Looking for some help. My father had a fall at his apartment a few weeks ago. He had hip surgery while in the hospital. The doctor suggested rehab facility after because he was shaky walking before the surgery. W He has been in a short term rehab facility the last few weeks payed for by medicare. I’m not too thrilled with the rehab facility therapy. He appears to be still wobbly on his feet and I’ve chatted with the rehab director about increasing his therapy. My neighbor who is a nurse at another hospital suggested an extended care hospital for better rehab care. I’m curious to know if anyone can tell me about extended care hospital and how it compares to a short term rehab facility. His overall health had been good before the fall and at this rate I just want to see him return home to the activities he did before the fall.
Depending on what your ailments are will depend on whether an extended care hospital is appropriate for a patient versus short term skilled nursing and rehabilitation. My father was readmitted to a local hospital in February after being at an Orlando rehab inpatient facility for over 60 days. Unfortunately the facility was not diligent in getting him back to the orthopedic surgeon after a fall and he was considered non weight bearing for a majority of his stay. This was wrong as being non weight bearing there was no way he could have recovered to his previous strength prior to his fall. We moved my father to South Florida so we can keep a better eye on him where he was readmitted back into the hospital with pneumonia.
We had to decide the best course for my father and chose a LTAC hospital Kindred in West Palm Beach. With limited rehab days left covered by Medicare and seeing he was in ICU at the hospital he did qualify for an extended care hospital. The pros to an extended care hospital is the medical care from physicians with in house physical therapy. The cons based on my experience was the non medical personnel were limited so assistance with daily living was scarce and created much frustration for dad.
Hi Sonny, sorry to hear about your father. A patient that would benefit from an extended care hospital first has to be evaluated by the extended care hospital to qualify. The best way to do this is to express the desire of an extended stay hospital with the case manager at the hospital or facility and also speak with your doctor. Patients have to be physically able to do a certain amount of hours of therapy each day to qualify. If your father is not physically able to do for example 3 days of therapy at an extended hospital then he may not qualify. A skilled nursing and rehab facility offers therapy for the patient to improve but may not be as aggressive and intense as in an extended care hospital. Hope that helps.