How do I qualify for my Medicare benefit?
Medicare does not automatically cover nursing home care. In order to receive Traditional Medicare benefits in an extended care facility the following conditions must be met:

You must have a minimum of a three (3) day in-patient hospital stay prior to admission.
Admission to an extended care facility must take place within thirty (30) days of discharge from the hospital. You must meet the skilled care criteria as defined by Medicare.
The maximum number of days that you may receive Medicare coverage for is 100 days. There is no guarantee that you will receive ALL 100 days. You must remain at a "skilled" level of care as defined by Medicare in order to receive their Traditional Medicare benefits.

What does "skilled" care mean?
"Skilled" care, as defined by Medicare, is care that requires the involvement of skilled nursing or rehabilitation on a DAILY basis. Skilled nursing and rehabilitation staff include: Registered and Licensed Practical Nurses, Physical and Occupational Therapists and Speech-Language Pathologists.

Will my insurance pay for a private room?
Most insurances will only pay for a private room if it is medically necessary. Otherwise, there would be an out of pocket cost for a private room.

Which of your facilities accepts Medicaid?
We have three (3) facilities that participate in the Medicaid program: Woodward Hills Nursing Center, Bloomfield Hills, Michigan - West Bloomfield Nursing Center, West Bloomfield, Michigan and ShorePointe Nursing Center, St. Clair Shores, Michigan. Please note, there are a limited number of beds at each facility.

Admissions/Registration

Explain how I am admitted to your facility.
Once you are admitted to the hospital, a discharge planner will come speak to you about your plans for rehabilitation. At that point you will need to advise the discharge planner which facility you would prefer to use for your recovery/therapy. Hospitals will usually ask for at least three (3) choices of facilities, in the event your first choice is unavailable.

How do you get my information for review?
Ask your social worker or discharge planner to fax your medical information to the Premier Admissions Center for medical review.

Care and Services:

What is long term care?
Long term care is care provided for residents 24 hours a day with maximum assistance - including but not limited to feedings, bathing, administering medications, and treatments such as oxygen, intravenous, wound care and enteral feedings.

What is assisted living and who qualifies?
Assisted living provides independence and comfort for those individuals who require residential and medical oversight only. If you're interested in assisted living, you will be assessed by a nurse to see if you qualify for assisted living.

Are your nurses and CENAs (Certified Nurses Aids) certified?
Yes, Nurses are licensed by the State and CENAs have their certifications.

Do you accept Alzheimer's patients?
Yes.

How many days a week do you offer therapy? How many hours a day?
Our therapists are in the building seven (7) days a week. You are individually assessed upon admission to determine your personal plan of care. The therapists will determine how much therapy you will receive based on specific diagnosis, physician orders, and capabilities.

How often will I be in therapy and how long are the sessions?
On admission day or within 24 hours the therapy department will complete a therapy evaluation using information provided by the hospital, your family and yourself. They will also conduct a thorough individual assessment of you. Your assessment will determine the therapy program best for you. Patients are typically in therapy anywhere from 4-7 days per week - therapy sessions run from 30-60 minutes each.

Do you have doctors on staff?
No. However each facility has several Beaumont physicians that are in the building daily and are available to oversee your medical needs. Please note, a physician will see you within the first 48hrs after your admission.

Other ancillary physician services available include: Physical Medicine and Rehab (PM&R), Podiatry, Eye care, Dental, Wound care, Pain management, and Psychiatry.

Can my doctor come into the facility to see me?
Your private physician may treat you. However your private physician has to follow all facility, State and Federal regulations regarding physician care in a nursing home environment. This can be a daunting task for a physician who does not regularly visit nursing home patients and can prove to be inefficient and consequently not in your best interest. Therefore, we have several physicians that we have contracted with readily available and will provide excellent care. If however you do still wish to be treated by your private physician at one of our facilities, we ask that you inform us of this arrangement.

What is the patient to staff ratio?
Our facilities exceed the state mandated regulations.

Your first day of care:

What can I expect to happen the day I am admitted?

On the day of admission, you will be evaluated by the nursing staff. They will complete a basic assessment to determine your general condition on admission. Within 24 hours of admission, you will also be assessed by the therapy department to determine your capabilities and goals. These individual assessments will determine your individual skilled plan of care.

Also on admission day, the Guest Registration Department will need to see you or your family to complete the registration process. This paperwork must be completed at your facility of choice. Please allow at least 30 minutes for this process. The Guest Registration Department will need a copy of your health insurance cards, prescription drug card, Medicare and Medicaid cards and Power of Attorney (if applicable).

