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But in any case, it sounds like Mother needs 24/7 care and cannot be left alone. This is very common with dementia. When there is no family member volunteering large amounts of time, it is more cost-efficient to place the person with dementia in a care center. For example, in the last year of his dementia Medicaid paid for 32 hours a week of in-home care for my husband. That was a wonderful godsend to me, who had been doing it all alone, but it would have been a drop in the bucket if he lived alone. In that case he would have gone to a care center.
Why do you want to get Mother out of the NH?
Is there a family member prepared to volunteer a lot of hours?
Since she is on Medicaid Mother does not have assets to pay for in-home care, and Medicaid will only pay for limited hours. Does the family have money that can be used for this care?
You would need 21 8-hour shifts per week, probably involving 4 or 5 people. Supervising that many people and ensuring there was never a gap is a big job by itself. Who in the family can do that? The management could also be hired out, but that adds to the cost.
Someone with the authority to make decisions decided that 1) your mother needs 24 hour care, 2) she does not have funds to hire such care, and 3) therefore it is best for her to be in a professional care center, paid for by Medicaid. Which part of that don't you agree with?
Good luck. I feel like this is your first go around. My MIL is 91 and in AL. My mother is 95 and in a NH.
Are you personally there for your mother? Are there other family members who can shoulder some of the load? Do you have money to pay a caregiver when family can't be there? If not, your mother is probably in a good place. You can visit her a lot and may actually find it more enjoyable being able to be her daughter instead of her caregiver.
Since she is in a nursing home, someone made the decision that is where she should be to receive necessary care. Why would you consider moving her back?
Usually a doctor writes an order for someone to go into the nursing home. I see from your profile that she has Alzheimer's. People with that often reach the point where they need 24/7 professional care that just one person 24/7 cannot give.
Once place in a nursing home,, you cannot just take her out of there because she must meet the criteria for being a safe discharge.
It sounds like to have your mother home would require 3 caregivers who are CNA's working 8 hour shifts 24/7. I doubt that is possible with her on medicaid.