Resident Handbook

President's Message

Dear Residents:

Welcome to the Progressive Care Center!

If you have been hospitalized for an injury or illness you may find that, although you've recovered sufficiently enough to no longer need acute hospital care, you still may not be well enough to return home. To ease your transition, Uniontown Hospital has developed a very special "Progressive Care Center" where residents who demonstrate high rehabilitation potential may stay for a predetermined length of time as specified by your primary care physician.

Staffed by a highly-skilled "Care Team" of licensed professionals, the Progressive Care Center bridges the gap between hospital and home by providing a comfortable, non-hospital environment that allows you to receive nursing care or rehabilitation services in preparation for your return home.

Our Center is licensed by the state of Pennsylvania and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) so you can rest assured you'll be receiving the finest care available. Our mission is, quite simply, to help you become as independent as possible by providing the appropriate and necessary treatments, therapies and supports as determined by your "Care Team," including your own physician. We will strive to provide a continuum of care that will enhance the quality of the time you spend with us, as well as ease your transition from hospital to home.

Sincerely,
Paul Bacharach
President/CEO

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The Admission Process

Your physician will discharge you from the acute hospital setting prior to your admission to the Progressive Care Center.

Your physician will also write new orders for your stay at the Center, which may result in some changes in your medical treatment and activity level. The number for the Progressive Care Center nursing station is (724) 430-6022. At the time of your admission, we encourage you to communicate with the staff regarding your condition.

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Length of Stay

Your length of stay with us will be determined by how well you are doing, and how much skilled care you require. Most insurance companies use the Medicare definitions of what services are included in skilled coverage.

Our Patient Care Management staff will assist you in discharge planning from the time you are admitted. Your "Care Team" will meet regularly with you and your designated family member to review your progress. The participating departments and/or staff professionals may include:

  • Your Physician
  • Nursing
  • Social Services
  • Physical Therapy
  • Occupational Therapy
  • Nutritional Services
  • Recreation Therapy
  • Respiratory Therapy
  • Home Health

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Physician Visits

Your physician may visit you in the Progressive Care Center as frequently as he or she determines necessary. Your physician will always be promptly notified by our staff if a medical problem develops. Our Medical Director is part of the administrative team that will ensure that you receive the highest quality of care.

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Levels of Activity

Your activity level will be determined by your physician and the "Care Team" at the time of admission and updated periodically. If your condition permits, and if ordered by your physician, you will be encouraged to walk around the Center and engage in other activities with the assistance of our staff. At times you may even be permitted to leave the building for scheduled activities. Additional activities may be ordered by your physician, such as physical, occupational or speech therapy, to help speed up your recovery.

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Rehabilitative Services

Based on the level of activity ordered by your physician, our rehabilitative team will include specially trained physical therapy, occupational therapy and speech therapy professionals who will work very closely with you to get to know you and your special needs.

Group meetings are held regularly to allow your entire team to discuss and plan all aspects of your care, chart your progress, upgrade your activity level and plan your discharge.

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Recreational Therapy

An activities coordinator will meet with you shortly after your admission to learn what types of activities you enjoy doing and to help you incorporate them into your daily routine.

Besides organizing the lunch and dinner groups, we also offer such things as: movies, monthly birthday parties, bingo, card games, crafts and entertainment groups. We strongly recommend that you participate in as many group activities as your health permits.

We will arrange one-on-one visits with your activities coordinator or volunteer throughout the week if you prefer quiet moments just to talk.

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Dining Room/Meals/Snacks

A registered dietitian will meet with you and discuss your food preferences and dietary restrictions for your meal service. To help you feel more at home, we offer an attractive, comfortable dining room in which you may enjoy your meals as you begin to feel better.

Meals are served at approximately 7 AM, 12 noon, and 5 PM. You are encouraged to participate in lunch and dinner groups. Mealtime is a wonderful opportunity for you to get out of your room, meet new friends or chat with old friends. If you are not feeling up to it, nursing staff will assist you with your meals. Family members may join you at meal times. Guest trays are available at a nominal charge.

Snacks are also available to improve your nutritional status. Details of the types of snacks you may enjoy can be reviewed with your dietitian.

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Bathing/Hygiene

Baths can be given on all shifts. Every resident receives a complete bed bath daily and a full bath once a week or as often as desired. Please let the nurse know what time of day you prefer your bath, and we will do our best to accommodate your request.

Your hair will also be washed once a week by our nursing staff. And, if you'd like a haircut while you're staying with us, please notify our nursing staff, and we will provide you with a licensed beautician. A list of the beautician's service charges is available at the nursing station.

We encourage you to use your own makeup, cologne and electric razor.

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Pastoral/Religious Services

We realize the impact that spiritual well being can have on your physical health. Your spiritual needs can be an integral part of your healing and recuperation process. If requested, someone from Pastoral Care will visit with you to discuss your religious needs and to lend support to you and your family during your stay with us. We encourage you to invite your own clergy to visit you often. They may visit the Progressive Care Center as often as you would like and their schedule permits.

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Family Involvement/Visitation

Your loved ones are as important to your recovery as any member of our staff. We strongly encourage your family and friends to visit often and even to take part in your treatment planning if appropriate.

General visiting hours at the hospital are between 12 and 8 PM. For residents of the Progressive Care Center, visitation is allowed around the clock, depending on your wishes and needs. If your visitors are coming at unusual hours, please discuss this with our staff so that special arrangements may be made with the hospital police.

