Mom moved into independent living section of a CCRC Type A facility with MC, AL and SNF all on-site. That was one of the main reasons she selected this facility. Mom developed dementia and facility wanted her to move into MC within months. Mom was still in the VERY early stages of dementia and such a move seemed premature.
During the COVID lockdown she fell and broke her leg. There were Covid-positive residents in MC and SNF sections at that time so I decided to bring in private caregivers to her IL apartment to assist her 24/7 while recovering, rather than move her into a unit where there were active outbreaks of Covid infection. She fully recovered from the broken bone but her dementia progressed (she’s middle stage now) during the last couple of years so family and doctors agree it is time for MC. Unfortunately the facility is saying she has “missed the window” and MC will not be of benefit to her now. Furthermore they say the unit is currently “pretty high functioning now” and she would require more physical assistance than most of the other “high functioning” residents require (mom needs some assistance in the shower, uses Depends due to long-standing incontinence and a walker for mobility, but is otherwise able to do most other things - with occasional reminders/prompts), so they don’t won’t accept her into MC.
I have even offered to pay for private caregivers to assist her 1:1 during waking hours but they don’t want that. They want her to go straight into SNF unit. I think this is crazy. She is slow and weaker but still ambulatory. Cognitively she is in the middle dementia stage so she could absolutely make use of MC activities and programming. She is pleasant, talkative and not disruptive at all. And with her own caregiver on the MC unit, she would be virtually no extra work for facility staff. Going directly to the SNF unit, I fear they’ll just let her languish in bed all day with no specialized cognitive engagement/activities so I’m reticent to proceed to SNF.