Re: getting the runaround?

[Guest guest]

p.s. has anybody in here had to contact their local ombudsman's office?

If so, did they resolve your situation?

>

>

> Sorry I've been mia the last few days. My newborn is a handful, lol.

> This is in reference to my previous post re: mom and her lenghty psych

> history.

> http://health.groups.yahoo.com/group/LBDcaregivers/message/63306

> <http://health.groups.yahoo.com/group/LBDcaregivers/message/63306>

>

> Remember how I told the snf she is in and has only been there now 3

> weeks tomorrow, that we wanted her sent to a memory clinic? It has now

> been a week since I've brought it up to the social worker. Last week,

> mom's long term care insurance case manager called to give me an

update.

> I told her that I wanted mom sent to this specialist and she agreed

that

> a professional trained in these things should see her. She called the

> social worker back and told her this. I called the social worker right

> after and she told me that she would be working on it that day and

would

> get back to me.

>

> A few days goes by and no call from her. I went to see my mom and she

> told me she was too busy to call me but would start working on it the

> next day(wednesday). I called her Thursday to follow up and she said

she

> was going to leave a note in her chart for the dr to get the

> referall/auth started and would call me back that day. I went to see

mom

> last night. The night nurse pulled her chart for me and there was

> nothing documented and/or notated about having this done from anybody.

I

> am not happy! I was talking to my brother last night and he mentioned

to

> me how he told this social worker 3 weeks ago when mom was first

> assigned/admitted to this snf that he wanted this done. He told me

that

> the snf said to him that she has to only use their doctors on site.

>

> I feel I am and my brother are getting a complete runaround and this

snf

> is not going to pursue the auth with their pcp to get mom to this

> specialist. The social worker's basing her decision primarily off of

the

> hospice dr and their nurse that mom does not have lbd. What a joke.

>

> I am going to call that case manager back tomorrow and let her know

what

> is going on. I've also thought of calling the pcp's office assigned to

> this snf and see what they can do. I've been told by somebody to

contact

> our local longterm care ombudsman's office and see what they can do. I

> plan on emailing the social worker vs calling her, so I can start a

> papertrail. Any other ideas to help get this auth done?

>

>

>

>

>

>

>

>

[Guest guest]

After doing some further research on the facility mom is currently in,

they ARE part of a continuing care retirement community, which provides

different levels of care. So why are they trying to get her out of here

period? That is the impression I'm getting. Why, when they could

transfer her to an assisted living secured unit which they have and said

she needs to be transferred to?

I've also did a check on this facility and based on their last

inspection date of June 2006, they have had and are ongoing deficiencies

in regards to the problems we are experiencing. Hmmm....

>

>

> Sorry I've been mia the last few days. My newborn is a handful, lol.

> This is in reference to my previous post re: mom and her lenghty psych

> history.

> http://health.groups.yahoo.com/group/LBDcaregivers/message/63306

> <http://health.groups.yahoo.com/group/LBDcaregivers/message/63306>

>

> Remember how I told the snf she is in and has only been there now 3

> weeks tomorrow, that we wanted her sent to a memory clinic? It has now

> been a week since I've brought it up to the social worker. Last week,

> mom's long term care insurance case manager called to give me an

update.

> I told her that I wanted mom sent to this specialist and she agreed

that

> a professional trained in these things should see her. She called the

> social worker back and told her this. I called the social worker right

> after and she told me that she would be working on it that day and

would

> get back to me.

>

> A few days goes by and no call from her. I went to see my mom and she

> told me she was too busy to call me but would start working on it the

> next day(wednesday). I called her Thursday to follow up and she said

she

> was going to leave a note in her chart for the dr to get the

> referall/auth started and would call me back that day. I went to see

mom

> last night. The night nurse pulled her chart for me and there was

> nothing documented and/or notated about having this done from anybody.

