Case Study: The Grand Pavilion for Rehabilitation & Nursing (April 2018)

Patients Age: 75
Admission Date: 3/7/2018
Discharge To: Mercy Medical Center
Discharge Date: 5/1/2018
Length of Stay: 54 Days
Reason for Stay: Cerebral Infarction, Rhabdomyolysis, Anemia, Acute Ischemic Heart Disease and Generalized Weakness.
How did patient hear about the Grand Pavilion?:

Details of Experience:

Mr. Gayin Wai was admitted to The Grand Pavilion from Mercy Medical Center on March 7th, 2018. Mr. Wai was experiencing post right thalamic ICH with left-sided hemiparesis. My first impression of Gayin was very positive. Although he was very weak, he had a positive outlook and was only looking forward towards recovery.

In regard to Mr. Wai’s Rehabilitation status, he was experiencing left side neglect, impaired balance, decreased strength, decreased functional activity tolerance and endurance, and required maximum assistance with ADLs. The goal of OT was to increase his independence and safety during ADLs. Gayin was also exhibiting difficulty with bed mobility tasks, performing transfers and had reduced range of motion on left upper extremity. It was the goal of PT to increase independence with gait, promote safety awareness, facilitate motor control, improve dynamic balance to minimize falls, and increase functional activity tolerance. Gayin shared at the time that his goal is simply, “to return home safely”. Gayin would enjoy activities such as paint therapy and our musical events.

Mr. Wai worked hard at positioning maneuvers, proper body mechanics, safe transfer techniques and safety precautions. He was encouraged to use his left arm during functional activities, hip abductions, and adductions, as well as hamstring curls. His standing exercises consisted of sidestepping and calf raisings. In only a month’s time, he was making tremendous strides in improving and was ambulating 120 feet with standby assistance, with a quad cane.

I was excited to sit down with Gayin well into his Rehab journey. He kept telling me how excited he was to get back to his own place. He was extremely satisfied with both the Nursing and Rehabilitation care he received here at The Grand Pavilion. Gayin and I shared a great connection. We successfully worked as a team and we are honored to have a hand in giving him the best experience possible. We are delighted to see him regain his independence and to be able to return home safely.

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Edward Stein, Professional of the Year!

We are proud to share that Edward Stein, Director of Support/Building Services at The Grand Pavilion for Rehabilitation and Nursing at Rockville Centre, has been chosen as the 2017-2018 Professional of the Year!

Joining The Grand Pavilion team in October 1997, Stein has been looked to as a resource and valued asset to the team for the past twenty years. His team members have shared that “he is the man to get the job done” and that he is always willing to lend a helping hand, wherever needed.

“I’m a multi-tasker, and I want to always be reliable for my fellow team members,” Stein shared. “It’s rewarding to see happy family members and team members when I can help them; if I can do something fast for them, I want to. It’s rewarding to help when I can.”

Stein continued, “The Grand Pavilion is a neighborhood, a home-like atmosphere. It’s been awesome to be a part of the community from when I helped to buy the first PC in the building, to during renovations and community upgrades.”

When Stein learned he was chosen as Professional of the Quarter, Stein was surprised and excited. He was honored to be recognized, stating, “I do a lot over and above, but I like to help. I didn’t know that anyone recognized me this much.”

Edward Stein, you are #TheCareRiteDifference!

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Edward Stein, Professional of the Quarter!

We are proud to share that Edward Stein, Director of Support/Building Services at The Grand Pavilion for Rehabilitation and Nursing at Rockville Centre, has been chosen as the fourth 2017-2018 Professional of the Quarter!

Joining The Grand Pavilion team in October 1997, Stein has been looked to as a resource and valued asset to the team for the past twenty years. His team members have shared that “he is the man to get the job done” and that he is always willing to lend a helping hand, wherever needed.

“I’m a multi-tasker, and I want to always be reliable for my fellow team members,” Stein shared. “It’s rewarding to see happy family members and team members when I can help them; if I can do something fast for them, I want to. It’s rewarding to help when I can.”

Stein continued, “The Grand Pavilion is a neighborhood, a home-like atmosphere. It’s been awesome to be a part of the community from when I helped to buy the first PC in the building, to during renovations and community upgrades.”

When Stein learned he was chosen as Professional of the Quarter, Stein was surprised and excited. He was honored to be recognized, stating, “I do a lot over and above, but I like to help. I didn’t know that anyone recognized me this much.”

Stein is the fourth and final professional of the quarter, who will then be in the running for the 2018 CareRite Centers Professional of the Year.

Edward Stein, you are #TheCareRiteDifference!

