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My 70 year old dad recently had a CABG surgery and was placed in short term rehabilitation at a nursing home for about 2 weeks (approx 16 days). His PT progress has been doing okay, his insurance has placed him at a 44/100 for his admission function and are predicting he will need about 4/5 hours of caregiver assistance after he is discharged. During all of this, he was dealing with a mold remediation process while trying to sell his home, so they have been demolishing and trying to get it all out before he was discharged, but unfortunately the timing was off and they are still working on the repairs. Because of this, he does not have a working kitchen or shower and I have concerns about him coming home to this alone. I’ve been talking to the social worker at the nursing home trying to find solutions, they recommended he stay with a friend or a hotel while still receiving home help. I’m trying to figure out the best solution as I am only 23 and moving out soon so I am unable to take care of him myself. We don’t have other family that can offer help at this time, and was told our house is not going to be livable until sometime next week. I have been looking at 55+ independent living communities for him to move into in the next month or two, would it be worth it to try to get him to move in immediately as possible? I am his financial and medical POA if that is any additional help.

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Is your dad’s home owners insurance paying for his home repairs? If so, they may pick up his room and board while his home is being repaired. My aunt’s ibsurabce laud fir her to stay in an ALF while her home was being repaired.

You say you have a Humana supplement. Is this a Medicare advantage plan?

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Reply to 97yroldmom
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Ask the social worker if they can extend his stay for a few more weeks, since no one can take him in and his home is uninhabitable. Also, if PT is saying he needs more time then call his insurance and ask if they can approve a longer stay, they will talk to you if you have POA.
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Reply to NJmom201
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Many CABG patients only issue post rehab discharge is not lifting more than 10 lb and no driving for a few weeks as the sternum heals like a broken bone. Then there are no restrictions. Ask if his need for care is going to be a long term issue. If yes, then maybe he needs to live in AL. If you are looking at AL or even IL for a couple of months, you are probably unaware of intake fees above monthly rents of a couple thousand dollars. Make sure you visit places and ask those questions.
If he only needs 4 or 5 hours of daily care, you can check out agencies as an option. Whatever rate they charge is usually $25 to 35 an hour. Agencies in your area will be similar in rates.
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Reply to MACinCT
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He should stay in rehab speak with the case manager or social worker or both and explain the situation . medicare can Pay for a longer rehab stay especially since his home is Not habitable due to the People who were hired to renovate .
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Reply to KNance72
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The OT and PT are the folks who usually decide if the patient is ready for discharge. Have they communicated with Medicare to request a longer stay?

Or are they requesting he be sent to subacute rehab?

4 to 5 hours of help per day or per week?
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Reply to BarbBrooklyn
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He is eligible for 20 days of fully paid rehab. He is the eligible for another 80 days, paid by Medicare at 50%. If he has a supplement, they might pick up all or part of the other 50% if he continues to make progress. Or he can private pay the difference.

Is anyone projecting a discharge date?
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Reply to BarbBrooklyn
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zsky23 Mar 11, 2024
His insurance sent out a projected discharge date for the 13th, the nursing home is saying he’ll be discharged on the 14th, which will have been approx 17 days of a short term rehab stay. He has a humana supplement, but I am also looking to see if we can get him transferred to a new location so i’m not sure if that would mess with anything.
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If you are looking at having him move in the next month or two I would just move that timetable up to move him immediately. And if he needs 4-5 hours (per day?) of assistance independent living might not be your best option. You may need to look at assisted living depending on his long term care needs. Some assisted living places have "respite" or short term care. This might be what you need to look for immediately to give yourself a little breathing room. Lean hard on the social worker to help you out. This is a whole lot for you to deal with at 23. Keep pressing them that he has NO PLACE TO GO, and don't let them bully you. They will pressure you into taking him or staying with him someplace and do not let them do this to you.
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Reply to jkm999
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zsky23 Mar 11, 2024
My only concern is this rehabilitation stay is already being covered by his insurance (humana medicare) as a short term stay for up to 20 days. I just spoke with his OT and PT and they are both saying he is not ready to go home, would that be something the insurance would consider?
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