LADYSMITH NURSING HOME

Size: px
Start display at page:

Download "LADYSMITH NURSING HOME"

Transcription

1 QUALITY CARE * RESPECT * CHOICES Our interdisciplinary team of professional nurses, therapist, social worker, activity, dietitian and support staff work closely with the resident, family and attending physician to establish goals which help reach and maintain an optimal level of functioning. OUR PROFESSIONAL SERVICES INCLUDE: Individualized care and treatment programs 24-hour licensed and certified staff Restorative nursing programs Discharge planning which includes home assessment and evaluation of equipment needs 24-hour lab, x-ray, and pharmaceutical services SPECIALIZED SERVICES AVAILABLE: Physical Therapy Speech/Language Therapy Respiratory Therapy Occupational Therapy Wound Therapy IV Therapy LADYSMITH NURSING HOME 1001 E. 11th Street N./ Ladysmith, WI 54848/ FAX: Tracheostomy, Colostomy, Ileostomy and Gastrostomy Tube Care Dialysis Respite Care Rapid Recovery Care Program Transportation Other Healthcare Services as needed ACCOMMODATIONS AVAILABLE: Private and semi-private rooms Now available Medicare and Medicaid certified Private Rates determined by level of care Semi-private Alternate possible placement available Pre-admission applications encouraged FOR ADMISSION INFORMATION CALL (715) referral.frm.pub page 2

2 LADYSMITH NURSING HOME PROFESSIONAL SERVICES INDIVIDUALIZED CARE AND TREATMENT PROGRAM: NURSING - provides a individualized care program to meet each residents physical and psychological need implementing their medication regimen and specialized services per the physicians orders or nursing protocol. ACTIVITIES - provide individual and group activities daily with programs being structured to each resident s physical, mental and psychosocial abilities. PASTORAL SERVICES - clergy of all faiths are involved in meeting the spiritual needs of our residents. SOCIAL SERVICES - work with the resident and their family to ensure psychosocial well-being, making sure that resident rights are maintained at all times. DIETARY - provide meals to meet each resident s need that are therapeutic, texture modified, nutritious, eye appealing and appetizing. SUPPORTIVE SERVICES - our supportive team consisting of laundry, housekeeping, and maintenance stand ready to assist the residents with their needs and requests. We believe the residents should be able to personalize their surroundings to create a homelike atmosphere. 24-HOUR LICENSED AND CERTIFIED STAFF Nurses are on duty 24 hours a day. Additional care needs are provided by Certified Nursing Assistants around the clock. Our ratio of licensed nursing is one nurse per every four residents. Our ratio of CNAs is approximately one per every 2.5 residents. One full-time Social Worker is on staff. Our Activity Department consists of one full-time Activity Director, one parttime Assistant Activity Director and three full-time Activity Aides. (Continued)

3 (PROFESSIONAL SERVICES CONTINUED) RESTORATIVE PROGRAM Our restorative team including nursing, therapies and dietary work to achieve and maintain the highest practical level of function focusing on what each resident can do, adapting to lost skills by teaching new skills and by maximizing independence in all ADL s. DISCHARGE PLANNING WHICH INCLUDES HOME ASSESSMENT AND EVALUATION OF EQUIPMENT NEEDS 1. Each individual is assessed for desirability and potential for returning home or to an alternate living situation. a. Physical and mental status and potential. b. Financial requirements. c. Assessment for physical environment requirements in the home or alternate living situation. 2. Assessment of support systems available to meet the needs when returning home or to an alternate living situation. a. Physical and mental b. Financial support available c. Can home be adapted and equipment provided to meet his physical needs. d. Alternate living situations available. 24-HOUR LAB, X-RAY, AND PHARMACEUTICAL SERVICES Services contracted with area hospitals, clinics and pharmacy providers. SPECIALIZED SERVICES AVAILABLE PHYSICAL THERAPY A licensed therapist assesses each resident with a need working on mobility of both upper and lower extremities. The therapist develops walking and exercise programs as needed. RESPIRATORY THERAPY A licensed therapist assesses the respiratory status of resident in need. He makes sure the oxygen, nebulizers and other respiratory equipment meets the needs of the resident. WOUND THERAPY Our Clinical Care Coordinator will work with each residents physician to make sure appropriate wound care is provided.

4 (SPECIALIZED SERVICES AVAILABLE CONTINUED) TRACHEOSTOMY, COLOSTOMY, ILEOSTOMY AND GASTROSTOMY TUBE CARE These services will be provided per physicians instructions. DIALYSIS Peritoneal - licensed staff trained in same. Hemodialysis - transportation to and from, monitoring by licensed nurses. SPEECH/LANGUAGE THERAPY A licensed therapist will assess each resident with a need, developing exercises for speech and swallowing and providing adaptations as needed. OCCUPATIONAL THERAPY A licensed therapist assesses each resident with a need, developing programs to improve dexterity and abilities to meet own care needs. I.V. THERAPY Licensed nurses under the direction of the physician will start and maintain I.V. for hydration or medication needs. RAPID RECOVERY CARE PROGRAM Short term care for persons recovering from surgery or serious injury or condition, helping them to return to independent care. RESPITE CARE Short or long term care to allow caregivers time for themselves. TRANSPORTATION 24-hour non-emergency medical transportation is available. OTHER HEALTH CARE SERVICES AS NEEDED Dental, optical, chiropractic, audiologist, dietary consultation, etc. ACCOMMODATIONS AVAILABLE DAILY/MONTHLY RATE $ to $ per day, dependent on level of care. Private room $ to $ per day, dependent on level of care. COVERED UNDER RATE All routine services and supplies (nursing, cleaning, laundry, etc.) (Continued)

