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Mom was diagnosed with early onset dementia. She’s high functioning, independent and very social. She also unfortunately has orthostatic hypotension which causes syncope.


AL claims they want to move her for safety reasons but admits this won’t reduce her falls. They state she tests low on cognitive function tests. She is about the same memory wise as she was when she was admitted last November. Her neurologist feels she’d be better served in AL and be around higher functioning residents.


AL pulled a fast one, mom was discharged from rehab after a hospital stay for a syncopal episode. After I got mom packed up in my car we were just pulling out of parking lot AL called saying they were not accepting mom back to AL she’d have to go to memory care and the move was immediate.


I’ve contacted an attorney who advised to get the doctor involved (it was a Friday still waiting for return call) and the insurance suggested filing complaint with the state which I did.


She’s on Medicaid so AL facilities are not easy to come by.


Any advice appreciated!

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Yes an AL can do this. They feel they no longer can care for her.
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Same thing happened with my mother after a hospitalization and rehab stay. Her dementia worsenened and her MoCA score declined, so AL would not accept her back as a resident. She admittedly needed a higher level of care. So I had the choice of agreeing to get her into Memory Care or finding another ALF with less stringent rules, I guess. So I chose Memory Care which was probably a year or so too soon for her, dementia wise, but a year too late care wise. She did fine in Memory Care although her usual complaining ramped up. The extra care was very much needed and warranted.

The AL is within their rights to call it as they see it.

Good luck to you
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Yes as long as they follow the laws of the state
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Your Mom's facility has told you their limitations. Either agreeing with their assessment or disagreeing with it is irrelevant. ALF and MC are privately owned businesses. They have a model that usually has four levels of care. Once a senior, in the opinion of facility and staff. has more needs than they can manage in ALF they will suggest a move to MC. It is up to you if you use their facility's MC or another, or if, indeed, you try to ALF in another facility.

My brother, during his time in ALF had a good experience. Primarily that was because when care needs progressed for a need for MC for residents they were moved. The few times this didn't occur in a timely manner it made the living conditions for those in ALF untenable.

This is so tough, because of course the cost is so much higher due to the extra staff needed to give care, but it is entirely in the hands of the facility where your loved one is residing. Discuss it with them and they will explain things to you fully.

I sure wish you the very best and am so sorry you have reached this milestone with your mom.
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