Sept 11th – REMEMBERING THOSE SOULS

by Chris Ritchey

September 10, 2019 at 12:43 pm Leave a comment

Sept 3rd – Moving On??? Chris Ritchey

“Try  to  remember the kind of September……….. “

I  have no  difficulty  in remembering this Labor Day  Holiday of yesteryear . You had been given another chance of a “cure”. Of course I  realize now that  the word “cure” was not an accurate description  as given to  us by  the Cleveland Clinic. The “trial” of SGN 35 was just that  another trial.  What followed was a frenzied trip  to  Houston, and more of that four letter word HOPE!!!!

Septembers  have come and gone and I  remember the “beginning of the end of hope” with   the pain that never lessens.  As this blog brings to  the fore writings of previous Septembers, I  revisit those emotions  of those times.

One such  September third came to  the fore today because it had been accessed by  someone reading my  words.

https://thatwoman.wordpress.com/2011/09/03/september-3rd-war-movin-on-hell-truly-is-other-people-chris-ritchey/

As I  read what I  had written in my  emotional  incontinence , I  wonder would I  have written anything similar today , you  can see the anger, the hurt and the disgust I  felt and I  asked myself would I  have felt the same or written the same  today? The answer is YES! just as time has not eased your  death  and “taking of the memories that should have been” neither has it lessened the feelings I  have toward those of self serving hypocrisy.  The anger that keeps me upright is beneficial to  being………… it is now part of me and who  I am….

I love you  my  son ………. you  are but a  last breath away…

Chris Ritchey Source

September 3, 2019 at 12:45 pm 1 comment

How does your garden grow? Part One

I love flowers , eating the vegetables and looking our the window at my  garden and the ponds  BUT I  hate gardening. In the long before the turmoil that has struck this home especially  in the last few months I would , in the springtime, have a blitz for one day  in the garden. Usually  it was to  get my  husband to  move  the stuff that had accumulated over the fall and winter and tidy  up. I really  don’t like weeding , digging in the dirt and getting all hot and sweaty but I  love the results when my  garden looks full of flowers  and the pond and the waterfall wakes up  in the spring.

 

The pond I have written about and the Ghost Koi

https://thatwoman.wordpress.com/2015/04/12/the-ghost-in-the-pond-continued-2015/

Purchasing the vacant  lot next door in 2015  was a huge drain and investment of time and energy.

Illness interrupted the rehabilitation of the now vacant lot, my  ideas and wants had to  be put on hold  but eventually  thanks to  the help  of two  little boys who  moved so  much  dirt  the ground was level. I was amazed at how much  these two  little tots worked and how much  help  they  were. I  am still amazed!!!

 

The once vacant lot was divided into  two sections and the back  section I decided on a mini orchard with  still ponds , plantings consistent with non filtered and pumps water gardening. In other words letting the plantings in the ponds filter the water with  no  fish.

Considering we are two  blocks from Lorain’s downtown this was a bit of a novel idea for Lorain, Ohio. After a season of raw builders dirt used for fill where the previous little house had been ,

dodging the concrete and rubble that had been dumped in what was a ravine and small rivulet that runs under the property  next door we managed hit and miss plantings of the trees for the orchard.

 

My  husband would use the back part of the original lot as his vegetable garden, we flourished with  tomatoes, peppers, potatoes ( planted by  the grandchildren ) corn and asparagus.

 

And so success for a couple of years, the planted orchard of two  cherry  trees, one peach  tree , one pear tree, two  apple trees and a plum tree blossomed beautifully. It took a couple of years but this year they  all bore fruit and that is another story to  come in this urban orchard.

The front part of the vacant lot was planted more formally I envisioned climbing roses on the fence and archways, the side rockery  full of roses, butterfly bushes and lavender for the fragrance as we opened the windows.

We have a lovely  balcony and it was my  mother’s pride and delight to  empty  the containers , refill with  new soil  and planted fresh  every  year with  all the plants she received on Mother’s Day. Of course watering was an issue as the balcony  is in full sun and south  facing. Mum, being mum was forever weeding out the errant weeds that somehow made it to  the containers and would water  twice a day.

