Lexington Health Network

Frequently Asked Questions and Glossary of Terms

Frequently Asked Questions

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How can I get more information on the admission process to a Lexington Health Care and Rehabilitation Facility?

Please contact our intake team at: 1-855-539-6374 or intake@lexingtonhealth.com for details on how to be admitted to a facility most convenient for you. We promise to provide you or your loved one with the finest care and the respect and dignity you deserve. Our admission process will ensure your smooth transition to Lexington Health Network, and our dedicated staff will guide you through each step, making sure everything is clear and understandable. There are many reasons someone may come to a Lexington Skilled Nursing and Rehabilitation Facility.  Perhaps it is for a short respite stay, or you just need more time to gain strength from a illness or injury, or you might be coming directly from a hospital.

Transition from a hospital

If you or your loved one is joining us from a hospital, communication with the hospital’s discharge staff is necessary. This will require a verbal or written release from you. This release allows the hospital to provide us with key medical information needed for admission to Lexington Health Network. This information is critical for determining the level of care you will require and optimum utilization of your health benefits. If necessary, a member from Lexington can visit you for an on-site assessment to assure accuracy, facilitate discharge, and answer any questions you have. Your attending physician will determine your discharge date with the hospital. If your current physician is unable to continue care after you transfer to Lexington, we will help you find a new physician who meets your healthcare needs.

What information or documents are needed for a transition from a hospital?

You will review and sign an Admission Agreement Contract before you are admitted into Lexington. This contract gives us consent to provide treatment and care. We will address your concerns, needs, and answer any of your questions.

Before admission to Lexington Health Network, please bring the following documents and information: advance directive, a living will, or power of attorney documents (if you have them). Bring your Medicare card, Medicaid card or application, Medicare Part D card, photo ID, insurance cards, supplemental or other insurance information, Social Security card, and financial information, including assets and income (this information assists us to complete applications for Medicaid on your behalf if needed.

Transition from a non-hospital community or residence

If you or your loved one is coming to us from a non-hospital setting (a retirement center, assisted living facility, or a private home), the following steps are necessary before admission: PRE-SCREENING from a community senior services agency. We can refer you to an agency in your area. This screening is required by the State for any facility (Lexington or non-Lexington) and determines the level of need for nursing home care. Once the screening determines long-term care is necessary, admission to a long-term care setting must occur within ninety days. A PHYSICAL taken no more than five days before admission or within seventy-two hours after admission to one of our centers. Your physical must include a current medical history to help us better understand your needs. A list of CURRENT MEDICATIONS you are taking. Upon receipt of required information, we will contact you to set a time and date for admission.

What is the difference between acute and sub-acute therapy?

Intensity and length of stay are the main differences between the two therapies.

Acute therapy: must tolerate at least 3 hours of therapy 5 days a week. 

Sub-acute therapy: intensity of therapy is able to be adjusted to the patient’s tolerance, but can be up to 2.5 hours a day and will receive 6-7 days a week therapy.  Pts are able to have a bit longer treatment time.  There are situations where we could work on activity tolerance and work towards the goal of transition to acute rehab when they are ready for more intensity.

 An additional difference is physician visits in acute rehab. Acute rehab was designed to care for higher levels of illness such as spinal cord injuries or complex strokes. Patients will typically be seen by a physician up to three times a week.

What information or documents are needed for a transition from a non-hospital community or residence?

Your review and signature of the Admission Agreement Contract are required before admission to all long-term care facilities. This contract gives us your consent to provide treatment and care. We prefer to meet with you in advance of admission to address your concerns and answer questions you may have before joining our family. Advance payment may be required. Before admission to Lexington Health Network Skilled Nursing locations, please provide the following documents and information: an advance directive, a living will, or power of attorney documents (if you have them), Medicare card, Medicaid card or application, Medicare Part D card, photo ID, insurance cards, supplemental or other insurance information, Social Security card, and financial information (including assets and income).

Your financial choices

Lexington Health Network Skilled Nursing locations are certified for participation in the Medicare and Medicaid programs. We also work with many private insurers and Health Maintenance Organizations (HMOs). Our financial coordinator will answer your questions and help you understand your financial options. Please see below for frequently asked questions about Medicare and Medicaid to help you understand these options.

