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My grandmother has alzheimer's and and only has her elderly daughter and myself to care for her. She need at least 12 hours of help mostly using the bathroom and bathing. Her current income is too much to qualify for a nursing home care. Are there any alternatives or ways to help her quality for entry into a nursing home?

I have never heard of having too much money to enter a Nursing Home/ Skilled Nursing facility.
You private pay until funds run out then you apply for Medicaid.
And you probably should be looking at Memory Care facilities NOT Skilled Nursing. Unless she actually does need Skilled Nursing (In that case Medicare may cover some)
She may qualify for Hospice. If that is the case she would have a Nurse that would come at least 1 time a week to check her and order any medications.
A CNA would come at least 2 times a week to give her a bath or shower and order any personal supply items.
ALL equipment would be ordered and provided, all incontinent supplies, briefs, wipes, under pads, gloves, ointments would all be delivered.
And you could request a Volunteer to come and sit with her if you have errands to run. This is all covered by Medicare, Medicaid.
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Reply to Grandma1954
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olddude Sep 11, 2024
What they mean is that they have too much income to get the taxpayers to foot the bill.
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Whatever facilities your family researches for your Grandmother, make certain to ask if they accept Medicaid and whether they have open beds. Medicaid is a federal program that is run by each state individually, therefore the rules can vary and you must consult either an experienced certified elder law attorney, an estate planner or a Medicaid Planner for Grandmother's home state. In most states the application form's "look back" period can be 5 years, so whoever is managing Grandmother's financial affairs needs to know what they are doing or they may inadvertently delay or disqualify her from receiving this aid.

In most states a Medicaid room is a shared room, in LTC floor or NH, and usually needs to be assessed as medically necessary by her doctor. It's usually for people who are bedbound and unable to do any ADLs, or required some sort of medical attention/action daily.

If your Grandmother has assets, they will need to be spent down to whatever her states' threshold is before she can apply. It's often around $2K. Then Medicaid covers any medical needs and her SS covers her "custodial" care (room and board).
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Reply to Geaton777
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There quite honestly is no such thing as too much income to enter a nursing home. She will enter with her monthly income, whatever it may be, going to her nursing home. This would include her social security and any pensions. If this is STILL not enough money, then you will apply with the help of the home of Medicaid to fill in the rest. She will be allowed to keep a home and a car. The home, upon her death, will be subject to clawback by any governmental agency that contributed to her care.

If you can no longer provide safe care a call to APS to report this may help you to understand how to apply for help. Your local Council on Aging may help as well.
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Reply to AlvaDeer
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