The nursing home gave up mom’s bed. Any thoughts on what I should do to fight this?

Talk with the social worker at the hospital. Explain all this to them and discharge planning. They will have to find a placement for her anyway...and they may have leverage with that NH thatbyou do not. Maybe they will find another bed.

Honestly, a NH that would do this to an elder is just cruel. Forcing such a big change on her is very detrimental to her....what a lousy place!

It sucks.

But the NH probably has a good reason.

Think about it from their point of view. Their options are:

1. Disrupt your mother's living situation by, in effect, evicting her. Disrupt her room-mate's routine. Piss you off. Make the aides feel bad. Give the hospital, their near neighbour, an admin. headache and behave in a way which is not good PR. Acquire a new resident of unknown quantity in terms of care needs and socialisation skills.

or

2. Hold the room for your mother. They continue to receive her fees but have no work to do while she remains in hospital. No reason they shouldn't be happy with that - unless there is some other factor at work.

So since they have gone for option #1, which seems by far the less attractive and profitable, there must be some additional factor. Have you had a conversation with them about what it might be?

I remembered when my own Mom was in the hospital for a few days, her nursing home asked for a "hold bed deposit" which I quickly paid as I didn't want to deal with moving Mom elsewhere. Plus the nursing home was just blocks away making it easy for my Dad to visit any time he wanted.

Now that I think about it, it was rather odd to have this deposit since my Mom was self-pay and paid on time. Could be extensive Administration work involved every time a patient leaves a nursing home for the hospital.

If your mother is on Medicaid, the nursing home is not paid by Medicaid for holding her bed until she gets back. The bed may have been held by Medicare prior to this via rehab or the facility was willing to take the hit. Was she there on rehab or as long term patient? My father-in-law had to pay a bed-hold fee when Mother-in-law went to hospital from rehab in a non-profit facility with Medicaid beds. After the 4th time back to the hospital, unless you pay the bed-hold deposit Medicaid requires them to discharge her and readmit. If they have no available beds, the nursing home does not have to take her back. Yes, it is a crummy deal. Did the nursing home offer to let you pay a fee to hold her room? It may also be that your parent is needing a high level of care that the nursing home doesn't want to take the hit on - repeated hospitalizations mean that both Medicare, private insurance and Medicaid (if in play) will be looking closely.

Under CA Medicaid the bed is held for 7 days unless doctor states hospital stay may exceed the 7 days. But it’s day 3 and he says she’s ready to go back. Her nurse was even puzzled that they had moved her items. If there was a question of payment. Why not contact me. I only found out because I went to try and pick up her laundry and check her nightstand/pantry. She’s long term. She’s been there since June. She’s had a few hospital visits, while there. I doubt they ate any costs. I think the issue here is the case worker. She tried to have my mom leave afternoon 2 weeks. I had to call the ombudsman’s and her insurance to see if it was true she only has a 2 week coverage. We haven’t been on speaking terms since I brought her the letter that states she’s authorized for long term coverage until July 2018.

Is your mom difficult with the personnel? An AL I know of "got rid of" someone who was aggressive with other residents by saying they would no longer take her type of pay - Title 19, I think.

Is your mom mentally alert and with it??if her seizures are dangerous ,that's probly why they want her to leave she's too much for them to handle for their facility ,is this a nursing home or assisted liveing? Lots of residents get asked to leave if they are medically too much or violent,it's not just you I would look elsewhere..

The NH has quietly discharged your mom while she has been in the hospital. Many NH do this under the threat to safety and well being of herself and others in the facility. They probably don't want to deal with the constant back and forth hospital visits that may put them on the hook for liability if something bad should happen. The admission papers may have subtly mentioned this.

If you were private paying they should have asked if you would like to pay for a bedhold to hold the bed for her.
If medicare/insurance is primary payer, when she is sent to the hospital she is technically discharged from that facility's care if she is actually readmitted at the hospital. Noone is paying for that bed then, therefore it is up for grabs for the next patient in need.
If she is long term medicaid, each state is different. Illinois has to hold a bed 10 days for a medicaid patient.

