Details

Hits: 42857

Details

Hits: 11329

A) Advanced Directives

Our facility respects your right to make your own medical treatment decisions. At the time of admission, we provide information concerning an adult individual’s right to make decisions concerning medical care, including the right to accept or refuse medical or surgical treatment and the right to give advance directives. Advanced directives are instructions about your health care that you make known in advance of their need. Whether or not you choose to execute an advance directive is a personal matter and will never be a condition of providing care or a basis for discrimination for or against you. We will document in your medical record whether or not you have executed an advance directive. If we are provided with a copy of your directives, they will be placed in your medical record so that staff that need them will have access to them.

Although we will provide information we hope we will be helpful in understanding options, we do not give either medical or legal advice. Such consultation, if needed or desired, should be sought from a qualified lawyer or physician.

B) Durable Power of Attorney For Healthcare

New Hampshire has adopted a “Durable Power of Attorney For Health Care” document to assist you in documenting your wishes and designating someone to make health care decisions for you in the event that you are unable to do so yourself. We encourage you to discuss your wishes with your family members and your physician. Our Social Service staff can assist you in executing a Durable Power of Attorney. Your Advanced Directives will be reviewed with you on a yearly basis to ensure that they continue to address your wishes.

C) Guardianship

A Guardian is a legal representative that is appointed by the State of New Hampshire to act on behalf of an incapacitated person. A guardianship becomes necessary in the event that you can no longer make decisions for yourself and have not previously designated a Durable Power of Attorney for Health Care Should this become necessary, the Social Service staff can assist your family through the process.

D) Do Not Resuscitate Orders

Riverside Rest Home will offer all residents and/or their legal representatives the opportunity to provide direction with respect to their desires concerning resuscitation. Resuscitation is defined here as the immediate initiation of CPR by the facility in conjunction with notification of the Fire Department (ambulance) in an aggressive attempt to preserve a resident’s life. In the event there is no direction given, recorded in the residents medical record, accompanied by an order which is signed by the physician, the policy of the facility will be to initiate resuscitation. Should you desire more information our Social Service staff are available to assist you and a video is available from the Nursing Department.

E) Room Changes

The need to make a change in your room may arise for the following reasons:

• Medical emergency
• Non-compatible roommate
• Bed availability
• Request by you or your family/guardian

All room changes are made after careful assessment by the nursing and social service departments. You or your family/guardian will be involved in this process and we assure you that this will not occur without your being involved in the decision.

F) Agreement Changes

You will be informed of any changes to the Admission Agreement at least 30 days in advance. This notice will include any changes to the room rates or services provided.

G) State Advocacy Groups

The following list of agencies is provided for your convenience.

1. Ombudsman Office

Division of Elderly and Adult Services
6 Hazen Drive
Concord, NH 03301-6508
Telephone: 1-800-442-5640 or 271-4386

2. State of New Hampshire

Department of Health and Human Services
Division of Public Health Services
6 Hazen Drive
Concord, NH 03301-6527
Telephone: 1-800-852-3345
TTY/TDD: 1-225-4033

3. Disability Rights Center, Inc.

94 Washington Street, P.O. Box 19
Concord, NH 03302-0019
Voice and TDD: 1-228-0432
1-800-834-1721

4. Medicaid Fraud Central Unit

The Concord Center
10 Ferry Street #308
Box #27
Concord, NH 03301-0308
Telephone: 1-271-1246

5. SURVEY RESULTS

Riverside Rest Home is surveyed annually by the State of New Hampshire. Results of the most recent survey visit are available upon request for your information in the office and are also posted in the facility.

Details

Hits: 12473

A) Leave of Absence / Bed Hold Policy

There are times that it may be necessary for you to leave the nursing home. Reasons for leaving might include hospitalization, or a visit with family or friends.
Our bed hold policy is as follows:

1. Hospitalization

We will work closely with the hospital, your physician and your financial representative to keep abreast of your progress and your continued need to be at our facility. If you are hospitalized for ten (10) days or less, we will hold a bed for your return. If your hospitalization is greater than ten (10) days, please let us know and we will be able to indicate whether we will be required to enforce the ten (10) day policy.
If we cannot hold the bed when you are hospitalized more than ten (10) days, you have the right to return to the first available bed, providing we can continue to meet your needs.

2. Therapeutic Leave

When the leave is for reasons other than hospitalization, such as a visit with family or friends, it is considered a “therapeutic leave”.

• Private Pay

Private paying residents will be required to pay for each day of therapeutic leave that they are away.

• Medicaid

Medicaid will pay for thirty (30) days per year (July 1 – June 30) for recipients receiving Medicaid. All days away from the facility in excess of the thirty (30) days allowable by the Medicaid Program will have to be paid by the resident in order for us to hold the bed.

• If you are away from the facility on therapeutic leave on a routine basis, a review of the frequency and number of days will be considered and evaluated when assessing your continued need to be in this facility.

