News and Events - THE GRAND

Day After Thanksgiving Salad

Day After Thanksgiving Salad

Ingredients

  • 1 tablespoon butter
  • 3/4 cup chopped walnuts
  • 1 tablespoon sugar
  • 1 package (8 ounces) ready-to-serve salad greens
  • 3 cups cubed cooked turkey breast
  • 1 small red onion, sliced
  • 1 medium sweet yellow pepper, sliced
  • 1 cup grape tomatoes, halved
  • 1 cup chow mein noodles
  • 3/4 cup jellied cranberry sauce
  • 3 tablespoons seedless raspberry preserves
  • 2 tablespoons balsamic vinegar
  • 4-1/2 teaspoons vegetable oil
  • 1 tablespoon water

Directions

  1. In a small skillet, melt butter over medium heat. Add walnuts; cook until toasted, about 4 minutes. Sprinkle with sugar. Cook and stir until sugar is melted, 2-4 minutes. Spread on foil to cool.
  2. In a large bowl, combine the salad greens, turkey, onion, pepper, tomatoes, noodles and sugared walnuts. In a blender, combine the remaining ingredients; cover and process until smooth. Pour over salad and toss to coat.

Nutrition Facts
1-1/2 cups: 464 calories, 21g fat (3g saturated fat), 78mg cholesterol, 136mg sodium, 40g carbohydrate (23g sugars, 4g fiber), 32g protein.

Answering Admissions Questions

Answering Admissions Questions

by Danielle Batdorff, BSHA/HIS
Director of Admissions
The GRAND of Dublin

If a person has never been through the process, the thought of entering a skilled nursing or rehab facility can be a little overwhelming. It’s natural to have several questions. We’ve put together a list of the most commonly asked questions to help you better understand what to expect.

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. Long term care is typically utilized for in-house placement for the duration of the patient’s life.

What social activities are offered?

Skilled 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 good 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?

Some 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 information 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 ration 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?

Therapy 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.

What 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 moved one. The GRAND does not have such restrictions and provides security 7 nights per week.

Medicaid Pending

Medicaid Pending

Jessica Leffler
Business Office Coordinator
The GRAND of Dublin

MedicaidAs the Business Office Coordinator, working with all types of insurances is a daily occurrence within the facility. Medicaid Pending is different from typical insurance as BOC’s work with the family to gather information to submit to Job and Family Services (JFS) so the resident is able to get Medicaid. Some common things that JFS require when applying for Medicaid first is to fill out the application, which includes income information such as all bank account balances, life insurance policies (cash value amount is required) , social security, retirement accounts, pensions, annuities, etc. Also, if there is any properties such as cars or houses in the residents name, or if there is a spouse in the community. Other documents that are required is proof of citizenship which includes social security cards, birth certificates and drivers licenses.

If a resident owns a house, they are able to keep possession as long as they plan on returning to their house at some point and they submit that in writing to JFS. If there is a spouse in the community, JFS allows the spouse to keep the house and cars, and does not include their income in the residents break down of financials and assets. Medicaid has recently changed to this in the past few years, as many are still nervous that they will lose their homes and all the income just to receive Medicaid.

All assets combined need to be under $2000 to qualify for Medicaid. If they have more than the required limit, they are able to spend down the funds, which would include paying the residents bill privately at the facility and purchasing any items that the resident would need. One applying for Medicaid often has a misconception that they are able to gift property or funds that they have to a family member so they do not lose the items, but this can disqualify them from receiving Medicaid and delay the process for up to five years due to a penalization.

As the Business Office Coordinator, I am there to help any residents and family members with any questions/concerns that they may have with Medicaid or any other insurances. It can be an intimidating process and lengthy, so it is my job to make it easier for them as they are already dealing with transitioning into long-term care, or working on getting themselves stronger to go home.

Flu Season is Here

Flu season is here!  The GRAND of Dublin is now offering flu vaccinations to our staff and residents.

Flu season typically starts in October each year and peaks between December and February.  No year is a good year to get the flu, but this year is especially bad due to the Covid19 Pandemic. If you can avoid the flu, this will help reduce the burden on our already overwhelmed healthcare systems and prevent the transmission to at-risk populations like children not old enough to receive the vaccine, our precious elderly population, and those with compromised immune systems. The risk to these populations is severe.

