Admissions

Information needed for review to admit someone from home.
  • Physician office visit notes (if available)
  • Recent medical history and physical
  • Financial information, including Medicare, Managed Care, Private Insurance
  • If recently hospitalized, information from that stay to include history and physical, nurse's notes, therapy notes and discharge summary
  • Medical Power of Attorney; Durable Power of Attorney; Advance Directives
Information needed for review to admit someone from a hospital.
  • History and physical
  • Nurse's notes, therapy notes, lab results and current medical treatment records
  • Financial information Including: Medicare, private insurances, managed care, etc.
  • All of this information can be facilitated through the hospital discharge planner or case manager.
  • Medical Power of Attorney; Durable Power of Attorney; Advance Directives
Information needed for review to admit someone from another facility.
  • Recent history and physical
  • Current nurse's notes
  • Recent hospital discharge summary (if available)
  • Financial information including: Medicare, private insurances, managed care, etc.
  • Medical Power of Attorney; Durable Power of Attorney; Advance Directives
Helpful Links

At Hereford Nursing And Rehabilitation we understand that entering a long-term care facility can generate an overwhelming amount of questions. For this reason we have compiled a list of useful links that might help you become better informed about your care choices.

Hereford Nursing And Rehabilitation cannot guarantee the accuracy or content of the above links and we encourage you to seek information from more than one source. Should you have questions about the above links please contact us.

At Hereford Nursing And Rehabilitation , we can assist you in identifying your options to pay for services. We can answer questions about qualifying for Medicare, Managed Care, Insurance and Private Pay funding options. Please contact our Customer Care Line to speak with an admissions coordinator who can help you get the answers you need.

Learn more about admissions by reviewing the material to the left. There are multiple ways to pay for senior housing or long term care.

 We gladly accept Medicare, Private Funding and many Managed Care / Insurance providers. 

MEDICARE

As defined in Title XVIII of the Social Security Act, Medicare ("Health Insurance for the Aged and Disabled") is a Federal health insurance program for aged (65+) and certain disabled individuals regardless of income. Click for more info.

The majority of individuals admitted to a skilled nursing facility have not met requirements of a Medicare-covered stay. The following criteria must be met in order for a person to be eligible for Medicare Part A benefits in the skilled nursing facility:

  • A physician must certify that you need skilled nursing care
  • You must be admitted to the facility within 30 days of discharge from a hospital stay of 3 or more qualifying days (not including your discharge day)
  • You must require some type of skilled nursing or therapy services that meet Medicare criteria. For example: someone having suffered a stroke who needs skilled therapy and nursing services for rehabilitation.

If you have met these criteria, you will be eligible for a maximum benefit period of 100 days. There are no guarantees that you will receive this maximum, you only continue to receive the benefit if you are continuing to progress with the skilled services being provided. When a person is no longer showing progress or has met their goals, the Medicare Part A coverage will end.

During the first 20 days of this benefit period, Medicare pays all cost including semi-private room charges, any skilled therapy or nursing services, medications and any other ancillary charges.

The next 80 days of the benefit period, Medicare Part A will pay all the above cost, with the exception of a required co-pay amount. Private insurances or private funds can meet this amount.

At any time during the 100-day benefit period the coverage can end if the recipient is no longer meeting skilled care criteria. Prior to Medicare coverage ending, the resident and/or his agent will be notified in advance to allow time to transfer to another payment source.

Please contact us for more information. We look forward to your call.

PRIVATE INSURANCE

If you are a subscriber to a Managed Care or Private Insurance product, you may have benefits which would assist in paying for skilled services received in the Healthcare Center. We accept many Managed Care / Private Insurance carriers. Click for more info.

A majority of individuals with Managed Care or Private Insurance have pretty straight forward requirements if skilled nursing care is a covered benefit for the enrollee. We encourage you to speak directly with your provider to ensure you understand what your coverage parameters and options. If you are uncertain about what to ask, we are happy to assist you as needed. Each Managed Care or Private Insurance is different regarding the amount of coverage, deductibles and co payment requirements.

Typically some or all of the below are required:

  • A physician must certify that you need skilled nursing care
  • You must require some type of skilled nursing or therapy services that meet the Managed Care / Insurance Provider’s criteria. For example: someone having suffered a stroke who needs skilled therapy and nursing services for rehabilitation
  • Most have a Pre Authorization approval process step that must be met to ensure coverage.
  • Many have continued stay re-authorizations periodically throughout the stay to ensure skilled services meet the criteria of the coverage plan.
  • Discharge planning is typically coordinated with the Managed Care / Insurance Case Manager to ensure smooth transition from the Healthcare Center to home.

At any time during the benefit period the coverage can end if the recipient is no longer meeting skilled care criteria. Prior to Managed Care / Insurance coverage ending, the resident and/or his agent will be notified in advance to allow time to transfer to another payment source.

PRIVATE PAY

We gladly receive private payment for services rendered. Click for more info.
  • Payment is due on the 1st and considered late on the 6th of the month.
  • We accept all major credit cards except American Express.
  • We accept cashier checks, money orders and cash as payment.
  • We are unable to process payment through debit cards at this time.

It is the policy of Hereford Nursing And Rehabilitation to admit and to treat all residents without regard to race, color, sex, national origin, handicap or age in compliance with the 45 CFR Parts 80, 84 and 91 respectively. The same requirements for admission for admission are applied to all patients whose needs are reasonable for the facility to meet, and residents are assigned within this care center without regard to race, color, sex, national origin, handicap or age. Each resident must be admitted to the facility on the recommendation of a licensed physician. It is the policy of the facility not to retain a resident who required services beyond those for which the facility is licensed or has the functional ability to provide. This determination is made by the facility admissions committee. There is no distinction in the eligibility for, or in the manner of providing any resident service provided by the care center or by others in or outside of the care center. The services of this care center are available without distinction to all residents and visitors regardless of race, color, sex, national origin, handicap or age. All persons and organizations having occasion either to refer residents for admission or to recommend to the care center are advised to do so without regard to the resident's race, color, sex, national origin, handicap or age.