Have I got a story for you. Mother update, SNF admission, and some challenges.

Mother got discharged from the hospital at 4 PM yesterday, after me having no idea, it was going to happen that day. I’d already left and was in the middle of the bank. Then they called me. The hospital had been waiting on their sister hospital in the big city to review her MRI images and decided that she had spinal osteomyelitis but did not need a biopsy. So apparently, they reached that conclusion at 4 PM yesterday and discharged her. Luckily, the best rehab facility in the county had accepted her already. It was all planned for her to go there. She had been informed that she was going there. More than once. And she seemed agreeable.
I left the bank and went and got her some clean clothes and headed to the skilled nursing facility, which is about 10 miles from where I live. Just as I was arriving there, the hospital called me and said that she was refusing to leave the hospital. Had kicked up some kind of a big fuss. They asked me to come back up and see if I could talk her into going. I refused and said it would only make it worse. She would start screaming for me to take her home. they kept asking me what could be done, and I said other than medicating her I could not think of anything. The staff has been noting for a couple of days that she gets more agitated in the evenings, and they have been calling it sundowning. I’m still not convinced it’s sundowning since she always gets delirium in the hospital anyway. Hospital people decided to try again at 8 o’clock this morning with EMS. I brought my husband along because she likes and respects him. We planned amongst ourselves that under NO circumstances were we taking her in our car. The nurse manager greeted us in the waiting area and said yes, the prior evening she had gone completely berserk. Someone who could barely walk had sprung out of bed, walked to the nurse’s station and was banging on the glass window. They had to call a code gray whatever that is in the hospital. And again, she commented on sundowning. They had given her Ativan last night and at least it ended up, knocking her out for the night.so she saw my husband in the hall and called out his name and everything was OK. For extra assurance, he rode in the ambulance with her. The hospital had said they wanted family members present in case she made any accusations that the staff were manhandling her or anything. And I get what they’re saying. She has done that before with a different hospital. Got her admitted to the skilled nursing facility. She remains a bit confused. She had no idea why she was there. No idea about the PICC line in her arm or the need for IV antibiotics. Her oxygen saturation on room air upon arrival was 87. So, I think this solidifies her need for continued oxygen. The hospital had been kind of back-and-forth about it. I know they will continue to watch it.
I told the nurse I want to talk to the social worker, get her a full mental and psych evaluation, and try to start a Medicaid long-term application. I’m kind of wondering medically what is going on. I looked up her labs from the hospital that came in later today and her hemoglobin keeps dropping. In the context of the other things that’s going on with her, ChatGPT seems to think she’s got anemia of chronic disease, where if you’re sick or have a bad infection and your frail your body prioritizes things other than making red blood cells.
So for now, she’s in a good facility. I really liked the nurse, and she told me I could go home and coming back was optional. So, I took the rest of today to at least not be around her. However, her elderly dog is with us, and he has terrible skin problems. She had refused to treat him or spend a lot of money on him just buying Band-Aid type treatments. But today I took him to the vet and got him all the good things. An allergy shot for his itching proper antifungal medication hopefully a plan for long-term managing his skin condition. I am just plain exhausted.