5 (ACCOMMODATIONS AVAILABLE CONTINUED) NON-COVERED UNDER RATE Services furnished by other providers (doctor, prescription drugs, dentist, chiropractors, dry cleaning, all therapies, transportation, etc.) IF UNABLE TO PAY RATE Assistance may be available through Wisconsin Medical Assistance Program (Medicaid). You should inquire at Rusk County Department of Social Services. Basic asset limits: $2000 cash $1500 life insurance $1500 burial trust Income (Social Security, V.A., pensions, etc.) must be applied to cost of care. Resident is allowed $40 per month for personal needs. ADDITIONAL QUESTIONS What may a resident bring with him/her? Personal clothing, pictures, chair (no rockers), small stand or dresser, radio, TV (cable provided), etc. Furniture must by ok d by administrator. Visiting hours are unrestricted; however, we encourage visiting between 8:00 a.m. and 8:00 p.m. Home visits are encouraged dependent upon the resident s condition.

6 LADYSMITH NURSING HOME 1. Attending physcian: GENERAL INFORMATION REQUESTED 2. Diagnosis: 3. Current medications: 4. Mental status: (ie. oriented, forgetful, confused): 5. Any behavioral problems: 6. Mobility status: a) upper extremities: b) lower extremities: 7. Need for special equipment (ie wheelchair, walker): 8. Continency status: 9. Special dietary needs: 10. Finances (refer to social services if needed): 11. If at home, last doctor visit: 12. If in hospital, number of days in: 13. Any agencies involved in care (ie. public health, D & M Home Care, Indianhead): 14. Any advanced directives a) Living will: b) Health Care Power of Attorney: C) Guardianship:

welcome to our facility

welcome to our facility welcome to our facility Frederick Villa Nursing & Rehabilitation Center is a licensed 125-bed skilled nursing and rehabilitation facility located in historic Catonsville, Maryland, bordering Baltimore

More information

Complete Senior Care Enrollment Agreement

Complete Senior Care Enrollment Agreement Complete Senior Care Enrollment Agreement I have received the Enrollment Handbook and a copy of the Provider Network and have had the opportunity to ask questions. Name: Address: (First) (Middle) (Last)

More information

Wellness along the Cancer Journey: Palliative Care Revised October 2015

Wellness along the Cancer Journey: Palliative Care Revised October 2015 Wellness along the Cancer Journey: Palliative Care Revised October 2015 Chapter 4: Home Care Palliative Care Rev. 10.8.15 Page 366 Home Care Group Discussion True False Not Sure 1. Hospice care is the

More information

LONG TERM CARE SETTINGS

LONG TERM CARE SETTINGS LONG TERM CARE SETTINGS Long term care facilities assist aged, ill or disabled persons who can no longer live independently. In this section, we will briefly examine the history of long term care facilities

More information

welcome to our facility

welcome to our facility welcome to our facility Grace Healthcare of Three Rivers is a licensed 87-bed skilled nursing and rehabilitation facility including a Secured Behavioral Support Unit in beautiful Three Rivers, Michigan.

More information

Assisted Living Individualized Service Plan (ISP)

Assisted Living Individualized Service Plan (ISP) Assisted Living Individualized Service Plan (ISP) Resident Name: Female Male Date: For: Initial Six months Other Note: Services to be provided and by whom: Any additional information or change of service

More information

MEMBER HANDBOOK. My Choice Family Care. Phone: Fax: Toll Free: TTY: 711

MEMBER HANDBOOK. My Choice Family Care. Phone: Fax: Toll Free: TTY: 711 M MEMBER HANDBOOK My Choice Family Care Template provided by the WI Department of Health Services Phone: 414-287-7600 Fax: 414-287-7704 Toll Free: 1-877-489-3814 TTY: 711 www.mychoicefamilycare.com APPENDICES

More information

Patient Planning Guide

Patient Planning Guide Transitional Care Unit Patient Planning Guide Patient Planning Guide What is transitional care and why do I need it? After a serious illness, injury or surgery, you and your physician may determine that

More information

Medicare and Medicaid

Medicare and Medicaid Medicare and Medicaid Medicare Medicare is a multi-part federal health insurance program managed by the federal government. A person applies for Medicare through the Social Security Administration, but

More information

MEDIMASTER GUIDE. MediMaster Guide. Positively Aging /M.O.R.E The University of Texas Health Science Center at San Antonio

MEDIMASTER GUIDE. MediMaster Guide. Positively Aging /M.O.R.E The University of Texas Health Science Center at San Antonio MEDIMASTER GUIDE MediMaster Guide 25 Appendix: MediMaster Guide MEDICARE What is Medicare? Medicare is a hospital insurance program in the U.S. that pays for inpatient hospital care, skilled nursing facility

More information

Services Covered by Molina Healthcare

Services Covered by Molina Healthcare Services Covered by Molina Healthcare As a Molina Healthcare member, you will continue to receive all medically-necessary Medicaid-covered services at no cost to you. The following list of covered services

