A Continuing Care Retirement Community. Meeting Your Needs and Exceeding Your Expectations. Healthcare Center

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1 A Continuing Care Retirement Community Meeting Your Needs and Exceeding Your Expectations Healthcare Center

2 Welcome to Homewood Mission Homewood at Martinsburg is one of several retirement communities owned and operated by Homewood Retirement Centers, a private, not-for-profit corporation with over 80 years of strong operating performance. Homewood s mission is to establish and operate retirement centers and to provide compassionate, professional, and caring service in order to enhance the quality of life for residents, clients and co-workers. Homewood is affiliated with the United Church of Christ. Healthcare Center Services and Accommodations Homewood at Martinsburg provides skilled nursing rehabilitation services, long-term nursing care, and Alzheimer s Dementia Care (for both Personal Care and Nursing Care levels) specifically geared to the aging population. Age, race, creed, color, national origin, sex, or handicap will not be considered when determining eligibility for admission. Applicants are admitted to residency in the area where their needs can be met most effectively. However, staff reserves the right to transfer residents to other room locations if their needs indicate it is in the best interest of the resident as well as Homewood. The accommodations are primarily single rooms with a few double rooms available. Licensure Homewood at Martinsburg is licensed by the Pennsylvania Department of Health, Division of Long Term Care as a Nursing Care Facility. Homewood at Martinsburg is also licensed by the Department of Public Welfare to provide Personal Care Services and is a charter member of the American Association of Homes for the Aging. Homewood at Martinsburg is also a member of the Pennsylvania Association of Non-Profit Homes for the Aging.

3 Levels of Care at Homewood s Healthcare Center REHABILITATION PROGRAM Often times following a major surgery or medical emergency, returning home can be quite challenging. You may be faced with decreased mobility, unexpected medical needs, and inability to complete daily tasks such as cooking and laundry. To help you make the transition from hospital to home less challenging, the Tenley Rehabilitation Unit, located on the campus of Homewood at Martinsburg, is a special area designated exclusively for short-term rehabilitation. Whether you have had a joint replacement, stroke, injury, etc., our rehabilitation unit offers rehabilitative care that will get you back home! Rehabilitation Team At Homewood at Martinsburg, resident care comes first. Our physical, occupational, and speech therapists strive to deliver some of the finest resident care and clinical expertise in the industry. Our experienced team of therapists from Functional Pathways TM designs a customized rehabilitation program for each individual. The commitment and attention of our staff to each person s success helps make each rehabilitation program a positive experience as residents regain the skills and abilities they need to achieve the independence they desire. Our Rehabilitation Department consists of a caring and creative team of physical, occupational, and speech therapists, physical therapist assistants, occupational therapist assistants, rehabilitation technicians, as well as a per diem therapist who is available most weekends.

4 Physical Therapy Our Physical Therapy program improves the quality of life by promoting resident independence. Each therapy program is customized according to the residents needs and may include the following: Evaluation and treatment for deficits in functional mobility (transfers, gait), wheelchair mobility, coordination deficits, and deficits with sitting, walking, and standing balance Upper and lower body strengthening, range of motion, and endurance training Treatments for seating, standing, and positioning Establishing restorative nursing or wellness programs for carry-over therapy goals Caregiver/Resident training and family education Home exercise programs Recommendation for necessary equipment to be independent Occupational Therapy Our Occupational Therapy program focuses on increasing functional ability with daily activities such as dressing, bathing, and eating. Occupational therapists encourage our residents to perform their own self-care and home management tasks with customized dressing, bathing, eating, and energy conservation techniques. Our program includes: Evaluation and treatment for deficits in Activities of Daily Living (ADLs) Upper extremity/hand contracture management and splinting Education in energy conservation techniques Treatments for sitting and positioning, standing and wheelchair mobility Implementing use of adaptive equipment and instructs in use of equipment Restorative nursing programs for carry-over therapy goals Caregiver/Resident Training Home Management Training Self-Feeding Programs Home Assessment

