SKILLED NURSING SERVICES

Skilled Medical Services, utilizing a resident focused team approach, are suitable for residents who may have suffered from prolonged acute or chronic illness. Skilled medical services may also be required by those individuals who have been injured or recently undergone surgery.

 VENTILATOR/TRACH CARE
Ventilator/Trach care is a specialized service benefitting residents with respiratory impairments. Residents who suffer from respiratory failure, lung disease, chest injury, cardiac disorders, neurological disorders, multiple sclerosis, post operative weaning failure and complications from other pulmonary disorders can receive a wide range of services.

These therapies benefit residents needing hydration, administration of antibiotics, maintenance of intraveneous lines and pain management.

 INFUSION THERAPIES

 

 CARDIAC RECOVERY SERVICES
These services may include post-cardiac surgery and cardiac arrent recuperative care.

 RENAL DISEASE SERVICES
These services benefit residents suffering from acute or chronic kidney disorders and may include coordinate of hemodialysis.

 CANCER SERVICES
These services may include hydration, pain management, and post-treatment care of radiation and chemotherapy.
 DIGESTIVE DISEASE SERVICES
For residents who require the administration of tube-feeding, digestive disease services are avaiable.

 

 

THERAPY SERVICES

 PHYSICAL THERAPY
Physical therapy can help patients with injury recovery and prevention and also provide help to patients with chronic conditions. Physical therapy is designed to reduce soft tissue pain while improving strength, flexibility, and balance through therapeutic exercise and activity programs designed for each individual patient. OCCUPATIONAL THERAPY

Maintaining a patient’s self-sufficiency and quality of life is a top priority addressed through occupational therapy. Saber therapists work with patients on skills such as dressing, grooming, medication management, diagnosis teaching, coping skills and personal care to help patients maintain their independence for as long as possible.
 RECREATIONAL THERAPY

Recreational therapy improves the overall health and well-being of residents. This therapy can also assist mentally ill and chemically dependent residents through distraction and diversion. Recreation offers all residents a healthy lifestyle choice which can be maintained after discharge for continued good health.
 SPEECH THERAPY

Communication skills are often negatively affected by the natural aging process or chronic conditions. The speech therapists at Saber work with patients to maintain and improve communications skills, swallowing, memory, and cognitive skills. Therapists also ensure that patients are maintaining a sufficient diet which can be in jeopardy due to swallowing issues.

 

 
 

BEHAVIORAL SERVICES

 TWELVE STEP PROGRAMS
Alcoholics Anonymous, Cocaine Anonymous, and Narcotics Anonymous groups are held within the skilled nursing facilities. Residents are also encouraged to attend meetings in the outside community to establish relationships including acquiring a sponsor to assist in successful re-entry to the community.

LEAVE OF ABSENCE ASSESSMENT PROGRAM
At the long term level of care, residents, by state regulation, have the right to independent leaves of absence if they are cognitively capable. We have a specially developed assessment program that is administered by a Registered Nurse to assure the resident’s safety while on independent leave. This assessment can only be based on cognitive status, not chemical dependency issues.

 OUTPATIENT SERVICES
Our Chemical Dependency Counselor can refer  residents who have reached the appropriate determined point of recovery to a specialized Intensive Outpatient Program to aid in transition to the community with support for ongoing sobriety.
 DETOX
Residents who had not divulged their chemical dependency issues prior to admission and are willing to go through a detox program are referred to the Huron detox program to begin their road to recovery.

 EDUCATION PARTNERSHIPS
The Saber Healthcare Group program offers patient education resources through partnerships with the AIDS Task force, Adult Guardianship Services, Hospice, Physical Rehabilitation and Emotions Anonymous, among other outside organizations.

SECURED UNIT
A secured unit is available at Rudwick Manor for those residents requiring that level of care. 

 24-HOUR CRISIS INTERVENTION AND RELAPSE PREVENTION

The Director of Nursing, Mental Health Nurse, and the Chemical Dependency counselor are available, around the clock, to provide immediate assistance to patients in an emergency and for relapse prevention.

 

LOCATIONS
   Middlebury Manor
   Rudwick Manor
   University Manor
 

 

  
 		  

PSYCHOLOGICAL AND CHEMICAL DEPENDENCY SERVICES PROVIDED

 PROFESSIONALS INVOLVED IN PATIENT CARE

 

Each patient is assigned to a general practitioner and a staff psychiatrist to provide for their medical and psychiatric needs.

 

A PhD Chemical Dependency Counselor provides intensive individual and group counseling and services including an initial assessment, alcohol and drug screenings, care plan development, and regular meetings with the interdisciplinary team and the resident to provide progress updates.
 

 

Each building has their own Mental Health Nurse; this is a Registered Nurse with Acute Mental HealthCare experience, who works with the interdisciplinary team to meet the behavioral and medical needs of the residents. This specially trained nurse also provides one on one ongoing education to the staff and residents as teachable moments arise. These nurses are trained in dialectical behavioral therapy (DBT) and reality therapy. They have additional training in psychopharmacology, psychiatric diagnosis, and chemical dependency.

