My father was recently admitted to a nursing home/rehab facility after a week in the hospital. He was diagnosed with vascular dementia, cerebral atrophy (chronic small vessel disease) after a couple MRIs, liver disease, and is physically impaired (has trouble walking, balance problems, can't write, and is very weak). He is also addicted to opioids and is diabetic.
He has fell 4-5 times at least in the last couple of months, and three of these episodes have landed him in the hospital. During the last visit, for two days he couldn't remember his own name, but then recovered some of his faculties and is somewhat lucid. He does not want to be in the rehab facility and has been uncooperative and combative. When I go to see him and try to explain that he needs to work with the staff to get his strength back, he is abusive and threatening (says he disowns me, will disinherit, sue, etc. --he is paranoid)
When he was at the hospital, a doctor and neurologist deemed him incompetent and said he needs 24/7 skilled nursing care. They did not think he could go home with a nurse (he lives with a girlfriend who is 20 years younger and simply wants his money --she has forged checks, among other things). So my sister took medical and financial power-of-attorney and worked to get him into the facility where he is now.
But here is where it gets confusing. The nursing home has a different criteria of what constitutes "non-decisional" or incompetent. Apparently, they can't base their decision on the hospital doctor's evaluation alone, and my sister might need guardianship (he has a trust which outlined POA criteria for medical and financial--that has been satisfied). We have asked for a neuropsych evaluation, but that takes time. Meanwhile, he is hell-bent in getting out of the facility, and I am worried he is going to somehow get out of there, and go back to the girlfriend who will simply rob him blind, help him disinherit his family, and then keep everyone from seeing him, while he sharply declines and then dies (she can't take care of him--he has been in and out of the hospital since moving into her condo).
Any advice would be great--not sure where to go from here.