What personal items should I bring with me when I am admitted?
Make sure to bring your own personal clothes. Comfortable clothes are recommended along with a good pair of sturdy shoes. You might also like to bring your own personal toiletries. The therapy department will assess your need for a wheelchair or walker during your stay and we will supply you with one if needed.

During your Stay:

Medications:

Can I bring my own medications from home?
No. The facility will order all your medications directly from the contracted pharmacy. The hospital from which you are being discharged will provide the facility with as a list of current medications you are taking. The physician assigned to your care will be contacted for admission orders and your medications will be obtained from the pharmacy.

Visiting:

What are the visiting hours?
The front lobby hours for Woodward Hills Nursing Center, West Bloomfield Nursing Center and Evergreen Health and Living Center are between 8:00am - 9:00pm daily.

The front lobby hours for Shelby Nursing Center, ShorePointe Nursing Center and ShorePointe Village are from 8:00am - 8:00pm daily.

However, we recommend your guests visit you between the hours of 10:00am - 8:00pm, that way you're up and dressed and breakfast has been served.

Are children welcome to visit?
Yes.

Do you allow pets to visit?
Yes. Pets need to be house broken, well behaved and on a leash.

Meals and Dining:

Do I select my own menus?
Our menus are prearranged however, alternatives are always available at lunch and dinner. Once you're admitted to our facility, a Dietary Representative will visit you. Please make your particular food dislikes, allergies, and general food preferences known. This will notify the Dietary Department what types of foods you would prefer. Every effort will be made to meet your dietary preferences.

Can my family eat with me at the facility?
Yes. Each facility does offer guest meals that are available at a cost of $8.00 per meal. Only the resident or responsible party can charge a meal to your room. Otherwise, meals need to be paid for by cash or check on the day of service. We ask that you have your request into the front reception desk at least two (2) hours before the meal is to start. The meal can be served in your room or in one of our dining rooms.

Do your facilities have a kosher kitchen?
No. However, we do honor dietary preferences and make every effort to accommodate your needs.

Non-medical services and activities:

Do you have a laundry service?
Yes. We do offer a laundry service for your convenience. We label all personal clothing and ask that those items be of a wash-and-wear material (no dry cleaning). Please note, while we offer this service, you can elect to have your family do your personal laundry instead.

Is there a TV and telephone in my room?
Yes. To activate the TV and telephone there is a non-refundable activation fee of $30.00 for the Television and $42.00 for the telephone. In addition, there is a refundable deposit required for each service of $50.00. These fees are payable by check or cash only. We do not accept credit cards. The facility will also bill the resident a daily fee for the usage of each service. Please inquire with the Guest Registration Department regarding the daily costs. Once you are discharged from the facility, the $50.00 deposit will be used towards any of your outstanding balances. The remainder of the deposit will then be refunded to you, by check, in the mail. This refund will be sent to you the first of the month following your discharge from the facility.

Can I use my cell phone? Can I bring my own TV?
While we do allow the use of cell phones, please note that all of our facilities follow a zero liability policy for lost or damaged items. Additionally, we do not allow you to bring your own TV from home but are able to supply you with one if requested.

Do you offer wireless internet access or computers for your residents and their families?
Cable, Satellite and limited internet services are available at this time.

What kinds of activities do your facilities offer their residents?
Each facility offers a wide variety of different activities, ranging from Bingo - Book Club - Cooking Classes - Day trips - Arts and Crafts to live entertainment. You will need to contact the individual facility of your choice to get a more specific Activities Schedule.

Are there religious services available?
Yes. A list of religious services is outlined in the Activities Calendar of each facility.

Do you have a beauty shop?
Yes. Each facility offers beauty shop services. You will need to contact the individual facility of your choice to determine what days the salon is open, what services they provide, and what the charges are. Please note that the charges will be billed directly to you account, so there is no need for you to have cash.

Do you have a podiatrist, eye doctor, or dentist?
Yes. Each facility has ancillary physicians available when needed as well as psychiatrists.

Roommates living arrangements:

Will I be with a similar type of roommate?
We make every attempt to assign rooms to compatible individuals.

What if I don't get along with my roommate?
In the rare instance that two roommates do not get along, we will make every effort to find a new room for the patient.


Premier Home ShorePointe Village ShorePointe Evergreen W.Bloomfield Woodward Hills Shelby Cherrywood
Premier Health Care	39312 Woodward Avenue, Suite 100 Bloomfield Hills, MI 48304 248.647.2900	Copyright 2008 All Rights Reserved