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I have a PA Dept of Aging assessment on my mother, her family Dr suggested I call them and have the assessment done. Aging and her Dr. both found her to be Nursing Facility Clinically Eligible (NFCE) she is currently in a rehab after a hospital stay, the rehab is refusing to admit her into the nursing home side, even though I gave them the form from the Dept of Aging. What good is this form, if the nursing homes do not need to follow it? I checked with an Assisted Living facility and they determined that her level of care with them would be high and she would be better suited in a nursing home. My Mom has pulmonary fibrosis, 2 open heart surgeries, pacemaker, diabetes and is going blind in one eye. She is on 4lpm of oxygen for sleeping and 6lpm of oxygen for activity. The nursing home is saying she can walk 150 feet, I know this can not be true as she could hardly get around my house on the proper levels of oxygen and they have reduced her down to 2 lpm. I gave them the Dr. notes on the oxygen level required. I am at my witts end here with this.

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Refuse to have her discharged from rehab.
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So, she is currently in rehab, being paid for by Medicare, yes?
Are they refusing to admit her NOW? Are you willing to forgo the Medicare paid rehab and start private paying for skilled nursing?
Or are they saying " let's see what her level of functioning is when she finishes rehab"?.
Talk to the Social Worker and find out why they are telling you no.
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That "she can walk 150 feet" thing - where did they get that information? I am visualising somebody sitting by her bedside with a questionnaire and asking her the question. Try to nail them down on the assessment carried out by the Nursing Home - who did it, why were you not asked to be present, how do they explain its discrepancies with every other formal assessment?

You must indeed be at your wits' end. Deep breaths and grit your teeth, and Barb is quite right you will get further faster with the social worker/discharge planner on your side. Be nice! 🍬💐
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It could simply be that they have no opening for a permanent resident at this time, where I live wait lists for the most popular nursing homes can be over a year.
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All are good answers. Medicare pays up to 20 days. 21st to 100days they pay 50%. Supplemental may pay the difference. Last time my Mom was in rehab I told them that she was only staying for 20 days. She didn't have the money. She was out in 18. Medicare determines how long patient will be in rehab. If no improvement then they r discharged. With a NH attached rehab can continue.
You need to have a care meeting with Therapy, Social Worker and head nurse. Maybe even administrator. Who are u giving this info to, if not administrator than maybe you should talk to him. Maybe it's because there is no bed, if so, they should tell you that. Get her doctor involved.
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That is a distinct possibility, CW.

Daghdadog, where is the rehab facility proposing to discharge your mother to, currently?
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In my mom's case they didn't have a long term room available so they kept her in rehab room til long term was available but never tried to discharge her due to safety of her not being able to live alone. ..does your mom live with anyone? That may be part of their reason. .otherwise i would get dr more actively involved that she is not safe on her own
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Is Medicaid (not Medicare) going to pay for nursing care? Does that nursing home accept Medicaid patients?
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