Admission & Discharge Policy

Admission

The following are criteria for admission to Gianna Homes:

  • The candidate must have a diagnosis of some type of Dementia.
  • The candidate will be assessed by Gianna Homes’ RN in their current living environment.
  • It will be at the discretion of the Administrator, RN, Director of Resident Services and the Staff to admit any candidate.
  • If the candidate has significant medical problems, we will assess them ourselves to determine if we can adequately meet the candidate’s needs and/or if our license permits us to do the required care.
  • We will inform a candidate’s family or guardian of our daily rates and trust that they will determine if they can afford our care. We will not examine a candidate’s finances as a part of consideration for admission.
  • We will not discriminate based on race, religion, color or creed.
  • Gianna Homes is not equipped to take candidates with severe behaviors (such as excessive combativeness, hollering, wandering, or erotic behaviors.)

Discharge

The following are criteria for discharge from Gianna Homes:

  • Death.
  • A medical condition that we could not adequately handle and/or our license does not permit.
  • Behavioral issues such as but not limited to excessive hollering, combativeness, wandering and/or erotic behavior. Or any other behavior determined by the home to not be acceptable and/or disruptive to others.
  • If the resident is at risk to him or herself and/or other residents and/or staff.
  • No resident will be discharged for behavior reasons until we have exhausted all possible treatments such as but not limited to: redirection, medication therapy, placement in a behavioral unit, and/or any other methods deemed appropriate by Gianna Homes, the family, and the resident’s doctors.
  • If the resident is no longer able to pay for services or is delinquent with payments.
  • In the event that we would have to discharge a resident, Gianna Homes will help in any way possible to find appropriate placement.

Dementia Program Disclosure

Gianna Homes provides a specialized memory care program for clients living at both of our residential homes (Sursum-Corda and Gladys’ Place).  Our company provides required dementia training to all direct care staff and their supervisors. Gianna Homes makes appropriate disclosures to clients and client representatives.

Disclosure Outline

  1. Gianna Homes provides required dementia training to all direct care staff and their supervisors. (At orientation, annually and/or as needed) The Home Care Director/RN develops appropriate training materials that cover at least the following topics:
    1. A current explanation of Alzheimer’s disease and related disorders;
    2. Assistance with activities of daily living;
    3. Effective approaches to use to problem solve when working with a client’s challenging behaviors;
    4. How to communicate with clients who have Alzheimer’s or other dementias; and
    5. Other topics as determined necessary or helpful.
  2. Home Care Director/RN, in conjunction with the President/CEO of Gianna Homes developed the following written statement called the “Dementia Program Disclosure:”
    Dementia Program Disclosure covers at least the following topics:

    1. a statement of the overall philosophy of the program and how it reflects the special needs of residents with Alzheimer’s disease or other dementias;
    2. the criteria for determining who may reside in the special care unit and continue to use the home care services.
    3. the process used for assessment and establishment of the service plan, including how the plan is responsive to changes in the resident’s condition; staffing credentials, job descriptions, and staff duties and availability, and a description of the training specific to dementia, including but not limited to:
      1. Categories of employees trained;
      2. Frequency of training; and
      3. Basic topics covered.
    4. physical environment as well as design and security features that specifically address the needs of residents with Alzheimer’s disease or other dementias;
    5. frequency and type of programs and activities for residents of the special care unit;
    6. involvement of families in resident care and availability of family support
    7. fee schedules for additional services to the residents of the special care unit; and
    8. a statement that residents will be giving a written notice 30 days prior to changes in the fee schedule
  3. The Home Care Director/RN and President/CEO update the Dementia Program Disclosure whenever changes have been made to the information described.

Philosophy of Care

Research has proven that a loving, structured and intimate home environment successfully fulfills the needs of both the individual affected by Alzheimer’s and their family members.
We provide patient, personal care. Our high staff to resident ratio allows us to cater to our residents needs without imposing a strict program or schedule. We firmly believe individualized care is a must for a disease that is associated with such varying feelings and emotions as insecurity, fear, anger and depression.

Healthcare is a ministry of caring and love and it is our distinct honor and privilege to care for those suffering with dementia. Here at Gianna Homes caring for the whole person means caring for their physical needs, accompanied by spiritual and emotional care as well.

We do not believe in using medications to ‘control’ behaviors but only to enhance an individual’s quality of life. We use redirection, activities, spirituality, and unconditional love to work with difficult behaviors.
Our work revolves around uplifting the spirit and giving selfless, compassionate care.

Statement on Care Provided

We provide care for individuals with a diagnosis of memory loss. We provide care from early onset through hospice care.
Our RN does the initial assessment of the prospective resident in his or her current living environment.

Individual Care Plans are developed with the family upon admission. This plan will include level of care, special needs, routines, and family requests. This plan is reviewed and updated with the family and the RN as needed.

The RN and our staff monitor all conditions and changes. The RN will notify family of any care needs and/or changes.

