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Frequently Asked Questions

General Questions

Q: How do I know if my loved one should go into a nursing home?
A: People who live in nursing homes may require help with daily living activities such as getting out of bed, eating, bathing, dressing, and using the bathroom. Your loved one’s doctor, as well as other members of the healthcare team, family members, and close friends can help you judge whether nursing home care is best for your loved one. If possible, you also should include your loved one in these discussions.

Q: Do you have beds available?
A: Depending upon the type of bed either subacute or long term, we must first review the hospital paperwork. Once the clinical piece is reviewed, and insurances/financials are checked, we can then determine if we can we have bed availability.

Q: How often do we offer therapy?
A: Therapy is offered up to 7 days a week or to what is clinically appropriate for each resident. It does also depend on the insurance plan they have and what their plan has approved. Usually for an HMO it would be 5 days a week. Our therapy department works with each individual to maximize their potential.

Q: Does admission into a nursing home require a physician's order?

A: Admission to a nursing home does not always require a physician’s order, but the order is a condition of payment for Medicare or Medicaid. Families usually work with their doctor to decide the right time to admit a loved one to a nursing home. Several factors -- including age, diagnosis, medical history and abilities of the primary caregiver -- play a part in that decision. Other times, the patient is admitted to a nursing home following a hospital stay. Ultimately, though, the decision to enter a nursing home lies with the patient and the family.

Q: How are the medical needs of my loved one met?

A: Nursing homes have a Medical Director who works closely with the interdisciplinary team and your loved one to meet their medical needs. Care Plan meetings are also held to determine their needs. Your loved one and/or loved one’s family members are encouraged to attend and participate.

Q: Who can help my family make informed decisions about my loved one’s care?

A: The best way to sort through your options during a healthcare crisis is to talk to those who understand what your loved one is going through. His or her doctor can help explain various options for her care. Additionally, admission counselors can help resolve medical and insurance issues.

Q: How do I make sure that my loved one’s wishes and needs are met?

A: Ask your loved one if he or she has completed any advance directives, which are documents that provide clear instructions about what medical care he or she wants (or doesn’t want). The most commonly recognized types of advance directives are the living will and the durable power of attorney for healthcare. If your loved one does not have any of these documents, talk to him or her about their wishes and the need to get them in writing. Be sure to discuss their wishes with other family members, and perhaps with important people outside the family such as a family friend, religious leader, or social worker.

Q: My loved one lives with me and my family. I take care of them most of the day and on weekends. I feel like I need a break. What can I do?

A: Ask your loved one’s doctor or your local hospital about respite care. Respite care offers medical professionals on call 24 hours a day, seven days a week. You might be able to bring your loved one to a facility for a few hours or days, or a nurse or other medical professional could come to your house to give you a break.

Q: How can I choose a good nursing home for my loved one?

A: To choose a good nursing home for your loved one, you need to focus on his or her needs and wants, take a good look at what facilities are available in your area, and let others with the right knowledge and experience help you get through the insurance questions and paperwork involved. Talk to your hospital’s case worker or your loved one’s health insurance representative to find out what nursing home facilities are available in your area. Read the facilities’ inspection report for the facilities, including ratings of health, safety, and quality of life. Tour each facility – preferably with your loved one or other family members. During your tour, keep an eye out for features that will make a nursing home safe and comfortable for them.

Q: What role does Social Services play?

A: Our Social Services staff assists both residents and their families during transitional periods. Social Services also provides essential information to residents and responsible parties, manages resident requests and concerns, and helps provide care and discharge planning for each resident.

Q: How is the food here at Daleview?
A: The food is all homemade, cooked on the premises, great variety of choices and always an alternate.  Our homemade soups are a big hit as well. Snacks are offered in between meals. Our Dietician on staff offers proper nutrition to each residents with specific diet needs ie. diabetic, cardiac etc.

Q: How is your wound care?
A: Daleview specializes in wound care, with our certified wound care nurse and a Vascular surgeon who make weekly wound rounds. They will monitor and care plan a specific treatment using all the best products that will expedite a quick healing time.Our team takes a lot of pride and care in our residents preventing skin breakdown and healing wounds, with specialty mattresses, proper diet, turn and positioning, and wound VAC capability too.

Q: What is the ratio of nurses and aides to patients?
A: During the shifts of 7am-3pm and 3pm-11pm we have one to two RN’s, 2 LPN’s and aprx 4-6 CNA’s. On the 11pm-7am shift there is one RN, one LPN, and 3cna’s.
It also depends on the census for appropriate staffing for each unit.

Q: What hospital would my loved one go to if need be?
A: In a medical emergency they must go to the closest hospital which is St. Joseph, otherwise non-emergency we like to send the resident back to the hospital they came from.

Coverage & Eligibility


Q: Who do I talk to about questions in regard to financials, billing, and/or admission paperwork?

A: Please contact the business office manager for all financial and billing concerns and the admissions coordinator with any questions regarding admission paperwork.

