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Mom is 92 with great LTC insurance. She lives in NC, me in OH. I have managed many falls over the years, it has finally come to her needing skilled nursing after successive falls. She has lived Alone in a nice house for 25 years. I asked for a private room and the facility coordinator reasoned with me that mom would be safer with a roommate to help alert staff if she fell, help with socializing, etc. They paired her with a “ younger” woman (my age, 68). I am visiting and mom is in a small room. The younger woman was morbidly obese, splayed out in her bed in the middle of the afternoon, snoring like a freight train throughout the visit. It was very difficult. Mom's neighbor had visited and was equally put off. As mom is private pay, I would like to request a single room. They may be rightly concerned about her falling, but aren’t there fall plans and practices which can be implemented. I hate to leave mom in this circumstance. This Skilled nursing place has been highly rated, but…..,,

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I would insist on a private room.
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My MIL is on Medicaid in a LTC facility. She has had several roommates over the years (since Medicaid doesn't pay for private rooms). We have found no roommate that benefited her. They are in the facility because they can't even help themselves, no less another person. I'm hoping your mom isn't paying the same price as a private room... Roommates are a hard "no" in my experience.
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IF they think that having a roommate is safer then ask that she be moved to another room with a roommate that will actually help if there is a problem. If they can not do that then ask that your mom be moved to a private room. (Other option is to move her current roommate out and keep mom in the room she is in as a private room, that way she is not the one being inconvenienced by the move)
You would think that a facility would jump at the chance to get the fee for a private room.
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Does her insurance pay for a single room? If not, does Mom have the money to pay the difference? If she can pay for a private room I would think the NH would be glad for the xtra money. If they allow Medicaid, Medicaid does not pay what is paid privately.

You have a right to ask for a new roommate for the reasons you list. You have a right to a single room if she can afford it. She is a resident not a patient. She pays to live there and be cared for.

My Aunt went thru roommates and not because she complained. One because she could hear Aunts TV. So the NH set up so Aunt could wear earphones and then the woman complained thatvshe could still see the TV and it interferred with her being able to watch her TV. Another roommate didn't like TVs. So Aunt wouldn't watch hers. I told Aunt that she was paying to live there so had every right to watch her TV. Last roommate was practically deaf and so was Aunt so had no problems other than they weren't able to carry on a conversation.
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