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Valuables/Personal Belongings

Please ask your family or friends to bring your favorite comfortable clothes and shoes from home, as we encourage you to wear your own clothes. Please try to leave all valuables, such as jewelry, large sums of money or credit cards, at home. A locked cabinet is provided in case you wish to store small valuables during your stay. Unfortunately, our staff cannot be held responsible for items lost or stolen during your stay.

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Personal Laundry

You may arrange to have your family wash your clothes, or, if you desire, we will wash your clothes. We cannot be responsible for any lost articles of clothing. All clothing must be marked with your name in indelible ink.

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Resident Rights

At the Progressive Care Center, we believe that each resident has the right to a dignified existence, self-determination, and complete communication and access to friends and family. We shall work to protect and promote the rights of each resident, including each of the following:

  • You may exercise your right as a resident of the Center and as a citizen or resident of the United States. This means you have the right to autonomy and choice over your life and the care you receive to the maximum extent possible, subject to our Center's rules of resident conduct and federal and state regulations governing the protection of your health and safety.
  • Your have the right to be free of interference, coercion, discrimination or reprisal in exercising your rights. This means that we shall not hamper, compel by force, treat differently or retaliate against you for exercising your rights.
  • If you have been judged to be incapacitated under the laws of a court of competent jurisdiction, your rights shall be protected by the person appointed to act on your behalf. 
  • The Center shall inform you, both orally and in writing in a language you can understand, of your rights and all rules and regulations governing your conduct and responsibilities.
  • A member of our staff will provide this notification and explanation before or upon admission and during your stay. Receipt of all resident rights information will be acknowledged in writing. This means that if you do not understand English, the Patient Care Management staff will make arrangements for oral and written translations of these rights in a language you understand.
  • You have the right to inspect and purchase copies of all records pertaining to your case upon written request and within 48 hours of notice.
  • You have the right to be fully informed in a language you understand about your total health status.
  • Total health status includes functional status, medical care, nursing care, nutritional status, rehabilitative and restorative potential, activities potential, cognitive status, oral health status, psychosocial status and sensory and physical impairments. You shall be allowed and encouraged to participate in care planning and will be allowed to make choices based on the information provided. 
  • You have the right to refuse treatment and to refuse to participate in experimental research. All refusals of treatments are to be documented in your medical record. Continued refusal may result in discharge from the Center.
  • You are entitled to information about the services available and our charges for those services. If we believe that Medicare will not pay for your stay, we will inform you in writing, giving you reason why these services may not be covered. Either you or a responsible party then has the right to request that a bill be sent to the intermediary for a Medicare decision. If Medicare denies payment, you or the responsible party shall be responsible for all charges from the time of admission.
  • You have the right to file complaints concerning abuse, neglect and misappropriation of personal property.
  • You have the right to be informed of the name, specialty and method of contacting the physician responsible for your care.
  • Except in an emergency or in the case of an adjudged incapacitated resident, your family shall consult with you immediately and notify your physician and your legal representative or interested family member within 24 hours when there is:
    • An accident resulting in injury
    • A significant change in your condition
    • A need to significantly alter your treatment
    • A need to transfer or discharge you from the facility.
  • The Center shall record upon admission, and periodically update, the address and phone number of your responsible party or family member.
  • You have the right to choose a personal attending physician and to be fully informed in advance about the care and treatment to be provided. Unless adjudged incapacitated, you have the right to participate in your care planning.
  • You have the right to personal privacy and confidentially of your personal and clinical records. This includes accommodation, treatment and communications outside the facility and visits within the Center.
  • Except where required by state or federal law, or third-party payers, you may refuse to release any personal or clinical records.
  • You have the right to voice grievances about your care without fear of discrimination or reprisals. We will make a prompt effort to resolve all grievances, including those with other residents.
  • You have the right to review the most recent federal and state licensure and certification survey for our facility.
  • You have the right to refuse or receive information from agencies acting as client advocates and to be afforded the opportunity to contact these agencies.
  • You will not be asked nor are you required to perform any labor in the Center.
  • You have the right to purchase any writing materials and postage, and to send and receive mail that is unopened. 
  • You have the right to have regular access to the private use of a telephone.
  • You have the right to retain and use personal possessions, as space and safety requirements permit.

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Resident Responsibilities

As a resident of the Progressive Care Center, you are responsible to:

  • Provide, to the best of your knowledge, accurate and complete information about the present complaints, past illnesses, hospitalization, medications and other matters relating to your health. Unexpected change in your condition is also to be reported to a member of our staff. 
  • Make it known to the appropriate member of our staff whether you clearly understand everything that is communicated to you regarding your treatment plan recommended by the physicians and other staff members responsible for your care. This may include following the instructions of nurses and allied Health professionals as they carry out the coordinated plan of care and implement your doctor's orders. You are responsible for resulting outcomes if you refuse treatment or do not follow instructions.
  • Assure, either personally or through a legally responsible party, that the financial obligations of your stay will be fulfilled in a timely manner.
  • Be considerate of the rights of other residents and staff members and help assist in the control of noise and number of visitors. This includes being respectful of the property of other residents, staff and the Center itself.

     

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Payment/Insurance Information

Services provided by the Progressive Care Center are covered by Medicare and most insurance plans.

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Discharge

It is very important for you and your family to consider all of the possible options available to you at the time of your discharge. The time to start preparing for your discharge is at the time of admission.

You and your family, together with the help of a Patient Care Management staff member, will consider the type of care you will need and how much support your family can provide to meet that need.

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