Welcome to the Caton Merchant House new Resident, Family and Friend orientation. This orientation will take approximately 30 minutes to complete.
Whether you have been a part of the Caton Merchant House family for a while, or you have recently joined us, this orientation to each department of the Community will be beneficial. Once this presentation is complete, it is our hope that you feel empowered to make new friends and attend activities. You should have a better understanding of what makes Caton Merchant House a wonderful and unique assisted living community.
It is important that you know a little of our background. Caton Merchant House is named in honor of the man who initiated the establishment of Prince William Hospital in 1964. As president of the Prince William Hospital Corporation for 23 years, Caton Merchant, Jr believed in expanding services of the hospital to meet the changing healthcare needs of the Community. Caton Merchant House first opened its doors in 1986. Today, more than 25 years have passed and we continue the affiliation with the Prince William Hospital and other entities of the Novant Health System. As part of the Novant Health System, it is our goal to deliver you the most remarkable customer experience in every dimension, every time.
Caton Merchant House is part of the Prince William Market of the Novant Health System. For more information about the Novant Health System or any of their entities, please visit their website at www.novanthealth.org.
Some of you may not be in a location where you can visit daily, weekly or even monthly. You can find us on the web and keep up with what is happening by “liking” Caton Merchant House Assisted Living Community on facebook. There you can find pictures of events, meeting notices and other information. Make sure to tell your out-of-town friends and family who may want to keep up with what is happening. In addition, you can also find information at www.catonmerhcanthouse.org. Our website is the only place you can find our newsletter or monthly activity calendars – other than in the facility itself. Also,if you have not done so already, please provide your e-mail address to the admissions director.
On to the facility layout. The building is separated into four neighborhoods. Each neighborhood is assigned a housekeeper responsible for cleaning apartments and certified nursing assistants and medication aides are accessible to each apartment.
So as not to be confused by visitors, volunteers, private caregivers or other contractors hired by Resident family you can always identify a Caton Merchant House employee by the blue lanyard and employee badge. If you can’t see a badge, don’t hesitate to ask for a name. It is your right to know who is caring for you. But don’t worry, Caton Merchant House is pleased to have very low staff turnover for the industry and most staff work routinely with the same residents. You will get to know each person soon.
You have the right to take part in decisions for your care. If you have not already had the discussion about power of attorney and advanced directives, be sure to talk to your family about your wishes and put them in writing. There are many websites that can help you and your loved ones ensure your wishes are carried out. Please feel free to talk to your doctor, any Nurse, Mandy or Andrew for further questions.
It is important to us that you stay in this environment as long as you desire and are safely able to do so. Most people prefer this “home-like” environment to that of a nursing home. One of the interventions that will allow you to remain in this environment as long as you wish may be palliative or hospice care. Caton Merchant House welcomes the support of hospice when necessary.
Mandy Dickinson is the Admissions Director. You may take note of her contact info here.
One of the first things that was completed when you moved in was your ISP, or individualized service plan. Any routine care that is needed is listed on the service plan, such as bathing, dressing, or medication administration. This document is always evolving based on your needs. This document is what drives what assistance you receive. If you need any of your routine services changed, you can always see Mandy at any time to discuss or make changes. Meetings are held within 30 days of admission and annually thereafter. Residents and family are invited and encouraged to attend to make sure that we are all on the same page regarding your care.
Your first day as part of the Caton Merchant House family was likely very busy and probably a little overwhelming. Someone showed you around the building and gave you an idea of what your routine may be. However, having a friendly face who also lives here may help ease your transition. Sure our staff can tell you what it is like to live at Caton Merchant House but they have never really resided here. Caton Merchant House Ambassadors are Residents who welcome new members of the Caton Merchant House family by inviting them to activities, showing them around the community, and helping them meet new people. You can find an ambassador by checking for a name tag outside their apartment, or asking Mandy for assistance.
You have the right to voice your grievances and make decisions in your own home. The Resident Council is an informal discussion amongst residents and managers. In many instances, resident education is done during the meeting. Please try to attend, even if you don’t have concerns. Check your activities calendar for the date and time each month.