5 Speech Therapy Our Speech Language Pathologist provides our residents with treatment to increase abilities with swallowing, communication, and cognition. With therapists intervention, residents swallowing needs are met through diet modification and feeding techniques, while cognitive/language needs are met through compensatory strategies for increased safety and independence. Program highlights include: Dysphagia evaluation and treatment for individuals with swallowing difficulties Working closely with our Nursing and Dietary Departments to prevent weight loss Diet modifications Speech/Language assessment and treatment Addressing cognitive deficits and providing strategies for improvement Accommodations of the Tenley Rehabilitation Unit The Tenley Rehabilitation Unit was named in honor of Glen and Betty Tenley in recognition of their generous support of Homewood. As you receive therapy on your quest to return back home, Homewood wants to make your stay here as comfortable and relaxing as possible with all the amenities of home. These include the following: Spacious Private Rooms Laundry Service Mini-Refrigerators in each room Flat screen TVs in each room Alarm clock radios Private phones with outside lines for an additional fee Wi-Fi Meal Selections Access to the Crab Tree Dining Room and Terrace Café Custom Discharge Planning Outpatient Therapy Access to Homewood s Fitness Room, Swimming Pool and Spa, even after you go home During a short-term stay, or as an outpatient, Homewood s Rehabilitation Program will guide you on the path to recovering your active lifestyle. Our therapies utilize Homewood s diverse facility opportunities to maximize and individualize your rehab experience. The Rehab Clinic consists of weights, exercise tables, parallel bars, steps, and Nu-step machines to increase your strength, flexibility, balance, and gait.

6 Accommodations of the Tenley Rehabilitation Unit (continued) Opportunity for more advanced equipment use is found in the Wellness Center s exercise room, which includes multiple-position bikes, treadmills, HUR pneumatic resistive equipment, and elliptical machines. Homewood also provides the advantages of aquatics with a multi-depth pool ideal for weight-bearing limitations and more progressive resistive exercise. But if your day requires more solitude, we can tailor your treatment day to bedside or another quiet area of Homewood. We hope that you find our flexible staff dedicated to exceeding your expectations while accommodating your desire to return home. NURSING CARE Caring, well-trained professionals have been the foundation of Homewood at Martinsburg s Healthcare Center since Our skilled and intermediate nursing is Medicare-certified and has consistently received a 5-Star Overall Rating from the Centers for Medicare and Medicaid Services (CMS). The Healthcare Center provides 24-hour nursing care on a long-term basis for those residents who need continued care. Our nursing staff provides assistance with any resident needs, whether it is bathing, dressing, grooming, medication management, or taking care of feeding tubes, IVs, etc. Individualized treatment plans can include physical, occupational or speech therapy, which are available on site. We offer therapeutic recreation and feature a state-of-the-art Alzheimer s and Special Care Unit offering both personal care and nursing care services. Private and semi-private rooms are available. 8:00-9:00 9:15-10:00 10:15-11:00 11:00-11:45 12:00-1:00 1:15-2:00 2:00-2:45 3:00-3:45 4:00-5:15 5:30-6:30 6:30-7:00 7:00-7:45 Personal Care Daily Schedule

7 ALZHEIMER S DISEASE AND SPECIAL CARE Nursing Care: A specialized unit for the treatment of individuals with Alzheimer s disease and related dementias is available at Homewood at Martinsburg. It includes a structured environment and programming, with specially-trained staff to meet the social, physical, and emotional needs of those afflicted with Alzheimer s Disease or a related dementia. Our Special Care Unit also provides resident access to the Jean Glass Lingenfelter Sensory Lounge. This state-of-the-art room offers stimulation for all five senses to assist in reducing behaviors and stimulating moods. This sensory lounge is used for our residents with Alzheimer s Dementia, depression, and anxiety by exposing them to a soothing, stimulating environment. It ENCHANTS, ENABLES, ENRICHES, and ENGAGES our residents. We invite you to come and see the Jean Glass Lingenfelter Sensory Lounge as well as our Special Care Dementia Unit today where we offer both skilled nursing care and personal care services. Allow Homewood to become the caregiver for your loved one so you can become the spouse, son, daughter, or grandchild again. Personal Care: A specialized unit for those individuals with early stages of dementia who are doing well physically, but who mentally are not safe to be at home alone any longer. This level of care can be difficult to find in our area, making the care offered at Homewood at Martinsburg unique in central Pennsylvania. Our specially-trained staff provides unique programming, meals, and schedules for those with memory and cognitive impairment. The Alzheimer s and Related Dementia (ARD) Unit offers the following: Safety and Security: The unit is secured and is only accessible by punching a key-code to enter or leave the unit. There are two fully-enclosed outdoor courtyards for residents to enjoy during pleasant weather. Hallways are kept clear and free of clutter so that residents are able to wander safely. Structured Daily Routine: Keeping the daily routine stable is a vital part of eliminating mood and behavior issues. With Homewood s structured activities and meal schedules, the day moves quickly, and residents are never bored.

