Jane Holman is the admissions director for St. Peter’s Nursing and Rehabilitatio
Jane Holman is the admissions director for St. Peter’s Nursing and Rehabilitation Center, a not-for-profit skilled nursing facility in Verdant Hills, Maryland. St. Peter’s is owned by a local not-for-profit healthcare system, St. Paul’s Medical Center, and has two affiliated long-term care communities on the same campus: Marian Hills, an upscale assisted living community with a memory care unit, and St. Margaret’s Residence, a Section 202 apartment complex for middle- and low-income older adults. St. Peter’s has become an attractive residential care option for residents and their family members following the recent addition of a $10.2 million, state-of-the-art short-term rehabilitation center with private rooms that received a Silver Quality Award from the American Health Care Association.
A prospective resident’s family schedules a visit with Jane on the recommendation of their local church pastor. The prospect’s daughter inquires, “My mom, Janet Jones, has been living with me since the start of the COVID-19 pandemic. She has Medicare Part A and B coverage, as well as retiree health insurance from the federal government (Blue Cross/ Blue Shield). She has savings of $1.3 million from sale of her home in a money market account, and her social security, pensions, and annuity investments total nearly $8,000 a month. I am a nurse and have been taking care of her at home since the start of the pandemic. My family and a new job are putting more and more demands on my time, and I cannot take care of my mom anymore. She has vascular dementia as well as low vision and wears hearing aids. She may need some physical therapy as she has had a recent fall at home. The last time that she was in a hospital was six months ago. I have heard good things about your community and would like her to come here.”
Later that day, a discharge planner from St. Paul’s calls Jane and asks if they can take Mabel Brown for rehab care in St. Peter’s as she is a resident in Marian Hills and has
And here is the three questions you need to answer it .
.1 What long-term care options should Janet Jones and her daughter consider? What level of care would she require?
2. If Jane accepted Janet Jones as a resident, what other types of information would you need about Janet prior to her admission?
.3 Jane decides to take Mabel Brown for rehabilitation services at St. Peter’s. After
three weeks of physical therapy, she is discharged back to her assisted living apart-
ment in Marian Hills. Twenty-five days after she moves back in, she has a serious fall
while trying to use the bathroom. She is sent to St. Paul’s emergency room and is admitted for care for four days. What level of care would you discharge her to after
this hospital visit, what types of services might she need, and why?