 

Last year as she fell into  decline at 99 she did not have the strength  to  plant and water so  that job fell to  me. My  mum loved those flowers and her bedroom was off the balcony  so she would sit and enjoy  the garden from above and sit amongst her flowers.

It has been a terrible few months one way  and another , my  mother passed in October and January  found my  husband extremely  ill ( as has been documented in the series  )

https://thatwoman.wordpress.com/2019/07/11/medical-care-a-consumers-perspective-brookdale-pt-2/

Time and weeks slipped from dead of winter to  spring whilst the garden lay  dormant , my  thoughts were not of how to  manage the garden or ponds.

Trips sometimes twice a day  for hours dealing with  medical issues left me tired, frustrated and lacking energy . I admit it took what was left of any  energy  to  keep  the house running and laundry  up  to  date. I had no  time or desire to  deal with  anything else.

 

In order to  wind down before bedtime I would watch  my  British  murder mysteries and also  programs from Britain on gardening, basically  because they  took me back  to  the land of my  birth, to  familiar places and happier times . One such  program and presenter / gardener extraordinaire is a chap  called Monty  Don,     https://montydon.com/

he has numerous garden shows but the one I  would watch every  week on Britbox

https://www.britbox.com/us/

is Gardener’s World

https://www.gardenersworld.com/

and there by  hangs the rest of the tale on how my  garden grows this year and the way Britain is  rewilding and cultivating the pollinators one flower pot and meadow at a time !!!!! https://www.housebeautiful.com/uk/garden/plants/a28574537/wildflower-seeds-garden/

 

‘Wildflowers are often capricious so if you have the space, create varieties of habitats within your garden – shade, dampness and wild. You can also, within reason, harvest the seed of our more common wildflowers from the wild.’

More so now than ever, gardeners are being urged to transform parts of their garden into wildflower meadows to help save the bees. The UK has seen a vast decline in the number of bees, and with 75 per cent of all food crops requiring pollination, the rapidly declining bee population has been cause for serious concern.”

and help  the sunflower kisses

 

To  be continued

August 18, 2019 at 4:33 pm 5 comments

August 3rd- Linked – Chris Ritchey

Graphics Chris Ritchey

Every  street in this oldest neighborhood is designated by  the signs designed by  you  for Lorain’s Bicentennial. It was supposed to  bring a sense of pride  to  the residents who  have continued to  stay  here and fight for a quality  of life, the history  of these oldest streets and a preservation of a neighborhood that was.

I wish  I  could say  that those of us that banded together and set up a 501C3 30  years ago  had succeeded in our endeavours but thanks to  bank dumps in 2008-2009 with over 200 properties being dumped  sometimes for pennies on the dollar, the unscrupulous out of town landlords and property  companies, drug houses, lack of code enforcement  well we have become a saturated solution of the negative.

Two  things came together in my  brain this week……. the news of a young man of 16 shot and killed by  other young men… just two  blocks away, the gun shot waking us up as the sounds of killing reverberated through  the night air. I watched the news that evening and as I did the TV camera panned up  to  the street sign on 6th street, YOUR SIGN  and my  focus changed instantly  as once more I was sent back  to your  passing and then the pain and I  realized another mother , that of a 16 year old , would be weeping tears , heart pounding , trying to  breathe  trying to  deal  with the reality of the unreal.

Will she experience  the tiniest  interludes of happiness? You  see, once in a great while, when exhaustion forces the body  and mind to  sleep there are moments, just between sleeping and waking. One such  moment came this week the air was cool enough  for the windows to  be open and for a brief second as the sun  kissed the morning to  waken the day , the breeze picked up  the  peppery  scent of the petunias in the window box, this body  hadn’t quite realized it had aches and pains, there was for that precious second happiness and then “life” intruded once more……. and mothers weep  for lost sons in this old neighborhood……..