What is Medicare?

Medicare is a health insurance program for people aged sixty-five and older or for younger individuals with certain conditions or disabilities.

Do Lexington Health Network’s skilled nursing locations accept Medicare?

Yes, all Lexington Health Network skilled nursing locations are certified to accept individuals covered by Medicare. Contact us to determine availability for this program at any of our locations.

How is my eligibility determined?

Medicare determines eligibility requirements to use the benefit in a skilled nursing facility.

What are the eligibility requirements for Medicare?

An individual with Medicare Part A benefits must spend three consecutive nights in an acute-care hospital and have a physician certify that the patient requires daily skilled care. Admission to a Medicare certified skilled nursing facility must take place within thirty days from hospital discharge.

Where can I obtain additional information about Medicare?

Contact Medicare at (800) 633-4227, or visit their website at www.medicare.gov

What is Skilled Care?

Medicare defines skilled care as “care that is provided under the direct supervision of a licensed staff”. Medicare does not cover routine care or assistance with activities of daily living, such as walking or bathing (Medicare refers to this type of care as “custodial care”).

What services does Medicare cover?

Services covered include a semi-private room, therapy, meals, medications, medical supplies, skilled nursing care, medical social services, and dietary counseling.

How long will Medicaid coverage last?

The individual will begin using the coverage upon admission. The maximum benefit period is 100 days if the qualifying conditions are met. You will be notified when you no longer meet the requirements for skilled care benefits.

What does Medicare pay?

On day 1 through 20, Medicare pays 100% of the covered charges. A daily co-insurance payment will apply on days 21-100.

How is the co-insurance amount covered?

Co-insurance payment can be covered in three ways: Supplemental insurance, private payment or financial assistance from the State of Illinois under the Medicaid program.

What happens when Medicare coverage ends?

If you would like to remain in our facility after your coverage ends, our financial coordinator will help you understand your payment options. If you choose to return home, our staff will assist you or your family with care planning.

What is Medicaid?

Medicaid is a state-administered program designed to assist individuals who need financial assistance to pay for medical care. The Illinois Department of Health Care and Family Services (HFS) administers the program. For more information you may contact them at (800) 843-6154.

Do Lexington Health Network’s skilled nursing locations accept Medicaid?

Yes, all Lexington Health Network Skilled Nursing locations are certified to accept individuals covered under the Medicaid program.

Who can obtain Medicaid assistance?

The Department of Health Care and Family Services (HFS) requires Illinois residency, U.S. citizenship, a need for medical care, and the completion of an application. The State of Illinois sets income and asset requirements.

How do I apply for Medicaid?

We can provide you with an application, assistance filling it out, and a list of the supporting documentation HFS requires.

What services does Medicaid cover?

Services covered include room and board, nursing care, meals, and certain medications (Medicaid does not cover all medications). A detailed list of covered medications is available from our financial coordinator.

What happens to a spouse who may reside in the community?

DHS guidelines indicate what money you can keep and what must be used for care and services. Our client services department can provide you with a list.

What happens to the resident's Social Security or pension check?

In most instances, these checks are paid to the facility to cover the resident’s portion of the monthly fee.

Where can I obtain additional information on Medicaid?

For more information, contact HFS at (800) 843-6154 or via their website at www.hfs.illinois.gov (Department of Health Care and Human Services).

Glossary of Terms

A
Activities Director

Skilled-nursing-care centers are not limited to medical professionals. Some roles focus on social well-being and quality of life. Activities directors oversee events and activities in assisted-living care and skilled nursing care settings. On-site opportunities might include entertainment, education, and social interaction with other care recipients. External events can range from shopping to religious services.

Activities of daily living (ADLs)

Activities of daily living are the everyday activities of self-care one performs to maintain one’s health and well-being. Basic ADLs include eating, bathing, dressing, toileting, personal hygiene, and getting in and out of bed.

Acute

A sudden and severe condition.

Administration on Aging (AOA) 

The Administration on Aging is an agency of the U.S. Department of Health and Human Services that advocates for older people and addresses their concerns at the federal level. The AOA works closely with its nationwide network of state and area Agencies on Aging (AAA).

