Intermediate Care Facilities

GVIEN operates Intermediate Care Facilities (ICF) for the Mentally Retarded.

 

Intermediate Care Facilities for the Mentally Retarded or ICF/MR's care for individuals who are developmentally disabled are designed for individuals with chronic conditions who are unable to live independently, but do not need constant intensive care. Intermediate Care Facilities provide supportive care and nursing supervision under medical direction twenty-four hours per day, but not continuous nursing care. They stress rehabilitation therapy that enables individuals to return to a home setting or regain or retain as many functions of daily living as possible. A full range of medical, social, recreational and support services are also provided. Almost all of the facilities that offer intermediate care for older adults in New York State are Skilled Nursing Facilities. Intermediate Care Facilities are also known as Rest Homes with Nursing Supervision. The main goal of these facilities is to nurture residents and encourage them to be as independent as possible. Residents of ICF/MR facilities lead busy, active, and full lives. Each ICF/MR facility has a unique atmosphere for residents requiring different levels of care. As always consult your loved one's personal physician when making any decision about long term care. The checklist below will guide you when selecting an ICF/MR facility.

 

Intermediate Care Facilities (ICF) are health facilities licensed by the Licensing and Certification Division of the New York State Department of Health Services to provide 24-hour-per-day services. The four types of ICFs providing services for New York State with developmental disabilities in the community are:

 

ICF/DD (Developmentally Disabled):

"Intermediate care facility/developmentally disabled" is a facility that provides 24-hour personal care, habilitation, developmental, and supportive health services to developmentally disabled clients whose primary need is for developmental services and who have a recurring but intermittent need for skilled nursing services.

 

ICF/DD-H (Habilitative):

"Intermediate care facility/developmentally disabled-habilitative" is a facility with a capacity of 4 to 15 beds that provides 24-hour personal care, habilitation, developmental, and supportive health services to 15 or fewer developmentally disabled persons who have intermittent recurring needs for nursing services, but have been certified by a physician and surgeon as not requiring availability of continuous skilled nursing care.

 

ICF/DD-N (Nursing):

"Intermediate care facility/developmentally disabled-nursing" is a facility with a capacity of 4 to 15 beds that provides 24-hour personal care, developmental services, and nursing supervision for developmentally disabled persons who have intermittent recurring needs for skilled nursing care but have been certified by a physician and surgeon as not requiring continuous skilled nursing care. The facility shall serve medically fragile persons who have developmental disabilities or demonstrate significant developmental delay that may lead to a developmental disability if not treated.

 

ICF/DD-CN (Continuous Nursing) Pilot Program:

These facilities provide services similar to ICF/DD-N services with the addition of 24-hour skilled nursing services (licensed vocational nurse and registered nurse) for those consumers whose medical conditions require continuous nursing care and observation. The ICF/DD-CN facilities provide these services for 4-15 consumers in a community-based living arrangement, with preference given to facilities serving 4-6 individuals. The pilot project is currently limited to selected participants and no new facilities are currently being developed. In various group care facilities in the intermediate care facilities for the developmentally disabled (ICF-DD), an environmental health inspection ensures good sanitary health and safety practices are in place related to construction, operation, and maintenance among the residents, employees, and visitors to the ICF-DD. Our purpose is to prevent or minimize the risk of transmitting disease, injury, or bodily harm. The list below includes some of the primary areas the environmental health inspector checks for during their inspection visit.

 

  • House Keeping
  • Lighting
  • Vermin/Animal Control
  • Bed/Bedding
  • Water Supply
  • Liquid & Solid Waste
  • Housing
  • Sanitary Facilities
  • Outdoor Area & Equipment
  • Indoor equipment/furnishings

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Areas Related To Disease Control and Injury Prevention Need Special Attention

  • Food Hygiene & Sanitation
  • Sanitary bedding

 

Areas Related To Disease Control and Injury Prevention Need Special Attention

  • Food Hygiene & Sanitation
  • Sanitary bedding
  • Solid Waste/garbage
  • Sanitary Facilities (Restrooms & Bathing Facilities)
  • Repair and Upkeep
  • Safe Outdoor Recreational Area
  • Vector and Vermin Control
  • Water Temperature

 

Licensure

  • Does the facility have a current New York license?

