Follow
Share

Tandemfun4us posted on another thread about how they did a search and what they looked into when touring assisted livings/ MCs, with some good tips.
I noted that Tandemfun4us mentioned asking about what things might get an elderly resident kicked out.



ANyone have insight into the odds of this? I'm sure there is variability from AL to AL as far as their behavioral policy, and how strictly they stick to it. Also , I'm sure there is state by state variation and state guidelines, ability to contact Ombudsmen and appeals and so forth.



The reason I ask - my dad is not nice in his current AL and rude to the staff, but it has been ok, the current place administration has not complained or mentioned anything which is good. This place is not the greatest AL around, and they tend to have vacancy, so I assume this may make them reluctant to kick anyone out and they may put up with more? I've been debating moving my dad to a different place which is much nicer, seems to allow a better level of care, especially if/when people get to MC level. However, being a popular and nice place, it is almost always full. Hence we are on waiting list. However, I fear that a fancier more popular place that is in high demand may have a lower threshold for tolerating "bad behavior"? Anyone with insight?

This question has been closed for answers. Ask a New Question.
Find Care & Housing
They will be very very clear about this in the packet that is given on admission. At least the one my brother was in certainly was. To live in ALF one must be able to control one's self enough to obey the rules of politeness and decency. If these cannot be controlled the resident will receive warnings and then will be asked to leave.
MC is for people who had such severe disinhibition that medicating is required, people who are not able to put controls on their own behavior.

Discuss this with facility and ask for the guidelines. And know that every ALF is an individual operation with its own rules and regs.

All of this said, most facilities understand that people living in close quarters to one another may get into a bicker or disagreement and my brother used to joke it was like being in a 60s commune where everyone disagreed and you had to have community meetings every so many weeks moderated by one of the staff. Let everyone get things out into the open.
Helpful Answer (1)
Report

Personally I would leave him where he is because he is uncooperative with any suggestions you make about anything.

Just because a place looks nicer and has more bells and whistles does not mean he will get better care there. I think dad could live in a nursing home that looked like Buckingham Palace and still be miserable. It's just who he is. Stop trying to make dad happy and accept that no matter what you do he will never be happy. He's just a jerk.

Here's the dirty secret about assisted living and nursing home facilities - many times the way they get problem residents out of their facility is by waiting on a medical event to happen that requires a trip to the hospital. Once the resident is in the hospital they simply state that the residents bed is no longer available or what have you... sure it's not kosher but it's done all the time.
Helpful Answer (1)
Report

I am sure places vary as far as policies regarding difficult behavior. I can only share my own experience. My mother was at a relatively nice and respected memory care facility. While her behaviors did not warrant removal, I was aware of a few residents who exhibited aggressive behaviors that resulted in temporary change of placement. Such behavior included physically attacking another person. Incidents that involved physical attack on other residents required a hospital trip for medication management. Once stable the resident went to a rehab facility for further maintenance to be sure the behaviors were controlled. Upon return the family was required to provide a 24 hr aide temporarily until administration was sure the resident transitioned well and was not violent.

it seems to me the better facilities are better equipped to handle agitation so often it does not progress to the point of needing out placement.
Helpful Answer (1)
Report

If you get a warning that he is on notice to get ‘kicked out’, you can try for medication with a different reason. Not that ‘there is something wrong with you, and medication would help’. Instead ‘this will tone down the behavior that AL and its staff are finding difficult, and otherwise you will be kicked out’. An incentive that lets him blame the staff may work better than requiring an acknowledgement that he isn't 'fine'.

Think about the move to a ‘better’ facility AFTER his behavior has improved.
Helpful Answer (2)
Report

In addition to all the comments to review the contract for the facility he is currently in I suggest you talk to his doctor about medications that might help with any anxiety, depression that might cause your dad to be "not nice".
In general well trained staff can sometimes divert things that might cause a problem. But if the resident becomes violent then that is a different story, you want to prevent outbursts before they happen.
Helpful Answer (0)
Report
strugglinson Jan 23, 2024
thanks, but he has and will refuse to discuss anything about anxiety etc with his doctor , or take anything for it. To him, he is "fine".
(0)
Report
My step-mother was having anger issues, like acting out in the dining room, she actually swung at another resident, she missed.

Another time she intentionally dropped a punch of plates on the floor.

Most of her events happened in the dining room,, not sure why.

Then a man opened her room door and she kicked him in the you know where. He was confused not trying to do anything to her, his room was next door to hers.

Well, we were put on notice, we tt her doctor and we redid her meds...all has been fine...for now.

She is in a fancy place, self pay, MC, they are very tolerant.
Helpful Answer (1)
Report
strugglinson Jan 23, 2024
Thanks. Well, I think things are ok with my dad for now, but if it happened, I just might then have to take the steps of dropping POA....
(0)
Report
Look at dad's resident contract/agreement....it should be spelled out in there what constitutes grounds for eviction.

My father was asked to leave AL when his brain tumor grew and caused him mobility issues where he became a 2 person assist. Per the AL regulations which were pointed out to me in his contract, a 2 person assist could not be accommodated in this AL. Unless the resident was on hospice. So off to the ER we went. Hospice was recommended by the doctor there, we signed dad up, and he got to stay in the AL until death (with mom) until he passed.

Other reasons for eviction at this AL was if bowel incontinence caused the resident to create big messes everywhere constantly....I remember that in particular. While they weren't keen on getting rid of anyone, they would do so if the resident became more trouble than they could handle. Mom was displaying some pretty ugly behavior on occasion but they're used to that.
Helpful Answer (2)
Report

When you enter ALF most will hand you an inches thick packet of all the rules, or what raises to expect, of what levels of care are offered, of what dietary choices there are, of what costs of levels of care, of what transportation available, of what malls they go to on what days and what days are "appointment days" and on and on and on. It is truly a read in most good places.
And in that packet is a list of what behaviors will cause them to ask you to leave.
They are spelled right out.
And how many warnings and how addressed.

So it will be clear. And you will be informed. And you may be shown the exit quickly enough if you will not/cannot adjust. That is right, and it is for the safety and well being of all residents involved.
Helpful Answer (2)
Report

They can be kicked out for any or no reason. They are almost always private companies that can choose who they do business with.
Helpful Answer (1)
Report

If a person needs more care than the AL can provide and the AL does NOT have a Skilled Nursing or Memory Care then the facility can inform the family or the resident (If cognizant) that their care is more than the facility can safely manage.

If the resident is abusive to staff or other residents they can be asked to leave.

Violating ANY of the restrictions, guidelines, rules outlined in the AL contract would be cause for asking the resident to leave.

Non payment.

these would be just a few I am sure that there are more.
like drug use, weapons, illegal activity but these are probably spelled out in the contract.
Helpful Answer (0)
Report

This question has been closed for answers. Ask a New Question.
Ask a Question
Subscribe to
Our Newsletter