JHR Handbk Rev Apr14 - jewishseniorlife.org

Resident Handbook

Revised April, 2014

TABLE OF CONTENTS

Revised April, 2014

Jewish Home Abbreviations .......... 1

Welcome .............................................. 2

Mission Statement ............................ 2

Information to help you on the first day .......................................... 3

What to bring to the Jewish Home of Rochester ................................. 5

Management Contact information: ................................. 7

A .......................................................... 8

Activities .................................................... 8 Advance Directives ................................... 8 Amenities ................................................... 9 Animal Visitation Policy............................ 9 The Jewish Home Auxiliary ..................... 9

B ......................................................... 11

Banking .................................................... 11 Bed Reservation ..................................... 11

C ......................................................... 11

CARF-CCAC Accreditation ...................... 11 Comprehensive Care Plan ..................... 12 Computers ............................................... 13 Corporate Compliance ........................... 13 Culture Change ....................................... 13

D ........................................................ 14

Decorating ............................................... 14 Dining Services ....................................... 14 Discharge Planning ................................ 16

E ........................................................ 16

Ethics Review Committee ...................... 17 Environmental Services ......................... 17 Evercare ................................................... 17

F ........................................................ 17

Facilities and Services ............................ 17

Family Advocacy Council ....................... 18 Family Health Care Decision Act

(FHCDA) ............................................. 18 Finance Department .............................. 19 Fire Safety ............................................... 20 The Jewish Senior Life Foundation ...... 20

H ........................................................ 20

Hearing .................................................... 20 HIPAA ....................................................... 20 Hospice Care ........................................... 21

I ........................................................ 22

Integrated Medicine ............................... 22

L ........................................................ 22

Laundry .................................................... 22 Leaving the Building .............................. 23

M ........................................................ 23

Mail ........................................................... 23 Manager on Duty .................................... 23 Medical Department ............................... 24 Medical Records...................................... 24 Medicare Coverage ................................ 24 Monitoring Devices ................................. 25

N ........................................................ 25

Newspapers ............................................. 25 Nursing Services ..................................... 25

P ........................................................ 26

Parking ..................................................... 26 Pharmacy ................................................. 26 Primary Contact ...................................... 26 Private Duty Caregiver .......................... 27 Private Room Policy ............................... 27 Problem Resolution ................................ 27 Psychiatric Services ................................ 28

Q ........................................................ 28

Quality First ............................................. 28 Quality Management .............................. 29

R ........................................................ 29

Recreation Therapy ................................ 29 Rehabilitation Services .......................... 29 Resident Grievance Policy ..................... 30 Resident Rights and Responsibilities ... 30 Resident Council ..................................... 31 Resource Utilization Groups .................. 32

S ........................................................ 32

Sabbath .................................................... 32 Scandent .................................................. 32 Shopper’s Service ................................... 33 Skype™ .................................................... 33 Smoking Policy ........................................ 33 Social Work ............................................. 33 Spiritual Life ............................................ 34 Storage .................................................... 34

T ........................................................ 35

Television Viewing .................................. 35 Tipping Policy .......................................... 35 Transportation for Residents ................ 35 Transportation for Family Members .... 36

U ........................................................ 36

United Healthcare/Optum (formerly Evercare) ........................................... 36

V ........................................................ 36

Valuables ................................................. 36 Visitors ..................................................... 36 Volunteers ............................................... 38 Voting ....................................................... 38

W ........................................................ 39

Website .................................................... 39 Wheelchairs ............................................. 39 Wireless Policy ........................................ 39

1 Revised April, 2014

Jewish Home Abbreviations

ADL Activities of Daily Living

CARF Commission on Accreditation of Rehabilitation Facilities

CCAC Continuing Care Accreditation Commission

CCP Comprehensive Care Plan

CNA Certified Nursing Assistant

DAC Dining Activity Center – Dining Room

HNM Head Nurse Manager

IMI Ideas Mean Innovation

JHR Jewish Home of Rochester

Kosher Symbols

LC Lifetime Care

LPN Licensed Practical Nurse

MDS Minimum Data Set

MOD Manager on Duty

NP Nurse Practitioner

OT Occupational Therapy

PA Physician Assistant

PRI Patient Review Instrument

PT Physical Therapy

QI Quality Indicators

RN Registered Nurse

RUGS Resource Utilization Groups

ROM Range of Motion

SNF Skilled Nursing Facility


Welcome To The Jewish Home of Rochester

Mission Statement To improve the health, well-being and quality of life of our Jewish community’s elderly, as well as that of our general community, being mindful of the values implicit in our Jewish heritage

Vision

To be a premier, comprehensive, person-centered, affordable aging service organization that is guided by our Jewish heritage

Values

Recognizing that people thrive in an atmosphere of respect, compassion and individuality, we are committed to making our community one where these values are our guiding principles:

Caring for older persons in an atmosphere of warmth, dignity and respect based on our Jewish values

Fostering an environment of independence and autonomy

Focusing on abilities, not disabilities

Respecting each individual’s philosophy of life and death, religion and culture

Advocating for the health and social needs of seniors

Recognizing the importance of both high-quality services and value

Maintaining an environment that promotes creativity, productivity and professional excellence

Encouraging the richness of diversity among our residents, program participants, staff and volunteers

Fostering collaborative efforts


Information to help you on the first day While the first day is a busy one, the staff at the Jewish Home will work together with you to make the process as easy and simple as possible. We recommend that family members plan to spend most of the day at the Jewish Home to help the resident settle in. Feel free to ask questions about our routines and procedures. A social worker will greet you in the Front Lobby of the Jewish Home and escort you to your room. Our housekeeping staff will be happy to assist with transporting luggage and other personal belongings. Any used electrical equipment (radio, lamp, computer, etc) must be left at the concierge desk at the front entrance for a safety inspection by the Engineering Department. The appliance(s) will be delivered to the room following the safety check, which is usually completed within 24 hours. The nursing staff will stop by during the day to introduce themselves. Staff you will meet includes the head nurse manager, nursing secretary and the primary certified nursing assistant assigned to the new resident. If the new resident is coming from a hospital or another nursing home, it is essential for the nursing staff to be given all the medical information provided by the transferring facility. This is faxed to the Jewish Home prior to admission. If the resident is coming from home, it is important to bring all medications that are currently being taken—including prescription and “over the counter” medicines, laxatives, vitamins and herbal or other supplements. This helps medical staff have a clear understanding of the resident’s prior medical needs. It is important to note that medications from home may not be used due to Department of Health regulations, as they need to be provided in special packaging. A nurse will do an initial evaluation such as going through the resident’s medications, obtaining blood pressure and temperature, and ask questions that will help to provide continuity of care and comfort for each resident. Our Nurse Practitioner/Physician Assistant or a Physician will do a physical exam and obtain a medical history. It is helpful to have a family member present during the interview to fill in information that the resident may have difficulty recalling, especially after an illness. The social worker will take a digital photo, upon admission, of each new resident for the nursing staff and the security department. These digital pictures are updated yearly. The social worker will be available throughout the day to answer questions and serve as a resource for information regarding the Jewish Home. The Laundry Department will send a representative to the room to label clothing within 48 hours. Please remember that the Jewish Home Laundry Department must


use hot (140°) water; it is important to identify items that should be either dry cleaned or washed at home. Additional clothing brought after admission must be left at the concierge desk; the clothing will be labeled and delivered to the resident’s room within 48 hours. Within the first week of admission, a recreation therapist will interview each resident and family. He or she is eager to learn about the resident’s interests and hobbies. The recreation therapist will provide information about the many ongoing programs and activities for residents. A member of the Finance Department is available to meet with the designated family representative to answer questions about billing and payments. If possible, the appointment should be made for the day of admission. If the day of admission is not possible, a separate appointment can be made. The social worker will make the arrangements. The Engineering Department will hang your photographs and artwork on the walls. Ask the nursing staff on your floor to help make these arrangements. When you are ready to leave for the day, notify the nursing staff so that they may spend some extra time with the new resident to ease the transition.


