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Home My WebLink About2000-09-14 Council on Aging Packet OT.TN~IL I G September 14, 2000 ~a:0oam Call Meeting to Order Agenda Approval Minutes from Prior Meeting Scheduled Public Comment: Central Area Rural Transit System (CARTS} Presentation Old Business: 1. Assisted Living Rates New Business: 1. Discussion -Carport Raising 2. Iiscussion -Senior Rentals 3. Computer Lab for Seniors 4. United Way Kick-off Persons Wanting to be Heard: COL7NCIL O AGING 29, 2 1®:(30 A.M. KENAI SENIOR CENTER ITEM 1: CALL TO ORDER ROLL CALL Chairman Earl Jones called the meeting to order at 10:00 a.m. and the roll was taken as follows: Present: Jones, Fields, Jurgensen, Enfield Absent: Wilson, Wiese, Nelson, Hollier, Meeks Also Present: Council Member Joseph Moore, Director Kelso, Dennis Murray, Cindy Deming, Melba Frazier, Betty Lou Curtis, Patricia Stringer, Janel Wallace, Marjorie Pate, Esther Peteet, Leigh Hastrom Sanger, Mae Stanley Seeing there was not a quorum, the meeting was modified to a work session in order to hear presentations by Kay Branch and Patricia Stringer regarding assisted living and long-term care facilities and Senior Center Director Kelso regarding the °uaska CGi'raaiaiaSii~ia uia Agiaa"ag ~".rrarat. ASSISTED LIVING/LONG TERM C Kay Branch from the Alaska Commission on Aging spoke to the group about long term care, in general and assisted living facilities, in particular. She reviewed trends; level of care and funding mechanisms; issues for Kenai/ Soldotna-area seniors; services involved; differences between nursing and assisted- living homes, including level of care, supports required, goals, services, designs, costs, construction funding, etc. Chairman Jones expressed his concern that amiddle-income senior must impoverish himself in order to take advantage of a long- COUNCIL ON AGING MEETING NOTES JUNE 29, 2000 Pa(2F 7 term care facility and that there were no facilities locally. Kelso explained that grant money was available for capital prr :its, but not for the on-going operational costs associated witi'i maintaining an assisted living facility. Patricia Stringer from Frontier Community Services reviewed the Assisted Living Market Study recently undertaken by the City of Soldotna and Frontier Community Services. As a result of the study, Frontier is hoping to build afour-unit assisted living facility in Soldotna. There was a general discussion regarding standards for both new and existing assisted living facilities. Branch recommended members contact Gary Ward at the Division of Senior Services with any questions or complaints about an assisted living facility. ALASI{A CObIMISSION ON AGING GRANT': Kelso reported the Kenai Senior Center would be receiving identical money for their Commission on Aging Grant. They were also successful in obtaining amini-grant which would allow for the >,urchase of a new computer. BOROUGH G T: Kelso informed the members the Kenai Peninsula Borough awarded an identical grant to the Kenai Senior Center as in previous years. Also vying for funds was the new senior group in Cooper Landing who were awarded a X5,000 start-up grant. The Cooper Landing grant award did not impact the amount distributed to the existing senior centers covered under the Borough Senior Center Grant Program. COUNCIL ON AGING MEETING NOTES JUNE 29, 2000 nar_~ ~ LILTS FROM LEGILATIi7E S IOlei® Kelso reported on items from the most recent Legislative Session that may impact seniors. The meeting adjourned at approximately 11:3Q a.m. Notes prepar~ed~by: ~~1 / Il Kelli , elso, Senior Center Director COUNCIL ON AGING MEETING NOTES JUNE 29, 2000 par_~ z FROM: Steve Ashman, Senior Housing Office (907) 330-8460 or 1-800-478-2432 (Outside Anchorage) DATE: August 28, 2000 ISSUE: Loan and Grant Funding Availability Deaz Senior Citizen Advocate: Below is a copy of the Public Notice that AHFC has published throughout the state. I have sent it to you directly because i though you or other organizations you work with would like the information. The application can be obtained by contact the below named person. [f I can answer any questions about the loan and grant process or if you have questions about senior housing issues, please feet free to contact me at the above telephone number(s) or by e-mail at sashman(c~ahfcstate.ak.us GOAL Program. Deadline for Applying: Monday, October 30, 2000 Are you interested in building housing for low- to moderate-income families, seniors or persons with disabilities? The Alaska Housing Finance Corporation (AHFC) announces the availability of federal tax credits, and state and federal grants for the production of housing for low- to moderate-income households in Alaska. The Greater Opportunities for Affordable Living (GOAL) program has approximately $7.4 million in funding available for rental development and $250,000 for pre-development expenses for senior housing projects. There is a $450,000 set-aside for rental or home-ownership projects sponsored or developed by Community Housing Development Organizations (CHDO). AHFC is also accepting applications for the Senior Citizens Housing Development Fund (SCHDF). Successful applicants to the SCHDF program will have their project included in a legislative request for state FY02 Capital Budget. Acquisition and rehabilitation, rehabilitation, or new construction aze eligible development activities. Permanent housing foe the homeless and other special needs groups is an eligible activity. Private non- profits or for-profit organizations are eligible recipients for funding under this notice. Individuals are not eligible recipients of grant funds under this program. AHFC is accepting applications from interested developers and sponsors between August 18, 2000 and October 30, 2000. Applications may be obtained throueh AHFC's web site, or by contacting: Leslie Benson Alaska Housing Finance Corporation P.O. Box 10t020 Anchorage, Alaska 99510 Iben son fa~ah fc. state. ak.us 907-330-8277 or 800-478-2432 (outside Anchorage) DEPARTMENT OF ADMINISTRATION D~IcJ`)<®N ®F SFiN1®R rSERVIC.FiS Assisted Living Licensing