Hi, a close family member of mine has been a resident at an assisted living facility for about 2 years. It's part of large national brand (Sunrise) that has many, many locations in the U.S. He is paying privately from savings for a one BR and their 2nd highest level of care (about $90,000 / year)
Honestly, about the only staff member who was happy and pleasant to deal with was the admissions director who sold us the room. Pretty much everyone else there has been difficult to deal with or visibly unhappy with their job. They have had a great deal of turnover - all major players - EDs, Nursing directors, etc have all been replaced multiple times.
Everyone I deal with there is unpleasant or hostile. They really seem to be always threatening to raise his care costs. The issue is my uncle is wheelchair bound and hard of hearing and a chronic complainer. He also is someone that uses his call button a lot - he needs assistance with most activities. When the staff doesn't respond quickly, he really gets upset. Honestly, he is difficult to please. However, whenever I talk to nursing or personal care directors, or the personal aids, they never seems to express concern about my uncle's well-being or whether he is happy. They more often just seem exhausted. My uncle also isn't particularly happy there, but he has never been happy wherever he's been. It's just difficult to move and visit a new facility now because of Covid.
So, he is what you would call a difficult patient/resident. Now, his opinion is that for what he pays, he should expect fast, prompt response times. They now want to raise his care cost by 1000/month because they say he is developing dementia and he requires too much care. But, they can't quantify when he crossed over this threshold. When I speak to him, he seems perfectly lucid and not much different than a few years ago.
My question is: Is this what you have to put up in general if you are a demanding/difficult resident? Would these issues come up pretty much anywhere he goes? At some point, do the higher quality assisted living homes just make a decision that a resident is too much work and just try to get rid of them (either by raising their costs/care levels or just evicting them?) My thoughts is that if a facility does not have a problem filling rooms, then maybe they are happy to get rid of more difficult patients? Has anyone experienced this?
There should be a line between thinking that a patient is really developing dementia and just saying that a patient is too demanding and unpleasant to deal with. The explanation they are giving me for the care increase seems to be neither one, but something in between.