We do CDPA to keep my son out of a nursing home.  Recently my father spent 6 days in a nursing home at the insistence of my older brother who was telling the staff at the hospital there was no one to care for my father at home; etc.   My father who had been treated for years at the VA went into heart failure after getting cataract surgery.  The VA should have never approved him for the surgery without getting the heart issue which showed on the pre surgical tests treated.  Anyway, my father had spent 32 days in the hospital where he wasn't allowed to walk.  He waited 3 weeks total for his triple bypass surgery then a week after for recovery, then 4 days to be transferred to the 2nd best nursing home in our city.  The 2nd best, meaning there are numerous nursing homes worse then the one he was stuck in for 6 days.  The 4 day wait was because the social worker at the hospital couldn't manage to do her job.  He was lied to all the way around.  He was told he would spend 3-5 days in the nursing home.   The planned all along to keep him until his insurance ran out.  He didn't get the promised PT until the 3rd day he was there as they don't do any on week ends.  The hospital had stopped his PT on Tuesday.  He was transferred to the nursing home on Saturday.  5 days no PT.  The PT he got in the nursing home which he was told would be 2 hours of rehab each day was really 20 min.   This took place Monday, Tues, and Wed.  The Thursday we took him out of the place they didn't do PT.  Dad had no place to even sit at this nursing home.  We had to purchase a chair and bring it there.  Saturday they too wouldn't let my father walk.  During his 6 day stay they didn't treat the infection in his leg, there was one ointment and one RX lotion that was supposed to be applied 2 times a day, they wouldn't do it or allow anyone to do it.  They wouldn't let anyone put on his tuba grips or let him wear his diabetic socks; they made him wear hospital socks with the treads which caused swelling in his feet. They did scrub my dad down one time a day on Sunday, Monday, Tues, and Wed.   He was not fed his prescribed diet and was given regular soda, etc..   and hamburgers and fries...  he had no choice in food.   Besides the two medications for his leg 5 of his other medications were either not given to him or given to him wrong.  (the wrong dose on 3 of them) ..   he was denied his prescribed pain medication.   The facility did not have the promised wifi  or cell phone reception for his heart monitor to work properly.  His room was never cleaned and became pretty nasty with his shedding skin and blood from his open wounds in his leg.  The we got in a massive battel where they were refusing to give him his medications that were filled for him.  (They lied and said the push packs are returned to the place and him given credit for them, they also refused to write out new RX)  Truth of the matter even if the medication goes back to the pharmacy it is just to be destroyed.   They were going to send him home without his medication and no way to get it.  After stating the state regulation to them and informing them their would be state complaints if they sent him home without his life saving medications which included insulin, 4 heart medications, among other things; they handed over his property (his prescribed medication.)  The place was very loud, There were at least 4 dog romping around the halls, one a rather large dog.   He witnessed at least 3 residents falling.  Witnessed staff taking this lady's walker away because she said it wasn't her's.  Was there 3 hours later when she had called her son to come and get it back for her.  The walker was her's something she to had brought from home.  She had spent those 3 hours crying.  Sure the place isn't as bad as some we have seen.  But it still isn't quality care and it still isn't anywhere someone would want to be.  At one point my dad was gushing blood from his leg from where he wasn't being treated and they just let it bleed all over the floor.  We had to use some of my dads underwear to try and stop it, they wouldn't let us have washcloths, or bandages or anything .   This went on for about 5 hours, because the private home health nurse we hired just happened to be there for an assessment and she complained to the director of the place...  then they put some weird cloth only bandage on it where he quickly bled through.  By that time I had come back with some actual bandaged that stopped the bleeding.  I had to go to a drug store an buy, with my 2 year old daughter, 74 year old mom, and adult son with Autism who is difficult to take to a store in tow...   Meaning going to the store is difficult.   If he had been home his leg wouldn't have been bleeding in the first place and we have plenty of supplies to take care of it, etc...  While we were their they also posted signs that they were having an outbreak of diarrhea. It was what the sign said, for us to be extra careful to wash our hands, but the bathroom in my dad's room didn't have towels or paper towels etc..    So we got dad home, we got PT out 3 times a week,  we paid for attendant care for 3 weeks, insurance sent out a nurse 3 times a week, he got OT 2 times a week, he was much happier, eating what he was actually supposed to get to eat; taking his medication the right way.  He got to wear his tuba grips and diabetic socks.   Life is much better for him at home.  He doesn't have to have harsh interactions with staff or see people fall or cry because staff takes away their walker.  Again this is the second best nursing home in the city.  I guess it is good it is there when people don't have family or a family willing to take time to help them.   But the place isn't good.   These are the places we are trying to keep people out of.  DMAS is taking away one of the options by EVV.  EVV makes it impossible to hire attendants.  Please exempt live in providers.