Park Manor Westchase offers a warm, comfortable, relaxed home-like setting for our residents.
Facts & Myths
- Resident automatically receives 100 days of coverage from Medicare when they are admitted to nursing home.
- No, a person does have up to 100 days available to them to be utilized for care as long as they meet the criteria set by Medicare. In the beginning, they must meet the following criteria:
- Have at least a three midnight stay in the hospital.
- Have an illness which would require monitoring, observation, therapy or the assistance of a skilled professional.
- If a resident has been admitted to nursing facility all services are covered under Medicare Part A?
- If a resident has Medicare Part A benefits and they meet the initial criteria (see above), Medicare will pay 100% of the charges for the first 20 days. For days 21-100, there is a daily co-pay of $137.50. Some residents have a secondary insurance or a Medicaid benefit that will pay the co-pay. If there is no insurance or Medicaid, then the resident is responsible for paying the co-pay.
- When a resident has been admitted to the long-term care facility all medications are covered under Medicare Part D?
- Not necessarily. It depends on the Part D plan. All plans have a medication formulary (list of medications the plan pays for). If the resident is on a medication that is not on the formulary, the Part D plan will not pay for the medication.
- The physician is required to see the resident daily.
- No, the resident will be seen within 72 to 96 hours following admission. After that the resident is only seen as the resident condition warrants.
- The resident will be involved in therapy daily.
- No, the resident will be seen 3 to 5 times per week according to the physician orders.
- Side rails are not a restraint.
- If the resident is not able to release side rail it is considered a restraint. Side rails have contributed to numerous injuries and deaths, therefore we do not use them in our facilities.
