HEALTH CENTER
Dear Resident:
On behalf of the Board of Trustees and Staff, I welcome you to the Health Center at RiverMead. We are delighted that you have decided to make your home at RiverMead and believe that moving here is the beginning of a new way of life for you.
We are committed to providing services that will enable you to continue leading an active and productive life. Our goal is to help you remain as independent as possible for as long as possible.
The Health Center has many components- Assisted Living at The Mead, Assisted Living at The Village, Memory Support at the Mead, Home Health, visiting Nurse Practitioners, Rehab/ Therapy, and Life Enrichment/ Activities.
This booklet will help you become better acquainted with our services and programs during your first few weeks and months.
The Staff and I feel very fortunate to have an opportunity to contribute to your quality of life and the growth and success of RiverMead.
Welcome to RiverMead!
Sincerely,
Meghan Cook, RN, CDP Health Center Administrator mcook@rivermead.org
Meghan Cook
(Dial 603-924-0062 and ask for an extension)
Health Center Leadership Team
Julia Osborne AL Coordinator
Lyndsay Humphrey Home Health Coordinator
Meghan Hill Village AL Coordinator
Kelly Kemmet HC Operations Mgr
Marcia Orr Director of Rehab
Meghan Cook Health Center Administrator
Jen Skelton Director of Nursing
Stacey Blodgett AssistantDirectorofNursing
Leslie LeGrenade Evening Supervisor
Christine Smith Memory Support Coordinator
Mark Wilson Night Supervisor
Mindy Tom Evening Supervisor
Health Center Assisted Living
The Health Center Assisted Living includes both The Mead campus and The Village campus. Mead Assisted Living has two floors- one of which is dedicated for our memory support residents- for a total of 82 apartments. Village Assisted Living has 20 apartments. All our Assisted Living neighborhoods are staffed with nurses and caregivers 24/7, allowing them to provide full nursing services.
Home Health
Our Home Health department is staffed with nurses and caregivers. They provide a variety of services, including companionship, 1:1 resident support, household chores, pet care, private wellness visits, and errands on campus. Home Health holds a foot clinic weekly (by appointment) and monthly dermatology and audiology clinics (by appointment). Please call Home Health to set up appointments.
Nurse Practitioners
RiverMead has two options for Nurse Practitioners weekly. One works for Monadnock Community Hospital (MCH) and is happy to help residents that have practitioners at MCH. Another is a provider with AlignMed and no affiliation is required. Please call Home Health to set up an appointment with either NP.
Rehab/ Therapy
Our skilled therapy team meets with new residents and performs baseline assessments of self-care abilities. They offer a vast array of fitness and wellness classes as well as 1:1 therapy sessions to help residents meet their goals. Please call Marcia Orr to make an appointment or get a schedule of classes.
Life Enrichment
Life Enrichment (also known as Activities) holds many daily, weekly, and monthly programs. Each neighborhood has a monthly resident meeting that is open for all Assisted Living residents to attend.
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Phone and Mailing Address
THE MEAD:
Your address is 300 RiverMead Rd. apt # ___ Peterborough, NH 03458
Your phone number is 603-924-0033, then enter your apartment number.
THE VILLAGE:
Your address is 50 TimberPond Dr. apt # Peterborough, NH 03458
Your phone number is 603-924-0033, then enter your apartment number.
NOTES:
When calling within the Health Center, just dial the 3-digit apartment number or extension.
To make an outside call: dial 9, wait for the tone, dial the number including the area code.
To make a long-distance call: dial 9, wait for the tone, dial 1, the area code, then the number. Do not use any special codes to access a particular long-distance carrier.
