From November 2009 through February 2011 my mother-in-law has completed 10 hospitalizations, over…read more144 days of Kaiser Permanente contract rehab/skilled nursing in Modesto & Stockton, California and has lived in four retirement/assisted living facilities in Modesto & Manteca, California.
I thought it would be useful to those of you who will be caring for elderly people to hear of our experiences, as they might help you in your care giving decisions.
But first a little primer and context-setting. The area of elder care is new to most of us and you will need to study up to better understand how the system(s) work so you can make the best choices for your loved ones.
In both the nursing home and residential categories it is useful to use the analogy of the Chinese menu. There are basic prices for the core services, menu A and menu B consists of all the add-ons or specialty items that you select to go with the main A menu.
Menu A is generally the per day cost for the basic, stock service: single, double or triple rooms and would include two or three meals per day, a certain amount of housekeeping and activities.
Menu B includes, for instance, extra per day costs for laundry, incontinence, memory care, physical therapy, medication administration, bathing assistance, feeding assisting, dressing and transportation.
There are so many "it depends" and so many variances whether you are in skilled nursing where medication administration is included to residential where bathing assistance can be obtained once, twice or more each week. And each facility is different, so gather material and if you can talk with your loved one please include them in the decision-making and what it will cost. The trade-offs are the challenge.
Rehab/Skilled Nursing: These come in many differing forms. There are long-term and short-term beds, with long-term less expensive than short-terms and generally do not include rehabilitation (rehab) or physical therapy (PT). Rehab is usually prescribed by a physician and the cost is in excess of $275/day. Medicare covers a good portion of rehab, but "doctor's orders" are required. In general, long-term care is only covered by low-income programs, such as MediCal or Medicaid. Short term care starts at around $200+ per day and runs as high as $400+ per day, depending on the level of care required.
Your first priority is to determine what level of care is required and then which facility would best meet those needs relative to cost. Generally, if you smell urine throughout the facility...run away. Of course there will be those smells on occasion, but there should not be such an ambiance all the time.
There are separate reviews for the following facilities:
Rehab/Skilled Nursing:
Avalon Healthcare, Modesto, CA
Garden City Health Care Center, Modesto, CA
Hy-Lond Convalescent Hospital, Modesto, CA
Valley Gardens Healthcare, Stockton, CA
Vintage Faire Nursing and Rehabilitation Center, Modesto, CA
Residential Care/Retirement & Assisted Living: These facilities come in all forms. Some are seek and admit only residents that do not require government assistance, meaning that these people can pay the offered day-rate. Others set aside a percentage of beds for those on government assistance and manage their facilities within the government reimbursements. You get what you pay for, so shop around.
Look first at what you can afford and then at the amenities offered and the comfort level or cultural "fit" of facility to your loved one. Are these his or her kind of people?
Dale Commons, Modesto, CA
Lidia's Blessed Home, Modesto
Merrill Gardens, Manteca, CA
The Stratford at Beyer Park, Modesto, CA
This review is for Valley Gardens:
At first we were a bit miffed at having to put mother-in-law into a Stockton facility since there were no female beds available in Modesto or Manteca. It was not convenient to be running from Modesto to Stockton every day. That said, it turned out that Valley Gardens was in our top two of rehab facilities, so the mileage was worth it.
A nicely renovated facility with an interior patio and surrounding grounds, Valley Gardens also had a super rehab area and quite an enthusiastic rehab crew. They take rehab seriously here and that is exactly what we wanted.
There were two dining areas, both with linen on the tables and served the same meals. The difference was that one was for those that did not need assistance eating and the other for those that did.
Activities were varied and seemed to be available throughout the day. No boredom here.
Nursing and staff were excellent, treating the residents personally and with warm care.
We would prefer Valley Gardens and Garden City as our best picks when given the option of facilities.