Trying to help..need insight

I am a nurse liaison for a LTC facility.

I have recently been asked to screen a patient who needs rehab, ST, OT, PT. The goal is for her to strengthen enough to transfer to acute rehab. In order to do so, she must tolerate 3 hours of therapy a day. Based on my clinical assessment, this is not likely. The family is optimistic and supportive of her recovery and I don't think anyone has been forthcoming about her prognosis.

The issue with admission is, she has no payor source. She is community medicaid pending. She has assets, but I don't think they are prepared to do a spend down.

She has been screened by no less than 9 other facilities and has been refused for any number of reasons. Too heavy a care load, no female beds, etc.

I met with the case manager today and she is understandably frustrated that no one will accept the patient. That said, is it reasonable to expect a facility to take on a patient with rehab needs, who will also likely end up long term, with no payor source? I can't expect my administrator to be ok with losing $500 a day on her care.

I am trying really hard to help the situation but my hands are tied. Is it neglectful of me to be forthcoming with the case manager as to WHY there is a question of accepting her? Or should I have just said "no female beds"?