Guide to Apartment Numbers
North Wing of Mead:
Independent Living Apartments
First Floor: #101 - #122
Second Floor #201 - #222
South Wing of Mead:
Independent Living Apartments
First Floor #123 - #144
Second floor #223 - #244
Cottages:
Mead Campus #1 - #26
Village Campus: #55 - #86
Village Apartments- Independent Living apartments:
First floor #1101 - #1111
Second floor #2101 - # 2111
Third floor #3101 - #3111
Villas-
Woodland: #W101 - #W304
Monadnock: #M101 - #M304
Guide to Apartment Numbers
Health Center- includes all Assisted Living and Memory Care
Mead Assisted Living- #301- #388
Memory Support- #401- #478
Village Assisted Living- #601- #620
Guest Suites:
‘A’ & ‘B’ are at the Mead
‘C’ & ‘D’ are at the Village
Transportation
*Call the reception desk to make a reservation for transportation.
*Medical bus takes lunch from 12:00 pm - 12:30 pm and will not transport during this time.
*If the medical appointment goes beyond 4:00 pm, a private transportation company (S.M.A.R.T. Ride 603-562-4500) will be called to bring you home. There is a charge for this service which will go on your monthly service statement.
Campus Shuttle: The campus shuttle runs seven days per week from 8:30 am- 8:00 pm (except from 1:00 pm-1:30 pm). The shuttle provides transportation to and from any point on the Mead & Village campuses. Contact the front desk for service.
Life Enrichment and Entertainment
Our Life Enrichment Specialists coordinate and offer a wide variety of opportunities based on our Wellness Wheel. Our Wellness Wheel is the philosophy that health is more than your physical being and includes your emotional, social, spiritual, physical, and intellectual needs.
Our Life Enrichment calendar is done a month at a time and is available at the reception desk. We distribute a weekly summary of upcoming events for the week.
Some examples of our Life Enrichment program include:
Live entertainment
Live and virtual presentations
A full fitness calendar
Sip and Social gatherings
Arts and crafts
Spiritual services
Culinary Services
AT THE MEAD:
Assisted Living Dining Rooms- Full Service, Casual Dining
Breakfast 8:30 am Lunch 11:30 am &12:30 pm
Dinner 5:30 pm
*Variety of menu options/ guest seating, based on availability
The Bistro at the Mead- Casual Dining
Lunch 11:30 am - 1:30 pm Dinner 5:30 pm - 7:00 pm
Monday - Saturday
*Salad bar/ variety of menu options/ guest seating
AT THE VILLAGE:
Assisted Living Dining Room- Full Service, Casual Dining
Breakfast 8:30 am Lunch 12:30 pm Dinner: 5:30 pm
*Variety of Menu Options/ Guest Seating, based on availability
Flavors Grill- Bistro style
Lunch: 11:30 am- 1:30 pm Dinner 5:30 pm-7:00 pm
*Variety of Menu Options/ Guest Seating/ Reservations Appreciated (call ext. 637)
The Village Pub- Casual Dining
Dinner 5:00 pm-8:00 pm Friday- Saturday
*Table Service & Buffet Options/ Pizza/ Sandwiches/ Entrees/ Soups/ Salads
* Call Ahead Ordering/ Guest Seating
Culinary Services
Coffee, tea, and flavored water options are available throughout the day. Fruit and snack baskets are available in each dining room.
For Independent residents transferring to Assisted Living, there is a charge for the 2 additional meals per day provided. Please see Ancillary Rate Schedule for current charges.
Residents are encouraged to enjoy their meals in one of the dining rooms, however meals can be delivered to your room in case of illness.
Facilities and Maintenance
The State of NH has regulations for Assisted Livings based on NH Fire Codes.
The following are not allowed in Assisted Living:
Extension cords
Multiplug adapters
Heating pads or blankets (unless they turn themselves off)*
Electric kettles (unless they turn themselves off)
Open flame of any sort, including candles
Lighting on any live plants/ trees
*Requires a doctor’s order*
The following are allowed under certain conditions and with the approval of the facilities team:
Space heaters
To enter a work order for our Facilities team, please see the receptionist.
Hair Salon
Mead AL Hair Salon Hours (by appointment):
Tuesday, Thursday & Friday from 10:30 am - 1:00 pm
Call 603-924-0062 x 354 to make an appointment
Village Hair Salon Hours (by appointment):
Thursday 9:30am- 3:00pm
Friday 9:30am- 3:00pm
Call 603-924-0062 x 644 to make an appointment. See the Health Center Receptionist for a price list.