 

Medical

  • Can the facility properly meet the medical needs of the individual?
  • Does the facility provide adequate hospital and laboratory services?
  • Does the facility provide residents with a 24-hour-a-day health service plan?
  • Does the facility provide a written management plan detailing goals for physical and mental health, education, and functional and social competence? How often does the facility update these goals?

 

Psychological Services

  • Does the facility have adequate staff to provide: administrative services, supervision of psychological services, and staff training?
  • Does the facility provide residents direct contact with a qualified psychologist?
  • Are the residents' records properly maintained and kept completely confidential?
  • How often does the facility review and update these records?

 

Physical and Occupational Therapy Services

  • Does the facility provide physical and occupational therapy services with qualified therapists as needed by residents?
  • Does the therapist work closely with the residents' personal physician and/or other medical specialist?
  • Does the facility keep records of training progress and use these records as a basis for continuation or change in the residents' program?

 

Nursing Services

  • Does a registered nurse participate in the pre-admissions evaluation study and plan?
  • How often does a registered nurse re-evaluate the type and quality of services and programming for each resident?
  • Does the facility provide the resident with training habits in the following areas: personal hygiene, family life, and sex education? What kind of training is provided?

 

Social Services

  • What does the facility do to enhance the coping capacity of each resident's family?
  • How does the facility foster human dignity and personal worth of each resident?
  • How does the facility strive to maximize the social functioning of each resident?

 

Speech Pathology and Audiology Services

  • Does the facility provide speech pathology and audiology services with a qualified pathologist and audiologist?
  • Does the facility offer a provision for the procurement, maintenance, and replacement of hearing aids, as specified by a qualified audiologist?
  • Does the facility provide comprehensive speech and language evaluation of clients?
  • Do properly qualified individuals monitor and evaluate the resident's program on a continual basis?

 

Pharmacy

  • Does the facility have a provision for emergency pharmacy services? If so, what is it?
  • Does the facility have a formal arrangement for qualified pharmacy services?
  • How often does a pharmacist review the medication records for each resident?

 

Fire Safety

  • Does the facility currently meet the state and local codes for fire prevention and safety?
  • Does the facility hold fire drills once a month?

 

Staff Attitudes

  • Does the facility meet the required staff/resident ratio listed below?
  • Does the staff show interest in, affection, and respect for each individual resident?
  • Is the staff courteous with residents and each other?
  • Is the administrator available to answer questions, hear complaints, or discuss problems?

 

Staff Orientation

  • Does the facility require pre-service training?
  • Does the facility do background and criminal record checks?
  • Does the facility check driving records?

 

Staff Training

  • What kinds of initial staff training are provided? Do they include: CPR, Resident rights, and teaching strategies?
  • Is there ongoing in service training?
  • What is the staff turnover rate?

 

Resident Rights

  • In what ways are residents offered choices?
  • Does the facility involve residents in the community?
  • What types of community experiences are residents involved in?
  • Does the facility provide vocational skills training opportunities?
  • Does the facility provide recreational and leisure activities?

 

Food

  • Does the facility offer a least three meals a day at regular times?
  • Is the food served in a form consistent with the developmental level of the resident and with the appropriate utensils?
  • Are a variety of foods served at each meal?
  • Is food stored properly to conserve nutritious value?
  • Is the facility properly equipped to meet the dining needs of each resident's developmental level?

 

Building & Grounds

  • Is the facility as clean as you set your personal standards?
  • Is the facility free from offensive odors?
  • Are residents' rooms cleaned daily?
  • Is the facility kept at a comfortable temperature?
  • Are all exits clearly marked and clear of obstructions at all times?
  • Are grab bars provided on toilets, tubs and showers?
  • Do tubs and showers have a slip resistant surface?

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