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Between my mother and I, we visit dad in a LTC nursing home every other day. I call him and try to call staff at the facility daily if need be.


I am on top of things as to where it has become almost an obsession because I have come to find over the last couple years no matter how hard I have tried to check up on him and keep nursing staff on task and accountable, it is never enough, and he suffers from it.


We have moved him from his previous facility in February and so far, things have been better but still not good. I know things aren't going to be great anywhere. He has chronic UTIs. He has been in septic SHOCK 3x in the last 2 years. He has a permanent foley catheter that needs to be flushed every day. It clogs often and causes numerous problems from there. Rent-a-nurse's not knowing what to do or having permissions etc.


I won't go down a rabbit hole.


Point is, we wanted to get him on an institutional special needs plan that offered a independent nurse practitioner that would come in and check on him on week days. We started last month, and it has been great! However, he can't see any of his previous providers affiliated with the local hospital and he is VERY upset about that. He is a low-key mellow kind of guy so this is something he is passionate about apparently.


It is the only I-SNP offered with this specific nursing home. I have called them all.


Does anyone know any way to get a nurse practitioner to check on your loved one in a nursing home multiple times per week? I have spoken to the administrator at the facility, and he told me they had other plans in previous years, but they dropped due to no members.


I feel like I don't really know WHAT I'm asking so much as throwing my scenario out there in hopes that someone has some advice for me that might help.


I am my dad's PoA. He has a brain injury and short-term memory issues. He is very much with it. I would hate to force his hand for what I feel he needs over what he wants. :( Also, he will not be switching facilities because my mom can't really get anywhere else.

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What Medicaid offers varies by state and can change every renewal year. Care often depends on where you live (urban v rural) and staffing (we are in a severe labor shortage right now, with the US being 30,000 doctors short based on the population and large aging Boomer demographic).

Here in MN, my MIL is in LTC facility on Medicaid. Her coverage is not connected to the facility but rather the MA plan she chooses at the open enrollment. What you described isn't familiar to me at all.

If his healthcare is connected to the facility and there's problems, have you contacted an ombudsman? Or called his case manager?
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I haven't heard of this kind of comprehensive care anywhere, and especially not with limited funds. I am so sorry. Things in medical in our own (and any other country) are very far from perfection.
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Bryant2016 Oct 5, 2023
Thank you. At least that helps me feel as though I am not missing something.
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You could probably do it with private pay through a nurses' registry. Private duty nurses (RNs) used to be available for hospital and home duty. You could hire an RN to be in your hospital room after surgery, for instance, and she would observe the patient and administer all medicines. She might be with the patient throughout the whole hospital stay. Wealthy people would often hire them.

I don't know if that's still the case. It's expensive.
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Bryant2016 Oct 5, 2023
Thanks for the input! I probably should have mentioned finances. He's on Medicare/Medicaid and no one really has much money so that would not be an option :/
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