It has been 27 days. The facility has not developed a care plan with any measurable goals. We have not had any follow up from the doctor, the nursing staff doesn't follow her medication schedule, the meals are always cold and under cooked, and have refused her snacks and water. Mom is 80 years old, recovering from double pneumonia and has made a huge improvement in her physical strength and outlook on life. I have requested the purpose and goals for Mom as well as progress updates, but all my requests have been ignored. They do not know my Mom's physical abilities prior to getting sick, don't believe what we tell them bout everything is does daily, prior to illness. In the afternoons, after her therapy, we sit together while she pays her bills and balances her checkbook. The PT and OT have said they think our goal of discharging Mom in a week is realistic and that she has made such progress, they are impressed by her positive attitude, willingness to try everything they ask of her, and her physical strength is amazing. But, they also said, unfortunately, it is not their call to make.
I want to know if we can request the facility to begin the discharging paperwork, even if they do not agree and if we do discharge her against their recommendation will it affect Medicare's payment for her care?