This is your home and you may have visitors at any time. For the safety and security of Residents and staff, the front door locks at 8 or 9 pm, depending on the season. If you tend to have late visitors, of if family would like access to a door that is close to your apartment, please let Sondra Evans know so a key fob can be issued.
A direct care staff person is employed for transportation to and from appointments or shopping trips. If you need transporation to an appointment, please contact the driver directly so no scheduling conflicts occur.
All of our Nursing staff are certified nursing assistants and the majority are registered medication aides. Licensed Nursing personnel are available in-house approximately 16 hours daily and are on call 24 hours daily to meet your needs.
All the Nursing Staff are accessible 24-hours a day and you can reach them in a couple of ways. For non-emergency reasons, the best way to reach the staff is via phone. There are three-digit internal phone numbers that can be used to reach them on their portable Spectralink phones.
There are ways that Nursing staff can be immediately reached in an emergency situation. There are emergency pull cords in the bedroom and bathroom of each apartment. When one is pulled, each C.N.A. on the unit you are assigned is called and the LED Emergency boards in the hallway alert all staff. You can also request an emergency pendant that you wear around your neck. This is similar to a “lifeline” device, but when pressed, it will alert the C.N.As in your nursing station. There is a fee for this device.
The next couple of slides will cover Medication administration which is the most common service offered. The determination of whether or not a Resident may self-administer his or her medications is made by the Resident themselves, family or friend, physician, or in some instances facility staff. Due to liability, Caton Merchant House Staff can not oversee the administration of medication nor provide reminders to ensure that medications are actually taken if someone is to be self-administering. The term “self-administration” of medications also includes assistance by the way of reminders or assistance with putting medications in pill boxes that is provided by family or responsible party. If a Resident takes his or her own medication, or gets assitance from someone other than facility staff, the medication must be stored in a secure location in the apartment. Although physician orders were obtained prior to admission and they are sent to the physician monthly for approval, it is the responsibility of the resident and/or responsible party to ensure that the nursing staff has an accurate list of medications for those who self-administer.
If it has been determined that a Resident requires medication administration, there are two options for you to consider; administration using our longterm care contract pharmacy, Omnicare Williamson’s or to acquire the medications through another pharmacy and provide to our staff to administer. There is a cost for medication administration which is dependent upon the method that is chosen. No matter the method, if medications are administered by our Registered medication aides, they are kept in a secure medication cart in the nursing station and administered and documented per physician orders. Facility medication administration includes any treatments, diabetic assistance, eyedrops, etc. If the facility is administering medications, it is imperative that the Director of Nursing be aware of any over-the-counter or prescription medications in the apartment to avoid the possibility of adverse medication reactions.
Using Omnicare Williamson’s, our contract longterm care pharmacy, takes much of the responsibility of ensuring timely delivery of medications off of the resident and responsible party. Medications arrive at the facility per physician orders on a routine basis, and any changes in medication orders can be resolved within 24 hours. Many antibiotics can begin as soon as the order is received. The medications are billed separately and you will receive an invoice directly from the pharmacy. If you have any questions about your pharmacy bill or to assure that proper insurance is being applied to your medications, please contact the Omnicare Wiliamson’s directly. If residents choose to self-administer medications, yet delivery of the medications is an issue, Omnicare Williamson’s can provide the medication and bill you regularly. Our staff will simply give the medication to the Resident when it comes in monthly and the Resident administers it independently.
In some instances, due to insurance or other issues, it is more cost effective for medications to be provided from another pharmacy. If that is the case, then it is the Resident – or more likely – the Responsible Party’s responsibility to ensure that medications are delivered to the nurses in a timely manner. The Resident’s responsible party will be called and given notice at least a week prior to depleting the supply of medication. However, if the medications are not brought in, Caton Merchant House reserves the right to order medications through our longterm care contract pharmacy to ensure doses are not missed. In that case, Residents will be billed by the contract pharmacy.
Dr. Jennifer Nau visits montly. She sees her patients who reside at Caton Merchant House on the first Wednesday of the month with few exceptions. If you wish to have an appointment with Dr. Nau when she visits, please let the Nurses in the main nursing station know. If you have not transferred your care to Dr. Nau and wish to do so, visit the first floor nursing station for paperwork that must be completed and returned no less than a week prior to the next scheduled day Dr. Nau will be here. Dr. Nau is part of the Gainesville Family Health and you will receive a bill for any charges not covered by Medicare or other insurance like any doctor office visit. Medicare will cover three routine podiatry visits a year. Dr. Shuman from the Bull Run Foot and Ankle Clinic visits monthly. Appointments are arranged for Residents. If you do not wish to be seen by the podiatrist routinely or if you would like to know when you are next scheduled, please let a nurse know.