Health Center Frequently Asked Questions
MEDICAL Q & A
Q: What do I do if I suffer a medical emergency?
A: Press your pendant. Help is on the way. Call 911 if it is life threatening, do not wait for RiverMead staff to arrive.
Q: What do I do if I fall?
A: Stay where you are and press your pendant. The nurse will make sure you are not injured before helping you up.
Q: Does RiverMead have a Medical Director?
A: RiverMead does not have a Medical Director. Residents continue to use their own Primary Care Physician.
Q: How do I make an appointment with the Nurse Practitioners?
A: Please contact Home Health. They will add you to the Nurse Practitioner’s schedule.
Q: Can I keep my current physician(s) if they do not work at Monadnock Community Hospital?
A: Each resident can have the physician(s)/ practitioner(s) of their choosing. The visiting Nurse Practitioner can only assist residents that utilize Monadnock Community Hospital.
Health Center Frequently Asked Questions
Q: How do I make an appointment for the clinics?
A: Please call Home Health. Home Health maintains the appointment calendar.
Q: What do the different color uniforms on staff mean?
A: Each position wears a different color uniform: Nurses (RN & LPN) wear navy (dark) blue.
Medication Nursing Assistants (MNA) forest green tops and bottoms. Caregivers (LNA & PCA) wear ceil (light) blue.
Therapy (PT & OT & ST) wear gray.
Environmental Services wear maroon.
Q: Who will manage my medication?
A: Licensed staff administer all narcotic medications in the Health Center and all medications in Memory Support. Licensed staff administer medications in Assisted Living unless the resident can pass a medication assessment and their practitioner provides a written order.
Q: Who do I speak with if I have questions about my medications?
A: The Coordinator of your neighborhood can assist with medication related questions.
Q: What does it mean when staff refer to 1st, 2nd, or 3rd shift?
A: While some staff have varying schedules, most shifts are 8-hour shifts. Usually the shifts are:
1st shift = 7:00am- 3:00pm
2nd shift = 3:00pm- 11:00pm
3rd shift = 11:00pm- 7:00am
Health Center Frequently Asked Questions
Q: Where can I receive medications from? Do over-the-counter (OTC) medications need to be given to the licensed staff?
A: Medications, including over-the-counter medications, must be procured from our contractual pharmacy. Their billing department works with insurance plans and bills separately from RiverMead. All medications, including over-the-counter, must be stored by licensed staff unless the resident has passed an assessment and their practitioner has provided a written order.
Q: How often does my plan of care get reviewed and who is involved?
A: Your plan of care is reviewed by the clinical team every 6 months and if there is a significant change in your health. You are welcome to invite your Durable Power of Attorney for Healthcare to the meeting if you choose. .
Q: What do I do if I need bloodwork drawn for my Doctor?
A: RiverMead typically does resident blood draws on Wednesday morning, and we send the samples to Monadnock Community Hospital for processing. Please let your nurse know if your doctor has requested this.
Q: Are my medical supplies and/or oxygen covered in the monthly service fee?
A: No. These charges will be added to your monthly service fee.
Q: How do I manage my upcoming medical appointments?
A: Please inform the nurse of all upcoming appointments. The nurse will reserve the RiverMead van transportation for you and arrange for a companion to go with you if needed for safety. If your appointment is cancelled or you find alternative transportation, please inform the nurse ASAP.
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Health Center Frequently Asked Questions
Q: What is Care Coordination?
A: The RiverMead Care Coordination team consists of RiverMead professionals that strive to keep all residents in the setting that best promotes maximum independence and safety. The team consults with residents and/or families when a change in a resident’s health status or self-sufficiency necessitates a move to a different level of care. The move may be temporary or permanent depending on the expected outcomes of agreed upon goals.
Temporary stays in the Health Center are usually around 45 days or less.
