My mother fell and broke a couple of ribs, a bone in her hand, and the bone above her elbow. She was in ICU for 6 weeks and is now wheelchair bound. She was admitted to skilled nursing for recovery and rehab. Everything is healed up now, but the nursing home is not being very cooperative with PT/OT. After Medicare part A (skilled nursing) ended at the beginning of July, they got approval for 8 more sessions under Medicare part B, ran through them in less than 2 weeks, said she plateaued and she hasn't had any more since. We do exercises with her when we are there and she is improving. She wants to stand up and eventually walk, but is still too weak. We have told the nursing home we are willing to private pay if Medicare won't, but they are resisting starting new PT/OT. They seem to have the attitude that she won't ever leave the nursing home, so why does she need to walk again. My mother is mentally about 95% fine and wants to eventually go back home. My question is, how do we get her the PT/OT she needs at this facility? If they aren't willing to help her, is it better to move her to a different facility or move her home and work with home care and outpatient PT/OT? At this point, I'd be happy if she can get to the point where she can transfer to the toilet and bed with only one person assisting, instead of complete reliance on the Hoyer lift.
I'm glad you are advocating for your mom. If this facility is not cooperating with you, I would try and escalate your concerns with a manager. And if they won't cooperate with you about getting more help for your mom then yes, I would move mom to a different facility. I would not accept what they are saying kindly. You know your mom and knows what she needs. Find a facility that will be more proactive in getting your mom rehabilitated.
There may be reasons that they feel that more therapy would not be beneficial, but they certainly aren't explaining it well if that is the case.
I would contact the head of the rehab department to have this conversation.
Also, you don't say when this happened. I can tell you from experience that broken ribs go on hurting long after they've technically healed and "you can't see the join."
May your mother continue to make good progress, and I second the support for your advocacy too.