Follow
Share

It was the only place available at the time. First off is that his 20/21 day at the NH if Medicaid is approved the 167.50 per day will be covered, but if for some reason he is denied we are responsible. Secondly, this Monday I found a nursing home closer to the family and it’s in his provider network a)short term rehabilitation bed b) closer to family and overall a 100% better since there are a couple of beds available in this network provider. She asked me to have Delavan to fax over a referral per my conversation with Melissa at the Delavan NH she will fax it right over. Well I called cedar Crest NH to see if they received anything. “No.” So I called Delavan back left a message, nothing. I called Melissa, the social worker, Delavan Tuesday again asking the status of that referral. No returned call again. Thursday called again and she said the same thing but she has to get signatures. Okay but why tell me you are doing something when you are not and I was keeping Cedar Crest updated with everything so Friday, February 2 I called cedar Crest and they informed me there was no longer a bed available. After checking other in network providers, today I located two homes that have availability for the 8,9 so I told Melissa at Delavan I need the referral sent to rock haven attention Mary and also to Lori at Clinton rehabilitation center. I am not happy at all we lost a bed at Cedar Crest that could continue working on his physical and speech therapy so now I was back on the phone trying to find a provider that’s part of Dean and they had beds available granted this is a Friday afternoon so I call Melissa asking her if she could also fax the referral to the Clinton rehabilitation center. She said that there is a bed or two available there. But we need her to be on top of this. My biggest question is I feel my father in law lost out on care that could have been given close to his family and friends, also the added stress for the family financially if my father in law could have been settled in a NH that he would be available to continue his rehabilitation program and not how are we going to pay for this.

Thank you for your time and consideration I want to wish you caregivers peace try to take it easy. It just doesn’t seem like this country really cares about politics

This question has been closed for answers. Ask a New Question.
Staffbull18: Please speak to the Ombudsman. Go to the top of the chain to resolve this issue. In this day and age, nothing gets done correctly.
Helpful Answer (0)
Report

Ah, Yes, the wheels of "patient moving" are going so slow or so fast, depending on so many factors over which we seem to have no control. We just went through this with hosp. admin. and it is confusing. the advice given above is great! You can be a great advocate for your FIL, just be very diligent and ask lots of ?? Until you feel you have exhausted them!!
Helpful Answer (1)
Report

Staffbull, I had a similar situation and I had to go stand over the girl that was to send, it is enough to make you sick when you see how little care there really is now a days. Call your 1st pick and find out when they think they'll have a bed available, then go find the person that was suppose to send and stand over her shoulder to make sure she sends to all of the places to ensure your FIL gets a bed, also let them know that there is no money to pay them when the 20 days are up, you will be surprised how fast they move. It is all about money, hence the foot dragging on referrals. I was so angry but, I put a smile over it and said this needs to be done now and since I have been told for 4 days now that it would be taken care of and it hasn't been taken care of, I'm going to stand right here to ensure it gets done. Problem with that? Get the administrator right now." It was done, maybe it a was the smoke coming out of my ears or threat of involving the administrator, who knows, it was done and dad was moved same day. Good luck and don't let them bully you anymore, you can do this! By the way, no family member can be held responsible for the bill, that is the patients responsibility only, so don't sign or let anyone sign financial responsibility papers. If FIL stays in NH for remainder of life, they have no recourse, if he gets well enough to go home, he can send them small payments every month (5.00). I hope that you and your family make it through this tough time with a very happy ending on the end if it.
Helpful Answer (2)
Report

Can you go to the NH and ask Melissa to hand you the referral in person? If not, do you have a friend who is an attorney to make a call for you to light the fire? Sounds like the NH doesn’t want to lose the business.
Helpful Answer (2)
Report

In all your calls tomorrow try to find out who the new NH medical director is as he/she will be your dad’s new Doctor and will be writing his prescriptions going forward. Try to get your dad a one on one appt with any new provider no matter what center you move him to.
Getting the paperwork sent is always a major PIA.
I would also get your father’s in network customer service reps involved with assistance to place him as those reps are required to at least give you the names of in network providers for SNF/rehab. Your dad have a Medicare Advantage Plan? Use the plan’s customer service dept to help you.
Good luck!
Helpful Answer (1)
Report

This question has been closed for answers. Ask a New Question.