Paying For Assistant Living and Nursing Homes With No Money

Murrmurr said:
They move you to a home that accepts Medicare. These are state-run facilities, not pleasant places to live out your final days. The up-side is, your final days are greatly reduced in state-run nursing homes.
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They are actually run by corporations for the most part that own a lot of them. I think they make their money off of rehab and another snarky remark I'm going to keep to myself.
 

Remy said:
However, if you are in a long term facility and they decide you don't need it anymore and you have no place to go. They will discharge you to a homeless shelter. Think I'm making this up. I'm not. It's not an everyday occurrence but it can happen.
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I've heard this also. So many people don't realize this but it's a fact.
 
officerripley said:
As you said, it's because of the corporations that own these places. My niece-in-law has worked at more than a few of these corporation-owned places and she'd come up with ideas to make things easier/more pleasant for residents (and staff) and even after offering to pay out of her own pocket the paltry amount that it'd cost, was told no, nope, forget it, not what's in our corporate by-laws, brochure, etc., nope.
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And the state people who come in and assess and inspect these places. Absolute POS'. They talk about unionizing Starbucks but nothing for the people who work in those places and take care of the vulnerable.
 

It's terrifying to think of what may come when getting old without a big money cushion. This country does a pi** poor job of taking care of it's elderly citizens. Drain them dry and stick them in a nasty institution or a homeless shelter? There has to be a better way. I try not to complain unless I have a better solution but in this case I don't have a clue.
 
Remy said:
They are actually run by corporations for the most part that own a lot of them. I think they make their money off of rehab and another snarky remark I'm going to keep to myself.
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I worked as a CNA at 3 different ones for a few years. They were state-run, meaning state-funded or state subsidized. There was a human resources office that did the hiring, and a separate payroll office that issued our checks. The state required annual inspections which were conducted by different agencies; the State Board of Nursing, the Board of Health, the county fire department, and OSHA.

These nursing homes took the patient resident's social security checks (basically becoming the payee) for rent and services, and the patients got "what was left", usually a check for around $100. Medicare was billed for medication and therapies and stuff.
 
Report Reveals Discharges of Elderly Nursing Home Residents to New York City Homeless Shelters Against Their Will | Mobilization for Justice

I searched for more info on the subject and found this article. It speaks of NYC,
however, I might take a guess and say it is probably the same all over.

When my husband was in a NYC nursing home for rehab, there was one much younger man (I would guess 30s to 40s) who was to be discharged to a homeless shelter.

As an aside, he was not nice at all, and was verbally abusive and threatening to staff and other patients. He had completed rehab, and most likely was not a candidate for long term. So, it really does happen, but his behavior did not make the staff want to do anything but hope he did not stay there. I might venture to say he was homeless before his admission, but I don't know for sure.
 
Kika said:
Report Reveals Discharges of Elderly Nursing Home Residents to New York City Homeless Shelters Against Their Will | Mobilization for Justice

I searched for more info on the subject and found this article. It speaks of NYC,
however, I might take a guess and say it is probably the same all over.

When my husband was in a NYC nursing home for rehab, there was one much younger man (I would guess 30s to 40s) who was to be discharged to a homeless shelter.

As an aside, he was not nice at all, and was verbally abusive and threatening to staff and other patients. He had completed rehab, and most likely was not a candidate for long term. So, it really does happen, but his behavior did not make the staff want to do anything but hope he did not stay there. I might venture to say he was homeless before his admission, but I don't know for sure.
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He may have lost his home while he was in there for rehab.
 
The G/daughter of a close friend , works in a nursing facility. She said @ her place when a patient "runs out of money" they are permitted to keep $1000.00 , and they are moved into a small ward ...... three, no more than four beds, and Medicaid takes over their care. If they do have an income , when they accuumulate over an additional $1000, the balance over is paid to ? I forget if she said it was the Gov or the facility. But they [the patients] are never permitted to have over $1000 in their account at the facility.

She said she & her fellow nurses buy things for the patients regularly , things like socks,PJ's , slippers & such . I have known this girl since she was born .... I can easily see her reaching into her own pocket for her patients who have no family, or have a crap family.
 
Listening to this, all I can say is I hope I run out before the money and my senses do. Sounds like the golden years will go to coal.
 
My husband had a physician client who was into medicare fraud in cahoots with the owner/manager of a nursing home (maybe more than one, I don't recall).

The physician billed for his services - he was the only doc who went there -- but he never went there.

The owner/manager solicited patients at bus stops, convincing some of them to move into the home and get on Medicaid, even though they didn't need to do it. Because it was "free" for them, they didn't require assistance, and she pocketed the bucks. The doc billed Medicaid himself for his lack of services.

The doc went to prison. It makes me wonder whether the fraud associated with nursing homes is more widespread than we think. My former husband is in a nursing home. No fraud is going on there. He sees doctors frequently, and they send him to the hospital when needed, and he gets all the services he is supposed to (like physical therapy). Also, he says the food is great - home cooked from scratch. Medicaid pays for it. Other than that, he is very unhappy there. There are only 7 "inmates", as he calls them, and several should probably be in "memory care".

My daughter worked in a home in which the food was ghastly - all bought ready made and microwaved or heated somehow. That place was a nightmare. She got fired for telling the director when patients in dire need of help were neglected. The owner of that place is a guy who owns 18 nursing homes. I guess relatives have no clue how the patients are frequently ignored.
 

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