Valentine’s Day Messages

Send a Special Valentine’s Day Message to a Resident at The GRAND of Dublin

February and Valentine’s Day are about love, whether it be family, romantic, or platonic. As Valentine’s Day approaches, The GRAND would like to make it easy for you to send our residents a special message to let them know someone is thinking about them on this holiday of love.

For seniors who may feel isolated and lonely, it can be a difficult day. While many people think of the elderly at Thanksgiving and Christmas, Valentine’s Day might be overlooked as an opportunity to make a person’s day feel special. We would like to invite you to send a Valentine’s Day Message to your loved one or to our residents who may no longer have family.

Send a message to one of our residents letting them know someone is thinking about them by filling out the form below. If you do not a have a specific resident you want to reach, simply leave the Resident Name field blank.

Valentine’s Day Messages

What Is BIMS?

BIMS – Brief Interview for Mental Status

Catherine Denlinger, MSW, LSW
Director of Social Services
The GRAND of Dublin

BIMS stands for Brief Interview for Mental Status.  It is a screen used to assist with identifying a resident’s current cognition and to help determine if any interventions need to occur. BIMS is a mandatory interviewing tool for skilled nursing centers.  A social worker is usually the one that would be administering the BIMS.  There is a series of questions that are asked to the resident.  These questions have a score value attached to them.  The total score of all the questions range from 0-15.   The numeric value falls into one of three cognitive categories: Intact, Moderate or Severe.  The BIMS is another tool used to assist with providing the best possible holistic well-being to a resident. 

BIMS

BIMS is administered shortly upon admission to a skilled nursing center.  If a resident is in a skilled nursing center for long term care, then the BIMS would be administered at least quarterly.  If an improvement, decline or significant change occurs with a resident, then another BIMS would need to be administered.   If a resident is at a skilled nursing center for a short period of time, then the BIMS would be administered more often.  A resident would typically be asked these questions shortly upon admission, after 14 days, 30 days and so forth.  The objective of this interview is not to diagnose, but to assist with recognizing a resident’s possible need for further evaluation.  It provides a baseline for a resident’s cognitive functioning.  BIMS is divided into three sections.  The first section looks at a resident’s immediate recall.  The second section looks at a resident’s orientation.  The third and last section looks at a resident’s short-term memory. 

BIMS can present as intimidating and/or invasive toward some residents.  Since it is mandated that skilled nursing centers administer this, it is important to note that it is just one component of a resident’s MDS (Minimum Data Set) which is a combination of many assessments to develop an overall picture of a resident’s functioning.  The MDS helps to determine a resident’s plan of care so that he/she receives the best possible care.  BIMS is one part of the whole in determining the best possible treatment during a resident’s stay in a skilled nursing center.  Here at The Grand, we strive to develop a cohesive treatment plan to maximize a resident’s strengths and assist with a resident’s weaknesses to provide the best quality of care.

Please go to the following link for a sample BIMS and instructions:

http://www.foundationsgroup.net/files/126558935.pdf

Clinical Manager – FT Days

Clinical Manager – Full Time Days

We are currently looking for experienced Clinical Manager to join our team at The Grand, located at 4500 John Shields Parkway, Dublin, OH 43017.

The Grand has 100 beds consisting of Skilled Nursing, Assisted Living and Independent Living and you will be working at a one of a kind, state of the art facility in Central Ohio.

Our Mission:

Our every action must advance our mission: To improve the Quality of Life & Health of those we serve.

Company Overview

Vrable Healthcare is a growing Ohio company privately and locally owned with the vision of providing exceptional care across Ohio. We believe our first responsibility is to the patients we serve. We respect the physical, emotional and spiritual needs of our patients and find that compassion is essential to fostering healing and wholeness. Teaching and learning are fundamental in our efforts. We believe our employees are the source of our success.

Requirements:

  • Graduate of an accredited School of Nursing.
  • Currently licensed as a Registered Nurse in the State of Practice. BSN preferred.
  • Must have 3 years of LTC experience.
  • At least 2 years of management experience.
  • Knowledge of local, state and federal regulations pertaining to facility functions.
  • Excellent communication and interpersonal skills.

Vrable Healthcare is a trusted name providing skilled nursing and rehabilitation services throughout Ohio. We offer competitive wages and benefits including 401k, tuition assistance, and paid vacations.

