Nursing Home Transition

Community-Based Service Options

WAIVER SERVICES:

Consumer’s age 60 or older may qualify for in-home service programs. Services you can receive at home through the Waiver or other Area Agency on Aging programs may include:

  • Personal Care
  • Emergency Response Systems
  • Home-Delivered Meals
  • Nursing
  • Respite Care
  • Day Care
  • Home Modifications
  • Medical Equipment/Supplies

Consumers under age 60 may choose for services to be provided in the community through our collaborative partner:

Northeast Pennsylvania Center for Independent Living

431 Wyoming Avenue in Scranton, PA 18503-1228

Other services that may be available are local transportation and subsidized housing options.

Common Questions:

WHAT IS NURSING HOME TRANSITION?

The Nursing Home Transition Program serves nursing home residents age 18 or older living in Luzerne/Wyoming Counties. A Transition Coordinator is available to visit residents who have expressed a desire to return to the community. The Transition Coordinator gathers information about community resources and collaborates with a Transition Team chosen by the resident.

WHO MAY BE PART OF THE TRANSITION TEAM?

The consumer will provide direction regarding the discharge to the community. The transition team will consist of the consumer, the transition coordinator and nursing home staff, including social work, physical therapy and nursing.

WHO DECIDES WHETHER THE RESIDENT WILL BE ABLE TO TRANSITION FROM THE NURSING HOME TO THE COMMUNITY?

With the help of the Transition Team, the resident receives information about his/her specific care needs, safety issues, and services available in the community. The resident then decides whether it would be best to transition to the community or remain in the nursing home.

WHO HELPS WITH THE TRANSITION ARRANGEMENTS?

The Nursing Home Transition Coordinator is directed by the resident to help with arrangements for housing, in-home services, help from family or friends, and transportation services depending on what the resident’s specific needs in the community will be.

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