8 Activities at Homewood Homewood at Martinsburg offers a truly unique and diverse Activities Department. This program is devoted to meeting the individual needs and interests of our residents through special social interaction, intellectual stimulation, physical well-being, spiritual support and emotional encouragement on a daily basis. Through the process of assessment and intensive planning, a wide array of life-enriching activities are scheduled and facilitated monthly, daily, and hourly to ensure the highest quality of life for each resident. It is our goal to help residents enjoy vital, fulfilling lives with all of the comforts they have enjoyed throughout their lifetime. Daily programs include music, exercise, dance, creative art, sensory stimulation, and reminiscence groups. Additional regularly scheduled programs include pet therapy, devotional programs, musical entertainment, intergenerational groups, crafts, and baking groups. The activity staff plans extraordinary seasonal events, which include celebrations around major holidays, summer barbeques, safe trick or treat night, family day, and a Christmas candlelight dinner. We offer on-site beauty and barber shop services as well. We also have a community outing program to strive to integrate the residents into the community as much as possible. Shopping trips, lunch outings, trips to the fair, seasonal tour rides, fishing trips, and trips to baseball games are some examples. The department provides an extensive one-to-one program for those who cannot or choose not to participate in daily group activities.

9 Homewood also offers a state-of-the-art sensory stimulation program, the Jean Glass Lingenfelter Sensory Lounge. The sensory lounge is geared toward residents who are unable to participate in other group activities. A variety of stimuli are employed to enhance perception including visual, auditory, olfactory, gustatory, and tactile. Our wonderful team of caring volunteers graciously shares their talents and brightens the lives of the residents each and every day. We continually welcome kind and compassionate individuals and groups of all ages to volunteer at Homewood. Benevolent Fund and Medical Assistance Homewood maintains a Benevolent Fund to assist residents whose funds are depleted. All licensed nursing beds at Homewood are approved for residents who may need Medical Assistance. The potential need for financial assistance will be discussed prior to admission. Homewood Retirement Center does not require individuals and/or their families to sign contracts agreeing to pay private pay rates for a specified period before converting to Medical Assistance coverage. Our facility also does not require individuals and/or their families to supplement Medical Assistance reimbursement as a condition of admission or continued residence in the healthcare facility. Homewood Retirement Center does not require contributions from residents or from persons related to residents as a precondition of admission or continued residence in the healthcare facility. Homewood Retirement Center does not discharge a resident except on grounds that are enumerated in the state codes which include: 1) medical reasons; 2) his/her welfare or that of other residents; or 3) non-payment.

10 Care and Payment: Cost of Care and Payment Guidelines Those individuals who qualify for Medical Assistance (also known as Medicaid) will be given detailed information upon admission or prior to depletion of their funds. Rates are set annually on the basis of audited costs. The basic rate includes room and board, laundry, 24-hour nursing service, social service, pastoral care, a structured activity program, and administrative costs. The daily rate also includes the following nursing services: catheter care, colostomy care, decubitus care, feeding (hand, tube, special diets), and suctioning. Supplies used for these services are not included in the daily rate. Upon admission, residents are designated as to the type of payment for accounting and billing purposes required by the Commonwealth of Pennsylvania. The sources of payment options are: Private Pay, where residents and the responsible party acknowledge that their financial resources are sufficient to pay the facility s per diem rates for all services rendered. Private Pay residents that are eligible for Medical Assistance when all assets noted on the Application for Admission are expended. The resident must also meet medical criteria required by the Commonwealth of Pennsylvania for nursing care. The resident and responsible party agree to assist the facility with any application for Medical Assistance benefits. Medical Assistance, where the resident is approved on day of admission to be eligible for third party payment of Title XIX funds. The resident and responsible party agree to ensure that all allowable co-payments or charges and fees for non-covered items and services shall be paid from the resident s funds.... We will meet your needs and exceed your expectations!