Seating arrangements were made to best suit your routine and wishes upon admission.
However, your seating arrangement does not have to be permanent. If you have a problem, or would like a change, see the Admissions Director. It’s important that you try to attend your meal on time. Otherwise, you may be asked to sit at a table other than the one you are assigned to. Payment for any guest meals may be paid at the front desk or put directly on the bill.
Includes maintenance and housekeeping
Caton Merchant House employs Environmental Services Staff who are assigned to a neighborhood. If part of your services, laundry and linen changes are done at the same time as the apartment is being cleaned. If you have a maintenance or housekeeping request, please document it in the binders at the front podium.
Caton Merchant House is pleased to offer plenty of life enriching activities at your home. The daily calendar is posted near the front desk. Monthly calendars and newsletters are put in mailboxes prior to the first of the month. Family members and friends can see the calendars and newsletters by visiting www.catonmerchanthouse.org
The beauty and barber shop is open two days a week. To make an appointment, please call the beautician directly at the phone number listed outside the beauty shop. You can also call 7033358407 and leave a message, however same day appointments are not always guaranteed.
There is lots of fun in the midway! Dakim and It’s Never Too Late are computer-based activities to help keep your mind sharp. With Dakim BrainFitness, it takes just 20 minutes, 3–5 times a week, to get a cross-training workout that exercises all six cognitive domains. Like physical activity does for your body, cognitive activity can work out your brain and may help slow the progression of Alzheimer’s disease. It’s Never Too Late is another touch-screen computer based activity in which you can surf the web, play games, e-mail, and much more. It’s Never Too Late is portable and can be taken into Resident Apartments. If you want to learn more or would like to give Dakim a try, let someone in Activities or Mandy know.
Here’s more information about the place that you call home. Like all other assisted living facilities in the Commonwealth of Virginia, Caton Merchant House is regulated by the department of social services. Caton Merchant House has had no founded complaints nor care-related violations since 2003. Although JCHAO has since stopped certifying assisted living facilities, we were one of only 104 facilities in the nation to ever receive that honor.
Invoices are created on a picture date, usually the last business date of the month. The Picture Date is the Financial snapshot of services received and Room and Board expected and is billed with pre-consumption for Room and Board. The Care Calculator Costs, Beauty Barber Shop, Miscellaneous Charges are entered as post-consumption, so that Caton Merchant House only invoices what was used or planned to be used. Payments may be mailed, or dropped off in the box at the front desk. Presently, we do not accept credit cards for payment, but expect to by the end of 2011. Prior to admission, you placed a security deposit to hold an apartment. Your deposit can be used to pay u n-paid portions of your final bill and/or any damages, repairs and cleanings to your apartment inclusive of any apartment that you move from or to internally.
Financial Planning for you or your loved one’s stay is a very personal and very specific to your goals and wishes, as well as your families. Administration will be happy to review strategies with you, by appointment, with availability on evenings and weekends, so all parties can be informed. Please Contact Andrew Byrd for an Appointment If you plan to use long term care insurance, please see Andrew or Mandy ASAP to get your documentation started for your reimbursement. Please note that LTC insurance companies may pay in the arrears, yet the Resident is responsible for keeping accounts current; a 30-60-90 day cash cushion may prevent finance charges.
