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

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

Details of Experience:

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

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

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

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

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

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

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

Details of Experience:

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

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

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

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

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

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

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The Grand Pavilion Welcomes Area Professionals

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

#TheCareRiteDifference

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

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

Details of Experience:

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

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

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

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

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

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

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

Patients Age: 74
Admission Date: 10/9/2017
Discharge To: Hospital for Special Surgery
Discharge Date: 12/1/2017
Length of Stay: 52 Days
Reason for Stay: Patient had a diagnosis of displaced bicondylar fracture of left tibia, acute embolism and thrombosis of right popliteal vein and generalized muscle weakness.
How did patient hear about the Grand Pavilion?: They saw an ad in Rockville Centre Harold and the Director of Admissions at The Grand Pavilion, Tamatha, played a large role in guiding them to join the community.

Details of Experience:

Ms. Joan Anderer was admitted to The Grand Pavilion from Hospital for Special Surgery on October 9th, 2017. Ms. Anderer and her devoted husband were participating in a Religious Site touring trip and upon reaching their first destination in Lisbon, Portugal, she experienced a fall. Joan was admitted to the Grand Pavilion with a diagnosis of displaced bicondylar fracture of left tibia, acute embolism and thrombosis of right popliteal vein and generalized muscle weakness. Upon arrival to the Grand Pavilion, Joan was greeted by our Concierge, Nursing Team, Rehab team and Social Worker team.

Prior to Ms. Anderer’s incident in Lisbon, she was running a completely normal independent life and unfortunately in a matter of minutes that had all changed. She was now faced with the challenge of accepting total dependency and the challenges that come with it. Joan was making a strong effort to stay positive and patient. We ensured Joan that we would be holding her hand throughout her journey and that she could be confident in full Rehabilitation. She would attend Catholic Services every Wednesday and ultimately it was Joan’s deep sense of faith and positivity that led her to achieve the rehabilitation that she successfully attained.

Ms. Anderer was non-weight bearing on her left leg, experiencing a decrease in strength on the right leg, an increased risk of falls, impaired functional mobility, reduced balance and required an increased need for caregiver assistance. For her activities of daily living she required max assistance. The goal of Occupational Therapy (OT) was to increase functional activity tolerance, improve motor control and tone in her upper extremities and enhance Joan’s quality of life by improving her ability to perform activities of daily living safely. It was the goal of Physical Therapy (PT) to enhance fall recovery abilities, facilitate increased independence with ambulation/stair negotiation and to increase lower extremities range of motion.

Joan’s highlight of the day was going to the gym for Rehab Services. She found the environment to be young and vibrant. Being that Joan was non-weight bearing she would work with a walker during her Rehab sessions. For example, the physical therapy team would have her hold onto the walker while exercising techniques. Joan made slow and steady progress during time spent in skilled rehab sessions. She initially required max assistance, was walking zero feet and was non-weight bearing on her left leg, but due to her daily participation in therapeutic exercise activities to facilitate increased upper and lower extremity muscle strength at eight weeks into her Rehab services she was 100% weight bearing and walking 100 feet.

With the support of the entire Grand Pavilion team, Joan had reached the point where she was able to safely return home and continue living independently with her devoted and loving husband once again. Team Grand Pavilion was honored for the opportunity to provide her with a safe transition back home.

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

Patients Age: 83
Admission Date: 8/28/17
Discharge To: Grace Plaza Nursing and Rehab Center
Discharge Date: 11/8/2017
Length of Stay: 70 Days
Reason for Stay: Muscle weakness, unspecified fall, sepsis, anemia and gastric ulcer.
How did patient hear about the Grand Pavilion?: The patient’s son visited the community for a tour and was greeted by the Director of Admissions, Tamatha Purins. He was impressed by the first impression of the community and selected The Grand Pavilion community for his mother’s rehabilitation!

