JRHR is a home-like setting designed to meet the needs of terminally ill individuals whose needs cannot be met in the home setting. We offer the full complement of Hospice's comfort-oriented care and services including expert pain and symptom management, nursing care, assistance with the tasks of daily living (feeding, bathing, dressing, etc.), friendly visits from volunteers, spiritual and psychosocial counseling for patients and their loved ones, individual bereavement counseling and support groups for surviving family members. The JRHR is situated on 11 beautiful acres in New City, amidst a peaceful setting of streams, woodlands, wildlife and a pond. Amenities include:
Individuals must meet hospice eligibility requirements. We will assess the medical, psychological and spiritual needs of each patient to ensure the highest level of care is provided.
There are ten residential beds and two can be used as hospice general inpatient beds. The general inpatient beds are designed and licensed for patients who require short-term acute care (symptom management). These beds can be filled either by a patient coming from the community setting or from the hospital for further acute care provided within the hospice framework. Each patient will be evaluated on case-by-case basis to determine our ability to meet their needs at the residence. Patients in JRHR inpatient beds may be discharged home or may move to a residential bed if there is a desire for continued care in the residence and for whom there is a payment stream available. For patients transferring from a hospital to a hospice inpatient bed, a discharge plan must be in place prior to admission to the JRHR. (Where will the patient be going after they no longer qualify for general inpatient care at JRHR?)
There are two charges for hospice residential care:
a. Room and board which includes: 24 hour care and supervision by hospice staff, private room, accommodations for a family member to spend the night, meals, telephone, wireless internet service, cable TV and use of public areas inside and out, etc. This will be paid privately by the resident, their designee or Medicaid (if eligible) that must be in place at time of admission. For those with commercial insurance and private long-term care insurance, we will explore the potential for coverage. The room and board rate for JRHR is similar to other nearby hospice residences and nursing homes. When a patient is receiving inpatient level of care it is usually covered by Medicare, Medicaid and most private insurance.
b. Daily Hospice Rate (medical/nursing care)-Either routine home care or inpatient level of care as described above. When a patient is in a residential bed, their health insurance will be billed for routine home care which usually covers the traditional services provided in the community setting.
Each patient that will be served at the residence must sign an admission agreement indicating their willingness to accept financial responsibility for room and board payments. If a patient is unable to sign the document, a representative must sign and accept responsibility. A two week deposit will be required and will be continued every two weeks thereafter. We accept credit cards.
Stays at the residence are anticipated to be fairly short term. The cost of care will not continue for years (as a result of eligibility for hospice care) as nursing home care often does for the chronically ill.
We have developed guidelines to help us make decisions. They are not meant to be a rigid policy but designed to help us serve those most in need. All patients must be eligible to receive hospice care. Patients with anticipated short stays will be given priority so we can serve more individuals/families. The prioritization guidelines are as follows:
a. Patient already in an inpatient bed, requiring a residential bed.
b. Current hospice patient no longer safe at home seeking a residential bed.
c. Current hospice patient in the hospital who cannot return home.
d. Patient in the hospital who is not on hospice but needs residential care.
e. Patient in the community who is not on hospice but needs residential care.
f. Patient transferring from some type of facility (nursing home, assisted living) within Rockland County.
g. Someone requiring residential care who does not live in Rockland County but has family residing in Rockland.
h. Someone requiring residential care who does not live in Rockland County and does not have family residing in Rockland.
All inquiries on behalf of individuals who are not presently on the hospice program should be directed to our Help Center. The Help Center staff will work with the finance department to coordinate that piece of the admission process. Patients currently receiving hospice services in the community should direct inquiries about admission to JRHR to one of their hospice team members.
Admissions will be scheduled with patients/families and other referral sources such as discharge planners, case managers, etc. We will try to be as flexible as possible but many factors play a role in our decision regarding the date and time of the admission. We will do our best to mutually accommodate the needs of potential patients/families, current residents, referral sources and residence staff. Transportation will be based on the needs of the patient and arranged on a case-by-case basis.
There is no smoking in the residence. There is safe outdoor space designated for smoking. We have a chef on site five days/week. Meals will be prepared in advance for when the cook is not there. Meals will be customized to the needs and preferences of each resident. Pantry areas, both kosher and non-kosher, will enable family members to bring and store food from home. A microwave will be available for patient and family use. Snacks and beverages will be provided for patients and visitors. Visitors can purchase meals from a daily menu. Pets are allowed to visit but must be leashed and supervised by the person who brings them at all times. Children are welcome visitors and must always be supervised by an adult. We will have games, books and a computer for their use.
Outside doors are programmed to lock at a designated time. Entry points have video intercoms so that staff can see and speak to the person at the door before giving him/her access. Security cameras are in place internally in strategic locations.