More information

healing. caring. living. community

healing. caring. living. community healing. caring. living. community Welcome to Springbrook Nursing and Rehabilitation Center is located in Silver Spring, Maryland and provides comprehensive nursing and rehabilitation services. A Nursing

More information

A Message from the President

A Message from the President A Message from the President Thank you for your interest in VMP Trinity and thank you for considering us for your short-term rehabilitation, ventilator care or long-term skilled nursing needs. We are happy

More information

Page Introduction 1. Factors to Consider When Evaluating Whether an Individual Needs to be Screened 1. Pre-Admission Screening Criteria 2

Page Introduction 1. Factors to Consider When Evaluating Whether an Individual Needs to be Screened 1. Pre-Admission Screening Criteria 2 Revision Date APPENDIX B PRE-ADMISSION SCREENING CRITERIA Revision Date i TABLE OF CONTENTS APPENDIX B Introduction 1 Factors to Consider When Evaluating Whether an Individual Needs to be Screened 1 2

More information

New to Medicaid? 22 Medicaid Services You Should Know About

New to Medicaid? 22 Medicaid Services You Should Know About New to Medicaid? 22 Medicaid Services You Should Know About Here Are 22 Medicaid Services You Should Know About This year Connecticut expanded Medicaid healthcare coverage (HUSKY) by raising the maximum

More information

Should you have any questions or concerns during the application process, we are available to assist you; please do not hesitate to contact us.

Should you have any questions or concerns during the application process, we are available to assist you; please do not hesitate to contact us. Dear Prospective Resident: We thank you for choosing Santa Teresita s Assisted Living as your choice of residence and care. Our Admission s Department would like to assist you in gathering all the needed

More information

The Good Samaritan Society CHOICE Program. Client Handbook. In Co-operation with Alberta Health Services

The Good Samaritan Society CHOICE Program. Client Handbook. In Co-operation with Alberta Health Services The Good Samaritan Society CHOICE Program Client Handbook In Co-operation with Alberta Health Services We Want to Hear from You We are committed to providing a high standard of care, tailored to fit your

More information

Care in Your Home. North West CCAC

Care in Your Home. North West CCAC Care in Your Home Care in Your Home Home and community support services can help you manage your health care while living in your own home. At the Community Care Access Centre (CCAC), we provide information

More information

Hospital Transitions: A Guide for Professionals.

Hospital Transitions: A Guide for Professionals. Hospital Transitions: A Guide for Professionals 2017 www.medicarerights.org Medicare Rights Center The Medicare Rights Center is a national, nonprofit consumer service organization that works to ensure

More information

Based on the comprehensive assessment of a resident, the facility must ensure that:

Based on the comprehensive assessment of a resident, the facility must ensure that: 7. QUALITY OF CARE Each resident must receive, and the facility must provide, the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial wellbeing,

More information

Dear Family Member/Friend:

Dear Family Member/Friend: Dear Family Member/Friend: Thank you for your interest in Mercy Center Nursing Unit. Mercy Center Nursing Unit is a 59 bed skilled nursing facility operated by the Sisters of Mercy on the campus of Misericordia

More information

Electronic Staffing Data Submission Payroll-Based Journal

Electronic Staffing Data Submission Payroll-Based Journal Centers for Medicare & Medicaid Services Electronic Staffing Data Submission Payroll-Based Journal Long-Term Care Facility Policy Manual Version 1.0 April 2015 TABLE OF CONTENTS Chapter 1: Overview 1.1

More information

SKILLED NURSING & REHAB APPLICATION Name Date of Birth Age Address Street/R.R. Box No.

SKILLED NURSING & REHAB APPLICATION Name Date of Birth Age Address Street/R.R. Box No. SKILLED NURSING & REHAB APPLICATION Date of Birth Age Street/R.R. Box No. Town State Zip Township County Marital Status M W S D Sex Birthplace Social Security Number Two (2) persons to contact in case

More information

Based on the comprehensive assessment of a resident, the facility must ensure that:

Based on the comprehensive assessment of a resident, the facility must ensure that: 13.A. Quality of Care Each resident must receive, and the facility must provide, the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being,

More information

CLINICAL CRITERIA FOR UM DECISIONS Skilled Nursing Facilities

CLINICAL CRITERIA FOR UM DECISIONS Skilled Nursing Facilities COMMERCIAL CLINICAL CRITERIA FOR UM DECISIONS Skilled Nursing Facilities Capital Health Plan (CHP) will provide coverage for care in a skilled nursing facility, subject to the benefit limitations of the

More information

LONG TERM CARE FACILITIES IN NEWFOUNDLAND AND LABRADOR OPERATIONAL STANDARDS

LONG TERM CARE FACILITIES IN NEWFOUNDLAND AND LABRADOR OPERATIONAL STANDARDS LONG TERM CARE FACILITIES IN NEWFOUNDLAND AND LABRADOR OPERATIONAL STANDARDS November 2005 Provincial Long Term Care Operational Standards Index INTRODUCTION 4 Page S ECTION 1 GOVERNANC E Standard 1 Statement

More information

What Does Medicaid Do?

