Locations for Inpatient Level of Care

Transcription

1 Section 2-B Managing Uncontrolled Symptoms (A SECTION ppendix) 2-B Should you develop uncontrolled symptoms that cannot be addressed in your current residence, your hospice benefit includes the General Inpatient Level of Care provided in a contracted MJHS Hospice Inpatient Unit (IPU) or skilled nursing facility. In order to continue receiving hospice services from MJHS-HPC, any hospitalization related to your hospice diagnosis must be provided at an MJHS-HPC contracted facility. You can decide to use services or be admitted to a hospital or facility not contracted with MJHS-HPC for symptoms related to your hospice diagnosis by revoking your hospice benefit or assuming responsibility for any fees or charges related to the service provided. If your symptoms become unmanageable, don t panic: STOP and call one of our 24/7 numbers: Manhattan and the Bronx: (212) Brooklyn: (718) Queens and Nassau: (516) A nurse or physician will immediately evaluate you and your symptoms to see if the General Inpatient Level of Care is best for you. Please speak to your RN Case Manager at the time of admission to predetermine where you would prefer to be transferred, should this level of care is needed. Locations for Inpatient Level of Care Bronx MJHS HOSPICE MurIEl and HarOld block residence 2550 Webb Avenue, 12th Floor Bronx, NY Phone: Hospice ( ) MOntEfIOrE MEdICal (EInStEIn CaMPuS) 1825 Eastchester Road Bronx NY, Phone: (718) MOntEfIOrE MEdICal (MOSES CaMPuS) 111 East 210th Street Bronx NY, Phone: (718) MOntEfIOrE MEdICal (WakEfIEld CaMPuS) 600 East 233rd Street Bronx NY, Phone: (718) Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2 1

2 Locations for Inpatient Level of Care continued Brooklyn MJHS HOSPICE InPatIEnt residence at MEnOraH 1516 Oriental Blvd. Brooklyn NY, Phone: (718) new york MEtHOdISt HOSPItal 506 Sixth Street Brooklyn NY, Phone: ( 718) manhattan MJHS HOSPICE InPatIEnt unit at MOunt SInaI beth ISraEl (9 Dazian - Pod D) 1st Avenue at 16th Street New York, NY Phone: (212) new JEWISH HOME 120 West 106th Street New York NY, Phone: (212) long island: nassau the amsterdam at HarbOrSIdE 300 East Overlook Port Washington NY, Phone: (516) SOutH nassau COMMunItIES HOSPItal One Healthy Way Oceanside NY, Phone: (516) MJHS InPatIEnt unit at boro Park for rehabilitation and HEaltHCarE th Avenue- 3rd Floor Brooklyn, NY Phone: (718) MOunt SInaI St. luke S 1111 Amsterdam Avenue New York, NY Phone: (212) MEadOWbrOOk CarE 320 W. Merrick Road Freeport NY, Phone: (516) WIntHrOP university HOSPItal 259 First Street Mineola NY, Phone: (516) MOunt SInaI beth ISraEl - brooklyn division 3201 Kings Highway Brooklyn NY, Phone: (718) MOunt SInaI WESt (formerly roosevelt HOSPItal) 1000 Tenth Avenue New York, NY Phone: (212) MJHS HOSPICE InPatIEnt unit at beach terrace CarE 640 West Broadway Long Beach NY, Phone: (516) Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2 2

