Grace Woods is licensed as a Residential Care Facility by the Ohio Department of Health. We are surveyed by the Ohio Department of Health annually to validate compliance with the Residential Care Facility Rules and Laws.
In addition, Grace Woods is certified by the Ohio Department of Aging as an Assisted Living Waiver (ALW) Provider. Providers certified under this program may admit residents that are qualified for Ohio Medicaid benefits. This program provides an excellent path for residents to relocate from an expensive nursing home environment to an economical assisted living facility.
The ALW (Assisted Living Waiver) program has two components that eligible residents must meet for participation in the program:
1. Financial Eligibility – The resident must be financial eligible to participate in the Medicaid Program as determined by the Ohio Department of Jobs and Family Services. Here are the local Jobs and Family Services offices:
Trumbull County Department of Jobs and Family Services
280 North Park Avenue
Warren, Ohio 44481
Mahoning County Department of Jobs and Family Services
Oakhill Renaissance Place
345 Oakhill Avenue
Youngstown, Ohio 44502
Columbiana County Department of Jobs and Family Services
7989 Dickey Drive, Suite 2
Lisbon, Ohio 44432
2. Health Care Eligibility – The resident must receive a health care needs assessment conducted by a registered nurse representing the Ohio Department of Aging. Our local Area Agency on Aging:
Area Agency on Aging 11, Inc.
555 Youngstown Warren Road, Suite 2685, 2nd Floor
Niles, Ohio 44446
1 (800) 686-7367
The registered nurse completes a face to face interview with the applicant and the applicant’s responsible party. The purpose of this assessment is to determine the actual needs of the applicant and develop a comprehensive picture of those needs to determine if admission is appropriate.
The assessment reviews each resident’s current medical condition, past medical history, current functional state and current cognitive state. This information is used to establish a comprehensive service plan to aid assisted living staff in meeting the resident’s needs.
The assessment is updated by the RN case manager at least annually. However, significant changes in condition over time may warrant additional assessments to ensure the resident is properly placed in the most appropriate setting.
A licensed social worker from the Agency on Aging conducts quarterly reviews with the resident to confirm the resident’s needs are being met and the resident is satisfied with the care and service. Assisted living staff discuss each resident’s medical, functional and cognitive status with the licensed social worker and provide input regarding the resident’s overall condition and appropriateness for placement in the facility.
A resident can pay with private funds by combining current income with savings. If the resident exhausts their savings, they may apply for coverage under the ALW Program.
Accessing the Veteran Administration’s Aid and Attendance Benefit may be an option for those who served in our military on active duty during a time of war. The benefit is approximately $1100.00 per month and is paid to the resident to offset the expenses associated with assisted living care.
Eligibility for the benefit requires that the resident has medical needs and also meets certain financial requirements. The financial requirements are more generous than those of the Medicaid program. Here are the local Veterans Services offices:
Trumbull County Veterans Services
280 North Park Avenue, N.E., Suite 201
Warren, Ohio 44481
Mahoning County Veterans Services
345 Oakhill Avenue, Suite 100
Youngstown, Ohio 44502
Columbiana County Veterans Services
7989 Dickey Drive, Suite 1
Lisbon, Ohio 44432
VeteranAid.org offers detailed information on a veterans pension benefit called Aid and Attendance (A&A). If veterans require assisted living care in a community or at home, they help you apply for the A&A benefit which can provide up to $1,788 per month to a veteran, $1,149 per month to a surviving spouse, or $2,120 per month to a couple.
An assisted living facility may provide a wide range of care and services, depending on the facility’s philosophy of care. Grace Woods provides several levels of care for our clients, which enable us to address our residents’ needs as they change over time.
The predominate issue facing residents seeking assisted living placement is the need for a support system that addresses changes in medical status, medication management and administration of medication. Effective management of these issues and assistance with bathing, dressing, grooming, management of nutrition concerns, cognition concerns, responsiveness to accidents (e.g., falling) or acute medical episodes make up the foundation of our health care system.
