More on Our Services

Meals
Medications
Security
Activities program
Incontinence care
Dementia care
Hospice care


Meals

Meals are planned to meet nutritional needs and are served to residents' tables in our beautiful dining room. The weekly menu is printed and distributed to residents in advance, and residents are encouraged to invite family members and other guests to join them for meals. Special menus for holidays and special occasions are planned in cooperation with the Activities Director.

The staff is happy to adapt meals to physician-ordered diets and to residents' special needs, such as cut, chopped, or ground foods. Salt and sugar intake is monitored, as is the amount of food consumed.  Residents are weighed each month, and liquid food supplements are used with physician approval when deemed necessary.

Residents are encouraged to socialize with tablemates during meals, but in-room tray service is available in cases of fatigue or illness.

Medications

A number of our residents are able to administer their own medications, but for most, both prescription and over-the-counter medications are centrally stored. The staff assists residents in the self-administration of medications, at set intervals prescribed by each resident's physician. Staff will seek physician approval before use of  nonprescription drugs. 

The admission process includes a staff assessment, as well as a physician's report, to judge whether it is appropriate for a prospective resident to handle her own medications. 

The staff who assist residents with medications are shift supervisors who have been specifically trained in this duty. They can also assist with oral, topical, and ophthalmic medications and inhalers, but are not allowed to administer injections; these and other services requiring a licensed nurse must be arranged by the family and physician with a licensed home health agency.

For ease of record-keeping, the Ladies Home prefers that all residents use our centralized pharmacy provider. Residents are free to choose another pharmacy, but the Home will assess a surcharge to cover the cost of extra record-keeping. (Note: Kaiser, On Lok, and VA patients may be exempt from this charge.)

Should a resident require crushing of a medication, a physician order, pharmacy safety verification, and permission of our licensing agency must be obtained. Crushing will be for ease in swallowing only, not for the purpose of forcing a resident to take a medication; residents have the right to refuse medication.

Security

Our three-story concrete and brick building is equipped with fire alarms, fire doors, smoke detectors, emergency lighting, and individual room and door alarms. We have a WanderGuard alarm for the safety of residents who require such protection. All residents' rooms and hallways are equipped with a sprinkler system. An elevator as well as several stairways serve the second floor. All halls have safety railings on both sides. All ladies are issued keys to their rooms, and all rooms have a 24-hour emergency call button.

Activities program

The Ladies Home has a full-time Activities Director who plans a full activities calendar each month aimed at providing:

  • socialization through group activity, discussion, and general participation in the programs
  • maintenance of daily living skills to encourage independent functioning
  • physical activity to stimulate movement, coordination, and strength
  • educational opportunities for maintenance of intellectual function
  • personal worship opportunities and spiritual life
  • opportunities for volunteering and service to others
  • attendance at community programs and events outside the facility

Residents' varying levels of physical and intellectual function are taken into consideration when developing the activities calendar. 

New residents are interviewed by the Activities Director about their interests and abilities, and are encouraged to renew interest in formerly enjoyed pursuits.  Special encouragement and prompting are given to residents who may not at first choose to participate on their own. Residents are particularly encouraged to participate in holiday commemorations and decorations, and in other special celebrations. Invitations are extended to family and friends whenever possible to enhance residents' enjoyment. 

The Home has formed partnerships with many institutions in our neighborhood. Local churches conduct services in the chapel for our residents, and neighborhood schoolchildren visit to entertain the ladies and provide them with the joy of being around children.

Incontinence care

We are able to serve residents with bladder and bowel incontinence. We provide toileting assistance, an informal retraining program, and overall incontinence care. The client pays for her own incontinence supplies. At present, we are not equipped to handle heavy bowel incontinence or clients with noncompliance issues.

Dementia care

We offer a warm, supportive, homelike environment for ladies with mild to moderate memory impairment. These ladies are part of the general resident population, but receive more cueing and are checked on more frequently, especially at night. Staff are trained to work with the individual and gently encourage appropriate activities. Bathing is handled carefully, and special attention is paid to skin condition and other indicators of health problems. Dressing, grooming, and eating are carefully supervised. Because of the higher level of staffing needed, there is an additional charge for dementia care; kindly contact us to discuss.

Residents with dementia are included in all activity programs. Our activities director gathers Information from families to enable staff to draw the residents into group activities or interest them in an individual project. Special reminders, recurring activities, and our large-print activities calendar all help ensure their participation in activities they enjoy. Our activities director regularly makes announcements at meals about the day's activities, and caregivers assist residents in walking to the programs. A number of residents participate in dementia-specific day programs outside the Home, and we sometimes refer new residents to these programs to give them a variety of interactions. No residents with dementia handle their own medications, and their rooms are regularly checked for possible safety hazards. Family and friends are cautioned not to bring in any items that could be ingested or topically applied without the knowledge and permission of the Executive Director. 

Should the time come when the Home can no longer meet a resident's needs, we will work with her family to help find the best alternative placement.

Hospice care

The home has a hospice waiver and can admit hospice patients at this time. A new wing has been prepared to provide a safe, loving, and supportive place for up to eight residents who are seeking palliative and comfort care during the final phases of life. It offers a homelike environment, accommodations for family members, and adjunctive services for the terminally ill, supervised by an on-site RN care manager.

Palliative care services are available for prospective and current hospice patients, for respite and transitional care for those who may benefit from temporary care and support services, and for current residents whose quality of life may improve with palliative intervention.