Realistic Expectations ALU

8/8/2019 Realistic Expectations ALU

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would like to

introduce you to our

facility. We have

provided assisted living

services to our

community since 1984.

Our commitment is to

provide quality care to

those who have chosento receive daily

assistance with their activities of daily living.

It takes courage and strength to make the choice to receive the

care you need. For many it is difficult to allow someone else to

provide the care for those needs and to realize the possibility that

it may be difficult for your loved ones as well. We pride ourselves

in working diligently to be a team member with all our residentsand their family members.

We believe that working together as a team means being able to

communicate openly and honestly. We hope this guide will give

you and your loved one realistic goals to help you prepare for the

changes that occur when moving into a assisted living facility.

In order to be of assistance in this transition process, we havehighlighted generalinformation from each department.

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ADMISSIONS

Should you choose admission at our facility, we will schedule an

appointment for an assessment to confirm that we can meet your

needs. The resident and/or the responsible party will meet with ourAdmissions Coordinator to fill out the admission packet which may

take up to one hour.

Care Conferences are scheduled as needed. Care Conferences

maintain a clear understanding of the resident's plan of care and how

that may change, especially when a resident experiences a change in

their condition.

OTHER SERVICES PROVIDED at

Gold Country Health Center's Assisted Living

on site or from a contracted service provider:

Laboratory Services

Radiology Services

Podiatry Services

Psychological Services

Pharmacy Consultant

Rehabilitative Services:

Physical Therapy, Occupational Therapy and Speech Therapy

=================================================

Long Term Care Ombudsman Program

Crisis line1-800-231-4024

El Dorado County Ombudsman

(530) 642-4860

California Department of Health and Social Services

(916) 263 - 4700


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Activity Department

have an ongoing program of

activities to meet the needs of eachresident. Residents are encouraged, but

not forced, to participate in scheduled

activities. We want to ensure the best

quality of life for our residents and

provide a "home-like atmosphere". We

have indoor animals and provide pet

therapy visits by trained professionals. Activities are provided seven

days a week and include some evening activities as well as outings to

local attractions.

A Resident Council meeting is conducted once a month to help ensure

that the activity schedule reflects the choices and rights of the

residents.

A monthly calendar of scheduled activities is posted in designated

areas for the residents and families to see.

In order to promote the physical, mental and

psychosocial well-being of our residents, an

activities assessment is conducted and

maintained for each resident. Residents who are

unable to attend scheduled activities in the

Activity Room are provided with in-room visits

for social, mental and physical stimulation. Our

Activity Program is staffed with personnel who have the appropriate

training and experience to meet the needs and interests of each

resident.

Volunteers at our community are TB tested, supervised and oriented

before being matched with our residents' needs. If a volunteer or

family wishes to have a volunteer provide one-on-one time in a

resident's room, that volunteer must go through a criminal background

check as required for all employees hired at Gold Country Assisted

Living.

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Health Center Dietary Department

All of us in the Dietary Department would like to welcome you to our

Assisted Living facility. We strive to make a home-like atmosphere

for you. The Dietary Department has to follow state regulations to

ensure your health and safety. Questions most asked will be answered

below.

We provide three meals a day. The schedule is:

Breakfast 8:00 AM Lunch 12:00 PM Dinner 4:30 PM

Meals are served "family style" in Assisted Living. Snacks are offered

at bedtime, or if you want, in-between meals. We will deliver meals to

your room on occasion, but we encourage all residents to go to the

dining room for social interaction.

Our menus are prepared by a registered dietitian for a four-week cycle

and changes with the four seasons. All diets are prescribed by the

physicians. The daily menus and alternate choices are posted near the

ALU dining room on a bulletin board.

We use Diet Cards with our meals in ourMemory Care Unit. These diet cards

will be on the meal tray. Please send the

diet card back to the kitchen on the tray,

so we can clean them and use them to

set up the tray for the next meal.

Anything written in red on the diet card,

means that either you do not like, or

cannot have those food items.

No outside food can be brought into the kitchen per state regulations.

All food brought in by families must be labeled, dated and stored in

the dining room's refrigerator. Food will be discarded after 72 hours.


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Assisted Living Department

Senior Assisted Living Communities are

considered a non-medical facility. The Director is

a Licensed Vocational Nurse and is on duty eight

hours during the day shift and is on call 24 hours aday. Assisted Living also employs Certified

Medication Technicians to assist with medications

and treatment orders. Certified Nursing Assistants

(CNAs) and Caregivers provide direct resident

care as regulated by State and Federal Regulations under the direction

of a licensed professional. There is an Assistant Manager and Shift

Managers on duty to help you.

Caregivers receive First

Aid certificationthrough the American

Red Cross. All

Caregivers receive

medication training

upon hire and attend

medication in-services.

Your Doctor

You have a choice of physicians. The physician must be credentialedand be willing to visit you in our facility on a regular basis, or you

must be able and willing to see your doctor on your own. Your doctor

is responsible for providing the facility and care staff with written

admission orders as well as updated orders and information as to your

specific medical needs.