B) Services covered in your Medicaid Board & Care Payment

1. 24 hour nursing care
2. Meals including special diets and supplements
3. Medications
4. Laundry
5. Medical supplies (dressings, stock supplies)
6. Television with cable connection in resident lounges
7. Stock toiletry items
8. Physicians services
9. Social services
10. Activities
11. Housekeeping
12. Use of equipment (wheelchairs, walkers, etc…)
13. Dietary counseling
14. Oxygen therapy
15. Non- surgical dental services

C) Services NOT covered in your Medicaid Board & Care Payment

1. Personal clothing, shoes
2. Personal television, radios, batteries, TV cable, personal telephone in room
3. Repair costs of personal items
4. Beautician/barber shop
5. Stamps, outside shopping, tobacco products
6. Eye glasses (cost uncovered by Medicare/Medicaid)
7. Hearing aides ((cost uncovered by Medicaid/Medicaid)
8. Funeral expenses

D) Services covered in your Private Pay Board & Care Payment

1. Daily Rate:

The daily Private Pay Rate is designed to include all necessary routine services with the exception of physician and pharmacy charges. The private rate would include the following:

1. Room
2. Board (to include special diets)
3. Laundry
4. Activities
5. Physical Therapy
6. Transportation (Van)
7. Stock Medical Supplies (dressings, etc)
8. Stock personal supplies (soap, shampoo, etc)
9. Stock medical equipment (bed, wheelchair, etc)
10. 24 hour nursing care
11. 11) Oxygen
12. Non-surgical dental care & dentures

E) Services NOT covered in your Private Pay Board & Care Payment

1. Physician charges (to include specialties such as podiatrist)
2. Pharmacy charges
3. Special medical equipment
4. Eye care & eye glasses
5. Ear care & hearing aides
6. Barber & beauty shop
7. Personal telephone
8. Cable television
9. Ambulance
10. Hospital costs
11. Personal clothing

F) Requirements and Procedures for Establishing Eligibility for Medical Assistance

When you are admitted to this facility, we must tell you what the basic requirements are for establishing eligibility for medical assistance, and we must also tell you how to apply. We must inform you how income and assets that apply to you are treated if you have a spouse living in the community.

1. Basic Requirements

You must have a medical need for nursing facility care;

Your monthly income must be under the rate that the Division of Human Services allows you for your care; and your assets, that the Division of Human Services counts, such as bank accounts, stocks and bonds, and certificates of deposit, cannot be more the $2,500.

Note: If you have a spouse or dependent living in the community, your income and assets may be treated differently.

2. Procedures for Medicaid Eligibility

You or your representative must have an eligibility interview with the local Division of Human Services District Office and furnish proof of your income and resources and other information requested by the District Office.

3. Rights to Resource Assessment

If you are married, and your spouse lives in the community (community spouse), you are entitled to a resource assessment. When an individual who enters a nursing facility for the first time on or after September 30, 1989 has a community spouse, the couple has a right to request that a resource assessment be done by the Division of Human Services District Office.

You have a right to a resource assessment if you are going to need nursing facility care for 30 or more consecutive days. The resource assessment is a procedure in which the District Office verifies and totals the couple’s resources that are available as of the first continuous period of nursing facility care, and then determines a share for each spouse. A portion of the combined resources will be “protected”. This “protected” resource amount will be considered to be your spouse’s assets and will not be counted in determining your eligibility for medical assistance.

The “protected” resources do not have to be spent for your care. The resource assessment may be done at the time of admission or any time up to and including the date you apply for medical assistance. There is no penalty for delaying the assessment, but it may be more difficult to document proof of assets if the assessment is delayed. Your Division of Human Services District Office will explain the resource assessment process to you in greater detail when your assessment is done.

4. Income Allowance for Your Spouse and/or Dependent

If you receive medical assistance, you may voluntarily give part of your income to your spouse if his or her monthly income does not exceed allowable limits set be federal law. You may also, under certain circumstances, give or be required to provide part of your income to individuals who are considered to be your dependent or legal dependent. The Medical Assistance Program will offset the difference in the monthly amount of income that you apply to your nursing facility bill. If you have any questions about this notice, please ask our Social Service Director for further information.

G) Resident Fund Account

For your convenience the home maintains an interest bearing resident fund account with a local bank. Should you choose to take advantage of this account along with our other residents you can be assured that your money is safe and protected. The business office will pay your ancillary bills from this account such as hairdresser, newspaper delivery, or provide you with cash upon request.
You will receive  a quarterly statement which accounts for all transactions made on your behalf.