Another August of holding my  breath , fighting back  the tears , holding myself ready  for the trigger moments , knowing they  will come  and wanting

Love continues………. and memories of times much  happier……..before life intruded

 

August 3, 2019 at 12:56 pm 2 comments

Medical Care- A Consumer’s perspective- Brookdale Pt 2

Part Onehttps://thatwoman.wordpress.com/2019/03/22/the-ratings-of-medical-facilities-series-it-begins/

Part Two- https://thatwoman.wordpress.com/2019/04/09/medical-care-from-a-consumers-perspective-ohio/

Part Three- https://thatwoman.wordpress.com/2019/04/22/medical-care-a-consumers-prospective-mercy-health-lorain/

Part Fourhttps://thatwoman.wordpress.com/2019/04/29/medical-care-a-consumers-perspective-mercy-health-lorain-2/

Part Five – https://thatwoman.wordpress.com/2019/05/27/medical-care-a-consumers-perspective-cleveland-clinic-rehab-hospital/

Part Sixhttps://thatwoman.wordpress.com/2019/06/15/medical-care-a-consumers-perspective-brookdale-skilled-nursing/

This will, hopefully,  be the last in the series of medical care received in various  medical facilities , three different types of medical care, and three different providers. Ideally  this post should be in two  parts but I want to  leave Brookdale behind  so  it will be lengthy.

The common denominator was the insurance coverage Medicare and Medical Mutual. Although  I  am fighting one bill ( will be explored in this post)   and the Medicare evaluation of Brookdale as mentioned in Part SIX is an issue for us, on the whole Medicare and Medical Mutual – so far – has been less than the nightmare I  thought it would be.

I believed we were spoiled by  the nursing staff/ aides and housekeeping staff  at Mercy  Health  Lorain, upon reflection they  set the bar very  high– a  few of their  physicians I  found decidedly  lacking ( see Part One).

 

Also , the Cleveland Clinic Rehabilitation was beautifully  clean and the food was very  good , rehab staff were excellent, you  knew what time  therapy  was every  day and who what and where so  families could adjust schedules to  participate with  the patient. You  knew who  the nurses were that day  and your aides. Unfortunately,  it was down to  a small percentage of aides  that spoiled the experience and also  caused a health issue ( in my  opinion) by  spreading C’Diff from one room to  another and then sending  contaminated material with  the patient to another facility. Brookdale

 

Ah! Brookdale, Westlake Ohio…..the 5 star Skilled nursing and rehabilitation facility  which is in the middle of a very  large Assisted Living and Senior Living

Brookdale Senior Living owns and operates over 1,000 senior living communities and retirement communities in the United States. Brookdale was established in 1978 and is based out of Brentwood, Tennessee. https://en.wikipedia.org/wiki/Brookdale_Senior_Living

The typical Brookdale Senior Living CNA salary is $12. CNA salaries at Brookdale Senior Living can range from $10 – $15. This estimate is based upon 66 Brookdale Senior Living CNA salary report(s) provided by employees or estimated based upon statistical methodshttps://www.glassdoor.com/Hourly-Pay/Brookdale-Senior-Living-CNA-Hourly-Pay-E6433_D_KO24,27.htm

Independent living prices average $2,900 monthly. The majority of locations will cost between $2,300 and $3,500. Skilled nursing communities are available as a Basic Monthly Service Rate of between $6,000 and $8,500.

I have not received the cost of our one  month stay at Brookdale Westlake “skilled nursing and rehab ” in Westlake as of today’s date but I do  know one charge was $400 per day.

After the poor experience of “transfer” from Cleveland Clinic Rehab Hosp. Avon  (which was paid for by  self -pay) I wasn’t in the best of moods . I understood from literature that I  had read  this was a “newer facilty”. I understood it to be around 10  years old. In my  opinion it was becoming a little “shabby” without the chic.

 

 

I should point out this is a very  large complex and the “skilled nursing” ( bit of an oxymoron in my  opinion) section had quite a large turnover of people coming in and out of rehab. However, my  first impression after leaving the gleaming white , bright Cleveland Clinic Rehabilitation Hospital(CCRH) was one of “OH!” and not in   a pleasant way.  The parking for the visitors for the skilled nursing/ rehab   section was awful, you  had to  hope the parking gods were on your side as you  drove round and round hoping for someone to  leave.

Please note this a critique of the Skilled Nursing and Rehabilitation Section of the complex, I  have no  thoughts or opinions as to  the rest of their complex and assisted living sections.