What Does Medicaid Do? Page 1 of 5 Texas Department of Health What Does Medicaid Do? Table 4.1 Medicaid Eligibility in Texas: 1998 TANF-Related Categories (dollar amounts = maximum income limit for eligibility: asset cap: $2000)

More information

*PLEASE NOTE THAT COMPLETION OF THE PRE-ADMISSION FORM DOES NOT GUARANTEE PLACEMENT AT THIS FACILITY.

*PLEASE NOTE THAT COMPLETION OF THE PRE-ADMISSION FORM DOES NOT GUARANTEE PLACEMENT AT THIS FACILITY. FALLON MEDICAL COMPLEX RESIDENT PROFILE PRE-ADMISSION/ADMISSION INFORMATION SHEET This Facility is owned and operated by Fallon Medical Complex, INC. This Facility accepts residents of all backgrounds

More information

The Brookdale Center. for Healthy Aging & Rehabilitation

The Brookdale Center. for Healthy Aging & Rehabilitation The Brookdale Center for Healthy Aging & Rehabilitation Welcome! As rehabilitation hospital professionals, we are committed to offering the programs and services needed to facilitate optimal outcomes.

More information

Services Covered by Molina Healthcare

Services Covered by Molina Healthcare Services Covered by Molina Healthcare Because you are covered by Medicaid, you pay nothing for covered services. As a Molina Healthcare member, you will continue to receive all medically necessary Medicaid-covered

More information

Sharing Our 2017 Outcomes. Average Length of Stay (days) Discharge Rate to Home or Community Setting

Sharing Our 2017 Outcomes. Average Length of Stay (days) Discharge Rate to Home or Community Setting Sharing Our 2017 Outcomes We are extremely proud of the number of our patients who have increased their independence in our inpatient rehabilitation program. Changes in independence are measured using

More information

Service Array: Mental Health Medicaid Specialty Supports and Services Descriptions Note:

Service Array: Mental Health Medicaid Specialty Supports and Services Descriptions Note: Service Array: Mental Health Medicaid Specialty Supports and Services Descriptions Note: If you are a Medicaid beneficiary and have a serious mental illness, or serious emotional disturbance, or developmental

More information

Nurturing Care in the Comfort of Home

Nurturing Care in the Comfort of Home Nurturing Care in the Comfort of Home Our Mission: Anchor Home Health Care helps individuals maintain a familiar and independent lifestyle by providing the support of nursing and personal care services

More information

Skilled skin care should be provided by an agency licensed to provide home health

Skilled skin care should be provided by an agency licensed to provide home health 8.5.D. LIMITATIONS OF PERSONAL CARE In order to delineate the types of services that can be provided by a personal care worker, the following are examples of limitations where skilled home healthcare would

More information

Appendix B: Restorative Care Training Presentation. Audience: All Staff Release date: December

Appendix B: Restorative Care Training Presentation. Audience: All Staff Release date: December Appendix B: Restorative Care Training Presentation Audience: All Staff Release date: December 17 2010 Objectives At the completion of this session, participants will be able to: Understand the principles

More information

JOB TITLES. X Activities Aide/ Rehab Aide X X X X X X. Accounting Manager. Activities Director Activity Therapist Assistant

JOB TITLES. X Activities Aide/ Rehab Aide X X X X X X. Accounting Manager. Activities Director Activity Therapist Assistant Arts Accounting Manager Activities Aide/ Rehab Aide Activities Director Activity Therapist Assistant Administrative Asst. Administrative Secretary Administrator Anesthesiologist Assistant Administrator

More information

RYAN WHITE HIV/AIDS PROGRAM SERVICES Definitions for Eligible Services

RYAN WHITE HIV/AIDS PROGRAM SERVICES Definitions for Eligible Services RYAN WHITE HIV/AIDS PROGRAM SERVICES Definitions for Eligible Services (Last Updated: July 15, 2013) Ryan White HIV/AIDS Program funds are intended to support only the HIV-related needs of clients. All

More information

Erie St. Clair Community Care Access Centre (CCAC) Planning for Long-Term Care When living at home is no longer possible

Erie St. Clair Community Care Access Centre (CCAC) Planning for Long-Term Care When living at home is no longer possible Erie St. Clair Community Care Access Centre (CCAC) Planning for Long-Term Care When living at home is no longer possible www.healthcareathome.ca/eriestclair 310-2222 The Erie St. Clair CCAC Table of Contents

More information

DEFINITIONS (c)(1) Discharge Planning : Home Health Agency (HHA) : Inpatient Rehabilitation Facility (IRF) : Local Contact Agency :

DEFINITIONS (c)(1) Discharge Planning : Home Health Agency (HHA) : Inpatient Rehabilitation Facility (IRF) : Local Contact Agency : F660 483.21(c)(1) Discharge Planning Process The facility must develop and implement an effective discharge planning process that focuses on the resident s discharge goals, the preparation of residents

More information

Today s educational presentation is provided by. The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE

Today s educational presentation is provided by. The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE Today s educational presentation is provided by The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE At Kinnser, we believe post-acute care businesses need the right software solution for

More information

UNIT DESCRIPTIONS. 2 North Musculoskeletal Rehabilitative Care

UNIT DESCRIPTIONS. 2 North Musculoskeletal Rehabilitative Care UNIT DESCRIPTIONS 2 North Musculoskeletal Rehabilitative Care Musculoskeletal Rehabilitation The Musculoskeletal Service provides rehabilitation following multiple trauma, or orthopaedic surgery (primarily