Once a move is permanent, arrangements need to be made to remove items from the Independent Living apartment within 30 days. For permanent moves to the Health Center, the RiverMead Facilities department will move the large pieces of furniture and resident belongings. Family members or the resident are responsible for packing and moving small items, dishes, clothing, breakables, etc. and unpacking items in the new apartment.
Monthly service fees continue until the residence is vacated.
Q: What is the difference between a respite stay and becoming a permanent resident at the Health Center?
A: A respite stay is short-term. It is generally between 1 week and 6 weeks in length. Respite stay residents come to the Health Center to a pre-designated apartment that has standard furniture supplied. Linens and personal hygiene supplies are provided.
Once a resident becomes permanent in the Health Center, they have the option to choose a different unoccupied apartment based on their preferences and needs. Residents are responsible for supplying their own furniture, TV, linens, and personal items once they become permanent.
Health Center Frequently Asked Questions
ENVIRONMENTAL Q & A
Q: What does the term “neighborhood” mean?
A: The RiverMead Health Center is divided into 3 “neighborhoods” or sections. The Health Center neighborhood on the first floor of the Mead is called “AL” or Mead Assisted Living. The Health Center neighborhood on the second floor of the Mead is called “Memory Support”. The Health Center neighborhood on the Village campus is called “Village AL” or Village Assisted Living.
Q: Who can help me with my TV, remote, or phone?
A: Kelly Kemmet. She can be reached during the week at x 217 or you can reach her at the Mead Health Center Reception desk.
Q: Is there wireless access in the Health Center?
A: Yes, there is wireless access in the Health Center common areas and offices. There is no additional charge for basic Wi-Fi.
Q: Who do I contact to change my address with the post office?
A: The reception desk has change of address forms for you to complete or you can visit our local post office at 23 Grove St in Peterborough.
Q:
What do I do when the fire alarms sound?
A: Our State regulations require us to perform monthly fire drills. If you are in your apartment and the alarms sound, please stay in your apartment and close the door (unless the fire is in the vicinity of your apartment). If you are not in your apartment, follow the guidance from staff.
Health Center Frequently Asked Questions
Q: How does my pendant and pullcord work?
A: When you press your pendant a small light will illuminate on the top front corner of your pendant. This is how you know your pendant has worked. The pendant alerts the staff that you need assistance. If you pull the pull cord on the wall, it alerts staff that you need assistance. Call 911 for all medical emergencies.
Q: Where can I find a full list of the RiverMead Board of Directors or the bylaws?
A: Please see the receptionist for these items.
Q: How does my laundry get done? Is there a charge?
A: This service is included in the Health Center package See Ancillary Rate sheet for details. RiverMead also has laundry rooms for residents / families to use on your own.
Q: How do I pay for services, such as the salon?
A: Services are not paid for directly to the beautician. You will be asked to sign a service slip. RiverMead can set up a Trust for you and it will pay the beautician. Setting up a Trust is optional. Please see Kelly Kemmet to set up a Trust.
Q: What are the visiting hours?
A: There are no limits to visitors unless the resident wishes or limitations are set by RiverMead for resident safety (i.e.: COVID-19 restrictions).
Health
Center Frequently Asked Questions
Q: May I leave for appointments, lunch, or go to the Mead Community Center?
A: We ask that you sign out (and back in) at the reception desk and inform the nurse of your plans to leave. Some residents may require a companion. Companion information may be obtained from the reception desk.
Q: Can I smoke on the campus?
A: RiverMead is a nonsmoking campus.
Q: Do I get a newspaper?
A: You may subscribe to any newspaper you choose. RiverMead has a complimentary copy of the Boston Globe, the NY Times, and the Ledger Transcript in your neighborhood.
Q: Are toiletries provided?
A: Basic toiletries are provided, or you are welcome to provide your own choice of personal care items.
List of Volunteer Committtees and Groups
For further information and meeting, dates contact the committee chair or Program Manager.
Program Committee
Function: Meets the second Monday of each month to discuss and plan for RiverMead events, activities, and off-campus excursions. (Does not include marketing events).
