Provide a full range of clinical long term care

provide a full range of clinical long term care services
o skilled nursing home:
o medically oriented care provided by a licensed nurse
o the plan of treatment is authorized by a physician
o direct ADL care is delivered by paraprofessionals
o rehab, therapeutic diets and nutritional supplements are important components of skilled care
o patient’s treatment plan is highly individualized based on a multidisciplinary assessment
 Subacute care facilities : subacute care: a blend of intensive medical, nursing, and other services that are
technically complex
o cheaper alternative to hospital stay
 Specialized care facilities:
o some facilities specialize in specific areas:
 ventilator care
 wound care
 Alzheimer’s
 intensive rehab
 closed head trauma
 Personal care facilities: non-medical custodial care: basic assistance in a protected environment
o focus in on providing routine assistance with ADL's
 Retirement facilities: emphasis on privacy, security, independence, active lifestyles

HSD 266 Final 20
o nursing care services not provided
 Continuing care retirement community (CCRC):
o concept of aging in place
o diferent levels of living services ofered on one campus
o retirement living
o personal care
o nursing care
o this is to address people's changing as they age
 Skilled nursing: care ordered by a physician and performed by a nurse
 Know : CNA's/paraprofessionals render direct care related to addressing activities of daily living issues
 Licensing and certification of using homes: nursing homes are heavily regulated through licensure and
certification requirements
o it is illegal to operate a nursing facility without a license
 Licensing of nursing homes: license to operate a facility is issues by the state
o standards for licensure vary by state
o there is one exception: the life safety code is a national standard
o compliance with standards is verified yearly through inspections
o state's department of health has the oversight responsibility
 Certification of using homes : it allows a nursing home to admit patients who are on public assistance (Medicare
and Medicaid)
o nursing homes must first be licensed by the state
o to serve Medicare and Medicaid clients: the home must be certified by the center for Medicare and
Medicaid services (CMS)
o a non-certified facility can only admit private pay patients
 Three distinct federal certification categories: SNF certification: Medicare
o NF certification: Medicaid
o most facilities have dual SNF/NF certification
o ICF/MR certification (MR/DD clients mostly Medicaid)
 Accreditation : private function, its voluntary
o the joint commission on accreditation of healthcare organization (JC) a private non-profit organization --
accredits:
 hospital, nursing homes, and other healthcare facilities
 If a nursing homes wants to provide care to Medicare and Medicaid patients what first must they have:
certification
 What is life safety code?: follows national building and fire safety rules
o not local or state fire regulations
