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Educate me please on the Assisted living and nursing home situation in this state.

Posted on 2/16/25 at 5:57 pm
Posted by notiger1997
Metairie
Member since May 2009
60648 posts
Posted on 2/16/25 at 5:57 pm
I have an aunt who is pretty much living on social Security. She does have $30k in savings, but I know next to nothing about how this process works as far as what kind of place thy can get into.

I’m sure wherever she goes is going to be shitty.
Posted by beerJeep
Louisiana
Member since Nov 2016
36499 posts
Posted on 2/16/25 at 6:00 pm to
quote:

I’m sure wherever she goes is going to be shitty.


The home is gonna go one of two routes, and they honestly aren’t mutually exclusive.

Really shitty depressing or an absolute party house where the pineapples and blue pills are out in the open.
Posted by Purple Spoon
Hoth
Member since Feb 2005
19285 posts
Posted on 2/16/25 at 6:01 pm to
Her 30k is considered assets and will have to be spent before she will qualify for Medicaid. The Medicaid office will want an accounting of it. If she gives it away transfers anything considered an asset she will not qualify for Long term care Medicaid for 5 years.

Btw. There are good facilities out there. Look for chains owned by companies based in Louisiana or stand alone non profits.

National chains and chains with 20-200 locations are far more likely to be terrible.
This post was edited on 2/16/25 at 6:05 pm
Posted by Spankum
Miss-sippi
Member since Jan 2007
58416 posts
Posted on 2/16/25 at 6:04 pm to
She needs to start converting her savings to cash ASAP. When she has no savings left, Medicaid will pay for long-term care. Nursing home will blow through $30K in a matter of months.



ETA: if she can get by without skilled nursing, maybe she can get home health to help her bathe, etc. if possible, that is a lot better option….
This post was edited on 2/16/25 at 6:10 pm
Posted by notiger1997
Metairie
Member since May 2009
60648 posts
Posted on 2/16/25 at 6:16 pm to
quote:

it. If she gives it away transfers anything considered an asset she will not qualify for Long term care Medicaid for 5 years.


That’s something I had heard about.
quote:

There are good facilities out there.


Can you please give a few names so I don’t have to google and read a 100 reviews.
Thanks for the help.
Posted by Jim Rockford
Member since May 2011
102240 posts
Posted on 2/16/25 at 6:21 pm to
Anybody counting on medicaid going forward had better think again.
Posted by Jim Rockford
Member since May 2011
102240 posts
Posted on 2/16/25 at 6:26 pm to
Nursing homes owned by Central Management Inc. are generally pretty good. It's a Louisiana company.

But again, things are going to be in a tremendous state of flux. Nobody knows what's going to happen. Almost all nursing homes derivel most of their revenue from medicaid. Even if your family member is private pay, it will affect them.
Posted by UptownJoeBrown
Baton Rouge
Member since Jul 2024
2314 posts
Posted on 2/16/25 at 6:30 pm to
quote:

Anybody counting on medicaid going forward had better think again.


If I had to rely on Medicaid for assisted/nursing home, I’d OD out on a secluded beach at sunset.
Posted by tiger91
In my own little world
Member since Nov 2005
39238 posts
Posted on 2/16/25 at 6:42 pm to
Do NOT go into a Nexion owned facility.

$30,000 if I had to guess would get you 5 or 6 months.

Ask questions and more questions. And visit at random times and days .. NOT on a schedule. They’ll expect you.

And anything you don’t like — ask about it. Some things can’t be changed (ie what is served — they follow menus and it’s not a restaurant t) BUT sitting in a wet diaper and getting skin issues IS something that can be fixed.

If you ever have issues, call the ombudsmen. Their number is posted somewhere very visible in the faciiity.

