Nursing Care FAQs
1. Will I have a telephone and television? Can I bring my own TV? How much does it cost? Can I have a phone and not the TV or vice versa?
While staying at Harlee Manor television and telephone services are available upon request. A patient/resident may select one or both services. The costs are $5.00 per day for TV and $4.00 per day for phone.
2. Who will be my doctor?
Many of Delaware County’s premier physicians provide on-site services to our patients and residents through an ongoing arrangement with Harlee Manor. Your own appropriately credentialed Primary Care Physician or General Practitioner can, of course, continue to care for you at Harlee Manor. Residents of Springfield Senior Commons at Harlee Manor may choose to receive basic medical services from our medical staff, although it is not unusual for residents to continue a relationship with their medical team in the community.
3. How long will my mom or dad stay at Harlee Manor?
That question can only be decided on an individualized basis. Every one of our patients receives a personal plan of care designed to meet his or her specific needs. Harlee Manor reviews each patient’s status on a weekly basis. For those patients covered under a commercial insurance policy (anything other than traditional Medicare), our on-site Case Manager will also complete a regularly scheduled telephone review with the insurance company’s Case Manager.
4. How much therapy will the patient receive?
The amount of therapy a patient receives is highly individualized. At admission, each patient is evaluated by both the Physical Therapist and the Occupational Therapist. They collaborate on a therapy program designed to meet the patient’s specific needs. Speech Pathology services, if needed are also available. During the course of treatment, the therapy team will constantly reassess the patient’s condition and makes necessary revisions. We are often asked if a patient can receive therapy twice per day. In our experience, a patient who qualifies for a rehabilitation stay at a skilled nursing facility may not, in fact, be able to tolerate such an intensive therapy regimen.
5. How many patients share a room?
The standard room at Harlee Manor is semi-private. Our long term care unit also offers semi-private accommodations. On occasion, we are able to provide a private room in the long term care unit (at an increased charge.) Our sub-acute unit has no private rooms.
6. Does Harlee Manor accept Medicaid?
Harlee Manor does not participate in the Medicaid program. If you require immediate funding from the Pennsylvania Medical Assistance program for a long term care stay in Delaware County, information and guidance are available from the discharging hospital and/or COSA (County Office of Services for the Aging). Pennsylvania also offers a Long Term Care Helpline at 1-866-286-3636.
7. Does Medicare pay for a long term stay at a skilled nursing facility?
The Medicare program does not pay for long term care. Medicare pays up to 100 days in a skilled nursing facility, only if the patient requires skilled care during that time. It is important to understand that Medicare only pays the full 100% for the first 20 days in the skilled nursing facility. Thereafter, the federally mandated co-pay becomes the responsibility of the patient or can be billed to a secondary insurance carrier if the patient owns this type of insurance. In 2008, the co-pay was $128.00 per day.
8. Why should an individual carry secondary insurance?
As stated in question #7 above, Medicare pays only the first 20 days of a patient’s stay in a skilled nursing facility in full. Starting on day 21, patients are subject to a federally mandated co-pay. This can quickly result in a substantial amount of money. Secondary insurance (for example, through AARP or Blue Cross) can be obtained to cover the co-pay. We recommend that individuals 65 years and older consider carrying secondary insurance coverage.
9. Do we arrange Home Care services and the delivery of medical equipment to the home?
The Harlee Manor staff is well versed in the discharge process. Approximately 90% of our patients return to their prior living arrangements after a rehabilitation stay here. We ensure that each of our patients is set up with Home Care services immediately upon discharge. All necessary equipment for the home is ordered and the patient is provided with prescriptions so that medications can be easily obtained. Complete discharge instructions are also provided. Home Care is arranged with the company of your choice.
10. If a patient needs to go back to the hospital due to complications, can they be returned to the hospital from which they were discharged?
The attending physician will try to send the patient back to the discharging hospital. However, in the event of a “911” emergency, the patient MUST be sent to the closest facility.
Our nursing staff prides itself on the longevity of its personnel, its commitment to continuing education, and its integrated team approach to each individual patient.