More information

Skilled, tender care for all stages of aging

Skilled, tender care for all stages of aging Skilled, tender care for all stages of aging No Regrets As we age, we all need personal, medical and emotional care. Geer Village supports seniors and their families through all the stages of aging with

More information

PROVIDER POLICIES & PROCEDURES

PROVIDER POLICIES & PROCEDURES PROVIDER POLICIES & PROCEDURES EXTENDED NURSING SERVICES The purpose of this document is to provide guidance to providers enrolled in the Connecticut Medical Assistance Program (CMAP) on the requirements

More information

IV. Benefits and Services

IV. Benefits and Services IV. Benefits and A. HealthChoice Benefits This table lists the basic benefits that all MCOs must offer to HealthChoice members. Review the table carefully as some benefits have limits, you may have to

More information

HealthPartners Freedom Plan (Cost) 2011 Medical Summary of Benefits Wisconsin

HealthPartners Freedom Plan (Cost) 2011 Medical Summary of Benefits Wisconsin HealthPartners Freedom Plan 2011 Medical Summary of Benefits Wisconsin HealthPartners Wisconsin Freedom Plan I HealthPartners Wisconsin Freedom Plan II 420421 (10/10) H2462_SB WI_151 CMS Approved 10/5/10

More information

OAKLAND COUNTY SENIOR RESOURCE DIRECTORY

OAKLAND COUNTY SENIOR RESOURCE DIRECTORY Definitions of Housing Independent Living Housing/ apartments for retirees/senior adults May offer meals and other support services Must meet local health, safety, and zoning codes No licensing oversight

More information

Staying Independent in Your Home. Presented by: Peggy Carroll, Information and Assistance Specialist at the ADRC of Dane County

Staying Independent in Your Home. Presented by: Peggy Carroll, Information and Assistance Specialist at the ADRC of Dane County Staying Independent in Your Home Presented by: Peggy Carroll, Information and Assistance Specialist at the ADRC of Dane County Key Points Factors to consider when deciding on your living situation Different

More information

After the Hospital Where Do I Go From Here?

After the Hospital Where Do I Go From Here? After the Hospital Where Do I Go From Here? Prepared by: Abigail Dignadice, RN, BSN Geriatric-Psychiatric Unit, Palomar Medical Center Poway Edited and approved by: Diane Loehner, Licensed Clinical Social

More information

ATTACHMENT B-1 Supplies and Services Included In the Basic Daily Rate for Private Pay and Privately Insured Residents

ATTACHMENT B-1 Supplies and Services Included In the Basic Daily Rate for Private Pay and Privately Insured Residents ATTACHMENT B-1 Supplies and Services Included In the Basic Daily Rate for Private Pay and Privately Insured Residents ATTACHMENT B-2 Optional Supplies and Services Not Included in Basic Daily Rate for

More information

Department of Healthcare and Family Services (HFS) Medical and Dental Services

Department of Healthcare and Family Services (HFS) Medical and Dental Services Department of Healthcare and Family Services (HFS) Medical and Dental Services Accessing Medical Services This presentation is designed to provide a general overview of Medical Assistance Program services

More information

NORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS TO BE USED WITH LOC FORM ND

NORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS TO BE USED WITH LOC FORM ND For this section, select which type of LOC screen is to be reviewed Requested Screen Type NORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS Nursing Facility Swingbed CMFN PACE MFP Provisional MFP Final Tech.

More information

Understanding the Critical Elements for Activities in the Quality Indicator Survey

Understanding the Critical Elements for Activities in the Quality Indicator Survey www.medlineuniversity.com Understanding the Critical Elements for Activities in the QIS Understanding the Critical Elements for Activities in the Quality Indicator Survey Course Objectives This course

More information

Medical Review Criteria Skilled Nursing Facility & Subacute Care

Medical Review Criteria Skilled Nursing Facility & Subacute Care Medical Review Criteria Skilled Nursing Facility & Care Subject: Skilled Nursing Facility and Care Background: Skilled nursing facilities () provide facility-based skilled nursing care and related services

More information

PROFESSIONAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare INPATIENT HOSPITAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare

PROFESSIONAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare INPATIENT HOSPITAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare PROFESSIONAL SERVICES PCP office visits Specialist office visits Annual physical exam/preventive care Physical, speech & occupational therapy Flu and pneumonia vaccinations Diagnostic services including

More information

MEDICARE By Peter G. Pan

MEDICARE By Peter G. Pan Wendell K. Kimura Acting Director Research (808) 587-0666 Revisor (808) 587-0670 Fax (808) 587-0681 LEGISLATIVE REFERENCE BUREAU State of Hawaii State Capitol Honolulu, Hawaii 96813 No. 02-13 October 7,

More information

Long-Term Care Glossary

Long-Term Care Glossary Long-Term Care Glossary Adjudicated Claim Activities of Daily Living (ADL) A claim that has reached final disposition such that it is either paid or denied. Basic tasks individuals perform in the course

More information

The Medicare Hospice Benefit. What Does It Mean to You and Your Patients?