What to bring to the Jewish Home of Rochester

Seven to ten days’ worth of clothing. Be sure the clothing is comfortable and can be washed in HOT water. Resident’s clothes are washed together in water temperatures of at least 140 degrees to ensure cleaning of bacteria, bodily fluids, etc. Include shoes, undergarments, sleepwear, bathrobe or housecoat, socks, stockings, etc. If the resident has problems with bowel or bladder control, additional changes of clothing will be helpful.

If the resident is coming directly from home, be sure that all prescription medicines, including vitamins and over the counter medications, are brought with the resident at the time of admission. Although these medications will not be used because of special packaging required by Department of Health regulations, the staff needs to know the names and dosages of all medications. You will not need to refill prescriptions.

What is provided in the resident rooms:

Bed

Dresser

Nightstand

Wardrobe

Lamp

Bulletin/tack board

Over the bed table

Medicine cabinet

Bathroom vanity

Flat screen television

Optional items:

Radio and other small appliances – Some electrical appliances, such as lift chairs, radios, lamps, etc. must be left at the concierge desk for a safety inspection by our Engineering Department. Appliances will be brought to the resident’s room once the inspection is completed. Extension cords are prohibited due to fire safety concerns.

Clock

Pictures and knickknacks for walls, dresser and windowsills

Plants perfect for windowsills

Photo albums or family scrapbooks


Telephones – Each resident room is pre-wired for a telephone connection. The resident or a family member is responsible for making arrangements for telephone service with Frontier Telephone of Rochester at (585) 777-1200. The resident or family is responsible for payment of all charges for telephone service and for cancellation of the service as necessary. Residents receiving Medicaid assistance may qualify for the Lifeline Discount Program offered by Frontier. Check with Frontier for details.

Senior TV Cable – is provided free of charge to our residents, if they choose to have Senior TV. Additional information is available from your social worker.

Cable Television – Arrangements may be made by the resident or family with Time Warner, (585) 756-5000.

All costs of Time Warner cable are the responsibility of the resident or family.

Personal supplies provided by the Jewish Home of Rochester:

Comb/brush

Denture cleaner

Deodorant

Disposable razors

Medical supplies

Mouthwash

Products needed for incontinence

Shampoo

Shaving cream

Soap

Talcum powder

Toothpaste and toothbrush

Various skin ointments

If specific brand items are preferred to those provided by the Jewish Home, the resident or family is responsible for purchasing them.


Management Contact information: 585-427-7760

President/Chief Executive Officer: 585-784-6484 Administrator: 585-784-6483 Advancement Vice President: 585-784-6375 Chaplain: 585-784-6364 Chief Financial Officer: 585-784-6485 Facility Services: 585-784-6454 (Maintenance, Grounds, Environmental Services, Laundry, Security, Concierge) Dining Services: 585-784-6654 Medical Director: 585-784-6404 Nursing Director: 585-784-6694 Social Work: 585-784-6575 Recreation Therapy: 585-784-6551 Volunteer Coordinator: 585-784-6556


A Activities A variety of activities are available each day for residents. The Therapeutic Recreation staff plans special activities, which are listed, on the daily activity sheets available in the front lobby or on the bulletin boards located in the centrum of each resident living area. Residents can also view them on channel 3 of their TV’s. There are many outings to restaurants, malls, baseball games, the zoo, the conservatory, art museums, shows, movies and more. The Creative Arts Room is open weekdays from 9:30 a.m. – 11:00 a.m. and some afternoons as well as evening art classes. The always-popular Bingo is played every afternoon at 2:00 p.m. - 3:00 p.m. in the Goldberg Center. Every Friday a special program at 2:00 p.m. occurs. The Minnie Cohen series presents guest entertainers, one Sunday a month at 2:00 p.m. in the Atkins Center. We have a full-time creative arts therapist as well as a full-time music therapist. With these positions we have the ability to offer more afternoon, evening and weekend programming on and off the units. Family members are encouraged to join residents for all of these special programs. Certain restrictions apply for programming on the Sabbath and Holidays to protect the sanctity and atmosphere of the holy day for residents of the Jewish Home. Recommended activities such as discussion groups, current events, poetry, short stories, puzzles, travelogues, and more are available to the residents. Advance Directives MOLST Form – MOLST (Medical Orders for Life Sustaining Treatment) is a medical order form. The purpose of the MOLST form is to inform others of one’s wishes for life-sustaining treatment. Examples of life-sustaining treatment include: cardiopulmonary resuscitation (CPR), mechanical ventilation, future hospitalizations, feeding tubes and antibiotics. For more information, contact your social worker or Physician. Health Care Proxies/Living Wills Many residents come to the Jewish Home at an advanced age and with the burden of many illnesses. To assist residents and families, the Jewish Home provides information about health care proxies and living wills. These are ways to give guidance to the health care team and to family members about the personal wishes and values of the resident and the kinds of medical interventions that are appropriate to each individual. The Physician, nurses and social worker will raise questions about these issues shortly after admission to help clarify the resident’s wishes and how to convey them


to family and staff for the future. A copy of the resident’s health care proxy and living will is placed in his or her medical chart so that all health care professionals are fully aware of the resident’s wishes. For those who do not have a health care proxy, forms to establish one are available from your social worker. Amenities Café Shalom – is located on the first floor in the Street of Shops. It is open daily from 2:00 p.m. - 4:00 p.m. Residents are encouraged to bring visitors to the Café for refreshments. The café is open to all residents free of charge. It is sponsored by the Jewish Home Auxiliary and is staffed by volunteers. Natapow Resident Library – is located in the Street of Shops and offers a variety of standard and large-print books, popular periodicals, newspapers videos and two computers for resident use. A selection of books-on-tape is available upon request from the Therapeutic Recreation Department. The Silver Salon and The Classic Touch beauty/barber salons offer a full range of services including styling, perms, coloring and basic manicures in a friendly atmosphere. The cost of services will be deducted from the resident’s bank account. Contact the nursing staff to make an appointment. For prices, contact your social worker. Classic Touch Salon 585-784-6565 Silver Salon 585-784-6560 Animal Visitation Policy Companion animals are always welcome at the Jewish Home with documentation of vaccinations, including rabies. Pets are not allowed to visit without presentation of their current health records. We are happy to keep a copy of this documentation at the concierge desk at the front entrance for your convenience. Please note that pets are not allowed in resident dining or kitchen areas during meal times. Please be considerate of residents who are allergic or afraid of pets; staff will be happy to advise you. Owners are responsible for toileting pets and for the disposal of waste. All pets must be on a short leash or in a carrier. Owners are fully responsible for any incidents that may occur from a pet’s behavior. The Jewish Home Auxiliary Since the founding of the Jewish Home of Rochester, over 90 years ago, the Auxiliary has been committed to enriching the lives of its residents. We continue to work with the staff of the Jewish Home to provide experiences that enhance the quality of life of our residents and cannot be funded by the daily rate charged by the Home. We offer our support not only to our long-term care residents, but also to our transitional care residents and Adult Day Health Care participants. We invite you to


join our Auxiliary with a donation to support our fundraising projects and/or by volunteering to provide direct service to our residents. For more information on becoming on Auxiliary member, volunteer options, or joining our Board, please call 585-784-6378.

The mission of the Jewish Home Auxiliary is: To enrich the quality of life of the people served by the Jewish Home of Rochester

And this is how we do it:

Café Shalom: Each day from 2:00 p.m. – 4:00 p.m. in the Street of Shops, our volunteers serve refreshments, supplied by the Auxiliary, to residents and their guests. There is no charge, not even on days when soft ice cream is served.

Welcome Wagon: Upon admittance, the Auxiliary gives new residents a calendar. New rehab patients are also warmly welcomed with a friendly visit by an Auxiliary member and given a small gift.

Holiday Flowers: The Auxiliary provides floral arrangements that decorate the Goldberg Center, where services are held on major holidays.

Mollie Horowitz Caring Cart: The Auxiliary pays for food items to be delivered from the kitchen to families sitting vigil.


