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Medicare’s payments once an elder goes into a NH get more limited to paying for billable costs to vendors….. like will pay for physical therapy for her to do gait training 2-3 times a week, for the MD who is the medical director of the NH or the NP who is the nurse practitioner at the Nh to see mom bedside; pay for nursing staff to do flu shot.
But back to your ?, imo you need to clearly ask the DON (director of nursing) at the NH if it at all feasible to have mom go away on an overnite. In my experience a lot of this will depend on the medications she is on and how realistically ambulatory she is AND how dedicated of a support group you actually truly have.
Are you getting the vibe from the NH that they would rather you did NOT do this? If this is what the situation is, I’d ask to have a care plan meeting to spec discuss this. It could be that her level of confusion on her return is problematic or that the meals and medications schedule while away pose problems for her to be back on track.
It was a different story for us & taking my mom out of the NH: I took my mom out of her NH on a Fri late afternoon to go to a Saturday family wedding in another city and back to the NH by midday Sunday. Under a 48 hr period, it was totally ok for a “bed hold” length of time for the NH and for LTC Medicaid rules, Moms meds were all easily taken pills or capsules, she was ambulatory with a 4 Footed cane & still nicely social and ok on wearing Tena underwear. She was tiny petite and I could easily dress and lift her if needed. She was fine, but for us it was beyond stressful as she basically needed a spotter watching her the whole time. Little things like glassware had stems and she could not grab/hold them; she tried to open car door before we were completely stopped & it didn’t occur to me to move latch back to “kid safe” side!; food was too rich for her… it was a long drive back & I told nursing staff abt it when we returned so got Imodium & all ok.
Now prior to this, I would take her periodically to see her old beautician & she’d stay there couple of hours chatting and we hit a restaurant in her old neighborhood, so used to getting out of the NH, going for a drive and walking into places. Sounds like your mom is totally good on this part, right? If so and yiur getting issues from the NH it’s imo cause she is coming back way way too confused and emotionally unsettled.
Fwiw that wedding was it for us; had there been another event I would have hired and paid for 2 of the aides from the Nh to go with us for the weekend and stay in their own rooms at the hotel & be there to basically attend to the whatevers for mom as they would know how she rolled.
If your mother has dementia or other cognitive impairment, taking her out of her routine is detrimental to her. They need total routine and even if she is still familiar with your (I assume) home, it's very disorienting for them to go back and forth.
If she's spending nights elsewhere, maybe she doesn't need to be in the nursing home at all? Such facilities are for 24/7 care.
You should check with the business office staff at your mom's facility about this question. Each state Medicaid program is slightly different. The business office folks will know; they have to deal with the State Medicaid program, rules and staff all the time.
One over night may be allowed OR as is the case where we live -- my mom is a Medicaid-covered long term care nursing home residents, has been for over 2 years -- we can pay for a "bed hold." NOT THAT we have done that, as I have no intention of having my mom stay overnight with me or any family member (no one could manage it, frankly -- dementia, various behavioral issues, incontinent, not able to walk, etc.)
My mom's facility has a maximum "bed hold" option (I believe it is 28 days). But the bed hold price, is the full daily rate which is about $500.00. So at my mom's facility, if someone really wanted their LO to sleep overnight for Christmas eve and Christmas day and was willing to pay the facility the required $1K, then so be it.
Medicaid is most likely what your mom is on. Medicare typically does not pay for LTC. The short answer is yes she is ok to do that. Just get with the nursing home to find out their parameters. People go out on pass all the time at LTC facilities
As stated below "You should check with the business office staff at your mom's facility about this question. Each state Medicaid program is slightly different. The business office folks will know; they have to deal with the State Medicaid program, rules and staff all the time."
Please contact your Medicaid office as your nursing home business office. Rules vary from state to state. In New Jersey we were required to hold a Medicaid bed for up to 10 days when a resident was out of facility for any reason (other than death or transfer to a different facility) and Medicaid paid the facility. Somewhere around 2012, the state regulations changed.... the facility is still required to hold the bed for 10 days but Medicaid no longer pays for the hold. So it is really best to check with your state's Medicaid office.
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