The Medicare Hospice Benefit. What Does It Mean to You and Your Patients? The Medicare Hospice Benefit What Does It Mean to You and Your Patients? The Medicare Hospice Benefit By the time Congress established the Medicare Hospice Benefit in 1982, hundreds of organizations in

More information

WakeMed Rehab Hospital Stroke Rehabilitation Scope of Service

WakeMed Rehab Hospital Stroke Rehabilitation Scope of Service WakeMed Rehab Hospital Stroke Rehabilitation Scope of Service WakeMed Rehab Hospital provides an integrated, comprehensive delivery of rehabilitation services utilizing evidenced-based practice directed

More information

LOUISIANA MEDICAID PROGRAM ISSUED: 04/15/12 REPLACED: CHAPTER 24: HOSPICE SECTION 24.3: COVERED SERVICES PAGE(S) 5 COVERED SERVICES

LOUISIANA MEDICAID PROGRAM ISSUED: 04/15/12 REPLACED: CHAPTER 24: HOSPICE SECTION 24.3: COVERED SERVICES PAGE(S) 5 COVERED SERVICES COVERED SERVICES Hospice care includes services necessary to meet the needs of the recipient as related to the terminal illness and related conditions. Core Services (Core services) must routinely be provided

More information

Diabetes Self-Management Training Services

Diabetes Self-Management Training Services INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Diabetes Self-Management Training Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 2 3 P U B L I S H E D : J U L Y 6,

More information

HERITAGE PLACE SKILLED NURSING AND REHABILITATION

HERITAGE PLACE SKILLED NURSING AND REHABILITATION HERITAGE PLACE SKILLED NURSING AND REHABILITATION Nestled in the distinguished Squirrel Hill neighborhood of the city of Pittsburgh, Heritage Place, part of UPMC Senior Communities, boasts a clean Georgian

More information

INPATIENT ACUTE REHABILITATION HOSPITAL LIMITATIONS, SCOPE AND INTENSITY OF CARE

INPATIENT ACUTE REHABILITATION HOSPITAL LIMITATIONS, SCOPE AND INTENSITY OF CARE INPATIENT ACUTE REHABILITATION HOSPITAL LIMITATIONS, SCOPE AND INTENSITY OF CARE Bacharach Institute for Rehabilitation offers a number of in and outpatient rehabilitation programs and services designed

More information

Hospice Care in Tucson, AZ

Hospice Care in Tucson, AZ Hospice Care in Tucson, AZ Harbor Light Hospice is dedicated to facilitating better access to dignified end-of-life care and other high-quality services in Tucson, AZ. The hospice care we provide in Tucson,

More information

Office of Health Facility Licensure & Certification

Office of Health Facility Licensure & Certification COMPLETE THIS APPLICATION AND RETURN TO: Office of Health Facility Attention: Assisted Living Program 408 Leon Sullivan Way Charleston, WV 25301-1713 (304) 558-0050 LOG NUMBER DATE OFFICIAL USE ONLY NOTE:

More information

Uniform Disclosure Statement Memory Care Community

Uniform Disclosure Statement Memory Care Community Oregon Licensing Quality of Care Uniform Disclosure Statement Memory Care Community Communities that advertise and provide specialized services to people with dementia must meet the requirements of an

More information

MEDICAL REQUEST FOR HOME CARE

MEDICAL REQUEST FOR HOME CARE MEDICAL REQUEST FOR HOME CARE HCSP- M11Q 12/09/2014 Return Completed Form to: 1. CLIENT INFORMATION GSS District Office Address Zip Code Attn: Case Load No. Borough Tel. No. Date Returned to/received bygss

More information

MMA Benefits at a Glance

MMA Benefits at a Glance MMA Benefits at a Glance You must get covered services by providers that are part of the Molina plan. You must also make sure that approval is obtained if needed. Ambulance Art Therapy Assistive Care Services

More information

Summary of Benefits for SmartValue Classic (PFFS)

Summary of Benefits for SmartValue Classic (PFFS) Summary of Benefits for SmartValue Classic (PFFS) Available in Select Counties in Nevada A health plan with a Medicare contract. Rocky Mountain Hospital and Medical Service, Inc. has contracted with the

More information

Uniform Disclosure Statement Assisted Living/Residential Care Facility

Uniform Disclosure Statement Assisted Living/Residential Care Facility Seniors and People with Disabilities Uniform Disclosure Statement Assisted Living/Residential Care Facility The purpose of this Uniform Disclosure Statement is to provide you with information to assist

More information

Institutional Handbook of Operating Procedures Policy

Institutional Handbook of Operating Procedures Policy Section: Clinical Policies Subject: General Procedures Institutional Handbook of Operating Procedures Policy 09.13.09 Responsible Vice President: EVP and CEO Health System Responsible Entity: UTMB Health

More information

Alzheimer s/dementia. Senior Guides. Staying in the Home

Alzheimer s/dementia. Senior Guides. Staying in the Home Caregiver Alzheimer s/dementia Tips Senior Guides FREE PUBLICATIONS Just Call 800-584-9916 Idaho Elder Directory A FREE comprehensive statewide listing of more than 500 independent retirement facilities

More information

Uniform Disclosure Statement Assisted Living/Residential Care Facility

Uniform Disclosure Statement Assisted Living/Residential Care Facility Seniors and People with Disabilities Uniform Disclosure Statement Assisted Living/Residential Care Facility The purpose of this Uniform Disclosure Statement is to provide you with information to assist

More information

($ Inpatient Units) Catherine Mitchell VP Finance and CFO Hospice of the East Bay Napa Valley Hospice & Adult Day Services

