Spouse in hospital for redo on previous hip replacement. How do we get him into rehab?

thanks all done the hospital did find one for him.


Thank you

I’m wondering if the issue have to do to his “needs assessment” and / or maybe timing overlap of MediCARE benefits as it’s a do-over?

When hubs got hip replacement the first time, did he do rehab?
Usually for post hip surgery, it’s a discharge from the hospitalization with MD orders for 2 - 4 weeks of rehab in a skilled nursing care facility that has a rehabilitation program. Both the hospitalization and rehab are Medicare benefits.
Did he do that and “progress” in his rehab so that he did all that ideally Medicare wants them to do?
or was he written up as non-compliant for care for the first rehab?
if he was non-compliant, often places won’t take them as they know not going to do what’s needed and get discharged within days of rehab admission. Its a waste of space & energy, so they’ll say they can’t meet the level of care he needs. Yeah it’s a pretty harsh reality when it comes to rehab as MediCARE rehab rules are very tight.

The other issue might be that there has not been enough days since his first surgery & rehab billing cycle to his second surgery & rehab, so Medicare may not cover it. It may be that the discharge codes need to be changed somewhat so it’s not a exact rerun of ICD-10 codes.

The SW who is the discharge planner at the hospital should be able to thread out what the glitches are for his situation & how to get beyond them. If you on your own cannot care for him & provide a safe & secure environment, you need to, need to, need to be very firm & clear with the SW that you cannot and will not pick him up from the hospital and take him back to your home.

The hospital should be looking for a rehab not you. Why is the burden on his family? The hospital should be finding a rehab facility to discharge him to.

Hi jannyfa

Have you spoken with the social worker at the hospital? It’s their job to find a place for him to go for rehab. They will usually consult with both of you.
He does have to be able and willing to do the therapy or the rehab can’t take him is my understanding. My mom was very old so when she needed rehab there was a question on whether she could do it. She was active at home before her hospitalization or fall. So we had to convince the rehab rep that she was stronger than she looked when they came to visit.
Plus, just as important, she was willing and cooperative. Get with yours and see what the problem is.
If you have been through this already and still they won’t take him, call Medicare and ask what you should do. Like Joann said, they have to have a bed available. He might have to go outside your immediate area. Keep pushing for a placement. Therapy really helps.

Maybe there is not a bed. Where I live rehabs except Medicare and Medicaid.