Administrator

The administrator leads a skilled-nursing facility’s day-to-day business and its clinical care staff. Administrators typically have a bachelor’s or master’s degree in their field and a state license.

Advance directive 

A written statement of an individual's preferences and directions regarding health care. Advance directives protect a person’s rights even if he or she becomes mentally or physically unable to choose or communicate preferences regarding medical treatments.

Age-associated memory impairment 

Mild memory loss that increases with age. Mild memory loss is normal and should not be confused with forms of dementia, which are progressive and affect everyday living.

Alzheimer's Disease 

Alzheimer’s Disease is the most common form of dementia, affecting memory, thinking, and other mental abilities. Alzheimer’s develops slowly and gradually worsens over time. While there is no cure for the condition, there are treatments to help manage the symptoms.

Aphasia 

The loss of ability to express oneself and/or understand language.

Apraxia

Inability to carry out complex or skilled movements due to deficiencies in cognition.

Area Agencies on Aging (AAA) 

Local government agencies that provide or contract for services for older persons within their area.

Assessment 

Determination of a resident’s care needs, based on a formal, structured evaluation of the resident’s physical and psychological condition and their ability to perform activities of daily living.

Assisted living care 

Assisted-living care is a long-term care option that offers a variety of personal and medical care within a home-like setting. Assisted-living facilities range from a private room or apartment to a multi-unit facility specializing in Alzheimer's care. The goal of assisted-living care is to maintain maximum independence. Assisted-living care is also sometimes called “residential care”.

B
Benefit period

A measure of the time a patient spends in the hospital or at a skilled-nursing facility, used by Medicare Part A to determine the amount a covered patient pays for that care.

C
Cardiopulmonary resuscitation (CPR)

Emergency procedure performed to support and maintain breathing and circulation.

Care plan

An individual patient’s regimen of medical care, determined by the patient’s doctor and nurses.

Care plan meeting

In-person review of care treatments. Meetings typically include care provider(s), loved one(s), and the care recipient, as applicable.

Caregiver stress

The emotional or physical strain caused by the challenges of caregiving. Caregiver stress may cause feelings of anger, anxiety, exhaustion, frustration, illness, or sadness.

Caregiver 

An individual who cares for or regularly looks after another person who is sick, elderly or disabled.

Census - (Occupancy Rate)

A measure of inpatient-health facility use, determined by dividing available bed days by patient days. It measures the average percentage of hospital’s beds occupied and may be institution-wide or specific to one department or service.

Center for Medicare and Medicaid (CMS) 

The arm of the U.S. Department of Health and Human Services that finances and administers Medicare and Medicaid. Among other responsibilities, CMS establishes standards for the operation of nursing-care facilities that receive funds under the Medicare or Medicaid programs.

Certified Nursing Assistant

Certified nursing assistants help with personal care needs, such as bathing, dressing, and eating. Responsibilities might include changing linens or transporting a care recipient. CNAs are licensed and trained to work under the supervision of a licensed practical nurse (LPN) or registered nurse (RN).

Chronic obstructive pulmonary disease (COPD)

A group of chronic respiratory disorders characterized by the restricted flow of air into and out of the lungs. The most common example is emphysema.

Chronic 

Lasting, lingering, or prolonged illness or symptom.

Cognition

The process of knowing, being aware of thoughts, and the ability to reason and understand.

Cognitive impairment 

A diminished mental capacity, such as difficulty with short-term memory.

Coinsurance

An amount of money a patient is required to contribute toward covered skilled-nursing services after meeting his or her deductible. Coinsurance is usually a percentage of the total amount approved by Medicare or a private insurance provider.

Companion care 

Non-medical services provided in a patient’s home. Examples include, but are not limited to, helping with everyday activities, making meals, grooming, and ensuring safety.

Congestive Heart Failure (CHF) 

A common type of heart disease characterized by the inadequate pumping action of the heart.

Conservator 

A court-appointed person appointed to act as the legal representative of a person who is mentally or physically incapable of managing his or her affairs.

Continuing Care Retirement Communities (CCRCs) 

Housing communities that provide levels of care based on resident needs, from independent-living apartments to skilled-nursing care. Residents move from one setting to another as needed but continue to remain a part of their CCRC.

