My mother is 94 and not able to do much on her own. she needed help with dressing, bathing , toileting, incontinence etc. She recently fell and has a compression fracture on her spine and broke her arm. So now she can't even use the walker. She just contracted shingles and on top of all this, the dermatologist overdosed her on her antiviral medication and she had to go to the hospital because she was in some sort of coma state. She is in and out of it, sleeps most of the time now. After a week they sent her to a rehab facility. I would like to get her out of there. Still in and out of it, but I don't know if its because of the pain or the overdose. they only will give her acetaminophen. No other facility would take her because of the shingles. Is this something that palliative hospice would cover at home? It's very difficult because non of her family lives near her. She lives with a boyfriend who helps her and he has his own limitations.
Otherwise, if your Mom is not improving in rehab after 21 days [Medicare will pay for the first 21 days] then your Mom will be moved to a nursing facility or long-term-care side of the rehab if that is available. The cost for her housing and care would be out of pocket... unless your Mom can qualify for Medicaid.
This won't be an easy decision.
Second, even with hospice involved there will not be 24 hour care in the home, the bulk of the care still falls to family of friends (or in your mother's case the boyfriend). It doesn't sound as though going home is the best option for her right now.
Finally, considering the pain of shingles as well as the compression fractures, I wouldn't think that acetaminophen would adequately control her pain at all. She needs proper pain management, pain alone could be causing her to be "out of it", but at her age there may be many other problems you are not aware of. Are you her MPOA?