3 queens flushing HOSPItal MEdICal 4500 Parson Blvd. Flushing NY, Phone: (718) new york PrESbytErIan queens Main Street Flushing NY, Phone: (718) SIlvErCrESt for nursing and rehab th Avenue Briarwood NY, Phone: (718) Skilled Nursing Facilities Bronx obainbridge nursing and rehabilitation 3518 Bainbridge Avenue Bronx NY, Phone: (718) ofordham nursing and rehabilitation 2678 Kingsbridge Terrace Bronx NY, Phone: (718) othe Plaza rehabilitation 100 West Kingsbridge Road Bronx NY, Phone: (718) osplit rock rehabilitation and HEaltH CarE 3525 Baychester Avenue Bronx NY, Phone: (718) oworkmen S CIrClE MultICarE 3155 Grace Avenue Bronx NY, Phone: (718) obeth abraham HEaltH SErvICES 612 Allerton Avenue Bronx NY, Phone: (718) ohudson POIntE at riverdale for nursing & rehab 3220 Henry Hudson Pkwy Bronx NY, Phone: (718) oriverdale nursing HOME 641 West 230th Street Bronx NY, Phone: (718) otriboro for rehabilitation and nursing CarE 1160 Teller Avenue Bronx NY, Phone: (718) oeastchester rehab and HEaltH CarE 2700 Eastchester Road Bronx NY, Phone: (718) omorningside HOuSE nursing HOME & rehabilitation SErvICE CarE 1000 Pelham Parkway S. Bronx NY, Phone: (718) oschervier nursing CarE 2975 Independence Avenue Bronx NY, Phone: (718) ouniversity nursing HOME 2505 Grand Avenue Bronx NY, Phone: (718) Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2 3

4 Skilled Nursing Facilities continued Brooklyn oaugustana for EXtEndEd CarE and rehabilitation 5434 Second Avenue Brooklyn, NY Phone #: (718) obrooklyn GardEnS rehab & nursing 835 Herkimer Street Brooklyn, NY Phone: (718) oconcord nursing HOME InC. 300 Madison Street Brooklyn, NY Phone: (718) ohamilton Park nursing and rehab nd Street Brooklyn, NY Phone: (718) olinden for nursing and rehabilitation 2237 Linden Boulevard Brooklyn, NY Phone: (718) othe PHOEnIX rehabilitation and nursing 140 St. Edwards Street Brooklyn, NY Phone: (718) ospring CrEEk rehab and nursing CarE 660 Louisiana Avenue Brooklyn, NY Phone: (718) obedford for oboro Park nursing and rehabilitation 4915 Tenth Avenue 40 Heyward Street Brooklyn, NY Brooklyn, NY Phone #: (718) Phone: (718) obuena vida COntInuInG CarE & rehab 48 Cedar Street Brooklyn, NY Phone: (718) ocrown HEIGHtS for nursing and rehabilitation 810 St. Mark s Avenue Brooklyn, NY Phone: (718) othe HErItaGE rehab & HEaltH th Avenue Brooklyn, NY Phone: (718) omenorah for rehab and nursing CarE 1516 Oriental Blvd. Brooklyn, NY Phone: (718) orutland nursing HOME 585 Schenectady Avenue Brooklyn, NY Phone: (718) ost. JOaCHIM & anne nursing & rehab 2720 Surf Avenue Brooklyn, NY Phone: (718) o for nursing rehabilitation 520 Prospect Place Brooklyn, NY Phone: (718) ofour SEaSOnS nursing & rehab 1555 Rockaway Parkway Brooklyn, NY Phone: (718) oking david rehab (F/K/A Sephardic) 2266 Cropsey Avenue Brooklyn, NY Phone: (718) onew CarltOn rehab and nursing 405 Carlton Avenue Brooklyn, NY Phone: (718) oseagate rehab & nursing 3015 West 29th Street Brooklyn, NY Phone: (718) Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2 4

5 manhattan oamsterdam nursing HOME 1060 Amsterdam Avenue New York, NY Phone: (212) ofort tryon rehab & HEaltH CarE 801 West 190th Street New York, NY Phone: (212) ogouverneur nursing facility (lower E. Side) 227 Madison Street New York, NY Phone: (212) oharlem for nursing and rehab 30 West 138th Street New York, NY Phone: (212) oisabella GErIatrIC 515 Audubon Avenue New York, NY Phone: (212) onew JEWISH HOME ManHattan division 120 West 106th Street New York, NY Phone: (212) onew EaStSIdE nursing HOME 25 Willett Street New York, NY Phone: (212) onorthern ManHattan rehabilitation and nursing 116 East 125th Street New York, NY Phone: (212) oupper EaSt SIdE rehab (f/k/a dewitt) 211 East 79th Street New York, NY Phone: (212) ost. Mary S, InC. 516 West 126th Street New York, NY Phone: (212) long island: nassau oamsterdam at HarbOrSIdE 300 East Overlook Port Washington, NY Phone: (516) obeach terrace CarE 640 West Broadway Long Beach, New York Phone: (516) ofulton COMMOnS CarE nursing and rehabilitation 60 Merrick Avenue East Meadow, NY Phone: (516) ograndell rehabilitation and nursing 645 West Broadway Long Beach, NY Phone: (516) olong beach nursing and rehabilitation 375 East Bay Drive Long Beach, NY Phone: (516) omeadowbrook CarE 320 W. Merrick Road Freeport, NY Phone: (516) ooceanside CarE 2914 Lincoln Avenue Oceanside, NY Phone: (516) orockville SkIllEd nursing and rehabilitation 50 Maine Avenue Rockville Centre, NY Phone: (516) opark avenue EXtEndEd CarE 425 National Boulevard Long Beach, NY Phone: (516) ext Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2 5