 

The facility  allows pet visits to  the patients rooms, all well and good but unlike The CCRH where there was a designated area  tile floor) for those  pet visits,   animals in all shapes and sizes routinely  walked the “carpeted corridors” , one little fella dragged his bottom along the carpet which  made me go  eeeewwwwwww. Had they  been bathed, de-fleaed , some looked as if they   weren’t exactly a pampered pet? I did take my  dog to  see her master at the CCRH after going through the paperwork and a shampoo. I  did not bring her to  Brookdale!

 

The room was  supposed to  be “homey” and an effort was made in the design and décor.  However too many  bumps and bruises on the paintwork, furniture  left an impression of needing a redecorating. The “homey”  bedspread  with  its little bag of goodies, had decidedly  seen better days , faded (hopefully)  through a lot of washing?  Again, being spoiled by  the open airiness of the CCRH with  large windows this was a bit of a disappointment , his room was dark and yes in my  opinion a bit dingy. The photo  from their website  is really not a great representation as to the “light” in  the room  we had.   After the pristine cleanliness of CCRH it was a bit of a disappointment Oh well thought I different facility  not a hospital .

 

The bed was actually  quite small, and no  sides. Apparently  “nursing homes” cannot restrict the occupants ( such  as  the side up  in a hospital)  neither can they  belt you  in  a wheel chair. This  was  all well and good but for a patient that has very  little trunk strength and one who  was a fall risk  this was not ideal. I  was told we could request the sides if we went through the paperwork and the Dr. must write out a prescription  to  have the sides installed. I said this is what I  wanted done. That was the last I heard, and actually  he fell out of the bed twice, a chair once  and the wheelchair once. Not so  good when it comes to  the fact he had just had major brain surgery after a fall.

 

After 4 days of being a resident  the bathroom became   the holding room for dirty  sheets, linens, towels  used diapers and pads ( remember that C’Diff) I  was ready  to  remove the patient from the 5 star facility and interaction with  some very  off putting aides  . I  called the head nurse and one of the administrators , after my  daughter was given the pads etc to  clean up the leaking Foley  bag. Since she was gowned and wiping down the room with cleaning cloths due to  the C’diff   maybe they  did think  she was a staff member, as we were told. Obviously  no-one else up  to  that point – knowing there was an issue with  C’diff wore those items. ( Benefit of the doubt)

Some aides did make a half hearted effort to “gown up” after the complaint, however,  latex gloves routinely  ended up  being  taken off and thrown into  the “general purpose waste basket”, well those that made it in as they  were thrown – I  was forever  picking these up and emptying the  room trash!

 

As for “housekeeping” I can’t remember that happening to  any  degree maybe weekly and only  once was there what I  call a thorough cleaning ( the Sunday  after I complained )  whereas in the previous two  facility  it was daily and sometimes twice a day.

 

 

The ‘weekend administrator” did get the bags of laundry and garbage out of the bathroom , did send in a cleaner  and apologized. The “head” nurse did get the Foley  bag removed, changed the mattress to  an air mattress,  as he was starting to  get a bed sore due to  being stationary and unable to  move on his own ( eg. roll over)  and was also very  uncomfortable due to  a pre-existing back condition. And so  it began…………

 

The rehab staff were very  good, he could not have intensive rehab at this facility , again only  so  often  due to  Medicare restrictions. But on the whole we were pleased. My  goal was to  have him ambulatory , able to  get into  a bed at home and to  be able to  get to  the bathroom. This was going to  mean  on a walker at least because this “Old House” was not wheelchair friendly.

Since there was definitely  an issue with  85% of the aides ( remember the staff that was above average according to  the Medicare evaluation  ) my  daughter would spend every  morning going with  him to  rehab, not the organized times etc of the CCRH we were expecting, she would stay  until after lunch  and I  would come later in the afternoon through the evening.  Night times were very bad for him, but he was on digoxin and although  he had adverse reactions  to  this drug we could not get  Doctors to  take him  off of it ( prescribed by  the ghost cardiologist from Mercy)

