Nursing home won’t let me go home

My late husband was temprary in Rehab(part of Nursing Home) didn't let him go home. They were skeptical his ability to take care of himself, but me, his wife could take care of him 24/7..
They released him the next day.

It seems not money, ... probably they were following 'medical rule' or something similar rule.
 
Teacher Terry said:
She’s in a nursing home that has a rehab section of the nursing home and not a hospital. Medicare here pays for 21 days of care and then you’re either expected to go home or be bad enough to move into the actual nursing home wing and then if you have money, you pay for your own care and if you don’t, you go on Medicaid.

There can be quite a bit of financial incentive for a nursing home wanting to keep somebody past the 21 days. My friends that have went into the rehab section of nursing homes to recover from a illness or injury have experienced that even if they are better before the 21 days are up, the nursing home does not want to release them.

I will never go to one of those places to recover. I have seen too many bad things happen to people.
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It depends on the nursing home. I've worked on skilled care units where a lot of patients were short term and after therapy and regaining strength, got to go home. I've always said that nursing homes are necessary evils. The quality of care is different from facility to facility.

Also...nursing homes aren't that crazy about keeping patients after their Medicare days are up unless the patient has insurance, private pay money, or property that can be liquidated to pay the bills. If they have none of these, they will have to go through the process of getting Medicaid and nursing homes lose money on Medicaid patients. Also there's usually a long list of patients on Medicaid waiting to get rooms.

It's not up to the nursing home to release the patient, the doctor has to give orders to release the patient. The doctor has to be sure it's safe medically for the patient to go home by themselves, because he (or she) is looking at the liability aspect.
Without doctors orders, the patient can leave AMA but the patients insurance can deny paying for the stay if they choose to do so. Also, unless a family member or friend would take the patient home, I'm not sure an ambulance service or taxi service would. I guess if they were guaranteed payment they might.

It can be complicated and takes a lot of thought before making any major decisions like busting out of a nursing home. Beings non of us really know what's going on behind the scenes, it's hard to say what the best option would be.
 
I know you are in a terrible state, but Pepper, the more you shout and complain the more they will think you have Dementia and
might move you over to where the Dementia patients are, and then maybe you will never be released. Try and stay as calm as
you can and be pleasant and listen to their instructions. When they see you have a change of heart, they might consider having you released.
 
My wife checked herself out of a nursing home and the nursing home wouldn’t send any of her medicines with us and it was late on a Friday when she got out.
She was back in the hospital within a week and worse off.
They didn’t take proper care of her at the hospital and sent her to another nursing home where they finally started taking care of her like she needed.
Took her a month after that between home and Drs office to get well and heal up.
That was while those covid restrictions were going on too.
Good luck Pepper I hope you get well and heal up properly.
All of us on here are pulling for you!
 
Bretrick said:
I had a look at this profile.
"This member limits who may view their full profile."
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Loads of people limit their profile so no-one can see info about them... many people have it like that because they didn't know in the first place to leave it open... others just choose to do it... @MarciKS ..is long term member ..she even has her own Diary thread on the forum
 
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hollydolly said:
Loads of people limit their profile so no-one can see info abut them... mny people have it like that because they didn't know in the first place to leave it open... other just choose to do it... @MarciKS ..is long term member ..she even has her own Diary thread on the forum
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I thought that comment was about another one yesterday that got removed, who said some nonsense. MarciKS responded to that.
 
TeePee said:
It's not up to the nursing home to release the patient, the doctor has to give orders to release the patient. The doctor has to be sure it's safe medically for the patient to go home by themselves, because he (or she) is looking at the liability aspect.
Without doctors orders, the patient can leave AMA but the patients insurance can deny paying for the stay if they choose to do so.
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I don't understand the part in bold. If, according to the doctor and the nursing home, the patient needed nursing home care, and the patient spent time in the home getting that care, then why wouldn't insurance be liable for those days, even if they checked themselves out against medical advice?
 
Yep, the insurance company can refuse to pay for any services if the patient checks out AMA. Part of the thinking is that if the doc did not sign off on the release then chances are costs will skyrocket after leaving before adequate healing has happened.

Read @TeePee's post. It explains the process completely.
 
robin416 said:
Yep, the insurance company can refuse to pay for any services if the patient checks out AMA. Part of the thinking is that if the doc did not sign off on the release then chances are costs will skyrocket after leaving before adequate healing has happened.

Read @TeePee's post. It explains the process completely.
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I read it and requested clarity.

edited to add:
"This Alert stems from two calls in two days reporting that SNFs have told residents that if they leave – “against medical advice” or “before 20 days” – they will lose Medicare coverage. The implied threat is that the residents will have to pay out-of-pocket for these days in the SNF. These statements are not true."
Source: MedicareAdvocacy.org
 
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MACKTEXAS said:
I read it and requested clarity.

edited to add:
"This Alert stems from two calls in two days reporting that SNFs have told residents that if they leave – “against medical advice” or “before 20 days” – they will lose Medicare coverage. The implied threat is that the residents will have to pay out-of-pocket for these days in the SNF. These statements are not true."
Source: MedicareAdvocacy.org
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That refers to losing Medicare in totality. It doesn't address whether they left AMA.
 
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