Anonymous wrote:
Anonymous wrote:I work for APS and investigate elder abuse. I haven’t read the full entire thread but I have this recommendation for you:
Don’t.
Medicaid may for some partial in home care but it will never be enough and they do not pay for care at night. Which means someone will have to be there to redirect him, change him, tend to his needs for a condition change, etc. There was mention that he may be sharing a room with your children? Don’t. That’s completely inappropriate. When he comes bed bound and soils himself, how are you going to change him in front of your children? Adult BM and bodily fluids smell terribl.
Even the best and most well equipped caregivers and families who have the resources for out of pocket care struggle to care for an aging parent. It sounds to me like your FIL has minimal resources and this would be a significant strain on your family. This sounds like a recipe for burnout and he will be harder to find care for once he’s in your home as the state and case managers see it as less of a priority if he’s housed with family.
Look, not all nursing homes are bad but do your research. Try to find a nursing home that accepts Medicaid but is not mostly occupied by Medicaid residents. Look on nursing home compare and review inspection reports. Accept that your FIL will not get a private room as Medicaid does not pay for it. Look at the food (which is a huge contributor to quality of life, helps reduce weight loss and promote wound healing, etc) and the smell. If you walk in and immediately smell B.O and poop, it’s not going to be a decent facility. Talk to the director of nursing and read Yelp reviews with a grain of salt.
Your best bet is for your FIL to sell his home if he owns, and for both of them to buy into a continuing care community that provides independent, assisted, and memory care who will transition him to Medicaid once he “spends down.” I’ve seen the best care in continuing communities.
Some of this is incorrect. You go into a nursing home directly from the hospital under medicare which gives better choices. Then when you are in you apply for medicaid and if eligible you can stay in that home if they accept medicaid. Most on the surface look better than they are. My loved one has a private room on medicaid so it is possible depending on what is available at the time and the nursing home. Most with the level that FIL is at will smell pretty bad as most only bathe residents 2 times a week and most are not able to go to the bathroom themselves.
Medicaid does not pay for in home care except if they want you out as it is cheaper and its only a few hours a week. Some states do have medicaid that pays for in home care but not here, CA for example does.
Talk to the ombudsman, not just online. Most of us do not post online due to retaliation.
Most Ombudsman’s are volunteers and not in a position to take any kind of action, they are there to mitigate disputes or complaints before an escalation. The licensing division who investigates NH compliance is better suited to address care complaints.
And no, you don’t just go into a nursing home directly from the hospital. FIL needs to have a skillable need in order to qualify for a SNF stay. If all the beds are not dual certified and they do not have a Medicaid bed available, they can discharge him. SNFs are not obligated to provide private rooms, so your loved one lucked out. If the nursing home has a significant number of admissions and they need a the space, they may double up Medicaid residents.
He needs significant care and OP is not willing so this is a non-issue. OP needs to stay out of it as she will be more annoying than helpful.
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