Medications

We have a facility pharmacy off site who

provides deliveries daily, but you may chooseyour own pharmacy.

Residents are not allowed to keep medications

of any kind at bedside unless they pass a "Self-

Administration Assessment" and have an order

from their physician. The Certified

Medication Technicians assist residents with

medications as prescribed.


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Emergency

Since Assisted Living is a non-medical, care

community residents will be transferred to the

nearest acute care hospital in cases of

emergency, if requested, or if indicated.

Room Arrangements

The majority of our rooms are single

occupancy. Some rooms are double occupancy

in our memory care unit. We encourage all of

our residents to have a "home-like atmosphere".

Room Access

The resident rooms are not locked for safety reasons. On occasion

some residents will wander in and out of rooms.

Room Security

Open access to the resident rooms means it is

important to understand there are certain risks

in living in a group environment. Monies and

valuables can be kept safe in the business

office or should be left at home. In order to

provide a safe and secure environment, thereare alarms on exterior doors to alert the staff

when they are opened after hours.


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Restraints

It is our policy not to restrain our residents in

any way.

Physical Changes

Natural and age related changes in a

resident's flexibility, balance, cognition,

vision, heart and vascular condition can

contribute to accidents and falls. We willdo everything possible to prevent these accidents, but cannot promise

it will not occur. However, if a resident becomes unable to ambulate

or requires the assistance of 2 people to move from one place to

another, they may be in need of a higher level of care than what

Assisted Living is able to provide.

Infection Control

Vaccines are offered to our community annually provided the resident

or resident's responsible party have signed an informed consent.

A tuberculosis (TB) test or a current chest X-ray report is required

within the last six months for all new admissions.

On going in-services, training and audits are performed to ensure that

staff is practicing effective infection control in our facility.

Hand sanitizers are placed throughout the building. We encourage you

to wash your hands when you come and go.


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Staff Development/ Human Resources

Prior to being hired, all staff are drug tested,

fingerprinted and have a back ground check. All

licensed or certified staff are checked for current

license/credentials and active status to ensure that we

have hired the most qualified staff and for the safety of

our residents.

We have mandatory All Staff In-Services every month that are

required by State and Federal Regulations. We also have ongoing

in-services for the staff to increase their current skills and knowledge

base.

Business OfficeOur goal is to make the financial liability process as easy as possible.

Questions can be directed to the business office in the front lobby of

the Health Center Building between the hours of 8:00 AM and 4:30

PM, Monday through Friday.

Assisted Living is private pay and not covered by

medical insurance or state programs. Billing

Statements are generated at the end of each month

for the upcoming month, so room board is billed atthe beginning of the month.

However, some Long Term Care insurances do

cover Assisted Living. If you have Long Term Care

insurance that does cover Assisted Living, we can

assist you with filling out monthly forms.

While in our Assisted Living Community, it is the resident's

responsibility (or their responsible party's) to supply their own

personal hygiene items as well as establishing phone service should

that be desired by the resident.

We offer a Trust Account to keep your money

safe in an interest bearing account with quarterly

statements.

We offer postage stamps and mailing out of

outgoing mail.


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Housekeeping

The resident rooms are cleaned daily seven days a week and more if

needed. Room detailing and heavy duty cleaning are scheduled on a

routine basis. The disinfection of hand rails, door and handles, tables

and chairs are ongoing to prevent the spread of illnesses.

Laundry

ALL resident's personal clothing are to be labeled with the resident's

last name and first initial. All the resident's laundry is done within the

Assisted Living Unit.

Please report any missing or destroyed items to management and we

will investigate promptly. Any time a resident or family member tells

us clothing is missing we take that seriously. We immediately track it

down and return the missing item to the resident or provide the

resident with reimbursement.


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Health Information also known as Medical Records

Your health record begins and ends in the

Health Information Services Department. Every

resident is assigned a record number upon theirfirst admission. Discharged health records are

stored for 7 years after the resident's last

discharge date before the records are destroyed.

The health information that is within the health

record belongs to you, however the facility owns the health record that

was generated during the normal course of business.

On admission you will be receiving a

California Notice of Privacy

Practices describing how yourprovider uses and discloses health

information. You will be signing:

(1) HIPAA Summary Sheet form

and

(2) A Use and Disclosure of Health

Information form.

There is also a Release of Information form you will sign only when

someone requests the release of your protected health information.There is an administrative cost for the release of information if it is

not for a continuum of care with the physician.

All physician orders written by your

doctor are entered into the computer.

Medication and Treatment flow sheets

are generated by the Medical Records

Department. These flow sheets are used

for documentation by the staff when

assisting residents with those prescribedorders.

If you have any questions regarding your

health information please talk to the Director

or Assistant Manager of Assisted Living,

Health Information Services Personnel, or the

Administrator.

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