you can call me a liar all you want. I don't care. This happened one month ago, Prisma Baptist Hospital, Columbia, SC.
I am saying I would like more information from how the case manager and the medical records person at facility communicated this.
I can tell you these situations are really hard right now. My grandmother was just in the hospital for what they thought was covid, turned out it wasn't. While in hospital she had a bad fall...communication was horrible. Got her home on home health and I saw the wound. They did not do shit for it except gauze and send her home.
Being in the business, I was able to get her into another hospital, get it handled and turned out there were blood clots. She got the surgery, sent home, my wound nurse recommended treatment, its healed and she's off home health. Because you cannot have but one visitor a day and because I had been exposed, I had to handle all communication remotely and my grandfather can barely hear so he was not much help. I was on the chart as primary to make decisions on my grandmother's behalf.
So a LOT of how things are handled is strictly based on whoever is speaking on behalf of your grandmother to the case worker. Are they dealing directly with a facility? Your grandmother? A family member? Spouse? Who is the hospital relaying medical information to on behalf of your grandmother?
Do they understand what is being explained to them? Did you just allow hospital to deal directly with facility without hospital involvement? Did you make it known that you did not want her leaving hospital to go back? And if so, what was the reasoning? If she was asymptomatic, out of harm's way, and the facilities administration was willing to take her back...what is the issue? They may have said they needed the bed, but that is not forcing anyone out...I'll go as far as stating I know someone very high up with Prisma in compliance and see him multiple times a week at happy hour and he has not once mentioned any Prisma location at or near capacity for Covid.
Am i calling you a liar? No...I am sure your grandma got sent back to her facility but how did it happen? What made it similar to NY forcing facilities to take on new residents, old residents, that they were not equipped to handle.
In SC and most states, the case worker provides the details to facility and family...if you are not happy with that level of care, the decision of the case manager/clinical team at that hospital you can request a release ...transfer, etc. The family and facility work through the case manager on paperwork, transfers, and details.
If a facility does not want to take the resident back, they cannot be forced to especially if it is a medicare/medicaid bed. Private pay gets a little more tricky...
But a facility can absolutely deny the request to take a patient back....happens all the time. That is what was different from NY...The state was requiring facilities to take patients...even new patients...that is absolutely not the case in SC. NY was telling skilled facilities they had to take these patients and it resulted in a shit show while an emergency hospital sat unused.
The CMS has stated on every single call I have been on with them to hospitals that they cannot force facilities to take anyone!! Facilities are provided charts on potential new patients, they review and they decide whether or not they have the capability and desire to admit.
Again, I was at SCHCA show...no hospitals present. Just long term care and not one mentioned that happening to them in regards to talking covid for an entire weekend and hand the week.