https://www.nhqualitycampaign.org/…/Drugs_that_may_cause_psychiatric_symptoms…visual hallucinations, fear, paranoia, agitation, anxiety. Sudden … Hallucinations, paranoia, delusions, confusion, mania, anxiety … Digoxin (Lanoxin*).
Note: the moment he was home and our cardiologist saw him digoxin was “nixed” and so  were many  of the other medications.
I am sure the administrative staff as well as a number of the aides were not at all happy  with  my  advocacy for my  husband. A “difficult patient” due to  medications, pain and confusion and a difficult wife 😉 . I  would ask you  to  remember this man went to  bed at Mercy  woke up eight days later after being intubated  and having respiratory  arrest unable to  move , unable to  speak ( due to  his vocal chords being stretched, ) not knowing where he was and what happened and having an 8 inch  slice taken out of his scalp. He remembers nothing at all from Mercy  , very  little from CCRH and too much  from Brookdale, Westlake.
 Patients were told they  could eat in the dining room  and for the most part the food was fine, the aides in the dining area were very  helpful  and the view of the duck pond a nice outlook. Mealtimes became a highlight to  one trapped in a wheelchair.
The call light response times were awful, in our case, of course being a “demanding patient” who  wanted to  use the bathroom or get out of the bed  and wheelchair due to  his discomfort didn’t help. The notice on the board in his room “call don’t fall” didn’t count for much.
The  Administrator did print out a  record of the response times to  the call light. Amazingly  they  had response times of 30  seconds  up  to  5 minutes.
What they  hadn’t realized with  the amount of time my  daughter and I  were putting in and the fact that as a blogger and ex- columnist I  have this penchant for documentation we also  kept a record of those call times and for the “most” part they  didn’t concur with  the print out. With  that printed out response time for his room number   I  received a bill for another patient, which  I  duly  returned, that had had that room previously.
March  17th  he fell again , this is an excerpt to  Medicare  appeals as they denied the cost of the emergency  room Dr.  after I  insisted Brookdale transport him to  St. John’s after yet another fall.

On March 17th I received a call from the night nursing staff at Brookdale that my husband had fallen trying to get out of his chair. The nurse informed me he had bruising to his abdomen and an abrasion to his left leg.They could not tell me if he had hit his head. Considering they stated he had only fallen 10 minutes previously to calling me   I was concerned they could not tell me whether he had hit his head and that bruising to the abdomen was already in place. I deemed it important considering the history of previous weeks of major brain bleed and surgery he should be checked out by someone other than an LPN. Hence the trip to St. John’s Westshore Emergency Dept. He was monitored in the ER and after a few hours sent back to Brookdale .

It is my contention that due to the recent history of falling and two brain bleeds the ER was the appropriate facility at 1 a.m in the morning. Brookdale, in my opinion did not have a qualified individual on duty or equipment to ascertain a diagnosis. The ER was the best place”

As time wore on and actually  his discharge times got put back , I  realized that, in our case , although the rehab therapy was very  good, it wasn’t enough. He was spending too much  time “waiting” and sitting in a wheelchair for the  two  to three hours of rehab and at least two  days a week where there was no  rehab at all. ( Again due to  Medicare restrictions). So  as his Dr. concurred and my  husband was unhappy  at the facility  and was at least able to  use the walker (with  help) and we felt we could manage his  care  we discharged him from Brookdale Westlake  on March 29th.
I am pleased to  say  that in April he went into out patient  physical therapy  at NeuroSpine Care, Sheffield Village, three times a week. He has progressed amazingly  well and they  have him transitioning to  a cane , able to  stand  and do  the things that make life normal. http://www.neurospinecare.com/
I do not agree with  Medicare ratings that this is a 5 star facility, but then again I  do  not know how low they  set the bar!
The best I  can give this facility  in rating , remembering it was supposed to  be, according to  Medicare, a 5 star facility  is a C minus. Although there were highlights such  as the rehab staff, the “aides” were another let down  and remember these are the individual that are dealing with  your loved one.  ( I  would say  my  general impression was that the aides were dealing with  quite a few patients each  shift and if their stated wages were anything to  go  by  they  need a raise in order the attract  better qualified individuals !
Remember this is a FOR PROFIT facility  and you  are the consumer not a charity  case and Medicare  and yourself will be paying for the “business”
of care and rehabilitation!!!!!!!
https://www.ibisworld.com/industry-trends/market-research-reports/healthcare-social-assistance/nursing-residential-care-facilities/nursing-care-facilities.html

 

July 11, 2019 at 1:20 pm Leave a comment

July 3rd- continuing – Chris Ritchey

I have written about you  every month  on the 3rd of the month as my  memorial to  you – your life and your art work. A few months ago  I  wrote these lines in the post https://thatwoman.wordpress.com/2019/04/03/april-3rd-forgotten-chris-ritchey/

“They  say  you  die three times – once when your body  fails you – again when you  are buried ( funeral) and again when you  are forgotten”.