Continuous Positive Airway Pressure (CPAP) therapy

CPAP therapy is a highly effective treatment option for patients with sleep apnea. This treatment releases mild air pressure through a custom-fit mask, keeping the airways open during deep sleep.

CPAP Therapy

CPAP (Continuous Positive Airway Pressure) therapy is a highly effective treatment option for patients with sleep apnea. This treatment releases mild air pressure through a custom fit mask, keeping the airways open during deep sleep.

D
Deductible Period

Length of time before long-term insurance benefits take effect. Also called “elimination period” or “waiting period”.

Deficiencies

Areas in which a skilled-nursing facility does not meet state standards as determined by inspection.

Dementia

A general term used to describe a set of symptoms that affect intellectual and social abilities such as memory, problem-solving, and communication.

Dementia Care

Dementia is the general term used to describe a set of symptoms that affect intellectual and social abilities, such as memory, problem-solving, and communication. Alzheimer’s is the most common form of dementia. Each person’s symptoms and progression differ. Consequently, there are many treatments and care options available for people diagnosed with dementia.

Dietary counseling

Assessment of a patient’s nutritional status and recommendations based on the patient’s health needs, administered by a registered dietitian or registered nutritionist.

Dietitian

Dietitians focus on healthy eating and proper nutrition. They prepare meal plans, offer nutritional guidance, and oversee meal service or diet programs. Dietitians typically have a bachelor’s degree. Education, training, and licensing requirements vary.

Director of Nursing

The registered nurse who oversees patient care in a skilled-nursing facility.

Discharge planner

Social worker or nurse who assists patients and their families with health care arrangements following a hospital stay.

Do Not Resuscitate Order (DNR)

By default, hospital, NH, and EMT staff will try to resuscitate a patient who has stopped breathing or whose heart has stopped. A Do Not Resuscitate Order (DNR) is a request that instructs medical professionals not to attempt cardiopulmonary resuscitation (CPR).

Dual eligibles

People who qualify for both Medicaid and Medicare.

Durable Power of Attorney (DPA)

A Durable Power of Attorney (DPA) is a written authorization that names another person, such as a loved one or family member, as a health care agent or proxy. This document allows the designated person to make medical care decisions for you.

Dysphagia

A swallowing disorder causing difficulty in oral preparation for swallowing. The person has difficulty moving material from the mouth to stomach.

F
Fiscal intermediary (FI) 

Private health-insurance company under contract with the Health Care Financing Administration (HCFA) to handle claims processing for Medicare Part A.

G
Geriatric care manager (GCM)

An aging and elder care specialist who assists caregivers, older adults, and people who have disabilities or chronic needs.

Geriatrics 

The branch of medicine that focuses on providing health care for the elderly and the treatment of diseases associated with the aging process.

Grievance 

Concern or complaint.

H
Healthcare provider 

Any person, organization, or institution that offers health care services to consumers.

Health Insurance Portability and Accountability Act of 1996 (HIPAA)

A federal law that allows people to qualify immediately for comparable health insurance coverage when they change their employment relationships. This legislation sets a precedent for federal involvement in insurance regulation. It sets minimum standards for regulation of the small group insurance market and a set group in the individual insurance market in the area of portability and availability of health insurance. Because of this law, hospitals, doctors, and insurance companies are now required to share patient medical records and personal information on a wider basis. This wide-based sharing of medical records has led to privacy rules, greater computerization of records, and consumer concerns about confidentiality. HIPAA also required the creation of federal law to protect personally identifiable health information, if that did not occur by a specific date (which it did not). HIPAA directed the Department of Health and Human Services (DHHS) to issue federal regulations with the same purpose. DHHS issued HIPAA privacy regulations (the HIPAA Privacy Rule) as well as other regulations under HIPAA. HIPAA gives HHS the authority to mandate the use of standards for the electronic exchange of health care data, to specify what medical and administrative code sets should be used within those standards, to require the use of national identification systems for healthcare patients, providers, payers (or plans), and employers (or sponsors), and to specify the types of measures required to protect the security and privacy of personally-identifiable health care information. Also known as the Kennedy-Kassebaum Bill, the Kassebaum-Kennedy Bill, K2, or Public Law 104-191.

