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

Patients Age: 71
Admission Date: 6/4/2018
Discharge To: South Nassau Communities Hospital
Discharge Date: 7/5/2018
Length of Stay:
Reason for Stay: Hypertension, fracture of right femur, generalized weakness and difficulty in walking.
How did patient hear about the Grand Pavilion?:

Details of Experience:

Mr. Richard Dunne was admitted to The Grand Pavilion from South Nassau Community Hospital on June 6th, 2018. Mr. Dunne was experiencing a diagnosis of hypertension, fracture of the right femur, generalized weakness, and difficulty in walking. Upon arrival to The Grand Pavilion, Mr. Dunne and his family were greeted by both the nursing team and our concierge, Mark. He then went on to meet with our rehabilitation team, dietician, and social worker. The entire team was excited to get to personally know Richard. He is an extremely pleasant and enthusiastic person and has a great sense of humor. Although he was not in the best shape and was dealing with the reality of a fractured right femur, he was optimistic that he would recover and return home!

Upon admission to The Grand Pavilion, Mr. Dunne presented with pain in his right hip when he would move it, weakness especially in lower extremities and poor standing balance. He was having a difficult time performing bed mobility, transfers, and ambulation. The rehabilitation team initially evaluated Mr. Dunne and felt he required skilled rehabilitation services to evaluate how much assistance he would need from assistive devices. They also assessed his functional abilities in regards to promotion of safety awareness, improvement in his dynamic balance, increase in functional activity tolerance, and increase in range of motion in his lower extremities. Richard’s overall goal for the rehabilitation team was to enhance his quality of life and allow for him to safely return home to his private residency. Mr. Dunne was in need for max assistance with his activities of daily living (ADL’s). Richard was driven to work with the physical and occupational therapists to maximize his rehabilitation potential and return to his prior functional level of living.

Mr. Richard Dunne was an extremely pleasant and friendly person. He was extremely kind to all Grand Pavilion team members and to all of his fellow residents. Richard would always enjoy going out and spending time on our beautiful back patio, he would sit and peacefully and read his paper. Richard was also very impressed by the variety of therapeutic recreational activities that were offered at our community. Richard was always visited by his devoted children and his son, who would always make sure to bring him the morning paper; his room was always full of life! In the past, Richard enjoyed hobbies like that of golfing. He would often share his fond golfing memories from back in the day.

The physical therapists worked with Richard and provided him with therapeutic resistance exercises, gate training, advanced therapeutic training, and balance protocols. Mr. Dunne practiced stair training and functional endurance exercises using our cardiopulmonary machines such as the Omni Cycle and Nu Step. Our occupational therapists would work alongside Richard on upper and lower body strengthening activities by using Thera bands, weighted bars, and dumbbells. They also worked on activities to return home such as upper and lower body dressings, toileting transfers and bed mobility. By the end of Richards’s stay at The Grand Pavilion he was able to ambulate up to 250 ft with supervision with a walker on a daily basis.

Richard progressed with both physical and occupational therapy to the point where he was able to safely return to his home. When our concierge followed up with Richard closer to his discharge date, he shared that he was extremely satisfied with his stay and was so appreciative to the nurses and therapists that tended to his immediate care. He was extremely appreciative to the whole Grand Pavilion team for looking after him and caring for his every need. In the words of Mr. Dunne, “If I ever needed anything, they got it done and if I had a question, they always gave me the right answer.”

The Grand Pavilion team was honored to have a hand in giving Mr. Dunne the best experience possible.

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

Patients Age: 82
Admission Date: 2/5/2018
Discharge To: South Nassau Communities Hospital
Discharge Date: 6/6/2018
Length of Stay:
Reason for Stay: Suffered from multiple fractures due to motor vehicle accident.
How did patient hear about the Grand Pavilion?:

Details of Experience:

Ms. Taromina was admitted to The Grand Pavilion from South Nassau Communities Hospital on February 5th, 2018. Ms. Taromina had a diagnosis of a fractured right lower leg, fractured right patella, and fractured sternum. Linda lives right around the corner from The Grand Pavilion and knew many friends who received excellent care with us. When the time came that Linda was in need for rehabilitation, she was very well aware that The Grand Pavilion was the best place to find it. Upon admission, our director of concierge was there to welcome Linda into The Grand Pavilion community, and she then followed to meet our nursing team, rehabilitation team, dietary team, and social work team. Ms. Taromina was delighted with her first impression at the community.

Ms. Taromina worked very hard for a real estate office for 20 years and carried the full-time job of raising her two beautiful children. She takes tremendous pride in her son and daughter and all of her beautiful grandchildren. She is known to be one of the kindest women some will ever meet!

Ms. Taromina unfortunately was involved in a severe car accident and suffered multiple fractures. Linda arrived to the community in great need of rehabilitation. Although her world had been turned over due to the accident, she was determined to get better and walk again. In the words of Linda, “Although my world was turned over, the care here at the Grand Pavilion is what gave me hope to carry on and get stronger.” Ms. Taromina enjoys reading and enjoyed attending the musical concerts hosted by our amazing recreation team.

Linda could not be more appreciative of the nursing care she received, she found all of the nurses to be warm, kind, and helpful. Linda needed the extra assistance of a Hoyer lift when transferring in and out of bed. At first, she was scared of this new process, but the nurses would hold her hand and walk her through her new dependencies. In the words of Ms. Torimino, “The Nurses never showed me an ounce of stress or complaint, they were just always there for me.” Prior to being admitted to the hospital, Linda was living in an apartment with an elevator and she was 100% independent with her activities of daily living.

Ms. Taromina initially came into our community after a motor vehicle accident and required a significant amount of help with ADLs and functional mobility. Mrs. Taromina was independent with all functional mobility and ADL prior to the accident. Following the accident, she was non-weight bearing to bilateral lower extremity and required a Hoyer lift for transfers. She was in pain and limited in her knee and ankle mobility due to the multiple fractures she sustained in her legs. Through weeks of physical and occupational therapy, Ms. Taromina has made significant improvement with all her ADLs and mobility. She is currently ambulating up to 200 ft with a rolling walker and stand-by assistance. She is able to participate in her activities of daily living such as lower body dressing and with toileting, whereas in the beginning of her stay, she would require total assistance with toileting and dressing.

Ms. Taromina had made tremendous progress during her time spent in skilled rehabilitation intervention. On a daily basis, Linda participated in therapeutic exercises and activities to facilitate increased ambulation and functional endurance with both upper and lower extremities. Linda progressed with both PT and OT to the point where she is being discharged safely to her original residency. When our director of concierge met with

Ms. Taromino closer to her scheduled discharge date, she was full of joy and could not stop thanking all of The Grand Pavilion staff members, the nursing team, the rehabilitation team, and everyone who was a part of her determined journey to get stronger and return home safely. She was extremely appreciative to her daughter who pushed her to stay determined and helped her carry on throughout the journey. The Grand Pavilion team is delighted to provide Ms. Taromina with a safe transition back home.

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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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