FREQUENTLY ASKED QUESTIONS

Member facilities and personnel of the Catholic Long Term Care Network are frequently asked questions about care, financing, living conditions, and health-related assistance. We have compiled the answers to some of these questions. If you have further concerns about such topics or other questions that have not been addressed, please contact us. We would be happy to discuss them with you.

Care

Q. Are CLTCN nursing facilities regulated and controlled?
A. Yes. Medicare, Medicaid, and the Commonwealth of Pennsylvania Department of Health are all responsible for licensure and certification of all CLTCN facilities. And many other agencies also routinely visit and inspect the conditions and services offered by our facilities.

Q. What is meant by skilled nursing care?
A. Skilled care is professionally supervised nursing care and other related medical and health services. Such care is provided for people who are assessed as needing 24-hour nursing care, which can only be met in a long-term care facility on an inpatient basis, and who need the care because of illness, disease, or injury.

Q. What is meant by intermediate care?
A. Intermediate care is health-related care that requires services under a plan of care and supervised licensed personnel, but does not require hospital or skilled care on a regular basis. It includes help with the activities of daily living, such as personal hygiene, dressing, bathing, and eating. Intermediate care also provides medication administration, routine care of minor lesions, preventive skin care, and restorative nursing programs.

Q. What is meant by personal care?
A. Personal care provides 24-hour supervision in a pleasant residential setting for those who require help with the activities of daily living and medication supervision. In most of our facilities, residents’ rooms can be decorated with favorite personal items. The camaraderie residents find with their peers and other special activities our facilities provide for our residents help to promote a stimulating lifestyle.

Q. What procedures are followed in case hospital care is required?
A. Our residents’ attending physicians are responsible for determining if hospital care is required. In an emergency, facility staff will arrange for transportation to the nearest emergency room.

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Financing

Q. What is Medicare?
A. Medicare is a federal program that provides insurance benefits for people over the age of 65 and for people with disabilities. Medicare Part A covers hospital, nursing home, home health, and hospice services. Medicare Part B (for which a monthly premium must be paid) covers physician and medical services.

Medicare will pay for short-term care in a Medicare-certified skilled nursing facility, short-term home health services, and hospice care.

Q. What is Medicaid?
A. Medicaid is a joint federal and state assistance program that covers those who meet eligibility requirements based on income and financial resources. To qualify for Medicaid if you are in a nursing home, you must first “spend down” your assets to a few thousand dollars (including bank accounts, IRAs, second homes, and stocks and bonds).

Q. Does Medicare pay for long-term care?
A. Medicare can only be used as a source of payment for skilled nursing care. Eligibility requirements are strictly defined by Medicare, which will not cover intermediate or personal care.

Q. Must I turn over my money and possessions in order to be cared for at a CLTCN facility?
A. At our facilities, residents are responsible only for the care and services they receive. Whatever money and possessions you have in addition to that remain yours.

Q. Do CLTCN facilities’ fees cover everything?
A. Generally, fees cover only the nursing care we provide and do not reflect physician visits. A resident’s insurance may cover such professional services. Please contact the Admissions or Business Office of our member facilities to answer your specific questions.

Q. What is “hospice”?
A. Hospice is a program that provides pain management and supportive care for the terminally ill, in the home or as an inpatient. Usually, services are covered by Medicare and include counseling, education, and bereavement services.

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Living Conditions

Q. Are CLTCN facilities open only to members of the Catholic faith?
A. CLTCN facilities do not discriminate in providing their services. Our doors are open to applicants regardless of race, color, national origin, religion, gender, or disability.

Q. What are the visiting hours at CLTCN facilities?
A. Our facilities are always open to family and friends.

Q. How often is Mass held at CLTCN facilities and who offers Mass there?
A. Each CLTCN facility establishes its own Mass schedule, so please contact the staff at the specific location(s) you are interested in.

Q. What is the ratio of staff to residents at CLTCN facilities?
A. Staff-to-resident ratios vary from facility to facility in the CLTCN, and are dependent on time of day and the specific care needs of the residents.

Q. What transportation services do CLTCN facilities provide?
A. Transportation services vary from facility to facility in the CLTCN, ranging from their own transport buses to Access buses and automobiles, so please contact the staff at the specific location(s) you are interested in.

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Health-related Assistance

Q. How long do residents normally stay at CLTCN facilities?
A. The length of stay for residents is primarily determined by their medical conditions. Stays that range from a few weeks to many years are not uncommon. The nursing staffs at our facilities routinely work with residents, their families, and their physicians to determine the most appropriate length of stay.

Q. What is an advanced directive or living will?
A. An advanced directive, or living will, is a written set of instructions, provided by a competent adult, that outlines the types of life-prolonging treatment that person would choose if the person were to become unable to make medical decisions. The living will or advanced directive tells whether and when to begin, continue, or withdraw life-sustaining treatment.

Q. What types of rehabilitation services do CLTCN facilities provide?
A. CLTCN facilities provide the full range of rehabilitation services — speech, occupational, and physical therapies.

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