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Failure to Improve Is Still Being Used, Wrongly, to Deny Medicare Coverage

January 29, 2017

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Edwina Kirby was having a hard time. She had tripped over a rug in her home in Livonia, Mich., and the fall broke a femur. After she had surgery and rehabilitation, an infection sent her back into the hospital. Her kidneys failed, requiring dialysis; she was also contending with diabetes and heart disease.

By the time she entered Glacier Hills Care and Rehabilitation Center, a nursing facility in Ann Arbor, “she couldn’t even feed or dress herself,” said her daughter Deanna Kirby, 55. “She was basically bedridden.”

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