We anticipate our families to have many questions and we do understand.
Here are some of these often-asked questions:
Are you a Medicare/Medicaid certified skilled nursing facility or do you accept HMO patients?
Yes, we are a Medicare/Medicaid certified skilled nursing facility and we welcome HMO patients.
Does the Department of Health review this skilled nursing facility?
Yes. The Department of Health routinely evaluates us. These visits are always unannounced and every aspect of patient care is reviewed. We have received superior evaluations because we maintain rigorous standards and expectations for our employees with regard to patient care.
What can I expect from nursing?
We have nurses on duty 24-hours a day, seven days a week. Our nurses have to meet standards set by the State of Nebraska’s Board of Registered Nurses for licensure. The charge nurses supervise a staff of certified assistants (CNA’s) who help patients with bathing, dressing, and meals. In addition, the CNAs take vital signs (i.e., blood pressure, temperature, and pulse) and report these to the charge nurse. Authorized family members may also call the charge nurse at any time for a status report on a patient’s medical condition. We are here to assist with the family’s concerns as well as the patients.
How many days are therapy provided?
Therapies are available 7 days a week. All therapies require a physician’s order. In the case of an HMO, therapy must also have authorization for treatment from the HMO’s case manager or utilization manager. The amount of therapy received by a patient is dependent on how much progress the patient makes. All therapists need to document significant progress to keep a patient on caseload. Further information is available from our facility rehabilitation director and our building administrator.
Who does the patient’s laundry?
Our facility offers laundry services or a family may elect to do a patient’s laundry at home.
How much clothing should be provided for each patient?
We would like families to provide at least seven days of clothing including 2-3 warm sweaters, slippers, and a robe if possible. Clothing should be comfortable and easy to put on and take off. Please use a permanent marker to put the patient’s name on each article of clothing.
What are the visiting hours?
We understand that most of us work and have difficulty visiting during the daytime. We ask that families use their best judgement in regard to the length of stay per visit and the time of the visit.
Is there a hairdresser available?
Yes. We have a beautician that comes to the nursing home weekly. Please see our Activity Director for appointments.
How often does the doctor see the resident?
Physicians are contacted at the time of admission for medication orders, dietary requirements, and other considerations, and will visit patients shortly after admission. Physicians make a monthly visit for long-term care patients, and a physician is available 24-hours per day.
What if the patient needs a consultation for other services?
We contract with many ancillary service providers including (but not limited to) the following:
- Orthotics & Prosthetics
- X-ray services
- Respiratory Therapy
Who do I contact regarding insurance and billing questions?
Our business office manager should be able to help you with most of your questions and concerns. If you have a HMO, you can discuss any concerns with the case manager assigned to the patients.
Who do I see if I have dietary concerns?
We have a dietary supervisor that is available to discuss patient preferences and needs with the patient and/or family. We also have a registered dietician that monitors each patient’s dietary requirements, weight gain and/or loss, etc.. In addition, our speech therapist is available to discuss special concerns due to a patient’s inability to swallow safely. We ask family members to please do not bring in food from home unless the charge nurse has indicated that it is all right to do so.
Who will arrange transportation for patients who have appointments outside your facility?
The facility will arrange transportation arrangements for patients’ appointments outside the facility.
What types of activities do you provide?
We post a monthly calendar which shows each day’s schedule of activities for our residents. These activities include (but are not limited to) the following: Bingo, Music, Arts & Crafts, Outings, Cooking classes, Adult Education, Movies, Petting Zoo, Speakers, Physical Fitness, The Daily News.
May I take a patient out of the skilled nursing facility?
Yes, but only if there is a written physician’s order. Part A Medicare patients are the exception. Medicare feels that if a patient needs skilled Part A coverage, that he/she is too ill to leave the building with the exception of doctor’s visits or tests scheduled at an acute skilled nursing facility. Other patients need to be signed out by the responsible party at the nurse’s station.
Which languages are spoken in the skilled nursing facility?
In addition to English, we have communication books with pictures so our nursing staff is able to meet patient needs. We also ask family members to help us develop a word bank in the patient’s native language to provide a communication system.
May we bring family pets in to visit?
This is usually not a problem, but please check with the charge nurse first.