Billiards Group
Function: Seasonal tournaments are organized for single and double play. Resident Run.
Book Discussion Group- (Currently on Hiatus- Plans to resume next Fall)
Function: Meets monthly to discuss a book selected from a variety of books and authors. Resident Run.
Bridge, Wednesday Group
Function: Meets weekly for playing Evening Contract Bridge.
Country Store Committee
Function: Made up of residents who advise and run the community gift shop Resident Run.
Cribbage Group and other games
Function: Informal group for playing Evening Cribbage weekly on Thursday.
Croquet Group
Function: Organized playing of Croquet. Initiates and organizes tournament croquet throughout the season Resident Run
Current Issues
Function: This resident committee hosts a monthly speaker to present a wide variety of current issue topics. Resident Run.
List of Volunteer Committtees and Groups
Culinary Services Committee (AL only)
Function: This committee acts as a forum for residents to communicate with the Culinary Service staff about food and service issues.
Great Decisions
Function: To facilitate foreign policy discussion. Resident Run.
Greenhouse Committee
Function: To supervise and maintain the greenhouse as required from season to season. Resident Run.
Landscaping Committee
Function: Works with administration and Facilities on establishing landscaping needs both immediate and long term. Resident Run.
Library Committee Mead and Village
Function: Supervises the organization, maintenance, sorting/assessment of books to be retained as well as overall operation of the library. One committee on each campus. Resident Run.
Performing Arts Committee
Function: Meets the third Monday of the month. Responsibilities include: setting concert schedule (about 16 concerts), identifying potential musicians, negotiating fees and concert dates with musicians, preparing concert publicity notices, managing logistics on day of the concert, ushering, raising money to pay the musicians, monitor income and expenses to stay within budget. Resident Run.
Raised Bed Garden Group
Function: Maintain individual gardens in raised beds for vegetables or flowers.
RiverMedia Committee
Function: To publish RiverMedia, the quarterly RiverMead newsletter, containing original articles, stories, poems, and pictures by residents, for residents.
List of Volunteer Committtees and Groups
Green Committee
Function: works with administration to lessen the community’s negative impact upon our natural environment by reducing our carbon footprint. It seeks to improve energy efficiency, reduce waste, and increase recycling efforts by engaging and educating residents and staff as to the benefits of this effort while saving money.
Voter Information Committee
Function: A nonpartisan, educational committee to promote a politically informed community in which residents are encouraged to understand the issues and exercise their democratic rights and responsibilities. Resident Run.
Art Studio Committee
Function: To oversee and facilitate the studio and its contents. Make suggestions for classes and materials. Resident Run.
Scribblers Group
Function: A group of resident writers inspiring each other by sharing and discussing each other’s manuscripts. Resident Run.
Communication Tech Taskforce/Touchtown Tutor Group
Function: Discusses and explores current technology for RiverMead and RiverMead residents. Residents helping other residents with the Touchtown Community App. and other tech needs.
Mah Jongg & Social Pool (Billiards)
Mah Jongg and Social Pool are scheduled regularly and offer residents the opportunity to play or learn to play as well as engage and socialize with fellow residents.
Additional Resources
RiverMead Country Store
Monday- Friday 10:00am- 12:00pm
Saturday 10:00am- 2:00pm
*Resident run/ accepts cash
RiverMead Notaries
Monday- Friday 8:30am- 4:00pm
Call x 300 for an appointment.
RiverMead Foot Clinic
Wednesday at the Mead 12:30pm- 4:00pm
Thursday at the Village 12:30pm- 4:00pm
Call Home Health for an appointment.
RiverMead Computer Assistance (Tech Tutors)
Joel Huberman 603-924-0842 Joel.huberman@gmail.com
Skip Guild 603-930-4311 Skip.guild@gmail.com
Bob Eckert 781-336-7377 roberteckert@verizon.net
Bill Frantz 408-348-7900 bill@frantzfamily.us
Cathy Gray 603-313-9137 cathygray293@comcast.net
Additional Resources
Private Transportation Providers
S.M.A.R.T. Ride: 603-562-4500
SweenFleetz: 603554-0506
Storage Facility
Self-Storage of Peterborough: 603-532-7760
Seamstress
Karen Scott: 603-440-9372
Jane Anders: 603-924-7120
Pharmacies
CVS: 603-924-6397
RiverMead Pool
Open daily. Please see the fitness calendar for hours.
