Admittance

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Admittance Info
Application for admission into a provincially regulated long-term care facility can only be made through a Community Care Access Centre. Please contact the office of the CCAC in your area to make an appointment with a Care Coordinator/Case Manager.

CCACs will answer your questions and help with the application form. We will arrange the necessary assessments to make sure you are eligible for long-term care and give you the information you need to make this important decision. We can also provide you with assistance in accessing community support services that may help you manage until admission is arranged.

What do I need to know about the Application Process?
When you think the time has come to apply to a long-term care facility contact the CCAC in the community where you, or your family member, lives or is hospitalized. Your local CCAC will arrange for a Care Coordinator/Case Manager to come to your home or the hospital to assess your health-care needs and determine if you are eligible for a long-term care facility. During the application process the following forms must be completed.

Health Report. This form can be filled out by your family doctor, a registered nurse or a nurse practitioner.

Evaluator Questionnaire re: Capacity to Make Admission Decisions. This form must be completed by a health care or social service professional (doctor, nurse, physiotherapist, social worker, etc.). If you are assessed as capable of making your own decisions regarding placement, then you will sign the Consent form. (Should the application be submitted on behalf of an individual who has been assessed as being incapable of making a decision regarding his/herhousing needs, the individual's Power of Attorney for Personal Care must sign the form on the applicant's behalf.)

Placement Application Form. You or a family member can fill out this form. Please include personal information which will help us get to know you and identify your needs.


Facility Choice Sheet for Placement. You need to fill out both sides of this form. We strongly recommend you or a family member tour each facility before making your final decision. Please number your first, second and third choices. If you choose more than three, you will only be waitlisted on the first three. Make sure you sign and date the back of the sheet. (If the Consent form has been signed by the Substitute Decision Maker then he/she must also sign the Facility Choice Sheet for Placement.)

Mail the completed forms to your local CCAC. We advise you to make a copy of all forms before mailing.

When applying to Labdara Lithuanian Nursing Home:


Clearly indicate to CCAC your ethnic origin (first language). Position on the waiting list is dependent on ethnicity. An anglicized Lithuanian surname might get you on the wrong list.

Ensure that your application is reassessed every 6 months to ensure, that your position on the waiting list is not lost.

Tips Involve all key family members in the decision. You may have to make the ultimate choice yourself, but it is best to keep other family members informed. Ideally you and/or a designate-someone you trust-should tour a number of facilities prior to making a final decision. It can help answer many questions. Phone and make an appointment to tour the facility to ensure there is someone to show you around and that they have set aside the time to answer your questions. Ask to see the most recent Facility Review Summary Report which will tell you how well the facility is meeting the standards for long-term care.



Do you need Financial Assistance?
If you do not have enough income to pay for the basic room, the government can help you through a subsidy that will bring the cost down to a level you can pay. The subsidy is not available to people requesting semi-private or private rooms.
If you wish to apply for a subsidy, you must provide your Notice of Assessment from Revenue Canada, which provides proof of your annual income. You receive a Notice of Assessment each year after filing your income tax return. If you cannot find your Notice of Assessment, you can call Revenue Canada at 1-800-959-8281 and you will be sent the information you need.
Applying for a subsidy requires you to disclose only your annual yearly income. It does not include the value of your assets.
If a large portion of your pension income will be going towards payment for the facility and leaving your spouse with little or no income, call the Income Security Program at 1-800-277-9914 for further information.
Community Care
Your local CCAC can help you arrange and apply for admission to a Long-Term Care Home. To find your local CCAC use the link http://healthcareathome.ca
The Labdara Lithuanian Nursing Home has also compiled a booklet in PDF format "Labdara Resident and Family Handbook" which provides details of the administration of Labdara, its objectives in providing care for the residents and comprehensive discussions on various facets of life at the Residence. Click to obtain a copy of this informative booklet

In order to qualify to move to a long-term care facility, a person must:

  • Be 18 years of age or older
  • Possess a valid Ontario Health Card
  • Have health care needs that cannot be met with any combination of caregiving or community-based services in the home
  • Have health care needs that can be met in a long-term care facility


If you are deemed ineligible and you feel that you are eligible, you have the legal right to appeal the assessment of ineligibility. If you choose to start the appeal process, your Care Coordinator/Case Manager at the CCAC in your area can give you the appropriate phone numbers and contact names. (Also see the "Rights Information Sheet" in the Placement Application Form.)


