The facility listed in the above article that BK was moved to is
DeKalb Long Term Acute Care.
http://www.dekalbmedical.org/downtown-decatur/about-us
It's important to understand that LTAC is
NOT the same thing as a long term care facility, or nursing home. It is an intermediate level of care between an acute care traditional hospital, and home or nursing home. Typically, patients have to be
capable of participating in rehab activities for at least a few hours a day, and admissions are usually less than 60 days, in this kind of facility.
We have had several family members admitted to LTAC hospitals, and our family members were there less than 30 days. There was a constant emphasis on increasing rehab hours in therapy, preparing for the "next" transfer, and whether that would be home, or a long term care facility. These facilities are truly aggressively rehab focused, and are not custodial care facilities.
My FIL was in a trauma ICU for 45 days, 30 days LTAC, and then moved to a Veteran's Hospital long term care unit.
This is a puzzling type of facility for BK to be transferred to, because there is no indication BK can participate in ventilator weaning, etc. She has never sounded like a candidate for LTAC. I'm inclined to think a special exception was made for Bobbi Brown to admit BK to this kind of facility. It could also be that there are very few ventilator beds available in long term care/ nursing homes in the area, and she has to wait for a bed. IDK. I sure think she will exceed their typical 20-30 day admission statistics. Now that they have her there, I'd guess it will be months before they make another move to a long term care facility. But this is definitely not the kind of facility that someone "in a medically induced coma", completely unconscious, and ventilator dependent, would be admitted to.
Our Long Term Acute Care (LTAC) specializes in the treatment of medically complex, catastrophically injured or critically ill patients who require a longer hospital stay than at a traditional acute care facility, and who require specialized, expert care and rehabilitation. Our unique expertise allows patients to recover without strict time limits— typically 20 to 30 days.
A few more links:
http://www.medicare.gov/coverage/long-term-care-hospitals.html
http://www.aha.org/advocacy-issues/postacute/ltach/index.shtml
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals with clinically complex problems, such as multiple acute or chronic conditions, that need hospital-level care for relatively extended periods. To qualify as an LTCH for Medicare payment, a facility must meet Medicare's conditions of participation for acute care hospitals and have an average inpatient length of stay greater than 25 days. Medicare recognized 436 LTCHs in 2011.
BBM.
Another thought--if she is still on multiple drips for suppression of seizure activity, it's possible she does not meet criteria for admission to traditional ventilator bed in a long term care facility. They typically don't have the ability for that level of complex monitoring and care, or staff expertise, to run those kind of drips and monitors for months on end.
One more link I meant to add earlier-- fact sheets on long term acute care hospitals:
http://www.aha.org/content/15/fs-ltch.pdf (note the average length of stay is 26.8 days)
Since LTCH patients are typically far sicker, their average length of stay is much longer: 26.8 days for LTCHs, 5.1 days for general acute hospitals, and 6.8 days for ICUs in general acute hospitals.