Case Study: The Grand Pavilion for Rehabilitation & Nursing (August 2019)

Patient’s Age: 73-years-old
Admission Date: 06/19/19
Admitted From: Assisted living community
Discharge Date: 08/13/19
Discharge To: Home
Length of Stay: 56 Days
Reason for Stay: Following a hip replacement surgery, diagnosis of generalized muscle weakness and poor standing balance.


Details of Experience:
Mrs. Joan Weintraub, at the age of 73, was admitted to the Grand Pavilion for Rehabilitation and Nursing on June 19, 2019, following a hip replacement surgery. Mrs. Weintraub presented to the Grand Pavilion Community with a diagnosis of generalized muscle weakness and poor standing balance, which resulted in the need for intense physical and occupational therapy with goals of gaining mobility and posture stability. Upon Mrs. Weintraub’s admission, she was greeted and made comfortable by our clinical team including nurses, therapists, dietician, social worker and Concierge to ensure a positive and home resembling environment.

Upon therapeutic evaluation, a daily care plan of therapy services was developed to help her get back on her feet. Our therapy team worked on improving balance while standing, encourage and support her recovery of safety awareness and ability to perform functional tasks, and minimize pain. Alongside the mentioned care plan, the motivated and determined Mrs. Weintraub worked fiercely with the therapy team in reaching her targeted goals of recovery and success.

When asked by our Director of Concierge prior to discharge, Mrs. Weintraub had only positive things to say about her stay at The Grand Pavilion, including the nurses’ and aids’ care and concern for her wellbeing, and couldn’t stop raving on how amazing her physical and occupational therapists were. She also stated, “The food was very good, especially the ice cream cart” as this was one of the signature Concierge amenities.

As she made consistent progress throughout treatment and care and her functional abilities improved, Mrs. Weintraub was able to ambulate 200 feet with independence, and the whole team was delighted to provide her with a safe transition back home!

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Case Study: The Grand Pavilion for Rehabilitation & Nursing (July 2019)

Patient’s Age: 76-years-old
Admission Date: 06/05/19
Admitted From: Mercy Medical Center
Discharge Date: 07/26/19
Discharge To: Assisted living facility (Atria Tanglewood)
Length of Stay: 52 Days
Reason for Stay: Mrs. Nahum has been a resident of GP in the past.


Details of Experience:
Mrs. Nahum was admitted to Mercy Medical Center due to a bacteremia infection (bloodstream infection), staph infection, generalized muscle weakness, and difficulty walking. She then readmitted to The Grand Pavilion Center for Rehabilitation and Healing on 6/5/19 for continued care, therapy and strength building. Upon her admission to The Grand Pavilion, Mrs. Nahum was greeted, assessed and made comfortable by the clinical team to include the nurses, therapists, dietician, social worker, and Concierge; who were all welcoming and supportive in ensuring that her grand entrance was just as grand as the name and experience!

Mrs. Nahum entered The Grand Pavilion with the goal of starting rehabilitation and continuing her journey to return safely back to her ALF (Assisted Living Facility). During Mrs. Nahum’s reevaluation into the community, she was quick to detail her goals of returning to her full independency and back home to her ALF. She presented to the community as a fall risk due to her decreased muscle strength, inability to successfully complete ADLs (Activities of Daily Living) functioning without assistance, reduced static and dynamic balance. The therapy team developed a care plan goal that targeted working on fall prevention to improve ADL activity functioning, lower and upper extremity exercises, improve heel stride, stepping, standing, balance and overall mobility. Mrs. Nahum worked extremely tirelessly and hard to conquer these goals and surprising aced the test!

Within a matter of weeks, and with Mrs. Nahum’s continued determination and positivity, it is with honor to announce that she made noteworthy improvements and gained significant strength and approval to discharge on 7/26/19 home safely to her ALF. She discharged providing feedback that she had a joyful stay and could not thank The Grand Pavilion Staff enough for their motivation, care and continued support. She mentioned that this journey inspired her and made her stronger. The Grand Pavilion staff sends well wishes and continued health prayers for Mrs. Nahum and is proud of the goals that she reached and conquered.

