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Facility FAQ Questions
 

Are you a Nursing home?

What is the difference between a Nursing home and an assisted living facility?

Does Barton House have nurses on staff?

What are your staffing ratios?

Does Barton House take care of people with all types of Dementia?

Do you provide Day Care or Respite Care?

Do you help the resident to take their medication?

What about over-the-counter medications, nutritional supplements and herbal remedies?

Can you provide special diets?

Do you provide transportation to and from appointments?

Do you take the residents on field trips?

When does the resident have to leave Barton House and go to another type of facility like a Nursing home?

What type of Activity Program do you provide?

Are the residents allowed to have pets?

May I drop in for a tour?

When can I visit?

What services does the rent cover?

What services are not covered by the rent?

What kinds of behaviors are your staff capable of handling?

What behaviors are you incapable of dealing with?

 
Facility FAQ Answers
 

1. Are you a Nursing home?

No. We are an assisted living facility.

2. What is the difference between a Nursing home and an assisted living facility?

Nursing homes provide a more intensive level of care than an assisted living facility. Nursing home residents usually have complex medical conditions that require interventions such as injections, feeding tubes or restraint. Nursing homes are required to have nurses around the clock who provide and supervise the care of their patients. Nursing homes also are oriented toward a medical model of care, with physicians on staff. Some nursing homes receive public funding such as Medicare and Medicaid and most Long Term Care Insurance policies pay for Nursing home care.

Assisted living facilities provide a less intensive level of care and, generally, do not subscribe to the medical model of care. Most Assisted Living Facilities do not have nurses or physicians on their staff and provide mainly physical and personal care, such as assistance with bathing, eating, dressing and toileting. Generally speaking, any complex medical or nursing care needed must be performed by an outside agency such as home health. Some Long Term Care Insurance Policies will pay for care in an assisted living facility. Many assisted living facilities have a more home like feeling and some are actually small homes with just 3 or 4 elderly residents.

3. Does Barton House have Nurses on staff?

Yes. We have a Nurse Manager who manages the home and oversees the care of each resident. Our nurses will also work with the resident's physician when minor illnesses or medication problems arise. The Nurse Manager is usually available during normal business hours. We also provide basic first aid.

4. What are your staffing ratios?

During waking hours, our staffing ratios range from 1 direct care staff for every 4-6 residents. During sleeping hours, our ratio is 1 awake direct care staff (and one back up staff who is asleep) for 20 residents.

5. Does Barton House take care of people with all types of Dementia?

The types of Dementia that we see most frequently at Barton House are Alzheimer's type and Vascular type. We will perform pre-admission assessments and evaluations on individuals with other types of Dementia.

We screen our residents carefully to make sure that we can provide the level of care that they need and that they will be a good "fit" with the other residents at Barton House. We also perform assessments to ascertain that the potential resident is able to benefit from the program that we offer.

6. Do you help residents take their medication?

Absolutely! In fact, we supervise or administer all of the resident's medication, as we believe that this aspect of care is dangerous for the residents to cope with on their own. All resident medication is kept in a locked medication room in the office.

7. What about over-the-counter medications, nutritional supplements and herbal remedies?

We will gladly supervise or administer any substance that the resident's physician prescribes that can be given through a non-invasive route. We must have a physician's order for all substances that are supervised or administered. All substances that we supervise or administer must be labeled by a pharmacy. Residents are not allowed to keep any type of medication or other potentially dangerous items/substances in their room. We cannot give injections, intravenous, or tube feedings. In many instances some of these types of medications can be provided at Barton House through a home Health Agency.

8. Can you provide special diets?

We are able to provide certain modified diets such as those that would be regularly prepared at home. Those include but are not limited to: No Added or Concentrated Sugar, No Added Salt, and certain food allergies such as shellfish.

Our regular diet is specially designed for individuals with Dementia. It is attractive, flavorful, high calorie, high fiber, high fat, high nutrient, easily chewable and easy to eat with limited motor skills.

9. Do you provide transportation to and from appointments?

Because of our small size, it is difficult for us to provide transportation for the residents. Only in certain special circumstances can we provide transportation. The cost of these services are passed on to the family without any mark-up. In the event of an emergency we call EMS or another ambulance service to transport the resident to an appropriate medical facility.

