LTC and caregiver for fall risk mother with Parkinson’s. What do we do?

I do think your dad should consult with a Medicaid Planner and/or estate planning/elder law attorney just to see what the options are. The facility cannot restrain anyone into a wheelchair, so your mom would need a "minder", and because she is a fall-risk, has to be certified for this level of care. Elderly falls can happen anywhere, even at home with family right there (been there, done that).

It might turn out that for the short-term it may be "better" to take her back into your home and privately hire a minder. This may be more affordable for now and a private hire can be any qualifications your father wishes at a lower hourly rate than someone from an agency. But best to discuss all options with a professional because there will be pro's and con's for any arrangement and there can be differing rules by state.

How would an attorney possible enter this discussion??

1. Don't put her in a place with such a terrible staff to patient ratio. That's dangerous in far more ways than merely regarding falls.

2. It's possible she should be in a wheelchair for her own safety if falls are such a major issue. My mother became wheelchair-bound not because she couldn't walk, but because it was unsafe for her to walk. She fell taking one step out of her bed and ended up with 28 stitches in her head after hitting the bedside table on the way down.

No nursing home can prevent falls no matter how many people work there. The important thing is to do what you can to minimize the danger of falls. If Mom is in that much danger, then I'd say the wheelchair is the way to go.