Reply to Assisted living facility/memory care cutoffs

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[quote=Anonymous]Say an 81-year-old has Stage IV cancer that’s spread to the brain. Can do all physical things, sound lucid over the phone and read a paper, but has no interest in food, cant order food off the rehab center menu for the next day, and, sometimes, in the evening, thinks he’s in a hotel and says he needs cash so he can tip the staff when he leaves the next day.

He’s on two pills per day plus monthly chemo.

He’s pleasant and doesn’t seem unhappy but has no real interest in leaving his room.

The rehab just did an evaluation and says parent just needs a little supervision, but maybe he’s deteriorated in the last week.

In the real world, are there obvious signs that someone like this will have trouble getting into an ALF and will have to go with memory care?

My father still wants to stick with active treatment for now. I haven’t even heard anyone talk about life expectancy. But, if someone like this wanted to shift into hospice, would there be a lot of risk of Medicare refusing hospice care for someone with cancer that’s spread to the brain? Is that really a case-by-case thing or something where, once the oncologist says it’s time, it’s time?

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