Alaska Commission on Aging • Nutrition & Transportation ° Senior Residential Services ° Senior Employment Services • Long Term Care Ombudsman ° Home & Community Grants Personal Care Attendant Program Care Plan Counseling Older Alaskan's W giver Adults with Physical Disabilities Waiver Adult Protective Services Information & Referral July 26, 2000 Kenai Council on Aging 361 Senior Court Kenai, Alaska 99611 Dear Council Members: ^ JUNEAU OFFICE Po BOX 110209 JUNEAU, ALASKA 99811-0209 PHONE: (907} 465-3250 FAx: (907) 465-4716 TTY: (907) 465-2205 ANCHORAGE OFFICE FRONTIER BUILDING 3601 C STREET, SUITE 310 ANCHORAGE, ALASKA 99503-5954 ar1oNE: (907) 269-3666 FAx: (907) 269-3689/269-3688 TTY: (907) 269-3691 Thank you for the opportunity to join your meeting in June. I enjoyed the opportunity to come back to your center to discuss assisted living (and for a delicious lunch!). During our discussion your members requested information about rates charged by assisted living homes, and the levels of care provided. Over the past year I have collected this information from various assisted living homes, both in Alaska and the lower 48. I am enclosing what I have, including information from the Pioneers Home. I hope you find this useful. Even in Alaska, there is a broad difference in what people charge, and we also have to consider the higher cost of living here. Please let ma know if I can provide further assistance. I have alerted Gary Ward of Assisted Living Licensing that you may want him to come to one of your meetings. I will keep you updated (through Kellie via email) of any other information that I think you might use. Thanks again for your hospitality. I look forward to continued work with you. Sincerely, ,' ~~, ~~~ TONY KNOWLES~ GOVERNOR Kay Branc ,Coordinator Rural Long-Term Care Development arty ill to List Independent Apartments Floor Monthly Plan Style Rate A Efficiency $1,295.00 B Deluxe Efficiency with Walk-[n Closet $1,535.00 C. D, E Ouc Bedroom wid[ Walk-In Close[ $1,685.00 F, G, H One Bedroom wi[h large Living/Dining $1,775.00 Area and Walk-In Close[ J Two Bedroortt~fwo Bath with large $2,375.00 Living Room and Walk-In Closes Assisted Living Apartments Floor Monthly Plan Style Rate K Efficiency $1,865.OQ L, M One Bedroom with Walk-In Closet $2,! 15.(10 Rues are for unfurnished, single occupancy and include daily meal services, emergency call system, housekeeping services, scheduled transportation, carnet, drapes, kitchen appliances, cable television, utilities except telephone, and availability ufcommon areas and activities programs. Assisted Living apartments alw include availability of attendants on a 24-hour basis, assistance with bathing, medications and dressing, plus weekly bed linen and housekeeping services. A charge of $295 per month in Independent and $395 per mouth in Assis[rd Living is made For a second occupant. First door h[dependent Apartments are $25 extra per month. A security deposit ($500) is due at the time ofreserving the unit. Races are firm for twelve months following completion of an Occupancy Agreement, but are subject to change without notice for unexecured Agreements. >~ Rates Effective Aprid 1, 1997 MISCELLANEC~I;JS C~3ARGES Maintenance e.g. porter services, starting cars, installation of shelves, blinds, etc. Housekeeping Carpet spot removal Carpet cleaning Making beds (Independent Living) Trash removal Additional maid service Laundry Personal laundry service Ironing service $6 per half hour $10 $20 $3 $3 $6 per half hour $5 per load $6 per half hour Support Services to Independent Residents Bath assistance $45 per month x # baths per week Medication assistance $175 - $475 per month Scheduled injections $7.50 per shot Other assistance $2 - $10 per visit Companion Services Guest Meals Breakfast Lunch Dinner Sunday (main meal) Holiday Meal tray service beyond 3 days Guest Apartment $10 per hour (1 hour increments) $3 $4 $6 $6 Varies $1.50 per meal $2~ per night Storage Garage Apartment Transfer Fee Bookkeeping Return check/NSF fee Late payment after the 9th Late payment after the 15th *assessed for each month late $9-12 $35 $75 $25 per check $10* $25* 15 Jbe-30-99 FRI 0309 Phi LONGEVITY PROGRAMS FAX N0. 9074654108 P, 03 DIVISION OF SENIOR PIONEERS' HOME 1~1A1vUAL ~V. RESiIDEIVT CARE ^"'~, A. LEVELS OF SERVICE The Pioneers' Homes are licensed assisted living facilities, operating in accordance with all statutes and regulations pertaining to assisted living homes. Each of the Levels of service designates a grouping of assisted living services, which are generally described in the assisted ]iving contract and further personalized for each resident in hislher assisted living plan. Within each Pioneers' Home, there are five service levels. These service levels are: .~,.,~ • Alzheimer's disease and related disorders (ADiRD.;:. • Comprehensive services "'°r" • Coordinated services • Basic Assisted Living • Enhanced Assisted Living The types and amounts of services in each service level range from minimal, such as in coordinated services, to extensive, such as in comprehensive services. Prior to admission, a service level determination is made, which identifies what general level of services the resident will receive. In determining a prospective resident's service level, the Interdisciplinary Team (IDT} St11YeS tD match each recidP,nt'g .^.eeds a,^.d °i,:t•t~ '.t a,..,:uas w;~:~ the most appropriate services. The 1bT will advise the administrator of each Home of any unresolved level of service needs. The Home administrator has final authority to determine the initial service level and when a resident should move to another service level. The need for acute care, or care not normally provided in a Pioneers' Home, may necessitate transferring or discharging a resident to another facility. If possible and consistent with the needs of residents, 30-day advance written notice will be given by the Home administrator; however, residents requiring emergency treatment will be transferred immediately. A Pioneers' Home will make every reasonable effort to provide the proper service level to residents who require the same or a different service Level after being admitted. However, the Home camsot guarantee that all service levels will be available to every resident. Availability of various service levels will be based on the funding, facilities, and staff available at each home (2AAC 41.080(b)). Approved 4195, updated 7196 V.A,I JUL-30-99 FRI 03 09 PM LONGEVITY PROGRAMS rAX N0. 