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We're stuck between two communities

The questions that break a tie once the tours all start blurring together.

Quick answer

The questions that break a tie once the tours all start blurring together.

HomeBy SituationWe're stuck between two communities

By this point you have toured enough that the buildings have merged. These are the questions that still separate them.

Short answer

The questions that break a tie once the tours all start blurring together.

What to do, in order

  1. Compare the all-in numbers, not the base rents. Ask each community for the total monthly cost at your parent's assessed care level, in writing.
  2. Compare the rate increase histories. Three years of actual increases from each.
  3. Compare overnight staffing, not daytime. Daytime ratios look similar everywhere. Overnight is where they diverge.
  4. Pull both state inspection records. Read the surveyor narratives rather than counting citations.
  5. Ask the Medicaid waiver question of both. If private funds might run out, a community that does not hold a waiver provider agreement is a future forced move.
  6. Go back unannounced. Same building, evening on a weekday.

Questions families ask

Which hospitals in the Fort Worth area handle senior discharge planning?

Texas Health Resources (Texas Health Harris Methodist Fort Worth and Southwest Fort Worth), JPS Health Network's John Peter Smith Hospital, Baylor Scott & White All Saints Medical Center - Fort Worth, and Medical City/HCA facilities serving Arlington all maintain case management and discharge planning teams.

Can I push back on a hospital discharge date in Fort Worth?

Yes. A discharge date is a clinical recommendation, not an immovable deadline, and hospitals are required to have a discharge planning process you can engage with -- especially when no safe post-discharge arrangement is actually in place yet.

Does Medicare cover a rehab stay after a Fort Worth hospital admission?

Medicare covers a limited skilled nursing facility stay after a qualifying inpatient hospital admission, when daily skilled care is medically necessary. It does not cover long-term custodial nursing care, and observation-status stays don't qualify at all.

Not sure where to start?

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