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She has early dementia, high anxiety and hyperthyroidism. She is being treated for all but medications will take weeks to improve her condition. She is so upset and refuses therapy. We only have until September 15 to figure out what to do:(

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Skilled Nursing and Nursing home are generally the same thing. They are often housed in buildings that also have rehab.

So for example, my mom did rehab after a broken hip at St. X's Health Facility. After her eligibilty for Medicare-paid rehab ran out, she sayed on as a long term care patient, private pay.

She stayed in the same room, just a different funding source.
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JoAnn29 Sep 2020
Now our rehab is done in a different part of the building closer to Therapy. If transferring to LTC, they go to another room.
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What is the difference between a nursing home and skilled nursing?. It is confusing when I look them up because rehabilitation places come up and she is already there and can’t stay.
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JoAnn29 Sep 2020
I think they are one and the same, at least where I live. Like I said all our rehabs have a LTC facility attached. So easy to transfer a patient from one to the other. Have u checked to see if her rehab offers LTC? She can't stay in rehab because Medicare says to discharge her but LTC is a different thing.
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You say Mom is on a set income so I will assume here that Memory care or an AL is out of the question?

I would have her evaluated to see if she is 24/7 care. Where I live rehabs and NHs are in the same building so easy to transfer. If the evaluation finds she is, then you can have her placed in LTC on Medicaid pending if she doesn't have an money other than SS and maybe a pension. She will need to be under the cap. (my state approx $2300, ea state is different) If she is over the cap there are trusts (Miller) that allow for the excess to be deposited and then at her passing, it reverts back to Medicaid.

You need to make the Social Worker aware if sending Mom home is an " "unsafe discharge". This means there is no one to care properly for her 24/7 and no money to bring in outside help. Or, you just refuse to be her caregiver because you are not physically able to care for her since she is a 2 person assist.
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Nursing home with memory care.
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