Is Nursing Home Dumping Ok?
Is it legal for a Nursing Faciity Administrator to just dump someone to a hospital because a patient with Alzheimers refuses to be their doormat?
I have done my nursing clinicals in a Nursing Facility and let me just say, most people working there are not compassionate with the patients and all. I've witnessed first hand how the elderly are treated and it is not good. So nasty and disrespectful. Most are just there for a paycheck and that is as far as it goes.
I've also observed while visiting my LO and I see the same thing all over.
To make a long story short, I had a LO in a Memory Care Assisted Living that fell victim to one of these clowns. The administrator at that.
She felt like she could just treat him like a doormat, I guess bc he as Alzh. Nevertheless, he is extremely intelligent and he expects the same respect from a person as I am sure the admin does. Anyway, after he would not tolerate her being nasty to him, she dumps him at the hospital?
Is this legal? I see a very sorry broken system. Now, I see exactly why there are so much bad things that go on in these facilities. It is because they are not monitored and they do not go by any policies.
19 Answers
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I never once mentioned that I think someone should be catered too. I know the demands in a nursing facility can be high. The point I have tried to make is, No one should be disrespected. No one.
Let me ask you a question. If you were in a nursing facility and the admin/staff treated you like you were just a number and disrespectful, what would you do?
You mentioned that I said he was a perfect gentleman. How about all the nurses and doctors in the hospital say the same. They love him.
As far as me not offering him care in my home, If I could I would do it in a heart beat. My husband had a triple bypass heart surgery and I have a someone else in the home I have to care for.
Problem residents and problem families? I don't know what you are trying to insinuate. Yes, I am so sure they would love to have residents like the ones I have seen. The ones that can only sit and stare at the walls? (I don't mean anything by this)
It is such a blessing for you and your mom to have been able to find a good one.
Thanks for responding. Yes, I called the ombudsman and he couldn't care less. You know as long as some people can sit on a phone a cover things up, less work for them.
Thank you for your smart response though.
Anyway, what cwillie writes is the cold hard truth. I've realized you may do so much better with the NH (and people in general) by being compliant, agreeable, respectful, cordial than by being demanding, accusatory and disrespectful. I'm not in any way implying that original poster behaved in that fashion, but I do get the feeling (from my own experiences and from this forum) that the NH can and will "get rid" of the problem patient and family fairly easily without much in the way of consequence.
I was just waiting for you to comment with your smart remark.
You call me a TROLL? How long/often are you on this forum? I never see you go away.
No, I did not make a mistake by coming under a different username. I have nothing to hide.
I had forgotten that I had made an account a while back and just realized I had an old account. Henceforth, I had LEFT THE FORUM for a while, unlike you.
But you called me a troll. Carry on …….
Is he paying for this AL/memory care privately? Then its his residence. He is paying rent and I would want a good reason why the Adminstrator saw fit to send him to the hospital. If you have POA or on his HIPPA paperwork, then you should have been called before he was sent. Unless Dad is violent, the facility should know how to handle him.
When Mom was in an AL, the Administrator did not get that involved with the residents to treat them disrespectfully. The care was done by the CNAs. The RN was over them and handled reordering meds and paperwork. The RN usually determines if resident gets sent to the hospital or an LPN. (In Moms facility a Medtech was able to make that decision)
Since the Ombudsman was of no use, call the State department that does the inspection of the facility.
I admit that those working with Dementia/ Alz and the elderly need to have compassion. In the two facilities Mom was in I saw nothing but patience. CNAs, Nurses and LPNs get burned out too. There is alot of stuff they put up with. Understaffing for one thing.
This is ongoing since 2017. Every facility he’s been in and every administrator has been a problem. She’s been told repeatedly who to call and it’s always the same story-they didn’t do anything or they didn’t do their job correctly.
You have to be able to look at this unfortunate situation realistically. Who is the common denominator is in all the facilities your BIL was in and managed to get discharged from? BIL. Why is he difficult to manage? Surely you have an idea. Can you arrange a meeting with your husband and the care team and try to work with them to provide care to BIL and not be adversarial?
I understand your frustration in that your husband is ultimately responsible for quelling any disaster his brother stirs up.
But any administrator must take into consideration that having your BIL poses a REAL risk to other residents and staff there. What is his diagnosis on this hospital admission? He must have an acute illness or a psych issue to be admitted to an acute center in this pandemic.
Maybe the solution is for you & your husband to take BIL in, maybe in a MIL apartment set up or something like that. You & hubby can supervise him and if BIL is eligible he can get IHS thru Medicaid. Your husband after triple bypass surgery usually achieve a better level of function activity wise because his heart muscle was re-vascularized & recover well. I believe husband may have a lifting restriction due to sternal surgery but that too improves after the sternum heals. Would there be physical demands placed on your family if BIL moved in? Can BIL take care of his own hygiene with direction? What physical needs does he have? No one is going to care for him up to your standards so why not take him in?
Yes of course everyone should be treated with respect. Unless you witnessed the conflict between admin & BIL you can’t really say what happened. And also there is BIL’s long and no doubt well documented history of non compliance, verbal (& maybe physical) assaults on the staff, etc.
As someone said, it’s not a perfect world as much as you wish for one.
You do get an “A” for effort in trying to help your husband get BIL placed
Before my BIL got to this point with dementia/alzh, he was really very very intelligent. From what my husband and I observe when we go into the MC unit to visit is … All the other residents are just mainly sitting in one place staring at the wall. My BIL on the other hand, is active. He likes to go all over the place in his wheelchair (he can walk some) talking, laughing and joking all the time. Maybe, just maybe, that is part the facilities don't like.
However, in this MC assisted living facility, he was only there for 30 days. My husband and I had visited him on a regular basis and we were never aware of any issues. Everyone just smiled in our face and acted like all was good. Until my husband got the call on Christmas Eve from the admin that she was discharging BIL to ER phys and she would not take him back.
We later learned that the admin had actually agitated him by actually trying to argue with him along with a demanding approach. Also, we were told they had him so drugged up to keep him still while he was in rehab recovering from surgery and that this facility was trying to take him off the meds. Anyway, this is what prompted the discharge to hospital with no means of returning. She did not know how to handle/fix what she messed up. Therefore, to clean her hands, she just dumps him to let them figure things out.
My husband has more health issues besides triple heart bypass that will not permit him to take care of his brother. That is what bothers us the most. We would rather bring him home and take care of him ourselves.
We are not at the facilities so we can only go with what we are told. In the past, an ombudsman investigated and she did admit that staff was being very disrespectful to him and not giving him his meds. Thank you for responding.
To answer your question (briefly), the Admin thought is was fine to argue with our lo who has Alzheimers about his perception of a situation. On top of that, she was very demanding with him, therefore, agitating him.
Henceforth, dumping at the hospital and refusing to accept him back.
SOMETHING SHE DID WRONG. Thanks
I just have a hard time believing that these facilities get away with doing such things.
Really, why be in the business if you can not do any better? Thank you.