Hospice Care

Hospice care offers comfort and support to those nearing the end of life. Hospice is a care philosophy focused on reducing suffering rather than curing a condition. Hospice addresses physical, spiritual, social, and emotional needs of dying individuals and their loved ones. Hospice care can include pain medication, therapy, or counseling.

Hospital insurance

Coverage for qualified hospital and skilled-nursing facility care by Medicare Part A or private insurance provider.

Hospital patient advocate

A hospital employee who helps resolve patients’ and loved ones’ concerns.

Home health care (in-home care)

Care that takes place at home. It may be unpaid or paid care provided by loved ones, friends, or professional caregivers. In-home care typically includes assistance with day-to-day tasks, such as bathing, walking, or cooking.

Home sleep test

A home sleep test (HST) is a portable testing device used at home to diagnose patients with moderate to severe Obstructive Sleep Apnea (OSA).

Hospice and palliative care

Hospice is a medical specialty that provides comfort and dignity by “treating the entire patient” and their family when illness no longer responds to cure-oriented therapies. Lexington Hospice partners with you, your family, and your physician to provide quality, compassionate end-of-life care.

Home Health Care (In-home care) 

Care that takes place at home. It may be unpaid or paid care provided by loved ones, friends or professional caregivers. In-home care typically includes assistance with day-to-day tasks, such as bathing, walking, or cooking.

I
Incontinent

Partially or totally unable to control bladder and/or bowel functions.

Independent Living 

A facility for seniors who are healthy, mobile, and capable of living on their own. Independent-living facilities may also offer some level of care should residents need it.

Infusion Therapy

Infusion therapy is the administration of liquid medications or solutions (e.g., nutritional additives, antibiotics, or chemotherapy) directly into the body using an intravenous (IV) route. The Certified Registered Nurse Infusion (CRNI) designation is an earned credential that certifies specific expertise and skill level. Registered nurses (RNs) do not require this special certification to deliver infusion therapy.

Inpatient Care 

Health care provided to an individual in a hospital or other institutional setting.

ICARE Promise

Lexington’s promise to patients, residents, and employees. We promise to: I – introduce ourselves, C – always be compassionate and courteous, A – always be positive, R – take responsibility and do what is right, E – exceed expectations. Any team member should be able to answer your questions or concerns. If the response you receive is unsatisfactory, we encourage you to call our I CARE HELPLINE (630) 748-3552 to share your experience and provide feedback. Leave a detailed message, and someone will return your call during normal business hours.

L
Length of Stay (LOS) 

The duration of an episode of care for a covered person. The number of days an individual stays in a hospital or inpatient facility. May also be called Average length of stay (ALOS).

Letter of Instruction

A Letter of Instruction is not a substitute for a will, but it offers similar points of guidance. In the letter, you can name individuals to look after children or pets, direct people to important documents or accounts and include a list of important contacts such as an employer, attorney, or financial advisor. You can also specify memorial or funeral instructions.

Licensed Practical Nurse

Licensed practical nurses (LPNs) are certified professionals who have completed at least one year of post-high school education. LPNs often provide basic bedside care under the direction of a registered nurse (RN) or physician. Duties may involve monitoring vital signs, changing dressings, or collecting samples for medical tests. Licensed practical nurses can also assist with personal needs, such as bathing, dressing, and walking.

Living Will

A Living Will is a legal document that specifies the medical or life-sustaining treatments you do or do not want in the event you are unable to make your own decisions or communicate.

Long-term care 

A broad spectrum of medical and support services provided to persons who have lost some or all capacity to function on their own and who are expected to need such services over a prolonged period.

Long term insurance 

Private insurance to cover long-term care needs.

Long-term Care (LTC) 

A set of health care, personal care, and social services required by someone who has lost, or never acquired, some degree of functional capacity (e.g., the chronically ill, aged, disabled, or mentally disabled). Care can take place in an institution or at home on a long-term basis. The term is often used more narrowly to refer only to long-term institutional care provided in nursing homes, homes for the mentally disabled, and mental hospitals. Long-term care can be provided at home, in the community, or in various types of facilities, including nursing homes and assisted living facilities. Most long-term care is custodial care. Medicare does not pay for this type of care if this is the only kind of care a person needs. However, Medicaid and long-term care insurance plans do provide some coverage for long-term care. Ambulatory services such as home health care, which can also be provided on a long-term basis, are alternatives to long-term institutional care.