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Case Study: The Grand Pavilion for Rehabilitation & Nursing (June 2019)

Patient’s Age: 74-years-old
Admission Date: 06/15/2019
Admitted From: Winthrop University Hospital
Discharge Date: 06/28/2019
Length of Stay: 14 days
Reason for Stay: Post spinal surgery, diagnosis of generalized muscle weakness and posterior lumbar interbody fusion.


Details of Experience:
Roger Kula was admitted to The Grand Pavilion Center for Rehabilitation and Healing on 06/15/19 following spinal surgery and the need for rehabilitation therapy. Mr. Kula presented to The Grand Pavilion with a diagnosis of generalized muscle weakness and a posterior lumbar interbody fusion, which is spinal surgery that addresses low back pain resulting from a spine disorder or injury.

Upon his admission to The Grand Pavilion, Mr. Kula was greeted by the community’s staff, assessed and made comfortable. Therapy spent a great deal of time discussing his treatment goals and plans to get him back on his feet and a return to his normal activities of daily living (ADL), as well as, returning to his practice as a neurologist.

Upon Mr. Kula admission to The Grand Pavilion, he was at risk for falls. The patient had a decrease in leisure task participation, as well as, a decrease in his independent participation with functional activities of ADL tasks. He presented with impairments in balance, sensation, limitations and/or participation, with restrictions in completing his self-care and general tasks and demands.

Therapy worked hard to assess his needs and developed a daily plan of therapy which enhanced, encouraged and promoted skilled physical and occupational therapy services. The Therapists evaluated and supported his recovery of safety awareness, improved dynamic balance, increase functional activity tolerance and increased body strength. They helped him to minimize his fall risks and also decreased his complaints of pain while enhancing his quality of life. All of this while working alongside the motivated and determined Mr. Kula who worked fiercely and effortlessly with the therapy team in reaching his target goals of recovery and success.

During his stay at The Grand Pavilion, he also provided great compliments regarding the welcome he received, the care, support and encouragement provided by the Grand Pavilion Staff. He stated that “The food was better than expected, the staff was very supportive and helpful, therapy was AMAZING and he enjoyed spending time out on the patio in a very clean community.”

Mr. Kula had a successful discharge from The Grand Pavilion on 06/28/2019 and ranked the community a 10/10.

The Grand Pavilion acknowledges his hard work and success through his surgery and phenomenal therapy experience and wishes him the best in his future health and healing.

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The Grand Pavilion Celebrates Heart Health Month!

Our community proudly welcomed Dr. Louis Saffran of NYU Winthrop Hospital for our annual Heart Health Seminar!

Dr. Saffran is a board-certified pulmonologist, receiving his medical degree from the University of Maryland School of Medicine. This year’s heart health seminar featured educational opportunities for those in attendance, focusing on cardiac awareness, the importance of sleep in maintaining good health, and common disorders. Thank you, Dr. Saffran, for your incredible presentation and time!

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

Patient’s Age: 65-years-old
Admission Date: 10/19/2018
Admitted From: Winthrop University Hospital
Discharge Date: TBD
Length of Stay: TBD
Reason for Stay: Cerebellar stroke syndrome, hemiplegia and hemiparesis, and generalized muscle weakness.
How did patient hear about the Grand Pavilion: Hospital


Details of Experience:

Ms. Mildred Nixon was admitted to The Grand Pavilion from Winthrop University Hospital on October 19th, 2018. Ms. Nixon had experienced cerebellar stroke syndrome, hemiplegia, hemiparesis, and generalized muscle weakness. Upon arrival to The Grand Pavilion, Mildred was greeted by the nursing team and our concierge, Mark. She then went on to meet with our rehabilitation team, dietician, and social worker. The whole team was excited to get to know Mildred. Mildred is full of life and has a smile that lights up the room. She has an extremely optimistic attitude towards getting better and stronger.

