Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My mother had a very good experience at Encompass in Aldie, Virginia. It was clean, private rooms, attentive staff, good physical rehab program. It was recommended to us by doctors and nurses.

Encompass aldie is an acute rehab (inpatient rehab) not a SNF. For acute rehab you usually have to be recommended by PT and OT in the hospital to be admitted on the basis that the person can participate in 3 hours of therapy. Many people in the hospital that need rehab are so sick and weak that 3hrs (which all acute rehabs require) is not possible or beneficial based on the prognosis / diagnosis.

NP. I was going to say AFAIK there isn't an inpatient rehab facility in Gainesville.

I will also say that in my experience a hospital gaslit me when I pushed for inpatient rehab. The doctor would not recommend it despite it being the standard of care for their condition. The PTs acted like 3 hours is out because the patient couldn't stand up without help in the hospital. Of course they can't due to the issue that put them into the hospital. That didn't mean they couldn't participate in 3 hours of rehab.

When I got a new case manager and pushed for inpatient rehab the lady from that facility said it was the correct place for the patient who then did extremely well at inpatient rehab.

All that to say to OP, learn the difference and fight for whatever is the best care for the situation. The hospital just wants to be rid of her.

Also is she at the SNF or still in the hospital? Has she already signed papers to be discharged to the SNF? It's probably hard to move and you may have to pay the ambulance transportation between facilities if you're trying to go from SNF to rehab.

CM here and that’s odd. It’s just as easy to discharge someone to acute rehab as sub-acute (in terms of just wanting someone out of the hospital), if they meet the criteria, so I’m surprised you had that experience, PP. Even if I personally doubt a patient will meet criteria for inpatient rehab, I always send the referral, if a patient requests it. The facility can make the decision.

Yes, it was very strange, first CM listed only SNFs for the family to choose from even when inpatient rehabilitation was always closer to home, insisted SNFs and inpatient rehabilitation would both be the same despite my listing actual differences in the level of care they provide (not opinions) from Medicare sources, she gave wrong information with respect to cost sharing, was condescending. Wouldn't listen when I requested the rehab be the one to reject the patient which I could accept vs. not being given the chance.

I requested a new CM who didn't understand why the first hadn't included the inpatient rehab as a choice. She sent them the referral, they had space and took the patient with no hesitation.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My mother had a very good experience at Encompass in Aldie, Virginia. It was clean, private rooms, attentive staff, good physical rehab program. It was recommended to us by doctors and nurses.

Encompass aldie is an acute rehab (inpatient rehab) not a SNF. For acute rehab you usually have to be recommended by PT and OT in the hospital to be admitted on the basis that the person can participate in 3 hours of therapy. Many people in the hospital that need rehab are so sick and weak that 3hrs (which all acute rehabs require) is not possible or beneficial based on the prognosis / diagnosis.

NP. I was going to say AFAIK there isn't an inpatient rehab facility in Gainesville.

I will also say that in my experience a hospital gaslit me when I pushed for inpatient rehab. The doctor would not recommend it despite it being the standard of care for their condition. The PTs acted like 3 hours is out because the patient couldn't stand up without help in the hospital. Of course they can't due to the issue that put them into the hospital. That didn't mean they couldn't participate in 3 hours of rehab.

When I got a new case manager and pushed for inpatient rehab the lady from that facility said it was the correct place for the patient who then did extremely well at inpatient rehab.

All that to say to OP, learn the difference and fight for whatever is the best care for the situation. The hospital just wants to be rid of her.

Also is she at the SNF or still in the hospital? Has she already signed papers to be discharged to the SNF? It's probably hard to move and you may have to pay the ambulance transportation between facilities if you're trying to go from SNF to rehab.

CM here and that’s odd. It’s just as easy to discharge someone to acute rehab as sub-acute (in terms of just wanting someone out of the hospital), if they meet the criteria, so I’m surprised you had that experience, PP. Even if I personally doubt a patient will meet criteria for inpatient rehab, I always send the referral, if a patient requests it. The facility can make the decision.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My mother had a very good experience at Encompass in Aldie, Virginia. It was clean, private rooms, attentive staff, good physical rehab program. It was recommended to us by doctors and nurses.

Encompass aldie is an acute rehab (inpatient rehab) not a SNF. For acute rehab you usually have to be recommended by PT and OT in the hospital to be admitted on the basis that the person can participate in 3 hours of therapy. Many people in the hospital that need rehab are so sick and weak that 3hrs (which all acute rehabs require) is not possible or beneficial based on the prognosis / diagnosis.

NP. I was going to say AFAIK there isn't an inpatient rehab facility in Gainesville.

I will also say that in my experience a hospital gaslit me when I pushed for inpatient rehab. The doctor would not recommend it despite it being the standard of care for their condition. The PTs acted like 3 hours is out because the patient couldn't stand up without help in the hospital. Of course they can't due to the issue that put them into the hospital. That didn't mean they couldn't participate in 3 hours of rehab.

When I got a new case manager and pushed for inpatient rehab the lady from that facility said it was the correct place for the patient who then did extremely well at inpatient rehab.

All that to say to OP, learn the difference and fight for whatever is the best care for the situation. The hospital just wants to be rid of her.

Also is she at the SNF or still in the hospital? Has she already signed papers to be discharged to the SNF? It's probably hard to move and you may have to pay the ambulance transportation between facilities if you're trying to go from SNF to rehab.

Anonymous wrote:^Another difference is at inpatient rehabilitation you see a doctor way more often than SNF subacute rehab, which is once a week.

Anonymous wrote:

Anonymous wrote:My mother had a very good experience at Encompass in Aldie, Virginia. It was clean, private rooms, attentive staff, good physical rehab program. It was recommended to us by doctors and nurses.

Encompass aldie is an acute rehab (inpatient rehab) not a SNF. For acute rehab you usually have to be recommended by PT and OT in the hospital to be admitted on the basis that the person can participate in 3 hours of therapy. Many people in the hospital that need rehab are so sick and weak that 3hrs (which all acute rehabs require) is not possible or beneficial based on the prognosis / diagnosis.

Anonymous wrote:My mother had a very good experience at Encompass in Aldie, Virginia. It was clean, private rooms, attentive staff, good physical rehab program. It was recommended to us by doctors and nurses.