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Admissions
Criteria
Although most Oak Summit residents are geriatric, we provide
care for all adults over the age of 18 who require rehabilitation, long-term
care or skilled nursing care. This includes adults who have had a stroke or
neurological incident, orthopedic injuries or surgeries, surgical wounds, and
pressure ulcers; or who require feeding tubes and IV antibiotics.
Oak Summit offers a specialized program for residents with Alzheimer’s Disease
or dementia, as well as ventilator care for adults who are ventilator-dependent
and non-weanable.
Oak Summit can accommodate couples, offering them care in the same room.
After a potential resident is referred to Oak Summit, the admissions team
consisting of a post-acute care evaluator, an admissions coordinator and a
financial assessment coordinator evaluates the resident’s needs and financial
status. Placement is guaranteed within a 24-hour period following referral.
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Insurance
Oak Summit accepts all major insurance policies including
Medicare and Medicaid. In addition, insurance policies covering state employees
are accepted.
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Medicare and
Medicaid
Medicare can help pay for up to 100 days of
skilled care at Oak Summit. For the first 20 days, Medicare will pay 100
percent of covered services. For the next 80 days, Medicare will pay for 80
percent of all covered services. The resident is responsible for the daily 20
percent co-pay. The 20 percent may be covered by Medicaid or any other
supplemented insurance.
Medicare benefits are payable only if the following conditions are met:
A physician certifies that skilled
nursing or rehabilitation services are needed on a daily basis.
The resident has been in a hospital at
least three consecutive days.
The resident has been admitted to Oak
Summit within 30 days of discharge from the hospital for the same condition for
which he or she was treated in the hospital.
Even though a resident may be eligible for the 100 Medicare Part A days, he or
she must continually qualify for the skilled services in order to receive them.
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