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If your mother doesn't rehab well enough to be released back to independent living, they will say that she needs long term care placement permanently, or, to have 24/7 caregivers at home. Which is NOT going to be you, so then you'll have to deal with that situation if it should arise. You'd have to apply for Medicaid most likely, to keep her in long term nursing care on a permanent basis.
Best of luck.
I was told for every day a person is in a hospital and released to get their strength back, its 3 days of PT for every one day in the hospital. Your Mom was in 14 days x 3= 42 days of rehab. With your Moms problems, 7 to 14 would not be enough.
As said, Medicare pays 100% the first 20 days. 21 to 100 is only 50%. Moms is responsible for the other 50% either private paying or her supplimental pays partially or fully. All this information should be given to you when she was admitted. Someone had to sign payment responsibility paperwork. That paperwork shows what the 50% cost will be a day. It will also show if the supplimental pays all or nothing against it. This way there are no surprises when you get the bill for the days Mom was in for. As long as she needs the therapy and she is progressing, she could be there passed the 20 days. If she plateaus, meaning there will be no further progress, then she will be discharged. At this point you ask for a 24/7 evaluation. If its felt she needs 24/7 care, then tell them it would be an "unsafe" discharge because she lives alone and you cannot provide the care. Hopefully there is LTC in the same building/complex and you can have her transitioned over.
How realistic is it for her to return home - to her tiny apartment - even after rehab? She has severe chronic illnesses and poor quality of life. Might a nursing home or assisted living be a reasonable thing to look into at this point? Some of them have wait lists. The good ones usually do.