Process for Admissions
The admission process is an important decision and often difficult and overwhelming at times. Just remember that you have the choice of what facility you or your love one will stay in, and you need to be your own advocate.
Most stays occur after a major surgery or hospital stay. Case Managers, Discharge Planners or families can request rehabilitation stays at a Skilled Nursing Facility. You have a right to decide on which facility, and can request referrals be sent to the facility of your choice.
Here at Granada we recommend that you explore your options on facilities, touring the buildings, checking for care, cleanliness and seeing how th residents are being treated, and of course doing your research.
Choosing a facility, the right facility is an important decision, to help you arrive at a decision, do your research, look at CMS Nursing home compare site at the different buildings, their survey findings from regulatory agencies, looking at the good bad and ugly of every facility.
After choosing a facility, a referral is sent to our facility and goes through a comprehensive process of review. This process of accepting residents to come that can starts days before a stay or that same day, depending on urgency, availability, and other factors.
Referral and Initial Evaluation
- Referral Source: Usually from a hospital discharge planner, physician, or sometimes directly from home or assisted living. Families can also be very involved in this process as you have the right to choose where you want your rehabilitation stay to be. Ultimately the choice facility must accept the patient, but you should do your research and be prepared to chose a facility based on your needs and your preferences.
- Medical Necessity: Patient must need skilled nursing care (e.g., IV therapy, wound care, physical/occupational therapy).
- Required Documentation:
- Recent medical history and physical
- Physician’s orders
- Hospital discharge summary (if applicable)
- Medication list
Insurance and Financial Verification
- Medicare: Covers SNF care after a qualifying 3-day inpatient hospital stay.
- Medicare Advantage Plans: Vary between companies, pre authorization may be required.
- Medicaid: Available for long-term care if patient meets income/asset criteria.
- Private Insurance: Benefits vary; preauthorization may be required.
- Out-of-pocket: If no insurance, private pay may be needed.
Pre-Admission Assessment
- Ensures facility can meet the patient’s care needs (e.g., rehab, dementia care).
- Looks at post stay discharge plans, for after your skilled nursing facility rehabilitation stay.
- Facilities may call families or prospective resident or residents family for needed information.
- May involve a PASRR (Preadmission Screening and Resident Review) if the patient has a mental health condition or developmental disability (required by federal law).
Admission Approval
- Facility will accept or decline the patient.
- Patient/family is informed and given a move-in date.
Admission Paperwork – At this time this must be completed with residents or residents responsible party.
- Consent forms (for treatment, medications, sharing info)
- Resident rights and responsibilities
- Advance directives (if applicable)
- Financial agreements
Transfer and Arrival
- Coordination of transportation (e.g., ambulance or family transport) between hospital and facility, with communication with Resident or responsible party.