It is a tough situation....I do not blame the NH based on the info you provided in your question....Private pay or Medicaid? As said, states differ on bed-holding rules under Medicaid...The NH is a for-profit enterprise. I can identify with your dilemma.
(My wife's bed at her NH was given to a new patient while she was in the hospital.
She was on Medicaid.)

Grace + Peace,

Bob

Alensdy; Any new developments? We learn from each other here!

Check the Medicaid rules. Go back and try to have a private conversation with the nursing staff. It may be economics, it may be behavioural, it could be the room mate. You have to find out all the facts.

Sorry you are being poorly served. Tell the facility your wish to appeal the "involuntary discharge"(and give them a piece of paper saying so) . Call the ombudsman. Call the Caseworkers Supervisor. Get to the bottom of this or you may have it again even if you do move her. We must be "Fearless Caregivers". An involuntary discharge from NH#1 can make NH#2 less likely to accept the person.

I'm surprised that no one has mentioned an Elder Attorney. It sounds to me like this could be a legal matter and the NH could be at fault.

This all depends on if she is on Medicaid or private pay.

If she is on Medicaid (in Missouri) the facility is required to hold the bed for three days providing the facility is 97 % full. If she is in the hospital past the three days, Medicaid will not pay anything and if the facility is full the resident goes to the top of the waiting list to come back.

If she is private pay most facilities require the resident/or their family to pay for the bedhold. The home is required to ask you if you want to pay for bedhold or not. If they don't then they can't charge you for bedhold. If you have already paid for the month then that would cover the cost of the bedhold. Bedhold is generally the cost of room and board per day.

Re-check her Medicaid coverage in California, yes, again.
Contact Medicare to see if she still has full coverage.

You never mentioned in your post whether or not your mom has dementia or Alzheimer's. If she needs to be at the nursing home, definitely talk to the hospitals social worker and tell them what you told us and tell them which nursing home it is. You'll also want to say something to the doctor who's about to discharge your mom from the hospital. Your mom has a right to know something about what is going on regarding her room, her things and the nursing home. After all, she lives there as a rightful resident so they can't just take her bed away if they're taking her money in exchange for keeping her. I don't know if the room was given to another patient in an emergency or if it was just an honest mistake but maybe this other patient is a higher priority than your mom in an emergency or if it was just an honest mistake but maybe this other patient is a higher priority than your mom is what I'm thinking. Another thing to consider is maybe this other patient has more money than your mom does, just a thought on that one. Nursing homes are usually in it just for the money and everything else they can get for the money they pocket. Of course if you can't bring your mom back home, just drop her off at the original nursing home and make them take responsibility and realize their mistake when it comes meal time and bedtime and they have one extra patient. After all, they're being paid to keep her, I would drop her back off at that nursing home and just leave them to figure it out and realize what they did and why

I would talk to the actual owner of the NH and a lawyer and find out exactly what's going on with her situation, and go from there. Sounds like there's something going on that you may not know about!!.