Ms. Nixon arrived at The Grand Pavilion with the simple goal of rehabilitating and returning home safely. Ms. Nixon served as a registered nurse and worked in the medical field for 18 years. She has two devoted children and her greatest passion is her love for her nine beautiful grandchildren and three great-grandchildren. Ms. Nixon lives in Westbury, New York, in the home that she was brought up in. She enjoys her hobbies such as bingo, reading, and traveling.

It was Ms. Nixon’s first time joining us at The Grand Pavilion. She was hesitant when arriving at our subacute nursing community, but she knew that in order for her to get better and rehabilitate, it was in her best interest to receive the best rehabilitation and nursing care. Although Ms. Nixon did not participate much in activities, she mostly enjoyed her pleasant interactions with the nursing staff, rehabilitation staff, and fellow patients.

During her initial evaluation, Ms. Nixon was presented to the rehabilitation team with lower left extremity weakness, poor motor control, generalized muscle weakness, decreased activity tolerance, and an overall functional decline in her activities of daily living. She required maximum assistance to perform mobility tasks as well as when transferring to and from the bed.

At the time of her initial evaluation, Ms. Nixon was only walking 10 feet with maximum assistance using a rolling walker. It was the goal of physical therapy to increase her lower extremity range of motion, increase functional activity tolerance, and improve dynamic balance to allow for Ms. Nixon to return to her prior level of functional abilities.

Ms. Nixon was presented to the occupational therapy team with a decrease in endurance, activity tolerance, generalized weakness, right lower extremity pain when standing, and left upper extremity edema and weakness. The goal of occupational therapy was to develop and instruct on compensatory strategies, facilitate dynamic standing balance, and increase overall function with activities of daily living.
Ms. Nixon initially was presented to the rehabilitation team with a lot of pain bilaterally on her lower extremities. This made it difficult for her to participate with ambulation and with self-management, such as managing to go to the toilet independently. During her therapy progression, the therapist’s utilized electrical stimulation on her lower extremities, with emphasis on the inhibiting tibial and fibular nerve pain. With the combination of electrical stimulation and manual therapy, Ms. Nixon was in less pain and was able to participate in therapeutic activities and exercises.

Ms. Nixon participated in various therapeutic exercises on the mat such as heel slides, short and long arc quadriceps strengthening, and hip abductor strengthening activities. Ms. Nixon had made great improvement with her dynamic balance with neuro-muscular re-education activities; she was able to go from maximum assistance with transfer to supervision with sit to stand transfer after two months of therapy.

While currently being able to ambulate up to 150ft with a rolling walker with supervision, Ms. Nixon has also progressed with her activities of daily living. She is currently able to perform lower body dressing independently using adaptive devices such as a dressing stick and sock aid. Ms. Nixon has also made significant strength improvement on her left lower extremities, which initially was at a 1/5 strength grade at evaluation and currently is at 3/5 muscle strength grade.

When our Director of Concierge met with Mildred closer to her discharge date, she was full of appreciation towards the social workers that really worked long and hard overseeing her progress and keeping her informed with how things are coming along for her. She expressed her gratitude towards the nursing staff and rehabilitation staff who she felt always treated her with the utmost dignity and respect. Ms. Nixon also made a point to mention how much she appreciated the Administrator and the Concierge, always checking in on her and making sure that things were always in order. Here at The Grand Pavilion, we are proud and honored to provide Ms. Mildred Nixon with the excellent care she and all patients deserve.

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

Patient’s Age: 77-years-old
Admission Date: 9/17/2018
Admitted From: Rockville Skilled Nursing
Discharge Date: TBD
Length of Stay: TBD
Reason for Stay: Sepsis due to pseudomonas, chronic respiratory failure, other injury of spleen, generalized muscle weakness and difficulty in walking
How did patient hear about The Grand Pavilion: Daughter of patient decided on The Grand Pavilion by seeing our outstanding reviews online.