Q: What are the rates?
A: We try to get as much information first, such as where is your loved one currently (ie: hospital, home, assisted living). Explain how insurances work, what skilled needs mean, etc. Otherwise, for 2015, the rates are for a semi-private room $440 per day and a private room $470 per day for room & board.

Q: Who pays for nursing home care?

A: You should speak with an admissions coordinator regarding your loved one’s qualifications and eligibility. Here are some options.
•    Medicare benefits are available to millions of Americans, including those over age 65 and some people under 65 who are disabled or suffer from permanent kidney failure. Visit  Medicare’s Web site at www.medicare.gov for more information.
•    Medicaid is an option for eligible low-income patients in need of long-term nursing care. Eligibility requirements vary from state to state, and we can help you determine if you qualify. For more information, please contact us.
•    Many insurance companies and employers now offer long-term care insurance.
•    Benefits for Veterans are available at some nursing homes through the Department of Veterans Affairs.

Q: What does Medicare cover?

A: For any eligible beneficiary needing skilled nursing or skilled rehabilitation consistent with Medicare coverage criteria, Medicare Part A coverage will pay for a semi-private room, meals, nursing services, rehabilitation services, medications, supplies and durable medical equipment for up to 100 days. For the first 20 days in a nursing home, Medicare covers 100 percent of skilled care. From Day 21 through Day 100, the resident must pay a daily co-insurance rate. Residents who are eligible for the services covered under Medicare Part B will be responsible for an annual deductible plus 20 percent of the total charges for services such as occupational therapy, physical therapy and speech therapy, as well as medical supplies.

Q: How do I know if my loved one qualifies for Medicare Part A benefits?

A: Your loved one must have a Medicare card that reads "hospital insurance" and must have spent a minimum of three consecutive days (not counting the day of discharge) in a hospital. The hospital stay must not have occurred more than 30 days prior to entering the nursing home. Further, a physician must certify that your loved one needs skilled nursing or skilled rehabilitation care on a continuing basis, and the need for skilled care must relate to the reason for hospitalization.

Accommodations & Amenities


Q: Can I come for a tour of the Facility?

A: We always welcome families into our home and encourage you to call us to arrange a tour today. We can accommodate your schedule because we're open 24 hours a day, 7 days a week.

Q: Is television available?

A: All of our residents are provided with 24 channels of free satellite TV service on their own flat screen television.

Q: Do you offer telephone services for residents?

A: Phones are available for use throughout the building for residents and visitors alike. Residents may have private telephone service in their rooms, but the expense of the connection and the monthly bill may be charged to the resident.

Q: How often can I visit my loved one in the nursing home?

A: Our home is open 24 hours a day, 7 days a week, and you are always encouraged to visit. However, it's important to consider your loved one’s special needs -- for medications, rest, medical treatment, etc. -- when planning your visits.

Q: What are the visiting hours?
A: There are no restrictions to visiting hours, only suggestive hours between 10am to 8pm. Especially for our long term residents , this is their home and we want the families to be able to visit as often as possible with no limitations, but of course with consideration to their roommates.

Q: How often will a physician or health professional visit?

A: Physicians will meet with new residents shortly after admission and make weekly rounds of the building. Our nurses have 24-hour access to our physicians and nurse practitioners.

Q: Are pets allowed to visit?

A: Yes. We generally allow domestic cats and dogs to visit, provided they have up-to-date vaccinations and are leashed while in the building.

Q: Can I join my loved one for a meal?

A: Yes. Family and friends are welcome to come for breakfast, lunch, or dinner at a minimal charge. A private dining room can also be reserved for more formal events such as birthdays, anniversaries, or reunions.

Q: Is smoking permitted?

A: No. We are a completely nonsmoking facility. No smoking is permitted on facility grounds.

Q: What should my loved one bring for rehabilitation?

A: Everything you needed for the hospital. Comfortable clothing is needed during therapy time as well as appropriate shoes.

Q: What do you offer in the means of Recreation?
A: Our Recreation dept offers many fun, entertaining and therapeutic activities for our residents. Some examples are, live entertainment, Bingo, crafts, baking, karaoke, card games, horse racing, and religious services. We are very fortunate to have a wonderful staff of volunteers who come in to offer their services as well. For our long term residents, we go out for road trips to bowling, theaters, restaurants, casinos and more.

Q: Do we offer laundry services and what and how much clothing should we bring in? Do we supply adult diapers?
A: We offer laundry services here with no additional charge, we ask for the family to first drop the clothes off so we can professionally label all items of clothing. We recommend bringing in at least 5-7 days worth of comfortable clothing, pajamas and any other under garments that they need. Also a pair of rubber sole shoes or sneakers for therapy. We do supply adult briefs here for residents who need them at no additional cost.

Space is limited, so please be mindful of what is in their closets, especially during changing of seasons, that they have appropriate clothing.


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