Bewilderment

Hello everyone. Looking for some insight here.

The background is (for those who don't know), admitted mom to hospital at the beginning of Aug for delusions, hallucinations, and dementia (not safe at home). Got her Medicaid approved and found a MCF. Moved her in on Aug 19. About 8 days later, she was rushed to ER with what turned out to be Covid. Developed double pnemonia as a result as well. Rallied and released about 10 days later back to MCF.

Since in MCF is not walking because of a fear of falling so using a wheelchair while PT works with her to get her up and moving again.

Here's where the bewilderment begins. I went to visit her yesterday and she seemed somewhat weak, especially after her PT appointment. RN of the MCF stopped me on the way out because she was "surprised" I had not mentioned to her how wonderfully my mom is doing. I didn't find her to be doing wonderfully and said so. RN said she was slowly but surely getting better.

Got a text at 5am this morning from RN saying mom was being rushed to ER due to nose bleed and plummeting BP and O2. Went to ER where they released her because they said she was fine. Went back to MCF early afternoon.

Around 4, I get a text from the RN saying things were bad again and called EMTs. About 30 min later, EMT himself called me to say my mom was perfectly fine and that he can't figure out why RN called. I asked if the thought that maybe there was some kind of error or lackf of training at the MCF and he said yes, that's all he can attribute it to. He said they wouldn't be transporting her to ER as there was no need.

About 20 min later, I get a text from the RN saying things are bad again and calling EMTs back (they were still in the driveway). A few minutes later she texts again saying EMT mad at her and not happy with the situation. About 10 min later, EMT calls me again saying RN is exceedingly rude and in violation of state law because she wouldn't give him my mom's health history from the day and he was having to piece it together. She allegedly kept saying she didn't have time to talk to him and that her staff knew everything (which they didn't). He said that no one told him that my mom's vitals would drop when she sat or stood up and that he would be transporting her to ER. He didn't eve. know about the nosebleed until I told him (it was nothing serious…left over from Covid and being on O2 and nose sores, etc.). He ended the call by saying he reported RN to the ED of the MCF and would be filing a report with the state because of the violation. I said, fine, do what you need to, just please let me know where my mom is going so I can be there.

At the hopsital, the ER doc told me she knew of the argument that ensued between EMT and RN. Said that MCF told EMT they could no longer take care of my mom, they don't have the staff, and can't provide the care she needs. I told doc this was the first I've heard of this since supposedly everything was so hunky dory just the day before!

I'm dumbfounded because my mom's roommate is 109 with dementia for God's sake and I see the residents and their level of dementia and need. I see some residents bedridden and in wheelchairs without the ability to communicate or maneuver about. I don't get why my mom is suddenly the problem.

Going to talk to the ED tomorrow. ER doc suggested I work on getting my mom out of there and into a facility that will give the care she needs and willing to do so. I have her in the PACE program through Medicaid and they can help coordinate a move.

Any thoughts on how or what I should address with the ED tomorrow? I want to make sure I manage my expectations and don't have too high of them when it comes to dementia and memory care. I'm also mad because some of my mom's things seem to be missing from her room and I can't find them anywhere. If my mom moves, I will insist on being the one doing her packing and transporting her things.

Phew. Thanks to those who stuck around to read. It's a good drill for me for documentation purposes, too!