9074654108 Coordinated services means the provision of housing, meals, emergency assistance, and opportunities far recreation. (2.4AC 91,990(x) 4) P. 04 The service level known as coordinated services is provided for seniors who are able to perform all basic activities of daily living within a community living environment, requiring daily assistance with meal preparation. Services provided in coordinated services are further delineated as: • Private or semi-private room; • Three meals daily, served in the dining room; Opportunities for recreation, • General housekeeping services - (Periodic heavy cleaning); • Emergency assistance Resident Protile/Cbaracteristics for Coordinated services: r""1 Ambulatory or independeatly mobile -Resident must be able to move independently throughout the Home, and exit the building independently in the event of fire. If a wheelchair is used for mobility, the resident must be able to transfer independently into or out of bed, chair, etc. independent in performing Activities of Daily Living - $athing, shampooing, dressing, toileting, and all grooming must be performed by the resident without assistance or cueing from staff members. Maintains continence of bowel and bladder, or manages incontinence so that it is not hazardous to self nor offensive to others. Must be able to attend meals independently in the designated dining room and dine without assistance. Must independently arrange transportation to and from alt appointments, (including medical appointments). Socially appropriate - Mus4 not exhibit anti-social behaviors which interfere with the rights of other residents. Demonstrates cogniteve ability to function independently -must demonstrate ability to use reasonable judgment concerning health and safety issues. 1vlanages personal health needs appropriately -Capable of accurately self-administering medications and treatments, and seeking and receiving health care when appropriate from personal physician. ~""~~ dsygcn use -Residents receiving coordinated services may use oxygen under the following guidelines: A ....-..-....1 dlflC ..-J~i~a n~n~ e• e s JUL-30-99 FRI 03 10 PM LONGEVITY PROGRAMS FAX N0. 9074654108 P, 05 T)IVISION OF SENIOR PIQh`EERS' HOME MANUAL ] • Oxygen must be used only as ordered by a physician, only for treatment of a stable, chronic condition requiring no ongoing monitoring by Home staff. The physician must indicate that the resident is able to manage self-administration of oxygen. 2, Resident must be capable of administering oxygen in accordance with physician orders, and INbEPENDENTLY perfomung all tasks related to oxygen use. 3. No smoking will be allowed at any time in the room of a resident using oxygen Capable of independently maintaining safe and comfortable living quarters -Periodic heavy housekeeping is provided by the Home, but it is the resident's responsibility to maintain personal living quarters, e.g., making bed, dusting, ' ~""`', r^\ Approved 4/95, updated 7196 (/.A,3 JUL-30-99 FRI 03;10 PM LONGE'J1TY PROGRAMS FAX NO. 9074654108 ~~ P, 06 Seniors who are no Longer able to function independently and require staff assistance or structured programs require a level of service which is mare intensive than coordinated services. The first of these levels is basic assisted Living. Basic assisted living means the provision oJ'housing, meals, emergency assistance, opporttanities for recreation, and, as agreed upon, occasio»al cues and intermittent assistance wrth activities of daily Ziving: health care, anrt recreation, but not including 24-hour supervision, (ZAAC 41.990(x) 2f Services that may be provided in the Basic Assisted Living service level are further delineated as: - Private orsemi-private room; • Three meals daily, served in the dining room; • General Housekeeping services based on need, e.g., laundering and changing linen; • Emergency assistance; • Assistance with activities of daily living (ADCs) or instrumental activities of daily Living (IADLs) (Does not include 24 hour supervision); • Organized activity programs; • Nursing clinics (assessments) to assist with intermittent health care needs (with referral to other health care providers as appropriate); • Physical therapy, special diets, and social services based on individual need and available resources (if agreed upon in assisted living plan); ` • Medication administration or assistance with self=administration of medication (if agreed upon in assisted Piving plan), Resident Profile/Characteristics for khe Basic Assisted Living level of service: The resident exhibits one or more of the following characteristics: Requires slight to moderate assistance with ambulation or mobility -Cues, assistance and assistive devices will be utilized to encourage independence. Requires slight to moderate assistance with activities of daily living -Assistance will be provided as necessary in all activities of daily living, including personal hygiene, groomutg, dressing, and dining, Residents will be encouraged to participate inself--care to the resident's maximum functional ability, Residents must be able to attend meals in a designated dining area. 5ociaity appropriate -Residents will be assisted in adaptation to life within the Home community, but will not infringe on the rights of other residents. Annrnvnei dlOG nnA era.i '114f. v e e JUi.