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What if a person refuses to be transferred to a convalescent home from an Assisted Living Home due to being gravely disabled. Not able to walk to the use the restroom so she continue to pee and poop on her bed and unable to walk to the kitchen to eat her food. What would be the next step?

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Chances are the Assisted Living facility would tell the person they can no longer have her living there because she needs a higher level of care which the facility does not provide. Therefore, that person would have to move somewhere.
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What do you want to do? Are you in favour of her moving to a nursing home, or would you prefer to see her stay in her ALF?

Either way, you'll need to go back to the paperwork to see what support the ALF is contracted to provide - it'll be explained in the terms and conditions that attached to the resident's initial admission to the ALF. Does the resident need help only with walking? Because I must admit that I'm not sure what the Assisted part is supposed to mean if they won't help even with mobility. Just being unable to walk is something people work around in all kinds of settings. Are there any other problems?
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Id say the assisted living facility would have to handle it. Think about it. The person can't live alone, no one is volunteering to take the person into their home to care for him. They can't release him to the curb.

If you are a loved one, I would advise that you give the ALF your support, and let them handle it.
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Once a person is no longer able to care for themselves while they are living in an assisted living facility the next logical step would be a nursing home. The person may object all they want and may not want to go to a nursing home which I can't blame them for but the ALF has guidelines that have to be followed. Hopefully the ALF handles this with sensitivity and compassion.
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