Nursing & Rehabilitative Care FAQs

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Beginning the search for a nursing or rehabilitative care community can be a very emotional and difficult process. Along with your search, certainly come many questions and concerns. Being a care provider for over 30 years, HCF has experts in all disciplines of care that are prepared to answer your questions. The care community you choose will have a profound impact on your loved one’s quality of life and sense of dignity. Whether you are making a decision during a crisis or planning ahead, be sure to keep the resident involved in the decision making as much as possible. When you compare care communities, some factors are more important then others. While we try to be the best care community, remember that no nursing community will be perfect for everyone.

What to consider when selecting an HCF care community.

Q: What is an HCF care community?

An HCF care community is a residential center that provides 24-hour, skilled, medical, personal and social services to individuals requiring continual care, as well as short-term stays for rehabilitative services.

Q: When should an HCF care community be considered?

Consideration should be given to placing a loved one in a care community when they can no longer live independently, or if intensive short-term rehabilitative care is required. If the individual requires continual assistance with most activities of daily living, such as getting out of bed, eating, bathing, dressing and using the bathroom, it may be time to talk with his or her physician about an HCF care community.

Q: How will we know which HCF care community to choose?

There are many decisions to consider when selecting a care community. We suggest you utilize our free Care Community Checklist in our Resource section.

Q: Does admission into an HCF care community require a physician’s order?

Yes. Families usually work with their physician to decide the right time to admit a loved one to a care community.

Q: What are the ways in which an individual can be admitted to an HCF care community?

a. From the Hospital: A discharge planner or social worker is the usual liaison between the hospital and the care community and the family. The discharge planner or social worker will provide care community selections to the family that are appropriate for the type of care that is needed. However, the family is encouraged to tour the facilities and become acquainted with the services available.

b. From Home: Through word of mouth, yellow pages, Internet searches etc., you will be able to locate the various care communities in your area. Contact the care communities, or stop by for a tour and to identify if the care community meets your needs.

c. From Another Care or Assisted Living Community: When an individual is transferred from another facility because of changing care needs, dissatisfaction, or location concerns, inform the administrator of your plans to transfer the individual.

Financial Considerations

Q: How are services in HCF care communitiess paid for? There are several options available which are dependent on each situation.

1. Private Pay: An individual pays for the services out of his or her own resources.

2. Medicare: Medicare covers the cost of a care community stay only under certain circumstances. The criteria are as follows:

a. The individual requires skilled care.
b. The care is provided only after a three (or more) day hospital stay for treatment of the same illness or condition that was treated in the hospital.
c. The care community is a Medicare-approved skilled nursing facility with a registered nurse on duty 24-hours a day.
d. The patient is assigned to a bed that is Medicare-certified for reimbursement.
e. Only a care community can provide the skilled care required.
f. Even if these criteria are met, Medicare only covers the costs of care for up to 20 days. An additional 80 days may be provided on a co-payment basis. For additional information on Medicare, visit Medicare.gov.
g. Certified by physician if skilled care required.

3. Medicaid:

a. Medicaid regulations allow care to be provided for those who do not have the means.

4. Veterans Administration: If the individual is a veteran of the U.S. armed forces, it will be to your advantage to investigate services available through the Veterans Administration.

5. Long Term Care Insurance: Long Term Care Insurance is becoming more common. Each individual policy varies and should be discussed with your financial advisor for coverage benefits.

What You Should Expect When a Loved One is Placed in an HCF care community?

Q:. Is a physician available in an emergency?

Yes.

Q: Are personal physicians allowed?

Yes.

Q: How are residents and families involved in care plans?

Care plans begin with a comprehensive assessment of the resident, including level of function and social, mental and medical condition. The plan should focus on maximizing independence and functioning at the highest level possible. The care plan is revised every quarter or whenever the residents condition changes. Families are invited and encouraged to participate in the quarterly care plan sessions.

Q: Are other medical services available (i.e., dentists, podiatrists, optometrists, etc.)?

Yes.

Q: Is a licensed nurse always available?

Yes, licensed nurses are on staff in our HCF care communities 24 hours a day.

Q: Does a dietitian plan menus for residents on special diets?

Yes.

Q: Are barbers and beauticians available?

Yes.

Q: Who are the providers of primary services?

All of our staff are professionally trained and licensed where required. The primary caregivers consist of:

a. Professional Nurses: provide, and ensure the adequacy and appropriateness of the medical services provided to the residents.

b. Activities Professional: a trained professional who is designated to assess residents individual needs and create programs that provide recreation, entertainment and therapy for residents.

c. Social Service Staff: consists of social workers who assist residents in coping with the psychological aspects of aging.

d. Food Service Supervisor: oversees the care community’s daily meal program.

e. Environmental Services: oversee the environment, housekeeping, laundry, and maintain a clean and safe care community for the resident, families and staff.

f. Administrative Services: oversee the daily operational functions.

