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Why did dad go to the hospital in the first place? Was this just an excuse on the part of AL because it was clear to them he needed a higher level of care? Maybe not showing up for meals not taking care of personal hygiene? Refusing to leave his room. The hospital Drs must have decided he needed a rehab level of care to try and get him back to independence. it is highly possible his level of dementia was put down to being old and at the time sick and once he got to rehab it was clear he needed longer than a few days. have you been talking to the AL, Hosp and rehab to find out what is really going on? And last of all when were you able to visit dad and see for yourself how far he has deteriorated. Elders often slip through the cracks when there PO lives a long way away. Before you start flinging dirt make sure you personally know the facts. i am not trying to be unfeeling towards you or critical but simply making suggestions of how to best help Dad.
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I agree with panapal write them a letter and if that doesn't work get an attorney for the elderly. I wish you the best and God Bless
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You are not jaded but being realistic in my opinion. My Mom's insurance went to the 20% after 2 weeks. (UPMC supplemental)
I would first try sending them an over night registered letter (C/O law dept.) and advise them to move him back. His PC should be able to back this up I would think. I would tell them that you need an immediate response or the issue will be turned over to his elder law firm. Look on the Dept of health state website and see if their are any complaints against them or if you are in Cal. look at this site. If not I bet they could give you good direction. A little dirt goes along way to show them you mean business.
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Had the same thing w/ my mom. Thought only a week in rehab - but she needed to be there for 6 weeks to regain her strength.
It is my understanding that most patients average a month in rehab.
Rehab in our case was what my mom needed.
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So Dad has had 3 hospitalizations and rehab stays since last fall? Are they all for the same thing, like a C-Diff or TIA recovery? Falls? What is the source of the recurrent rehab stays probably warrants looking closely at to see just what the problem is and what could be the best way to resolve it.

Could it be that dad is beyond the AL stage? That he now needs to be LTC in a skilled nursing facility rather than AL?

How are the orders or action being done that he leaves AL and then does rehab? IF it's the AL that's doing the referral or sending him to the hospital, my guess is that they want dad moved to a higher level of care facility. If his needing a higher level of care has been mentioned to you or to dad, you probably need to find a NH for him. I'd try to have a frank conversation with the social worker @ his old AL and at the rehab facility as to their perspective dads situation.

Medicare's rules on rehab are pretty precise. They have to be progressing. Once they plateau, rehab stops. I haven't found NH rehab to be bilking the system in my experience with my mom & MIL. Rather it more that the elder goes back to the same pattern that caused the problem; so it yo-yo's. I'm sure that some rehab's keep them longer that other places would; but usually that is a benefit for the elder even with a 20% copay.
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