You should do everything you can to prevent the flu, including handwashing, hand sanitizing and staying home when you are ill or exhibiting symptoms.  Handwashing and other preventative measures can help stop both COVID 19 and the flu.  Remember, both share many of the same symptoms (fever, chills, cough, sore throat, muscle aches, body aches, headache, and fatigue).  There is a risk this year of having both the flu and COVID 19 at the same time.   Providers will know more on how to treat the illness if they can rule out the flu do having a flu shot.  Keep in mind, it takes 2 weeks after vaccination to achieve full immunity, so social distance and keep away from those with flu like symptoms.

We ask that our residents, staff, families, and friends that may be visiting our centers get their flu shots.  CDC estimates that less than half of the population received their flu shots last year.  There are many fears and myths surrounding the flu shot.

  1. “It will give me the flu.” (It won’t).
  2. “It has so many bad side effects.” (Major side effects are very rare).
  3. “It won’t work anyway, they don’t know what type of flu we will have” (While it’s not perfect, it is based on the 4 biggest strains from the previous flu season).
  4. “Don’t need it, the flu isn’t anything serious”. (While some are only ill for a few days and experience minor symptoms, others may have severe illness and even death).
  5. “I will catch COVID while waiting to get my flu shot”. (Communities are offering outdoor clinics, one-on-one appointments and are required to follow proper prevention protocols).

So this flu season, wash your hands often, use hand sanitizer liberally, disinfect surfaces frequently, wear your mask, social distance, stay home when you are ill AND get your flu shot!

 

 

COVID-19 Update May 29, 2020

May 29, 2020

Dear Families, Friends and Staff Members,

Governor DeWine announced during his regular press briefing Tuesday afternoon that he is creating the Congregate Care Unified Response Team, which will start aggressive COVID-19 testing in all Ohio nursing homes.

All staff members in nursing homes will be tested.  Based on subsequent information received from the Ohio Department of Health (“ODH”), it is unclear at this time if ODH will test all residents.  Once ODH clarifies if mass resident testing will occur, we will update you as we are made aware of the next steps.

Continued Safety Measures:

The steps taken to limit risk and exposure include, but are not limited to, screening and monitoring staff, essential visitors and residents with temperature checks, oxygen levels, and vital signs up to three times daily. The Grand is encouraging social distancing and limiting visitation to only necessary situations including ancillary deliveries (food, drugs, etc.). We have asked staff not to work at other jobs and pushed all to “STAY HOME” if not at work. We have increased intensity and frequency of disinfection and cleaning. We aggressively review and screen all admissions. We currently have adequate supplies of protective equipment for staff and residents. We are monitoring the situation daily and adapting as needed to continue to provide the best quality of care. We discuss issues with and follow the guidance of our Medical Directors and Attending Physicians daily.

Communication Options:

If there are any specific updates about your loved one, rest assured, we will contact you directly.  We still encourage you to reach out to our residents.  The telephone is a viable option.  Remember you can leave a message for our residents at http://www.grandofdublin.com/resident-messages or schedule a Skype call by emailing grand-family@grandofdublin.com.

We Remain In This Together,

Blu Johnson, Administrator

COVID-19 Update May 15, 2020

May 15, 2020

Dear Families, Friends and Staff Members,

Governor DeWine announced this week that massage therapy, acupuncture, cosmetic therapy and tattoo parlors will be re-opening. Beginning Thursday, May 21st, campgrounds in Ohio will be permitted to reopen followed by gyms, fitness centers and non-contact sports leagues on May 26th. Public pools which can meet required safety protocols may also reopen in the 26th. Ohio childcare providers could reopen May 31st.

The governor addresses many businesses and sectors of the economy.  However, due to the risk posed to the elderly and immunocompromised, we are aware of no proposal to ease or update restrictions for Skilled Nursing Facilities.  So, we will continue to work diligently to reduce spread and exposure.

Mitigating Actions:

Risk mitigation started in early March and continues.  The steps taken to limit risk and exposure include, but are not limited to, screening and monitoring staff, essential visitors and residents with temperature checks, oxygen levels, and vital signs up to three times daily.  Encouraging social distancing and limiting visitation to only necessary situations including ancillary deliveries (food, drugs, etc.).

We have asked staff not to work at other jobs and pushed all to “STAY HOME” if not at work.  We have increased intensity and frequency of disinfection and cleaning.  We aggressively review and screen all admissions. We currently have adequate supplies of protective equipment for staff and residents. We are monitoring the situation daily and adapting as needed to continue to provide the best quality of care. We are also discussing issues with and following the guidance of our Medical Directors and Attending Physicians daily.