-UU-yy FK1 UU~lU YCl LUNtrKV11Y YKUtiKHfIU 1'HX NU. yUt40541Utl r. Ut T~IVifSION O1F SENIOR pdONEERS' HOME MANUAL Yequires minimal assistance with personal matters -Residents will be encouraged Yo care for personal matters, and will be assisted by the social worker to procure advanced directives, durable power of attorney, guardianship or conservatorship when necessary and appropriate, Family assistance and involvement will be encouraged as appropriate, Requires intermittent assistance with personal health and safety -Residents will be encouraged and assisted as necessary to safely administer personal medications. If this is not possible, appropriate assistance will be given, including medication administration. Intermittent clinics (nursing assessments with appropriate follow-up and referral) will provide for physical health needs. Requires slight to moderate assistance to promote bowel and bladder continence, or to manage incontinence•so that it is not hazardous to self nor offensive to others. Requires slight to moderate assistance with maintaining Giving gnarters. Resident will be encouraged to maintain clothing and other personal effects, but may need staff assistance, including assistance with housekeeping. ~''°`, Approved 4/95,npdatad 7196 `V.A.S JuL-30-99 FRi 03~1i PM LONGEVITY PROGRAMS FAH N0, 9074654108 .-~.. ,,.r-.~ P. 08 Enhanced assisted living means, in addition to basic assisted living services, the provision of assistance with activities of daily living and intermittent health care, as agreed upon, with 24- hour supervision. (2AAC 41,990(a)8) Services available in the Enhanoed Assisted Living level of service may include the above basic assisted living services and one or more of the following. Enhanced assisted living provides 24 hour staff assistance in the following areas: • Assistance with activities of daily living; ® Assistance with mobility for the non-ambulatory; • Speciadiy structured social, recreational and therapeutic programs for the resident with mental or physical impairments; • 24-hour general supervision for the resident with safety needs. Resident profileJCharaeteristics for Enhanced Assisted Living level of care: These include any of the characteristics mentioned above under basic assisted living, as well as one or more of the following: Requires moderate to intensive assistance with ambulation or mobility, with 24 hour s°apervision _ A resident i:. erg anted assisted li'v'Irag °;~ay be incapable oa` independent ambulation or mobility, including transfers to/from wheelchair. Requires moderate to intensive assistance with Activities of belly hiving, with 24 hour snpervision. Requires structured programming because of impairments which significantly impede abilities in decisionmaking, cognition, communication, orientation, socialization, etc. Requires safeguards to prevent wandering. Requires medicatipn administration. Requires intermittent health care -Includes intermittent clinics (assessments) to identify health problems, and nursing interventions to address identified problems. Approved 4/9S, updated 7/96 V.A.6 JUL-30-99 FRi 03 11 PM LONGEVITY PROGRAh1S FAX N0. 904654108 DIVISIpN OF SENT®R SERVICES, PIONEIER&' T-IpNYE MANC7AL ,._,~ P, 09 S ,~vu.~ S ~i AbRD (Alzheimer's biasses and Related 13isorders)~3nit 3 N3a~~ 7//~/y e .S'rrti<c ~ tllzhefiner's disease and related disorders aanttrr~eans c, in addition to enhanced assisted diving services, ° v ~ `~ as agreed upon, and 24-hour supervision, within an environment adapted to supporfr`ng the activities of daily diving of persons with Alzheimer's disease and related disorders (2.4AC 41.990(a)d) Services available in the ADIZD unit are specially geared toward the resident with Alzheimer's disease or a related neurologic disorder, who require special environmental and staff assistance in order to function successfully. This special assistance is provided in one or more of the following areas: • Assistance with activities ofdaily living; ® Assistance with mobility for the non-ambulatory; • Specially structured soda;, recreations! and therapeutic programs for the resident with mental or physical impairments; • 24-hour general supervision for the resident with safety needs. Resident Profile/Characteristics for AbRD service level: ice. These include any of the characteristics mentioned above under enhanced assisted living, as well as one or more of the following: Requires moderate to intensive assistance with ambulation or mobility - A resident in the AL'iI2I9 unit maybe incapable of independent ambulation or mobility, including transfers to/from wheelchair. Requires moderate to intensive assistance with Activities of baily Living, related to memory loss and motor dysfunction. Requires structured programs, activities and environment due to neurologic diseaseldisorder whsch signifieantty impedes abilities in decisionmalcing, cognition, communication, orientation, socialization, etc. Requires safeguards to prevent wandering. Requires medication administration. Requires intermittent health care -Includes intermittent clinics (assessments} to identify health problems, and nursing interventions to address identified problems. <.•~-~,. Approved 4195, updated 7196 V.A.7 JUL-30-99 t•Ri 03.11 FM LONGEVITY PROGRAMS FAX N0. 9674654108 P, 10 DIVISION OF SENIOR SEFtVICE5, PIONEERS" '"TOME 1~'IANUAL .~-. Comprehensive Services ~ t~ ~~~ r"' _ ~fi i I~ `~ Comprehensive services enemas, in addition to the provision of hauling; meads, emergency assistance, tend opportunities for recreation, the provision to residents, as agreed upon, of assistance with activities of daily diving, intermittent health care, 24-hour supervision and one ar mare of dhe following: a) 24-hour skilled nursing care for up to 45 continuous days (dn~rmary services); b) extensive assistance with activities of daily living,• c) care of the terminally ill. (2Ae1C 41.990(a)3) Services that may be provided in Comprehensive services are further delineated as: • Private or semi-private room; • Three meals daily; • General Housekeeping services based on need, e.g., laundering and changing Linen; • Emergency assistance • Assistance with activities of daily living (AbLs} or instrumental activities of daily living (IApLs); ~~ Nursing clinics (assessments} to assist with intermittent health care needs (with • referral. to other health care providers as appropriate) OR 24 hour skilled nursing care for up to 45 days, OR terminal care, depending an agreed upon assisted living plan; • Physical therapy, special