Within 30 days after admission the DON, Social Worker, Activity Director and RCA will create an Individualized Service Plan (ISP) based on the residents needs. This plan will be reviewed with input from the RCA’s every six months. The ISP’s are reviewed at staff meetings so all staff are aware of the residents needs, approaches and goals.

Family members and guardians are invited to attend a Care Conference within 30 days of admission and every six month reviews thereafter. Family suggestions are elicited and added to the ISP. If the resident has a visiting nurse, that person is also invited to the Care Conference. The purpose is to create a plan that identifies the residents individual needs and establishes goals.

RCA’s document daily regarding the residents personal cares, behavioral concerns, socialization and medical needs. The Social Worker and Activity Director also document:

The activity director and the RCA along with family input, access each resident’s interests and abilities and develop a service care plan that promotes their individual leisure interests.

Vitals and weight to be monitored once per month as necessary or more frequently upon physicians request. Information to be either faxed to physician or sent with resident upon routine visits.

The RCA are trained to distribute medications and document by the nurse. Medications are bubble packed through the pharmacy of choice.

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RCA utilize interventions such as diversion, validation, reminiscing, therapeutic activities, and reassurance to diminish typical behaviors of anxiety and confusion. If staff interventions are not successful, the staff will consult with family regarding the need for appropriate medical or psychiatric intervention. Medications may be recommended and each residents primary care physician and psychiatrist reviews medications every three months (or more often) to determine side effects and the possibility of reducing medications. A resident may be discharged if there is imminent risk of serious harm to the health and safety of a resident or staff.

Area chaplains provide ecumenical services Tuesday, Wednesday and Thursday mornings as well as Sunday. The Mile Bluff Chaplain is available to provide spiritual and grief counseling to residents and their families. Residents individual ministers, priests or lay people are encouraged to visit and offer prayers.

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Staff will implement a service plan defining the resident’s specific abilities and needs regarding hygiene and personal cares. Each resident will be encouraged to be as independent as possible and the RCA’s offer assistance as needed. Nail care is provided to each resident by staff or volunteers with the exception of diabetics. Baths or showers are always supervised by staff.

A beautician comes Tuesday and Thursday am to provide hair care to female residents. A barber visits monthly the second Monday of the month to provide hair care to male residents.

We offer three meals plus snacks daily. Meals are planned by a dietitian and all special diets ordered by the physician are honored. Nutritional supplements are offered when weight gain is desired.

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Laundry is washed daily and returned to residents room’s. A housekeeper cleans the residents bath area daily and room weekly and the RCA provides daily monitoring of the room and cleaning services as needed.

Assistance with arranging transportation to outside appointments as necessary.

Upon written request of the resident or appointed Financial Power of Attorney, Great Lakes CBRF will make available a separate, non interest bearing trust account for use by each resident. The account will hold up to $200.00 for resident to use for personal items, beauty shop appointments, lunch and movie outings. The account will be maintained by the Resident Trust Coordinator/Activity Director and funds will be available Monday through Friday from 8:00 a.m. to 4:00 p.m.. Residents should plan ahead for evening and weekend outings. Every resident will receive a monthly statement.

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