B Banking The Jewish Home offers a resident bank on site. It is located in the lobby. The bank is open Monday through Friday 9:00 a.m. – 11:30 a.m., and Wednesday afternoons from 2:00 p.m. – 4:00 p.m., except for holidays. Petty Cash is available at the Security office during evening and weekend hours. Every resident is offered an account at the bank. The costs for salon services will be deducted from the resident’s bank account. Residents can also withdraw money for their personal use, such as outings, use in the gift shop, etc. There is a limit of $100 per week that can be withdrawn from a resident’s account. It is not recommended that residents keep a lot of cash on them or in their room for safety reasons. Please feel free to contact the bank representative at 585-784-6616 with any questions. Bed Reservation A bed will be reserved for a resident, at the resident’s request or a request from a family member, during a period of hospitalization or a leave of absence from the Jewish Home, provided payment of the basic service fee is received for each day the resident is absent from the Jewish Home. For Medicaid recipients who are hospitalized and have met the 30-day residency requirement, the bed at the Jewish Home will be reserved for a period up to 14-days in a 12-month period. For Medicaid recipients on non-hospital (therapeutic) leaves of absence, the bed at the Jewish Home will be reserved up to 10-days in a 12-month period. If, after the 14-day cap (hospitalization) or the 10-day cap (therapeutic) is reached, the resident has not returned to the JHR, the bed hold will not continue. Priority admission to the first available semi-private room will be offered to the resident if they so choose. This bed reservation policy is required by the New York State Public Health Law and Department of Health regulations and will be revised from time to time as applicable laws and regulations change. For more information, contact your social worker.

C CARF-CCAC Accreditation Jewish Senior Life has achieved accreditation by CARF International, the nation’s only accrediting body for non-profit continuing care retirement communities, and health and human service organizations. CARF International consists of the Commission on Accreditation of Rehabilitation Facilities (CARF) and the Continuing Care Accreditation Commission (CCAC).


CARF–CCAC accreditation demonstrates an organization’s quest for quality, transparency and commitment to the satisfaction of the persons served. At Jewish Senior Life, the entire organization was put through a rigorous peer review process and demonstrated to a team of on-site surveyors that it is committed to conforming to CARF–CCAC’s accreditation conditions and standards of quality. Jewish Senior Life earned a five-year term of CCAC accreditation for the following programs and services:

Continuing Care Retirement Community Adult Day Health Care Assisted Living Person-Centered Long-Term Care Person-Centered Dementia Care

A three-year term of CARF accreditation was awarded for:

Weinberg Manson Transitional Care Outpatient Rehabilitation

Comprehensive Care Plan Shortly after a resident is admitted to the Jewish Home, a comprehensive care plan (CCP) meeting will be scheduled. The resident’s primary contact will be invited to attend this meeting; the new resident is also encouraged to attend. The CCP meeting is an opportunity to meet with the Care Planning Team, including the head nurse manager, social worker, recreation therapist, dietitian and other care providers such as physical, occupational, and/or speech therapists. This is an opportunity to share information about the new resident to design an individualized plan to achieve and maintain his or her optimal quality of health and life. Family members are encouraged to bring questions and concerns to the annual CCP meeting and to provide the team with any observations of changes in physical or emotional status and to inform the staff of any relevant changes in the resident’s family that may impact the resident’s care. The team re-evaluates each resident’s CCP on a quarterly basis and whenever there is a significant change in a resident’s condition. These periodic re-evaluations are important in determining whether goals are being met and whether a change in a resident’s condition requires modification of the goals. The resident and/or family are invited to attend all CCP meetings. CCP provide an opportunity for the Jewish Home resident care team to view each resident individually, to evaluate current medical status, self-care and nutritional status, rehabilitation potential and participation in recreational and social activities. The meetings are regarded as an important component of the care we provide to residents. If you have questions about CCP meetings, please consult your unit social worker or head nurse manager.


Computers Two computers with Internet and e-mail access are available for residents’ use. They are located in the Natapow Library. Seven iPads are also available for resident use, this device gives residents the opportunity to listen to the music they enjoy, Skype with family members, surf the web or play digital games. Training in the use of computers, iPads, and e-mail is available through the Recreation Therapy Department. Residents may receive e-mail at [email protected]. Be sure to include the resident’s name in the subject line, as well as the unit and room number if possible. These computers are solely for the use of Jewish Home residents. Computers are permitted in resident rooms, but the use of extension cords, outlet strips or any other adaptive device is not allowed. A wireless network is provided throughout the building. For a copy of the wireless policy, contact your social worker. Corporate Compliance The Jewish Home has a long tradition of responsible conduct and is committed to serving its community in an ethical and legal manner. The Home’s Corporate Compliance program defines the conduct of our employees, physicians, volunteers, vendors and all others doing business with the Home. The program also provides guidance for resolving legal and ethical issues and establishes a mechanism to report suspected violations. The Corporate Compliance Committee meets regularly to monitor adherence to all requirements of the program and to review risk areas, policies and procedures. This committee also has the responsibility to investigate any allegation of non-compliance, fraud or abuse. Residents/family members who have a concern about practices within the Home are encouraged to contact the Corporate Compliance Officer. The Compliance Officer can be reached in person (if available), by phone or by mail. The concierge can direct you to the office of the Compliance Officer to speak in person if possible. You may also send written correspondence addressed to the Corporate Compliance Officer at Jewish Home of Rochester, 2021 Winton Road South, Rochester, NY 14618. A confidential Corporate Compliance Hotline has been set-up at 585-784-6483. The Compliance Officer is the only individual who hears any message left. Culture Change Culture change is one name for a nationwide movement to re-shape nursing homes to be more home-like and resident-centered. The Jewish Home supports this philosophy and has developed the following mission statement to help guide our progress:


In our mission to become less of an institution and more of a home, we, the Jewish Home Family, believe that nurturing the human spirit is our true purpose. We encourage the opportunity to grow and to exercise choice. This is an on-going process, which requires education, flexibility and humor. Recognizing that people thrive in an atmosphere of respect, compassion and individuality, we are therefore committed to making our community one where these values are our guiding principles.

D Decorating Residents are encouraged to make their room their home. Artwork, family photographs and wall hangings are welcome. The Facility Services Department will hang these treasures for you; most requests can be accommodated in a day or two. Please contact your social worker or unit Head Nurse Manager/Secretary to make out a work order for this request. Dining Services Upon admission or shortly thereafter, a dietitian will interview the new resident about food preferences, eating habits including snacks, and weight loss or gain. The dietitian will explain diet orders from the physician and answer food-related questions. Please feel free to contact the Clinical Nutrition Department at 585-784-6650. Comfort Cart The Jewish Home Auxiliary has created a Comfort Cart program. "The Molly Horwitz Comfort Cart" provides food for a family sitting vigil during a loved one’s last hours. Often families are reluctant to leave a resident during this time, yet they may need a sandwich or a cup of coffee. Thanks to donations made to the Auxiliary in memory of resident Molly Horwitz, we now have a means to supply our family members with complimentary food service. Your social worker or nursing supervisor will place the order for you, and a member of the dining services staff will bring the cart. Our kitchen can usually have the food prepared very quickly, but there may be a delay if it is ordered during the Home’s meal times. Kosher Policy In our commitment to our Jewish residents, the Jewish Home maintains a policy to uphold the highest quality of kosher observance. Much effort and investment has been made to support and maintain kosher dietary laws for those residents who have adhered to these laws their entire lives. We are proud to be the only kosher nursing facility in the Rochester area.


It is expected that all Jewish Home staff, residents and their family and friends will adhere to the following guidelines. We are grateful for your cooperation.

Any food brought into the Jewish Home, regardless of whether it is from a kosher home or not, must be served on disposable plates and cutlery, and must be eaten only in resident rooms or the Sokol Porch. Due to health regulations, as well as concerns regarding Kashruth (kosher), do not share food with residents other than your family members.

Non-disposable items (trays, china and flatware) are to be used only for food prepared at the Jewish Home.

The microwave ovens and equipment on all resident living areas are reserved for Jewish Home food. We do have two microwaves outside the employee cafeteria that you are welcome to use. You are also welcome to store clean, wrapped fresh fruit and vegetables in refrigerators on the unit.

In compliance with New York State health regulations, we cannot allow any homemade items to be shared.