diets, and social services based on individual need and a~: »ilable resources; • Medication administration oe assistance with self-administration afinedication. • Assistance with mobility for the non-ambulatory; • Specially structured social, recreational and therapeutic programs for the resident with • physical or mental impairments; 24-hour general supervision for the resident with safety needs. Resident l?rofi[e/Characteristics for Comprehensive Services: The resident requiring comptehensive services may require maximum assistance with activities of daily living and IA17Ls, structured programming, Intermittent nursing care etc. ,much the same as a resident in Enhanced Assisted Living. However, a resident in comprehensive services additionally experiences at Least one of the following: • Need for tgtal assistance with activities of daily living due to absence of mobility (i.e. coma, quadriplegia) • Need for 24-hour skilled nursing care for up to 45 days. ,"", Approved 4t9S, updated 7196 y,A,g JUL-30-99 ERI 03 12 PM LuNGEVi'1'Y k'KOGKAMS rHx wu, aur4e~4iutt r, ~~ LIVISION OF SENIOR PIONEERS' HOME 1VIANUAL ;~ • Need for ternuna[ care Need for 24-hour skilled nursing care- The assisted living statute allows for the provision within assisted living facilities of skilled nursing for up to 45 days: As part of a plan to avoid transfer of a resident from the home for medical reaso»s, the home may provide, through the services of a muse who is licensed under AS 08.68, 14-hour skilled nursing care to the resident for not mare than 45 consecutive days. (AS 47.33.020 (g}). Residents requitins 24 hour skilled nursing care for longer than 45 days may remain in an assisted living home under certain provisions, as follows: If a resident has received 24-hour skilled nursing care for the 45-day limit set by (g} of this section, the resident or the resident's representative may elect to have the resident remain in the home without the contimration of 2d-hour skr'lled nursing care if the home agrees to retain the resident after 1)The home and either the resident or resident's representative have consulted with the '~"'~. resident's physician; 2)7he home and either the resident or the resident's representative have discussed the consequences and risks involved in the election to remain in the home; and 3) The portion of the resident's assisted living plan that relates tohealth-related services has been revised io provide for the resident °s health-related neQds withcN~t the usP of ~4-ha»^~ s~llsd nursing care, and the revised plan has heen revic~ved by a registered nurse tcensed under AS 08.68 ar by the resident's attending physician. (AS 47.33.020 (h)). A resident receiving skilled nursing services within the coordinated servioes level of care can be distinguished from a resident requiring intermittent health care in that the resident requiting skilled nursing exhibits one or more of the following: Has unstable medical problems which require continuous nursing observation or intervention, such as infected or extensive decubitus ulcers, recent major surgical peocedures, or acute, uncompensated congestive heart failure. Requires sound-the clock nursing intervention to assist with specialized care tasks, such as new gastrostomy tube feedings, new tracheostomy care, or sterile dressing changes. Requires round the clock observation/assessment because of a new or complex medication regime. f...,,\ Requires intensive rehabilitative services, provided daily (5 days/week} by a licensed therapist. Approved 4t9S, updated 7196 V.A.9 JUL-30-99 FRI 03 12 PM LONGEVITY PROGRAMS rAX N0, 9074654108 ~ p. 12 ~~ DIVISION OF SENIOR SERVICES, PIONEERS' HOME MANUAL ~~ These services maybe provided in an infirmary bed, or in the resident's own room, depending upon the decision of the resident {or his/her representative), and the Pioneers' Nome interdisciplinary team, with approval by the administrator. If an infirmary bed is not available, other arrangements may need to be made by the resident and his/her family to provide for the resident's health needs. An infirmary bed is not intended to be a substitute for necessary hospital care. The interdisciplinary care team will advise the administrator of each Home of any unresolved service level needs. The Home administrator has final authority to determine the initial placement and when a resident should receive a different level of services. The need for acute care and care not normally provided by the Homes may necessitate transferring or discharging a resident ko another facIlity. If possible and consistent wish the needs of residents, 30-day advance wrirtten notice wit( be given by the Home administrator; however, residents requiring emergency treatment will be transferred immediately. Need for terminal care ~~ The assisted living statute states that a terminally ill resident may receive skilled nursing services in an assisted Living home, irrespective of the 45-day time-limit described above. n reurruriiuy ,~r re,~dent may rerrrain rn the home 1(ij the Home and Bather the resident or the resident's representative agree that the resident may remain in the home; and (2) the resident is under the care of a physician who cent des that the needs of the resident are benag met in the home, The time limitation (45 days) of (g~ of this section does not apply in the case of a terminally ill resident (AS 47, 33.020 (i)). Terminally idC resident means an ill resia'ent who has a medical prognosis, cert~ed in writing by the resident's attending physician, that the life expectancy of the resident is no more than six months if the illness runs its normal course. (AS 47.33.990 (22)). Services from outside agencies Services from outside agencies may he pursued to supplement the services a resident receives in a Pioneers' Home. Such an arrangement requires the agreement of the Home administrator and the resident, family, or legal representative. The purpose of this arrangement is to allow the resident to remain in the Pioneers' Home in a familiar environment, All outside agency services are the resident's financial