Vrable Healthcare is a tobacco/drug-free work place and an Equal Opportunity Employer (EOE).

To learn more or apply to this position please visit the job posting.

MDS Nurse – Full Time $2000.00 Sign on Bonus


Hiring MDS Nurse – Full Time

We are currently looking for experienced MDS Nurse to join our team at The GRAND, located at 4500 John Shields Parkway, Dublin, OH 43017.

The GRAND has 143 beds consisting of Skilled Nursing, Assisted Living and Independent Living. You will be working at a one of a kind, state of the art facility in Central Ohio.

Our philosophy is to embrace the ideals of quality care, dignity, independence and vitality. By fostering these ideals for every individual, and by providing necessary skills and care, we promote health and welfare of both the individual and the community.

Company Overview
Vrable Healthcare is a growing Ohio company owned privately by a pharmacist and nurse with the vision of providing exceptional care across Ohio. We believe our first responsibility is to the patients we serve. We respect the physical, emotional and spiritual needs of our patients and find that compassion is essential to fostering healing and wholeness. We believe our patients and their families deserve the best possible healthcare experience. We are committed to the pursuit of excellence in all that we do. Teaching and learning are fundamental in our efforts. We believe our employees are the source of our success. Our organization must reflect the rich diversity of our communities. We are committed to providing a work environment that enables our employees to fulfill their professional, family, and community responsibilities. Our every action must advance our mission: To improve the Quality of Life & Health of those we serve.

Qualifications:

  • Graduate of an accredited School of Nursing.
  • Valid license as a Registered Nurse in Ohio. BSN preferred.
  • Minimum of 3 years LTC experience, 5 years preferred.
  • Excellent knowledge of case mix RUGs (state and federal) and the Federal mandated
  • Medicare PPS process.
  • Minimum of 1 year experience with the RAI process for Medicaid and Medicare
  • assessment completion.
  • Excellent knowledge of the RAI OBRA regulations and Minimum Data Set 3.0 completion
  • requirements.
  • Proficient in ICD Diagnosis coding requirements
  • Excellent knowledge of the care planning process.
  • Proficient computer skills.
  • Excellent communication and interpersonal skills.
  • RAC-CT Certification preferred.

Salary will be commensurate with license and experience.

Vrable Healthcare is a trusted name providing skilled nursing and rehabilitation services throughout Ohio. We offer competitive wages and benefits including 401k, tuition assistance, and paid vacations.

Vrable Healthcare is a tobacco/drug-free work place and an Equal Opportunity Employer (EOE)

Apply for The GRAND of Dublin MDS Nurse position.

What You Need To Know About Skilled Nursing

What You Need To Know About Skilled Nursing

Danielle Batdorff
Director of Admissions
The GRAND of Dublin

What is skilled nursing?

Skilled nursing is a type of intermediate care in which the patient or resident needs more assistance than usual. This setting is designated for physical, occupational, and speech therapies, to aide in strengthening the patient who has a goal of returning to their home at baseline. Skilled nursing services are offered to patients who need IV medications administered, who may have wound care needs, or who may need teaching on medication management, an example of this would be newly diagnosed diabetics.

What is the difference between short-term care and long-term care?

Short term care is a temporary solution that may last from a few days to a few months and is typically provided for rehabilitation and allow for recovery outside of a hospital. Long term care is typically utilized for in-house placement for the duration of the patient’s life, providing permanent custodial assistance.

What social activities are offered?

The GRAND Skilled Nursing ActivitiesSkilled nursing facilities offer a full calendar of social events and activities. Residents are encouraged to join in as many activities and social events as they like. Some examples include; art classes, ice cream socials, bingo and cards, game and movie night, quest performers and church services.

In addition, they offer wellness programs, exercise classes, beauty salons, small dining areas, café and restaurant style dining rooms, and outdoor sitting and walking areas.

 What should I bring with me?

It is recommended that you bring comfortable clothing for working out in therapy along with well-fitting shoes. Personal hygiene items (all labeled with your name), photo ID, insurance cards, advanced directive paperwork (Power of Attorney and Living Will paperwork).

What are the rooms like?

