Our admission criteria
- Females age 55 or older
- Classified as low-income
- Able to make an unassisted pathway to safety in the event of an emergency
- Provide medical history and full financial disclosure prior to admission
MRH Residents receive
- 24-hour protective oversight
- Personal and supportive care services to assist with basic activities of daily living
- Medication management
- Diet-specific nutritional meals and snacks with accommodations for chronic health conditions
- On-site medical care from physicians and mental health professionals
- Recreational and educational activities and outings
- A supportive community and friendships with other Residents
How do I know if it's time to move to a supported environment?
If you've wondered, it's better to take action early.
A good first step for caregivers is to have a professional evaluation. Many older adults can hide mental or physical deficiencies in the familiarity of their own home; it may take a physician or case worker with experience working with older adults to identify safety risks and accurately assess capabilities.
Questions to consider:
- Is the person safe at all times in her current living situation?
- Are caregivers able to provide the social interaction she needs?
- Is the caregiver role taking a toll?
What are the different levels of care available to older adults?
- Independent Living: This is a residential living setting for older adults that may or may not provide hospitality or supportive services. Under this living arrangement, the Resident leads an independent lifestyle with minimal or no extra assistance.
- Assisted Living/Residential Care Facility: This living arrangement is a state-licensed community offering assistance with daily living activities. These facilities have medical personnel assisting with medication administration, dressing, bathing, and social activities. This is often referred to as a Resident Care Facility (RCF I or II).
- Skilled Nursing Facility: These are state-licensed, long-term care facilities that offer 24-hour medical care provided by registered nurses (RNs), licensed practical nurses (LPNs), and certified nurse assistants (CNAs). The facility is required to have a medical director and house physician. This facility cares for residents who are dependent on nursing care. This type of facility typically has a short-term rehabilitation unit for residents needing rehab between hospital and home.
How do I determine which level of care is needed?
Caregivers can take a look at how much help is needed on a daily basis and how safe the living arrangement is.
Things to consider:
- Is she able to get dressed, bathe, and cook for herself?
- How much help does she need to manage her finances?
- Does she have a history of falls?
- Does she know what to do in an emergency situation?
- Is her judgment good regarding potentially unsafe situations?
- How much assistance does she require for her healthcare needs? (Medication, insulin injections, dressing changes, etc.)
An Eldercare Specialist can help determine the level of care that's right in your situation. This specialist is trained to assess older adults' ability to function and determine the level of care required.
The State of Missouri Department of Health and Senior Services provides a screening tool called the DA-124C or Level One Nursing Facility Pre-Admission Screening for Mental Illness/Mental Retardation or Related Conditions. Physicians and staff at many facilities use this form to evaluate and determine the appropriate level of care.
The appropriate level of care can also be determined by case workers based on physical and mental functioning.
Where can I go for assistance and information on older adult topics, such as financial assistance or long-term care facilities?
The Missouri Department of Health and Senior Services (http://health.mo.gov/seniors/seniorservices/) provides comprehensive online resources containing detailed information, as well as answers to frequently asked questions, on an exhaustive list of older adult topics. Topics include financial assistance, health care, home and community services, long-term care facilities, housing consumerism, your rights, estate planning, legal assistance and the Missouri Aging Network.
Think MRH might be a good fit for you or a loved one?
Contact us for more information:
Yvette Scott, LPN, ext. 231
Kimberly Brown, M.P.P.A., LNHA, CDP, ext. 2551