LexConnect

LexConnect is a Telemedicine solution only available at Lexington Health Network. Lexington Health Network is leading the industry by combining technology and remote clinical assessments to provide exceptional care to our patients 24/7. LexConnect is our custom Telemedicine solution that extends our existing daily advance practice nurse coverage within our skilled-nursing facilities. LexConnect is used Monday to Friday 6:00 pm to 8:00 am, 24 hours a day, weekends and holidays. This tool allows us to minimize stress on our patients and residents and offer peace of mind to them and their families.

M
Medicaid

Medicaid is a joint federal and state health insurance program available to those with limited income and resources. Eligible individuals include pregnant women, children age nineteen or younger, people age sixty-five or older, and those who are blind, disabled, or in need of nursing home care. Medicaid will pay for skilled nursing care, provided the care center is certified.

Medical Care

Medical care in a skilled-nursing-care center may be one-to-one (attending physician) or one-to-many (medical director). Physicians oversee medications, examinations, and treatments. They work with staff, residents, and families to develop care plans.

Medical director 

A physician who oversees medications, examinations, and treatments.

Medicare

Medicare, a health insurance program administered by the federal government, is available to people who are age sixty-five or older, permanently disabled, or affected by kidney failure or long-term kidney disease. There are four different parts of Medicare. Each part covers specific services: Medicare Part A (Hospital Insurance) includes limited nursing-care facility coverage, Medicare Part B (Medical Insurance), Medicare Part C (also known as Medicare Advantage), Medicare Part D (Medicare Prescription Drug Coverage). Medicare does not provide a comprehensive long-term care component. In general, it does not pay for assisted-living costs, though it may cover short-term services, such as on-site therapy. If certain conditions are met, Medicare offers limited coverage for Medicare beneficiaries who require skilled nursing care or rehabilitation-care services. For days one through twenty, Medicare will pay 100% of covered services. For days twenty-one through one-hundred, you or your loved one will need to pay a daily co-payment. The daily co-payment can change each year. In 2011, it was $141.50 per day. To receive coverage, you or your loved one must have been admitted to a hospital for at least a three-night stay prior to receiving care from a Medicare-certified skilled-nursing center.

Medicare part A 

Hospital insurance that helps pay for inpatient hospital care, limited skilled nursing care, hospice care, and some home health care. Most people get Medicare Part A automatically when they turn sixty-five.

Medicare part B 

Medical insurance that helps pay for doctors’ services, outpatient hospital care, and some other medical services that Part A does not cover (like some in-home health care). Part B helps pay for these covered services and supplies when they are medically necessary. A monthly premium must be paid to receive Part B.

Medicare Prescription Drug Plan (PDP or MPDP)

A stand-alone drug plan offered by insurers and other private companies to beneficiaries that receive their Medicare Part A and/or B benefits through the original Medicare Plan, Medicare Private Fee-for-Service Plans that don’t offer prescription drug coverage; or Medicare Cost Plans offering Medicare prescription drug coverage. These stand-alone plans add prescription drug coverage to the Original Medicare Plan and to some Medicare Cost Plans and Medicare Private Fee-for-Service Plans. Managed by commercial and private entities, these PDPs are a type of managed care. When people join a Medicare Prescription Drug Plan, they use the plan member cards when purchasing prescriptions. When they use their cards, they will normally get discounts on their prescriptions, provided that the drugs are on the approved or covered lists and they are not operating within the “donut hole”. Costs will vary, depending on recipients’ financial situations and which Medicare Prescription Drug Plans they chose. If an individual has limited income and resources, he or she may get extra help to cover prescription drugs for little or no cost. All MPDPs are not the same and will have varying costs, benefits, doctor choices, conveniences, and quality.

Medicare supplemental insurance 

Private insurance that pays Medicare deductibles and co-insurances, and may cover services not covered by Medicare. Most plans will help pay for skilled nursing care but only when that care is covered by Medicare. Also called “Medigap”.

Medicare-certified bed

A nursing care facility bed that has been determined to meet federal standards for Medicare patients.