New resident orientation
Goals: <ul><li>To alleviate some of the transfer trauma that moving into an assisted living facility can cause by providing new Residents and Family Members accurate information about their new home </li></ul><ul><li>To introduce (or reintroduce) new Residents and Family Members to each department of Caton Merchant House </li></ul>
Vision <ul><li>We, the employees of Caton Merchant House, along with our Physician Partners and Health System Affiliates, WILL deliver the most remarkable Customer experience in every dimension and every time. </li></ul><ul><li>* Compassion * Diversity * Personal Excellence * Teamwork * </li></ul>
Corporate Structure <ul><li>Regional Governance </li></ul><ul><li>The Prince William Market joins 4 other Markets that make up the entire Novant Health System, which stretches from Virginia to Georgia. </li></ul><ul><li>The Novant Health System along with the Prince William Hospital and Caton Merchant House are all non-profit 501(c)3 organizations. </li></ul><ul><li>If you would like to learn more about Novant, please feel free to visit our main website: </li></ul><ul><li>www.novanthealth.org </li></ul>
Corporate Structure <ul><li>Local Governance </li></ul><ul><li>Governed by a local Board of Trustees: </li></ul><ul><li>Current Chairman: Mr. Rex Parr, CEO, Didlake, Inc. </li></ul><ul><li>Current President: Mrs. Melissa Robson, </li></ul><ul><li>CEO of Novant, Prince William Market </li></ul><ul><li>Board of Trustees reports activity to the </li></ul><ul><li>Novant / Prince William Market Board, which governs </li></ul><ul><li>other Boards such as : </li></ul><ul><li>Prince William Hospital </li></ul><ul><li>Prince William Healthcare Auxiliary </li></ul><ul><li>Prince William Foundation </li></ul>
<ul><li>Please visit www.catonmerchanthouse.org for information, newsletters, calendars, scrapbooks and much more! </li></ul><ul><li>You can also “friend” Caton Merchant House on facebook. Make sure to “like” Caton Merchant House Assisted Living Facility! </li></ul>
So where do I live? <ul><li>“ Fountains” Neighborhood – Apartments 101-120 </li></ul><ul><li>“ Parkview” Neighborhood – Apartments 201-220 </li></ul><ul><li>“ Gardens” Neighborhood – Apartments 121-139 </li></ul><ul><li>“ Overlook” Neighborhood – Apartments 221-239 </li></ul>
How to distinguish Staff from others <ul><li>You can identify a Caton Merchant House Employee by his or her blue lanyard and Employee photo badge. </li></ul>
Advanced Directives <ul><li>What is a Power of Attorney used for? </li></ul><ul><ul><li>A Power of Attorney is a document in which you appoint someone else to act on your behalf on matters that you specify. </li></ul></ul><ul><ul><li>A Power of Attorney can be made to start immediately, or upon mental incapacity. </li></ul></ul><ul><li>Virginia Living Will </li></ul><ul><ul><li>A Living Will is a document that allows an individual to give decide ahead of time, what should be done for their health, in the event they no longer can make decisions because of illness or incapacity. For example a living will can give instructions about treatments that should be or should not be pursued by health care providers or caregivers </li></ul></ul><ul><li>A Durable DNR Order Form (Do Not Resuscitate) does not expire and remains in effect until the patient or someone designated to act on the patient’s behalf revokes the order. Virginia EMS providers CANNOT honor a Living Will or a DNR from another state. </li></ul>
Mandy Dickinson, ALFA Assistant Administrator/Admissions Director [email_address] (703)335-8350
Individualized Service Plan <ul><li>Lists what you may need help with routinely (i.e. bathing, dressing, or medication administration) </li></ul><ul><li>Can change at any time whenever needs change </li></ul><ul><li>Meetings held within 30 days of admissions, upon signficant change in care, or annually thereafter </li></ul><ul><li>Ensure Family, Resident and Staff are all working towards the same goals </li></ul><ul><ul><li>Please don’t wait till a Service Plan meeting to request a change in service – changes can be made at any time. </li></ul></ul>
Ambassador Program Caton Merchant House Ambassadors are Staff and Residents who want to help make your transition into the Caton Merchant House Family as easy as possible. Resident Ambassadors are easily identified by a sign outside their apartment doors.
