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To give some background, my grandfather is 80 years old, suffers from the effects of multiple strokes, heart-attacks. He has a defibrillator, diabetes that requires insulin shots, high blood pressure, he’s a very big fall risk as his right leg does not work properly, he has a permanent catheter. My grandmother is almost 80, is heavy set, very weak, struggles with diabetes, heart failure with edema, and is almost completely blind among other things. They require around the clock care as they need insulin shots multiple times a day, they are unable to cook for themselves, he can not walk with his walker without someone following to assist, and he has also started wearing diapers because he is to the point where he simply poops himself because he doesn’t feel like or doesn’t remember to go to the bathroom, requiring cleaning multiple times a day. This is not anything his wife can do as she is almost blind. I am 22 years old and quit my job 6 months ago in order to care for them as we have no other family that is willing, not even their kids as they are are basically criminals. I financially can not be out of work any longer. He is currently in a rehab center as he got pneumonia and was very weak. The center is suggesting that we put him into long term care but my grandmother is very against it. He will not have the help and support he needs in order to come home, she knows this but is not wanting to put him in care and instead wants to bring him home. If I speak to the social workers and explain the situation and that it isn’t safe for him to come home, is the rehab facility able to keep him despite my grandmothers wishes?



edited to add: home health care is not an option as it is too expensive. Also to add I am not power of attorney or anything, they have no will or anything set up as I have been trying to get them to for months but my grandmother refuses

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You need to separate yourself now from caregiving and get back to work. Tell the SW you are unable to be there anymore at home. Please stick to your guns and don’t give in to any pressure, family or other wise. They will get APS involved and figure out the best way to proceed with grandparents
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Your question is can Rehab keep a patient if they can't be cared for at home. The answer is no they can't keep him...he must be transferred to a LTC facility if he is an "unsafe" discharge.

Rehab is paid by Medicare. If its found that he has plateaued, no longer progressing or uncooperative, Medicare will have him discharged. If grandmom can no longer care for him, then she needs to have him evaluated for 24/7 care. If found he needs it, then she needs to place him in LTC. Where I live Rehab and LTC are in the same building so an easy transfer.

If no money other than monthly, she will need to apply thru Medicaid claiming Community Spouse. This way she stays in the home, has a car and enough or all of their monthly income to live on. If there r assets, she needs to have them split so Dads half goes to his care and then Medicaid is applied for. An Elder Lawyer can help here.
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Kbelreivins Sep 2022
Any examples of assets and what you mean by splitting them?
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You said the key words to the social workers. Keep telling them. They will not release him to your grandmom. The correct process does not even need you involved, especially if there is no POA and there are few assets.

Rehab will petition probate court, the judge will appoint a guardian who most likely will be a lawyer, who will help apply for Medicaid and have him placed into a long care facility. The guardian may bill your parents if there are some assets available. Do not worry about it if there is little left. Us taxpayers will pick up the tab through Medicaid.
If this process gets going, and you live close enough, you can petition probate to appoint you. However you are young and may not understand the annual reports and the accounting you willl need to file. You may even have to take more time off if you choose this route.
I want you to be aware if your grands only income is social security, grandfather's income will go towards his care, so grandma's will be cut. Again, let the court guardian deal with this if you wish to go this route. The process will be familiar to the court apointee.
BTW don't worry about a will because Medicaid will wipe them out. However if there is anything left and no will, you can eventually petition the court as a blood relative after both pass.
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If grandpa is in a Skilled Nursing Facility for his rehab, and if they have a long term care section there, then yes, they can keep him long term in that section of their facility. It always blows my mind to hear that a wife wants her husband to come home when there are more issues than Newsweek to handle between them, and neither of one of them can manage!

Take BarbBrooklyn's advice about how to proceed.

Best of luck!
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Rehab is paid for by medicare and there are limits. It is sub acute care required for rehabilitation. Then it is either home going or permanent placement. If your loved one will require placement speak to the rehab Social Worker at once so that can all get started. There may be necessary collection of assets, and there may need to be private pay, then medicaid or medicaid right away, so whichever, you need to get a jump start on this while Grandmother is still in rehab. Sure do wish you the best in this. It's a hard process, but you should definitely not try to take on inhome care 24/7. It will break you. Wishing you the best.
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Most elderly people don't want to go into care or believe that they can care for their loved ones, even if they can't care for themselves. This never works as they always need additional care and instead of asking what they want, ask what do they need.

From what you write, I think they need full time care and will need to be placed in a long term care facility. The most important thing is to not let them come home unless they have a care plan in place that doesn't involve you.
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Also adding: I have had nothing but arguments with other family members, their children, as they only come around once every couple of months to ask for money or to take them to Walmart for half an hour so they buy their groceries. My grandmother doesn’t see any problem in this because she believes that they are her kids no matter what they do. I simply can not understand this. They only come around to cause problems. I have been feeling so guilty about even thinking about asking the social workers to intervene but i physically and mentally can not handle this anymore.
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AnitaGjen Sep 2022
This is NOT your problem or duty. it is their adult children's and their own. I emphatically second others' advice to speak to the rehab social worker and let them know the situation. As some else said, they had a lifetime to figure this out.

It seems that many many elders are more than happy to take over their adult children's lives with no thought for the stress or financial burden and pain this causes their caregivers. Let their problems be THEIR problem - it is not and never was yours.

It speaks to your good heart and character that you quit your own job/career at such a young age to assist them, and I hope that you have learned some important life lessons from this decision and results. One of them is the critical importance of setting healthy boundaries in life - even and perhaps especially - with those we love.
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Kb, yes, talk to the social worker about getting your grandparents placed, Medicaid Pending. They will likely become wards of the state and be appointed a Guardian. There should be no guilt on your part about this; they had a lifetime to make a plan, appoint a POA and set up some sort of end-of-life care plan.
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Rehab may not be able to keep him as a "rehab" patient. (Medicare has rules for what they will pay for rehab)
Talk to the Social Worker and discuss the fact that he can not get adequate care at home, that it would be unsafe for him and unsafe for grandma. If there is no one else that can provide care it may be necessary to place him in a Skilled Nursing facility.
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Cover999 Sep 2022
It seems Grandma is going to need help pretty soon as well.
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