Rehab facility says my mom isn’t making progress and they want to discharge her. I’m worried about the kind of care she’ll get next.

Lov2Teach, Medicare lists results of its inspections and evaluations of rehab; I'm not sure about what are referred to as "nursing homes", which could be long term care or something else.    But it's worth a try.  I eliminated some just by reading the Medicare reports.  

Something you could ask, just to get a reaction, is ask the social worker at the rehab if she/he would place her/his parent there.     My experience is that social workers get brochures but don't know that much more about the facilities they might recommend.

Have either you or your brother visited this next placement?  If so, and if it's at all possible, I would do so.  Or even if you have friends who can do it, it'll help to get an assessment of the place.

If you can't go, call and ask questions - staff to patient ratio, whether food is cooked there or brought in (one place did this; the food was truly inedible), what's their vacancy rate...maybe others can offer more suggestions.  That's all I can think of now.

One that I checked out came highly recommended; I don't recall if it was recommended by the discharge planner or someone else.    When I arrived, there was no one at the "front desk".  Staff were clearing tables, talking among themselves, so I just sat down and waited (about 10 minutes, I think). 

Eventually the receptionist came and gave me a tour.   The place seemed deserted - there were so many empty rooms that it made me feel uncomfortable.   I tried to get ratios of staff to patients, 3 times, and each time I was told that the place was in compliance with state requirements.  That was a another red flag.  I passed up on it and found a better place, with real people walking around and no abandoned corridors.  And I didn't feel as if I'd need to arm myself walking down the deserted corridors.

Please don’t assume the worst. My mother was in a NH for four years and received kind and compassionate care. Visiting a person in a NH is definitely important, everyone needs an advocate, and when they see that family is involved and care, the staff also cares more. NH’s aren’t the outcome any of us want, make peace with it so you’ll be a good and positive advocate. I wish you both peace

My mother now has to reside in a NH after a serious septic infection in November. She previously resided in the adjacent AL facility. She is 90 and now immobile regarding walking. Varying levels of PT start and then stop due to lack of progress. She does try generally to participate. Although I would like her to have more PT it isn't that likely because it seems doubtful that she will walk again. She does ambulate through the halls using her feet in a wheelchair.

A social worker at the hospital should help you have your mother placed. Don't assume all NHomes are bad. If I feel there is a problematic issue I bring it to the attention of the staff. This will now be what your brother will do hopefully. You might check out reviews once you have heard of ones suggested.

We all have had to relinquish control this past year in so many areas. I would hope you can communicate with a social director and or nursing director once she is placed. They may also do some forms of PT. You can call those therapists and get feedback. I do not see any signs of neglect in the facility my mother is in. I realize that may not be the reality everywhere but if your mother's cognitive issues have declined due to the fall and general aging she is best in this type of environment and the knowledge that she is safer should help your concerns. I will hope this transition goes smoothly for your family.