Decision Guidance

Capital Living and Rehabilitation Centres (CLRC) wants to assist you and your family in making choices for your short- and long-term care needs. We have provided Frequently Asked Questions (FAQs), a list of internet resources and a copy of the Residents Bill of Rights. If we can be of further assistance please call us at 518-881-1615.

Question: What is a Nursing Home?


A Nursing Home is a place that provides 24-hour medical and personal care. A Nursing Home is usually appropriate when a person no longer needs hospitalization but is unable to be cared for at home.

Question: How do you choose a Nursing Home?


Here are some ideas:

  • Research what available Nursing Facilities are in your area. Determine what is important to you and your family including locations and services provided such as therapy, hospice and activities.
  • Talk with physicians, friends, relatives and co-workers to see what they suggest.
  • Call several facilities and ask questions about the facility.
  • Make an appointment to visit the facility and meet with the social worker/admissions representative. While you’re at the facility, make note of how clean the facility is, of odors and if the residents are well groomed. Ask a lot of questions.

Question: What is the difference between Medicare and Medicaid?


Medicare is the health insurance program for the elderly and is administered by the U.S. Department of Health and Human Services.  It is a federal program for people 65 and over, people disabled for at least two years or people suffering from chronic kidney disease.  Under certain conditions, Medicare fully covers the first 20 days of care in a skilled nursing facility.  For the 21st through the 100th days, the beneficiary must share the cost of care by paying a nationally set amount of coinsurance. Medicaid is a federal and state finance assistance program for the needy and low-income individuals of all ages.

Question: When should my mom apply for Medical Assistance (Medicaid)?


The Medicaid process can be quite lengthy.  In order to assure for continuity of payment, it is a good idea to begin the process when your mother’s funds will cover the cost of care for six (6) months or less.  The facility Social Worker can provide you with a list of all the required documents that you will need to provide to the County Department of Social Services.

Question: What can I expect on the day of admission?


The day your loved one is admitted can be very emotional for both your loved one and your family.  You should rely on our staff for assistance as we will be able to help you through this difficult time. In addition to moving in, there will be various forms to fill out and various facility policies that will be reviewed.  Our social worker will inform you of everything you need to bring on the day of admission in order to make this day a little bit easier.

Question: Is nursing home placement considered permanent or if my dad’s condition improves to the point where he can return home, can he?


Nursing home placement does not have to be permanent.  Care plan meetings are held regularly to review each resident’s progress and prognosis.  The therapy department plays an important role in determining the discharge potential of the resident.

Question: If my dad is not physically or mentally capable of returning home permanently, can we bring him home for a visit?


Yes, however it is helpful if we know in advance so your dad’s medications can be made available for you to take home and dispense to him.

Question: How often does the doctor visit once my mom is admitted to the nursing home?


State regulation states that the doctor must visit the resident no less than once every thirty days for the first ninety days after admission, and at least once every sixty days thereafter.  The doctor will visit more than this if your mom’s medical condition warrants it.