responsibility, ,'~'~. Approved 4/9S, updated 7/'l6 V.A.IO HOiVIER ASSISTED LIPING RESIDEirCE Assisted IivinQ is a desirable, cost-effective and dignified IivinQ environment for older persons. It is based on the concep[ of maintaining, to the Qreates[ extent possible, the independence and wellness of the individual. The Homer facility has evolved to meet the needs of the senior citizen who does not require 2d hour care, but does require some assistance with daily activities in order to maintain their independence. The Homer Assisted Living Residence is a 10 unit facility with direct access to the Adult Dav Care Center and the Homer Senior Center. It is the Qoal of the staff to he!o each resident stay healthy, functional and in charge of their physical, emotional and spiritual well-being. COST: Costs are divided into rent. meals and services as tiollows: : ~ ~~ ^ / 1. Renr: 5629 per month i Some units are available at a reduced rate for individuals rr:+ - .,'~ w'ro meet certain income requirements. Beat includes ail utilities and a private mail box.). ~~il E~ ~~ i ~ 2. :Meals: S2I0 per month for [hree meals a dav. ~~L ~~~~~ `. ~~~~ ~j ;u 3. Service: Basc service S 12~ 1 per month (Basic service includes housekeeping. \ ~ / Laundry, medicalion mana~remen[. 2a hour awake staff and social and recreational ~~?~ activities). ~ ~ Level One and Two service S Id76-239 t (The cost for Ieve1 one and nvo ~~ ~~ ~~ ' service varies depending on wha[ type of 24 hour assistance is needed in eating, ~L j`1 ~~ y~~' bathing, dressing, grooming and toileting) ~., ~~~. ,., In many cases, the Medicaid CHOICE program may pay for the service charges. ~~~~~ ~~ ELIGIBILITY: An assessmean`evaluation meeting is required ro determine eligibility !~ and Ieve1 of service needed. Eligibility requirements: 1. 60 years of axe or older 2. Free ofinfecrious disease 3. Assistance needed with two daily living activities 4. Doctor's health evaluation within 60 days of assessment 5. Financial resources to pay cost (self-pay, Medicaid, or third parry pay such as insurance) Homer Assisted Living Residence 2~0 Herndon Ave. Homer, Alaska 99603 906-23~-6737 F.~.`C 907-23~-086 IST L NG NTAL INFO TIO Assisted Living: The Legacy Assised Living pro~~des assistance with some of life's daily tasks, such as bathing, dressing, medications, and oversight. t Included in the Monthly Rents t Apartment. • Walk-in Shower • Plush Carpeting • Ceramic Tile Flooring • Plentiful Storage • Emergency Alert System • Individual Temperature Control Assistance with Bathing and Dressing. Licensed Nurses 24 Hours a Day. Health Clinic. Towel and Linen Service. Three Delicious Meals Served Daily. Utilities. • Electricity • Heat • Air Conditioning • 4~'ater • Basic Cable Television • Trash Collection Weekly Housekeeping. Scheduled Transportation. Amenities. BeaUL\'1 Barber Sllo~a Lla' Clealfl Parlor • Lounge with Big Screen Television • Bank • Library • General Store • Pond and Arboretum Recreational and Social Events. • Exercise Classes Cards • Bingo • Entertainment • Crafts • Outings • \~Iovies • ~'Ieetings • Guest Lectures • Educational and Cultural Events '~~~ '~~,i<i~rerrr,Pm~C~ ~d~m~~n~ X5011 Poncrrs Boulccurd Lincoln, .~ubruska 6lii~06 ~'+021 +7t9-7(700 NT TES Daily state Studio $59.00 One Room, Private Bach 287 Sq. ft. 30 D: Rat $1,77 i Suite $62.50 $1,8~ One Room, Private Bath, and Kitchenette 325 sq. ft. Deluxe Suite $66.50 $1,99 Large One Room, Private Bath, and Kitchenette 382 sq. ft. One Bedroom $76.50 Bedroom, Living and Dining Area, Private Bath, and Kitchenette 496 sq. ft. .9. The monthly rate is calculated basec on the daily rate listed above. An additional fee is charged for the second occupant based on their level of care. Level charges may apply. All rates are guaranteed for 12 months following completion of an occupancy agreement. A $1;000 Security Deposit is requ the act bassador Care The objective of fie Legacy Ambassador Cate program is to provide our residents an occasional helping hand. tt may mean just a little help with personal care or perhaps some of those chores that are hard to do alone anymore. fie program has designed to be utilizer as a regular scheduled visit or an occasional or one ffme visit. Some of the services offered includ@: • Assistance with tng and dressing • Bed linens changed • Laundry done in r@sad@nYs apartment or in the Legacy coin operated laundry • Ironing done on Lego~;~y premises ® ®atly hygr@ne assrstance: dental, shaving, washing and combing hair and nail care • Pet sitting white resident is on vacation, ill or hospitalized • Keeping apartment picked up between cleaning days • Plant care whale resident is on vacation, iBl or hospitalized • Mail picked up while away from fie Legacy • Writing letters, cards and reading mail for the visually impaired • Running errands on or oaf fie legacy property • Assisting with walks on or oft The Legacy property • Phone calls - help with dialing • Meal preparation in apartment • Reminder of meddcations and meal times • Incontinence care • ...and more The Legacy mission is to provide our residents with the most enjoyable eetirement living experience possible. We skive to deliver quality and value in every service and amenity we provide. Our staff and management consistently maintains and improves the living environment c the iactlity, and we constantly strive to be responsive to the individual needs of our residents. The Ambassador Caee program will afford us the opportunity to further carry out this mission by offering another needed service to our residents. We wi1B, in every instance, tailor our service to your specificafions. K a situation arises that is beyond our level of capobiPrfy, we will, to our utmost ability, put you in contact with the people or programs that will be able to offer the services needed. Again, our goal is to unceasingly meet our residents n The owners and management of fie Legacy are excited to offer this new and innovative aitemattve to seeking assistance from outside sources. The Legacy takes great care in the SCfeening pfOCe55 Of theif Staff t0 assure you the most Coring and reliable service possibl@. Questions regarding this program may be directed to Robin Hiii, Ambassador Care Director. She will be happy to explain services, pricing and recording procedures with you and/or your family. .