I

> am not happy! I was talking to my brother last night and he mentioned

to

> me how he told this social worker 3 weeks ago when mom was first

> assigned/admitted to this snf that he wanted this done. He told me

that

> the snf said to him that she has to only use their doctors on site.

>

> I feel I am and my brother are getting a complete runaround and this

snf

> is not going to pursue the auth with their pcp to get mom to this

> specialist. The social worker's basing her decision primarily off of

the

> hospice dr and their nurse that mom does not have lbd. What a joke.

>

> I am going to call that case manager back tomorrow and let her know

what

> is going on. I've also thought of calling the pcp's office assigned to

> this snf and see what they can do. I've been told by somebody to

contact

> our local longterm care ombudsman's office and see what they can do. I

> plan on emailing the social worker vs calling her, so I can start a

> papertrail. Any other ideas to help get this auth done?

>

>

>

>

>

>

>

>

[Guest guest]

Hi Mel,

I think what you are seeing is red flags. Maybe you should try

speaking with the Director of Nursing, since the social worker, in

this instance, does not appear to be effective. You can also call

the facility doctor and speak to him/her directly.

My father lived in a " continuing care " facility...which I thought

would be good as he progressed in life. Turns out they were pretty

good on the independent living side. Ok on the assisted living (much

smaller) and not so good on the SNF (also small). It looked good,

but they really didn't want to deal with the " hard " cases. They

primarily saw their SNF as a rehab facility until they could get them

back to independent living.

Originally, their ratings looked good at the SNF, but then after my

experience & a few others there at the same time, I looked at their

ratings the next year and they had dropped horribly.

Anyway, if you are having this much trouble it doesn't bode well for

future care. My dad's place basically gave me 2 weeks to find

another place, because he required too much attention (they did this

to at least three families while I was there). Their policy was

no " physical " restraints..except they wouldn't mind drugging them til

they can't move...easier to care for It wasn't working for us.

I'm sorry you are having to deal with this...it's hard enough getting

things settled as it is. Maybe you can see if there are other more

suitable facilities in your area...as a backup plan if you can't get

your situation resolved. In the meantime, keep pursuing your

appointment with the memory clinic....you are going to need that

where ever you end up.

Keep after them! I hope you can get some reults.

Daughter of Bill, 92

> >

> >

> > Sorry I've been mia the last few days. My newborn is a handful,

lol.

> > This is in reference to my previous post re: mom and her lenghty

psych

> > history.

> > http://health.groups.yahoo.com/group/LBDcaregivers/message/63306

> > <http://health.groups.yahoo.com/group/LBDcaregivers/message/63306>

> >

> > Remember how I told the snf she is in and has only been there now

3

> > weeks tomorrow, that we wanted her sent to a memory clinic? It

has now

> > been a week since I've brought it up to the social worker. Last

week,

> > mom's long term care insurance case manager called to give me an

> update.

> > I told her that I wanted mom sent to this specialist and she

agreed

> that

> > a professional trained in these things should see her. She called

the

> > social worker back and told her this. I called the social worker

right

> > after and she told me that she would be working on it that day and

> would

> > get back to me.

> >

> > A few days goes by and no call from her. I went to see my mom and

she

> > told me she was too busy to call me but would start working on it

the

> > next day(wednesday). I called her Thursday to follow up and she

said

> she

> > was going to leave a note in her chart for the dr to get the

> > referall/auth started and would call me back that day. I went to

see

> mom

> > last night. The night nurse pulled her chart for me and there was

> > nothing documented and/or notated about having this done from

anybody.

> I

> > am not happy! I was talking to my brother last night and he

mentioned

> to

> > me how he told this social worker 3 weeks ago when mom was first

> > assigned/admitted to this snf that he wanted this done. He told me

> that

> > the snf said to him that she has to only use their doctors on

site.

> >

> > I feel I am and my brother are getting a complete runaround and

this

> snf

> > is not going to pursue the auth with their pcp to get mom to this

> > specialist. The social worker's basing her decision primarily off

of

> the

> > hospice dr and their nurse that mom does not have lbd. What a

joke.