Q: What kind of room will the resident have and what will their roommate be like?

Private-single room
Semiprivate-double room
(Every effort is made to match compatible personalities and interests in our semiprivate rooms.)

Q: What items should be brought to the care community?

Upon admission, a Hospitality Guide is provided to each resident and family to help them identify items that will be needed during their stay.

Q: Can I bring food from home for my loved one during their stay in the care community?

Yes. Before you bring your loved ones favorite food into the care community, check with the nursing staff because many residents must follow special diets for health reasons.

Q: How often can I visit my loved one in the care community?

Our care communities are open 24 hours a day, 7 days a week, and you are always encouraged to visit.

Q: Do I do the laundry for my loved one?

Laundry services are provided for the residents.

Q: Is my loved one allowed to bring their favorite pet?

Each HCF care community has individualized guidelines for pets.

Q: Do I bring my loved one’s medicine with them?

No.

Q: Do you provide transportation to outside follow-up appointments?

Arrangements can be made for outside appointments.

Q: What type of activities are provided and are we invited to participate?

HCF care communities offer two types of activities: therapeutic and entertainment. Therapeutic programs are programs that are designed to meet the social, and medical needs of each resident and can be provided in a group or individualized setting. Entertainment activities are provided for socialization and entertainment purposes.

Q: Can I take my loved one out for the day, and how long can they be gone?

Yes, if medically appropriate and approved by the attending physician. Please contact the appropriate HCF care community personnel to determine how long loved ones can be out of the center.

Q: How often are meals served, can I eat with my loved one, and are snacks available?

Meals are served based upon the dietary needs of the resident. Snacks are available.

Assisted Living FAQs

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No one wants to give up his or her home and the lifestyle enjoyed over the years. But HCF offers an Assisted Living Program that not only provides independence, freedom and peace of mind, but also provides the added convenience and security of transportation, home maintenance, meals, 24-hour security and more. The HCF Assisted Living Program is specifically designed for those who are not ready for the intensive level of care found in a care community, but cannot manage the daily tasks of living alone.

Q: What is Assisted Living?

An HCF Assisted Living community is a special combination of housing designed for individuals seeking companionship, security and assistance/supervision with the activities of daily living, in a caring homelike environment that promotes and enhances independence as long as possible.

Q: Who is Assisted Living designed for?

Assisted Living is a unique approach that brings families peace of mind. For adult children who worry about a parent living alone, or for an elderly husband or wife whose spouse is experiencing a health challenge, assisted living is truly a choice to feel good about. It is ideal for those who are not ready for the intensive level of care found in a care community but cannot manage the daily tasks of living alone.

Q: When will I know that it is time to consider Assisted Living?

Many factors may play a role in your decision. Some considerations include:

  • Difficulty performing daily tasks and no one to help
  • Assistance/supervision needed preparing meals
  • Assistance/supervision with housekeeping chores and/or laundry
  • Assistance/supervision needed dressing and bathing
  • Occasionally require health care assistance and/or monitoring
  • Need transportation to doctors, shopping and personal business
  • Observe moments of confusion or experiencing memory loss problems
Q: What characteristics would a senior exhibit?
  • Usually seniors, over sixty-five
  • May require personal care services, a supportive environment and assistance/supervision with activities of daily living and/or limited nursing care
  • Likely to have a stable income
  • May be experiencing health problems that are not debilitating, but may require limited assistance
  • May face loneliness due to death of spouse/friends
  • May not be able to care for current home-cleaning and maintenance
  • May have difficulty with food preparation
  • May require assistance in decision making
Q: How are the costs associated with HCF Assisted Living Services paid for?
Residents or families generally pay the cost of assisted living from their own financial resources. Some types of long term care insurance may reimburse for all or a portion of the assisted living cost.
Q: What types of services are provided in an HCF Assisted Living community?
  • Basic housing
  • Meals
  • Housekeeping
  • Laundry
  • 24-hour monitoring
  • Socialization/activities
  • Local transportation
  • Various care level options are provided based upon the individuals needs
  • Activities

Q: What belongings should we bring when moving in?

The resident’s suites are their homes. We encourage our residents to furnish their own suites and decorate them to suit their personal tastes.

Q: Can I take my loved one away from the assisted living community on a trip?

Yes.

Q: May I have friends come and visit?

Residents’ friends and family are always welcome. We encourage residents to utilize our common areas for family gatherings and activities with friends.