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My 96-year-old father-in-law has been in assisted living for 10 months.

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He needs to transfer to another level of care, either memory care or skilled nursing facility depending on what his needs are.
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Blue85, I am surprised the senior facility hasn't mentioned it is time for the Dad-in-law to move to the next level.

Where my Dad lived, the facility called me in for a meeting and stated it was time for my Dad to move to Memory Care. Dad was fine with the moving as I told him a "therapeutic fib" that the new room would cost less. Dad joked about his "college dorm room". He got that extra level of care that he needed.
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TriedandTrue Oct 2022
Can I have your dad?
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If his current facility does not have higher levels of care, you need to look for a facility that does.
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TouchMatters Oct 2022
yes yes. Thank you, too !
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In our case, LO was moved from AL to MC (in the same facility), when her care required significantly more supervision than could be provided in her AL environment.
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My father's assisted living had different levels of care that you paid for as he needed them.
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Why is it skilled nursing? When what they need is toileting, help showering, dressing, meal prepared,dressing, and housekeeping? It’s not skilled nursing care. It’s a caregiver and assistance with living. But ALF don’t want to pay staff to do all that. That’s the gap that needs to be filled.
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TouchMatters Oct 2022
Yes, helping a person in a shower IS skilled nursing. CNAs are certified nursing assistants and taught how to do these things. While I work(ed) with clients for over 10 years as a care-giver, I NEVER participated in assisting in showers. Most 'untrained' people do not realize that if a person falls:
(1) do not move them (could cause more injury)
(2) do not move as care provider could be injured
(3) immediately call 911.
Facilities DO NOT move residents if they fall. They call 911.
Many people wouldn't know this - nor how to provide medication management w/o training.


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Step him up to the next level of care. It’s time to discuss this with his doctor and case manager, who can advise you about options.
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TouchMatters Oct 2022
yes. thank you.
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Sorry dad is declining. But that's pretty good that he could handle AL at his age at all. My MIL is in a nursing home and wouldn't be a good candidate for AL.

Anyhow, you will either need to hire private caregivers to fill in the gaps of his care or have him moved to the appropriate facility. Memory care if his needs are due to dementia, nursing home if they are more medical or general.
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* Depends on finances and MediCal or Medi-Care availability.

* Sounds like more private caregiver care/time is needed or moving into the next level of care.

* Contact the social worker / case manager at facility and discuss options.

* If care is needed, and no funds, while perhaps a long shot - contact University social work / health related fields dept heads and see if they can post for volunteers for experience. And then be very thorough in training and follow-up.

Touch Matters
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HAve you looked into Adult Foster Care facilities near you? Often about the same price, but, in my experience with my mom, the care was SO much better! ALF's were a disaster for us. I moved her back to my home , until we found a really wonderful AFC. might take some searching, but it was worth it.
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