Death  of the body  and death  of memory. When you  are buried and that headstone in place is a remembrance of sorts but there’s the rub how long will that headstone last?

 

Most of us believe that record of our being in the places designed for such – as cemeteries and crematoriums  will last forever, not so especially  with  the way  things happen with  cemeteries in recent years.  This Blog https://lisanneharris.com/2013/05/12/sadly-utterly-abandoned-churches-cemeteries/ Ms. Harris has a plethora of photos from around the world of these sad places. The forlorn graves sinking into  oblivion once held the tears and heartbreak of mourners  who  grieved over their loved ones. Even in this old neighborhood the citizens of Lorain in the past plowed under and buried  the little Charleston Village Cemetery

https://thatwoman.wordpress.com/tag/pioneer-cemetery-lorain/

 

 

I read once , here you  can’t reclaim or take out graves until 100 years after the last burial. But that is another law that is circumvented. I  know it happened to  your Great Grandmother and Great Grandfather and Great- Great Grandmother, the site was moved (although other family members wouldn’t have it) but I  remember visiting those graves in a totally  different area of the cemetery and one was missing altogether.

 

You  are not dead because our love of you  is alive and you  are in our thoughts and dreams daily.

 

Your Nana was not afraid to  die, she was actually  welcoming her demise -99 years is longer than most get on this earth.

 

She had out- lived her brothers , sisters, friends of her youth. She was ready  but as she sipped her tea one day  near the ending  she look at me over the rim of the cup and said

“you  won’t forget me will you, Nikki  and the children will remember they  had their Nana”.

There is no  headstone in a “family  plot” because that is not what she wanted. Her ashes will hopefully  one day  make it back to  “her England” , time and life permitting.

Today,  I  received a notification from the Crematorium in England

St Marylebone Crematorium – Memorials

about your  Grandfather. What a mess that was when he passed , he had gone off with  someone else – had a new family  – although  he clung still to  his old one. Due to  the fact he never remarried, I  was still his next of kin, the arrangements were left to  me  although  his “woman” did orchestrate some aspects.

Then a few years on, since Nana and I were home, we went to  the crematorium and I  asked the office where my  fathers ashes were interred. Imagine my  guilt when I  found out no-one had ever claimed them! I  had thought his fancy bit would have,  she obviously  was done with  him after he died.  I  was told his ashes were scattered in a part of the crematorium  I was shown the spot where his ashes had been scattered and  was told

 

“I  could have  a “tablet” positioned on the walls surrounding the Willow Garden, and are ideal for those who wish to mark the position of a loved one whose ashes have been scattered below.”

It was decided, only  Nana would have nothing to  do  with  it  , didn’t want her name mentioned  and went and sat in the rose garden. This is truly  a beautiful place.  I realized, although  his work of a cross ( commissioned by  the Governor of Gibraltar) hopefully  still adorns the altar in the Naval Chapel there ,

 

there  was not a permanent dedication ( well as permanent as can be in this life) but one day  even that small reminder will be taken from the wall

 

Anyway  I purchased a “tablet: and every  10  years I receive an invoice to  renew the dedication, a few hundred pounds.  No-one goes to  the crematorium anymore to  pay  their respects, I  am not sure anyone other than I  ever did but I paid this invoice today because his name is there , the fact he lived and died on those dates is still  there and he is not forgotten and he did live and he loved me and I , him

My Dad and I happier times

Oh his great grandson has the look of him  but only  I and a photograph of old realize that :

 

 

 

 

 

 

 

 

 

And that is why  I  write about you  month  after month for as long as I  can  so  you  know you  aren’t forgotten and that you  lived…….. and are still loved with  every  breath  in my  body………..

