Doctors come up with a plan, put together prescriptions which are then sent to Wedgewood. The pharmacy returns blister packs with medication individually packaged by dose and by administration time. The nurses will dispense medicine to residents as ordered. The nurse uses a cart while transitioning from resident to resident on a clearly-defined schedule.
Medicare Part B (Medical Insurance) covers medically necessary durable medical equipment (DME) that your doctor prescribes for use in your home. Only your doctor can prescribe medical equipment for you. DME meets these criteria:
Durable (can withstand repeated use)
Used for medical reason
Not usually useful to someone who isn't sick or injured
Used in your home
Has an expected lifetime of at least 3 years
DME that Medicare covers includes, but isn't limited to:
Air-fluidized beds and other support surfaces (these supplies are only rented)
Blood sugar monitors
Blood sugar (glucose) test strips
Canes (except white canes for the blind)
Continuous passive motion (CPM) machine
Infusion pumps and supplies (when necessary to adminster certain drugs)
Manual wheelchairs and power mobility devices
Nebulizers and nebulizer medications
Oxygen equipment and accessories
Sleep apnea and Continuous Positive Airway Pressure (CPAP) devices and accessories
If your supplier accepts assignment, you pay 20% of the Medicare-approved amount, and the Part B deductible applies. Medicare pays for different kinds of DME in different ways. Depending on the type of equipment:
You may need to rent the equipment.
You may need to buy the equipment.
You may be able to choose whether to rent or buy the equipment.
Medicare will only cover your DME if your doctors and DME suppliers are enrolled in Medicare. Doctors and suppliers have to meet strict standards to enroll and stay enrolled in Medicare. If your doctors or suppliers aren’t enrolled, Medicare won’t pay the claims submitted by them. It’s also important to ask your suppliers if they participate in Medicare before you get DME. If suppliers are participating suppliers, they must accept assignment. If suppliers are enrolled in Medicare but aren’t “participating,” they may choose not to accept assignment. If suppliers don't accept assignment, there’s no limit on the amount they can charge you.
Best practice is to have a dialog with the resident's physician(s), 3rd floor staff, and the resident's family and advocates. A common question asked by those considering hospice care for a loved one is, “When is the right time?” A growing number of caregivers are finding the correct answer to this question: as early as possible. Special needs are best handled by specialists. Hospice professionals specialize in end-of-life care and should be called upon during the first stages of a terminal illness to ensure the patient and their family members can benefit from all the services hospice has to offer. To navigate end-of-life care, it is important to understand how one can qualify for hospice and the specific services a hospice organization can provide.
A person of any age is eligible for hospice care after being certified by a physician as having a life expectancy that may be six months or less, depending on the course of their disease. Another requirement is that patients who elect hospice must forgo curative treatment, either because they no longer wish to receive it or because it is no longer effective. Hospice services are covered by Medicare, Medicaid and most private health insurance plans, although many non-profit palliative care providers generally offer services regardless of a person’s ability to pay.
Anyone, whether it is a family member, a friend, a member of the clergy, or a physician, can refer someone to hospice. Most patients are referred by a health care professional, but a call to your local hospice provider can begin the referral process as well. Once this formal request is made, most palliative care organizations begin providing care within a day or two.
Here is a scan of the site plan for The Fairfax which shows the layout of the property as well as directions to the facility. Click.here for a larger version of the site plan and here for a larger version of the directions.
Here is a graphic showing the upper and lower floors of the Community Center at The Fairfax and a second graphic that shows the layout of the 3rd floor health care center. Click here to bring up a larger version of the community center and here to bring up a lager version of the 3rd floor..
Follow this link to see the general Medicare profile for the Belvoir Woods Health Care Center, as well as health inspections, fire safety inspections, staffing, quality of resident care, and any penalties that may have been noted.
Residents' Rights Guarantee Quality of Life The 1987 Nursing Home Reform Law requires each nursing home to care for its residents in a manner that promotes and enhances the quality of life of each resident, ensuring dignity, choice, and self-determination. All nursing homes are required "to provide services and activities to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident in accordance with a written plan of care that… is initially prepared, with participation, to the extent practicable, of the resident, the resident's family, or legal representative." This means a resident should not decline in health or well-being as a result of the way a nursing facility provides care.
The 1987 Nursing Home Reform Law protects the following rights of nursing home residents:
The Right to Be Fully Informed of
Available services and the charges for each service
Facility rules and regulations, including a written copy of resident rights
Address and telephone number of the State Ombudsman and state survey agency
State survey reports and the nursing home’s plan of correction
Advance plans of a change in rooms or roommates
Assistance if a sensory impairment exists
Residents have a right to receive information in a language they understand (Spanish, Braille, etc.)
Right to Complain
Present grievances to staff or any other person, without fear of reprisal and with prompt efforts by the facility to resolve those grievances
To complain to the ombudsman program
To file a complaint with the state survey and certification agency
Right to Participate in One's Own Care
Receive adequate and appropriate care
Be informed of all changes in medical condition
Participate in their own assessment, care-planning, treatment, and discharge
Refuse medication and treatment
Refuse chemical and physical restraints
Review one's medical record
Be free from charge for services covered by Medicaid or Medicare
Right to Privacy and Confidentiality
Private and unrestricted communication with any person of their choice
During treatment and care of one's personal needs
Regarding medical, personal, or financial affairs
Rights During Transfers and Discharges
Remain in the nursing facility unless a transfer or discharge:
(a) is necessary to meet the resident’s welfare;
(b) is appropriate because the resident’s health has improved and s/he no longer requires nursing home care;
(c) is needed to protect the health and safety of other residents or staff;
(d) is required because the resident has failed, after reasonable notice, to pay the facility charge for an item or service provided at the resident’s request
Receive thirty-day notice of transfer or discharge which includes the reason, effective date, location to which the resident is transferred or discharged, the right to appeal, and the name, address, and telephone number of the state long-term care ombudsman
Safe transfer or discharge through sufficient preparation by the nursing home
Right to Dignity, Respect, and Freedom
To be treated with consideration, respect, and dignity
To be free from mental and physical abuse, corporal punishment, involuntary seclusion, and physical and chemical restraints
Security of possessions
Right to Visits
By a resident’s personal physician and representatives from the state survey agency and ombudsman programs
By relatives, friends, and others of the residents' choosing
By organizations or individuals providing health, social, legal, or other services
Residents have the right to refuse visitors
Right to Make Independent Choices
Make personal decisions, such as what to wear and how to spend free time
Reasonable accommodation of one's needs and preferences
Choose a physician
Participate in community activities, both inside and outside the nursing home