Occasionally, family members want to celebrate special events with staff and other residents. If you would like to do this, please abide by Jewish Home standards:

1. Check with the nursing staff regarding resident’s special diets

2. Make sure that items are in sealed wrappings

3. Check labels for kosher symbols (K or u)

4. Kosher baked goods may be purchased from Malek’s bakery

5. The Jewish Home Dining Services Department is available to cater special events such as birthday parties. You may contact them at 585-784-6650 to review the pricing and menu options. Three days’ notice is requested.

6. If bringing in a dessert or treat to be served after a meat meal, be sure it does not contain any dairy products, as kosher law requires separation of meat and dairy.

If you have any questions regarding the kosher policy, please contact Dining Services at 585-784-6650. Note: During the observance of the Jewish holiday of Passover, food that is not Kosher for Passover can only be consumed in a resident’s room. Meals All meals at the Jewish Home are prepared according to the law of Kashruth (Kosher) under the supervision of an Orthodox rabbi. Dining Services staff are skilled in the preparation of familiar kosher cooking.


A registered dietitian and diet technician coordinate specific meals according to the nutritional care plan prescribed by the physician and the resident’s own tastes and preferences. Snacks and juices are distributed on resident living units between meals. A refrigerator is located on each resident living area where residents may obtain a snack or juice, if permitted by the Physician. Hot drinks are available on request. Visitor Meals Leo’s Deli is a kosher deli located in the Street of Shops on the main floor off the lobby. Visitors may purchase food at the deli for eat-in or takeout. The deli is open Monday – Thursday from 11:00 am – 7:00 pm, Friday 11 am – 4 pm and Sunday 11 am – 6 pm. Complimentary coffee is provided at the Leo’s Deli walk-up window daily. Vending machines with sandwiches, snacks, soft drinks, juices and coffee are located on the lower level, along with microwave ovens that can be used to heat non-kosher food. Non-kosher food brought into the building by families may be consumed only in the resident’s room, or the Sokol Porch, but not in any other common area such as the resident living area or dining room. Holiday Meals During many Jewish holidays, we use meal tickets to maintain the sanctity of the holy day, rather than exchanging money. Tickets for breakfast, lunch and dinner may be purchased in advance from the concierge desk in the main lobby. Tickets are sold in $1.00 and $5.00 increments.

Special Events To host a celebration or prepare for a Shiva, the Social Work and Therapeutic Recreation departments can assist with making room reservations as well as guide you through the process. Be mindful of the Jewish Home’s kosher guidelines if you plan to bring food into the building. Discharge Planning Your social worker will assist when a resident is returning home or transferring to a different facility. The social worker initiates a family meeting with staff from the Medical and Nursing departments to discuss the resident’s current and future needs. The social worker will handle paperwork involved in transfers.

E


Ethics Review Committee The Jewish Home recognizes that choices about resident care, and living and working at the Jewish Home, often involve values and a sense of trying to do the right thing. The Ethics Review Committee provides a safe and thoughtful forum for the discussion of medical ethics and performs the functions outlined by the Family Health Care Decisions Act (NY Public Health Law 2994-m). The Committee membership includes a physician, nurse, social worker, administrator, chaplain and person from the community who has no governance, employment or contractual relationship with the organization. Residents and family members may submit a concern or request for assistance in resolving a health care dispute to the Ethics Review Committee by stating in writing the concern or request that presents an ethical dilemma. All submissions must include the submitter’s name, address, and telephone number and be addressed to:

Chief Medical Officer Medical Services Department 2021 Winton Road South Rochester, New York 14618

Environmental Services Resident rooms are cleaned daily. The Jewish Home Environmental Services team is on duty 16-hours a day, seven days a week. You may reach Environmental Services at 585-784-6450, with any questions or concerns regarding housekeeping. Evercare See “United Healthcare/Optum” on page 36.

F Facilities and Services Bus Service RTS Route #7 stops at the Jewish Home. Schedules are available at the front desk for visitors and residents. Please note that the buses do not run on weekends and major holidays. Heat/Air Conditioning Each resident room is individually climate-controlled and may be adjusted by the resident for his or her own comfort level. Keys Keys for the resident’s dresser are available upon request. Please note that it is not recommended that valuables such as money and expensive jewelry be kept in the


resident rooms. It is recommended that a family member take anything of value home. Please contact your social worker to request keys. Maintenance Maintenance personnel and services are available 24-hours a day, seven-days a week, in person or via pager. They take care of all the building equipment; make necessary repairs, painting, snow removal, work orders, preventative maintenance, etc. Please dial 585-784-6450 with any Maintenance questions. Sabbath Elevator Elevator #2 is the Sabbath Elevator and is programmed to automatically stop for 30 seconds at each floor for the Sabbath, which is from sundown on Friday through sundown on Saturday and on all major Jewish holidays. This is for our Orthodox Jewish residents who cannot press any buttons as part of their Sabbath and holiday observance. (Elevator numbers are located on the upper left corner of the door.) Security Security personnel are on duty 24-hours a day, seven-days a week. To reach Security, dial “0” from any house phone. In an emergency, dial “800” from a house phone. Telephones Each resident room is pre-wired for a telephone connection. The resident or a family member is responsible for making arrangements for telephone service with Frontier Telephone of Rochester. Frontier may be reached at 585-777-1200. The resident or family is responsible for payment of all charges for telephone service and for cancellation of the service as necessary. Residents receiving Medicaid assistance may qualify for the Lifeline Discount Program offered by Frontier. Check with Frontier for details. Please note that it may take up to one week for Frontier to hookup the service. Pay phones, which are wheelchair accessible and suitable for the hearing impaired, are available on the first floor and on the ground floor outside of the cafeteria. Family Advocacy Council The Family Advocacy Council serves as a voice to help enhance the quality of life for Jewish Home residents. The Council meets the first and third Wednesday of each month from 7:00 – 8:00 pm at the Jewish Home. To find out more information, contact the Director of Social Work and Adult Day Health Care at 585-784-6575. Family Health Care Decision Act (FHCDA) On March 16, 2010, Governor Paterson signed into law the Family Health Care Decisions Act (FHCDA). The FHCDA establishes the authority of a patient’s family member or close friend to make medical treatment decisions for the patient in the event the patient lacks capacity to make such decisions personally, and did not


previously make such decisions or appoint a health care agent. If you would like additional information please contact the Social Work office. Finance Department The Finance office assists residents and/or family members with financial matters pertaining to the resident’s stay at the Jewish Home. Hours are Monday through Friday from 9:00 a.m. – 4:00 p.m. Offices are located on the lower level of the Jewish Home. Residents and/or family members are encouraged to schedule an appointment to ensure staff availability and sufficient time to address questions by calling 585-784-6600. Each resident is assigned to an account representative who assists with Medicaid applications, reviews bills, investigates questions and oversees resident bank accounts. As a courtesy, every resident has an account at the resident bank to allow access to money for shopping, hair salon services, etc. Residents and their family members may deposit and withdraw money during bank hours (please refer to the “Banking” section on page 11). We strongly recommend that valuables such as jewelry, credit cards and checkbooks not be kept in resident rooms.


Fire Safety In the event of a fire, remain calm. If the fire is in the resident’s room, everyone should leave the room immediately and close the door. Then alert staff there is a fire. If help is needed exiting the room, use the call bell or shout for help. If the fire alarm sounds, but there is no fire in the immediate vicinity, remain calm, stay where you are, and follow instructions from staff. The Jewish Senior Life Foundation The primary purpose of the Jewish Senior Life Foundation is to generate financial support to sustain the mission of Jewish Senior Life. Incorporated in 1979, the Foundation has been working since that time to support high quality aging services for our residents here on the JSL campus and by supporting community-based programs and services we provide throughout greater Rochester. The Foundation offers members of our community a variety of giving opportunities, including a menu of planned giving and endowment vehicles (outright or deferred), support through special purpose funds, unrestricted funds and bequest opportunities through it’s Legacy Society. One may also contribute to the work of JSL through the Foundation with gifts in honor and in memory of loved ones, through one of several annual appeals and as part of our Golden Alliance and Platinum Circle giving societies. For more information about giving opportunities to JSL through the Jewish Senior Life Foundation, please contact Joel Weiss, Vice President of Advancement, at 585-784-6375 or at [email protected].

