Depending on your condition, it may be necessary to continue receiving care after your hospital stay. Our case managers work closely with you and your care team to determine the best arrangements for you to receive the care you need, including helping you determine if you meet specific requirements for Medicare or insurance reimbursement.
Skilled nursing and rehabilitation centers provide daily therapy and 24-hour nursing care, with a focus on helping you return home. There are currently nine skilled nursing and rehabilitation centers in Marion County. Our case managers can make referrals and help communicate your preferences to the centers. Because these centers can fill up fast, we encourage each patient to discuss options with their family and select their top three facilities.
Patients who require intensive therapy longer than four hours a day may benefit from a rehabilitation hospital. While there are no rehabilitation hospitals in Marion County, there are several facilities in the Gainesville, Leesburg and Orlando areas. These facilities may also be an option for patients whose insurance does not cover a skilled nursing facility.
Patients that are somewhat independent and not home bound may benefit from outpatient therapy. Pulmonary and cardiac rehab, as well as physical and occupational therapy are offered at Munroe Regional's LifeTime Centers. Speech therapy is also available the Speech and Hearing Center.
For patients able to return home, but still need some nursing and therapy, home healthcare is an option. Home health can provide visits for therapy, nursing evaluations and teaching. Therapists usually visit three times per week as a maximum, and nursing visits vary depending on the need. Home health aides are also available to assist with bathing and personal care. The aides do not assist with meals, shopping or housekeeping under insurance coverage. For more information, visit Munroe's Home Health Services.
Hospice care is a special service available for patients with a life-limiting illness. These services are available in the home, at a nursing facility or at hospice houses. Hospice provides a team approach with nurses, aides, social workers, chaplains and volunteers to assist the patient and family. Hospice also provides medical equipment in the home and can assist with some of the medications. The focus of hospice care is on pain control and supporting the patient and family during this time. Hospice will also follow up with the family for grief counseling if needed.
If a patient does not meet the criteria for rehabilitation but requires 24-hour care, they may be eligible for stay in a long-term nursing care facility. While Medicare does not cover this service, our case managers will assist you in determining whether you should apply for Medicaid coverage, as well as assist in locating an available long-term care bed. If you do not meet Medicaid eligibility, private pay options are available.
Patients in need of 24 hour supervision but not 24 hour skilled nursing care may benefit from living in an assisted living facility. These facilities offer many different services and vary from facility to facility. Patients may choose from a private apartment-type facility or home-like facility with a private or semi-private room. Assisted living facilities provide meals, laundry and personal assistance as needed. They can also help supervise medication, have social activities and outings and may offer transportation. Rent varies according to facility. Some facilities offer respite care and day care as well.
For patients who wish to remain at home but need help managing daily activities, home assistance may be available at cost from Senior Services. Senior Services is an agency that provides a variety of services for patients including Meals on Wheels, homemaker services, personal care, respite care, congregate meal sites, adult day care and transportation services. These services may be based on income and usually have a waiting list.
Senior Services also offers transportation for physician appointments and have a set schedule for shopping trips in certain areas of Marion County. Riders usually need to be ambulatory or have their own wheelchair for transport. Senior Services requires at least three days' notice and there is a nominal fee. Other private transports are available that can transport those requiring a wheelchair or stretcher. Fees are based on mileage.
For families who wish to care for their loved ones at home but still need to work, Adult Day Care may be an option. These programs vary according to need and are available to provide supervision and activities for the patient during the day. Some programs may focus specifically on Alzheimer's patients. These programs provide snacks and lunch, as well as supervise medication.
For a list of facilities, call the Case Management department at (352) 351-7208.
1500 SW 1st Ave
Ocala, FL 34471