($ Inpatient Units) Catherine Mitchell VP Finance and CFO Hospice of the East Bay Napa Valley Hospice & Adult Day Services ($ Inpatient Units) Catherine Mitchell VP Finance and CFO Hospice of the East Bay Napa Valley Hospice & Adult Day Services The Bruns House In 2004, we opened Bruns House, the first freestanding adult hospice

More information

CUSTODIAL NURSING HOME CARE

CUSTODIAL NURSING HOME CARE CUSTODIAL NURSING HOME CARE Chiropratic Services Custodial Nursing Home Care DME Equipment and Supplies Incontinence Supplies: Diapers, briefs, wipes, gloves, pads Infusion (IV, Enteral) Services Outpatient

More information

PROVIDED AND COORDINATED SERVICES

PROVIDED AND COORDINATED SERVICES PROVIDED AND COORDINATED SERVICES ArchCare Community Life covers services which are paid for and supplied directly through contracts with providers such as you. ArchCare Community Life also provides Care

More information

2015 Summary of Benefits

2015 Summary of Benefits 2015 Summary of Benefits Health Net Cal MediConnect Plan (Medicare-Medicaid Plan) Los Angeles County, CA H3237_2015_0291 CMS Accepted 09082014 Health Net Cal MediConnect Summary of Benefits! This is a

More information

BUSINESS PLAN BARBADOS HOSPICE & PALLIATIVE CARE INITIATIVE

BUSINESS PLAN BARBADOS HOSPICE & PALLIATIVE CARE INITIATIVE BUSINESS PLAN BARBADOS HOSPICE & PALLIATIVE CARE INITIATIVE 1.0 Executive Summary With the cooperation of the Government of Barbados, the Barbados Diaspora Collaborative USA (BDC USA) aims to establish

More information

Friends of St. John the Caregiver. Evaluating an Assisted Living Facility

Friends of St. John the Caregiver. Evaluating an Assisted Living Facility Friends of St. John the Caregiver P.O. Box 320 Mountlake Terrace, WA 98043 www.fsjc.org www.youragingparent.com www.catholiccaregivers.com From A Catholic Guide to Caring for Your Aging Parent by Monica

More information

FACILITY BASED SERVICES

FACILITY BASED SERVICES CUSTODIAL NURSING HOME CARE Chiropratic Services Custodial Nursing Home Care DME Equipment and Supplies Incontinence Supplies: Diapers, briefs, wipes, gloves, pads Infusion (IV, Enteral) Services Outpatient

More information

It s such an old idea it almost seems brand new. Geisinger Shamokin Area Community Hospital. A guide for patients and their families

It s such an old idea it almost seems brand new. Geisinger Shamokin Area Community Hospital. A guide for patients and their families It s such an old idea it almost seems brand new. Geisinger Shamokin Area Community Hospital A guide for patients and their families Welcome A hospital stay can be a stressful experience. We want to make

More information

Welcome to Nationally Recognized Care That Feels Like It s Coming From Family

Welcome to Nationally Recognized Care That Feels Like It s Coming From Family Welcome to Nationally Recognized Care That Feels Like It s Coming From Family Compassion. Innovation. Quality. Welcome to Altercare When you cross the Altercare threshold, you become family. We pledge

More information

SmartSaver. A Medicare Advantage Medical Savings Account Plan. Summary of Benefits and Other-Value Added Services. From Blue Cross of California

SmartSaver. A Medicare Advantage Medical Savings Account Plan. Summary of Benefits and Other-Value Added Services. From Blue Cross of California SmartSaver From Blue Cross of California A Medicare Advantage Medical Savings Account Plan Service Area C Summary of Benefits and Other-Value Added Services H5769 2007 CO 415 09/22/06 Introduction to the

More information

IOWA. Downloaded January 2011

IOWA. Downloaded January 2011 IOWA Downloaded January 2011 481 58.4(135C) GENERAL REQUIREMENTS. 58.4(1) The license shall be displayed in a conspicuous place in the facility which is viewed by the public. 58.4(2) The license shall

More information

OASIS-B1 and OASIS-C Items Unchanged, Items Modified, Items Dropped, and New Items Added.

OASIS-B1 and OASIS-C Items Unchanged, Items Modified, Items Dropped, and New Items Added. Items Added. OASIS-B1 Items UNCHANGED on OASIS-C OASIS-C Item # M0014 M0016 M0020 M0030 M0032 M0040 M0050 M0060 M0063 M0064 M0065 M0066 M0069 M0080 M0090 M0100 M0110 M0220 M1005 M1030 M1200 M1230 M1324

More information

Services That Require Prior Authorization

Services That Require Prior Authorization Services That Require Prior Authorization Some of the services listed in the Medical Benefits Chart are covered only if your doctor or other network provider gets approval in advance (sometimes called

More information

a guide to Oregon Adult Foster Homes for potential residents, family members and friends

a guide to Oregon Adult Foster Homes for potential residents, family members and friends a guide to Oregon Adult Foster Homes for potential residents, family members and friends Table of contents Overview of adult foster homes...1 The consumer s choice...1 When adult foster care should be

More information

Summary of Benefits. New York: Bronx, Kings, New York, Queens and Richmond Counties

Summary of Benefits. New York: Bronx, Kings, New York, Queens and Richmond Counties Summary of Benefits New York: Bronx, Kings, New York, Queens and Richmond Counties January 1, 2006 - December 31, 2006 You ve earned the right to live life on your own terms. And that includes the right

More information

Y0021_H4754_MRK1427_CMS File and Use PacificSource Community Health Plans, Inc. is a health plan with a Medicare contract

Y0021_H4754_MRK1427_CMS File and Use PacificSource Community Health Plans, Inc. is a health plan with a Medicare contract Y0021_H4754_MRK1427_CMS File and Use 08262012 PacificSource Community Health Plans, Inc. is a health plan with a Medicare contract Section I - Introduction to Summary of s Thank you for your interest in.

