youbet
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The issue with Medicaid patients from a nursing home and nursing home patient pov is that the state doesn't pay enough to adequately staff the needs of patients. I would not ever make an estate plan that anticipates using medicaid.
+1
It shows up particularly at NH's with sizable percentages of Medicaid patients. We researched and worked hard to get MIL into a predominantly private-pay place with an a priori agreement she could stay when she ran out of money. She is attended to by the same staff that attended to her as when she was private-pay.
I think the fact either DW or her brother visits almost 7 days a week might play into it too.
During our search, we visited a high-percentage-Medicaid NH and it just didn't cut it on a number of fronts. We wondered how they could attract any private-pay clients at all.