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I see the improvements in his development, he has his clear mind back and he is now walking without assistance of a walker. The nursing home director/administrator is telling me that he is not getting any better, he has dementias and that his nursing home Medicaid has not been approved and this is going on the 4th month, and if he leaves now there is going to be a bill that I am responsible for. . His nurses are saying that he is getting better and better everyday. He wants to go home AMA. I haven't been able to speak to his doctor. Or Medicaid. I don't know if all involved are being honest with me. This was in the Georgia area.

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I think you need to have a frank discussion with the Administrator about the financial arrangements.

You don't mention his age or other physical issues. But unless there are other physically complicating factors, 4 months is a long time for rehab from hip surgery. I have a feeling the charges are running up b/c they anticipated he'd qualify for Medicaid, and that you're going to be stuck with a very large bill.
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If your brother leaves the nursing home AMA [Against Medical Advice] he might run into an issue where his health insurance may not pay because he left too soon.

I have found at my Mom nursing home the nurses/aides will say a lot of positive things regarding my Mom to make the the family feel better. But armed with all the knowledge regarding my Mom's condition and that she is on Hospice, she is not getting better. She had refused any and all of the physical therapy. Oh there will be days where you see an ounce of improvement.... like she ate most of her meal.... and the next 3 days she will refuse any type of food.

You need to speak with his physical therapist and occupational therapist to see how he is doing, and ask them what is their personal opinion of him living on his own at home. Four months seems like quite a long time to get over a hip surgery unless he's not cooperating. I can understand the brain fog after surgery, that is very normal.
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MsClean, look at the documents you signed and see if they obligate you to pay them anything. If you have any questions, take them yo an attorney. "It is my understanding..." Is NOT enough. Signing admissions forms is not the same as legally binding you to pay his bill. How on EARTH would YOU know if Medicaid would be approved??

Babalou said it most succinctly: The real question us what level of care will he need going forward.

TO ALL: When you are signing documents for someone else...or even for YOURSELF, be certain you understand what you are obligating yourself to. Do not believe what someone with a monetary interest tells you your signature means.
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No I am not his legal, but I did sign the admissions forms as his representative, being that he was not in his right mind. And from my understanding I would only be responsible for the bill if Medicaid was not approved.
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Was he admitted "Medicaid pending"? He can be getting better and better every day, and still not be able to live on his own.

The real question is, what level of care does he need going forward?
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Why would YOU be responsible for his care? Are you legally his guardian, or did you sign the admission forms as the person who would be paying the bill.?
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