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I am one of six siblings and it turns out that the AL near my husband and me is the best fit for my 85 yo mom, who has had a stroke causing memory loss, a seemingly painful wound on her bottom, and mobility issues. She is a sweetheart and I love her more than I can say. I hate that she is going through this - she is a saint and it breaks my heart that she can't go home :( I've been staying at her house in Illinois and going to see her every day at her current AL.
I don't know what I don't know, so I'm asking for any advice/guidance about what to consider when moving Mom out of state. Thank you all so much for your help!

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If Mom now has memory loss a Memory care facility may be better. ALs are for those people who can do mostly for themselves. But the AL will evaluate her to see if she meets their criteria.

I hope that painful wound is being cared for by a woundcare nurse. If received in the hospital or Rehab this is serious. When discharged she should have had in home care ordered. An AL cannot properly care for this. Mom should be using an airmattress. Maybe have a Roho cushion. A woundcare nurse knows what to look for. Sepsis can set in.
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Baker2019 Feb 1, 2024
Thanks for the reply! She has a wound care manager and wound care RN visits 4x week. She has an air mattress on a hospital bed and two roho cushions - one on her wheelchair and one on her recliner. She is having her briefs changed every two hours now as well - hoping this aggressive treatment will speed up healing.
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I moved my mom across the country to live with me because the constant back and forth was horrible. It was super stressful but it can be done, one thing at a time. Try to get an elder care attorney near you. Even if you don’t need them now you probably will one day. Try to get as much of her medical record from her old facilities as you can, especially scans and immunizations. You can always get that later but sooner is better. And keep in mind that you may feel
overwhelmed at first, but things do become more manageable. Good luck.
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Baker2019 Feb 1, 2024
Thank you for this advice. I really appreciate it!
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Are you POA? Is Mom competent? Does Mom WANT to move by you?
I am surprised if ALF will accept a patient with a perhaps active decubitus ulcer? Is your Mom seeing a wound care nurse for this?
Is the other option staying in your Mom's own area? Have you explored options in her area? Are you willing to go through all the expense and problems of moving to another state?

So many questions here. I would consider hiring a Geriatric Care Manager. Usual fee about 120.00 and hour. I think you need someone you can discuss the details of all this with. I would hate to see a move that would result in an ALF saying "Well, we didn't see your mom prior to admit and her problems are too severe for ALF; she needs either MC (read well twice as much money) or SNF for wound care.

Sorry. Just no information to judge this situation on.
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Do not commit to this unless you are her DPoA or legal guardian.

Is the painful wound on her bottom a pressure sore? It needs medical attention if this isn't already happening.

Medicare will follow her but does she pay for extra advantage or supplemental plans for medical, Rx, vision, dental? Unless it is BCBS it likely doesn't cross state lines. FYI Medicare doesn't pay for long term care in a facility, but Medicaid will if she qualifies.

Do not put her in a facility unless you have asked if they accept Medicaid. This should be the deal breaker if they don't. If she runs out of money in a facility that doesn't accept Medicaid, she will be forced to move out -- and into your house most likely.

I wish you success in this transition!
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Baker you have 2 questions out on the same subject
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The 1st thing that I recommend is finding out if her health insurance follows her.
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