worker or Director where he currently is may have some suggestions. If it is a matter of him not being in control, violent or other behavior problem that might require medication intervention. Once the problem is resolved I would think the current facility would be willing to work with the family on that. If it is a matter of your Dad no longer being able to afford his current facility that opens a whole new basket of problems. Is he eligible for Medicaid? Is he eligible for VA assistance? Are there other agencies in your area that can assist? Again talk to the Director or Social Worker where he currently resides and ask what help they can give you.
From my experience: Request a meeting with the director and find out the reasons, unless you know. I went through this with my mom. If you have a case manager from Medicare speak to her/him, they usually know what the next plan of action needs to be. They can also help you find a place. Also " A place for Mom" is another agency that helps for FREE to find an appropriate place. But u should visit them too, My mom's level of care became too difficult for the aides at the living assisted facility. It took them too long to care for her and I had the same situation. "If" your Dad has Dementia, they may be able to put him on Hospice care, ( Hospice is Free) but that would also be limited care but definitely more care as a LAF gets more hospice time for patients than a nursing home. Something to ask for an "evaluation" for. If it is behavior related ask for a psychiatric or psychological evaluation so you know what you are dealing with, as other places will need to know if they can care for him. If it is behavior ask his doctor to have a social worker or psychologist meet with him. I don't think they can evict him if he has no place to go, you may need to ask an Elder Care Attorney. If u live in NJ write back I know a really great attorney. If you have funds, they may say he can stay if you are willing to cover the cost of a private aide. There could be things you can put into place to stop the change.
If it's something involving $ & or Medicaid, and he is leaving the old place with a past-due owed, in order for a new facility to take him as a resident he will either have to put down a significant deposit (maybe 2 months room & board) and either he or someone within the family will need to sign off on a binding contract admissions agreement. If Medicaid is at all involved, the new facility can get his eligible/ineligible status. The new facility will contact the old place for both his medical needs and financial status as a matter of routine.
If this is about a Medicaid transfer penalty, your choices are kinda limited & stark: dad moves back into a family members home for the entire penalty period of time and family caregives; or family walk on any responsibility and dad becomes an emergency ward of the state - the facility will contact APS to get this rolling & usually on the 30 day notice it is CC'd to APS, pro-bono legal services and maybe the ombudsman program at the Area on Aging; or family personally signs off a contract to private pay the past due and current costs and dad gets to stay in the facility.
As others have said, the reason as to why the 30 day was sent is the key on just how to deal with it.
If it is a matter of the current facility no longer being able to properly care for him then you should have no problems finding another facility. As a matter of fact the Social Worker or Director where he currently is may have some suggestions.
If it is a matter of him not being in control, violent or other behavior problem that might require medication intervention. Once the problem is resolved I would think the current facility would be willing to work with the family on that.
If it is a matter of your Dad no longer being able to afford his current facility that opens a whole new basket of problems.
Is he eligible for Medicaid? Is he eligible for VA assistance? Are there other agencies in your area that can assist? Again talk to the Director or Social Worker where he currently resides and ask what help they can give you.
If it is because his medical needs are too great, then it's possible he needs nursing home care. What does tbe Director of Nursing at the AL say?