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He fell 7 times in 5 days. This place has nice people, clean, and food is good. Nice activities, too. They told us to move out to skilled nursing since his fracture and he must have companion 24/7. They evaluated him in the first place. We have paid thousands of dollars. Hope we get some of it back. Beyond frustrated.

Your husband required assistance and limited staff got to him After He suffered a fall that fractured his hip that should have not happened. Sorry that these facilities lack help that costs too much $$$$ to hire.

In my opinion I say that your husband should not have been charged for the entire month, only partial. I would fight to get at least some of the refund back that your husband can use for his next care level.

Verify the original contract when your husband was placed in the AL.

Perhaps retain a lawyer for advice and contact the AL director about the thousands of dollars spent for your husband’s AL room that he could not use for the 23 days in Feb. (?).
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Reply to Patathome01
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Think of it like this. You rent an apartment. You spend a week in the hospital. Does your landlord owe you for one week’s rent?

Assisted living is a bed and meals. They do not do hoyers or two person assists.

Most AL’s don’t require their aides to be certified. They are hired off the street. Super minimal resident/aide ratios.

Seniors transferred to an A/L are confused and it takes an adjustment period. Ever been on vacation and you wake up not knowing where you are? It’s much worse for A/L residents.

They smile to get your money but it’s very cut and dry on what they will or will not do.
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Reply to Papillionmom
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It sounds as though everyone - you, DH, and facility - showtimed for the assessment. The facility presented as “nice people, clean, food is good, nice activities”. You thought it was great, had visions of him fitting in well. DH’s fall likelihood was much greater than the assessors realised (did they assess him sitting down?). DH’s expectations were unrealistically high about how quickly they would ‘respond when he pushes the button for help’. Perhaps you always ran quickly when he was at home with you? Their ‘help’ is supposed to be for help with ADLs, not an on-demand nursing home type response for a bed-bound person. Now that DH hs broken his hip, there is no chance of things getting better any time soon.

Yes he does need a different facility. Your best chance of getting some money back may be to query the competence of the assessment.
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Reply to MargaretMcKen
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Kk9251: Most likely you will not get your money back.
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Reply to Llamalover47
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Our long-distance, independent-living, 77 yo sister started having issues caring for herself. She was evaluated by 2 AL nurses who determined her care. (We think she had her act together for the interview. We believe many people are much worse than they appear to be.) The move, going from familiar to unfamiliar caused confusion, anxiety, shouting, etc. An outgoing person became confused, angry and non-social. She was sent to the ER for wandering and public incontinence, WINTHN 2 WEEKS!!!

The AL would not take her back until she was stable. The ER sent her to get meds adjusted at lT care facility . After 2 weeks she was stable and the AL felt that MC was the solution for her care. She has had her meds adjusted several times for her behavior but after 3 months she is better adjusted. MC provides smaller and more personal care but it never seems to be enough.

The bottom line is that change really messes with the brain. This is a recurring theme of most of the articles I've read on this forum. No matter how much you think you and your LO are prepared for the transition, you can go thru months of disturbing results and/or health and mental issues.

Good luck.
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Reply to Lucyinthesky53
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I've noticed at local assisted living that most of the residents also have private duty caregivers (one on one) they pay extra for from an agency.
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Reply to brandee
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Wrong post sorry
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Reply to Bulldog54321
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He's only been there 5 days? You should get some of your money back. If they say No, tell them you will be all over Google, Yelp, Facebook, Instagram, and every online forum calling them out and giving them horrible reviews. That generally gets their attention.
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Reply to Jacquelinezr
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Get him out of there asap!! Just moved my mom twice to find the best place .. it’s evident they are short staffed everywhere and don’t care ! Also, they can never force you to leave when something like that happens. Get an elder law attorney!!! That is neglect and you will win..
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Reply to JamieNe
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In my experience, many facilities are willing to take patients that are a bit beyond their range of care to begin with, so that it is easier to send them packing the minute they become too troublesome or they want to free up a bed for a higher paying client. If they are saying he can't come back, then you're better off not going back. Hopefully you can get some of your money back.
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Reply to Elaine74
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First turn in the poor service your father received so that the state can follow up. Then get him out of there. It sounds like it was a false assessment for fall risk.
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Reply to MonicaG54
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Do they have a skilled nursing facility? He will need more than assisted living while he rehabs from a broken hip, skilled nursing and or rehab and he will need to put in the work to walk again if it has been assessed that he can heal and walk again, not all patients do for various reasons. Did they tell you based on their assessment he will never be able to live in assisted living again or just that he needs more care while he rehabs? What do his doctors say?
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Reply to Lymie61
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I doubt you will get any money back . But you can try to ask . They may give you some to avoid bad reviews.

It sounds like the assisted living isn’t even waiting to see how he does in rehab first , before refusing to take him back . They have proactively told you that they can not provide the care that he needs . If this is the case , they are saving you money . Otherwise you would have been paying for his assisted living while he was in rehab ( to hold the bed).

Sometimes this happens , where an evaluation is done and they think it’s a good fit . Unfortunately , your husband turned out to be a greater fall risk than they expected and they are not willing to take him back even if he rehabs well .
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Reply to waytomisery
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I’m sorry you’re in this situation. The falls are endlessly frustrating and just inevitable. Caring for someone with a hip fracture is beyond the scope of assisted living. He should go to rehab prior to the next placement. It cannot hurt to appeal to the mercy of the assisted living, based on the short stay and money spent, to get some refund, but go into it with no expectations. Sometimes people will surprise you with kindness. I wish you the best in such a tough time
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Reply to Daughterof1930
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Falling is a very tricky facility care issue to work with. My very elderly Aunt with advanced dementia fell 3 times, breaking bones, while having great in-home care by competent family members. But she thought she could walk and even with a motion alarm could get up out of a chair or bed. She once fell when walking with proper support. Falling in facilities is extremely common.

Was he not falling before going into the facility? If so, maybe he has a medical issue that's causing it (other than dementia or advanced age) like a UTI, inner ear problem, Meniere's disease, vision, vitamin deficiency, dehydration, etc.

I'm so sorry for this situation. I hope he gets the appropriate care he needs.
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Reply to Geaton777
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No, you will not get this back. Whether due to balance issues, being evaluated incorrectly and needing more care than he appear initially to need, or orientation issues, Dad has now fallen and sustained injury. I am an 82 year old retired RN. I always assure everyone here that these are most often balance issues, and that "Falls-R-Us" and that they are inevitable. Sadly they can also at times be the beginning of the end.

Your father isn't kicked out so much as at present his care is more than they have staff to do. He requires surgery, rehab, physical therapy and possibly a higher level of care. Time will tell as regards that.

This isn't unusual, but it is always very very sad and I hope Dad has good healing, good rehab, good walker and is willing to use it in future. I hope this won't happen again. Sadly it may.
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Reply to AlvaDeer
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