I recently got my mother’s bill from the nursing home to discover a huge credit balance. When I called the business office, I was informed that she was put on skilled nursing care for edema about three weeks ago. While this status saves my mother some money (and pays the nursing home a higher daily rate - yeah I get it!) I was not notified of the change in her status before she was placed on skilled care. Managing my mother’s care is completely anxiety producing for me, so I tend to get all worked up, and I don’t want to call the staff with an attitude. I sometimes feel like people just don’t do their jobs well! Or I’m being gaslighted somehow (my own issues for sure). When I worked in health care, if I didn’t keep the family informed I would have been skewered and barbecued!