Details of Experience:

Ms. Jean Fochetta was admitted to The Grand Pavilion from The Grace Plaza Nursing and Rehab Center on August 28th 2017. Ms. Fochetta was hospitalized due to muscle weakness post a recent fall. Once admitted to the hospital, she was noted to also have a gastric ulcer, causing sepsis. Upon arrival to the Grand Pavilion, Ms. Fochetta and her family were greeted by both the Nursing Team and our Concierge, Mark, while also meeting with our Rehab Team, Dietician and Social Worker. The whole team were excited to get to know Ms. Fochetta. Jean was an outgoing and extremely friendly patient. After her recent fall and septic infection, Jean struggled with the loss of her independence; however, continued to remain optimistic that she would recover and return home!

Ms. Fochetta presented with impaired abilities to independently complete functional transfers, activities of daily living and even walk without assistance from others. Jean required multiple rest breaks when participating in therapy sessions as she was also noted to have impaired functional activity tolerance and endurance. Initially, Jean was only able to ambulate 5ft with maximum assistance from a therapist, with the use of a rolling walker. She required max assistance in order to transfer from one surface to another. This was a difficult obstacle for Jean as she was independent prior to her recent hospitalization. Jean also required assistance to maintain upright standing as her balance had greatly declined. The goals of both physical and occupational therapy were to enhance her functional independence, increase her ability to participate in and tolerate activities for an extended period of time as well as reduce the level of assistance required to ambulate.

Jean always had a smile on her face and a good word to share. She was known by all team members as someone who would always lend a listening ear. Our Concierge, Mark, developed a close professional relationship with Jean; she would genuinely always ask about Mark’s son and family. Jean would participate in all recreational activities as well as Wednesday Catholic services, she particularly loved the Thursday concerts!

Mr. Fochetta made continued progress during her time spent in skilled rehabilitation sessions. Jean initially required max assistance of one person in order to transfer from one surface to another. She was only able to ambulate five feet with maximum assistance from her physical therapist. Jean 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. By the end of Jeans’s stay at The Grand Pavilion she was participating in a floor ambulation of 100ft on a daily basis and all of her goals had been met!

Jean made excellent strides in her recovery, healing to her prior level of functioning as a result of participating in skilled PT and OT interventions. Jean was now able to ambulate distances of 100 feet with contact guard assistance. Evaluated and accepted, Jean was discharge to an assisted living community in the area. Leaving The Grand Pavilion for Jean was a bittersweet moment. Ms. Jean is extremely appreciative and emotional for all the care she received from the Grand Pavilion team, but at the same time, is sad to have to say goodbye. Jean will forever be part of The Grand Pavilion family, we will miss her tremendous presence in the community!

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Life-Long Learning Continues at GP!

Our first course of the Fall semester was a great success! The instructional course was a step-by-step DIY Autumn decor program using only items found in one’s home or backyard! Residents as well as members of the Rockville Centre community created extravagant Thanksgiving-themed centerpieces for their homes.

… And the best part of the program, everyone had a blast! You never know how creative you can be without even having to break the bank! #DIYatGP #TheCareRiteDifference

#RecreationRocks!

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

Patients Age: 83
Admission Date: 5/9/17
Discharge To: St. Joseph’s Hospital
Discharge Date: 8/17/2017
Length of Stay: 100 Days
Reason for Stay: Bilateral malleolus fractures, syncope collapse and generalized muscle weakness.
How did patient hear about the Grand Pavilion?: Marketing Team

Details of Experience:

Ms. Margaret Burke was admitted to The Grand Pavilion from St. Joseph’s Hospital on May 9th, 2017. Ms. Burke had experienced a fall and had a diagnosis of bilateral malleolus fractures. Upon arrival to the Grand Pavilion, Ms. Burke and her family were greeted by the nursing, concierge, rehabilitation, dietary, and social work departments.

The interdisciplinary team at The Grand Pavilion were excited to get to know Ms. Burke on a personal level. Margaret was an extremely pleasant and enthusiastic person and although she arrived to the community in need of support for her fractured ankles, she was very optimistic that she would recover and return home. Margaret arrived with a strong agenda to retain the stamina in accomplishing her goal to begin walking again, allowing her to return home safely.