The GRAND of Dublin Skilled Nursing RoomSome facilities offer both single and double occupancy rooms. Each facility has its own characteristics which make it unique and sets it apart from the other down the street. An example; The GRAND offers single occupancy rooms with walk-in showers, individual heating/cooling units, refrigerators, Wi-Fi and cable. Patient’s medications are locked securely in each patient room and we strive to provide a home like atmosphere.

What does Medicare cover?

Medicare part A covers skilled nursing care under certain conditions for a limited time.

* You must have a qualifying hospital stay. This means you meet the minimum 3 night inpatient hospitalization requirement.

* You have part A and days left in your benefit period.

* Your doctor has ordered skilled services due to a medical condition which requires the need for 24/7 nursing care and therapy services offered 5 to 6 days a week.

Medicare covered services include:

  • A semi-private room
  • Meals
  • Skilled nursing care
  • Physical and Occupational Therapy
  • Speech-Language Pathology Services
  • Medical Social Services
  • Medical supplies and equipment used in the facility
  • Ambulance transportation (when other transportation endangers ones health) to the nearest supplier of needed services that aren’t available at the SNF
  • Dietary Counseling

Medicare part A will pay as follows:

  • Days 1-20 – pays at 100% with no patient responsibility  (Remains $0 co-insurance for 2019)
  • Days 21-100 – patient responsibility of $167.50 per day co-insurance  (2019 co-insurance will be $170.50)

Additional information can be obtained through Medicare.gov

How do I find out what my insurance will cover?

Insurance benefits and eligibility will be checked prior to admission to the building, but you may also call the member services number on your card and a customer service representative will provide you with details of your coverage options.

What is the next step and what can I expect once I select a facility?

Once you have selected a facility you will notify your hospital social worker and he/she will send the referral to the building for review. You may choose to tour the building. Your clinical is then reviewed by the admissions and nursing team to make ensure the facility can clinically manage your stay, and then the hospital liaison will visit you in the hospital to answer any questions you may have. If you need an authorization from your insurance to admit, the facility will then start that process. Once authorization has been received the facility will communicate with the hospital social worker.

What are your staffing ratios?

At The GRAND skilled setting, our ratio is 1:12 or 1:13, with an STNA on each hall. Our staffing ratios are significantly above average.

How often is therapy provided and will I have a schedule?

The GRAND of Dublin TherapyTherapy is provided at the discretion of your ordering physician, the therapy team, and your needs. You can ask for a specific schedule if that works better for you. At The GRAND, the therapy team will meet with you either the day of your arrival or the next day.  An example, some prefer mornings, some prefer afternoons and some prefer to have their therapies separated. Meaning occupational therapy may be planned for the afternoon and physical therapy planned for the mornings.

What sets your facility apart from the others?

The GRAND offers several amenities that set us apart from our competitor’s. We have Digger and Finch pub, our ice cream parlor, Movie Theater, beauty salon, pharmacy, chapel, licensed in-house therapy team and team of dedicated nurses and STNA’s and low patient/staff ratios, we offer outstanding service to our residents.

The GRAND of DublinWhat are your visitation hours and/or restrictions?

Each facility will have set hours of operation. The most common hours of operation most facilities follow are 8am to 8pm, 7 days per week. The GRAND’s hours are 8:30am to 8pm, Monday through Friday and 9am to 8pm, Saturday and Sunday. There may or may not be restrictions on when visitors can be with their loved one. The GRAND does not have such restrictions and provides security 7 nights per week.

Involuntary Discharges and Transfers to Face Scrutiny

Involuntary Discharges and Transfers to Face Scrutiny

Corey J. Ohalek
Associate General Counsel
Vrable Healthcare, Inc.

Recently, the Office of Inspector General (OIG) announced it would increase federal oversight regarding involuntary discharges and transfers issued by SNF’s. Specifically, the OIG will be focusing on “whether State agencies have effectively investigated and enforced proper transfer and discharge procedures.” The OIG noted that “discharge/eviction was the most common complaint to the Long-Term Care Ombudsman Program.” Also, the OIG indicated that, due to the quantity, it is worth investigating involuntary discharges and transfers. CMS has estimated that “as many as one-third of all residents in long-term care facilities are involuntarily discharged.”