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Case Study: The Grand Pavilion for Rehabilitation & Nursing (March 2018)

Patients Age: 84
Admission Date: 3/10/2018
Discharge To: St Francis Hospital
Discharge Date: 4/10/2018
Length of Stay: 30 Days
Reason for Stay: Non – st elevation, myocardial infarction, acute chronic systolic heart failure and generalized muscle weakness.
How did patient hear about the Grand Pavilion?:

Details of Experience:

Ms. Eleanor Bentman was admitted to The Grand Pavilion on March 10th, 2018 from St. Francis Hospital. Ms. Bentman was experiencing a diagnosis of st elevation, myocardial infarction, acute chronic systolic heart failure and generalized muscle weakness and was in great need of rehabilitation. Upon arrival to The Grand Pavilion, Eleanor, met first with our Concierge and then continued to meet with Nursing, Rehab, Social Work and Dietary. Eleanor is a very outspoken and caring person. She expressed upon admission that she experienced a very scary procedure where they replaced a valve in her heart and that she was staying optimistic with the goal to return home safely

Eleanor’s highlight of the day is going to therapy and enjoying the interactions she shares with her
fellow patients and staff members. Eleanor would love to attend activities on both the first floor and second floor of the community. She enjoyed the sing along and bingo. When Eleanor was asked by our Concierge what her greatest recreational highlight was, she responded immediately “The Irish Children dancers that put on a great show for St. Patrick’s Day”.

Ms. Bentman was experiencing a decrease in strength, poor balance, difficulty performing bed mobility and transfers. She was experiencing a lack of strength preventing her from performing standing activities as well as reducing her functional activity tolerance. The goal of Occupational Therapy was to increase functional activity tolerance, increase safety awareness, facilitate sitting tolerance and posture control as well as working on developing compensatory strategies. It was the goal of Physical Therapy to enhance functional abilities, facilitate increased independence with ambulation/stair negotiation, to increase lower extremities range of motion, thus minimizing falls. Eleanor was extremely motivated and pleasant with the whole rehabilitation team and was highly motivated to achieve her goals.

Eleanor made slow and steady progress during time spent in skilled rehab sessions. Eleanor participated in therapeutic graded exercises, bicep and tricep curls, exercises with gymnastic ball, proprioceptive techniques while at the same time participating in strengthening activities and dynamic functional activities. Eleanor is now reaching the end of her stay at The Grand Pavilion and she is participating in a floor ambulation of 150ft on a daily basis and all of her goals are being met.
When our Director of Concierge sat with Eleanor to follow up on her experience here at The Grand Pavilion, she was extremely satisfied with the food and care she received from the Nursing team and was very appreciative to Social Work for keeping her in the loop in regards to her progress. She is most appreciative to both the Physical and Occupational Therapy, as they are allowing her to physically get on her and function the way she was functioning before her surgery.

With the work of the whole Grand Pavilion team, Eleanor made excellent strides in her recovery to her prior level of functioning and is reaching the point where she will be able to return to her prior living environment. Ms. Bentman is extremely appreciative and emotional for all the care she received from the GP team. Eleanor will forever be part of The Grand Pavilion family!

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The Grand Pavilion Receives National Recognition For Quality!

Our community was recently recognized by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL) for achievements made through the Quality Initiative Recognition Program, which honors member facilities for their individual work in achieving AHCA/NCAL Quality Initiative goals. We are so proud of this achievement and would like to thank each team member for making this award possible and for providing our residents, patients, and families with the highest standard of care! 

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Case Study: The Grand Pavilion for Rehabilitation & Nursing (February 2018)

Patients Age: 104
Admission Date: 2/20/2018
Discharge To: Mercy Medical Center
Discharge Date: 3/13/2018
Length of Stay: 21 Days
Reason for Stay: Acute myocardial infarction, displaced intertrochanteric fracture of unspecified femur, initial encounter for closed fracture and generalized muscle weakness.
How did patient hear about the Grand Pavilion?: “Throughout the year I have had many friends who have came here and have only had nice things to say about this facility. In case you didn’t know, it seems there is a big demand to get into this community!”

Details of Experience:

Ms. Dorothy Sellers was admitted to The Grand Pavilion from Mercy Medical Center on February 20th, 2018. She was experiencing acute myocardial infarction, displaced intertrochanteric fracture of unspecified femur, initial encounter for closed fracture and generalized muscle weakness. Aside from what Dorothy presented with upon admission, she is a healthy 104-years-old with no noted medical complications. Upon arrival to The Grand Pavilion, she was greeted by our Director of Concierge Services. Shortly thereafter, she was evaluated by both our Rehabilitation and Nursing Teams. Within the first 24 hours of her stay, the interdisciplinary team met with Dorothy to learn more about her specific needs and preferences so that they could build a person-centered care plan to support her healing experience. When asked by our Director of Concierge Services her first impression of the Grand Pavilion community, Dorothy shared that when she arrived to her new room she noticed that the window bed was vacant, so she requested if she can be changed to the window bed and her request was immediately granted. She was very appreciative of how accommodating the Grand Pavilion team was, overall!

