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Levels Of Care
Skilled Nursing Facilities / Nursing Homes
Nursing Homes provide varying degrees of nursing care in a residential setting that promotes rehabilitation and enhanced support in activities of daily living. Nursing care is provided 24 hours per day. This is the most intensive and dependent level of nursing service provided outside of a hospital.
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Staffing requirements provide that the facility have professionally trained and licensed Administrator, Director of Nursing, RNs, LPNs, and CNAs, as well as Social Worker, Activity Staff, Dietary, Housekeeping, and Maintenance Staff.
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Residents admitted to nursing facilities do so to live a lifestyle full of meaning, activity, socialization and to avail themselves of caring individuals who provide assistance and quality service. Admissions can be temporary for those who require short-term rehabilitation or a brief recuperative period after an extended hospitalization. The structure and support provided with 24-hour nursing services enable individuals to maximize their level of independence and afford them opportunity to return home. Many residents admitted to our facilities make it their permanent residence. They are admitted from hospitals or from their homes, when living independently at home is no longer feasible. These individuals maximize their functional capabilities and strengths, while the staff assists them in coping with losses that are part of the aging process.
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Accommodations are usually semi-private, with some private rooms available. Each room has lavatory facilities, but bathing facilities are separate, as residents usually require staff assistance. Nursing Facilities are found throughout the state.
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Nursing Facilities are licensed by the State of New Hampshire’s Bureau of Health Facilities Administration under Nursing Facility Rules and Regulations. Additionally, any facility receiving Medicaid funding must be Medicaid certified. This certification requires compliance with additional rules and regulations that are more stringent and complex than licensure, and occurs annually. A report of findings and the facility’s responses are available at every facility. Medicare funding also requires certification and compliance with additional rules and regulations as above.
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Assisted Living Facilities / Residential Care Homes
Assisted Living is intended for seniors who need assistance with their activities of daily living which might include meals, assistance with bathing and dressing, and medication supervision.
Assisted living residences offer a multifaceted residential setting that provides personal care services, 24 hour supervision and assistance, activities and healthrelated services, designed to:
- Minimize the need to relocate;
- Accommodate individual residents’ changing needs and preferences;
- Maximize residents’ dignity, autonomy, privacy, independence, choice and safety; and
- Encourage family and community involvement.
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Accommodations
are usually private or semiprivate rooms with a private or shared bath. The services and activities provided or arranged for in assisted living residences generally include:
- 24hour supervision;
- Three meals a day in a group dining room; and
- A range of services that promote the quality of life and independence of the individual; such as
- Personal care services (help with bathing, dressing, toileting, etc.)
- Medication management, or assistance with selfadministration of medicine;
- Social services;
- Supervision and assistance for persons with Alzheimer’s or other dementias and disabilities;
- Recreational and spiritual activities;
- Exercise and wellness programs;
- Laundry and linen service;
- Housekeeping and maintenance; and,
- Arrangements for transportation.
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Required staffing includes a competent adult. Some facilities staff with Certified Nursing Assistants (CNA) and/or a professional nurse.
The state of New Hampshire’s Bureau of Health Facilities Administration licenses this service level and facility type under Residential Care Rules and Regulations. These facilities are issued a license and are inspected once a year.