Medigap insurance

A term commonly used to describe Medicare supplemental insurance policies available from various companies. Medigap is private insurance that may be purchased by Medicare-eligible individuals to help pay Medicare deductibles and co-payments. Medigap policies generally do not pay for services not covered by Medicare.

N
Nursing and Rehabilitative Care

Nursing services include assessment, treatments, injections, and administration of medications. Rehabilitative care services might include post-hospital stroke, heart or orthopedic care, or various types of therapy (e.g., respiratory, physical, occupational, or speech therapy).

Nursing care 

Health care services that include medical and personal attention.

Nursing Home (Skilled Nursing Home)

Nursing homes, professionally called skilled-nursing-care centers, offer 24-hour staffing to provide comprehensive services for people requiring a greater level of care than that offered by assisted-living facilities.

Nutritional Management  (Dietary Program)

A care service designed to assist patients with a balanced diet.

O
Occupational Therapy

Occupational therapy helps those recovering from physical or mental illness, injury, disability, or other health conditions. Occupational therapy aims to improve skills needed to complete daily tasks or specific activities. This therapy is available in a variety of settings, including rehabilitative-care agencies, skilled-nursing-care centers, and health clinics.

Ombudsman

Advocate for patient/resident rights and improvements in the long-term care system.

P
Palliative Care

An array of services that provide care for terminally ill patients. Palliative Care also provides support and counseling for families. Also known as hospice care.

Personal Care

Personal care helps with “activities of daily living”. These daily tasks can include help getting out of bed, bathing, using the toilet, dressing, walking, or eating.

Personal Resources

Private payment sources such as savings, investments, and assets.

Physical therapy (PT) 

Physical therapy helps those recovering from illness or injury. It can also improve conditions such as arthritis. Physical therapy works to relieve pain, restore maximum function and prevent future injury or disability. While physical therapy focuses on physical recovery, it can also address psychological, emotional and social factors.

Post-Acute Care

Medical care specifically designed to help a patient recover after a hospital stay.

Preventive care

Regular care designed to screen for health issues, prevent illness, and provide services such as vaccinations, cancer screenings, and checkups.

Public Aid

A program where the government provides financial benefits to the poor, elderly, or disabled.

R
Referral 

The process of sending a patient from one practitioner to another for health care services. Health plans may require that designated primary care providers authorize a referral for coverage of specialty services.

Registered nurse (RN) 

Registered nurses (RNs) provide medical care, education, and comfort to patients. They have completed a nursing program and meet state licensing requirements. RNs are qualified to address an array of medical situations and administer medications and IVs. They may direct other medical providers, technicians, or volunteers.

Rehabilitative Care

Rehabilitative services assist patients recovering from illness, injury, or disease. Rehabilitative treatments help patients regain abilities recently lost. Services might include post-hospital stroke, heart, or orthopedic care, or various types of therapy (e.g., physical, occupational, or speech therapy). Dietary consultation, laboratory, x-ray, and pharmaceutical services may also be included in rehabilitative settings.

Resident care plan

A written plan of care for nursing-care facility residents. Resident care plans are developed by an interdisciplinary-care team and specify measurable objectives and service timetables to meet a resident’s medical, nursing, mental, and psychosocial needs.

Resident care 

Care services that include maintenance of a safe environment, religious programming, housekeeping, and social activities.

Resident councils

Self-governing bodies of residents that voice care concerns to staff and one another.

Resident 

A person living in a long-term care facility. Also referred to as “patients” as nursing facilities are licensed healthcare facilities.

Residents' rights

Rights of those living in an assisted living care facility or skilled-nursing-care facility.

Respiratory Therapy 

Respiratory therapy focuses on cardiology and pulmonology therapies. Respiratory therapists are advanced-practice clinicians in airway management, establishing and maintaining the airway during management of trauma or intensive care and may administer anesthesia for surgery or conscious sedation.

Respite Care

Respite care is a short-term relief program that gives caregivers a break. In respite care, a skilled care professional assumes caregiver responsibilities for a predetermined amount of time. Respite care may range from a few hours to a few weeks. It helps caregivers re-energize, reduce stress, and address personal needs that may have become neglected because of care responsibilities. Respite care can take place at home or a center, such as an adult-day-care center or skilled-nursing-care center.

