Skilled nursing search

Posted by jehjeh @jehjeh, Nov 9 4:12pm

My hubby has dementia which requires more supervision than memory care can provide. What do you look for to determine whether a SNF is good or bad? A couple of years ago he went to one that had 5/5 stars and it was horrible. A visit and tour don't seem sufficient.

What would you do? I'm pretty desperate.

Interested in more discussions like this? Go to the Caregivers: Dementia Support Group.

What did you consider to be lacking in the facility? Most facilities are not equipped to provide a resident one on one around the clock supervision.

My cousin was in a secure memory care facility that is considered a special care unit. It provided significantly more care to the resident than most other types of facilities. I found the care there to be exceptional.

If there are substantial behavioral issues, there are even more intensive units. In my state there are about 5 hospitals that only admit those with dementia and substantial behavioral issues that cannot be managed in a regular facility.

Does he need skilled nursing care?

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I brought my wife home from a fairly high end memory care facility after 12 days. She needs a lot of attention in the morning and they were not really staffed for that type of care. After the fact, I thought if I had a health care aid coming in for a few hours each day that may have worked out. The other factor was that most of the residents were incapable of a conversation so the social aspect I had hoped for was not happening.

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@celia16

What did you consider to be lacking in the facility? Most facilities are not equipped to provide a resident one on one around the clock supervision.

My cousin was in a secure memory care facility that is considered a special care unit. It provided significantly more care to the resident than most other types of facilities. I found the care there to be exceptional.

If there are substantial behavioral issues, there are even more intensive units. In my state there are about 5 hospitals that only admit those with dementia and substantial behavioral issues that cannot be managed in a regular facility.

Does he need skilled nursing care?

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My husband was disoriented and confused. He was recovering from surgery and needed pain control and PT. They kept him highly sedated and left him to sleep uninterrupted for two days straight. (No food, not getting him up, just sleep). When he awakened in a fog he was thrashing about and staff became angry. When I arrived after receiving a call at 5 a.m. an aid threw a clean blanket and gown at me and told me it could clean him up. I had them call 911 and took him back to hospital. Once he was off sedatives he returned to normal.

He has chronic pain and needs rigid meds schedule and encouragement to get up and move. The one place that we both liked has closed.

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@thereaklenb

I brought my wife home from a fairly high end memory care facility after 12 days. She needs a lot of attention in the morning and they were not really staffed for that type of care. After the fact, I thought if I had a health care aid coming in for a few hours each day that may have worked out. The other factor was that most of the residents were incapable of a conversation so the social aspect I had hoped for was not happening.

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I have been thinking that I may need to hire extra help. I also worry about the social aspect.

Many years ago my father was in memory care and only interacted with other residents. He needed more interaction with non impaired persons. When he suffered a stroke he moved to skilled nursing and he was much happier. Even if he was just sitting in a chair in the hallway he would see people coming and going and some would stop and say hello. He loved his physical therapist and would sit and watch her work with other patients. They were great with him but no longer provide nursing care.

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@jehjeh

My husband was disoriented and confused. He was recovering from surgery and needed pain control and PT. They kept him highly sedated and left him to sleep uninterrupted for two days straight. (No food, not getting him up, just sleep). When he awakened in a fog he was thrashing about and staff became angry. When I arrived after receiving a call at 5 a.m. an aid threw a clean blanket and gown at me and told me it could clean him up. I had them call 911 and took him back to hospital. Once he was off sedatives he returned to normal.

He has chronic pain and needs rigid meds schedule and encouragement to get up and move. The one place that we both liked has closed.

Jump to this post

I’m not sure what country you are in, but in my state, NC, after surgery, a patient would be discharged to a rehab facility, which are in nursing homes and stay there as they recover from surgery.

Also, Assisted Living Memory Care units in my state require strict adherence to medication administration. They must administer the prescribed meds and log it.

Does his doctor say he requires skilled nursing care? There are also professionals who can do a home assessment to determine the level of care that is appropriate. I hope you can find the right fit.

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