The director said Mom has additional needs and needs to be moved to a higher level of service. I suspect they want more money from her because she is obnoxious, opinionated, and loud ( deaf, won't use hearing aids because "they don't work"). What can I do?
When my Dad lived in the Independent Living side of a complex there came a time when Dad was forgetting to take his meds. The complex had an option where a med-tech would come in with Dad's meds and make sure he had taken them. The cost was $1k a month which sounded like a huge bite out of Dad's wallet, but when I figured the per visit cost, it was reasonable.
I would question that much of an increase. I would want to compare what she was before to what they feel she needs now.
I don't think being obnoxious, loud, opinionated and deaf qualify a person for a rate increase, either, or else they'd ALL be paying up the wazoo!! LOL
Definitely ask the ED for a full accounting of the extra charges and why they feel those charges are justified, and go from there. If you don't get satisfaction, look for a privately owned and run place..........I've had great experience with one myself over the past 5+ years.
Good luck!