6 Skilled Nursing Facilities continued long island: nassau continued osunharbor ManOr 255 Warner Avenue Roslyn Heights, NY Phone: (516) queens ocliffside rehab & residential HEaltH CarE th Avenue Briarwood, NY Phone: (718) ofranklin for rehabilation and nursing Franklin Avenue Flushing, NY Phone: (718) oholliswood for rehab and HEaltHCarE Woodhull Avenue Jamaica, NY Phone: (718) onew SurfSIdE nursing HOME New Haven Avenue Far Rockaway, NY Phone: (718) otownhouse for rehabilitation and nursing 755 Hempstead Turnpike Uniondale, NY Phone: (516) ocypress GardEn for nursing th Avenue Phone: (718) oforest view for rehab and nursing th Street Forest Hills, NY Phone: (718) omargaret tietz nursing and rehabilitation Chapin Parkway Jamaica Hills, NY Phone: (718) owoodmere rehab & HEaltH CarE 121 Franklin Place Woodmere, NY Phone: (516) ofairview nursing CarE InC Grand Central Parkway Forest Hills, NY Phone: (718) ohillside ManOr rehab & EXtEndEd CarE Hillside Avenue Jamaica Estates, NY Phone: (718) omeadow Park rehabilitation and HEaltH CarE th Street Fresh Meadows, NY Phone: (718) Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2 6

7 queens continued othe PavIlIOn at queens Parsons Boulevard Phone: (718) opark nursing HOME 128 Beach 115th Street Rockaway Park, NY Phone: (718) openinsula for EXtEndEd CarE and rehabilitation Beach Channel Drive Far Rockaway, NY Phone: (718) opromenade rehabilitation and HEaltH CarE 140 Beach 114th Street Rockaway Park, NY Phone: (718) oregal HEIGHtS rehabiltation and HEaltHCarE th Avenue Jackson Heights, NY (718) oqueens boulevard EXtEndEd CarE facility Queens Boulevard Woodside, NY Phone: (718) orockaway CarE 353 Beach 48th Street Far Rockaway, NY Phone: (718) oqueens nassau rehabilitation and nursing 520 Beach 19th Street Far Rockaway, NY Phone: (718) osapphire for rehabilitation and nursing (Formerly known as Flushng Manor Nursing And Rehabilitation Center) Parsons Boulevard Phone: (718) osilvercrest for nursing and rehab th Avenue Briarwood, NY Phone: (718) ounion Plaza CarE Union Street Phone: (718) owest lawrence CarE 1410 Seagirt Boulevard Far Rockaway, NY Phone: (718) owoodcrest rehab & residential HEaltH CarE th Avenue Phone: (718) Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2 7

8 Inpatient/Skilled Nursing Preference Patient Name: Chart #: DOB: / / In the event of an emergency, and the need to provide a General Inpatient Level of Care, my preference is to be transferred to the following inpatient units: Inpatient Units (please list in order of preference): Should long-term care be required during the course of my treatment, my preference is to be transferred to the following skilled nursing facilities: Skilled Nursing Facility (please list in order of preference): Although it may not always be possible, MJHS Hospice will do their best to transfer you to the unit or skilled facility of your choice. 39 Broadway, 2 nd Floor, New York, NY Phone: (212) Fax: (212) Web: mjhs.org