H Hearing An audiologist is available at the Jewish Home every other week for hearing evaluations and hearing aid repairs. The head nurse manager or unit secretary will schedule a hearing evaluation if ordered by the physician. The Jewish Home provides hearing aid batteries. Ask a nursing staff member for assistance. HIPAA HIPAA stands for “Health Insurance Portability & Accountability Act,” a federally mandated law that directs health care providers in protecting individual health information. All residents, or their designated representative, receive a copy of the Jewish Home’s Notice of Privacy Practices. For easy reference, this notice is also found on our web site at www.jewishhomeroch.org and in a white binder at the concierge desk. This notice explains the regulation, how medical information about


residents may be used, and most importantly, the permission needed for personal health information to be shared for treatment, payment and health care operations. If you have questions about this notice, or any concerns regarding the privacy practices at the Jewish Home, contact the Jewish Home Privacy Officer at 585-784-6412. Hospice Care Hospice is a philosophy of end-of-life care that focuses on all aspects of comfort—physical, social, spiritual and emotional. It is also a specific benefit covered by Medicare. The Jewish Home’s Hospice is provided through Lifetime Care. Lifetime Care offers its services in familiar, comfortable surroundings so residents who require hospice care may be able to remain in their own rooms. Hospice and Jewish Home nursing teams work together to coordinate care to best meet each resident’s unique needs. Hospice Care benefits residents who:

Have a possible life expectancy of six months or less, as determined by a physician

Desire to terminate aggressive diagnostic or curative treatment

Require no further hospitalization

Are in need of comfort care

In addition to the Home’s 24-hour a day care, Hospice residents are supported by the Hospice medical director, special Hospice nurses, the Hospice social worker, pastoral care coordinator and bereavement coordinator. For more information about Hospice Care, contact your social worker. The Jewish Hospice Program provides a specialized form of palliative care during the end stages of illness. Staffed by dedicated and specially trained volunteers they assist patients and their families in making their loved one’s remaining time meaningful and comfortable. The Jewish Hospice Program is not a building but is located wherever the person requires care: in The Jewish Home, in a congregate or assisted living setting, in a hospital, in a comfort care home or in their own home. Jewish Senior Life developed the Jewish Hospice Program, in collaboration with Jewish Family Service, Jewish Community Federation, Visiting Nurse Service and Lifetime Care. Working with our partner agencies in the Jewish community ensures that we can identify and serve those who would benefit from the unique care offered through the collaboration. For more information about The Jewish Hospice Program, please contact your social worker.


I Integrated Medicine Integrated medicine is offered through the Jewish Home Rehabilitation Department and includes Tai Chi, Chi Gong and therapeutic massage. Practiced in China for centuries, Tai Chi and Chi Gong have been shown to decrease blood pressure, heart rate and increase balance and bone mass. Massage provides relaxation, boosts the immune system and reduces blood pressure and heart rate. Tai Chi and Chi Gong classes are modified to meet residents’ needs. Massage therapy is available by physician’s order. Residents also have the option to privately pay for massage therapy.

L Laundry The Jewish Home offers in-house laundry service for residents. Here are important guidelines to receive the best results: Make sure all clothes sent to the Jewish Home laundry are machine washable and dryable at commercial laundry temperature (approximately 140 degrees). Keep this in mind when purchasing clothing that will be laundered; consideration should be given to shrinkage and the colorfast quality of the fabric. These factors are beyond our control given the high temperatures required. *Wool clothing should not be laundered at the Jewish Home. Labeling Clothing Due to the amount of laundry done on a daily basis and as a measure to guard against potential loss, it is essential that all clothes be labeled with the resident’s name. When you bring clothes into the building for a resident, please stop in the lobby at the front desk. Give the clothing to the concierge/security and fill out the form that they will give you. The clothes will be then labeled and delivered to the appropriate resident living area within 24 to 48 hours. Please be aware that all clothing will be labeled on admission to the Home regardless of family doing the wash. This is to reduce the possibilities of loss and to better serve our residents. Laundry Schedule We recommend that each resident have a 7 – 10 day supply of clothing on hand. Laundered clothes are picked up and returned the same day, according to the following schedule:


Sunday 2nd Floor

Monday 3rd Floor

Tuesday 6th Floor

Wednesday 4th Floor

Thursday 5th Floor

Clothes that require dry cleaning, hand washing or other special treatment cannot be laundered by the Jewish Home. For questions about laundry or dry cleaning see a nursing staff member or your resident’s social worker. If there is an article of clothing that your loved one may be missing, we ask that you utilize our missing clothing hotline. The extension is 1490 and can be accessed from any house phone in the building. Leaving the Building For the safety of our residents, the nursing staff must know when a resident leaves the building and when he or she is expected to return. A sign-out book is located on each resident living area, in the nursing charting room, for this purpose. For overnight visits, please give the nursing staff at least a 48-hour notice so we can package medications and other medical necessities. It is also important to leave a contact phone number with the nursing staff in case of an emergency.

M Mail Resident mail is delivered regularly; there is no mail delivery on national or Jewish holidays. The Volunteer Department sorts and delivers residents’ mail. Unless otherwise indicated, business and financial mail is sent directly to the Jewish Home Finance office. Your unit social worker will ask for your preference in handling your business mail (bills, solicitations, Medicare/Medicaid) upon admission. Contact the Volunteer Service Department at 585-784-6551, if you have a problem receiving your mail. Outgoing mail may be placed in a basket located at the concierge desk at the front entrance. Postage stamps are available at the resident’s bank. Be sure your family and friends send mail addressed to you in your full name. Manager on Duty The Manager on Duty (MOD) program is designed to provide another level of management support to our staff, residents, patients, families and visitors on


weekends. This is accomplished by having supervisors available on the weekends. Their main focus is on improving customer service. All leadership staff with direct supervisory responsibilities that do not typically work weekends are a part of this program on a rotating basis. The MOD is available on Saturdays and Sundays from 10 am – 2 pm. They will do rounds at the Jewish Home, Summit and Wolk Manor. A picture of the MOD will be located at the concierge desk. Medical Department By law, every skilled nursing facility must have a physician Medical Director. The Medical Director is responsible for the overall clinical care provided to the residents—assuring coordination of nursing, dietary, social work and rehabilitation services. The Jewish Home is one of only a few local nursing homes with full time, on-site medical staff dedicated to ensuring timely, thorough and compassionate care. The clinical medical staff department includes physicians, nurse practitioners, and physician assistants. The staff includes our full-time, onsite primary care team as well as a complement of specialists with whom we work closely. The Medical Department has an on-call system 24-hours a day, 365 days a year, enabling the nursing supervisor to be in contact with a doctor at any time. The on-call physician will coordinate the best treatment options with the nursing staff. The Jewish Home also has providers available for foot care, eye care and dermatology. Medical Records Residents and their designated representative may request copies of the medical record. There is a fee of $0.75 per page. To request such information, please contact the Medical Records Department at 585-784-6412. Medicare Coverage Following a hospitalization, an individual may be eligible for Medicare Part A coverage for room and board in a skilled nursing facility under very specific conditions and for short periods of time. An individual may only be considered eligible for Medicare Part A coverage after a three-day hospital stay. The Jewish Home’s Medicare review nurse will review medical records to verify eligibility of coverage. In addition to a three-day hospital stay, an individual must meet very specific criteria related to the services they are receiving to qualify for Medicare Part A.


