Azalealand Nursing Home | SERVICES
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services

SERVICES

Our staff ensures that our residents nursing care, therapy, nutrition and medication are diligently maintained.

OUR SERVICES
NURSING SERVICES

Led by our Director of Nursing Services, our staff ensures that your personal physician’s orders are carefully followed for nursing care, therapy, nutrition, and medication. Our interdisciplinary team develops a care plan to fit each resident’s needs, whether they require acute care following an illness or a hospital stay, a special diet, rehabilitation, or just extra attention and assistance.

Our registered nurses, licensed nurses, and certified nursing assistants are thoroughly trained in and experienced in meeting the needs of older adults.

DINING & NUTRITION

In our Dining Room, our residents enjoy home-style meals without the work or worry of shopping and cooking. Our expert staff prepares three meals a day, plus snacks – each not only wholesome and nutritionally balanced, but tasty and satisfying.

Holidays and cookouts are celebrated with special meals, prepared with each person’s dietary needs in mind. If your doctor recommends a therapeutic diet, our registered dietician will make sure your nutritional requirements are met.

ACTIVITIES & SPECIAL EVENTS

Our Activity Director plans a diverse, well-organized and lively schedule of activities each day. We encourage our residents to participate in whatever interests them, whether it be an old favorite pastime or something new and different. We’re busy every day disproving the notion that all seniors “just sit.” Of course, if a resident would rather relax and take it easy, that’s fine, too.

SOCIAL SERVICES

Many residents and their families find it helpful to discuss their needs with our Social Services Director, who can help with medically-related social and emotional concerns, as well as financial matters.

When residents recover from an illness or an accident, the social worker will help in discharge planning and the transition back to community living. This planning assures the most effective continuing care, either at home or in alternative settings. Our goal is always, as much as possible, to return each person to the mainstream of life again.

MEDICAL AND REHABILITATION SERVICES

Select Medical Rehab is a national organization of highly skilled rehabilitation specialists including occupational therapists, speech-language pathologist, and physical therapists, devoted to achieving and maintaining the highest physical, mental and psychosocial well-being of all residents.

The rehabilitation team at Azalealand Nursing Home coordinates their therapy programs with that of other members of the health care team. Individual treatment objectives are identified and coordinated with the patient, family members, and appropriate community resources to assure maximum independence, safety, productivity, and satisfaction.

  • OCCUPATIONAL THERAPY

    • RETRAINING FOR ACTIVITIES OF DAILY LIVING
    • PERCEPTION COGNITION
    • ADAPTIVE EQUIPMENT
    • COMMUNITY REINTEGRATION
    • HOME EVALUATIONS

  • PHYSICAL THERAPY

    • MOBILITY TRAINING
    • STRENGTHENING
    • BALANCE AND COORDINATION
    • GAIT TRAINING
    • WOUND CARE AND PAIN MANAGEMENT

  • SPEECH LANGUAGE PATHOLOGY

    • APHASIA AND LANGUAGE THERAPY
    • VOICE THERAPY AND SPEECH INTELLIGIBILITY
    • AURAL REHAB FOR HEARING DISORDERS
    • DYSPHAGIA (SWALLOWING DISORDERS)
    • FUNCTIONAL MAINTENANCE PROGRAMS

YES WE CAN

REDUCE OUR USE OF OFF-LABEL ANTIPSYCHOTIC DRUGS

In July, 2012 and in response to the CMS initiative, the staff at Azalealand Nursing Home began to assess the number of residents receiving off-label antipsychotic medication and determined that almost 28% of our residents were prescribed off-label antipsychotic medication. The need for action was apparent.

By October 2013 Azalealand Nursing Home will maintain a quarterly average of no more than 18.5% of our residents to receive antipsychotic medications.

METHODS

Involve the Administrator, Medical Director, DON, Social Worker, Nurse Managers, MDS Coordinator, Certified Nursing Assistant, Pharmacist, Activity Staff and Quality Assurance Coordinator

Identified residents receiving antipsychotic medications

Educated physicians, staff and family members

Reviewed documentation that described the behaviors being monitored to ensure description of target behaviors was accurate and appropriate for antipsychotic medication use

Analyzed Behavior Logs for residents demonstrating behaviors and Behavior Monitoring Forms for residents receiving antipsychotic medication

Identified those residents whose communication was misinterpreted for inappropriate behaviors

Went for the LOW HANGING FRUIT and determined those receiving antipsychotic medication that had no behaviors recorded would be first considered for Gradual Dose Reduction

Enhanced the Activity Assessment tool which resulted in the development of more personal interventions to be included on the resident’s care plan

Monthly consultation with the Registered Pharmacist Consultant for Gradual Dose Reduction

Graphs

Development of a Team

  • Working Together
  • Understanding One Another’s Role

Lack of Understanding

  • Behavior versus Communication
  • Risks of Antipsychotic Medication Use
  • Family Members’ Comfort Level with the Status Quo

Documentation

  • Physicians – Reason for Antipsychotic
  • Nurses – Accurate Reflection of Resident Behavior/Communication
  • CNA – Reporting Behaviors/Communication to Nursing

Impact on Bottom Line of Organization

  • 97% of Residents and Family who Would Recommend to Others
  • Satisfaction Among Residents and Family at/or Above 95% for Quality of Care and Overall Satisfaction
  • Culture Change Among Staff Caring for Residents who Demonstrate Behaviors – An Increase in Staff Feeling of Empowerment
  • Increased Communication Among Staff

How to Sustain Improvement

  • Continue to Educate
  • Weekly Behavior Committee Meetings
  • Assess for Possible GDR with New Admissions During the Initial Assessment Period
  • Monthly Pharmacy Review
  • Celebrate Our Success

Business Outcomes

  • Reduce Cost
  • Increased Referrals
  • Greater Employee Satisfaction

Cricket-Letters

Cricket

MOVING FORWARD

For the Good of Our Residents
Since 1974

SCHEDULE A TOUR

Please let us know if you’d like to visit our facilities and learn more about our skilled nursing and rehabilitation services.