More information

o Recipients must coordinate these testing services with other HIV prevention and testing programs to avoid duplication of efforts.

o Recipients must coordinate these testing services with other HIV prevention and testing programs to avoid duplication of efforts. E. GENERAL SERVICE DEFINITIONS & SERVICE DELIVERY The following section provides specific service definitions, service delivery and any special reporting requirements for each of the services funded in

More information

PROFESSIONAL SERVICES INPATIENT HOSPITAL SERVICES OUTPATIENT FACILITY SERVICES

PROFESSIONAL SERVICES INPATIENT HOSPITAL SERVICES OUTPATIENT FACILITY SERVICES PROFESSIONAL SERVICES PCP office visits Specialist office visits Annual physical exam/preventive care Physical, Speech & Occupational Therapy Cardiac/Pulmonary Rehab Flu & Pneumonia Vaccinations Diagnostic

More information

V. NURSING FACILITY RESIDENT PROFILE KEY POINTS

V. NURSING FACILITY RESIDENT PROFILE KEY POINTS KEY POINTS As people age they are more likely to endure greater acute illness, such as, heart disease, stroke, cancer and advanced dementia. These illnesses and other factors cause limitations in Activities

More information

THIS INFORMATION IS NOT LEGAL ADVICE

THIS INFORMATION IS NOT LEGAL ADVICE Medicaid Medicaid is a federal/state program that gives certain groups of people a card that can be used to get free medical care, nursing home care, and prescription drugs at reduced prices. In general,

More information

(2) Must, if necessary or if requested, assist the resident. (ii) By arranging for transportation to and from the dental services locations;

(2) Must, if necessary or if requested, assist the resident. (ii) By arranging for transportation to and from the dental services locations; 678 (2) Must, if necessary or if requested, assist the resident * * * * * (ii) By arranging for transportation to and from the dental services locations; (3) Must promptly, within 3 days, refer residents

More information

COVERED SERVICES LIST FOR HNE BE HEALTHY MEMBERS WITH MASSHEALTH STANDARD OR COMMONHEALTH COVERAGE

COVERED SERVICES LIST FOR HNE BE HEALTHY MEMBERS WITH MASSHEALTH STANDARD OR COMMONHEALTH COVERAGE COVERED SERVICES LIST FOR HNE BE HEALTHY MEMBERS WITH MASSHEALTH STANDARD OR COMMONHEALTH COVERAGE This is a list of all covered services and benefits for MassHealth Standard and CommonHealth members enrolled

More information

2018 SUMMARY OF BENEFITS. january 1, december 31, 2018 ALOHACARE ADVANTAGE PLUS (HMO SNP)

2018 SUMMARY OF BENEFITS. january 1, december 31, 2018 ALOHACARE ADVANTAGE PLUS (HMO SNP) ALOHACARE ADVANTAGE PLUS 2018 SUMMARY OF BENEFITS january 1, 2018 - december 31, 2018 This booklet gives you a summary of what we cover and what you pay. It doesn t list every service that we cover or

More information

MEDICARE CARE1ST DUAL PLUS PLAN SUMMARY OF BENEFITS.

MEDICARE CARE1ST DUAL PLUS PLAN SUMMARY OF BENEFITS. ine 1-800-544-0088 www.care1st.com CARE1ST DUAL PLUS PLAN SUMMARY OF BENEFITS MEDICARE 2009 COUNTIES: LOS ANGELES - ORANGE - SAN BERNARDINO - SAN DIEGO H5928_09_004_SNP_SB 10/2008 Section I Introduction

More information

Observations: Observe the resident at a minimum of two meals:

Observations: Observe the resident at a minimum of two meals: Use this pathway for a resident who is not maintaining acceptable parameters of nutritional status or is at risk for impaired nutrition to determine if facility practices are in place to identify, evaluate,

More information

FACILITY BASED SERVICES

FACILITY BASED SERVICES FACILITY BASED SERVICES Inpatient Hospital Care Elective Inpatient Admission or Elective Inpatient Surgery Inpatient Rehabilitation Care Skilled Nursing Facility Admission Non-Custodial Nursing Home Care

More information

Hospital Admission: How to Plan and What to Expect During the Stay

Hospital Admission: How to Plan and What to Expect During the Stay Family Caregiver Guide Hospital Admission: How to Plan and What to Expect During the Stay Admission to the hospital can happen in various ways. You family member may be treated in the Emergency Room (ER)

More information

Navigating the Hospital Readmission Reduction Program

Navigating the Hospital Readmission Reduction Program Navigating the Hospital Readmission Reduction Program Since the Affordable Care Act passed in 2010, a hospital s 30-day readmission rate has become synonymous with quality of care. Beginning in 2012, the

More information