Periodic reviews are done to determine continued eligibility. If the individual no longer meets the requirements for Medicare coverage, the coverage is terminated, and the resident or designated representative is notified of non-coverage status. Maximum coverage of Medicare Part A is 100 days per spell of illness. With this, days one through 20 are paid in full by Medicare. From day 21 through day 100, the coverage is 80 percent. For additional information, please feel free to contact the Jewish Home’s Finance Department at 585-784-6600. Looking for more information about Medicare? Check the Medicare website at www.medicare.gov. Monitoring Devices The Jewish Home of Rochester recognizes that as technology continues to increase in sophistication and the use of video and audio monitoring becomes more accepted in a variety of settings, this situation may arise here. While we do not believe that there is a need for this type of monitoring, we also know that there are some residents or families who might request it. As a result, we have established guidelines for use of such equipment. The core of this policy is our commitment to protect the rights of each resident, particularly those in semi-private settings. For more information regarding this policy, contact your unit social worker. N Newspapers The Rochester Democrat and Chronicle is delivered daily to the Jewish Home, including weekends. Copies of the paper are located in the Resident Library, which is located on the first floor in the Street of Shops. Arrangements may be made to have a subscription delivered to a resident’s room by calling the Democrat and Chronicle at 585-232-7100. Arrangements for billing and the cost of the subscription are the responsibility of the resident and/or family. If a resident is interested in subscribing to the Jewish Ledger, please contact 585-427-2734. Nursing Services Our nursing team provides residents with personal and clinical care. The care plan devised for each resident is based on periodic comprehensive assessments that identify individual strengths, problems and needs. There are eight Long-Term Care (LTC) resident living areas and two Transitional Care Program (TCP) areas within the Jewish Home, each staffed by a head nurse


manager (HNM), staff nurses (both RNs and LPNs); certified nursing assistants (CNAs); and a nursing secretary. The HNM is responsible for the overall coordination and quality of care for the resident living area. Staff nurses are responsible for assessing, planning, evaluating care, and dispensing medications and treatments. CNAs assist residents with personal care, such as bathing, dressing, eating and ambulation. The nursing secretary is responsible for ordering supplies, making and tracking appointments and keeping medical records in order. On evenings and weekends, a designated nursing supervisor, who is an RN, manages the services of the Nursing Department. The name of the supervising nurse on duty is posted in the first floor elevator lobby. In addition, nursing administration is on-call 24-hours a day, seven days a week. If you wish to talk to the nursing supervisor please call the front desk at 585-784-6468.

P Parking Visitor parking is conveniently located in front of the Jewish Home. Signs designate visitor spaces. If the visitor spaces are filled, additional parking is available in the North Lot (the side of the building facing I 590) with entrance to the Jewish Home from the doors on the north end. This entrance is open from 5:30 a.m. – 11:00 p.m. Pharmacy NCS, an Omnicare company, is the Jewish Home’s provider of all prescription and in-stock medications. The pharmacy labels, sorts and packs all medications in a safe manner according to regulatory requirements, and provides medication sheets and written order sheets. NCS accepts most prescription plans and bills accordingly. Private-pay residents are responsible for paying any pharmacy costs not covered by their insurance. Questions about billing from NCS should be directed to NCS at 585-482-4978. Primary Contact It is important that one person be identified as the primary contact person for the resident. This may be a spouse, child, sibling or close friend. This individual serves as the main contact for the Home’s staff. The primary contact will be invited to care-plan conferences, social events, and will also act as the contact in case of an emergency. Families often want to share these responsibilities; however, we have found that for continuity of care, it is best for one designated spokesperson to coordinate and communicate with the other family members.


If the primary contact changes or the address or phone number changes, be sure to notify the social worker or head nurse manager so that the correct information is readily available in the resident’s medical chart. It is also important that your social worker or head nurse manager be informed when the primary contact plans to be on vacation or out of town, even overnight, to be certain contact can be made in an emergency. Private Duty Caregiver Residents may have private duty caregivers if they wish. There are three types of private caretakers: licensed nurse, certified nursing assistant and companion. Nursing assistants and companions are used most commonly. Companions cannot provide hands-on care. It is New York State law that all nurses and nursing assistants who work in long-term care facilities are specifically certified for this type of care. The private duty caregiver must provide validation that she/he is certified to work in a long-term care facility, and must provide proof of insurance coverage. The resident and/or his or her family are responsible for making all arrangements, including financial, for and with the private duty caregiver, as well as keeping the Jewish Home informed of the hours the caregiver works. The private duty caregiver must comply with all policies of the Jewish Home and provide care as based on the resident’s individual care plan. The Jewish Home will also conduct a criminal background check on the private duty caregiver. If the criminal background check is refused, the person will not be able to work for the resident. The Jewish Home reserves the right to refuse a private duty caregiver. For more information about private duty caregivers, see your head nurse manager or unit social worker. All private companions must have background check completed by JHR Human Resources prior to starting. Private Room Policy Private rooms are available to private/self-pay residents on a first come/first serve basis. The Finance Office makes the determination of eligibility for a private room. On occasion, a private room may be necessary for a clinical reason. The need for a private room requires the approval of the doctor. Once the clinical condition is resolved, the resident will be moved to a semi-private room. Problem Resolution When a problem arises, we want to resolve it to the resident’s satisfaction. The social worker and/or head nurse manager is the first problem-solver to see. Other problem-solvers include the Director of Social Work at 585-784-6575, Director of Nursing at 585-784-6694, and the Administrator at 585-784-6483. Each person is


always willing to talk with residents and family members, although making an appointment is helpful and thoughtful. For clinical or medical concerns, speak first with a nurse or head nurse manager. If the situation is not resolved, the Physician, the Director of Nursing or the Medical Director may be of help. The Federal government mandates a local Ombudsman Program under the Older Americans Act. Ombudsmen are community representatives who advocate on behalf of residents in nursing and adult homes. They listen, educate, negotiate and propose solutions to problems and act as impartial observers. Ombudsmen are not employed by the Jewish Home of Rochester or the New York State Health Department. In essence, the Ombudsman’s role is to ensure that the rights of residents are being protected and their needs met. If a problem cannot be resolved within the Jewish Home, it is your right to contact the Ombudsman Program. The Ombudsman Program can be reached at: Lifespan, 1900 S. Clinton Avenue, Rochester, New York 14618. Their telephone number is 585-244-8400, ext. 114. Residents or family members can call the New York State Department of Health at 1-888-201-4563 to report resident physical abuse, mistreatment or neglect, or if there is an unresolved complaint with the nursing home administration. The Department of Health will begin an investigation within 48-hours of receiving a report of suspected abuse, mistreatment or neglect. Psychiatric Services Residents can receive in-house psychiatric assistance, if needed and ordered by the Physician. A psychiatrist and practitioners, through a contract with the University of Rochester, provide comprehensive psychiatric assessments, assist staff in managing challenging resident behaviors, and offer recommendations for behavioral interventions and medications.

Q Quality First Jewish Senior Life has a made a commitment to the American Association of Homes and Services for the Aging (AAHSA) Quality First initiative. Quality First is a renewal of our commitment as aging services providers to help older adults and their loved ones live their lives to the fullest potential.


Quality Management Quality at the Jewish Home is monitored and improved in several ways including:

Quality Management Steering Committee is a Committee comprised of the Administrator, Medical Director, a Board member, Director of Nursing, Director of Social Work, Quality Coordinator and three representatives from other departments. They meet every other month. All departments within the Jewish Home report on a rotating basis, twice a year. The status of the each department’s quality indicators and new quality initiatives are part of the departmental reporting process. The Committee also addresses additional key quality issues. Quality Teams are formed to work on quality improvement initiatives using total quality management concepts. Quality Coordinator manages the quality reports and activities as described above.

For more information about the quality management program, you may contact the Quality Management Coordinator, at 585-784-6494.

R Recreation Therapy The Recreation Therapy Department at the Jewish Home provides ongoing programs and as well as more individualized programs for the residents. These programs are designed to meet the interests as well as enhance the physical and psychosocial wellbeing of each resident. Each resident and family will be interviewed soon after admission to learn as much as possible about the resident’s interests. The activity calendar is posted on each resident living area, daily activity sheets and on the display board in the lobby. The following is a sampling of the activities offered: discussion groups, exercise, music, cooking, Bingo, creative arts, spiritual programs, picnics, dinner theater, mall trips, lunch outings, theater, concerts and pet therapy. Rehabilitation Services All Jewish Home rehabilitation services are designed to help residents realize their full potential. Occupational, physical and speech therapy practitioners are well trained in working with those who have suffered incapacitating illness or injury.


