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Long Term Care
NDHC's nursing home consists of 61 beds skilled. We are located on a single campus along with a hospital, clinic, optometrist, and rehab services department. Each resident can choose to see a provider on campus or they can continue seeing their own provider. Transportation for medical services is provided by the facility if the family is unable to assist. Family may accompany the resident on the van if they desire and if there is space available.
Services
Services in the daily room rate are room, board, laundry, housekeeping, maintenance, nursing, activities, social services, chaplain services, routine hair care and business office assistance. Restorative therapy and therapy equipment are also included.
Services not included in the daily room rate are medications from the pharmacy, physician charges, private telephone lines, cable television, non-routine hair care (perms, coloring, etc.). Our rooms are equipped with telephone and cable television wall jacks. In order to receive those services, each resident must contract with each provider for the service. There are separate charges for each service. Our telephone service provider is Qwest; our cable television provider is MLGC. Resident also must provide their own television and telephone.
Financial Impact
Admission to the nursing home is usually an unexpected, stressful event for both the potential resident and their family. The majority of residents are admitted after a medical crisis or sudden change in condition at home. It can be an overwhelming and emotional time.
The financial impact that nursing home placement can have on a resident and spouse can be significant. The cost of nursing home care is determined on an individual basis, dependent upon the needs and services provided to the resident. An assessment to determine a resident's needs would be completed.
Nursing Home Insurance
If you have long term care insurance, contact your agent or the insurance company to find out what is required to make a claim. Every insurance policy is different. We will do our best to work with you and your insurance company to get claims processed as quickly as possible.
Medicare
After a three-day hospital stay, it is possible that Medicare will pay for a portion of a nursing home stay. In order to qualify for a Medicare stay, you will need to be receiving a "skilled service". Skilled services can include, but are not limited to, the following: physical therapy, occupational therapy, speech therapy, daily dressing changes, newly diagnosed insulin dependent diabetic, tube feedings, new colostomy during the early post operative period, resident education, stage 3 or 4 pressure ulcer, etc. Nursing staff will do their best to ensure a resident receives the Medicare services they are entitled to. The resident and/or family will be given 2 days notice once it is determined they are no longer eligible for Medicare.
Medical Assistance
When a resident's finances are becoming depleted, they have the option of applying for North Dakota Medical Assistance (Medicaid). Medicaid is a state-funded program to assist with paying medical bills for individuals with limited income and assets. Applications are available by contacting the County Social Service agency in the resident's county of legal residence. If you have questions about being eligible, please contact an eligibility worker in your county.
Grand Forks County Social Services 701-787-8535
Nelson County Social Services 701-247-2945
Steele County Social Services 701-534-2594
Trail County Social Services 701-436-5220
Spousal Impoverishment
The Medicare Catastrophe Coverage Act of 1988 requires nursing facilities and swing bed facilities to advise residents and their families that an asset assessment is available upon request at the county social service office in the county where you live. The purpose of this requirement is to allow your spouse, who is still living in the community, to keep allowed assets that would normally be used to pay for nursing home care. If you meet the following criteria, we encourage you to request an asset assessment:
- If you are likely to be admitted to a nursing facility or swing bed for at least a full month, and
- If you have a spouse living in the community.
Do not wait until you think you may be eligible for Medicaid. The amount of assets you have at the time of admission is the amount that needs to be assessed. Documentation showing ownership, interest, and current value of assets will need to be provided. There is no charge for the assessment.
