Nursing facility wants FIL out

Anonymous
Anonymous wrote:
Anonymous wrote:Did you tell them he might try to escape when you were discussing whether they could handle him? I think it’s pretty crappy to expect them to suck it up if they genuinely had no idea what they were really agreeing to. They might simply not have the staffing or the environment to handle that.

But overall, I wouldn’t want my family somewhere that people are saying they can’t handle them. Same for kids.


What nursing facility has no idea that one of their new patients might try to escape?! It's textbook elder care. It's literally part of the service they provide.


It happens all the time. Limited staff, residents just walk out even on locked wards.
Anonymous
Anonymous wrote:Get a private aide for him for the next month. If you take him out, you will never get him back in in April.


He is on medicaid pending which means no money for an aide.
Anonymous
Anonymous wrote:
Anonymous wrote:Get a private aide for him for the next month. If you take him out, you will never get him back in in April.


He is on medicaid pending which means no money for an aide.


He may not have money, but can OP pay for an aide until mid- April? At least part time?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Did you tell them he might try to escape when you were discussing whether they could handle him? I think it’s pretty crappy to expect them to suck it up if they genuinely had no idea what they were really agreeing to. They might simply not have the staffing or the environment to handle that.

But overall, I wouldn’t want my family somewhere that people are saying they can’t handle them. Same for kids.


Yes, we did mention he would try to escape. He has an ankle monitor. I think it's pretty crappy that a facility would agree to take him knowing his conditions and then decide later on that they can't care for him.


Look, they probably made the best decision they could with the information they had at the time. As the spouse of a nursing home administrator, I can tell you that most people underplay the difficulties that the patient presents. I don't know if you did or didn't. Also, people change and regress as their condition worsens.

If they informed you that they cannot handle him, he will be gone soon. Here all they have to do is give you a 30 day notice and if you don't move him, then they take you to court. It's not pretty. But it's even worse if they keep him and can't handle him. That actually puts him in danger. By working to get him moved, they are actually protecting him.

It's always hard when your parent is in long term end of life care. I hope you find a place that you are happy with.


They need to make an appropriate discharge plan. They cannot kick someone out with no plan. And, the plan cannot be family/return home. Been there done that and we went to arbitration over it with the help of the ombudsman and legal aide.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Did you tell them he might try to escape when you were discussing whether they could handle him? I think it’s pretty crappy to expect them to suck it up if they genuinely had no idea what they were really agreeing to. They might simply not have the staffing or the environment to handle that.

But overall, I wouldn’t want my family somewhere that people are saying they can’t handle them. Same for kids.


Yes, we did mention he would try to escape. He has an ankle monitor. I think it's pretty crappy that a facility would agree to take him knowing his conditions and then decide later on that they can't care for him.


Look, they probably made the best decision they could with the information they had at the time. As the spouse of a nursing home administrator, I can tell you that most people underplay the difficulties that the patient presents. I don't know if you did or didn't. Also, people change and regress as their condition worsens.

If they informed you that they cannot handle him, he will be gone soon. Here all they have to do is give you a 30 day notice and if you don't move him, then they take you to court. It's not pretty. But it's even worse if they keep him and can't handle him. That actually puts him in danger. By working to get him moved, they are actually protecting him.

It's always hard when your parent is in long term end of life care. I hope you find a place that you are happy with.


They need to make an appropriate discharge plan. They cannot kick someone out with no plan. And, the plan cannot be family/return home. Been there done that and we went to arbitration over it with the help of the ombudsman and legal aide.


PP here. You are exactly right. They can’t put him into an Uber to the local homeless shelter. The problem is that families often object to the move and that’s how legal issues occur. It’s not usually actually unavailability of appropriate placement.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Get a private aide for him for the next month. If you take him out, you will never get him back in in April.


He is on medicaid pending which means no money for an aide.


He may not have money, but can OP pay for an aide until mid- April? At least part time?


Do you realize the cost involved and what changes in mid-April? He gets moved to a locked ward but staffing is still the same?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Did you tell them he might try to escape when you were discussing whether they could handle him? I think it’s pretty crappy to expect them to suck it up if they genuinely had no idea what they were really agreeing to. They might simply not have the staffing or the environment to handle that.

But overall, I wouldn’t want my family somewhere that people are saying they can’t handle them. Same for kids.