~16assador (`are ees Most Ambassador Care will be charged on a per hour basis and will be billed __ IS minute increments. Therefore if you do not need assistance for the full hour, you will not be charged for it. Some services, including Clinic procedures, will be charged on a per time basis. The fees are as follows: Ambassador Care Aide Ambassador Professional Care (Registered or Licensed Practical Nurse) $2®~ hr -minimum 55.00 cfiarge $~®/ hr °minimum $7.50 cha ne CLINIC SERVICES Glucometer Test Injections Multiple Insulin Injections Dressing Changes Medications Passes * 1-3 Daily -Given at Nurse's Station * 4-8 Daily -Given at Nurse's Station * Additional charge per visit if the Nurse has to deliver medication to a Resident's apartment Medication Reminders To be reminded to take medications Whirlaool Bath Unassisted by Staff Assisted by Staff $5.00 $s.ao $3.50 each $2.00-$5.00 + Supplies $3.00 $5.00 $7.00 $5.00 1-3 times/day $7.50 4 or more times/day $5.00 $10.00 PERSONAL SERVICES Laundry Using The Legacy's Facilities & Quarters $7.50/ load + supplies Using Resident's Quarters $6.00/ load + supplies Using Resident's Facilities Per hour charge Ironin Shirts, Pants, L~cesses ~ 1~louses Handkerchiefs & Other Small Items Meals Walk to and from meals Plants To water plants while out of town Mail Pick up mail while out of town $1.50/ piece Per hour charge $5.00/meal $1.00/day $1.00/day ~( ~ t°i Most seniors prefer to live in a community that allows them the highest possible level of independence while providing a support system for their current and future needs. Once moving to Sterling House, our residents will enjoy the highest possible quality of life and independence in the company of family and friends. Over 90% of our residents live the rest of their lives with us. Sterling House has a flexible care program that allows our residents to add additional services to their care plan if those services are needed. Additionally, we can manage such issues as wheelchairs, wallcers, confusion and incontinence. ~' designed and staffed Sterling House with those needs in mind. Aging in place means that we make adjustments in our services to serve our residents' changing needs. If needed, we will help arrange autside home health and haspice services. e~P~Z~IO/ZCI~QIZQ~~/ ~~'~ e~/lJP/ZULCP/J Personal Care Wellness Care • Assistance with dressing and grooming • Individualized service plan • Bathi~tg assistance • Complete medical records • Beauty Salon • Registered ivurse on staff and on cait' • Bladder and bowel management • Health evaluation every 90 days Mental Wellness • 24-hour supervision • Confusion Management • Coordination wit1T psychiatric care Coordination with Healthcare Providers • Physician, Dentist, Podiatrist • Home health services £> Hospice Rehabilitation therapy Mobility Assistance • Handicap accessible apartments • Transfers and ambulation • Range of motion Medication Assistance • Access to 24-Hour pharmacy • Administration of oral and topical treahnents Llnit Dose medication Ames • Burlington • Cedar Falls • Clinton • Davenport • Fort Dodge • Iowa City • Marion • Marsf~alltown • Muscatine • Sioux City • Urbandale • West Des Moines • Grand Island • Li' Om. ~Ji.'CCC! DAILY SERVICE AND RENTAL PRICES Studio Apartment - _~Two Room Suite From $66.00 From $77.00 Rent is charged on a monthly basis. Prices estimated on this card are based on a 30-day month. Monthly rates apply. Higher levels of care are available and provide additional health and personal services to meet the needs of our residents. A customized care plan, as determined by our Assessment Program, will establish the resident's daily service plan and corresponding fees. Your Sterling House representative will perform this assessment at no charge, and at that time will be able to provide exact monthly rental rates. Your rental agreement can be canceled for any reason by giving us thirty days' notification. Rent also covers basic utilities, maintenance, housekeeping, and laundry. Also included are; • Quarterly health assessments performed by our RN • 24 Hour Certified Staff • Home cooked meals with tableside service • Activities throughout each day • Unlimited use of all common areas • Personal assistance based on your level of service Cho ~ ~ee~ Our Community Fee is a one-time charge which is twice the monthly rental rate. Every new resi- dent pays this fee which is used for ongoing improvements and maintenance of our common areas, furnishings, and exteriors. It is refundable on a pro rata basis if you wish to leave for any reason within your first twelve months with us. Ames • Burlington • Cedar Falls • Clinton • Davenport • fort Dodge • Iowa Citv • Marion • Marshalltown • Muscatine • Siouz Citv • Urbandale • West Des Moines • Grand Island • Lincoln • Om:: O/L ~.l ~i'~udo G~~oaz~i~z~c~ ~a~~ G~PazfinercG Every room is equipped with emergency pull cords. This system allows our residents to call fo: help any time of day or night. Additionally, your apartment is equipped with voice-to-voice communications, providing instan contact with our staff at the pull of a cord. All baths are handicap equipped including . adjustable shower heights and no-step shower entry. Each apartment has a kitchenette, providing a refrigerator, microwave and sink. A countertop provides space for a coffee maker, toaster oven or other appliances. For more extensive cooking needs, our main kitchen is always available to our residents. '- r r tJ ~; (~ j L~ 1 ~.J H l,` ,c`-- Ames • Burlington • Cedar Falk • Clinton • Davenport • Fott Dodge • Iowa City • Marion • Marshallto~m • Muuanne • Sioux City • Urbandale • West Des Moines • Grand island • Lincoln • On:a J`CLZCL ~~l7Cl/Zf/.