10. Do you take the residents on field trips?

Because of the nature of dementia and the limitations that our residents have, we believe that to safely provide field trips we would have to have one staff for each resident once we left the facility. Many times, although the residents express the desire to leave the facility, once the leave, they feel insecure, anxious and uncomfortable. For these reasons we have yet to have any facility sponsored field trips. Instead, we try to bring the community to Barton House through presentations, volunteers and other visitors.

11. When does the resident have to leave Barton House and go to another type of facility like a Nursing home?

The simple answer to this question is "when we can no longer provide the level of care that the resident needs." This decision is difficult to make in some situations. We work with the family in deciding when a resident needs to be moved, either temporarily or permanently,  to a more appropriate level of care. An acute medical crisis, (such as stroke or heart attack) necessitates an immediate resident transfer.

12. What type of Activity Program do you provide?

Because individuals with Dementia need routine and structure, our Activity Program is designed to structure the residents day from the time that they arise throughout the day, until they go to bed. The Activity Program is designed to accentuate our residents' strengths and minimize their disabilities. We incorporate hygiene and activities of daily living into the program. The activities are designed to stimulate cognition, movement, communication and socialization.

13. Are the residents allowed to have pets?

Yes, we allow pets at Barton House as long as the pet is not too large, and house trained. Each house has a dog that belongs to everyone. Barton House has a dog that is found to be therapeutic for our residents.

14. May I drop in for a tour?

We prefer to provide tours by appointment only. Our residents find tours during certain times of the day to be disruptive. We have several requests for tours each day and to honor all of these requests is not conducive to a calm environment. We believe that Barton House is the residents' home and they should not feel like they are on display.

15. When can I visit?

We have no set visiting hours. Families are welcome at any time of the day or night. In fact, some of our families from out of town spend the night in the house when we have room. We strongly encourage the families to be involved in the resident's life. It gives the residents continuity.

Families are also welcome to have meals with the residents, free of charge. We ask that you give us a few hours notice so that our kitchen staff can make sure there is enough food for everyone.

The residents may leave with family any time the family wants to take them out. We do ask that you sign them out and back in and let on of the staff know you are leaving with them so that we are sure where they are. We do not allow residents to leave unaccompanied. We will not let a resident leave with someone that we are unfamiliar with unless we first obtain permission from the family.

16. What services are not covered by the rent?

Generally speaking, the services that are not covered are services that are not required by all residents or special products that are individual to each resident. Examples of these are: Beauty Shop services, incontinence products, medications, doctor visits, in room phone and cable service, walkers, canes and other assistive devices.

17. What kinds of behaviors are your staff capable of handling?

We are equipped to work with individuals who display most of the common (and not so common) behaviors associated with Alzheimer's Disease and dementia. Behaviors such as hoarding, "shopping", wandering, paranoia, hiding objects, confusion and disorientation, reluctance to bathe, difficulty dressing, layering of clothing, problems with toileting, agitation, anger, frustration, difficulty with mobility, problems with eating, withdrawal and exit seeking are all behaviors that we expect to see in our residents. We try to "normalize" these behaviors an when they become problematic in our "normalized" environment we brainstorm and try to use creative interventions to lessen the impact of the behavior on the other residents, the environment and the staff.

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18. What behaviors are you incapable of dealing with?

Physical aggression is very difficult for us to deal with successfully in our environment. If a resident is dangerous to himself or others we will try behavioral intervention first, then use medication when it is ordered. If neither of these interventions is successful, or if the resident's aggression is extreme, we will ask that the resident be placed in an environment either temporarily or permanently that is more capable of intervening with such physical aggression.

Repeated verbal aggression or abuse is also a behavior that is difficult for us to work with as it makes the environment difficult for all who are present. When another resident is the object of the aggression or abuse, and the abuse is not controlable with behavioral intervention or medication, we ask that the resident be placed in a more appropriate setting.

We only use psychoactive medications as a last resort for dealing with resident's problem behaviors. In most cases we will try every other independent intervention possible before giving medication to a resident to control behavior.

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Barton House - www.TheBartonHouse.com
Phone: 1-480-991-9912
7007 East Mountain View Road
Scottsdale, AZ 85253
Kleege Enterprises - www.KLEEGE.COM
Phone: 1-858-481-3081 Fax: 858-481-2674
12625 High Bluff Drive
San Diego, CA 92130

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