Details of Experience:

Mr. Thomas Cardinale was admitted to The Grand Pavilion on September 17th, 2018. Mr. Cardinale had experienced sepsis due to Pseudomonas, chronic respiratory failure, injury of the spleen, generalized muscle weakness, and difficulty in walking. Upon arrival to The Grand Pavilion, Mr. Cardinale and his family were greeted by the nursing team and our concierge, Mark, and then went on to meet with our rehabilitation team, dietician, and social worker. The whole team was excited to get to know Mr. Cardinale. Thomas is an extremely personable person. He is people-oriented and gets along with everyone. Mr. Cardinale entered The Grand Pavilion with the hopeful goal of rehabilitating and returning home safely.

Mr. Cardinale shares a loving relationship with his wife and has two beautiful children and four beautiful grandchildren. He and his wife live on the water and enjoy both the scenery and sunrise/sunset together. Mr. Cardinale served as the Vice President of Technology Development at a major bank corporation. Though he is currently retired, he serves as the President of his Home Owners Associates. His hobbies include golf and sports and he is a huge Oakland Raiders fan.

When Mr. Cardinale was asked by the concierge team what his first impressions were when coming to The Grand Pavilion, he responded, “Lisa, my daughter who manages my care, received great recommendations about this place. When I arrived at The Grand Pavilion I was happy to see that it was so clean and well managed.”

During Mr. Cardinale’s initial evaluation, he was presented to the rehabilitation team with generalized weakness and poor standing balance. Thomas would require extensive assistance of one person with bed mobility, transfers, and ambulation using a walker. Mr. Cardoline required oxygen (O2) at 3 liters per minute (LPM), and this had a part in limiting his mobility. Thomas was in need of greater safety awareness, an increase in functional activity tolerance, an increase in lower extremity range of motion, and an increase of general strength.

It was the short-term goal of the rehabilitation team to increase Mr. Cardinale’s bilateral extremity strength and facilitate improved functional mobility and to improve limb stability during gait. Another short-term goal was to allow Thomas to safely perform functional transfers, ambulate on functional surfaces at least 30 feet and safely ascend and descend 2 stairs with moderate assistance using handrails.

The rehabilitation team worked with Mr. Cardinale towards the long-term goal of walking 200 feet with only supervised assistance, ambulating with a normalized gait pattern, be able to safely ascend and descend 15 stairs with supervised assistance and in general completely reduce the risk of falls.

Mr. Cardinale has made significant progress during his month and a half spent in skilled rehabilitation sessions. Thomas is progressing to the point where he is walking up to 150 feet with normalized gait pattern and increase overall functional endurance. Thomas has gone from needing maximum assistance with all activities of daily living, transfers, sit/down mobility to only needing standby assistance.

Thomas has made tremendous gains with his dynamic balance and standing tolerance. Thomas is upbeat and motivated throughout the entire journey.

When our Director of Concierge met with Thomas closer to his discharge date to discuss his feelings towards the care he received, Thomas was full of appreciation. He expressed his appreciation for the nursing team and how they were always there for him whenever he needed them. Thomas was extremely appreciative towards the rehabilitation team. He expressed how timely they were and how they pushed him to maximize his rehabilitation potential.

We are proud that we are able to be a part of walking Mr. Thomas Cardinale through the journey of rehabilitating and returning home safely.

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

Patient’s Age: 79-years-old
Admission Date: 9/1/2018
Admitted From: South Nassau Communities Hospital
Discharge Date: 10/10/2018
Length of Stay: 39 Days
Reason for Stay: Dysuria, hypertensive heart disease without heart failure, difficulty in walking and generalized muscle weakness.
How did patient hear about the Grand Pavilion: This is the third time patient has attended the Grand Pavilion. She lives in the neighborhood and was aware of The Grand Pavilion’s stellar reputation.


