Decisions(2)

Hcd

Mom had some forgetfulness and living with m who was able to be independent with getting in and out of chair and dressing etc. now since illness and in rehab Mom with needs a lot more cueing to do things such as ear or when walking which direction to go, needs to have assistance with hygiene and dressing. Now needs to be discharged but do I bring home with getting caregivers? And I work full time—not an option!! Or look at placement to memory care or long term care? Vs home ?  Costs? Are a concern.

Any suggestions on making this decision 

LaurenB

I'd suggest that before brining a person from one "safe" situation is to make sure that you actually have resources available to help at home.  It's easier said than done to hire in home help that is quality and reliable.

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CanyonGal

IF you do not have the caregivers to care for her at home then tell the rehabilitation center. They can usually delay discharge because it would not be safe to bring her "home" without care being available. 

Rehab should be able to tell you if she needs skilled nursing care (LTC) or just assistance with ADLs which is Memory Care. If she is unable to find her way around, memory care is probably the option you are looking at.

Costs vary.
Does she have LTC insurance?
Is she on Medicaid? 
Does she have any income to offset some of the cost.

Nursing homes tend to be the highest because of the skilled nursing care available.

Memory care can be less cost than a nursing home.

Home care can be less if you are doing some of the assisting on weekends and nights. Call a few home health service companies but you are looking at about $22-25 per hour with a minimum of 40 hrs per week since you work full time. I suggest a company where if a caregiver is sick they have someone to fill in (hopefully). 

I tried hiring private people as caregivers and they didn't last long. If you are working it can be difficult if someone just quits and there is no one to fill in.

Hcd

Thank you for all the suggestions. I’m applying for Medicaid. I am waning towards memory care. When I talk to these ALF and memory care they tell me they accept Medicaid but not until 2 yrs of private pay—is that right?  How do you private pay?

Rather Not Say

If it their two year window works like the places I have looked into. You pay out of pocket for two years, then they put you on a waiting list for the few medicaid beds that they have. They just work down the list, and until they get to your LO you still have to pay privately. 

Means of paying can be LTC insurance if they already had, assets, family pooling funds, gofundme, is what I have been told how many pay for private long term care.