Follow
Share

My mother fell at home and broke her hip. She had surgery, and will be admitted tomorrow to the nursing home for rehabilitation. She is 80 yo, and late stage dementia. She does not have a POA, dad makes all the decisions. We've asked him to assign one just in case, but he has yet to do so. The facility said that her insurance would pay for 20 days, and then we would have a co-pay of $400. We plan on signing her out after the 20 days. Dad can't get out of the house to sign her in, and has given permission over the phone for me to do so. They are asking for my dads banking information, and he doesn't feel comfortable sharing that. Do we have a right to refuse giving that information? What wording should I watch for to ensure I don't put the responsibility of payment onto myself, or my father? I'm also a bit concerned that if she doesn't progress in therapy, they will try to keep her against our will. Is that possible?

Since your sibling are all there, I think you should have a conversation and make some decisions about whether it's fair and feasible to expect your brother to continue caring at home for both your father with his needs and your mother with her additional needs.

Is he there voluntarily? Is he doing this caregiving voluntarily? Does he have a job? If not, is he financially secure for his own future once your parents are gone? Is he relying on inheriting the house or other assets, which may instead need to be used to pay for your parents' care? Do you need to come up with a plan to hire additional care (out of your parents' funds) to assist at home, or to discharge your mother to a facility when rehab is up, and possibly move your father to one as well?

This may be all planned for and under control. But I raise the questions in case any of them need to be addressed.
Helpful Answer (0)
Reply to MG8522
Report

If Mom does not progress, they probably will discharge her by 20 days. I told finance that my Mom had no money passed the 20 days. She was discharged in 18 days. I have never been asked for my Moms bank info. I would ask why they need it? I would refuse to give any acct #s. Maybe tell them what bank she uses but thats it.

I would have Mom evaluated for 24/7 LTC. It will not be easy caring for her now and Dad won't have the strength to do it. Not fair to brother to take care of two people one his Mom.
Helpful Answer (0)
Reply to JoAnn29
Report

As others have said she will probably not progress. No, they cannot keep her against her will, but she is going to need placement somewhere soon. Dementia and hip fractures are a double whammy for seniors. Who is caring for dad? You said he is not able to get out of his home, is that always or just due to a recent illness or bad weather? Who is going to care for both of them once she is at a home if you don't get her placed somewhere? It's time to forget POA and start asking the hard questions about the near future with both parents. Caring for a dementia patient with a broken hip or hip replacement is a 24/7 job.
Helpful Answer (0)
Reply to JustAnon
Report
Fuzzypanda 9 hours ago
My brother is staying with dad, he lives there full time with them.
I and my other siblings are rotating staying in the hospital with mom.
Dad is on dialysis 4 days a week, and overall very weak. He only leaves for needed appointments.
(0)
Report
Late stage dementia will prevent her from being able to progress in rehab. Prepare for impending SNF placement. She will not qualify for the 21 day rehab stay.
Helpful Answer (1)
Reply to Sandra2424
Report
JoAnn29 8 hours ago
Its 20 days.
(0)
Report
It is too now late to have POAs in place because your mother is now incapable of signing.

If you are planning on her not staying longer than the 21 days that Medicare covers in full, I do not see any reason why you need to provide any financial information.

I did rehab check admittances several times for my parents over the years and the facility never asked us to provide any financials.

Since she has advanced dementia, if you think she might be better off being cared for in this facility under Medicaid until the end of her life, contact an eldercare lawyer. The lawyer can help structure your parents' assets so that she can qualify for Medicaid. She could go into the long term section of this facility under Medicaid Pending status.

Good luck to you as you go through this stressful time, it's not easy.
Helpful Answer (1)
Reply to Hothouseflower
Report
JoAnn29 8 hours ago
Onlyvovers 20 days.
(0)
Report
Ask a Question
Subscribe to
Our Newsletter