Details of Experience:

Ms. Carolyn Lyson was admitted to the Grand Pavilion from South Nassau Communities on September 1st, 2018. Ms. Kearney had experienced dysuria, hypertensive heart disease without heart failure, difficulty in walking and generalized muscle weakness. Upon arrival at The Grand Pavilion, Ms. Lyson and her family were greeted by the nursing team and our director of concierge services, Mark. She would then go on to be greeted by our therapy team, dietician, and social worker. The entire team was excited to get to know Ms. Lyson, personally. Carolyn was an extremely open and kind person. Carolyn came to The Grand Pavilion with the hopeful goal of rehabilitating and returning home safely. Carolyn shared that she has four beautiful daughters and nine wonderful grandchildren to work for!

Ms. Lyson professionally served as publicity and advertising executive, even serving as an advertising executive director for the Johnny Carson show! Ms. Lyson married at the age of 30 and paused her career shortly after to raise and build her family. She shared an extremely loving relationship with her late husband. They would often enjoy many activities and hobbies together, like cooking and spending time with one another. Carolyn and her husband were very well known in the community for hosting guests and offering their delicate homemade cuisine.

This will be Ms. Lyson’s third time coming to The Grand Pavilion for rehabilitation. Ms. Lyson lives in the local neighborhood of Rockville Centre and was well aware that The Grand Pavilion was the place to go to for quality patient and rehabilitation care. When Carolyn was asked by the concierge team what her first impression was coming to The Grand Pavilion, she responded, “I was terribly nervous about the transition of coming to a Subacute Nursing Facility, but all of the staff here were just so fantastic and made me feel at home; that made my nerves quickly disappear.”

Following Ms. Lysons’ hospitalization, she was admitted to The Grand Pavilion for rehabilitation. During her initial evaluation, Ms. Lyson presented to the therapy team with a significant decrease in function, strength, and difficulty performing bed mobility and transfers. Her diagnosis also prevented her from standing activities, as well as reduced her functional activity tolerance. Ms. Lyson required minimum assistance with activities of daily living such as self-feeding, dressing, hygiene, and grooming. Ms. Lyson even required minimum assistance to sit up from the edge of her bed. Prior to the hospitalization, Ms. Lyson was independent with her activities of daily living and was ambulating in the community independently.

The goal of occupational therapy was to increase Carolyn’s independence with improved sitting tolerance and restore her prior level of function. Ms. Carolyn participated in therapeutic graded exercises, bicep and tricep curls, exercises with the gymnastic ball, proprioceptive techniques while at the same time participating in strengthening activities and dynamic functional activities in physical therapy.

Ms. Lyson had made significant progress during her month spent in skilled rehab sessions. Carolyn progressed to the point where she was independent and only required standby assistance due to her medical diagnosis. Ms. Lyson was walking up to 150 feet independently upon discharge. Carolyn was upbeat and motivated throughout the entire journey. Overall, Carolyn made tremendous gains with her dynamic balance and standing tolerance!

When our Director of Concierge Services met with Carolyn on the day of her discharge to discuss her experience, Carolyn was full of appreciation. She expressed her appreciation for the nursing team and how they were always there for her whenever she needed them. Carolyn also expressed her great appreciation for the therapy team and how they worked with her so closely. Her therapists, as she shared, were always in-tune with how much she could handle. Ms. Lyson expressed her immense gratitude for the entire Grand Pavilion team. We are so glad that we were able to walk Ms. Lyson through her rehabilitation journey and safe return home.

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

Patient’s Age: 75-years-old
Admission Date: 7/25/2018
Admitted From: Mercy Medical Center
Discharge Date: TBD
Length of Stay: TBD
Reason for Stay: Malignant neoplasm, unspecified intestinal obstruction and generalized muscle weakness.
How did patient hear about the Grand Pavilion?: Received a list of potential Rehab Facilities from the Social Workers in the Hospital and due to good recommendation and our great reviews she choose to come to the Grand Pavilion.