Yes, we did mention he would try to escape. He has an ankle monitor. I think it's pretty crappy that a facility would agree to take him knowing his conditions and then decide later on that they can't care for him.


Look, they probably made the best decision they could with the information they had at the time. As the spouse of a nursing home administrator, I can tell you that most people underplay the difficulties that the patient presents. I don't know if you did or didn't. Also, people change and regress as their condition worsens.

If they informed you that they cannot handle him, he will be gone soon. Here all they have to do is give you a 30 day notice and if you don't move him, then they take you to court. It's not pretty. But it's even worse if they keep him and can't handle him. That actually puts him in danger. By working to get him moved, they are actually protecting him.

It's always hard when your parent is in long term end of life care. I hope you find a place that you are happy with.


They need to make an appropriate discharge plan. They cannot kick someone out with no plan. And, the plan cannot be family/return home. Been there done that and we went to arbitration over it with the help of the ombudsman and legal aide.


PP here. You are exactly right. They can’t put him into an Uber to the local homeless shelter. The problem is that families often object to the move and that’s how legal issues occur. It’s not usually actually unavailability of appropriate placement.


It absolutely is partly because of the lack of appropriate placements. Its near impossible to get a medicaid or medicaid pending bed. I would have loved to move our loved one but I couldn't find another suitable facility. We fought it. It was a few bad admin and not the actual staff (who were nice to us and her) in our situation as I'd report every violation that occurred.
Anonymous
Whatever you do, don't take him from the facility (doctors visits, whatever). They could refuse to allow him back in.
Anonymous
Anonymous wrote:Get a private aide for him for the next month. If you take him out, you will never get him back in in April.


I highly recommend this route. Get a private aide for his waking hours until the memory unit is available.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Get a private aide for him for the next month. If you take him out, you will never get him back in in April.


He is on medicaid pending which means no money for an aide.


He may not have money, but can OP pay for an aide until mid- April? At least part time?


Do you realize the cost involved and what changes in mid-April? He gets moved to a locked ward but staffing is still the same?


OP can pay until mid April for an aide until he gets moved into the locked ward. OP is paying for internet to post on here. OP is paid for a computer to post
on here. You are talking about 5 weeks. OP can get a second job ubering to pay for the 5 weeks.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Get a private aide for him for the next month. If you take him out, you will never get him back in in April.


He is on medicaid pending which means no money for an aide.


He may not have money, but can OP pay for an aide until mid- April? At least part time?


Do you realize the cost involved and what changes in mid-April? He gets moved to a locked ward but staffing is still the same?


In mid April he is on the locked ward. Security seems to be the issue now.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Did you tell them he might try to escape when you were discussing whether they could handle him? I think it’s pretty crappy to expect them to suck it up if they genuinely had no idea what they were really agreeing to. They might simply not have the staffing or the environment to handle that.

But overall, I wouldn’t want my family somewhere that people are saying they can’t handle them. Same for kids.


What nursing facility has no idea that one of their new patients might try to escape?! It's textbook elder care. It's literally part of the service they provide.


It happens all the time. Limited staff, residents just walk out even on locked wards.


Many of the residents are pretty smart and memorize the codes punched in by workers to exit locked facilites.
Anonymous
Can they restrain him-especially at night when they have fewer staff members to keep an eye out? There are chemical and physical restraints. Ask about that as a temporary means to get everyone through until the memory care unit opens.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Did you tell them he might try to escape when you were discussing whether they could handle him? I think it’s pretty crappy to expect them to suck it up if they genuinely had no idea what they were really agreeing to. They might simply not have the staffing or the environment to handle that.

But overall, I wouldn’t want my family somewhere that people are saying they can’t handle them. Same for kids.


What nursing facility has no idea that one of their new patients might try to escape?! It's textbook elder care. It's literally part of the service they provide.


It happens all the time. Limited staff, residents just walk out even on locked wards.


Many of the residents are pretty smart and memorize the codes punched in by workers to exit locked facilites.


Most of the residents have impaired memory and cannot remember the codes Some don't use codes and use key fobs. Most walk out when its left open by staff or a family member.
Anonymous
Anonymous wrote:Can they restrain him-especially at night when they have fewer staff members to keep an eye out? There are chemical and physical restraints. Ask about that as a temporary means to get everyone through until the memory care unit opens.


They are not allowed to use restraints. In MD, there are strict rules about it even if its a real safety issue.
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