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Dad is being discharged in 72 hours

The fastest safe path when a hospital case manager gives you days, not weeks.

Quick answer

The fastest safe path when a hospital case manager gives you days, not weeks.

HomeBy SituationDad is being discharged in 72 hours

A case manager gave you a date. Everything below assumes you have days, not months, and that nobody has explained what your options actually are.

Short answer

The fastest safe path when a hospital case manager gives you days, not weeks.

What to do, in order

  1. Get the discharge plan in writing. Ask the case manager or social worker for it on paper.
  2. Confirm inpatient versus observation status. Ask directly, and ask in writing. Medicare's skilled nursing benefit requires a qualifying inpatient admission, and observation nights do not count no matter how many were spent in a hospital bed.
  3. Ask which facilities actually accepted the referral. Case managers send inquiries to many communities and hear back from few. The list of places that have said yes is the only list that matters today.
  4. Push on the discharge date. It is usually less fixed than it sounds, particularly when no safe plan exists yet.
  5. Verify the license before you sign. A few minutes on New York's licensed-facility search tool, even inside a 72-hour window.

Questions families ask

What's the practical difference between calling the ombudsman and calling NYSDOH's complaint line?

The ombudsman advocates for an individual resident and can help resolve a dispute or attend a care conference, but cannot license, inspect, or fine a facility. NYSDOH's Metropolitan Area Regional Office ((212) 417-5990 for Adult Care Facilities, (212) 417-4999 for nursing homes) investigates regulatory complaints and can take enforcement action.

Is contacting the ombudsman free, and will it cost my family anything?

Yes, the Long-Term Care Ombudsman Program is entirely free and independent -- there is no cost to a Staten Island family for contacting CIDNY's program or the statewide LTCOP hotline, and using the service does not create any billing relationship or fee.

Can the ombudsman attend a care planning conference with my parent's facility?

Yes -- with the resident's consent, an ombudsman representative can attend a care planning conference or similar meeting to help ensure the resident's own preferences are represented and heard, particularly in situations where family and facility staff see the care plan differently.

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