Frequently Asked Questions
Q: What is a Nursing Home?
A Nursing Home is a facility that provides services to care for residents or patients requiring a high-level of skilled medical care under the direct care and supervision of skilled nurses and doctors applicable to both short-term and long-term care services.
Q: Types of Care in a Nursing Home?
Listed below are types of care that skilled nursing facilities provide:
1. Rehabilitation - Involves physical, occupational and speech therapy to help residents recover after illness, operation or declining health.
2. Custodial Care - This type of care are for residents who needs assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, eating, toileting, and transferring and instrumental activities of daily living such as but not limited to medication administration, meal preparation, laundry, and household cleaning.
3. Wound Care - Involves wound cleaning and administration of antibiotics to prevent infection
4. Stroke Recovery - Residents participate in a program to regain both motor skills and speech functions through rehabilitation therapy
5. Acute Medical Condition - A hospital -liked type of care for cases where illness, infection or injury threaten the resident's overall health
6. Terminal Illness Care - Administered in concurrence with hospice that requires both custodial and high-level medical care
7. Parkinson's Care - This type of care requires specialization to attend to advanced Parkinson's cases
Q: How to Choose the Right Skilled Nursing Home?
Choosing the right skilled nursing home will be one of the toughest decision you'll make for your loved one. Certainly, you want the best care for them. You want them to be happy and safe so in return you'll have peace of mind knowing that your loved one is well taken cared of by compassionate, responsible, and excellent caregivers.
To assist you with your decision, here is a list to assist you make the right choice:
1. Skilled Nursing Home in general:
a. Is the skilled nursing home licensed, insured, bonded, and accredited?
b. How long have the facility served the community?
2. For Direct Care Staff:
a. Are direct care staff licensed and/or certified?
b. Does the company conduct background checks, reference check and drug test prior employment?
c. What are the types of training does the direct care staff undertake?
d. How do direct care staff handle wanderers and aggressive behaviors? Are they trained to deal with such?
e. How are caregivers assigned? Will the same caregiver or CNA care for the same resident on a daily basis?
f. What is the policy on family-administrator communication?
g. What is the staff-to-resident ratio?
3. Medical and Clinical Team:
a. What is the company's policy of retaining a resident's own personal physician not affiliated with the facility?
b. Does the nursing home have their own medical director or physician? Who is the facility's physician?
c. How many doctors and registered nurses (RNs) are on duty during the day? How many at night?
d. What is the procedure for notifying families of any changes in routine or medical condition?
4. Life Safety:
a. Are handrails and grab bars available throughout the facility?
b. Did the nursing home made special arrangements with a local hospital for emergencies?
c. Are emergency call button near each bed and bathroom available?
d. Do residents wear pendants or wrist emergency call buttons?
e. Are the facility doors locked? Are exit doors alarm available?
f. Are safety locks on the windows installed?
g. What is the policy for spills? Are floor coverings made of non-skid materials?
h. Are the hallways well-lighted and clutter-free?
i. Are smoke detectors and sprinklers installed throughout the facility?
m. Are wheelchair ramps installed?
5. Resident Rooms and Living Center Amenities:
a. How much closet or storage space is provided for a resident?
b. What are the sizes of the rooms?
c. What furniture or household items are included per resident?
d. Can residents bring personal items and furniture?
e. Is there a cable TV connection in each room?
f. Is there a private bathroom?
g. Are pets allowed in the facility?
h. Are the common areas pleasant and comfortable?
i. Is the temperature comfortable?
j. Is the noise level acceptable?
k. Does the facility meet cultural and religious needs?
l. What are the visiting hours?
6. Personal Care:
a. What is the policy to assist and encourage residents to maintain their ability to care for themselves?
b. How are resident evaluations conducted? How and who conducts assessments?
c. What is the policy on resident's changing needs?
d. How does the facility handle behavior changes such as confusion and aggressiveness? What steps do caregivers take if a resident become verbally and physically abusive?
e. Do caregivers check resident's whereabouts and well-being on a daily basis? How often do they do their rounds?
f. What is the facility's policy on monitoring a resident's overall health condition?
h. How are medical appointments set-up by the facility?
i. What are the facility's safeguards to ensure that residents get the appropriate medications on time and in correct dosages?
j. Who gives out medications?
a. Is there an outdoor area for recreation?
b. What type of activities offered?
c. Can residents make choices about their daily routine?
d. Who develops and supervises recreational activities? What are their credentials?
e. Are there exercise facilities and equipment as well as wellness programs?
a. What menu options/special dietary needs are available?
b. At what times are meals served? Is the meal schedule flexible?
c. Can your loved one ask to have a tray delivered to their room? Is there an additional charge if they do so?
c. If a resident doesn't like a meal, what are the alternatives?
d. Does the staff help residents eat if needed?
e. Are nutritious snacks available at any time?
f. Does the food smell good and is served at proper temperatures?
g. Is the dining room comfortable?
9. Admissions and Fees:
a. How many beds are available?
b. Is the skilled nursing home accepting new residents? If so, what is the waiting period for admission?
c. Is the skilled nursing home Medicare certified?
d. What is the facility's base monthly fee? What is included in the fee? What is not included?
e. How will the facility determine my loved one's level of care? Does the facility offer different types of care options?
Signs and Symptoms your Loved One need to be in a Nursing Home
If you, as a caregiver, worry or is stress out all the time caring for your loved one? If you fear that it is inevitable that there will come a time that your loved one will fall, injure or hurt themselves at home? Then maybe, it's time to consider a nursing home or assisted living as an option.
Determining that your loved one has difficulties in completing their activities of daily living and/or instrumental activities of daily living such as but not limited to: bathing, dressing, toileting, eating, grooming, transferring, cooking, cleaning, yard work maintenance, and medication administration is very important. This struggles to perform such tasks will determine the type and level of care that your loved one needs. indeed, it will be hard for you and specially your loved to accept that living alone is not a viable option anymore. There are lot of care options, from home care, independent living, assisted living, nursing home and CCRC.
If you choose either a nursing home or assisted living, then choose Olde Knox Commons. We offer quality services your loved one deserved. Our facility offers both long-term and short-term skilled nursing. Our short-term rehabilitation is designed to assist residents recover from stroke, fractures, wound, and other acute medical conditions. Our long-term care, on the other hand, are for seniors struggling with their activities of daily living and instrumental activities of daily living due to an illness or disease.
What are the Payment Options for Nursing Homes?
Here is a list of the most common ways to pay for costs for a nursing home:
3. Private Pay
4. Long-Term Care Insurance