All rehabilitative therapies must be ordered by a physician and, if applicable, must meet Medicare guidelines. Physical therapy provides rehabilitative services for residents disabled by chronic or acute pain, disease or injury. Physical therapy builds muscle strength, increases joint mobility and helps to alleviate pain. Adaptive devices are used when indicated to maximize independence and mobility. Occupational therapy services typically include customized treatment to improve the ability to carry out the activities of daily living, recommendations for and use of adaptive equipment to replace lost function, and guidance to family members and caregivers in safe and effective methods of care. Speech Language therapy provides treatment to help individuals communicate optimally and to swallow with the greatest ease and safety. Customized treatment programs may range from improving an individual’s ability to comprehend and express information to improving the timing and efficiency of swallowing to consume meals safely and easily. The head nurse manager will arrange an evaluation as appropriate. Resident Grievance Policy Residents may present grievances on behalf of themselves or others to the facility staff, to any person without fear of reprisal. They may also join with other residents within the facility to work for improvements in resident care and quality of life. Responses to a concern will be in a reasonable time frame. Complaints, suggestions or grievances may be made verbally or in writing. To report a grievance, please contact your social worker at 585-784-6590. The social worker will act as a liaison and problem solver. You may also contact a member of resident council, a department head who will address the issue with administration if requested, the Ombudsman, or by contacting the NYS Department of Health at 1-888-201-4563. Resident Rights and Responsibilities Since this is considered a person’s home, every nursing home resident has rights and responsibilities. Please contact your social worker if you feel that your rights have been violated. A nursing home resident has the right to:

Be treated with dignity, respect and consideration at all times;

Privacy in the treatment and care of personal needs;

Quality of care and treatment without discrimination;

Freedom of choice to make independent decisions;

The safeguarding of property and money;

Safeguards in admission, transfer and discharge;


Privacy in communications;

Participate in organizations and activities of the resident’s choice;

An easy to use and responsive complaint procedure;

Have medical treatments explained and the right to refuse treatment;

Be free of physical or chemical restraint;

Exercise all rights without fear of reprisals.

Residents and family members have the responsibility to:

Treat others, residents and staff, with courtesy;

Be respectful of a roommate’s privacy;

Observe smoking regulations;

Use television, telephones, radio and lights in a manner that is not disturbing to others;

Cooperate with others in abiding by the rules of the Jewish Home;

Pay bills on a timely basis or provide information as necessary to third party payers to ensure prompt payment to the JHR;

Speak up for oneself;

Speak to the person in authority who can correct or remedy a situation;

Ask questions if the explanation given is not fully understood;

Be on time for appointments;

Take care of any key given by JHR and to notify the charge nurse immediately if it is missing or lost.

Resident Council The Jewish Home Resident Council members represent each resident living area. Resident Council meetings are held monthly and are open to all residents. Residents use this forum to raise questions or voice concerns about issues at the Home. The Administrator addresses the Council several times during the year. Guest speakers from the community are invited as well. The October meeting has traditionally been a “Candidates’ Forum” in anticipation of the November election for those seeking office at the local, state or federal level. The Resident Council sponsors an annual “Sweetheart” flower sale in February. The proceeds are used to fund special projects that benefit all residents. In addition to Resident Council meetings, Community Meetings are held on each unit. For more information, contact the Recreation Therapy Department at 585-784-6545.


Resident Council Executive Committee – 3rd Wednesday of each month from 3:30 p.m. – 4:30 p.m. Resource Utilization Groups The resource utilization groups (RUGS) is a patient classification system for nursing home patients used by the Federal government and some states to determine reimbursement levels for nursing home care.

S Sabbath The Sabbath (Shabbat or Shabbos) begins every week on Friday at sundown and continues until sundown on Saturday night. It is a most beloved part of the Jewish religion, a time when families are drawn together. It is a sacred day of rest and refreshment after the workweek. In order to protect the sanctity and atmosphere of the Sabbath for residents of the Jewish Home, we depart from our routines in these ways:

We refrain from transactions or activities that involve the exchange of money between individuals.

The Gift Shop and Resident Bank remain closed.

Mail is held until the next business day.

Elevator #2 is put into Sabbath service so that it stops on each floor for 30 seconds without having to push any buttons.

On Friday evening, wine and freshly baked Challah is delivered to each floor. Residents, with staff and volunteers assisting, lead the traditional Sabbath prayers.

Appropriate greetings for the Sabbath are “Good Shabbos” (Yiddish) or “Shabbat Shalom” (Hebrew). Scandent We have implemented a system called “Scandent”, a state-of-the-art technology system that will help us prevent the loss of dentures, glasses, hearing aids and other personal items that belong to our residents. The system is comprised of a RFID (radio frequency identification similar to GPS) with readers and antennas mounted inconspicuously at strategic locations in the home. The Scandent system will provide alerts when items are misplaced in linens or trash bags. Using handheld readers we can also scan rooms and other areas if an item is missing. We provide this service free to our residents. A small tag is imbedded or attached to each item. It does not


affect the fit, feel, strength or durability of the item. If you would like further information, please contact your social workers. Shopper’s Service Shopper’s Service is a traveling department store giving residents an opportunity to replenish their wardrobes. Shopper’s Service visits twice each year, once in the spring and again in the fall. Shopper’s Service is committed to offering customer service; they make alterations free of charge and label clothing as items are purchased. Written permission is requested from families before staff shop for residents who are no longer able to do so. A form will be sent to the resident or family prior to the Shopper’s Service visit requesting permission to proceed. Please return these forms by the date indicated or staff will be unable to shop for the resident. A Shopper’s Service catalog is available to make purchases throughout the year if needed or please feel free to visit their website at www.shoppersservice.com. Check with your social worker. Skype™ The Social Work Department will assist you in setting up a Skype account for virtual connection with friends and family. The computers located in the Natapow Library may be used to Skype with family and residents. iPads are available and can be brought to the resident’s room if needed. If you would like more information, please contact your unit social worker. Smoking Policy The Jewish Home of Rochester is a non-smoking facility. Residents admitted after November 1, 2005 will not be allowed to smoke anywhere on the campus. Social Work Each resident living area is assigned a social worker. The social worker is an advocate for the residents, as well as a support system for the family. It is difficult to list all the services your social worker can provide, as each is trained in problem solving and recognizing the unique needs of every individual. Social workers offer alternatives and options to problems that arise. Social workers will:

Assist the resident in adjusting to the new surroundings by developing a plan for social, religious, emotional and physical needs;

Provide counseling services;

Provide crisis intervention counseling as needed;

Explain policies and procedures;

Assist with room changes;


Coordinate re-admission to the Home following a hospital stay;

Conduct community meetings in conjunction with Therapeutic Recreation and Nursing staff.

The social worker is in regular contact with medical, nursing, dietary and recreational therapy staff to ensure that all facets of the resident’s care are well coordinated. Spiritual Life Our board-certified professional healthcare chaplain, Rabbi Dr. Sandra Katz, is available for residents, staff and family members of any faith or no faith. Jewish Afternoon worship, Mincha, is held at 4:30 pm in the Eber Room on days the Rabbi is available. This service is included on the daily activities sheet. On Saturday, Sabbath morning services convene in the Goldberg Center followed by a Kiddush. The Jewish Home observes all Jewish holidays; please check the daily activity sheets for the schedule of religious services. Rabbi Dr. Sandra Katz coordinates Jewish services and celebrations. She may be reached at 585-784-6364. Christian Evangelical Christian Service First Friday each month at 10:00 a.m. Roman Catholic Mass Third Tuesday each month at 10:00 a.m. Lutheran/Protestant Service Third Friday each month at 10:00 a.m. Services are held in the Goldberg Center. Our Lady Queen of Peace Church brings Holy Communion to Roman Catholic residents 3 weeks per month. Volunteers come with ashes for Roman Catholics on Ash Wednesday. Services are held for Easter and Christmas. The priest anoints Roman Catholic residents with the Sacrament of the Sick twice a year, in June and December. Please notify the resident’s congregation with the Jewish Home’s address. Residents may enjoy receiving congregational bulletins, and many congregations have visiting committees. Clergy from all congregations are always welcome to visit their congregants. Call Rabbi Dr. Sandra Katz at 585-784-6364 to be included for services, to receive communion or for a visit. Storage Storage of personal belongings other than what is contained in a resident’s room is limited. Storage is only provided for 30 days following a resident’s discharge from the Home. At that time, any items still in storage will be disposed of. For more information contact your social worker.


