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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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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