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My Mom was just transferred from sub-acute care to long term status in the same nursing home. While checking information with her new nurse, i found out that the nur home stopped physical therapy with my mother and nobody told me for three weeks!! It seems it was the social worker who was supposed to tell me. This is a major communication problem. Who should i speak to besides the sw in the nursing home? I want to ensure this does not happen again.

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I would go directly to the top of the administration chain of command.

It is possible that someone in therapy made the determination that your mother could not progress any further, but you're right - you should have been advised of that, unless there are other caregivers involved and they were told instead.

I'd be furious too!
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Thank you for your advice. It is sometimes hard to decide what steps to take in the 'other world' of nurs homes.
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PT and OT are ordered by Mom's MD, so start there. The NH just follows the written orders of the doctor.
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Actually a SW or care manager is the first person to talk to, and they are required to meet with you and go over a plan of care every so often. They don't always, because it takes time and effort and a lot of people aren't interested enough to bother...let them know you are not one of those people. She may not have made progress in therapy, in which case even with an RX it won't continue, but periodic re-evals can be requested. Some places will substitute an exercise or daily walking program designed by therapists but carried out by nurses or aides that will be helpful instead too.
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