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Looking for a nursing or assisted living facility, particularly in Prince George's or Montgomery County, Maryland that works with morbidly obese (300+ lbs) patients. I have a cousin and a friend, both seemingly trapped in facilities that are happy to bill Medicaid but aren't fully addressing their obesity.

Oops. I missed Medicaid in the description.. There are few facilities that accept Medicaid and more difficult to move unless the person gets hospitalized for a long time and loses the current bed. Depending on states morbidly obese cannot go to AL where there may be or not be Medicaid beds. If it is a 2 person lift, then it goes to SNF and there may be weight requirements.
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Reply to MACinCT
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Your closest carepatrol.com is in Arlington. They make their money from the facility in which you enroll. The profesional will match your LO to healthspecifics,

BTW it is the doctor that addresses obesity through prescriptions. The facility provides custodial care and nurses follow orders for care
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Reply to MACinCT
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Being on Medicaid will address the issue. My friend weighed over 400lbs when he entered a NH. He lost over 100lbs while being there. He was tested and found he could have a "sleeve" surgery. Which he had with Medicaid paying.

He is a 45 yr old man with challenges. He is in a NH because Mom is there with Dementia. No group homes in my area. He lost weight initially because he had no access to food other than what he is given. The NH got him up and moving with therapy. He used a walker in the beginning but now walks without one. Has he lost any weight with the surgery, I don't think so. Not signifantly in the couple of years since he has had the surgery. He went from a 4x to a 2x and pants 3x. The pants maybe big because of skin that needs to be remove.
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Reply to JoAnn29
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What do you mean by “not fully addressing their obesity?”
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Reply to PeggySue2020
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My son-in-law just had this surgery right before Thanksgiving. He had to first prove he was an appropriate candidate for the surgery (healthy enough for the surgery; needs to lose weight before the surgery and keep it off; psychological counseling before the surgery leading to approval; needs to be covered by insurance, etc).

It's the people themselves (your cousin & your friend) who have to address their obesity. Why not first find out if Medicaid even covers bariatric surgery in their state? Then they may have to find a bariatric surgeon & clinic who accepts Medicaid.
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Reply to Geaton777
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ravensdottir Dec 4, 2024
I'm sorry my question wasn't clear. I'm assisting friends in looking for facilities that accept morbidly obese patients. Not every facility does; and the facility where my friend is isn't responding usefully to their requests/demands for disease management support (med review, PT, behavioral health, etc). I'm helping with the search.

While waiting on a return call from the County's chronic disease management office, I thought I'd check here to see if anyone, if they don't have a direct answer to my question, at least has experience in this seemingly minimally-supported health issue.
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This is up to their doctors. Not all are qualified to receive bariatric and it depends a good deal on a whole host of things. Those who get this surgery will not be helped if they do not have motivation, health, underlying good health so they can tolerate surgery and so on.

So this is for them to discuss with their doctors. They will be referred if it is appropriate in their individual cases. Hope all goes well for them.
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