The usual. Recent fall which dislocated her dominant shoulder. Physical challenges at our house. All BR's, full baths upstairs. She has no money other than SS. Her current facility is $20,000/month. Medicare pays for the 1st 20 days and then up to 80% if PT deems she is "making progress".
What do people do?
It may not be a safe discharge for her to go back to your home. Wherever she is now can help you find an appropriate setting for her and transfer her there. I would reach out to them today and get the conversation started.
I'm not sure how bad her overall condition is, but is she ready for or close to a hospice evaluation?
You should begin the application process for Medicaid.
This is where Hospice might help. They have Social Workers that might be able to help with the application and bridging any gap there might be before Medicaid kicks in.
If your house or her house is not set up to accomodate her safely then it would be time to look into Skilled Nursing facility or Memory Care.
You could also talk to the Social Worker where she is currently in rehab, they may also be able to help.
If Mom has no money other than SS and/or a pension, you will need to apply for Medicaid. If the facility has Skilled nursing but does not take Medicaid you can move her from that one to another when her rehab is done. You can have her evaluated for 24/7 while in rehab. If then you feel a SNF is where Mom needs to be then start the Medicaid application now.
*the only time Medicare pays 80% is on Dr. Visits, hospital stays, and some other things.