Pruitthealth-Sea Level

Melanie

My brother is at Pruitthealth-Sea Level. He has been there for eight weeks now. They are reasonably responsive to phone calls and such. They have a social worker, a financial person, and an activities director, which are the three people I interacted with. My brother worked with nursing techs and a physical therapist for a little while. They are building and moving to a new facility, so the facility is quite old, but I didn't feel like it was unsafe or anything like that. Our biggest struggle was that my brother didn't always get daily transfers to the wheelchair, which did not help his progression in getting better. They were slow to start physical therapy and somewhat inconsistent in getting his physical therapy. When the insurance denied coverage for skilled nursing or regular kind of activities of daily living care, they also discontinued physical therapy, which doesn't fall into that category, so I'm not sure why they did that. And that was the one thing he needed. That's my biggest distress with them. I don't think they did everything they could to advocate for him to continue to get physical therapy. They never submitted the physical therapy claims for review or anything like that with his insurance company separately from the overall facility charges. They're not particularly knowledgeable in the way that they could work with insurance companies. I think they're used to just taking people that ultimately end up on Medicaid and just taking whatever Medicaid pays. So for me, that was a little bit of a struggle. My brother was in a private room initially, I think because maybe the insurance covered it. Then shortly after insurance quit covering him, even though he's paying, they moved him to a semi-private room. They never asked us if we had a preference or gave us any options for different charges, they just moved him and discontinued his physical therapy without conversations about this thing.