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Could this vary by state? My mother was in a nursing home in Texas, which did accept medicade ( though she was private pay ). They had plenty of help at night as well as in the day time, and a waiting list. Of course, only the administration knew who was private pay and who was medicaid, except that some told us. Mother was there about 7 years and happy after she got used to the idea. She had had multiple small strokes and probably mild heart attacts. I will try to find out if anyone wants to know. Maybe the nursing home just carried the load, but I thought their rates were moderate. Didn't really know. For what it is worth (probably not much) Nita [log in to unmask] wrote: > I would check into the legal issues involved before asking a caregiver to be > paid by Medicaid for care for two patients simultaneously. > > I posted a message during Ivan's earlier crisis time re: the inability of > nursing homes in Indiana and Minnesota to be able to hire nursing assistants > for the time period of evening/nights and the losses encountered by those > establishments. I had only one response to that message, and I assume that it > was not read by many...... > > This is not an Ivan problem, this is a societal issue that good economic times > are not easy times to hire menial (however important) tasks. The need is for > strength (lifting patients); care and concern and emotional support and > dedicated personnel. The issue that needs to be addressed is the salary scale > in many cases......who sets this scale that Medicaid uses? > > We faced the lack of "in home" help with my Mother.....and we were private > pay.....no response to ads; no staffing available from home health care > agencies to supply the requests of the community. As a result, she was in > a nursing home in IN and then moved to a nursing home in MN to be closer to > family. The current nursing home in Rochester has had 10 empty beds for more > than a year because of inability to hire staff for the evening shift so they > cannot accept patients for these beds (and the subsequent loss of income of > $100+ per day per bed to the nursing home.). > > Rita