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No you can bring her home. My Dad fell In July was in a Hospital and they wanted to send him to a skilled nursing facility . I Know he would get worse not better and I Brought him home where PT , OT came in - Plus Medical equipment - I have a CNA and house cleaner and meals on wheels . I Brought him to doctor the did a Precog test gave him a cane - Brought him Back a few more times and also stroke center and he Passed his cognitive test .
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mrbill717: Imho, you should speak to the social worker at the rehabilitation facility.
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Don't let them buffalo you.

My husband was in the hospital, with heart problems. They told me he had to go to a skilled nursing facility in order to learn to walk. They had kept him in one position for a week. No wonder he was stiff. I told them that was not going to happen. They started to argue with me, and I stood my ground. He walked in and he was going home. I explained, we were not alone that he was part of a large family in the area and he was NOT going to any skilled nursing facility. The doctor finally said she would have the Physical Therapist reevaluate him. I said OK. After a couple of hours of waiting I went to the nurses station to see when the PT would arrive. I found out they weren't working that day because it was a weekend. By this time I was furious Someone suggested I take him out AMA (Against Medical Advice). I said bring on the paperwork. Before they got it together WALA, here came the discharge papers. I had his niece and a friend meet me at the house, I got out my walker and he got in the house. Within 2 hours he was just fine.

Some people believe that Medicare will not pay if you go out AMA. I called them and that is absolutely not the case. All they care is that they were admitted. How they get out means nothing to them.

My advice is, if you want her home, go get her and bring her home. Hospitals, rehab, skilled nursing facilities are not prison, they cannot keep her against her will.
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rovana Dec 2021
AMA- Medicare not paying. I believe this is a complicated issue and important to look at specifics. I don't see why they would not pay for expenses up to the time of leaving AMA at least. I have heard that there might be a problem in a situation where re-hospitalization became necessary because the patient left too early against medical advice.
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Mr.bill, you've fired up an impassioned discussion among anti-facility care AC users here, but for you the important thing is to repeat what you've said here to every single admin at the rehab, the ombudsman, your wife's doctors... until one or some of them take up your cause with you and help you out. If they all disagree with you that your home care is capable, then make your decision to go against that if you feel it's right. I don't think you need an attorney at this stage as much as you need to persuade some of the right people, who will then hopefully agree with you and have the power to implement the discharge to home.

However, if your wife is terrified of you, could a few weeks in skilled nursing give her some time to come back from the brain injury? I assume this is a new injury related behavior. You can always bring her home from there, too.
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