Each resident, through the natural course of aging, declines in functionality over time. These changes are managed through our systematic assessment process which includes evaluating the resident’s needs, communicating with the attending physician and coordinating a discussion with the resident and responsible parties. This process results in modification of the resident’s service plan to synchronize the resident’s care needs with our supportive health care system.
At times, residents require more care than can be provided by the assisted living staff. In those situations, we coordinate our efforts with the following resources to meet the needs of our residents and preserve their ability to live in the facility:
• Home health agencies
• X-ray services
• Podiatry services
• Counseling services
• Specialty physician services
• Physical, occupational and speech therapy services
• Dialysis services
• Dietician services
End of life care may be provided in the facility by coordinating with a local Hospice service. The goal is to permit the resident to live their remaining days at our facility and provide additional comfort measures and support for the resident and their family.
Periodically, the condition of a resident exceeds our ability to meet their specific needs, even when we access additional support services. In those circumstances, the resident’s available option is placement in a facility that provides a higher level of care (i.e., a nursing home).
Level of care is an assessment tool that gives the facility a picture of what the resident’s needs are and confirms that their needs change over time. Additional staff time is associated with higher levels of care.
We use the level of care to account for the additional expenses associated with the changed care needs.
The level of care can increase or decrease based on the assessment outcome. Residents who experience an acute medical issue may have an increase in their level of care, and through the recovery process, may have a decrease in their level of care in the future.
The level of care provides a way for us to better customize our pricing to the individual’s needs.
Each resident may retain the physician of their choice. In addition, we have several physicians that make house calls to the facility as a convenience for the resident and their family.
The rules and laws that govern our facility require physician assessments, annual physicals and medical prescriptions for medication administration. It is necessary for a physician to be responsive to staff communications related to medical condition changes in a timely manner.
In the event an attending physician is unable to meet these responsibilities and be responsive to a resident’s needs, the resident would need to select a different attending physician.
We have two types of rooms: private rooms that are single occupancy and two room suites that are double occupancy (for husband and wife or significant other). All rooms have an attached bathroom and an individual heating and air-conditioning unit. All rooms are also carpeted and may be decorated as the residents see fit. For fire safety measures, the facility has sprinklers and smoke detectors installed throughout. No smoking is permitted in the facility.
The decision to choose an assisted living facility is one that cannot be taken lightly. You are entrusting the care of your family member to an organization that you may not be familiar with.
Grace Woods Senior Living has a longstanding history of providing excellent care. We continually examine our assisted living model of care to determine how we can improve our programs and services to meet each client’s needs.
Our assisted living staff members are committed to caring for seniors and other adults who need our care. We recognize the importance of addressing each individual’s particular needs and continually provide education and training to develop our skills.
Placing the person first, and addressing their needs and concerns is challenging, but it makes us a better provider of care over time. Some facilities refer to this philosophy as “Person Centered Care;” we think it is just common sense.
Grace Woods’ leadership is visible each day within the facility: interacting with residents, family members, health care providers and facility staff to continually reinforce our commitment to quality care.
In late 2012, Ohio became just the third state in the U.S. to receive federal approval for its plan to coordinate benefits for residents covered by Medicare and Medicaid. The result was MyCare Ohio, a three-year demonstration which uses a managed care approach to better connect services made available through each program.
Ohio selected four of the five current plans (Buckeye, CareSource, Molina and UnitedHealthcare) and one new plan (Aetna) to coordinate services in 29 pilot counties for Ohioans receiving both Medicare and Medicaid. Previously, there was little, if any, coordination of care between these programs. Now, the five MyCare Ohio plans are required to integrate physical, behavioral and long-term care into one coordinated benefit package for individuals enrolled in both Medicare and Medicaid.
MyCare Ohio is administered by the Ohio Department of Medicaid (ODM). When you have questions about enrollment and choosing a plan, the first place you should turn is the Ohio Medicaid Hotline. The hotline is available Monday through Friday, 7am – 8pm, and Saturdays, 8am – 5pm. Here is the hotline’s contact information:
Ohio Medicaid Hotline
(800) 292-3572 TTY