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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.
jjjjxxxx
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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.