Edit: re-reading my post makes me wonder why I still do contract work where I do. SMH at myself.
This post was edited on 2/16/25 at 6:47 pm
Posted by In The Know
City of St George, La
Member since Jan 2005
5846 posts
Posted on 2/16/25 at 6:45 pm to
CommCare facilities are good too. I know some mgmt folks.
Posted by FutureCorridor49
US 90
Member since May 2023
548 posts
Posted on 2/16/25 at 6:47 pm to
quote:

an absolute party house where the pineapples and blue pills are out in the open


My kids better put me in one of these
This post was edited on 2/16/25 at 6:48 pm
Posted by greenbean
USAF Retired - 31 years
Member since Feb 2019
5706 posts
Posted on 2/16/25 at 6:54 pm to
quote:

If I had to rely on Medicaid for assisted/nursing home, I’d OD out on a secluded beach at sunset.


Mine and the ol' lady's plan for sure. Even the best NHs are terrible, unless it is a high dollar private pay situation.
Posted by Triggerr
Member since Jul 2013
1963 posts
Posted on 2/16/25 at 6:59 pm to
Need to figure out the cleanest way to make that $30k go away otherwise they will take that against services
Posted by Allthatfades
Mississippi
Member since Aug 2014
7892 posts
Posted on 2/16/25 at 7:01 pm to
$30,000 isn’t getting anywhere close to six months in a halfway decent place. Three months is more like it. But she has to get it under $4000 for LTC Medicaid. Medicaid will do a five year look back, including looking at bank statements. If she’s moved or transferred large sums of money, or fooled with property deeds-such as adding someone’s name to the deed, it will complicate getting her approved for LTC Medicaid.
Posted by Fat and Happy
Baton Rouge
Member since Jan 2013
18561 posts
Posted on 2/16/25 at 7:12 pm to
I do have a cousin that has worked the system for 30+ years now just like your situation.

She knows how every little detail works. She lives comfortably and works very little to do so.

It used to piss me off but the longer it kept happening, i just stop caring and actually started thinking, good for her. If she can make that work for over 30 years successfully, that’s way more work at gaming the system than I’m ever gonna try and do
Posted by Polycarp
Texas
Member since Feb 2009
5670 posts
Posted on 2/16/25 at 7:39 pm to
My parents went to one in Sulphur, Stonebridge. It was great and the people were wonderful.
Posted by Rouge
Floston Paradise
Member since Oct 2004
137763 posts
Posted on 2/16/25 at 7:45 pm to
If a facility smells too clean like cleaning solutions and disinfectants, proceed with much caution. They have many things to hide.
Posted by Lsukinesalum2001
Member since Sep 2022
25 posts
Posted on 2/16/25 at 8:47 pm to
Assisted living is fully private pay and will never accept Medicaid. Basically about 3-5k or more per month and much nicer but doesn’t provide “assistance” despite being called assisted living, only a safe place to live and meals. Anything extra you pay for, such as dressing, assist to bathroom, getting dressed, etc. More well off people live here who do not require much physical assistance.

Nursing homes are mostly for physically disabled. As our social worker says, physical needs need to outweigh mental need to qualify here. It’s easier to be placed after you’ve been hospitalized and that’s where case managers can help. I work with them at the hospital with placements like this. You can look up nursing home “Star ratings” with the state probably through DHH website to determine which have best “ratings” but that changes year to year.
If you have a “skilled” need to go into a nursing home such as PT, insurance will cover 20 days. Then after that you pay about 6000+/month until you spend down and qualify for Medicaid. You can keep your house or car but any social security check goes to the nursing home. Also any additional property owned would have to be sold. They look back 5 years that’s why others have said, transfer assets before that time, if she only has 30k to her name she prob would easily qualify for Medicaid. Social workers can guide you through this process. She also should have the right to choose which one she wants to go into. Most people have families tour the facility before they decide.
This post was edited on 2/16/25 at 8:54 pm
Posted by Shamoan
Member since Feb 2019
11472 posts
Posted on 2/16/25 at 8:55 pm to
Very expensive and tiered according to wealth. I’m quite familiar with them.
Posted by Red Stick Tigress
Tiger Stadium
Member since Nov 2005
18901 posts
Posted on 2/16/25 at 8:58 pm to
5 years ago when my mother was alive, part time senior care was $3,500-$4,000/month. $30K savings to pay a full time facility won't last long.


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