Channel Lineup
Channel Lineup
Foot Clinic
Cost: See ancillary fee sheet.
Services:
Nail Trimming
Callus Care
Diabetic Foot Assessment
Massage
Referral to a podiatrist if unable to meet care needs.
Dermatology / Audiology Clinics
Cost: Billed to Insurance
Date: Monthly
Appointments: Made by calling Home Health
For all Home Health services or questions, call: 603-924-0062 ext. 247
Home Health is available seven days per week. Hours are adjusted based on need.
Community App
Community App - GoIcon
Use our Community App GoIcon to discover all that we offer at RiverMead!
Inside the GoIcon you will find menus, memos, programming calendars, fitness calendars, videos, a dynamic resident directory, and so much more. Much of this information is also distributed in paper format to resident mailboxes.
Please notify the Director of Resident Services if you wish to “ go- green ” and halt the paper distribution of memo and flyers that appear on the APP.
Grievance Procedure
RiverMead Tidbits
AED (Automatic External Defibrillator) are located throughout the Health Center and Community Center including near each reception desk.
All RiverMead Health Center personnel are trained in CPR and First Aid.
A suggestion box is located by the lobby door of Mead AL.
A “Compliment to the Chef” card is available in the Mead AL dining room.
To register to vote in NH, one must present proof of citizenship to the Town Clerk in Peterborough. Resident Services or the Health Center Administrator can provide you with a letter of residency. To obtain an absentee ballot please see the Life Enrichment Manager.
RiverMead Tidbits
Guest rooms are available for your family members and friends. Reservations can be made through the reception desk. Please see ancillary rate sheet for the current charge. Please ask your guests to cancel their reservation if their plans change. Pets are not permitted. RiverMead has cots available if you would like your guest to stay in your apartment with you.
RiverMead employees are not allowed to accept gifts or gratuities directly from residents and/or their families. There is an opportunity to express your gratitude to the staff through the Resident Council Employee Holiday Fund which is collected and distributed to all hourly staff during the holiday season.
RiverMead has a Manager-on-Call schedule for weekends and holidays. A department head is available to answer questions or concerns that you may have. The name of the Manager-onCall is posted in the mail room.
Glossary
AED- Automated External Defibrillator, emergency equipment located throughout the campus.
AL- Assisted Living, including Mead Assisted Living and Memory Support and Village Assisted Living.
APP- an app that RiverMead uses to communicate with residents and staff. It is called GoIcon. Please see the receptionist or a Life Enrichment staff member to get set up with the app. (Directions included in this binder).
Companion (Escort)- is a staff member that accompanies a resident to an appointment and back in the RiverMead vehicles. Companions are not medically trained and do not provide personal care for the residents.
IL- Independent Living in apartments, cottages and villas at the Mead campus and the Village campus.
LNA- is a Licensed Nursing Assistant. LNAs assist residents with their activities of daily living such as dressing, bathing, eating, and walking.
Glossary
MCH- Monadnock Community Hospital
MNA- is a Medication Nursing Assistant. MNAs assist the nurse with medication administration.
Neighborhood- designated cluster of rooms within the Health Center.
Nurse- is a LPN (Licensed Practical Nurse) or RN (Registered Nurse).
PCA- is a Personal Care Attendant. PCAs perform similar duties to the LNAs.
PCP- Primary Care Provider (Physician, Physician Assistant or Nurse Practitioner)
PIW- Put it in Writing- a form available on the App or at the reception desk that is used to comment on policies, quality of services and other matters that contribute to the quality of life at RiverMead. Residents’ Assembly- a meeting of the RiverMead Residents’ Association (all residents) that is held at least annually (and as needed) to elect members of the Resident Council.