> >

> > I am going to call that case manager back tomorrow and let her

know

> what

> > is going on. I've also thought of calling the pcp's office

assigned to

> > this snf and see what they can do. I've been told by somebody to

> contact

> > our local longterm care ombudsman's office and see what they can

do. I

> > plan on emailing the social worker vs calling her, so I can start

a

> > papertrail. Any other ideas to help get this auth done?

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Hi ,

Should I call the social worker one more time in the am to see where she

is at with the referral/ auth, ro go straight to the nursing director? I

feel the social worker has had ample time to get this done. It just

seems like excuses. Maybe the nursing director would give me better,

direct answers too.

I am also starting to think that maybe the facility mom is in now, isn't

where she should be long term. If they can't get it together now, what

will we run into down the road?

> > >

> > >

> > > Sorry I've been mia the last few days. My newborn is a handful,

> lol.

> > > This is in reference to my previous post re: mom and her lenghty

> psych

> > > history.

> > > http://health.groups.yahoo.com/group/LBDcaregivers/message/63306

> > > <http://health.groups.yahoo.com/group/LBDcaregivers/message/63306>

> > >

> > > Remember how I told the snf she is in and has only been there now

> 3

> > > weeks tomorrow, that we wanted her sent to a memory clinic? It

> has now

> > > been a week since I've brought it up to the social worker. Last

> week,

> > > mom's long term care insurance case manager called to give me an

> > update.

> > > I told her that I wanted mom sent to this specialist and she

> agreed

> > that

> > > a professional trained in these things should see her. She called

> the

> > > social worker back and told her this. I called the social worker

> right

> > > after and she told me that she would be working on it that day and

> > would

> > > get back to me.

> > >

> > > A few days goes by and no call from her. I went to see my mom and

> she

> > > told me she was too busy to call me but would start working on it

> the

> > > next day(wednesday). I called her Thursday to follow up and she

> said

> > she

> > > was going to leave a note in her chart for the dr to get the

> > > referall/auth started and would call me back that day. I went to

> see

> > mom

> > > last night. The night nurse pulled her chart for me and there was

> > > nothing documented and/or notated about having this done from

> anybody.

> > I

> > > am not happy! I was talking to my brother last night and he

> mentioned

> > to

> > > me how he told this social worker 3 weeks ago when mom was first

> > > assigned/admitted to this snf that he wanted this done. He told me

> > that

> > > the snf said to him that she has to only use their doctors on

> site.

> > >

> > > I feel I am and my brother are getting a complete runaround and

> this

> > snf

> > > is not going to pursue the auth with their pcp to get mom to this

> > > specialist. The social worker's basing her decision primarily off

> of

> > the

> > > hospice dr and their nurse that mom does not have lbd. What a

> joke.

> > >

> > > I am going to call that case manager back tomorrow and let her

> know

> > what

> > > is going on. I've also thought of calling the pcp's office

> assigned to

> > > this snf and see what they can do. I've been told by somebody to

> > contact

> > > our local longterm care ombudsman's office and see what they can

> do. I

> > > plan on emailing the social worker vs calling her, so I can start

> a

> > > papertrail. Any other ideas to help get this auth done?

> > >

> > >

> > >

> > >

> > >

> > >

> > >

> > >

[Guest guest]

I would call the social worker again to see what she has arranged.

If she still hasn't done anything, I would find some one else. (Or

ask her who it is you should be speaking to instead).

I've had good luck with the social worker where I am now. She is

always taking care of things and directs me to the right person to

deal with.

I find one of the most frustrating things about NH's is that there

are so many different people involved in the care, it's hard to get

to the right person and have continuity in care.

You may want to request a care plan meeting to try to get to the

bottom of some of this. I'm not sure of all of the specifics, but I

believe they carry more weight.