 

The Behavioral Service Coordinator, an RN with extensive mental health experience, works with the facilities, supervising the Mental Health Nurses, providing mentoring, support and education. 
The facility Social Worker works with patients and outside community agencies to provide timely stabilization for community re-entry.

 

The Social Services staff provides patient counseling and education and assists residents in securing resources to aid in the re-entry in community living.

   

The Saber Healthcare Group employs one social worker who is a certified Chemical Dependency Counselor, and staff members trained as Chemical Dependency Assistants who facilitate group meetings and provide one-on-one support.

 

ONGOING ASSESSMENT

 

 

DRUG PANELS
A Drug Panel, consisting of the Administrator, Social Services Consultant, Mental Health Nurse, Director of Nursing, Chemical Dependency Counselor, Behavioral Coordinator and Social Service Consultant, helps residents with chemical dependency issues remain honest with themselves and the team. Patients suspected of not working towards sobriety or drug-free living are asked to meet with the panel to discuss concerns and develop a plan to manage their current challenges.

Facility administrative staff, as well as front-line care givers, participate in weekly behavior meetings to evaluate patient progress and challenges. Interventions and updates to the resident’s plan of care are considered based on these evaluations. 
 

 

 

WEEKLY BEHAVIOR MEETINGS

 

 

STAFF TRAINING AND CONTINUING EDUCATION

Saber Behavioral Services Coordinator provides staff education through Basic and Advanced Behavioral Training. As a Certified Non Violent Crisis Intervention Trainer, the coordinator provides certification to a core group of staff in each Saber facility who function as the crisis response team. The Corporate RN, along with the Social Services Consultant, tracks trends and analyzes and implements change to the program to meet the needs of the behavioral staff and residents. They are on call 24/7 to provide support and information to the staff as it relates to behavioral issues.

BASIC BEHAVIORAL TRAINING

Because every staff member of a long-term care facility has some involvement with the lives of residential patients, all facility staff members are required to participate in, and successfully complete training inbasic behavioral issues.

ADVANCED BEHAVIORAL TRAINING

This in-depth training is a voluntary program for all facility staff to participate in and learn about advanced behavioral issues. Newsletters are provided to the staff on a regular basis with in-servicing on various mental health topics on a regular basis.

CORPORATE SOCIAL WORK CONSULTANT


This Licensed Social Worker oversees training for the social service departments related to a case management model, available resources for residents, behavior care planning and immediate interventions.
PHD CHEMICAL DEPENDENCY COUNSELOR

The Chemical Dependency Counselor provides educational programs to the staff, residents, and the community on chemical dependency issues. 
 

 
 
SUCCESS STORIES

 WENDALL
Just 24 years old, Wendall was admitted to a Saber Healthcare facility in January of 2007. He had been diagnosed with Bipolar Disorder and Schizophrenia. Wendall had a great deal of frustration about the status of his life and the setbacks he faced. 
After six months of care Wendall was discharged. Through the assistance of Saber’s counselors and outreach coordinators, Wendall left the facility with a job in place, a new apartment secured, and he was enrolled in an art program at Cuyahoga Community College. Wendall, a talented artist, has been given the opportunity for a fresh start. While in the care of Saber’s Behavioral Services program, Wendall learned to focus his energy, deal with past failures and frustrations, set goals, and work each day to achieve them.

 HAROLD 

After a 10-month stay in a Saber Healthcare longterm care facility, Harold was discharged and has been living in his own apartment and doing well. A simple step for some, a great accomplishment for Harold. Harold was diagnosed with Schizophrenia, Hypertension, Cardiovascular Disease, Cellulites, and Atherosclerosis. 
In addition to the counseling program he participated in at the Saber facility, our partnerships with outside organizations allowed Harold to receive services through University Hospitals Home Care, the Centers for Families and Children, and many others.  

Those who worked with Harold during his stay at the facility recall his sense of humor, always making his peers and the staff laugh. He was very involved in the activities within the center and engaged in scheduled  activities and programs. Harold worked hard to take advantage of the opportunities made available to him during his stay and his work has helped get his life back on course.

 MICHAEL 
The thing that stood out about Michael was his determination to improve his life. The staff was always impressed with his positive attitude and willingness to change. Despite his challenges, including the diagnosis of Paranoid Schizophrenia, Dysrhythmia, cocaine abuse, and muscular atrophy, he worked hard to improve his life for himself and especially for his children. 
After a six-month stay, Michael was discharged in January of 2007. His follow up with a staff social worker found that he was keeping his word to not use drugs and to disassociate himself from negative peers. The Saber staff was able to link Michael with services from University Hospitals Home Care Services and the Bureau of Vocational Rehabilitation which helped Michael to move into his own apartment with a job as a custodian. He continues to hold a job, pay his rent, and reestablish his relationship with his children.