T Television Viewing The Jewish Home provides flat screen televisions in all of the resident rooms, as well as the dining activity centers (DAC) on each resident unit. Senior Satellite services are provided free of charge. 52 Channels are available with this service, including two Russian and two Spanish channels. A large screen television is located in the Eber Room on the Jewish Home’s first floor and is available for individual viewing as well as for groups. Channel 3 is the Jewish Home of Rochester’s in-house channel broadcasting movies. Check the written activities sheet for broadcast times. A selection of recent and classic films on videotape are available in the Natapow Resident Library on the first floor. Residents may borrow these by contacting the recreation therapist on his/her living area, or contacting 585-784-1800. Residents interested in additional channels not included in the Senior Satellite services may contact Time Warner Cable at 585-756-5000 for separate cable service. Tipping Policy Many families wish to show their appreciation to the staff of the Jewish Home for the fine care their loved one receives throughout the year. Please bear in mind that our corporate compliance program prohibits nursing home staff from accepting personal gifts and staff must refuse any offer. However, individuals may make a contribution to funds specifically designated for our staff. The Esther B. and Sol Gross Fund support annual appreciation programs for employees. The Leonard & Tiby Schreiber, Gail and Lynn Career Development Fund provide tuition grants for dependent children of employees. And the William Feldman Employee Loan Fund provides interest-free loans to employees for specific reasons. For more information about these and other funds, contact the Jewish Home Foundation at 585-784-6384. Transportation for Residents The Jewish Home arranges transportation for medical appointments through Medical Motor Service. There may be a fee for this service, depending on insurance coverage. For further information contact your nursing secretary.


Transportation for Family Members Two services are available for family members visiting the Jewish Home. These programs require paperwork to be completed. The unit social worker can supply the necessary forms:

Lift Line, which offers transportation for older individuals and those with physical disabilities. Contact 585-426-3520, ext. 123.

Jewish Family Service offers “JFS Express,” a transportation option for family members of Jewish Home residents. JFS Express is available Monday through Friday from 8:30 a.m. – 5:00 p.m. Call Jewish Family Service at 585-461-0115, ext. 108 for information or to purchase ride coupons. Be sure to tell the operator you have a family member at the Jewish Home.

U United Healthcare/Optum (formerly Evercare) We offer United Healthcare/Optum (formerly known as Evercare) at the Jewish Home, which is a Medicare advantage plan. United Healthcare/Optum is a health care company that brings together a proven care model with insurance benefits to offer a more personal health plan built around each resident’s unique needs. United Healthcare/Optum provides health care coverage and services for people who have long term or advanced illness, are older or have disabilities. Residents who have United Healthcare/Optum have access to a Nurse Practitioner, who works in conjunction with the Jewish Home medical staff. To be eligible, the resident must have Medicare Parts A & B. For more information, please contact your social worker.

V Valuables We encourage our residents not keep valuables in their rooms. If residents do come in with personal items such as jewelry or electronic devices, the social worker on admission will take an inventory and keep a record. Please secure items in the locked drawer in the nightstand. Visitors For the safety of residents and visitors, all visitors must sign the visitors’ log at the concierge desk at the front entrance upon arrival and departure. Residents can have visitors on a 24-hour basis consistent with the


preferences a resident has expressed concerning visitors and within reasonable restrictions that ensure safety of all residents. Visiting during meal times is discouraged due to limited space and established routines. When possible, please wait until after the meal has been completed before beginning your visit. Also, if the resident you are visiting shares a room, please be respectful of the roommate’s needs and wishes. You may elect to visit in the Café Shalom, the Street of Shops, the Sokol Solarium, or the gardens in nice weather, as alternatives to the resident’s room. If you are not feeling well, please wait until you are feeling better before visiting. This is especially true during flu season, as flu can be a devastating and rapidly spreading illness. Children of all ages are welcome, and they bring special delight to our residents. However, family members are expected to provide appropriate supervision. Running in the hallways is not allowed. Running can be dangerous and can cause injury to the residents, staff and/or child. Visitor Guidelines:

Visit when you feel relaxed and are not in a hurry.

Be sure the resident you want to visit is available.

Bring some conversation-starters, such as photographs, magazine, stories or topics.

Focus on the positive.

Don’t quiz a resident with dementia or one who is easily confused.

Observe the privacy of all residents. Please knock before entering a resident’s room.

Conversations in public areas should be in keeping with the general rules of civility and cordiality.

Visitors are asked to seek nursing assistance to meet their loved one’s needs. Staff is trained to provide bathroom assistance, transferring and other needs. We ask that you rely on our professional staff to assist the resident, even while you are visiting.

Report any noticeable changes in a resident’s condition to the nursing staff.

Be respectful of the resident’s dignity and leave the room when the resident is receiving personal care or when asked to do so by a staff member.

Be aware of fire and emergency exits, and promptly follow staff instructions during any drill or true emergency.


Check with the appropriate staff member prior to giving food or liquid to a resident to ensure dietary restrictions are followed.

Respect the right of each resident and staff member to be treated with dignity and respect.

Respect the property of each resident and staff member.

Respect the Jewish Home’s obligation to treat all medical and social information about the resident in a confidential manner.

Be free from the influence of alcohol, drugs, and carrying of firearms/weapons.

While it is not our practice to restrict or supervise visitation of residents, we reserve that right to protect Jewish Home residents, staff and guests. Individuals violating the rights of a resident, staff member or guest either by refusing to abide by the Jewish Home rules, appearing to be under the influence of alcohol or drugs, or engaging in illegal activity, may be restricted from further visitation. Volunteers The Jewish Home could not manage without its loyal and dedicated volunteers who enhance the lives of residents on a daily basis. One example is the Café Shalom, sponsored by the Jewish Home's Auxiliary and staffed entirely by volunteers. Many family members could not imagine a visit to the Jewish Home without a cup of coffee and a cookie in the Café. Volunteers run bingo games, help transport residents to and from therapy and programs, help with outings such as shopping trips and ball games, assist with clerical work and lead discussion groups or classes. Many volunteers offer their time and talent to the Jewish Home’s Board of Directors and various committees. One of our most important volunteer programs is the friendly visitor program, which helps build relationships and keeps residents connected to the community. Friendly visitors bring the news of family and friends. A number of volunteers come in once a month and others are here daily. All are appreciated and loved. If you are interested in volunteering or in learning more about our volunteer opportunities, please contact our Volunteer Coordinator at 585-784-6556. Voting The Jewish Home is a designated voting district, and is listed as Brighton District 17. A voting booth is made available in the Jewish Home for all elections and primaries. Your social worker has all information and forms needed to assist residents in registering to vote.


W Website Jewish Senior Life is the parent organization for The Summit at Brighton, Wolk Manor, Lodge at Wolk Manor and The Jewish Home of Rochester. Jewish Senior Life has a recently re-designed website that provides information on all levels of care and the various community services we provide. On the site, you will also find admission information, news, events and employment opportunities. If you are interested in viewing our current annual report, you will find it under the News & Events menu. We hope you will take a few minutes to look through the website at www.jewishseniorlife.org, or you may access any of our affiliates at the following addresses:

www.jewishhomeroch.org www.summitbrighton.org www.wolkmanor.org www.lodgeatwolkmanor.org

In addition, should you be interested in making a donation to the Jewish Senior Life Foundation, you can learn how to make a gift online or where to send your gift through the mail by visiting www.jslfoundation.org. There is also a Resident & Family Information section to accommodate the information needs of residents across the campus. These pages include dining menus, activities calendars, and news and information specifically for residents and their families. Wheelchairs Portable, lightweight wheelchairs are available for short-term use. Contact your social worker or call 585-784-6591 to make arrangements to borrow a wheelchair. Wireless Policy The wireless network is provided throughout the facility and is available for use by Jewish Home residents, their guests and other visitors of the facility. The wireless network and the Home’s computers may not be used for illegal or unlawful purposes, including, but not limited to, copyright infringement, obscenity, pornography, libel, slander, fraud, defamation, plagiarism, harassment, intimidation, illegal gambling, soliciting for illegal pyramid schemes and computer tampering. The Jewish Home reserves the right to monitor and filter any activity on the wireless


network. If you would like a copy of the wireless policy, please contact your social worker. User Name: Internet (public name for the network) Revised April, 2014

Documents

JHR Handbk Rev Apr14 - jewishseniorlife.org