Ms. Sellers’ worked for the head of the well-known company, Seagram Distillers. Dorothy was also very crafty and enjoyed making all kinds of decorative things that she would sell on the side as a hobby. She even made personalized miniature Christmas trees! Her boss was a personal friend of President Hoover and Eisenhower so she was blessed with the opportunity of presenting both President Hoover and President Eisenhower with a personalized miniature Christmas tree!

Mrs. Seller was initially able to partially bear weight on her right leg during initial rehabilitation evaluations. Dorothy required extensive assist with bed mobility and was only able to ambulate up to 5 feet with a rolling walker. During her course in rehab, the goal in occupational therapy included increasing Mrs. Sellers’ independence and safety during Activities of Daily Living (ADL’s) such as dressing, hygiene and grooming. While in physical therapy, the goal was to have Mrs. Seller increase independence with gait, promote safety awareness, facilitate motor control, improve dynamic balance to minimize falls, and increase functional activity tolerance. Mrs. Seller worked hard at positioning maneuvers, proper body mechanics, safe transfer techniques and safety precautions. She was encouraged to perform bilateral arm swinging to improve her balance and increase space between her and obstacles. She would perform seated therapeutic exercises with three pound weights, hip abductions and adductions, as well as hamstring curls. Her standing exercises consisted of side stepping and calf raisings. In only a month’s time she was making tremendous strides, and was ambulating 175 feet with stand by assistance without the assistance of a device.

Ms. Sellers would spend most of her time outside of her therapy sessions enjoying the company of close friends and crossword puzzles. Dorothy was truly an inspiration in the Grand Pavilion community; she was always smiling and offering kind words to her fellow residents and the Grand Pavilion staff. When asked by people what her secret to such healthy long years, she would so peacefully respond, “strong genes and staying proactive.”

Mrs. Sellers made significant progress with Occupational and Physical Therapy in which she was able to return home with limited assistance with bed mobility, transfer, and ambulation with a rolling walker. She was also able to negotiate up and down steps. We were delighted to provide Dorothy with a safe transition back home. Ms. Sellers was extremely satisfied with both the nursing and therapy care she received here at the Grand Pavilion. We successfully worked as a team, and we were honored to have a hand in giving her the best experience possible. We are delighted to see her regain her independence and be able to return home safely.

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Case Study: The Grand Pavilion for Rehabilitation & Nursing (January 2018)

Patients Age: 79
Admission Date: 11/28/2017
Discharge To: Mercy Medical Center
Discharge Date: 2/14/2017
Length of Stay: 49 Days
Reason for Stay: Gastrointestinal hemorrhage, transfusion, therapeutic injection and
generalized muscle weakness.
How did patient hear about the Grand Pavilion?: The Grand Pavilion was
recommended by Mr. Crawford’s sister-in-law who works at Mercy Medical Center.

Details of Experience:

Mr. Elijah Crawford was admitted to the Grand Pavilion from Mercy Medical Center on December 28th, 2017. Mr. Crawford had a diagnosis of gastrointestinal hemorrhage, transfusion, therapeutic injection and generalized muscle weakness. Upon arrival to the Grand Pavilion, Mr. Crawford and his family were greeted by both the Nursing Team and our Concierge, Mark. Subsequently thereafter, he went on to meet the therapy team, dietician and social worker.

The entire team were excited to get to know Mr. Crawford. Mr. Crawford enjoys various hobbies such as drawing, physical fitness and reading. Elijah has an extreme zest for life and shares great love for his family. The staff members found Elijah to be extremely pleasant and cooperative throughout his rehabilitation journey. Everyone would often look forward to his amazing smile throughout the day. Mr. Crawford had the simple goal of getting better and returning home to his beloved family as soon as possible.

Mr. Crawford initially came to Grand Pavilion with generalized weakness and presented with impaired functional endurance with functional mobility limitation such as bed mobility, transfer, and ambulation due to status post hospitalization for gastrointestinal hemorrhage. Elijah initially required moderate assistance from the Physical and Occupational Therapists for bed mobility, transfer, and was only ambulating up to 15 feet with the assistance of a rolling walker. He also required moderate assistance with upper and lower extremity dressing.

