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I hope that painful wound is being cared for by a woundcare nurse. If received in the hospital or Rehab this is serious. When discharged she should have had in home care ordered. An AL cannot properly care for this. Mom should be using an airmattress. Maybe have a Roho cushion. A woundcare nurse knows what to look for. Sepsis can set in.
overwhelmed at first, but things do become more manageable. Good luck.
I am surprised if ALF will accept a patient with a perhaps active decubitus ulcer? Is your Mom seeing a wound care nurse for this?
Is the other option staying in your Mom's own area? Have you explored options in her area? Are you willing to go through all the expense and problems of moving to another state?
So many questions here. I would consider hiring a Geriatric Care Manager. Usual fee about 120.00 and hour. I think you need someone you can discuss the details of all this with. I would hate to see a move that would result in an ALF saying "Well, we didn't see your mom prior to admit and her problems are too severe for ALF; she needs either MC (read well twice as much money) or SNF for wound care.
Sorry. Just no information to judge this situation on.
Is the painful wound on her bottom a pressure sore? It needs medical attention if this isn't already happening.
Medicare will follow her but does she pay for extra advantage or supplemental plans for medical, Rx, vision, dental? Unless it is BCBS it likely doesn't cross state lines. FYI Medicare doesn't pay for long term care in a facility, but Medicaid will if she qualifies.
Do not put her in a facility unless you have asked if they accept Medicaid. This should be the deal breaker if they don't. If she runs out of money in a facility that doesn't accept Medicaid, she will be forced to move out -- and into your house most likely.
I wish you success in this transition!