Ms. Mary Mays was admitted to The Grand Pavilion from Mercy Medical Center on June 25th, 2018. Ms. Mays had experienced a malignant neoplasm, unspecified intestinal obstruction, and generalized muscle weakness. Upon arrival to The Grand Pavilion, Ms. Mays and her family were greeted by both the nursing team and our concierge, Mark, and then went on to meet with our rehabilitation team, dietician and social worker. The entire team were excited to get to know Ms. Mays. She is an extremely enthusiastic and personable person. Although upon admission she was not in the best of shape and was suffering from a very unpleasant diagnosis, she came to The Grand Pavilion with the hopeful goal of rehabilitating and returning home safely.

Prior to being admitted to the hospital, Ms. Mays lived independently in a four-family house in Freeport. She was married to her late husband for 56 years. They shared a loving and compassionate marriage. She would always share fond memories of her late husband. Ms. Mays was a big participator in our therapeutic recreation programs. She loved attending the musical programs and would love joining the social programs where she could interact and have a pleasant conversation with her fellow residents. Ms. Mays served as a registered nurse for 46 years and she enjoyed acting on her passion for helping people. She retired in Mercy Hospital in 1999. Ms. Mays enjoys hobbies such as sewing, reading, and she enjoys following sports. Her favorite teams are the New York Yankees and the New England Patriots. Overall, she has a strong passion for helping and spending time with people.

Following Ms. Mays’s hospitalization, she was admitted to The Grand Pavilion for rehabilitation, and during initial evaluation, Ms. Mays presented to the rehabilitation team with a significant decrease in strength, decrease in functional mobility, impaired balance, difficulty performing bed mobility and transfers and her diagnosis was preventing her from performing standing activities as well as reducing her functional activity tolerance. Ms. Mays required total dependence with activities of daily living (ADL’s), such as self-feeding, dressing, hygiene and grooming. Ms. Mays also required total dependence to sit up from the edge of the bed, as she was unable to maintain static sitting balance independently and would require a Hoyer lift to get out of bed to her wheelchair. Prior to the hospitalization, Ms. Mays was independent with all her activities of daily living and was ambulating in the community independently without any assistive device.

The goal of occupational therapy was to increase Ms. Mays’ independence with self-feeding and improved sitting tolerance in her wheelchair. Techniques that were used to achieve her occupational functional goal included neuromuscular re-education with goal specific tasks during treatment sessions. Ms. Mays participated in therapeutic graded exercises, bicep and tricep curls, exercises with a gymnastic ball, proprioceptive techniques, while at the same time participating in strengthening activities and dynamic functional activities in physical therapy. Ms. Mays had made significant progress during her time spent in her skilled rehabilitation sessions. Ms. Mays began to tolerate standing for up to 10 minutes with the assistance of one person. With the improvement in her dynamic balance and standing tolerance, Ms. Mays was able to ambulate up to 100 feet with a rolling walker under moderate assistance of one team member. She currently requires set up assistance with self-feeding compared to total dependence during her initial evaluation in occupational therapy. Ms. Mays was upbeat and motivated throughout the entire journey.

When our Director of Concierge Services met with Ms. Mays as her discharge date was drawing near, she was full of appreciation. She expressed how the nursing staff were so responsive to her every need. Although she was overwhelmed with appreciation towards the nursing team she shared an even greater appreciation towards the Therapy team as they truly pushed her and motivated her to get stronger. Ms. Mays expressed how each and every day she would enjoy the camaraderie in the rehabilitation gym as the therapists helped her towards her goal of getting independent once again. She expressed her appreciation for the entire Grand Pavilion team. We are glad that we were able to walk Ms. Mays through the journey of rehabilitating.

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

Patients Age: 75
Admission Date: 6/8/2018
Discharge To: LIJ Medical Center
Discharge Date: TBD
Length of Stay: TBD
Reason for Stay: Acute respiratory frailer with hypoxia, hypertension, cardiogenic shock and generalized muscle weakness.
How did patient hear about the Grand Pavilion?: Patient stated, “The social workers at LIJ brought this place to my attention, so my daughter looked around and this was from the best places she found.”