Elijah always had company from his wife, children and friends. Mark (Director of Concierge Services) recalls numerous occasions of Elijah and his visiting wife playing cards and enjoying their visits together. Mr. Crawford immensely enjoyed drawing and would attend all of our Art Therapy Activities.

After weeks of rehabilitation with both our Physical and Occupational Therapists, Mr. Crawford has made significant improvement in all functional mobility and activities of daily living. He is now able to perform bed mobility and transfer under stand-by assistance. He is ambulating up to 100 feet under limited assist. Mr. Crawford has put in hard work with our skilled clinicians and is looking forward to going home safely with independence with mobility and activities of daily living.

When our Director of Concierge Services followed up with Elijah closer to his discharge date, he was extremely satisfied with his stay and he expressed how appreciative for all the great care he received. The Grand Pavilion team is honored to have a hand in giving Mr. Crawford the best experience possible.

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The Grand Pavilion Welcomes Area Professionals

The Grand Pavilion was proud to thank their community social workers and case managers who do so much for the Grand Pavilion on a daily basis with their wine and whiskey event! The event welcomed professionals from across the area for a warm evening of delicious cocktails, appetizers, hand rolled cigars, and fun! Thank you to all the professionals who joined The Grand Pavilion community and for supporting those that we serve!

#TheCareRiteDifference

Case Study: The Grand Pavilion for Rehabilitation & Nursing (December 2017)

Patients Age: 91
Admission Date: 10/24/2017
Discharge To: Mercy Medical Center
Discharge Date: 1/11/2017
Length of Stay: TBD
Reason for Stay: Patient had a diagnosis of non-traumatic intracerebral hemorrhage, unspecified
intestinal obstruction and generalized muscle weakness.
How did patient hear about the Grand Pavilion?: She was referred by the Social Worker at the Mercy Medical Center.

Details of Experience:

Ms. Nora Saunders was admitted to the Grand Pavilion from Mercy Medical Center on October 24, 2017. Nora was admitted with a diagnosis of non-traumatic intracerebral hemorrhage, unspecified intestinal obstruction and generalized muscle weakness. Upon arrival to the Grand Pavilion, Nora was greeted by our Concierge, Nursing Team, Rehab team and Social Work team.

Prior to being admitted to the Hospital Nora was leading a healthy, pleasant and independent life at Maple Point Assisted Living and was now faced with the challenge of accepting total dependency and the challenges that come with it. Nora was extremely motivated with the strong desire to get stronger for both herself and family. We ensured Nora that she was in good hands and that she can be assured that she will return home to the Assisted Living.

Ms. Sounders was in love with both our Recreation Team and Program. She would always speak highly of our Director of Recreation, John, and his team. She was a big fan of the Thursday Musical Concerts as well as Bingo, Art Therapy and she was always in attendance to our Catholic Services every Wednesday. Nora is an extremely pleasant woman and always had encouraging words to say. Every Time our Administrator, Avi, would pass by Ms. Sounders she would call him over and thank him for all the wonderful staff that takes such good care of her.

Ms. Sounders was experiencing a decrease in bilateral muscle strength with an increased risk of falls, impaired functional mobility, reduced balance and required an increased need for caregiver assistance. For her activities of daily living she required max assistance. The goal of Occupational Therapy (OT) was to increase functional activity tolerance, improve motor control and tone in her upper extremities and enhance Nora’s quality of life by improving her ability to perform activities of daily living safely. It was the goal of Physical Therapy (PT) to enhance fall recovery abilities, facilitate increased independence with ambulation/stair negotiation and to increase lower extremities range of motion in preparation for an eventual discharge to home environment at highest and safest functional level. Secondary to periods of confusion Nora required constant redirection to tasks at hand due to easy distractibility during functional activities.

Nora was extremely cooperative and pleasant with the entire Rehab team. Being that Nora presented with bilateral decreased muscle strengths she would work with a walker during her Rehab sessions. For example, physical therapy would have her hold onto the walker while exercising techniques involving dynamic balance activities to challenge and determine Nora’s risk of falls and improving stability during transfers and ambulation. Nora made slow and steady progress during time spent in skilled rehab sessions. She initially required max assistance, was walking zero feet and was non-weight bearing, but due to her daily participation in therapeutic exercises activities to facilitate increased upper and lower extremity muscle strength she is 100% weight bearing and walking 100 feet with the assistance of a walker.

With the work of the whole Grand Pavilion team, Nora is reaching the point where she will be able to return to her prior living environment, the Maple Point for Assisted Living. The whole Grand Pavilion family is looking forward to providing her with a safe transition back home!

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