r of the nursing home and a lawyer

Read the Rules & Regulations brochure that the nursing home provided to you when your mom arrived. Every state probably differs with regards to the state laws. In NY, if a parent is on Medicare and Medicaid, an individual goes into the hospital, you do a bed hold, and they return to the nursing home in less than 14 days, the nursing home is required by law to hold that bed. They cannot give it to another individual. So first, investigate probably right online what the law is for nursing homes in your state.
If they are required to hold the bed and you Did provide the bed hold, they must provide that bed for your mom. Yes, after 100 days, when Medicare payments have been exhausted, they try to push people out of their facility. Further, if they do, you call the admissions office and speak to them about it. If they continue to refuse her admission, you tell them you will file a formal written complaint to the office that regulates this in your state. Eg. in NY it is in Albany. I forget the name of the organization that manages this. And, the nursing home will usually either be forced to take back you mom or face stiff financial penalties. The penalties are significantly more expensive than taking your mom back. You can also call the Ombudsman for your mom's county and they will direct you where to file a complaint. However, first call admissions and tell them you intend to do this and see how they immediately make a bed available for her. And, for 2 to 3 days, you may not have even had to file for a bed hold.... If not on Medicaid, you or your mom's insurance company would probably have to pay for the days the bed was held. So first read the rules & regs for the facility, then do some quick research to understand what laws apply, then take action. This happened to my dad who is bedridden. After repeatedly refusing to take him back and researching online the law, I left a message for the Director of Admissions. They welcomed my dad with open arms........however, I sent him elsewhere after they accepted him back since I then knew his care would continue to be so negligent, he would die. He went into the nursing home from a previous hospital stay, completely septic with a temperature of 103.5. It turns out, nursing homes accept people from hospitals but may not have their medications on hand to actually administer them until they are ordered and then received. Turns out, my was on multiple antibiotics for acute infections, bed wounds. My dad was accepted to this 5 star facility, but he was only there for 3 & 1/2 days when he was readmitted to the hospital with 103.5 for their negligence in not having his medication on hand when they accepted him.........

Alesndy: Easy answer because this happened to my late mother. A bed hold requires payment. For my mother, it would have been $410 per day at the rehab NH, but she died at the hospital.

No matter the reason, I think it is sad and horrible that your mom or any parent would be treated this way. I don't know the whole issue but our elderly should be treated with much more respect. You hear so often that the US doesn't not take care of the elderly and this certainly proves that point. Knowing that your mom is put out so quickly only shows that the facility is not good for the elderly and you are lucky to know it now. I think you both will be better off somewhere else. I hope you find something quickly.

The best answer I can give to you is to learn how to provide some
nutritional care to your mom. here is a doctor that can do so much for your mom.
I believe tis is his website. he can do what these allopathic (western medicine) doctors don"t do. he doesn't use drugs to treat health problems.
I can help you some also. since I do my own health care. First thing , dementia is
caused by deterioration of the circulatory system, your blood vessels, lack of B-vitamin leads to this. regular pill vitamins with B-vitamins cannot be absorbed in
the digestive tract of an older person, so you have to take B-vitamin shots or sub-lingual B-Vitamin that can be bought in health food stores . Buy B-total ( 2 tubes to
a box). This will enable your mom"s overall health improve, but, check out Dr. Al Sears
who has a clinic in Royal Palm Beach, Fl. If you want to email me, my email is


Best Wishes,
Warren

When I was in rehab for four days and had to return to the hospital the nursing home (which is what it really was) offered to keep my bed at the cost of $182 a day!!! Go figure.

of course it works now

I am VERY suspicious of ALL nursing homes and assisted livings! They seem to absolutely SPECIALIZE in physically, mentally, emotionally, and financially abusing patients and their friends, family members, and visitors! If you are a friend, family member, or visitor, NH staffers and admins. threaten you and set up situations designed to bar you from the premises when you are good at defending patients who are being abused! When it is the patient, staffers are intentionally abusive to patients when the patient has no witnesses. Then, conveniently, there are witnesses EVERYWHERE when the patient FINALLY reacts to constant insults, neglect, poor pain control, poor food, being yelled at for no reason, being matronized, waiting forever to get help, and having property FREQUENTLY stolen! Let's not even TALK about the unfair record demerits with no notice to anyone, and the intentional black balling of patients with other nursing homes and assisted livings as punishment for refusing to yield to power drunk staff and admins. Then, there is the matter of being served last in the dining room constantly, and then being lied to by being told that it isn't because the patient isn't full pay, and isn't because of counterattacks against the constant abuse, when it OBVIOUSLY is! They run these places like prison camps, and simply won't tolerate patient, family members, friends, and visitors who refuse to roll over and play dead!

I know your pain I'm now looking to get my mom in a different place..The hospital discharged my mom to the worst place in town..