I'm sure this happens often, but my mother was at assisted living, had a week-long hospital stint for CHF/fluid build-up/infection, which left her weaker and needs some short term rehab to get back to assisted living.
She used all 100 days of skilled nursing benefits earlier this year, so they are requiring private pay (a deposit of a month.) We obviously are still paying the assisted living facility because the plan is to go back there when she is stronger. Still in same benefits period for Medicare.
There is nothing in the ALF agreement about these types of situations. I'd like to ask if her rent could possible be reduced while she is out. Can't hurt to ask. Paying both places is quite a chunk of change for her. Anyone else have luck in this situation?
And then we were told AL would not take her back because they are only licensed for 1 person assistance and sometimes she needs 2.
Lots of money down the drain. The social worker at the nursing home was ZERO help. I ended up finding another AL which can take people needing 2 person assistance, and LO moved in.
I would suggest starting to have the conversation with her AL facility ASAP NOW so you can be prepared. You may have to start looking for another AL with a higher level of care or look at nursing homes and it all takes time (and $).
I hope your Mother’s AL will accept partial rent but my Mom’s would not.
Best of luck to you!
Why does Mom need to be in rehab again, just to get her strength back? If so, I would check to see if she can have rehab at the AL with Medicare or her secondary insurance paying for it. Even if you have to private pay, it maybe cheaper than a room in rehab. At rehab she gets therapy about 2x a day, the rest of the time she is just sitting around. She can do that at the AL a lot more comfortably.
She was just getting started with PT/OT at the ALF, as they weren't letting in home health due to COVID restrictions until recently. Hopefully that will start up when she gets back to ALF (assuming she does.)
Yes, long term nursing care may be a possibility. We will see what the next couple of weeks brings.
Put it in writing and send it certified return receipt, that way no one can say they didn't get it.
What does her contract state about any refunds or such?
They don't typically give any discounts but you may get lucky if her contract shows the assisted care as a separate line item. Then you can really push to not pay that as she obviously is not getting the service.
Just curious, have you thought about increased care for your mom? She is spending a lot of time in skilled nursing and maybe she really needs to be there instead of AL. I would ask the rehab doctor to do a needs assessment while she is there.
Best of luck getting this all sorted.