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In the vast majority of cases patients at this facility who are on Medicare and thus are perhaps enrolled in a local Medicare HMO (e.g., Senior Dimensions before takeover by United Healthcare) like my mother have no choice but to go to this facility since this is the only option that their health insurance plan covers.
Visits by physicians are sporadic and brief, many if not most physicians are trained overseas and are still on the road to learning proper spoken and written English (thus occurrence of nonsensical phrases such as “deFooter” in discharge letters – pray tell what might a “deFooter” be?).
Written treatment plans from the initial acute care hospital are not followed/ignored, most likely because the discharge documentation was never read by the attending foreign-born physician responsible for a patient’s care at the rehabilitation facility.
Apart from patient medications initially not being correctly provided as specified b y the referring hospital (Valley Hospital), nursing staff apparently does not know that patients need a minimum of approximately 1.5 – 2.0 liters per day of water on an ongong basis to survive. Proper oral care is not provided to patients (especially the demented) who can no longer provide such care on their own. Thus, the risk of aspiration (food & drink) and of developing aspiration pneumonia are increased.
Administrators (a Mr.
Bearers of the ultimate in bad news (such as you are going to die!) do not even have the professionalism or common sense to first properly introduce themselves when talking to worried and stressed-out family members, and oh so much more than I can relate here.
When it became apparent that my mother - whose swallowing had been evaluated and cleared - was not eating and drinking enough to survive over the intermediate to long-term, I considered whether or not something might be preventing her from doing so other than the fact that her time had come and she truly couldn’t eat and drink enough anymore (part of the natural dying process as the body shuts down).
It turned out that she had a urinary tract infection (UTI) and infections are known to negatively impact cognitive (mental) functioning in dementia patients – make them more confused, somnolent.
The UTI was only diagnosed at my suggestion/insistence; the staff would not have been motivated to do this on their own. Apparently,
This was not supposed to happen at
Since my mother had an indwelling urinary catheter (
When my poor mother was being transitioned from
If the UTI was indeed the culprit in preventing her from eating and drinking enough to survive she would resume doing so once it had been successfully treated. Otherwise, she was going to die a natural death due to inadequate hydration/nutrition within about 1-2 weeks.
The plan sounded very reasonable and feasible, but alas
I didn’t find out about this until after my mother had passed away much more suddenly than expected in hospice care (only 5 days after admission), apparently suffering from end-stage respiratory failure and congestive heart failure.
After obtaining copies of all of her medical records from
But why were we never told by anyone at
This discharge chest x-
She did not leave
Hasn’t anyone ever heard of a telephone call or to specifically request that the x-
If a test is of absolutely no consequence, why order it in the first place? If you order a test and it comes back showing something important, you better “get off your a** pronto” and provide appropriate follow-up in a timely manner!. No follow-up was ever provided to the
I strongly believe that we and the hospice were intentionally not told that my mother had pneumonia, because it was known that this would very likely delay her transition to hospice care. We might have been willing to transfer her to hospice care with a urinary tract infection (
With a capitated patient like my mother who had been at
So the solution was
She’ll be dead in hospice care before they know it and no one will be any the wiser about what really happened. Well they didn’t count on me requesting copies of her medical records on the very day that she died in hospice care – THE BASTARDS!
This story has had a long aftermath dragging on for several years after the events in 2007: correspondence with the CEO of Fundamental Long Term Care (FLTC) - the parent company of
Ultimately, this ended up as a complaint with CMS (Centers for Medicare & Medicaid Services). Supposedly several people at ”
I couldn't believe the quality of care he received and the dedication of each Therapist who cared for him. After about 4 weeks at
Now, a little more than a year later, it's like his accident never happened and he continues to improve. We are so grateful to the team that cared for him at
Began laser treatments upper neck and lower spine for spinal stenosis in late January 2012 and after ten (10) treatments, discussed with Dr
In about two weeks, we received a listing of services provided which showed that all of the $4,000 had been expended. Thus, based on this information, we knew that we had been scammed.
Consequently, we believe that this matter was handled in an extremely poor manner -- very poor customer relations. Thus, we would not recommend this facility to anyone.”
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All Physical Rehabilitation Services in Elgin, TX
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