Breath of Life – Celtic Knot – Chris Ritchey

July 3, 2019 at 11:25 am 1 comment

Medical Care – a consumer’s perspective-Brookdale ( Skilled Nursing)

Part Onehttps://thatwoman.wordpress.com/2019/03/22/the-ratings-of-medical-facilities-series-it-begins/

Part Two- https://thatwoman.wordpress.com/2019/04/09/medical-care-from-a-consumers-perspective-ohio/

Part Three- https://thatwoman.wordpress.com/2019/04/22/medical-care-a-consumers-prospective-mercy-health-lorain/

Part Fourhttps://thatwoman.wordpress.com/2019/04/29/medical-care-a-consumers-perspective-mercy-health-lorain-2/

Part Five – https://thatwoman.wordpress.com/2019/05/27/medical-care-a-consumers-perspective-cleveland-clinic-rehab-hospital/

This time when we were told we would have to  make plans for my  husband to  leave the Cleveland Clinic Rehabilitation Hospital ( after 19 days) were were given a list with  54 skilled nursing facilities but more time in which to  make a decision.

The case worker at Cleveland Clinic Rehab Hosp. printed out a list of 54  facilities within a 25 mile radius, with  ratings from Medicare .gov Nursing Home Compare .

As you  can see page one  with  the closest to  home ( as I  already  had checked them out) were crossed off.  “One” of  the complaints I  have of Medicare in their ratings , in our situation, was we needed  physical therapy  and rehabilitation and although  “staffing” was rated, Health  inspections and Quality   were rated  there was not a rating for the “caliber” of rehab and therapists.

 

I would like to  point out that at Brookdale  aka  WESTLAKE VILLAGE CARE CENTER 28540, village Drive Westlake Ohio 44145 , the rehab therapy  and therapists were excellent. I  wish  I could say  the same for  90  percent of their aides.

20 of the 54 facilities were listed in their staffing  by Medicare as “much  below or below average”, even when their overall rating was above average or much  above average – very  confusing .

The star system given my  Medicare was also  misleading ( Brookdale) – Westlake Village was given a 5  out of 5  star , comforting to  me when we chose this facility  and also  the staffing as “above average” – I don’t know who at Medicare rates these facilities but this was not in any  way  a 5 star facility unless the bar is set  very  low!!!!

Take a look at the first page ( first photo) of the report of the 5 facilities  4 received 4 out of 5 stars but each  of them has a rating of below average for staffing.  and one Lake Pointe Health  Care a 1.

NOTE: you  really  have to  do  your homework and that is hard when you  are having to  choose a facility  for a loved one during a traumatic time. I thought I  had done my  homework with  this facility. Since my  husband was in the University  Hospital system, as were all his doctors, I  checked and  Brookdale  had access to  either the Cleveland Clinic System and for us a doctor with  University  Hospitals.  It had taken me weeks of being “out of our system to  get him back into  UH.

I was happy  in our choice having done as much  research  as I  could , ratings , recommendations etc.  looking on line . https://www.brookdale.com/en/communities/brookdale-westlake-village.html?cid=yext

The trip from the Cleveland Clinic Rehabilitation Hospital via “transport” was again a fiasco  of waiting  and  miscommunication as to  what sort of transport was needed.

Although  I had had problems at the Cleveland Clinic they  had been addressed  for the most part quickly  and efficiently , however we left on a sour note and with  “personal belongings in a large bag”.

Due to  the tension dealing with  Doc Martens  transport I didn’t realize that along with  my  husband carried by  one of the administrative staff to  the ambulance was  the lift pads and sling pad  from both  his bed and  wheelchairs  and various items .

 

The  lift pads/sling pads ( plastic)  we discovered later ,when I  looked into  the closet at Brookdale where the bag had been placed as personal effects   had fecal matter attached, bad enough  but considering this was also  contaminated with  C’diff  most worrying and dangerous in my  laypersons opinion.

Here we were bringing into  another facility  contaminated matter!!! This practice of transporting these items  should not occur , after all you  don’t know where they  have been.

This was not a good start to  our stay  and within 4 days I  was ready  to  pull my  husband out of this 5 star establishment ……. TO  BE CONTINUED…..

 

 

June 15, 2019 at 9:10 pm Leave a comment

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