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We made a phone call today to the nursing home's (patient's there for rehab therapy) social worker and was advised that the patient needs to now go to assisted living. The patient was previously diagnosed with dementia (was in a mental facility for depression, anxiety and nervous breakdown) but can do the ADL's so we're told that Medicaid will not cover the nursing home costs (patient has been financially approved for Medicaid). The nursing home social worker set up an appointment (without the family/patient's knowledge) for an assisted living director to "interview" the patient. The patient called us (we're two states away) after this "interview" and said that the director only spent two minutes with him. Do we guess that he doesn't want the patient in his assisted living facility? Also, the patient is content with the nursing home so why can't he stay there with the dementia diagnosis? Another thing, the patient has diabetes and cannot take his daily meds (there are several) on his own. Medication mix up is what caused the inpatient stay at the psych facility. BTW, the patient went to the nursing home from the psych facility because he needed 24/7 care. The nursing home ended up doing rehab for the patient and now that those days are up, they say he needs to go to assisted living. We were under the impression that the patient was going into the nursing home from the psych facility for long term care but now surprisingly things have changed. What to do? Thanks.....

We found a geriatric care manager that helped with assisted living placement. Thank you.
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AnnReid Mar 21, 2019
I sincerely hope that you weren’t offended by my asking.
When we began, the process was maddeningly “global” and we were spinning in all sorts of directions with all the decision making.

You did your research and figured things out in the best possible way for all of you.
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So many question marks......who diagnosed “dementia” and what tools were used to come up with that diagnosis?

Who diagnosed “nervous breakdown” and what tools were used to come up with that diagnosis?

Who is legally in charge of this man’s care?

What SPECIFIC MEDICATION caused the transfer from psych facility to NH, and what symptoms caused by the medication indicated that the client needed 24/7 NH care?

You need specific information regarding diagnosis, care plans, financial management, and this patient’s actual needs to make these decisions.
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anonymous871299 Mar 20, 2019
1. So many question marks......who diagnosed “dementia” and what tools were used to come up with that diagnosis? His physicians diagnosed "dementia."
2. Who diagnosed “nervous breakdown” and what tools were used to come up with that diagnosis? ER physician
3. Who is legally in charge of this man’s care? POA
4. What SPECIFIC MEDICATION caused the transfer from psych facility to NH, and what symptoms caused by the medication indicated that the client needed 24/7 NH care? No specific medication caused this. PSYCHIATRISTS deemed that the patient could not go home and live on his own, he needs 24/7 care according to the tests that he took while inpatient at the psych facility.
****Patient will be transferred to assisted living soon. Thank you for your response.
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medicaid won’t pay for him to stay at the nursing home because he doesn’t need skilled nursing. So that’s why he can’t stay—because Medicaid won’t pay for it. Medicaid is NEEDS based. If he doesn’t need it, they aren’t going to pay for it. You can either find him an AL that takes Medicaid or let the nursing home place him.
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