If there are any specific updates about your loved one, rest assured, we will contact you directly.  We still encourage you to reach out to our residents.  The telephone is a viable option.  Remember you can leave a message for our residents at http://www.grandofdublin.com/resident-messages or schedule a Skype call by emailing grand-family@grandofdublin.com.

We Remain In This Together,

Blu Johnson, Administrator

COVID-19 Update May 6, 2020

May 8, 2020

Dear Families, Friends and Staff Members,

Governor DeWine announced additional business openings today.  Social distancing will remain; barriers will appear in stores to assist with this, but we still must remain vigilant in keeping each other safe.  We don’t know exactly what it will look like, but we know life won’t look the same.

So far, there has is no proposal to ease or update restrictions for Skilled Nursing Facilities.  Visitation restrictions will remain at this time.

With more business opening up, the Governor stated they “expect” cases and numbers to increase.   Knowing this, The GRAND of Dublin will continue to fight this virus and take precautions to limit risk and work exposure.

We will still follow Ohio Department of Health and CDC requirements.  We continue to restrict visitors, wear appropriate protective gear, social distance and monitor temperatures, oxygen levels, respiratory symptoms, and vital signs multiple times per day.

We continue to work with residents and families to keep in touch!  COMMUNICATION IS KEY.  We encourage you to reach out to our residents by phone, a text based message at http://www.grandofdublin.com/resident-messages/ or schedule a Skype call by emailing grand-family@grandofdublin.com.

On May 1, 2020, medical procedures that did not require an overnight stay restarted. Dental and veterinary services also resumed.  On May 4, 2020, manufacturing, distribution, and construction businesses began to reopen if they could meet mandatory safety requirements for customers and employees.  General office environments were also allowed to reopen if they met mandatory safety requirements for customers and employees. The full Responsible RestartOhio plan can be found at coronavirus.ohio.gov/ResponsibleRestartOhio.

Today, Governor Dewing states that on May 12, 2020, “virtually all retail will open up and 89% of the private economy” will be open.  Barber shops and hair salons will reopen May 15, 2020.  Restaurants and bars are set to open with outside dining on May 15th and inside dining on May 21st.  Restaurants and bars will have to create a floor plan consistent with social distancing rules, but it does not seem there will be limits on occupancy.

The Governor called this re-opening plan a “gamble” with “danger signs”.  Please know, Skilled Nursing Facilities are not pulling back, they are not letting up.  Our staff continues to dedicate themselves to being cautious and doing what they can to limit exposure and spread.

We will continue to keep you updated as we hear anything new about Skilled Nursing Care specifically.  Thank you for your continued patience and understanding during this difficult time.  When in doubt, please give us a call.

We Remain In This Together,

Blu Johnson, Administrator

COVID-19 Update April 30

April 30, 2020

Dear Families, Friends and Staff Members,

Governor DeWine announced there is no plan to reopen nursing homes for visitors for Skilled Nursing Homes.  this week that Ohio will begin to reopen May 1st

I know we are all excited and anxious to see our loved ones after being apart for so long, but bear with us as the state of Ohio works through getting us back to a new norm. Rest assured, The GRAND of Dublin continues to take precautions to limit risk and work exposure.

We continue to follow Ohio Department of Health and Center Disease Control which are restricting visitors, wearing appropriate protective gear, social distancing and monitoring temperatures, oxygen levels, respiratory symptoms, and vital signs multiple times per day.

We continue to work with residents and families to keep in touch!   We encourage you to reach out to our residents by phone, a text based message at http://www.grandofdublin.com/resident-messages/ or schedule a Skype call by emailing grand-family@grandofdublin.com.

Governor DeWine’s current Plan:

Beginning May 1, 2020, generally, medically necessary procedures that do not require overnight stays in a healthcare facility can restart. Dental and veterinary services may resume under certain circumstances as well.

Beginning on May 4, 2020, manufacturing, distribution, and construction businesses may reopen if they meet mandatory safety requirements for customers and employees. The full Responsible RestartOhio plan can be found at coronavirus.ohio.gov/ResponsibleRestartOhio.

Also on May 4, 2020, general office environments may reopen if they can meet mandatory safety requirements for customers and employees. The full Responsible RestartOhio plan can be found at coronavirus.ohio.gov/ResponsibleRestartOhio.

