Can nursing home discontinue therapy before the 100 days that Medicare pays for? - AgingCare.com

Can nursing home discontinue therapy before the 100 days that Medicare pays for?

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An the family wants rehab or therapy to continue. My father is in a nursing home (short term) and he was sent for rehab/therapy. He has been there two weeks and they are now advising us that they will discontinue his therapy because they feel he has plateaued. The last week he had a uti which caused some confusion and pain and also they started him on a sleep medication that made him tired during the day. I told them to discontinue the sleep medication and today he is very alert. Can family insist that therapy be continued? I would like to transfer him to a different nursing home and have therapy there and see what they say. Do we have any rights to ask that therapy be continued? He has medicare part A and B and also medicaid.

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I have been told by two different rehab centers that if my mom refuses to work towards rehabilitation or show signs of attempting to work with them medicare will not pay for the full 100 days.
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They stopped my mother's rehab when she broke her hip after 20 days they said she was not making progress and that she would not cooperate. She has alzheimers. they would ask her to pick up something and pass it to her left she couldn't do it so they said she wasn't cooperating. So basically if you have alzheimers they will stop rehab they don't want to pay for it.
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Unfortunately, if the therapists feel he's plateaued, that will be reflected in their reports and Medicare won't pay for any further therapy. You could request (not insist) that therapy be continued at private pay.

What you could do is take him back to the doctor who scripted for therapy and discuss the issue.

But you should also consider home therapy. Rehab facility doctors typically will script for home care which includes nurse, PT, OT, social worker and an aide. The therapy won't be as intense or diversified, but it will be easier on the family in a sense since your father will be in the comfort of his own home.
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