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My Mom did better at the assisted living than the skilled nursing facility. My mom is 92 with a routine at the ALF, but at the SNF the staff doesn't know her and there is no consistency. My mom can do more than the SNF realizes. I would rather my mom go back to assisted living.

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Discuss with the admins. At her age she will continue to decline, so I fail to see the point.

We placed our step-mother age 84 in MC from AL 3 months ago, she was on the edge and we felt it was better to do it sooner rather than later, she has now gone over the cliff, very glad that we made the decision when we did, no emergency, no waiting list no additional stress for either of us.

It is not about what you want it is about what your mother needs today and most important tomorrow.
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If your mom has all her mental faculties or you are her active MPoA you can probably check her out, but I'm not sure about the AL feeling comfortable with her returning without completing her stint at the rehab. If she needs any sort of PT, how will she get that at the AL? I would discuss with the admins there.
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Yes your profile really says nothing about what placed Mom in a SNF. She is there for a reason.

If its for Rehab from a hospital stay then its temporary. She will be discharged back to her AL. But then, it could last for 100 days and that means Mom maybe paying out of pocket.

If she was placed there permanently, what were the reasons at the time? We really need more info.

ALs are limited in the care they can provide. They usually have one Nurse and aides. When it comes to a person needing constant care, ALs are not the answer. As their name suggests, they assist.
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why was mom moved to SNF?
That might make a big difference.
ALF can not use equipment to transfer someone. So if mom needs more than 2 people to transfer, or if even with 2 people it is not safe to transfer mom they can't.
If mom has "tubes" ALF can not maintain them.
If mom has no physical problems that she was moved from ALF to SNF were there any other reasons for the move?
A bit more info is needed.
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Ask for an evaluation of her ability.
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The reason why your Mom is in SNF is very important. SNF is usually more expensive than ALF. In addition, it is possible that Medicare is paying for the stay in SNF because she has some medical condition.

Regardless, my experience with SNF is that some facilities will only treat the person to what they think the capabilities of the person should be for that age. They do not take into account if the person was functioning at a higher level than the age. My Mom loved SNF. They didn't expect anything out of her. They even helped her put on her clothes! 3 weeks earlier, she was completely independent and living alone with no assistance and even cooking for herself. When Medicare would not pay anymore, it was because she was functioning at the norms for her age and the PT at the SNF said he could not help her anymore.

I was livid. She left SNF a zombie. She could barely move from bed to wheelchair. She needed help going to and from the toilet. She was nearly bedridden. She was on serious painkillers however she still complained of pain. She was 97 at the time and they said it was normal for her age to be that way.

Anyway, once Medicare wouldn't pay, the SNF was happy to release her. She was in SNF because I was unable to take care of her full-time during that time. It was horrible for me. She remembers being pampered.

So, in your case, your Mom could go back to assisted living at any time. The question is, do you want to be in charge of her medical care? Depending upon why she is in SNF, the assisted living center may charge extra for extra services to get her back to functioning the way she was and Medicare may or may not pay for it. Also, her medical care might make you more involved in her care. Are you willing to shoulder that responsibility?

At least in my state, all you have to do to get someone out of SNF is to agree to be responsible for the ongoing care for that person.
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She has to be able to do certain tasks for her self to be accepted in ALF. Go back and talk to the place where she was and find out if she can transfer back to them. You may have to hire some additional help on your own if she doesn't quite meet their expectation, but if you have finances to handle that - go for it. the ALF should be able to assist you in the transfer since they are the facility who has to say yes or no to taking her back
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crzyrn53, curious why your Mother was placed in a nursing home to being with. If she is there after being hospitalized and needs physical therapy, she should remain in the nursing home until her therapy is completed.
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I would go to an ALF and ask your mom to be evaluated for a move to assisted..my mom was in a memory care..she improved greatly. I called another facility {ALF}, they evaluated her and agreed with me! She was moved in 14 days..Good Luck! Ps: my mom has Lewy Body Dementia..and still qualified and is doing extremely well in an assisted living facility with a walker at 89 yr old.
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crzyrn53: Without knowing the particular details on why your mother is in a skilled nursing facility, I am unable to speculate as to why an assisted living facility would be a better fit for her. What transpired to bring her to a skilled nursing facility? Typically individuals in SNFs require a greater level of care. Please come back to the forum with additional details. Thank you in advance.
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