Resident Council <ul><li>Meets monthly in the Activity Room </li></ul><ul><li>Open to all Residents and their guests </li></ul><ul><li>Voice concerns and ask questions of each department of the facility </li></ul><ul><li>All Residents are strongly encouraged to attend so they are aware of what is happening in their home </li></ul><ul><li>Mandatory Resident Education is often done that time </li></ul>
Visitors <ul><li>Visitors are welcome at any time </li></ul><ul><ul><li>Front door and side door by apartment 120 lock at night and can only be accessed by a key fob after it is locked </li></ul></ul><ul><li>Please sign out if you leave the building and back in upon your return </li></ul>
Transportation <ul><li>Local transportation provided free of charge *a fee of $30 per hour will be charged for appointments outside the primary market – primary market is areas within 66 to 29; Bealeton; Gainesville/Haymarket and the PWC Stadium Complex </li></ul><ul><li>Transportation person will stay with Resident during appointment </li></ul><ul><li>Medical appointments take priority over shopping trips </li></ul><ul><li>24 hour notice must be given for personal shopping requests </li></ul><ul><li>Driver can be reached at extension 310 or (703)335-8310 </li></ul>
Brenda McKendry, LPN Director of Nursing [email_address] (703)335-8491
<ul><li>Comprised of Certified Nursing Assistants and Registered Medication Aides </li></ul><ul><li>Besides the Director of Nursing, Brenda McKendry, L.P.Ns are in-house Monday through Friday, 6:30 a.m. – 10:00 p.m. Licensed Personnel are on-call 24-hours a day, seven days a week. </li></ul><ul><li>Staff can provide any routine assistance such as (but not limited to) bathing, dressing, and medication administration </li></ul><ul><ul><li>Services can be changed to meet your evolving needs at any time </li></ul></ul>
To reach the Director of Nursing (7a-3:30p) Internal Phone Extension 491 To reach a C.N.A. or Med Aide 24-hours a day Internal Phone Extensions Fountains: 410, 496, or 497 Parkview: 410, 496, or 497 Gardens: 304, 305, or 306 Overlook: 404, 499, or 498 To reach an LPN (7a-10p Monday through Friday) Internal Phone Extension 495
Emergency Pull Cords in the bedroom area and bathroom Emergency Pendant
Regarding Medication Adminstration <ul><li>Medication administration is the most common thing Residents need assistance with </li></ul><ul><li>Determination made by family, physician, or facility staff </li></ul><ul><li>If Resident is to self-administer, CMH staff can not oversee nor remind to consume medications </li></ul><ul><li>All medications must be stored in a secure location </li></ul><ul><li>Resident and/or responsible party must ensure that Nursing staff is updated with any medication changes if self-administer </li></ul>
Facility-administered medications <ul><ul><li>Long-term Care Contract Pharmacy, Omnicare Williamson’s </li></ul></ul><ul><ul><li>OR </li></ul></ul><ul><ul><li>Choice of pharmacy and medications are brought to Nursing Staff to administer </li></ul></ul><ul><ul><li>No matter the method chosen, all medications must be kept in secured medication carts in the Nursing Stations and no over-the-counter or prescription medications should be left in any apartment without the Director of Nursing being aware </li></ul></ul>
Using contract pharmacy <ul><li>Routine medications come to the facility in “Bing0” cards every 28 days – also delivered daily for medication changes </li></ul><ul><li>If over-the-counter medications are ordered, responsible party may acquire medications elsewhere and bring to the facility to administer </li></ul><ul><li>Pharmacy is billed separately and Caton Merchant House does not receive a copy of the invoice </li></ul><ul><ul><li>Call the account representative for Caton Merchant House at 1-800-333-8227 ext 116 </li></ul></ul>
Outside pharmacy <ul><li>Resident or responsible party is responsible for acquiring medications and bring them to the facility for Medication Aides to administer </li></ul><ul><li>If medications are not received after adequate notice, Caton Merchant House reserves the right to order doses from contract pharmacy to ensure doses are not missed </li></ul>
Physician Visits on Premises <ul><li>Dr. Jennifer Nau, a Board Certified Geriatric Specialist, visits Residents monthly </li></ul><ul><li>Podiatry services are in-house </li></ul><ul><li>Physician-ordered Home Health for Physical, Occupational, and/or Speech Therapy is welcome </li></ul>
Sean Lougheed, DSM Executive Chef [email_address] (703)335-8408