11 Conditions for Admission The resident will meet financial obligations for accommodations, cost of care and incidentals received, recognizing that quoted rates are subject to change. The resident will utilize assets noted on the Application for Admission Financial Information to meet his/her needs. The resident and/or responsible party will notify Homewood ninety (90) days prior to personal resources being depleted. If the resident is enrolled in the Medical Assistance program, the resident will abide by home visit regulations required by the state. Should the resident be away for medical or social reasons, the resident will be responsible for the daily rate for the accommodations reserved in his/her behalf. The resident and/or responsible party is required to give a minimum of three (3) day prior notice to voluntary withdrawal from Homewood. Homewood Retirement Center strongly suggests that the resident have two individuals as Durable Power of Attorney to handle financial obligations and medical decisions in case the resident should become unable to do so. The second person would serve as Durable Power of Attorney only if the first should become unable to do so. The resident authorizes his/her designated Durable Power of Attorney to provide periodic financial disclosure to Homewood. The resident will continue to carry insurance on personal valuables and release Homewood from liability for personal possessions unless loss or damage is caused by any willful or neglectful action of the facility. The resident is responsible financially for medical insurance, personal car insurance, life insurance, professional and civic club dues, as well as personal care items. Any loss or damage to real or personal property of Homewood caused by the negligence of the resident or his/her family shall be charged to and paid for by the resident.

12 Funeral arrangements are the sole responsibility of the resident, resident s family or responsible agent. Homewood offers iron-on name tag labels for all clothing items for $ This service is made possible by our Housekeeping Department. The resident will consent to release medical information when a request is made, through the Medical Director of Homewood, to any physician, hospital, or other medical provider who is providing, or who has provided, any medical services or consultation to the resident. The resident acknowledges that Homewood s failure at any time to implement medical orders applicable to the resident could expose Homewood to liability. In the event, therefore, that the resident should request that Homewood not implement any medical order, the resident agrees to execute waivers of liability as may be reasonably requested by Homewood. 15. If the resident suffers mental or physical deterioration, contracts a communicable disease or threatens violence or causes injury to themselves or another person, to the degree that he/she can no longer receive appropriate care at Homewood, the resident agrees to withdraw from Homewood and be placed in a more appropriate facility. 16. The resident agrees to be transferred to alternate accommodations within the facility as care needs increase or requirements of the facility dictate. 17. The resident agrees to maintain personal behavior that will not violate the tranquility of the facility, or infringe upon the rights and freedoms of other residents, and to have visitors and family members abide by these same guidelines. 18. The resident, visitors, and family will abide by the rules and regulations as outlined in the Residents Handbook, established by the Board of Trustees, including those imposed upon long-term care facilities by the state and federal governmental regulatory agencies.

13 Location Located in central Pennsylvania, our 48-acre campus is nestled between beautiful farmland and breathtaking mountains. You will find shopping centers, hospitals, golf courses and resorts in close proximity to our community. Homewood at Martinsburg is only minutes away from the Altoona/Blair County Airport, and within a short distance from Amtrak bus and rail system and the Pennsylvania Turnpike. At Homewood you will find the convenience you need in a picturesque setting. Directions Coming from South Take I-99N/Rt 220N. Take exit 23 toward PA-36 Roaring Spring. Turn left onto PA-164. Turn right onto PA-866/Market Street. Take fourth right onto Givler Drive. Duncansville Roaring Spring Altoona 866 Hollidaysburg Huntingdon Martinsburg Coming from North Take I-99S/Rt 220S. Take exit 23 toward PA-36 Roaring Spring. Turn left onto PA-164. Turn right onto PA-866/Market Street. Take fourth right onto Givler Drive. Coming from West PA Turnpike Take Rt 22 East. Merge onto I-99S/Rt 220S. Take exit 23 toward PA-36 Roaring Spring. Turn left onto PA-164. Turn right onto PA-866/Market Street. Take fourth right onto Givler Drive. Bedford To Pittsburgh, PA Everett Breezewood Raystown Lake To Harrisburg, PA A Continuing Care Retirement Community 437 Givler Drive Martinsburg, PA Phone: (814) Fax: (814) Website:

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