Adult Day Care Adult Day Care, sometimes called Social Adult Day Care, refers to a predominantly social model of adult supervision where adults in need of supervision can spend a specified number of hours each day under the supervision of a trained staff. However, medical care is not provided, there is no requirement for an RN or a social worker to be available.
Adult Day Health Care Similar to Adult Day Care, adults in need of supervision spend a certain amount of time each day or all week, in the company of other adults, all under the supervision of a trained professional. Social activities and meals are generally part of each day. The difference between ADC and ADHC is the addition of medical supervision. In an ADHC facility, participants are medically monitored, medication doses are supervised, and some programs accept participants with significant care requirements including tube feedings, wound care, etc. Physical, occupational and speech therapy may also be a part of the routine in an ADHC.
Activities of Daily Living ADLs are the self-care tasks performed every day, such as bathing, dressing, toileting, feeding and walking.
An Adult Home is geared for fully independent adults and provides the lowest level of assistance to its residents. Group meals and recreation are usually offered, as well as case management services. However, Adult Homes are prohibited from offering ADL assistance beyond the most simple, basic needs.
These are written instructions provided by residents and/or family members which provide instructions that the facility staff must follow in case of medical emergency involving the resident.
Assisted Living provides housing, meals, housekeeping and often recreation services to adults who are able to live independently, with some level of assistance. Most facilities offer single and double room accommodations. All assisted living facilities have Home Health Aid staff available to help with routine daily tasks, which might include dressing, bathing and toileting.
Certified Nursing Assistant CNAs provide most of the hands-on care that each resident requires. Assistance with bathing, toileting, dressing, changing bed linens and so forth are all tasks performed by CNAs.
Health care is no longer viewed as a series of separate events. In the past, a trip to the hospital and a stay at a rehab facility were considered two events. Today we recognize that these events are both closely tied together and integral to a person’s full recovery. The Centers continuum offers care from one source that can meet a person’s nearly every need outside of in-patient hospital care, including skilled nursing, rehabilitation, home care, MLTC, prescription medications, home medical equipment, medical transportation and more.
Do Not Resuscitate This is an advanced directive, or instruction that residents and/or family members provide to serve as a guideline in the case of emergency. If a resident has a DNR on file and suffers a natural occurring, potentially fatal incident such as heart or respiratory failure, the medical staff of the facility is prohibited from resuscitating the resident or taking any other heroic measures to preserve their life.
Director of Nursing The DON is in charge of the healthcare of every resident in the facility.
DME Items that are needed in skilled nursing facilities and often when
Home Health Aid A home health aide assists with the things like dressing, bathing, feeding, walking and sometimes just getting out of bed or in and out of a chair. Having a home health aide can mean that a person can remain in their own home longer than might otherwise be possible.
Similar to an Advanced Directive, a Living Will expresses your desires for on-going health care in the vents that you are unable to make or communicate an informed decision at the time. Living Wills address such issues as life support, tube feedings and similar medical directives.
Licensed Practical Nurse The LPNs are the primary providers of daily medical care to all residents. Under the guidance and supervision of a Registered Nurse or the DON, LPNs provide treatments such as wound care, respiratory care, Tracheostomy care, administering medications and antibiotic IV therapy, and similar treatments.
A government managed program that provides the poor with free or heavily discounted medical care through public and private facilities
walkers, wheelchairs, and other sturdy, long-lasting equipment. In general, these items can be purchased or rented, as required.
A government managed program that provides the elderly with free or heavily discounted medical care through public and private facilities
Medicare.gov is a government website that rates skilled nursing facilites on a variety of factors, including the Quality Measures they undertake, their ratio of staff to residents, and the scores they achieve on their annual state surveys. Stars are awarded from one to five. The ratings take into account several years of combined results, so a facility that is being operated well, can still show an average or below average rating until their operations have been consistently ranked for several years.
or DMG, Durable:
setting up a home to provide advanced care, such as hospital beds
Per Diem services are those that are provided on a day by basis, with no specified length of time set in advance. They are usually provided short term on an as-needed basis.
Physical therapy is the science of helping someone recover from a specific injury or surgical procedure, through exercise, massage and various specialized treatments. It is also used to help people manage pain, regain lost strength, mobility, flexibility and balance.
Post-acute care is that which takes place outside of a hospital setting and continues the recovery and rehabilitation process already initiated by a medical care provider. If you need to spend a few days in a rehab facility after surgery, that would be post-acute care. Similarly, if you move to a nursing home, an assisted living facility or a enroll in an adult day health care program, or receive care services in your home, these are all examples of post-acute care.
Patient Review Instrument A PRI is a document that is required in New York State for all admissions to a skilled nursing or rehabilitation facility. The law requires that it be completed by a registered nurse assessor and the document tells the facility exactly what the potential resident’s needs and abilities are.
The Quality Indicator Survey is part of a system created by the Centers for Medicare and Medicaid which is used by certain state agencies to how well Medicare and Medicaid certified nursing homes meet Federally mandated requirements. In New York State the QIS is an integral part of the new Department of Heath star rating analysis.
Kidney dialysis is available on-site at several Centers Health Care facilites, including Bushwick Center, Bronx Center, Triboro Center and Mt Laurel Center. In locations where dialysis is not provided on-site, we provide accompanied transportation to and from a local dialysis center for our residents requiring this service.
All Centers Health Care facilities have a resident’s council which functions as a representative board for bringing the needs of facility residents to the attention of facility management. The resident council ensures a strong bond between the administration and the residents and provides residents with a voice in the management of their home.
Traumatic Brain Injury can be caused by violent trauma, such as a fall or an accident, or it can be chemically caused, or it can be the result of a surgical procedure. Working with TBI patients to restore independence, memory and cognition requires a mix of several disciplines -- Psychology, Therapeutic Activities, Rehabilitation, Skilled Nursing and Social Work. Successful results for a patient with TBI are usually only achieved when that patient is cared for by trained TBI professionals. Centers Health Care maintains one of the New York City’s leading TBI centers on the campus of our Richmond center.
Term Care (MLTC):
Managed Long Term Care, or MLTC, is a Medicaid/Medicare program that provides assistance to people who have Medicaid or Medicare coverage. Programs can coordinate the benefits of both, and usually include regular follow-up by skilled nurses who coordinate various aspects of your care. Some programs are available with $0 premium, $0 co-pay, and often include additional benefits such as vison, hearing, or over-the-counter health care products.
Occupational therapy is designed to assist a person on regaining the skills they need to return to their normal daily activities, such as cooking, cleaning, bathing and the like.
Ultra Care is a new service being pioneered by Centers Health Care. Its goal is to provide a higher level of care than a traditional nursing facility with hospital quality nursing, on site physicians, and individual 24-hour monitoring or every patient so that patients can be discharged more quickly form the hospital environment with no reduction in care. His reduces the incidents of hospital-borne infections and smooths the transition of patients from hospital to skilled nursing care.
Certain respiratory issues require that a patient receive breathing assistance through a tube connected directly to the patient’s airways though a tracheostomy. A patient’s condition may require permanent reliance on a ventilator. All patients relying on a ventilator need to be cared for under specialized conditions, usually referred to as a vent unit, where the staff has specialized training in the use of ventilator machinery and the care of ventilator-dependent patients.