Ms. Burke was experiencing a decrease in strength, poor balance, difficulty performing bed mobility and transfers and her bilateral fractures were preventing her from completing standing activities as well as reducing her functional activity tolerance. For her activities of daily living, she required max assistance. For bed transfers she required a Hoyer lift with the assistance of two staff members. 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.

Margaret always had company from both her family and friends. Her room was full of life, but even with the endless company she would always make time to attend Catholic Services every Wednesday. She would also attend several musical programs offered by recreation, and even attended the “Motown Madness Community Event” hosted by The Grand Pavilion!

Mr. Burke made slow and steady progress during her time spent in skilled rehabilitation sessions. Margaret initially required max assistance of two persons to complete all functional transfers and was unable to participate in ambulation tasks. Margaret 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. By the end of Margaret’s stay at The Grand Pavilion, she was participating in a floor ambulation of 100 feet on a daily basis and all of her goals had been met.

Margaret progressed with both physical and occupational therapy to the point where she was able to safely return to her prior living environment. As Mark Groundland, Director of Concierge Services, met with Margaret upon discharge, she shared that she was extremely satisfied with her stay. When asked on a scale from one to ten how satisfied she was with her stay at The Grand Pavilion, she responded with an immediate “10!” She was full of emotion and appreciation for all the amazing care that she received and she was looking forward to taking the next step forward. The Grand Pavilion team was honored to support Ms. Burke with the best experience possible.

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Fall Festival 2017!

The Grand Pavilion would like to thank the community at-large for joining us during our community Fall festival! A fun-filled event, attendees of all ages spent the afternoon having a blast with Grand Pavilion staff, residents and families! We hope everyone enjoyed the pumpkin patch, raffle prizes, crafts, games, and food as much as we did!

All proceeds were donated to Mercy Medical Center to support the Mercy Hospital Cancer Fund!

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

Patients Age: 79
Admission Date: 8/2/17
Discharge To: Mercy Medical Center
Discharge Date: 8/29/2017
Length of Stay: 28 Days
Reason for Stay: Respiratory Failure

Details of Experience:

Mr. Frederic Steel was admitted to the Grand Pavilion from Mercy Medical Center on August 2, 2017. As soon as Fred walked through the door, our Director of Concierge Services was there to welcome him into the Grand Pavilion Community. Fred decided to come to the Grand Pavilion based off a pleasant experience he had a few years back at one of the center’s social events. Mr. Steel worked for many years on Saks Fifth Avenue as a salesperson and was also a puppeteer on the side!

Upon admission to the Grand Pavilion, Mr. Steel experienced acute respiratory failure, and due to his diagnosis, it was extremely important to monitor his oxygen and ensure that his saturation levels were appropriate and within functional ranges while receiving rehabilitation services. Fred was experiencing a decrease in his participation with self-care activities of daily living and it was the common goal of both physical and occupational therapy to regain his independence and return to Maple Pointe Assisted Living.

Throughout the first days of Fred’s stay, he showed tremendous interest in the Urban Zen Integrative Therapy Program, and he was immediately referred to Urban Zen Integrative Therapist, Laura, for one-to-one sessions. The Urban Zen Program offers private sessions as well as small group classes that incorporate gentle healing modalities, including that of essential oil therapy, Reiki and therapeutic yoga. Fred always found himself to be extremely calm after the sessions and immensely enjoyed the essential oils!

Mr. Steel made tremendous progress during his time spent in skilled rehabilitation. On a daily basis, he would train in ambulation, steer negotiation and navigate obstacles. Fred progressed with both physical and occupational therapy to the point where he was able to safely return back to Maple Pointe Assisted Living. The entire team was delighted to provide him with The Grand Pavilion experience and see him return home safely! Congratulations on your recovery, Fred!

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