Good luck and hang in there.

Daughter of Bill, 92

> > > >

> > > >

> > > > Sorry I've been mia the last few days. My newborn is a

handful,

> > lol.

> > > > This is in reference to my previous post re: mom and her

lenghty

> > psych

> > > > history.

> > > >

http://health.groups.yahoo.com/group/LBDcaregivers/message/63306

> > > >

<http://health.groups.yahoo.com/group/LBDcaregivers/message/63306>

> > > >

> > > > Remember how I told the snf she is in and has only been there

now

> > 3

> > > > weeks tomorrow, that we wanted her sent to a memory clinic? It

> > has now

> > > > been a week since I've brought it up to the social worker.

Last

> > week,

> > > > mom's long term care insurance case manager called to give me

an

> > > update.

> > > > I told her that I wanted mom sent to this specialist and she

> > agreed

> > > that

> > > > a professional trained in these things should see her. She

called

> > the

> > > > social worker back and told her this. I called the social

worker

> > right

> > > > after and she told me that she would be working on it that

day and

> > > would

> > > > get back to me.

> > > >

> > > > A few days goes by and no call from her. I went to see my mom

and

> > she

> > > > told me she was too busy to call me but would start working

on it

> > the

> > > > next day(wednesday). I called her Thursday to follow up and

she

> > said

> > > she

> > > > was going to leave a note in her chart for the dr to get the

> > > > referall/auth started and would call me back that day. I went

to

> > see

> > > mom

> > > > last night. The night nurse pulled her chart for me and there

was

> > > > nothing documented and/or notated about having this done from

> > anybody.

> > > I

> > > > am not happy! I was talking to my brother last night and he

> > mentioned

> > > to

> > > > me how he told this social worker 3 weeks ago when mom was

first

> > > > assigned/admitted to this snf that he wanted this done. He

told me

> > > that

> > > > the snf said to him that she has to only use their doctors on

> > site.

> > > >

> > > > I feel I am and my brother are getting a complete runaround

and

> > this

> > > snf

> > > > is not going to pursue the auth with their pcp to get mom to

this

> > > > specialist. The social worker's basing her decision primarily

off

> > of

> > > the

> > > > hospice dr and their nurse that mom does not have lbd. What a

> > joke.

> > > >

> > > > I am going to call that case manager back tomorrow and let her

> > know

> > > what

> > > > is going on. I've also thought of calling the pcp's office

> > assigned to

> > > > this snf and see what they can do. I've been told by somebody

to

> > > contact

> > > > our local longterm care ombudsman's office and see what they

can

> > do. I

> > > > plan on emailing the social worker vs calling her, so I can

start

> > a

> > > > papertrail. Any other ideas to help get this auth done?

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

> > > >

[Guest guest]

Good news everybody,

I spoke to the social worker this morning. She told me the

referral/auth to the memory clinic is in the works. Their gathering more

information to provide to the memory clinic. As soon as she gets an

appointment setup for mom, she will me and let me know when. I will keep

you all posted and thank you for your support in advance.

mel374@...> wrote:

>

>

> Sorry I've been mia the last few days. My newborn is a handful, lol.

> This is in reference to my previous post re: mom and her lenghty psych

> history.

> http://health.groups.yahoo.com/group/LBDcaregivers/message/63306

> <http://health.groups.yahoo.com/group/LBDcaregivers/message/63306>

>

> Remember how I told the snf she is in and has only been there now 3

> weeks tomorrow, that we wanted her sent to a memory clinic? It has now

> been a week since I've brought it up to the social worker. Last week,

> mom's long term care insurance case manager called to give me an

update.

> I told her that I wanted mom sent to this specialist and she agreed

that

> a professional trained in these things should see her. She called the

> social worker back and told her this. I called the social worker right

> after and she told me that she would be working on it that day and

would

> get back to me.

