Specifications include, but are not limited to: a. Assure that each resident receives medical, dental and restorative/rehabilitative services as determined by the appropriate physician. The minimum services to be available to each resident must be at least the services required for skilled nursing care under both Federal and State guidelines. The following items will be provided in the daily rate: - Private room. - Quality food service with individual diet counseling by a certified dietitian. - Skilled nursing care by licensed professionals with around the clock supervision by Registered Nurses. - Medical supervision by a Veterans Home Medical Director, a licensed physician knowledgeable in long term care. - Initial dental examination and an annual exam thereafter. - Social Services programs tailored to meet the individual needs of the residents. - Activity program designed to appeal to the interests of the individual resident. - Appropriate resident education programs. - In-house pharmacy and licensed pharmacist to dispense medications as dictated by physician orders. (Medication may be provided by a VA agreement for a specified group of veterans, reimubursed by the VA for a specified group of Veterans, private Insurance or Medicare Part D). - Basic supplies for personal care. - Transportation to local activities and routine medical appointments, including transportation to VA Medical Centers during normal working hours. - Laundry and linen services to include personal laundry. - Around the clock security (as described in (0)(4)(d) above) - Maintain licensure and certification standards established by the U.S. Department of Veterans Affairs (USDVA), Center for Medicare and Medicaid Services (CMS) and the Alabama Department of Public Health (ADPH). - Appropriate support groups for families and responsible parties. The following services may be obtained for the residents of the Veterans Homes as ordered by the physician to ensure and maintain quality of life for any resident. These services are not covered by the daily rate but may be obtained from the USDVA, or paid for by the resident's Medicare and supplemental insurance, or by the resident or his/her responsible party if no Medicare or supplemental insurance is available: - Physical Therapy, Occupational Therapy, and Speech Therapy. * - Podiatry consults, services and treatment. * - ENT consults, services, treatment and appliances (e.g., hearing aids). - Vision exams, consults, services, treatment and eyeglasses. - Dental treatment, dentures, and dental repair. - Psychiatric consults, services and treatment. * - Surgical consults, services and treatment. - Dermatologist consults, services and treatment. - Other specialized consults, services and treatment not provided within the Veterans Home. - Non-covered hospital stays and diagnostic services and tests. - Radiology services. * - EKG services. - Wound care products. * - Enteral feeding products. * - Prosthetics devices (e.g., splints, braces). * - Durable medical equipment (e.g., special beds, wheelchairs, walkers, bedside commodes, etc.). *
