Can a memory care facility say they will no longer care for someone without giving prior notice?

Once a resident is on hospice, they should be kept until death. This facility is wrong to give you no notice and to further suggest "rehab" while he's on hospice which is ludicrous. I'd be livid and demanding a sit down with the ED STAT.

You mention dad is leaning to the right......he may have had a stroke and that's what's causing the leaning which my father was doing too. Their balance is thrown off, and he might be having an issue knowing where he is in space, which causes a feeling of vertigo and that is scary. That may be why he's resistant to standing up and unable to express himself and his fears due to advanced dementia.

Talk to hospice about this leaning matter and what I mentioned. And this memory care is shirking their DUTY to you and dad by trying to kick him out now that he's having more issues,which is their job to help him with! Get hospice on board with you and see if they think calming meds would help dad relax or if he should be seen in the ER.

I'm sorry you're dealing with such a thing and I hope you can reach an agreement with the memory care admin about keeping dad.

If he is on Hospice if he goes to rehab Hospice will be discontinued.
Tall to the Hospice nurse and possibly the social worker. It is possible that medication adjustment might help. If necessary a stay in the Hospice In Patient unit for symptom and medication management might help. If that does not work it is possible that the Hospice social worker can locate a Skilled Nursing facility that will be able to manage him.
BUT the Memory Care facility has to give you time to locate another facility and arrange transfer. The facility social worker should be able to help and they should also be aware of the legality asking a resident to relocate.

Kaycoo, make sure someone checks for broken bones. My mom was "resisting" PT. Fortunately the PT ordered a mobile xray.

Mom had a broken hip.

Long term rehab?

Ask them what they mean by that. Are they saying he needs a skilled nursing facility? For what medical issue?

If he has been on hospice how can a rehab facility be suggested? That sort of facility implies improvement which is not the case with hospice. That would be my first question.

Read the original contract about your husband's care arrangement. I don't think he can be asked to leave on such short notice unless his condition is dangerous to the staff.

Those IRA funds are Your Money, not your husband's. Please use what his funds have available for his care.

I would get the Hospice Nurse and the ED of the MC facility on the phone TOGETHER and ask what exactly is going on and if he needs to be checked for a UTI or his psych and or pain meds adjusted. What are they asking him to do that he is resisting?

One of the good things about Hospice is that they are an extra set of eyes and ears. Use them, and good luck!

It's an unfortunate and painful issue for you, but his behavior may be endangering other residents or taking too many caregivers away from the other residents and thus endangering them. They have to look out for the greater good when there are many vulnerable people involved.

There was a resident at my mother's place who started walking around punching walls. He'd been fine and dandy until then, but all of a sudden he was in danger of putting his fist through a window or through another resident. He was big and very strong and the caregivers were all fairly petite women, so yeah, he was gone the next day.

Unless you know the reason behind his behavior is pain-related, I don't think you can expect the facility to put their employees and the residents in danger. This isn't a rental like an apartment, so a 30-day notice isn't a thing.

Read your contract for the facility he is in.

Confer with the hospice team; that is attend either by phone or in person the next scheduled interdisciplinary meeting that hospice has when your husband's case will be reviewed; these are held either weekly or every 2 weeks. You can of course speak with the case manager for his hospice care or call the Director of the Hospice for assistance prior to the interdisciplinary meeting. ( the advantage of attending the meeting is that the Hospice medical director and all disciplines involved in his care are present.

Now, the facility that he is in sounds like they may seriously need continuing education on how to cope with and best care for a patient such as your husband.

Changing the place of care may or may not address your husband's care needs. Speak with the administration at the facility and have hospice team present.

When they give you written notice, there should also be a form telling you have right to appeal their decision. Send that notice by certified mail to Medicare immediately.

Evidently, the MC does not provide the level of care your husband needs. You can contact Ombudsman's office to ask them if this is true. (Read your contract as well. There should be information that describes the level of care they provide or what happens should his needs increase after initial admit)