Restorative Nursing 

A nursing program designed to assist persons who have a debilitating illness or injury. These programs help to restore the person’s abilities so they can continue the healing process.

S
Semi-private room

A room that houses two or more residents or patients in a skilled-nursing facility.

Skilled Nursing Care

24/7 comprehensive care provided in a home-like setting. Skilled-nursing-care centers promote autonomy and choice. They offer a variety of services, social activities, and recreational opportunities. Also called “nursing homes”. All skilled-nursing-care centers require the professional skills of a registered nurse (RN) or licensed practical nurse (LPN). With 24-hour nursing care and many of the comforts of home, skilled-nursing-care centers balance quality care and quality of life. These centers promote autonomy and choice and offer a variety of services, social activities, and recreational opportunities. Residents are encouraged to continue social activities and personal interests.

Skilled Nursing Facility (SNF) 

A licensed institution, as defined by Medicare, which is primarily engaged in the provision of skilled nursing care. SNFs are usually DRG or PPS exempt and are located within hospitals, rehab facilities, or nursing homes. SNFs provide a level of care that requires the daily involvement of skilled nursing or rehabilitation staff that can’t be provided on an outpatient basis. Examples of skilled-nursing-facility care include the delivery of services like intravenous injections and physical therapy. The need for custodial care (for example, assistance with activities of daily living like bathing and dressing) may not qualify for reimbursement in a skilled-nursing facility by Medicare or other health plans.

Social Worker

A social worker in a skilled-nursing-care center (also known as a nursing home), interviews patients and their families and is primarily responsible for providing family-crisis intervention and assisting families with understanding the implications and complexities of the medical or social situation and its impact on lifestyle. This kind of position requires a master’s degree in social work and two to four years of experience in the field or a related area.

Speech therapy 

Therapy that treats a variety of conditions that affect language, communication, eating, or swallowing. It is often used following an injury, illness, stroke, or accident. Speech therapy helps improve language comprehension, speaking ability, and confidence.

Speech-language pathology services

Diagnosis and treatment of issues related to speaking, swallowing, and related activities, provided by a licensed speech pathologist.

State health insurance assistance program (SHIP) 

A national program that offers one-on-one counseling and assistance to Medicare recipients and their families.

Sub-Acute Care 

An inpatient-care service for those recovering from an illness, injury, or disease who do not need to be treated for immediate or acute conditions.

Service Excellence

A unique program only offered by Lexington Health Network. Our goal is to do ordinary things extraordinarily well. We support healing and quality of life while offering an individual a patient-centered experience that feels like home. Because we want your healthcare journey to be as smooth as possible, our service excellence manager is here to guide you every step of the way. Your service excellence manager will ensure you receive exceptional service, have all the information you need, and will partner with you to create the most comfortable and enjoyable experience possible.

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The Joint Commission (JACHO) Accreditation

An independent, not-for-profit organization, The Joint Commission accredits and certifies nearly 21,000 healthcare organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards. Lexington Health Network is fully accredited with JACHO.

Therapist

Therapists provide treatment to improve health conditions or prevent health issues. Therapists may specialize in many areas, such as occupational therapy (OT), speech therapy, physical therapy (PT), or infusion therapy. Hospice-care therapists might focus on spiritual guidance or pain management. Therapists use different methods, ranging from counseling to physical exercise. Education, training, and licensing requirements vary.

Therapy

Treatment of various health conditions, with the goal of restoring or improving abilities and reducing further deterioration or injury.

Transitional Care

A care service designed to provide health care to a patient during a transition from one healthcare setting to another, typically at a hospital, skilled-nursing facility, or the patient’s home.

Telemedicine

Telemedicine was created to treat patients who were in remote places, far away from local health facilities or in areas with shortages of medical professionals. While telemedicine is still used today to address these problems, it has increasingly become a tool used to deliver convenient medical care. Today’s connected patient wants to waste less time in the waiting room, avoid ambulance transfers to the emergency room, and get immediate care for minor but urgent conditions when they need it. Lexington uses LexConnect.

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Volunteer program

A program overseen by the activities coordinator that brings members of the community into the facility for social interaction and to provide recreational activities for residents.