Follow
Share
This question has been closed for answers. Ask a New Question.
When my mother-in-law was in the nursing home for rehab because of a broken hip, it was her INSURANCE that decided when she had to leave. When the patient stops progressing either because the therapy has done as much as it could, OR the patient just wouldn't do the work for whatever reason.
Helpful Answer (0)
Report

so what happens if the insurance feels that my Dad isnt make enough progress in a nursing home? Where does he go from there?
Helpful Answer (0)
Report

Health insurance, including Medicare, will pay for rehabilitation, but not for LTC. The NH will need to discharge him to the usual places -- home, AL, or some other place of your choosing. Do you have an LTC or AL option in place for him?
Helpful Answer (0)
Report

If Medicare doesnt think they are making progress or unwilling to rehab, they will dismiss them. If they do rehab and reach their peak plateau they will then release them.
Helpful Answer (0)
Report

I believe the little town that my parents live in has a waiting list for their Long Term Care. As I am experiencing this w/ my family I am finding out that this is a pretty harsh system and very sad. Why dont we just put old people down like sick animals?
Helpful Answer (0)
Report

I wish the US was more like Norway, a country that believes all people are equal and worthy of the same treatment without regard to age, gender, or race. I look at how things are structured -- low cost daycare for children, free schools, financial assistance for college, etc. And the old people? Not our problem, says the same society that supports children so well. And I wonder at what age do people cease to merit consideration and respect. This country needs to grow up IMO.
Helpful Answer (0)
Report

My writing was confusing. I meant the USA has the low cost daycare and other things for children, but very little for old people.
Helpful Answer (0)
Report

It is a shame on how our county , looks a pond elderly , my Mom is 80 and all I can do is watch her die, she has all her wits about her , she wants to live , My Mom lives with my younger sister who works 50 hours a week , The family does not have resources to have a full time sitter , I am beside my self , The women went to the hospital on 4/15/12 for infected toe , they keep her for approx 3 wks went to rehab where she sustain a wound on her opposite foot and a bout of VRE infection ,back to the big hospital, there they treated VRE and sent her home with it, primary doc sets up home care and about 25 different med less than 2 wks she rush back to big hospital with loss of blood , they give blood, gonna send her back home next day, but she had existing wound on her good foot , she was week from blood loss, they had order a low bed , the bed was to arrive that afternoon, well 1am on release day my mom had to go to the bathroom and no one came she got out of bed and fell and broke her hip, after she broke her hip , the new low bed arrives , My mom is in intensive care her status as far as i am concern is critical she is still losing blood , the hospital is making plans on sending her home and to a regular room .The hospital in the state of Florida has a licence to kill !! they cannot be held accountable , get this , Because the children cannot sue ,spouse only :(
Helpful Answer (0)
Report

jeanie, what a mess! I understand completely. When my father was admitted to the hospital from ER, they immediately asked where we wanted to discharge him. The man was dying and had just gotten there. He lived three more days, which I spent looking at SNFs. I finally decided on Hospice. We were going to take him home. He died right before Hospice arrived and didn't make it home.

And I wondered why the hospital was so intent on getting a dying man out the door. They knew he would soon be dead. We knew it. So why didn't they just leave us alone instead of going through that silly game with us.
Helpful Answer (0)
Report

I believe it's political. Don't keep them alive because they are draining SS.
Never mind that they paid in for years while we have illegals, welfare am
Nd those that "take" from taxpayers.
What happened to honor your elders?
The times I have had to take mom to ER they check her over and say " well, at her age she is going to have these "chinks" in her armor". And send her home. Even with a UTI. Thank God I have a prescription foe meds. Bt I think she may need a different kind oe IV antibiotics. They don't care. She is 93 and MY mom and I love her and want to keep her.
Helpful Answer (0)
Report

I called the nursing home director today and told him my concerns. I am still at a loss that the nursing home says my dad isnt making progress w/ his rehab so they report it to medicare and he gets released...but to what and where?
funny the director was more worried when i told him that my family had the impression that all the ppl working their seemed like they have given up helping my dad. He was like "oh no, we dont want ppl to have that kind of impression or our nursing home"....
Helpful Answer (0)
Report

I have been through this with my mom on skilled nursing at our hospital. She is now in a very large, nice nursing home. She is in a Medicare bed and as long as she makes progress, she will continue in that unit and her horrible Humana insurance will pay for it. She is out of network, so she is paying $6000 for the first 100 days, which is less than in network for that long, go figure.

As long as she shows progress and participates in therapy, she can stay there. If she stops showing progress, I am thinking, they will put her in a different unit and she goes to private pay. Medicare and their replacement plans don't pay for actual nursing home care, the patient has to need some type of therapy or skilled care.

I am new at this, but that is my understanding.
Helpful Answer (0)
Report

Do they have a theory why he is not progressing? Do you think that theory is correct? Based on my experiences you can consider the following:
1. Does he has something new physically wrong? Like an Urinary tract infection or just having a bad day? If a legitimate additional illness, the nursing home can pause the therapy and let him remain there until he recovers but there is still a total maximum days that Medicare pays toward rehab.
2. How about the timing of the physical therapy? Is he is morning person and they are doing it in the afternoon? are they doing it when he is hungry? Ask for a change of schedule.
3. Are the pts working with him not a good match? Have you attended any sessions and watched how they work with him? Do they put him somewhere and go and work on 3 other patients ? or give him one on one therapy? Ask for a change in pts if you think this will help. The reality is that some pts are not as good and as motivating as others.
4. If in there for example a broken hip, maybe he is in pain and they need to give tylenol or whatever prescribed pain meds at least one hour before pt so they kick in. Ask the dr to order this.

If able to go back home, ask for an order for pt in the home. Medicare covers this.
Helpful Answer (0)
Report

This question has been closed for answers. Ask a New Question.
Ask a Question
Subscribe to
Our Newsletter