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NEUROTRAUMA
Residential
Care Facilities | Residential Care | Residential
Listing
Medicaid-Certified Home Health Agency | Private
Duty Home Care Agency
Shared Housing | Homeless Shelter
| In-Home Supports
Residential
Care Facilities
For persons whose care
needs cannot be met in a private home, there are several kinds of residential
care facilities. Talk to your physician about which facility is appropriate
for your situation.
Assisted
Living Facilities is "...a facility consisting of
a building complex offering dwelling units to individuals and services to
allow residents to maintain an independent assisted living lifestyle. The
environment of an assisted living facility shall include one in which meals
are provided, staff are available on a 24-hour basis and services are based
on the individuals needs of each resident. Each resident, family member, and
significant others shall work together with the facility staff to assess what
is needed to support the resident so that the resident can achieve his or
her greatest capacity for living independently. The facility shall be designed
to maximize the independence and self-esteem of limited mobility persons who
feel that they are no longer able to live on their own." Chapter
90, section 321-15.1
Such facilities may provide some or all of the following services: 1) Three
meals a day served in common dining room; 2) Housekeeping services; 3) Transportation;
4) Assistance with activities of daily living - eating, bathing, dressing,
toileting, etc.; 5) Access to health and medical services; 6) 24-hour security
and staff availability; 7) Emergency call systems for each resident's unit;
8) Health promotion and exercise programs; 9) Medication management; 10) Personal
laundry service and/or; 11) Social and recreational activities.
Using a checklist may
help you select the right facility for you: assistive
living facility checklist.
Adult Residential
Care Home is "...any facility providing 24-hour living accommodations,
for a fee, to adults unrelated to the family, who require at least minimal
assistance in the activities of daily living, but who do not need the services
of an intermeidate care facility. It does not include facilities operted by
the federal government. There shall be two types of adult residential care
homes: 1) Type I home for 5 or less residents; and 2) Type II home for six
or more residents." Title
11, Chapter 100
Extended Care Adult
Residential Care Home "means a category of an adult residenital care
home qualifed to serve nursing facility level residents. There shall be two
types of extended care ARCHs: 1) Type I home shall consist of five or less
residents with no more than two nursing facility level residents; and 2) Type
II home shall consist of six or more residents with no more than 10% of the
home's licensing capacity as nursing facility level residents." Title
11, Chapter 101.
Intermediate Care
Facility is "...a facility which provides appropriate care to persons
referred by a physician. Such persons are those who: 1) need 24-hour a day
assistance with the normal activities of daily living; 2) need care provided
by licensed nursing personnel and paramedical personnel on a regular, long-term
basis, and; 3) do not need skilled nursing or paramedical care 24-hours a
day." Title
11, Chapter 94
Skilled Nursing Facility
is "...a health facility which provides skilled nursing and related services
to patients whose primary need is for 24-hours of skilled nursing care on
an extended basis and regular rehabilitation services." Title
11, Chapter 94
Residential
Care
Nursing Facility Care
is for individuals who are chronically ill or who are recovering from an acute
illness requiring extended care but not hospitalization. Services provided
include room and board, a range of medical services as needed, skilled nursing
and personal care services. Using a checklist may help you select the right
facility for you: nursing facility checklist.
Custodial Care
is for people who require room and board plus assistance with personal care.
This type of care is offered in Personal Care Homes and Domiciliary Care
Homes. Personal Care Homes which are facilities for independent adults who
require minimum supervision. They might be supported through Supplemental
Security Income (SSI). Using a checklist may help you select the right facility
for you: board and care checklist or
maybe supported housing checklist.
Our
neurotrauma website also provides a listing of residential options::
Some additional questions
you may want to consider:
- Ask your physician
what level of care is most appropriate to the needs of the individual with
the disability.
- What can you and/or
family members afford (private payment, long-term insurance, etc.).
- Is the facility located
close to family members and/or friends?
- Is the facility licensed?
How frequently monitored and by whom?
- What choices, services
and activities are offered to patients? How regimented versus individualized
are the lifestyles of the patients? Is community access for the patient
an issue?
- What is the condition
of the facility? Clean? Quiet? Are current state-of-the-art equipment being
used? Are they well supplied?
- What are the other
patients like? Any observations of bedsores, dehydration or being underweight?
Neglect, abuse or exploitation? Any challenging behaviors? Any thefts?
- Is privacy being respected?
Is there sufficient closet space and drawer space available and secured
from theft?
- Are staff trained,
certified, licensed? Are the staff trustworthy and truly caring of their
patients. Do staff spend the time to listen to the concerns of their patients
and act on them appropriately?
Medicare-Certified
Home Health Agencies
These agencies are certified
to provide services to Medicare beneficiaries and required to provide part-time,
intermittent skilled nursing services with at least one other therapeutic
service (occupational, physical and speech therapy), or medical social services.
Medicare-certified home health agencies are licensed by the State of Hawaii
to provide skilled care in the home. These organizations also provide services
to Medicaid recipients or those with other types of insurance. When visiting
or asking questions about such agencies, the home
health care (certified) checklist may help you in your selection.
Home Health Agency
is "...a public or proprietary agency, a private non-profit organization,
or a subdivision of such agency or organization which is primarily engaged
in providing direct or indirect skilled nursing services and other therapeutic
services under a physician's direction to homebound patients on a part-time
or intermittent basis (in a placed used as the individual's home)." Title
11, Chapter 97.
Private
Duty Home Care Agencies
Private duty home care
services range from personal care assistants to specialized nursing technologies
on a short term or long term basis. Private duty services are requested
by the individual and the individual assumes responsibility for payment
of the services. Medicare does not reimburse these services. When visiting
or asking questions about such agencies, the home
care services checklist may help you in your selection.
Home Health Agency
is "...a public or proprietary agency, a private non-profit organization,
or a subdivision of such agency or organization which is primarily engaged
in providing direct or indirect skilled nursing services and other therapeutic
services under a physician's direction to homebound patients on a part-time
or intermittent basis (in a placed used as the individual's home)." Title
11, Chapter 97.
Shared
Housing
Shared housing is a
group living arrangement for two or more people. Ideally, this housing arrangement
would serve both the individual with neurotrauma injuries who may need significant
support services as well as shelter, and basically independent persons who
wish to live with others for financial, social or interdependency reasons.
Title
15, Chapter184.
Homeless
Shelters
Homeless shelters may
offer those without shelter and food a short-term or longer term stay depending
on the management policies and availability of funding. Many charitable
organizations start up a homeless shelter and soup kitchen to serve those
who are less fortunate. For a statewide listing, click on shelters
.
In-Home
Supports
Home support services
are available to help with various household tasks such as cleaning, shopping,
minor home maintenance and running errands. Use a checklist to help you
select the right provider for you: home care
services checklist.
Personal care services
involve the use of attendants trained to assist disabled persons with
key activities of daily living such as eating, dressing and personal hygiene.
Personal care services are not available in Hawaii’s State Medicaid program.
For a listing providers
in your community, check our neurotrauma website:
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