 dear management team i am writing regarding the recent notice from hales corners care center stating that richard was not accepted due to the behaviors and complexity of his care needs i respectfully ask that you reconsider this decision while i understand that referrals must be carefully reviewed i believe there may be some clarification that could help provide a more complete picture of richards needs his care requirements are primarily physical in nature he requires assistance with transfers via hoyer lift meal setup he feeds himself access to drinks when he is thirsty and occasional assistance setting up his preferred television programs or tablet games richard may vocalize discomfort during transfers in and out of bed but this is typically short lived when asked about it afterward he often does not recall the complaint and remains pleasant and cooperative he is not aggressive combative or intentionally difficult in fact much of his behavior stems from momentary confusion rather than resistance we truly believe his needs fall within the scope of care your facility is capable of providing particularly given that the decision was not based on financial considerations or availability if possible we would welcome a secondary clinical review the opportunity to provide additional clarification a reassessment or care conference discussion our goal is simply to ensure richard receives appropriate care in a supportive environment and we feel your facility could be a good fit thank you very much for your time and reconsideration i would appreciate the opportunity to discuss this further at your convenience sincerely michael frink 