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[quote=Anonymous]Pretty quickly into rehab the care team sets goals -- PT/OT/speech. The patient does not need to be making progress, but they do need to be responsive in order to stay. There are definitely patients with dementia in rehab who are responsive so able to participate in the therapies but obviously can't make progress in the traditional sense. It's a bit of a nuance -- maintaining vs. responding, I guess.

If he does go to rehab ask the visiting doctors for advice (you might also see a geripsych). They often visit all the rehabs, assisted living, skilled nursing, etc. in the area. It can be hard to catch them but they are a good source of info on the best places because they see them all first hand.

With arranging private duty/home care nursing (unskilled) around the skilled nursing keep in mind that skilled nursing can often run late so you probably would want them to be concurrent. Unskilled nursing is also not a cheap option unless your father will live with you and you can do the overnight shift. It's usually $32-$40 an hour in the DC area and you have to provide food and some supplies (rehab care team will help you get Medicare provided equipment like a hospital bed commode, etc.). It might not be cheaper than a mid range assisted living but it depends on what his needs are. [/quote]

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