Per state of MN regulation and our internal practices RN regularly monitors medications and trains staff in Medication Administration Procedures. We provide three meals per day plus snacks throughout the day and encourage the drinking of fluids to keep residents properly hydrated.

We provide as much care as the resident needs, based upon his or her level of independence. We encourage as much independence as possible. We do this by allowing the individual time to respond to requests and instructions, or cueing as necessary. As a resident progresses through the disease, we offer the level of care that he or she needs.

Statement of Services

  • High staff to resident ratio. Staff can be comprised of RN, LPN, CNA, HHA
  • Medication administration
  • Laundry and Housekeeping services
  • Nutritious home cooked meals and snacks
  • Personal care and hygiene
  • Socialization and sensory stimulation
  • 24 hour supervision
  • Activities which could include Massage, Music Therapy, and outings
  • Salon Services
  • Individualized Care Plans

Activities

We believe activities that revolve around the daily jobs and duties that one would do at home can enrich a resident’s quality of life.

We strive to encourage residents to participate in their own personal cares, as well as share in some of the cooking, cleaning, laundry, and other daily activities of our household.

Our staff also provides recreational activities throughout the day based on the resident need and may include and which vary from exercises, walks, barbecues on the patio, picking flowers in the garden, outings, reading, mind joggers, art experiences, reminiscing, baking, and more.

A music therapist engages residents throughout the day with group or individual experiences as appropriate to the resident need.
Based on the residents individual needs we create daily experiences which enable them to participate in the things they enjoy.

Statement on Our Staff

Our staff receives very thorough training. All staff receive specialized training in Alzheimer’s/Dementia care, Hospitality, Customer Service, Emergency Procedure and Safety training, Medication Passing Procedure, Infection Control, Housekeeping/laundry care, Orientation to Home care bill of rights and all other requirements of our Assisted Living License and Housing with Services license.

After their training, which is done by our staff RN, new staff members are required to orientate with a senior staff member for all different shifts until we feel they can appropriately meet our standards and the needs of the residents.
All staff members receive continuing professional development and skill training throughout the year.

Our staff ratio is 1:3 during day/evening hours and 1:6 overnight.

Statement on Our Environment

Gianna Homes, Sursum-Corda and Gladys’ Place, are residential care homes located in quiet residential neighborhoods with the following amenities:

  • Quiet residential setting
  • Family Homes
  • Light and airy with a lot of natural light
  • Sun rooms
  • Prayer spaces
  • Gardens
  • Laundry services
  • Handicap accessibility
  • Handicap bathrooms
  • Abundant wildlife
  • Private and semi-private suites
  • Commercial kitchens
  • Dining rooms
  • Cable TV
  • Family visiting areas

Statement on the Role of the Family

We believe that we are an extension of the family and that we can in no way replace the knowledge, expertise and love that only the family can give.

We support the family members of our residents on an ongoing basis and address their questions and concerns as they arise. We encourage families to join an Alzheimer’s Association support group. We communicate with families regularly through formal and informal meetings to keep them apprised of their loved one’s well-being. At a minimum, we offer a Care Conference annually – more frequently for families who request them.

We host family events throughout the year so all the different families can get to know each other. We have a lending library with books and videos for the families and staff to use as they please.
Our care is built on relationships with our families and we work on these continuously as we travel together on this difficult journey of Alzheimer’s/Dementia care.

Disclosure for SPECIALIZED ALZHEIMER’S TRAINING

  1. A current explanation of Alzheimer’s disease and related disorders;
  2. Assistance with activities of daily living;
  3. Effective approaches to use to problem solve when working with a client’s challenging behaviors;
  4. How to communicate with clients who have Alzheimer’s or other dementias; and
  5. Other topics as determined necessary or helpful.

These training programs are taught to all new staff and in ongoing education and coaching opportunities for current staff.

The RN’s teach all Alzheimer’s/Dementia Training for new hires through book, video, and hands on coaching and problem solving. Staff must be able to exhibit proficiency in handling many varied approaches to behaviors and cares. We provide training per state regulation.

Employees who receive training: all direct care staff which includes but is not limited to RN, LPN, NAR, HHA, Volunteers, and Support Staff.

Frequency of Training

All direct care staff are required to participate in specific dementia training at the time they are hired. Each year thereafter we provide at least 8 hours of continuous education on dementia specific topics, which is mandatory for all staff.
Because of the nature of this disease, all staff participates in ongoing discussion and problem solving regarding individual residents as part of our care planning process.
Basic Training Topics covered:

  1. Dementia- the disease
  2. Behaviors
  3. Caregiver self care
  4. New drugs and therapies
  5. Activities – our Life Care Program
  6. Various therapeutic interventions
  7. Understanding medications/treatments and any related side effects
  8. Understanding the person behind the disease
  9. What you are saying when you are saying nothing at all: Touch, voice, tone, body language
  10. Etiquette towards the dementia patient and their families
  11. How to communicate with someone with a dementing illness
  12. Communicating the positive side of dementia care