Stays in RiverMead’s Health Center
RiverMead Independent Living residents have access to inpatient services at the Health Center as a part of the Life Care contract. These services may include any of the following:
• Preplanned short stay following a medical or surgical procedure
• Preplanned short stay for an illness that needs monitoring or has impacted a resident’s independence
• Emergency stay following care in the Emergency Department
• Respite for an individual while the primary caregiver is away or otherwise in need of support
• A trial period of care in the Health Center as one is considering a move to Assisted Living or Memory Support
• A planned move to the more supportive environment of the Health Center
Neighborhoods: The RiverMead Health Center is divided into 3 “neighborhoods” or sections The Health Center neighborhood on the first floor of the Mead is called “AL” or Mead Assisted Living. The Health Center neighborhood on the second floor of the Mead is called “Memory Support”. The Health Center neighborhood on the Village campus is called “Village AL” or Village Assisted Living In total, there are 102 beds
In addition to the Assisted Living and Memory Support inpatient services, the Health Center also includes:
• Home Health Services- available to residents in Independent Living and to assist with transitions to Assisted Living
• Nurse Practitioners (provided through Monadnock Community Hospital) available to AL and IL residents who have a provider at MCH and with AlignMed service (no affiliation required)
• Rehab Services (provided by HealthPRO Heritage Rehab) available to all residents upon referral by a provider
• Life Enrichment Services/Activities- for residents at the Health Center and in IL
Costs: Residents pay their monthly fee regardless of where they are staying. At the Health Center, there is an additional charge for breakfast, lunch and laundry services. This Service Package (meals and laundry) is $28.00 per day (2026). Toiletries and linens are provided for short stays at no additional charge. Medical supplies and oxygen, if needed, are charged to the individual resident. Rehab services and Nurse Practitioner services are billed to Medicare by the providing organization. RiverMead services, including the Foot Clinic, Wellness Clinic and Home Health are not billable to Medicare/Health insurance Long Term Care insurance may cover some services for in-home or long term stays in the Health Center, dependent on the criteria in individual policies. Page 43
lPlanning ahead for short stays: If a resident is having a procedure or surgery that might warrant time in Assisted Living, he/she should contact Jen Skelton, the Director of Nursing (603-371-0408). She will make a home visit to learn more about your upcoming needs. Even if you are unsure that you will need a stay in Assisted Living, it is helpful for the Director of Nursing to be aware of your condition in case your needs change. Emergency admissions are handled as they arise. Short stays may also be scheduled to provide respite care for a resident or to support the caregiver’s needs.
In general, short stays range from a night or two to six weeks. Residents come to the Health Center for their planned stay to a pre-designated furnished apartment in the Mead. Linens and personal hygiene supplies are provided. Nursing coordinates with the referring physician, assuring that orders and services are in place. As discharge nears, the resident confers with the care team to determine a discharge plan. A home visit may be done to assure that the resident can return home safely. Short stays are not available in the Village.
Care Coordination: The RiverMead Care Coordination team consists of RiverMead professionals who strive to keep all residents in the setting that best promotes maximum independence and safety. The team consults with residents and/or families when a change in a resident’s health status or self- sufficiency indicates a move to a different level of care. The move may be temporary or permanent, depending if the agreed upon goals have been met.
If a resident wants to explore a permanent transition, Dan Moore, the Assisted Living Transition Counselor (603-371-0453) is available to assist in this process. A resident has the option to choose any of the unoccupied apartments based on their preferences and needs. Once deciding to move, the resident is responsible for supplying their own furniture, TV, linens, and personal items. Arrangements need to be made to vacate the Independent Living apartment within 30 days. For permanent moves to the Health Center, the Facilities staff will move the large pieces of furniture and resident belongings. The resident is responsible for arranging the packing, moving and unpacking of smaller items. Monthly service fees continue until the independent residence is vacated.
Resources: Residents may access additional information in either library or in the Health Center section of the APP where a copy of the Health Center Welcome Book is maintained. Members of the Health Center team are available to give tours of the Health Center.