<ul><li>Seating arrangements are made to best suit your routine, but can be changed at any time </li></ul><ul><li>If you arrive late for a meal you may be asked to sit at another table </li></ul><ul><li>Guests are welcome at any meal, any time. Please give at least one hour notice to the cook, if possible. </li></ul>
Frankie Herndon Director of Physical Plant and Safety [email_address] (703) 335-8371
<ul><li>Maintenance requests or additional housekeeping requests can be written in the “Maintenance Request” book at the front podium </li></ul><ul><li>Each unit is assigned one Housekeeper who will clean apartments and do laundry (if part of services) </li></ul><ul><li>Laundry service can include weekly personal laundry and/or weekly linen change and wash </li></ul><ul><li>Apartments are thoroughly cleaned weekly </li></ul><ul><ul><ul><li>Includes dusting, sweeping, mopping, vacuuming of the bedroom, living area, bathroom and kitchen area </li></ul></ul></ul><ul><ul><ul><li>Facial and toilet tissue will be refilled at time of cleaning or as needed </li></ul></ul></ul>
<ul><li>At least 35 hours of social, spiritual, physical, and cognitive activities are provided weekly </li></ul><ul><li>Two full-time staff and extensive volunteer support </li></ul><ul><li>Newsletter and calendars are published monthly and distributed to Residents and are available on our website </li></ul><ul><li>Activities include outings such as monthly lunch trips, shopping trips, and country rides </li></ul>
Beauty/Barber Shop <ul><li>The Beauty Shop is open Tuesdays and Thursdays. Appointments are made by calling the beautician directly and standing appointments are available. </li></ul><ul><li>You can also call 407 and leave a message for an appointment. </li></ul>
The Midway! <ul><li>Dakim, IN2L, slots, and games! Fun for all ages! </li></ul>
J. Andrew Byrd, LNHA/P, LALFA/P Executive Director [email_address] 703-335-8402
Corporate Operations <ul><li>General Operation Facts </li></ul><ul><li>Rated A+ with the Better Business Bureau </li></ul><ul><li>Rated A with Consumer Reports and Consumer Checkbook </li></ul><ul><li>Complaint (founded) and care violation free since 2003. </li></ul><ul><li>Last ALF company in the US to Receive JCAHO Accreditation </li></ul><ul><li>Received CARF Accreditation with two Commendations </li></ul><ul><ul><ul><li>Customer Satisfaction </li></ul></ul></ul><ul><ul><ul><li>Leadership Competencies </li></ul></ul></ul><ul><li>General Operation Facts </li></ul><ul><li>Member of the Chamber of Commerce </li></ul><ul><li>State Representative for Assisted Living </li></ul><ul><li>Mayoral Small Business Award Winner </li></ul><ul><li>Best of Prince William County </li></ul><ul><ul><li>Assisted Living </li></ul></ul><ul><ul><li>Residential Living </li></ul></ul>
Resident Invoicing <ul><li>Invoices are generated monthly and due by the 10 th of the month. </li></ul><ul><li>Resident Escrow Accounts: </li></ul><ul><ul><li>Your deposit is kept in a separate account and held in an interest account so as to not require annual elevator payments . </li></ul></ul>
Paying for Care – Generic Tips <ul><li>Your entire invoice, excluding Guest Meals and Beauty & Barber Shoppe, can be 100% deducted from taxes: </li></ul><ul><ul><li>You must have at least two services provided </li></ul></ul><ul><ul><li>Physician confirms your residence </li></ul></ul><ul><ul><li>The deduction begins after you have met your medical deductible of your AGI percentage required in the tax year. A letter is mailed every February 1 st to confirm this action. </li></ul></ul><ul><li>There are no Federal programs that reimburse you for your stay here, however, if you or your spouse are a Veteran, you are eligible for $ 1,100 to $2,000 a month in an aid and attendance benefit: </li></ul><ul><ul><li>You do not have to be career military to earn the benefit </li></ul></ul><ul><ul><li>CMH has created a detailed brochure and benefit guidance for anyone interested in the program. </li></ul></ul><ul><ul><li>The booklet will be available with the Admissions office </li></ul></ul>
Paying for Care <ul><li>Caton Merchant House is proud to provide services “at the best value for the dollar” in Virginia, according to the NCAL / ACHA’s MyInnerView national surveys. </li></ul><ul><li>Thank you for selecting Caton Merchant House and the Novant Health System for your Senior / Elderhood Care needs, if I can be of any service, my time is yours… </li></ul><ul><li>J. Andrew Byrd </li></ul>