Details of Experience:

Ms. Kearney was admitted to The Grand Pavilion from LIJ Medical Center on June 8th, 2018. Ms. Kearney had experienced acute respiratory failure with hypoxia, hypertension, cardiogenic shock and generalized muscle weakness. Upon arrival to The Grand Pavilion, Ms. Kearney and her family were greeted by both the nursing team and Mark, our concierge, and then went on to meet with our rehabilitation team, dietician and social worker. The entire team was excited to get to know Ms. Kearney. She was an extremely pleasant and upbeat person and although upon admission she was not in the best of shape and was suffering from very unpleasant diagnoses, she came to The Grand Pavilion with the hopeful goal of rehabilitating and returning home safely. Prior to being admitted to the hospital, she lived with her daughter. Ms. Kearney has two beautiful daughters that are extremely dedicated to her care, they both were always here at The Grand Pavilion visiting their mother.

Ms. Kearney was a big participator in our therapeutic recreation programs. She loved attending movie nights and she immensely enjoyed the group sing along and art classes. Ms. Kearney worked in an accounting firm in Valley Stream and her late husband was an executive salesman for ABC Television. Her fondest memories are of her time spent with her late husband; they shared a loving relationship for over 50 years. Ms. Kearney favorite hobbies as she shared, are gardening and cooking from time-to-time. Overall, she has a strong appreciation for living and enjoying life.

Following Ms. Kearney’s hospitalization, she was admitted to The Grand Pavilion for rehabilitation. During her initial evaluation, Ms. Kearney presented with a significant decrease in strength, impaired balance, and difficulty performing bed mobility and transfers. Her challenging aliments prevented her from successfully completing standing activities as well as reducing her functional activity tolerance. Ms. Kearney also required total dependence with activities of daily living, such as self-feeding, dressing, hygiene, and grooming. Ms. Kearney also required total dependence to sit up from the edge of the bed. She was unable to maintain static sitting balance independently and would require a Hoyer lift to get out of bed to her wheelchair. Prior to her hospitalization, Ms. Kearney was independent with all her activities of daily living and was ambulating in the community independently without any assistive device.

The goal of occupational therapy was to increase Ms. Kearney’s independence with self-feeding and improved sitting tolerance in her wheelchair. Techniques that were used to achieve her occupational functional goal included neuromuscular re-education with goal-specific tasks during treatment sessions. Ms. Kearney participated in therapeutic graded exercises, bicep and tricep curls, exercises with gymnastic equipment, proprioceptive techniques while at the same time participating in strengthening activities and dynamic functional activities in physical therapy. Ms. Kearney was evaluated by our speech language pathologist in efforts of evaluating Ms. Kearney’s moderate oropharyngeal dysphagia. It was the goal of speech therapy to support Ms. Kearney in tolerating a regular diet and to be able to enjoy thin liquids without any difficulty.

Ms. Kearney had made significant progress during her past two months spent in skilled rehabilitation sessions. Ms. Kearney began to tolerate standing for up to five minutes with assistance of one person. With improvement in her dynamic balance and standing tolerance, Ms. Kearney was able to ambulate up to 75 feet with a rolling walker under moderate assistance of one staff member. Ms. Kearney currently requires set-up assistance with self-feeding compared to total dependence during her initial evaluation in occupational therapy. Ms. Kearney has been upbeat and motivated throughout her entire journey. She loves to work throughout her therapy sessions with music to keep her motivated throughout the healing process.

When our Director of Concierge Services met with Ms. Kearney closer to her discharge date to discuss her experience, she was full of appreciation. She expressed how the nursing team were so kind to her and assisted her with every request. She truly believes that her rehabilitation journey was a true success story. She shared great appreciation to the therapists, expressing that her daily visits to the gymnasium inspired her to continue exercising and pushing. Ms. Kearny expressed her appreciation for the entire Grand Pavilion team. We are so glad that we were able to guide Ms. Kearney through the journey of healing.

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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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