Involuntary discharge

One of the main areas of review for the OIG is the “lax or ineffective State enforcement.” The OIG plans to review how the State LTC Ombudsman address involuntary transfers and discharges and “the extent to which State survey agencies investigated and took enforcement actions against nursing homes for inappropriate involuntary transfers and discharges.” The State LTC Ombudsman is not the only entity that the OIG is focused on in its review and it will also review the” extent to which nursing homes meet CMS requirements for involuntary transfers and discharges.”

Although the OIG’s main focus will be the actions and/or inactions of State agencies, the OIG’s actions should place all SNF’s on notice to review and adhere to the state and federal regulations regarding involuntary transfers and discharges. “State ombudsman and enforcement agencies may strengthen their involuntary discharge and transfer enforcement activities to ensure that they are not perceived as being lax or ineffective.”

Find more information here.

December 2018 Activity Calendars

December 2018 Activity Calendars

Skilled Nursing Activity Calendar

Grand of Dublin December 2018 Activity Calendar

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assisted Living Calendar

GRAND of Dublin December 2018 Assisted Living Activity Calendar

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Memory Care Activity Calendar 

GRAND of Dublin December 2018 Memory Care Activity Calendar

 

Executive Functions

Executive Functions

Jeanne R. Seliskar, MA, CCC-CLP
Corporate Director of Rehabilitation
Vrable Healthcare, Inc.

Executive FunctionsIf you have ever had a hospitalization, the whole process can make you feel “a little off”.  Most of us can fairly quickly return to our normal selves, but for many others something has changed with the ability to think clearly, concentrate or remember.  Speech Pathologists at The GRAND of Dublin have been focusing on helping patients with Executive Functioning skills.  These are skills which involve high level thinking, allowing individuals to function independently with all the specifics and decisions of daily living.  Executive functions include:  attention, concentration, memory, problem solving, sequencing, organizational skills and judgment.  These areas can be easily affected by multiple medical situations, such as strokes, head injuries, poor oxygen levels, chemical imbalances in the body or anesthesia.

At The GRAND on of the challenging ways, to improve these high level thinking skills is through multi-tasking and bilateral integration.  Patients are asked to complete exercises that combine cognitive-verbal and motoric tasks in alternating physical and verbal patterns while crossing over the midline of their bodies.  These tasks stimulate the brain to integrate movement and thoughts from both the left and right sides of the brain.  When this takes place, gains are made across the board in all executive function areas, impacting the improved ability to think insightfully, problem solve complex tasks, improve memory and concentration and make sound judgments.  These are the components necessary for an independent and safe return to the patient’s home environment.  That is the goal for patients and families in Rehab at The GRAND of Dublin, and addressed by our expert, experienced Speech Pathologists are trained in the specifics of remediating these impairments.

To learn more please contact the therapy department at The GRAND of Dublin by calling 614-889-8585 today.

The Flu: From 1918 to 2018

The Flu: From 1918 to 2018

Andrea Hartley CPhT
Pharmacy Technician / Central Supply Manager
The GRAND of Dublin

fluWe all know the flu virus can be deadly to vulnerable populations, but did you know that in 1918 a worldwide flu outbreak caused illness and deaths in many young and healthy people, as well as those at high risk? This particular strain of the flu became known as the Spanish flu because it was well known that Spain was hit particularly hard, but before the end of the 1918 flu season the virus had spread to every corner of the globe and killed up to 50 million people. The particular strain that caused the 1918 pandemic was of avian origin, as were many of the most deadly flu outbreaks.

The first flu vaccine in America was released in 1940, so at the time of the Spanish flu there was nothing to stop its spread except good hygiene disinfectants and isolation those who fell ill.  Today we not only have a vaccine for the flu, we have diagnostic tests and we have prescription medications to help treat the virus, as well as lessen the symptoms and duration of the illness; some can even be taken to prevent the flu in people who have been exposed to the virus: we have Tamiflu (Oseltamivir) oral capsules and liquid, Relenza (zanamivir) inhalation powder and Rapivab (peravimir) injection.

In 1960 the U.S. Public Health Service first recommended annual flu vaccination for high risk groups. This year the Centers for Disease Control recommend flu vaccination for everyone 6 months or older who do not have contraindications.

So much has changed in the prevention and treatment of the flu in the last 100 years!  At The GRAND of Dublin we offer flu vaccines to all of our employees and residents every autumn, and we still have plenty left this year if you need one during your stay with us.

For more information on the 2018 / 2019 flu season Centers for Disease Control and Prevention website.