Posted at: 07/18/2008 3:32 PM
Updated at: 12/04/2013 7:22 AM
My neighbor is trying to tell me that her father is in the hospital and that no Nursing Homes in town will take him. How is that possible? How can that be legal? I don’t believe her, but she insists it is the truth.
What say you?
It is absolutely possible. Nursing Homes look at the client’s life projection, cost of daily physical care, and cost of medications. This total is compared to the elder’s financial situation. Medicaid pays only 50-60% of costs, and therefore Nursing Homes must have a mix of private pay and Medicaid reimbursement. I have given some examples of elders whose situation makes it difficult to find a Nursing Home.
- If the individual is younger, running out of money, with a long life expectancy, it is harder to get into a nursing home, although I am quite certain he would be accepted somewhere locally.
- Sometimes the cost of an individual’s care is significantly more expensive than the daily charge at the Nursing Home; in these cases the Nursing Home expects to lose money every day and will not be able to accept the individual. This will be true of all Nursing Homes.
- If the elder is combative as part of dementia or delirium, and is assaultive, it is very difficult to find a Nursing Home who will subject their staff to this situation. These cases are referred to “Behavior Units” which you may consider “Behavior Rehabilitation Units.”
- Sometimes the person’s care need does not match the requirements for admission. This means the elder does not need skilled nursing care. See today’s article on these admission requirements.
I don’t have the facts of your neighbor’s situation, but as you see, she deserves the benefit of the doubt.