Nursing home is retaliating because I have been reporting them to the dept of health for which they have been cited and fined. Any advice?

Call your local news station and request they do a television report on this facility. Tell them you want to remain anonymous and off camera. The station will love doing such a big news bust on air!

That is so unfair, isthis....real. I hope you can get your loved one out of there quickly. That’s terrible for the cgr’s to be so cavalier about their responsibilities to your LO. I hope the certifying agency shuts them down. And to withhold the reason for discharge is just not right either.

Yes shane1124, I have asked and the Obudsman has asked, my contract says they are to provide a reason. They say they would rather not say. Sounds like it's hard to say because she knows of our illicit drug use and that we are to stoned to take care of our residents. The manager is the mama of owners and works for the in home PCP company, lots of cover up and some conflicts of interest. I think that they should be shut down. Who provides less food to someone that says they are hungry. When this poor man moved in they promised a 3000 calorie a day diet to help him gain weight, he has steadily lost weight. Trying to get other advocates to stand together has been fruitless. To much retribution and these people are vulnerable. I believe that it will all be opened for all to see the truth. Obudsman said that this is rampant in care homes, he personally would rather be on the street if he ever needs care. That speaks volumes to me.

Isthisreallyreal, have you spoken with the center’s mgmt? I believe you have a right to know why your father is being kicked out.

Oh my, I am so sorry you are facing this also. My dad has been kicked out with out reason. I believe it is because I caught the owner/caregiver with pot and I have been having to "remind" them of doctors orders and asking for better communication. They will be turned in when I find a place for him. In the mean time, him and 4 other residents have asked me not to say anything, as it only gets worse when they or their advocates do. There really needs to be some teeth in the laws that are suppose to protect the vulnerable people in this world. I pray you find a place soon, it is hard to hear "why are they still there?" from people who don't know the situation. I asked for help when I got the notice and that was the only responses I received. Like it's not hard enough without judgmental input. Love and hugs to you and your loved one. May an opening happen very quickly.

Moving a resident on Medicaid from 1 NH to another NH with a open available Medicaid bed can be done & with a bit of planning should be just a matter of well timed logistics. Medicaid allows for lateral transfers without 30 day notice requirements. But it will be on the dpoa to find the new facility, do whatever paperwork needed for new NH and secure whatever proper transportation & pay for transportation to new NH. 

I moved my mom on Medicaid at about month 10 from NH #1 to eons better NH#2. Financially to make it simple, you want to have them selfpaying their Medicaid copay, if old NH is the representative payee for their SS or other income that will need to be changed in advance of the move. What, imo & my experience, you want to do is on the month of the planned move, they - Or you as Dpoa & signature on their checking account - write a check to each facility for the exact amounts due by Medicaid rules for that months copay pr SOC. Medicaid’s required copay must be paid and for the exact # of days to the exact penny. When I moved my mom, I timed it so she moved at the beginning of the month, so she had gotten her SS/pension on the 3rd of the month and there was $$ to pay each NH. Also you must get all their medications as these are usually done in 90/120 day packs & these will have to be signed out to you as dpoa or to your mom. Again you MUST get their meds as Medicaid or Medicare will not pay for duplications. Otherwise you’ll have to private pay for her medications and this could be quite expen$$ive.

If they are on Medicaid, moving out of state is NOT an option. Medicaid coverage is limited to state of legal residency.

If they are private pay, moving them to another facility is pretty much a matter of securing ambulance transport, having MD orders for admission (usually new facility sends out a RN/SW team ahead of move to evaluate them and give clearance that new NH can meet their care plan so the MD medical director of new place signs admissions order) and paying whatever deposit and monthly fees needed.

Moving to another NH is totally feasible. NH cannot keep a resident or their DPOA from doing this. Old NH must be current on Payment. But if the move could be placing the elders health in jeopardy (like they are on a vent or need a Hoyer lift or totally bedfast), the NH can contact APS for oversight to ensure there are no problems & you arrange for speciality transportation. Please keep in mind, transportation costs will not be covered by Medicaid or Medicare as this is a voluntary move.  My mom was 100% ambulatory so for us, she was able to walk using her footed cane with no issues.

Thank you both for taking time to post yr comments and advice
Facility is indeed for profit and on DH radar.
Yes patient is on waiting list on several other NH . Current facility is in a remote location where choices are limited. Yes have considered even out of state locations.
Horrific situation. In fact there has been multiple deaths that go beyond
any normal statistical possible outcomes. But because patients or elderly 80-100+ their death is considered a norm when it is not

My first thought was to find another facility. If there are enough violations to report the company (and I'm assuming this is a for profit agency), and if they're retaliating, I think it's time to "get out of Dodge." You don't want to have to worry about what they might do that isn't detectable, and your mother's safety if the primary concern now.

Is your mother the dying patient to whom you referred? Is she in hospice care? You can change companies and facilities. I'm finding that non profit companies provide better care.

Now that the NH is on the DH's radar I don't see why you need to keep reporting them. Do you have a loved one in this NH? Maybe just concern yourself with the well being of your loved one if this NH has the tendency to retaliate. Have you considered moving your loved one to another facility?