>

> A few days goes by and no call from her. I went to see my mom and she

> told me she was too busy to call me but would start working on it the

> next day(wednesday). I called her Thursday to follow up and she said

she

> was going to leave a note in her chart for the dr to get the

> referall/auth started and would call me back that day. I went to see

mom

> last night. The night nurse pulled her chart for me and there was

> nothing documented and/or notated about having this done from anybody.

I

> am not happy! I was talking to my brother last night and he mentioned

to

> me how he told this social worker 3 weeks ago when mom was first

> assigned/admitted to this snf that he wanted this done. He told me

that

> the snf said to him that she has to only use their doctors on site.

>

> I feel I am and my brother are getting a complete runaround and this

snf

> is not going to pursue the auth with their pcp to get mom to this

> specialist. The social worker's basing her decision primarily off of

the

> hospice dr and their nurse that mom does not have lbd. What a joke.

>

> I am going to call that case manager back tomorrow and let her know

what

> is going on. I've also thought of calling the pcp's office assigned to

> this snf and see what they can do. I've been told by somebody to

contact

> our local longterm care ombudsman's office and see what they can do. I

> plan on emailing the social worker vs calling her, so I can start a

> papertrail. Any other ideas to help get this auth done?

>

>

>

>

>

>

>

>

[Guest guest]

Great news! Thanks for keeping us in the loop. Let us know the outcome.

[Guest guest]

Hi Mel,

Glad you are finally seeing some progress.

On the up side, at least they do have a dementia facility, they are

concerned about over medicating, and if they do have enough staff,

then maybe it just takes time to get settled. We are always anxious

for our lo's and things never to seem to move fast enough for us.

Hope things continue to work out for you.

Daughter of Bill, 92

> >

> >

> > Sorry I've been mia the last few days. My newborn is a handful,

lol.

> > This is in reference to my previous post re: mom and her lenghty

psych

> > history.

> > http://health.groups.yahoo.com/group/LBDcaregivers/message/63306

> > <http://health.groups.yahoo.com/group/LBDcaregivers/message/63306>

> >

> > Remember how I told the snf she is in and has only been there now

3

> > weeks tomorrow, that we wanted her sent to a memory clinic? It

has now

> > been a week since I've brought it up to the social worker. Last

week,

> > mom's long term care insurance case manager called to give me an

> update.

> > I told her that I wanted mom sent to this specialist and she

agreed

> that

> > a professional trained in these things should see her. She called

the

> > social worker back and told her this. I called the social worker

right

> > after and she told me that she would be working on it that day and

> would

> > get back to me.

> >

> > A few days goes by and no call from her. I went to see my mom and

she

> > told me she was too busy to call me but would start working on it

the

> > next day(wednesday). I called her Thursday to follow up and she

said

> she

> > was going to leave a note in her chart for the dr to get the

> > referall/auth started and would call me back that day. I went to

see

> mom

> > last night. The night nurse pulled her chart for me and there was

> > nothing documented and/or notated about having this done from

anybody.

> I

> > am not happy! I was talking to my brother last night and he

mentioned

> to

> > me how he told this social worker 3 weeks ago when mom was first

> > assigned/admitted to this snf that he wanted this done. He told me

> that

> > the snf said to him that she has to only use their doctors on

site.

> >

> > I feel I am and my brother are getting a complete runaround and

this

> snf

> > is not going to pursue the auth with their pcp to get mom to this

> > specialist. The social worker's basing her decision primarily off

of

> the

> > hospice dr and their nurse that mom does not have lbd. What a

joke.

> >

> > I am going to call that case manager back tomorrow and let her

know

> what

> > is going on. I've also thought of calling the pcp's office

assigned to

> > this snf and see what they can do. I've been told by somebody to

> contact

> > our local longterm care ombudsman's office and see what they can

do. I

> > plan on emailing the social worker vs calling her, so I can start

a

> > papertrail. Any other ideas to help get this auth done?

> >

> >

> >

> >

> >

> >

> >

> >