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Facility she's in is a terrible fit. She is asking me to be get her transferred and I agree. They seem completely clueless to her needs and their attentiveness to pts., not just hers, appears abysmal.

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I found a new rehab SNF for my mother to go to when the first one turned out to be a house of horrors. First I spoke to the intake coordinator at the new rehab SNF, who called mom's Medicare plan contact and asked for her to be switched. SHE did that FOR me. Then I went back to the SNF from hell and advised them mom would be leaving as soon as the authorization from Medicare came through to do so. The new SNF sent a mini bus to pick mom up when the time came that the authorization was finalized. Mom got out of there with her life, thank God, and went on to the new SNF and had a great experience for the remainder of her 20 day stay.

Make sure you first find a new facility, then talk to the intake coordinator there, and see if s/he can help you get the Medicare authorization you need. Naturally it's Fourth of July weekend...............this happened to us over Memorial Day w/e in 2019 so it took 4 days for mom to get transferred. :( Just make SURE you get the Medicare authorization FIRST before you move her.

GOOD LUCK
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I had to deal with this after learning first hand that what appeared to be an outstanding rehab facility was exactly the opposite. I contacted the doctor who scripted for PT/OT, his staff arranged for a new script allowing the transfer, I picked it up and presented a copy to the bad facility and if I recall correctly the original to the rehab facility where he was transferred.

The former contacted an ambulance for transfer (squeezing a bit more out of the event than was necessary) and Dad was transferred.

I had contacted either the doctor or an ombudsperson before initiating the transfer, but I'm not sure now which one gave me the good advice which accomplished what needed to be done: get Dad to a safer and better place.

Dad had Medicare and BCBSM supplemental, so I didn't need to contact either, and there was no question about reimbursement.

I would also privately document all the complaints and deficiencies you observe, just in case. I don't recall if I filed a complaint with Medicare, or if I took any other action. But documenting is always a good idea when you encounter deficient, poorly managed and underperforming facilities.

Good luck. I hope you can get your sister transferred quickly, but I wouldn't discuss anything with the current one until you get everything in order.
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The facility that she is moving to should be able to help with the transfer. Talk to the administration and the Social Worker and see what help they can provide. They should also be the ones that would handle any insurance issues. If she needs a medical transfer you might want to clear that with the insurance. It is possible that the Doctor could write an order for the transfer making both the transfer and the move to another facility a "medical necessity"
I am sure others that are more knowledgeable will provide a more complete answer.
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