On May 12, 2020, consumer, retail and services, may reopen if they can meet mandatory safety requirements for customers and employees. The full Responsible RestartOhio plan can be found at coronavirus.ohio.gov/ResponsibleRestartOhio.

We will keep you updated as we hear anything new about Skilled Nursing Care specifically.  Thank you for your continued patience and understanding during this difficult time.

We Remain In This Together,

Blu Johnson, Administrator

COVID-19 Update April 24

April 24, 2020

Dear Families, Friends and Staff Members,

I want to generally update you as to the status of our facility.  We are doing our best to limit any fear of the unknown.  Please keep in mind, specific patient information cannot be shared in a public setting like this.  If in doubt or concerned for your loved one, call us.  We are happy to discuss your loved one and update you with specifics.  Rest assured we are still contacting family and friends directly with pertinent information whether there is an episodic event or general information to keep you updated.

This Coronavirus pandemic has changed our county, our state and the world.  There is no script or decision tree as new situations arise.  As we all learn and adapt each day, two things must remain constant.  First, our loved ones will remain our focus and their safety and well-being our singular goal.  Second is communication.  That being said, I want to share the following update:

Safety Measures:

As you know, we are still following all directives and guidelines released by local public health departments, the Ohio Department of Health, the CDC and other governmental agencies.  We are tracking and reacting to these updates daily.

For the safety, we are still restricting visitors, and monitoring temperatures, oxygen levels, respiratory symptoms and vital signs multiple times per day.  We practice social distancing by limiting group activities and communal dining amongst other things.  As needed, staff wears appropriate masks and other protective wear and takes all precautions to limit exposure.

Community and Family Thanks:

The amount of support and offers of assistance from our families and the local community have been amazing in this time of need.  We have had family members and local businesses make and/or donate protective equipment for our residents and staff.  We have seen people change their own businesses and repurpose to help support healthcare in general.  While this pandemic has brought a lot of heartache and tribulations to families and business alike, it has also been heartwarming to see overwhelming support from our communities and families.

Communication Options:

To reiterate, it is and will remain vitally important for family and friends to stay in touch with our residents.  They need to feel the love and support of their friends and relatives. We encourage you to reach out to our residents.  The telephone is still a viable option.  Additionally, The GRAND’s Facebook is set so you can leave a message for our residents at http://www.grandofdublin.com/resident-messages/

To schedule a Skype video or group phone call, please call the facility at (614) 889-8585 and ask for the activity department, social work or email grand-family@grandofdublin.com for scheduling.

Please continue to stay in communication. The Grand of Dublin again wants to thank our staff for their continued dedication and compassion. We also want to thank our families and patients for their continued support.  We understand how hard this situation is on our staff, our family members and our loved ones.  Please continue to stay patient and stay safe.

We Are In This Together,

Blu Johnson
Administrator

COVID-19 Update April 22

April 22, 2020

To our families and friends,

Social distancing to help control the COVID-19 outbreak has affected all of us in many ways. While it’s the best thing we can do for our loved ones, we understand this is particularly hard for families of the people we serve.  Healthcare around the country is taking on a new shape.  It won’t be like this forever, but it will be forever changed.  In light of that, the one constant there is a need is to promote communication of our loved ones with their friends and families.

It is vitally important for family and friends to continue contact with our residents.  They need to feel the love and support of their friends and relatives. We encourage you to reach out to our residents, and we will be happy to help coordinate your communication with them in any way we can.  The telephone is still a viable option.  Additionally, The GRAND of Dublin has set up their Facebook so you can leave a message for our residents at http://www.grandofdublin.com/resident-messages/

To schedule a Skype video or group phone call, please call the facility at (614) 889-8585 and ask for the activity department, social work or email grand-family@grandofdublin.com for scheduling.

Facility has increased daily monitoring to multiple daily temperatures and respiratory symptom checks for all staff members, our loved ones and essential visitors. We are still monitoring the latest information from local and state of Ohio Departments of Health, the CDC and the Centers for Medicare and Medicaid Services (CMS).  We are working on additional methods to communicate and keep everyone informed of any potential cases of COVID-19, while being respectful of all private health information.  If you have questions regarding your loved one’s that has not been addressed please reach out so we can discuss or a care conference can be set.

Again, I want to thank each of you for your cooperation and understanding during this trying time. Please reach out to the facility at (614) 889-8585 with further specific questions.  Please stay in touch and stay safe.  We will get through this together.

 

Sincerely,

Blu Johnson
Administrator
The GRAND of Dublin