Rates at Long-Term Care Facilities

The Ministry of Health and Long-Term Care pays for the care you receive, but you must pay for the accommodation costs indicated below. The accommodation rates are adjusted annually by the Ministry and are standard across Ontario. The following table reflects the co-payment resident cost for accommodation at Labdara Lithuanian Nursing Home effective September 1, 2014.


Rates at Long-Term Care Facilities

The Ministry of Health and Long-Term Care pays for the care you receive, but you must pay for the accommodation costs indicated below. The accommodation rates are adjusted annually by the Ministry and are standard across Ontario. The following table reflects the co-payment resident cost for accommodation at Labdara Lithuanian Nursing Home effective September 1, 2014.

Accommodation Daily Monthly
Long Stay Basic $58.35 $1,774.81
Private $83.35 $2,535.23
Short Stay n/a n/a
Respite n/a n/a

Long-term care facilities cannot refuse admission to eligible individuals based solely on their inability to pay for accommodation. There are various subsidies available for basic room accommodation through the Ministry of Health and Long Term Care upon provision of the appropriate documents including Notice of Assessment for the previous year
How do I know when the time has come?

As noted earlier, programs and services are available to help individuals continue to live in their own communities. This usually promotes better quality of life and uses far fewer health dollars than institutional care. Community-based services may enable you to stay in your home longer than you thought possible. However, there are limits. When community-based services can no longer meet your needs, there are other options available: supportive housing, retirement homes (see Community Services), and long-term care facilities. Making a decision about when to seek long-term care in a facility is usually complicated because it concerns both your needs and abilities, along with the desires and resources of the caregiver(s). There is no simple rule to tell when the time has come. Each situation presents a unique mix of care needs and resources. What seems advisable in one case may not in the next. That is why it is essential that you explore your situation on its own merits.

Application Process for a Long-Term Care Facility
We can assist you in accessing our services, as well as other community support services that may help you stay at home longer. We are also the point of contact to help you to find a place in a long-term care facility (formerly called a Home for the Aged or Nursing Home) that can provide the extra care and security that may better meet your needs The decision to move from your home is not an easy one. It is a time of many questions and emotions. Your Community Care Access Centre (CCAC) is there to listen and give you the information you need to make important care decisions.
What to look for when choosing a Long-Term Care Facility
Consider
:
  1. Visit the home's website and make an appointment for a tour of the home.
  2. Then go back without an appointment and simply observe the interaction between the residents and staff.
  3.  Is the staff friendly? Do you sense an atmosphere of warmth and concern?
  4. Do residents look content and well cared for?
  5. Is there a tone of dignity and respect for the residents?
  6. Is the home convenient for family and friends to visit?
  7. Are there areas in the home where you can visit privately?
  8. Is public or volunteer transportation available?
  9. Is there flexibility around visiting hours?
  10. What are the rules regarding vacation and leaves?
  11. Do the activities at the home sound interesting and appealing to the prospective resident?
  12.  Are family members involved in planning for the resident's care?
  13.  Does the home support a Family Council?
  14.  Is the home able/willing to meet your religious, cultural, language, and dietary needs?
  15.  Are there choices at mealtimes (e.g. menu, location, times)?
  16.  Can you arrange to sample a meal or participate in an activity at the home?
  17.  What are the policies around smoking, non-smoking, and alcoholic beverages?
  18.  Is your family doctor able to continue providing care?
  19.  What special needs can the home accommodate (e.g. oxygen, scooters, electric wheelchairs)?
  20. Can you bring your own furnishings?
  21.  Is there an option to keep your personal belongings secure (e.g. lockable drawers)?
  22. Does the home require that clothing be labeled prior to moving in?
  23. Can family members or visitors bring food for the resident?
  24. Does the home provide palliative care services?
  25. How is billing arranged?
  26. What are the extra charges, if any, for personal needs and services?
  27.   Is the home accredited?
  28. Have you read the Annual Long Term Home Review Report posted at the prospective home?

A further resource, Concerned Friends of Ontario Citizens in Care Facilities is a volunteer organization that will provide a more extensive checklist for selecting a long-term care facility. They can be reached at 416-489-0146.