Details

Hits: 13194

A) Accommodations

Resident rooms are cheerful and semi-private with a hospital type bed, privacy curtain,  sink and counter space, 3-drawer dresser, and a wardrobe. Each bed is located near a window, and our bedrooms are located away from the community and office areas of the home.Residents are encouraged to bring personal items such as pictures, plants, TV (Maximum size, 21” tabletop), lamp, favorite chair, afghan, etc… to be used as space permits.Prior to use the maintenance department must inspect all electrical items.Due to space limitations and safety concerns, residents may be limited to the amount of personal furniture allowed in a room.Each resident is provided with:

• Comfortable  multi-positioning bed, bed linens, blanket and pillow
• Cabinet for storage of personal items
• Over bed table
• Chair
• Closet

Your bedside cabinet is used to store personal hygiene items and supplies needed for your care. The top drawer is for your personal use.Any food in your room must be stored in a sealed container – either a tin or plastic container would be appropriate. No food should be stored in boxes or bags. You are asked to be careful about crumbs as they provide an invitation to insects.

B) Roommates

Part of your adjustment will involve sharing a room. This can sometimes be difficult, however we work very hard in finding roommates that are compatible.Residents are expected to cooperate with one another and staff to ensure a harmonious, pleasant atmosphere. For example, after 10pm, the volume of all TV’s will be lowered to a level where they cannot be heard in the next bed. We suggest the use of earphones after this hour as a satisfactory alternative.

C) Clothing And Valuables

You are encouraged to have at least a 7 to 10 day supply of clothing. Our laundry department will label the inside of your clothing to help ensure that it is returned to you after laundering. Fabrics must be machine washable and dryable. Any fabrics that require special attention or dry cleaning will be your responsibility.It is strongly recommended that your money be kept in the Resident’s Fund Account. Jewelry and other valuables should be given to your family for safekeeping. The home cannot accept responsibility for items lost, stolen or broken.

D) Personal Care Supplies

You will be provided with personal hygiene supplies. These supplies include shampoo, soap, deodorant, dental care items and lotion. The items supplied are part of our house stock supplies. Should you prefer not to use these items, you are free to purchase a product that you are more comfortable with. The cost of purchasing theses items will be your responsibility.

E) Appliances

All electrical equipment brought into your room must be checked by the maintenance staff before it is put into use so that we can ensure that it meets safety codes. No extension cords are permitted in the facility. Please remember to label all personal equipment.

F) Mail

Residents may send and receive letters Monday through Saturday.Mail will be delivered to your room. You may have your mail opened and read to you should you require this service. Outgoing mail may be deposited at the switchboard with the receptionist where it is picked up by the postal service each afternoon, Monday through Saturday. A book of stamps can be purchased in the Business Office or individual stamps from the receptionist. Our mailing address is:

Riverside Rest Home
276 County Farm Road
Dover, NH 03820

G) Telephones

Telephone jacks are already installed in every resident room. At the time of admission, you or a family member can meet with a business office representative about phone service.  The business office representative will make the arrangements for your phone to be activated.  The telephone bill is your responsibility and will be paid from your personal account at the nursing home. Upon discharge, we will call the phone company to have your service disconnected.

H) Newspaper

Newspapers can be delivered to the facility for you. Ex: Union Leader, Foster’s Daily Democrat, Boston Globe At the time of admission, you or a family member can meet with a business office representative about newspaper service.  The business office representative will make the arrangements for your paper to be activated. Upon discharge, we will call the newspaper to have your service stopped. Payment of the newspaper is your responsibility. At your request, payment can be credited from your personal needs account.

J) Alcohol

Should you wish an alcoholic beverage a doctor’s order is required. Alcohol may not be stored in your room, it can be stored by the home. The alcoholic beverage will be labeled with your name and will be served to you at your request or as ordered by the physician.

K) Smoking

Residents are not permitted to smoke in their rooms.  There is a designated smoking room on each unit where residents may smoke.  In addition, there are designated smoking areas outside of our buildings.

L) Visitors

Visiting hours are not limited by the nursing home but it is expected that discretion will be used by visitors and/or the resident receiving visitors as to the hours and the number of visitors. We encourage visits by family, friends, children of all ages (supervised) and the family pet, if well trained. Overnight accommodations are available for family and friends if you are acutely or terminally ill. Arrangements for overnight stay can be made by contacting the Social Services Office or the Unit Coordinator. You are welcome to go out for rides, meals, or home visits with family/friends as long as doing so is not medically contradicted. We request that you inform the Unit Coordinator (RN) of your plans as soon as you make them in order that proper arrangements for meals and medications can be made. Advanced notification of 2 days must be given to the Home if you are going to be out overnight, as your medications that must accompany you must be ordered from the pharmacy.

M) Television

Cable hook-ups are provided in each resident room. If you would like cable the procedure is as follows:
• You are responsible for supplying your television. The nursing home does not provide TV’s. The use of earphones after 10pm is strongly encouraged.
• Upon admission you will be asked if you would like cable TV. If yes, the monthly cost of the cable will be charged to your personal account.