Every patient’s situation is unique and finding the right level of care can be challenging.  In today’s health care industry, there are many different levels of care available to you - from hospital care to adult day care, depending on the severity of your illness or injury.  At Genesis, our primary focus is on skilled nursing and assisted /senior living services.

Hospital

A Hospital is a health care institution providing specialized patient treatment and is not typically for longer-term patient stays. Some patients are admitted to the hospital and stay overnight for several days, weeks or months.  These patients are known as inpatients. Hospitals typically care for patients with the most severe medical needs.

Long-Term Acute Care Hospitals (LTACS)

Long-Term Acute Care Hospitals are hospitals that have an average inpatient length of stay greater than 25 days.  These hospitals typically provide extended medical and rehabilitative care for patients who are clinically complex and may suffer from multiple acute or chronic conditions.  Services include comprehensive rehabilitation, respiratory therapy, cancer treatment, head trauma treatment and pain management.  A typical LTAC patient is admitted following an acute care hospital stay.

In-Patient Rehabilitation

Inpatient Rehabilitation Facility (IRF) is an inpatient rehabilitation hospital or part of a rehabilitation hospital, which provides an intensive rehabilitation program to inpatients which require care for the following conditions:

  • Stroke
  • Spinal cord injury (SCI)
  • Congenital deformity
  • Amputation
  • Major multiple trauma (MMT)
  • Fracture of femur (hip fracture)
  • Brain injury (BI)
  • Polyarthritis, including rheumatoid arthritis
  • Neurological disorders, including multiple sclerosis, motor neuron disease,polyneuropathy, musculardystrophy and Parkinson's disease
  • Burns

IRFs provide nursing care to inpatients on a 24-hour basis, under the supervision of a doctor and a registered professional nurse.  Inpatient Rehabilitation Facilities require more intense rehabilitation than a skilled nursing facility.

Source: http://definitions.uslegal.com/i/inpatient-rehabilitation-facility-irf
http://www.rand.org/pubs/drafts/2005/DRU2981.pdf

Skilled Nursing Facilities

Skilled Nursing Facilities provide nursing care, rehabilitation and other necessary services or treatments. Skilled Nursing requires daily involvement of skilled nursing or rehabilitation staff and that cannot be provided on an outpatient basis. Examples of skilled nursing facility care include intravenous therapy and physical therapy. The need for custodial care (for example, assistance with activities of daily living, like bathing and dressing) cannot, in itself, qualify you for Medicare coverage in a skilled nursing facility. However, if you qualify for coverage based on your need for skilled nursing or rehabilitation, Medicare will cover all of your care needs in the facility, including assistance with activities of daily living.

There are many different service options available within a Skilled Nursing Facility.  Some, like Genesis, offer Alzheimer’s Units and specialized clinical care such as on-site dialysis, ventilator care, orthopedic rehabilitation, long-term care and more.

Source: http://www.medicare.gov/Glossary/s.html

Assisted /Senior Living Facilities

Assisted / Senior Living Facilities provide living accommodations to seniors who can no longer live on their own.  Assisted Living Facilities support resident independence while providing nursing, 24 hours staffing and personalized care if they are ever needed. Generally, residents of these facilities are not sick but have difficulties with activities of daily living. 


Home Health Care

Home Health Agencies deliver brief and intermittent healthcare services directly to the homes of consumers. These services must be ordered by a doctor and can only be delivered in 60 day episodes. The types of services that home health agencies provide include: skilled nursing, therapeutic services (such as physical therapy, speech therapy and occupational therapy), or home health aid services. 

Outpatient Rehabilitation

Outpatient Rehabilitation or Outpatient Rehab is a form of rehabilitation therapy in which patients travel to a clinic, hospital, or other facility specifically to attend therapy sessions and then leave, rather than remaining hospitalized for the duration of their therapy, as is the case with inpatient rehab.

Source: http://www.wisegeek.com/what-is-outpatient-rehab.htm

Adult Day Care

Adult Day Care Centers are designed to provide care and companionship for seniors who need assistance or supervision during the day. The program offers relief to family members or caregivers and allows them the freedom to go to work, handle personal business or just relax while knowing their relative is well cared for and safe.

Source: http://www.eldercare.gov/ELDERCARE.NET/Public/Resources/Factsheets/Adult_Day_Care.aspx