Long-Term Care Facilities
Long-term care facilities are governed by legislated standards. Licensing by the Province and regular inspection by the Ontario Ministry of Health and Long-Term Care work to ensure quality care in the programs and services provided by long-term care facilities. Facilities are required to post and/or make available the Facility Review Summary Reports to families, and to current and prospective residents. Long-term care facilities provide the necessary services to persons needing care that can no longer be provided in the community.

Services provided in long-term care facilities include:

Nursing and personal care
Secure floor/area for cognitively impaired residents
Regular and emergency medical care by on-call physicians
Medical treatment and medication prescription and administration
Assistance with Activities of Daily Living (ADL)
Climate controlled environment
Meals including therapeutic diets and snacks
Housekeeping services
Laundry services
Room maintenance services
Social and recreational programs
Palliative Care
Some homes provide dialysis and other specialized services
Temporary respite care


Short-term care in a long-term care facility is designed to support individuals during recovery from an illness or to provide a respite break for a family caregiver. Respite care is generally planned in advance. The maximum length of stay is 30 days at a time, up to three times a year (90 days). The maximum length of stay is calculated on a 12-month period from the day of admission. Admission to the short-stay program is through your Community Care Access Centre.
Should this be the time to discuss Power of Attorney with my family?
A person who holds a Power of Attorney has legal authority to make decisions on your behalf if you become incapable of doing so yourself. There are two forms of Power of Attorney: Power of Attorney for Property and Power of Attorney for Personal Care. The first acts for you with respect to finances, the second with respect to your medical and housing needs. If you haven't already assigned someone as your Power of Attorney, it is probably the right time to do so. You can assign each Power of Attorney to the same individual or to different people. Those you appoint should be individuals you trust and who know your preferences and will act upon them, even in stressful situations. You can obtain a copy of the Power of Attorney kit by contacting:

Ministry of the Attorney General
Office of the Public Guardian and Trustee
595 Bay Street, Suite 800
Toronto, ON M5G 2M6
Telephone: 416-314-2800
Toll-free: 1-800-366-0335
Fax: 416-314-2698

The Office of the Public Guardian and Trustee is also available to advise you if you do not have a designated Power of Attorney.

The publication A Guide to the Substitute Decisions Act will give you a good description as to how a decision-maker may be appointed for a mentally incapable person.

Why does a person applying for admission to a facility need a Health Report? Will I have to pay to have the form completed?

It is important for the Community Care Access Centre to have the most up-to-date medical information (as well as financial and social information) to make sure that you are eligible for admission to your chosen facilities. We want to make sure that when we offer you accommodation, it will be a good fit with your personal care needs. You do not have to pay for your Health Report to be completed.

The Priority Codes used in the waiting list for Labdara Lithuanian Nursing Home are as follows:

1 crisis
2 spousal /partner reunification
3A ethno cultural
3B ethno cultural
4A regular wait list
4B regular wait list

3A & 3B depends on RAI score as well as choice ranking for cultural applicants only 4A & 4B depends on RAI score as well as choice ranking

What happens if an offer of a bed is made and I am not ready? If you decide to turn down a bed offer at any of your facility choices you will be removed from all waiting lists. If you are in your own home, or other accommodation in the community, you may re-apply in six months; sooner if there is a change in your condition or situation. People already in long-term care facilities will also be removed from all waiting lists if a bed offer in another facility is refused, but there is no time limit on when they may re-apply.

What if my third choice becomes available and I would prefer to wait until my first choice is available?

Again, if you refuse a bed offer, you will be removed from all waiting lists. If you decide to accept the bed offer and move into the facility, you will not be removed from the waiting lists of those facilities you rated as higher choices. When a bed becomes available, a Care Coordinator/Case Manager will contact you with another bed offer.

Residents' Handbook
The Labdara Lithuanian Nursing Home has also compiled a booklet in PDF format "Labdara Resident and Family Handbook" which provides details of the administration of Labdara, its objectives in providing care for the residents and comprehensive discussions on various facets of life at the Residence. Click to obtain a copy of this informative booklet

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Web Site Sponsored by
PARAMA Credit Union

www.parama.ca


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Labdara Lithuanian Nursing Home is owned by the Labdara Foundation, a not-for-profit registered charity B/N118987775RR001. It is managed by Assured Care Consulting Services.