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I have been my Mom's fulltime caregiver for 8 yrs. She is now 95. I can no longer do it. I've reached my limit financially and emotionally. I just cant do it anymore. I have nothing in my tank. I feel mostly walking dead. I have 0 help from my siblings. My partner left in 2018. I can't work cuz my Mom needs 24/7 care. I do not have 10K a month to place her in a private nursing home nor do I have a Power of Attorney.



Her social worker isn't much help at all. When I spoke to her about putting her into a state home and how do I go about it, she sent me a list of private homes to call and place her in one of those. I told her, I cannot afford that. I feel left out in the cold.



Can anyone help guide me as to how I can place her into a state nursing home ?



Thank you

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How would having a power of attorney make things any different? Honest question.
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There is no easy way out of this and I'm sorry to tell you that you are not likely to get any useful constructive answers from the professionals in your life. I was once in a situation a little like yours, though different it that I was working at the time which I believed helped me, and I asked the director of nursing from the hospital home health program "what should I do, should I place him in a Nursing Home?", and the answer I got was "yes, and let me tell you, the nursing homes costs $14,000 a month, and they want that money upfront!" She knew very well my father didn't have that kind of money nor did I. We shared an apartment and lived month to month.

Sadly, the way out of this for you may come down to methods that aren't given to you by professionals and are generally frowned upon here or won't be advised. Before you get to that point though, you need to start the state application for LTC Medicaid. You can do it online through your state's social service website usually. I did that and I was contacted the next day by a caseworker. You don't need POA, but you will need to access her bank account records. I was able to do that because I was on my father's accounts. After you get the application going, you can contact NHs in the area to see if they have open beds for Medicaid pending. Unfortunately, you may not have much success, but this is the route that professionals will tell you to follow. If you can't get access to her bank accounts and mom isn't in a position to grant you POA, then what? Then you need guardianship which can be a time consuming and costly court process. It stinks and I'm so sorry you are in this situation, but I also wish others who are beginning their journeys as full-time caregivers or are thinking about quitting their jobs to care for elderly parent would read what you are going through to maybe get a fuller understanding of what they may be in for.

The frowned upon way, but maybe the most effective is using some method of the "ER Dump". This does have to be done tactfully, you can't just bring her to the ER and disappear. In my case, the SW at the hospital knew my father wouldn't be safe at home because I needed to work and couldn't be there for long stretched of the day, and we couldn't afford in home caregivers. You need to ensure her safety, but at the same time convince the professionals that you are unable to handle it anymore, and it would be unsafe for mom to continue as is. You need to convey this adamantly to the professionals, whether it be APS or the hospital staff, and demand that they help with placement, but go about it in a tactful way. It stinks, and I'm sorry for you and wish you peace.
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anonymous1732518 Oct 2023
I don't know if this happened in real life, I recall a show where parents were trying to get help for their troubled teen. They took him somewhere on the pretense of going shopping, dinner or something like that. He realized what happened and of course was upset. The medical staff advised the parents to leave and don't look back

Shame I can't recall the show.
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Does your Mom have a medical diagnosis (or record of a cognitive/memory test) in her medical records?

It may be possible to call 911 and have her taken the the ER on some pretense, like she may have a UTI. When there talk to a social worker about a "social admission" (like BarbBrooklyn suggested). Make sure the staff knows she is an unsafe discharge and that you a NOT her caregiver. Do not believe any promises that the hospital will "help" you once she's back at home -- this isn't true (been there, done that).

Hopefully what will happen is that social services/the county will acquire guardianship of her and will place her in a facility directly from the hospital, but this may take time due to it being a legal process and also dependent upon the availability of Medicaid beds in county facilities.
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There maybe no State homes. We have had none where I live for years. Our County home was bought by a private corp. You call the homes given to you on the list and ask if they take Medicaid. If so, how does it work if you don't have POA to get Mom placed. I would say you may have to allow the state to be her guardian. Call your Office of Aging or Adult Protection Services. You mau need to consult with an Elder Lawyer.
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Begin checking the list the Social Worker gave you.

You will need to apply for Medicaid if your mother is now out of money, or put her in the Nursing Home and allow them to spend down her last money with a goal to medicaid application. Her SS will then go to her Nursing Home.
If you have moved in with your mother to her own home this becomes more complicated and you should see an elder law attorney.

Did you tell the Social Worker that you have no POA? Because in most states a Social Worker can guide you in getting temporary guardianship if you Mother is no longer competent. Then you can place her where you think is best. If the Social Worker is not able to help tell her you need referral to a social worker who CAN help or call APS which often can help with this or go to an Elder Law Attorney (last resort as most costly).

I take it you had no agreement about shared living expenses when you began this which was poor decision making, as was not getting POA before this, but you are where you are and there are ways to move forward.

I am so sorry. I wish you the best of luck. I hope you will fill us in as you move forward.
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waverun4 Oct 2023
Thank you for your response. I should have been more clear about the power of attorney. I did have one. I've been looking for it for months now and cannot locate it. We did agree to shared expenses. My Mom's SS is a small drop in the bucket. I've applied to Medicaid for her and was refused. She has 1100 in a savings account left. She has 0 money for a private home. Her being denied Medicaid was a shocker to me. But she was awarded snap benefits. Which has helped.

I'll try her SW again if that fails I will talk to her Dr whom has been very kind and absolutely understand of the heart filled sadness I fell about placing her in any home.

CC
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Have you applied for Long term care/Nursing Home Medicaid?

Some members here may suggest dropping her off at the hospital and refusing to pick her up; you did not mention if she is sick.

Social worker may be doing the best she can do.
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Welcome, Waver.

Mom's assets and resources should pay for mom's care, not yours.

There are private NHs that accept Medicaid. Have you called any of the places on the list that the SW gave you and asked?

Consider taking mom to the ER and asking for a "social admit".
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