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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Sunrise is $300/day, but I heard some directors can work with families to put two people in 1 place.[/quote]

You realize that is over $100,000 a year.[/quote]

My mother started out at Sunrise, in a studio/room that cost about $4500/month.  As her need for help increased, so did the bill, until she was paying over $6500/month for the room plus various "a la carte" services.  We had a few terrible incidents of neglect there which caused us to move her to a smaller, memory-care-specific assisted living community.  There, she paid a flat monthly fee that covered everything she needed - $7950/month.

Thank goodness she saved diligently during her working life.  [/quote]

What's really hard about this is that the lady in the next bed qualifies for Medicaid and isn't paying anything for the same service.[/quote]

Its often not the same service.  Many nursing homes have special medicaid wings and the care and space are very different.  [/quote]

What you are saying is generally illegal in ALFs, although the regs can vary by state. [/quote]

I don't know if the regs are different for ALFs vs. nursing homes but several nursing homes we visited, it was very clear that here were separate wings, services were different and they only took medicaid when they could not fill their beds.  It took me six months to find a medicaid bed and that was trying for hours a day for several days a week of just calling and calling different facilities.  The ALF's were more willing when they thought we had the medicaid waiver but we didn't have that so it wasn't an option for us.  Lots of things are illegal... does't mean they aren't done.[/quote]

The regs for assisted living/ALFs are very different than skilled nursing/SNFs/nursing homes.  The latter are federally regulated.  T he former are state regulated, even the Medicaid beds (via state funding sources which are federally backed so it gets gray)... Although enforcement of state regs vary based on resources... By that I mean a broke state like Michigan, while they have tight regs, can only afford so many regulators(surveyors) and therefore do surveys on a much longer timeframe.  States with more money, or more money dedicated to this stuff, like Maryland, can afford more enforcement agents.  I agree just because it's illegal doesn't always mean it's not done, but that applies to all things not just Medicaid waiver beds. [/quote]

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