~ZP/ZL` rn-r. r~r,5~i, ~~ PROVIDENCE BENEDICTINE ORCHARD HOUSE A Per.rmtali?crl Ln~ui~ Censer "The Providence Benedictine Philosophy T'he Sisters of Providence Health System continue the healing ministry of Jesus in the world of today, with special concern for those who are poor and vulnerable. Working with others in a spirit of loving service, we strive to meet the health needs of people as they journey through life. [n response to growing needs of the community, we have added alternatives for people in need of assistance. The Providence Benedictine Orchard House creates another environment in which to offer out quality services, and we will continue to emphasize independence, choice, and individualized care. What [s Personalized Liviue? The Personalized Living Center offers an alternative to individuals who desire a private homelike setting but who also need assistance in maintaining their maximum level of independence. Individuals will be given flexibility in services, an individualized focus, and an enhanced level of choice and autonomy. Each unit has a bedroom, living area, kitchenette, and bathroom with roll-in shower. We offer studio units, one-bedroom units, and two-bedroom units. The individual units are divided into four "neighborhoods," each with a common dining area, Living area and country kitchen. This design allows for interaction with neighbors and friends in a more intimate, natural setting, rather than a large impersonal dining room and lounges. Siaff is available 24-hours per day to provide assistance to residents and help them access needed services. What Makes Providence Benedictine Orchard House Special? The Personalized Living Center is located on the beautiful Providence Benedictine Campus in Mt. Angel, Oregon. A registered nurse will be available to oversee the health of the resident and assist the caregivers with medical needs. [n addition, residents will have access to many services that operate within our campus The facility also has a unique design that we feel offers a more home-like and comfortable environment. Residents will have access to a continuum of care that is not always available in other environments. Furthermore, residents will benefit from the same quality care and services that has earned the Providence Eenedictine Center a reputation as a leader and innovator in long terns care. Providence Benedictine Orchard House Rate Sheet Level Studio 16edroom 2 Bedroom Leve10 $1,950 $2,100 $2,500 Level t $2,100 $2,300 $2.800 Level Z $2,300 $2,500 $3,000 Level3 $2,600 $2,800 $3,300 Second Person Adult Foster Leven $450 $1,700 Level2 $650 $1,850 Level3 $900 $2,000 Basic Rate includes: • Private room • Three meals daily and snacks • RN oversight • Weekly linen service (bed and bath linens) • Socialization opportunities • Routine personal care services (level of personal care services provided will depend on levels indicated below) • Weekly maid service Level 0 - No services beyond basic rate delivered Level 1 -Provides some assistance with personal care services in up to four activities daiiy living. Level 2 -Provides some assistance with personal care services in more than four activities of daiiy living and provides iiie service for tl-~ose who are dependent in twe activities cf daily !wing. Levet 3 -Provides personal care services for those who are dependent in more than two activities of daily living. Items not included in room rate: (unless eligible for reimbursement) • Physical Therapy • Occupational Therapy • Speech Therapy • Skilled Nursing Services • Transportation • Clinical Specialist Consultation • Nurse Consultation • Dietary Consultation BarberlBeauty Services Notes • Changes in rates (other than level of care changes) are made known to the resident/responsible party in writing 30 days in advance of change. A resident that is transferred out of the facility will be allowed to hold the room as long as room charges are paid. BC 649 04/09(99 INQUIRY FORM SNF ICF ~' ~ AFC ALF Date: Name: -- .Address: Phone: Sex: Birthdate: Physicians Name: __ Person making inquiry: Relationship: Address: Phone: Expected/Desired move-in date: Please answer the following questions and return in the enclosed envelope: l . Briefly describe your current situation and why a change is needed. 2. SuppoR system, family and/or friends: 3. Brief medical history, past & present, as pertains to admission. 4. Cturent financial status: Private Medicaid Other: 5. Do you need help with any of the following, please explain: Bathing Y N Night Needs Y N Walking Y N Medications Y N Please list names & amounts Eating Y N Continence Y N Dressing Y N Transferring Y N i~Ac by '.rep ^' pn `2:5,'whereas~nursmg H`o'mes t-' average one care provider to as _ ~~ many as20 clients or more. ~ Oregon zoning lave permit adult foster care homes to be built and operated within residential neigh- barhoods and are considered to be single family residences. ® Highly skilled independent profes- sional care providers are available to operate these homes on an entrepreneurial basis. Tehly Companies was founded and still operates Is unique iri Oregon. Tenly designs and builds foster care homes from a glowing reservoir of experience and knowledge, then rents or sells the homes'Co selected independent, professional care providers. As Oregon's largest builder of such homes, Tenly unders[ands the economics of the .ability to'provide excell"ent.care'ard To o~rerate such a homy successfully as an independent business i ,. Because of Teniy's dose associa- tion with its care providers; relatives of prospective clients inay-coiatact TeniyCare for care provider referrals and current vacancies within the TenlyCare system. BDRM ~ DINING '~. LIVING l og~~ `ER („~ F--B?~ RD,°, b: BDRP9 ~~`~ ...~ BDRM ~ ' HM BDRM ~ ~ II r ~i, vij BDRM BDRM -- +° KITCHEN ~ FAMILY Y ~~l ~--~, N;UT RM i ..: ~, i_ ~ t= ~- `KITCHEN "4 BDRM BDRM ENTRY ~ t :~---~ DINING -Qo i3DRM - - - SHW - j SI~iTING ', ~tlLl ~,,~ OFFICE RM LIVING BDRM G RM BDRM IiG :_:, BDR~ GARAGE - GARAGE ~I4dtl !~®..~~~~ Two of Tenly's many available floor plans. Tenly plan No. 2(60 with 2,660 square fee[ shown above. Terav Plan No. ?584 wide 2,584 square feet shown x[ right The "ienly Comp ir,€es ~ P.C I3ox 9? ~ m Fli;lsboro, Oregon 9?i33 ®~® ®:® sgs ®®® ~d{dkIDl l~®. ~~$ff t ~fj?7 G93-0185 fAX (;031693-1062