Case Study: Chatham Hills Subacute Care Center (March 2018)

Patient’s Age: 82-years-old
Admission Date: 3/3/18
Admitted From: Morristown Medical Center
Discharge Date: 3/28/18
Discharged to: Home
Length of Stay: 25 Days
Reason for Stay: Sepsis, generalized muscle weakness, difficulty in walking
How did patient hear about Chatham Hills?: “Chatham Hills was recommended to me from a previous patient who I do yoga with, she had great things to say about it.”

Details of experience:

Gerda’s story all started in October of 2016 when her beloved husband left us. They had a yearly tradition to go down to Florida for the holidays. Gerda wanted to keep the tradition strong in memory of her husband, so she went to Florida in February of 2017. Throughout her stay, she reflected on memories and visited with friends before she ended up having a heart attack and being hospitalized. She was transferred to a hospital in St. Petersburg where she had three stents put in her heart. Her family wanted her to be close to them in New Jersey so she was transferred to Morristown Medical Center where she would soon be discharged to her new home. In December of 2017, Gerda was admitted to Morristown Medical Center again and diagnosed with pneumonia. She was discharged to be home for the holidays with her family by her side. In 2018, prior to her admission to Chatham Hills, Gerda was rushed to the hospital because she went into septic shock, where she had a 104 degree fever along with a low blood pressure of 40 / 20.

Upon admission to Chatham Hills, Gerda was skeptical about what was going to happen but she has a very supportive family who were ready to start this road to recovery with her. Gerda was independent prior to admission and had a goal to be able to walk and drive like she used to. She was initially able to ambulate 100 feet with contact guard assist. As her therapists stated, Leslie and Michelle, “Gerda demonstrated excellent rehab potential.” She worked hard 6 out of 7 days of the week working hard to meet her goals.

Throughout her time in therapy, Gerda was having some difficulties. She was experiencing shortness of breath and low blood pressure while walking. She accepted her situation and knew when she needed to take a break. Gerda still faces the setback with her breathing due to the fact that she can only breathe with 30% lung function, but she is a fighter and won’t let anything stop her from reaching her goals. As her therapist, Michelle, states, “Gerda was very hesitant about being here for rehab. After being introduced to everyone, she became confident and comfortable with us as well as with herself. It was her confidence that carried her through her successful experience at Chatham Hills.”

Besides from therapy, Gerda spent most of her days at Chatham Hills with her daughter and her roommate. She also participated in some activities, but loved to spend time independently. As Gerda states, “my life has been enhanced since coming to Chatham Hills. I am impressed everyday with the excellency in the physical and occupational therapy departments. I will miss them when I go home. Also, I am impressed with my nursing staff that helped me. I really want to give a shoutout to Leslie and Michelle, my therapists, because of their concern for my well being. Kathleen, the Concierge Director, was always friendly, cordial and very upbeat. She always kept me in the loop about what was going on during my stay here. My nurse Assana delivered excellent nursing care along with my nurses assistant, Annette, who was excellent.”

As we are nearing Gerda’s discharge, she has met all of her goals that she had! She can easily walk over 200 feet with a rolling walker and is able to have a modified independence with ADL’s-(activities of daily living). She can get herself dressed and transfer herself to different locations on her own. Again, Gerda states, “I am totally thankful to Chatham Hills and I am getting stronger everyday.” Gerda showed her strength many times when her life didn’t seem to be going her way. She fought back everyday and is now able to go home and continue on with her life. The team at Chatham Hills is going to miss Gerda but we are all excited to see this next chapter in her life! Congratulations Gerda and we wish you nothing but happiness and health!

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Case Study: Chatham Hills Subacute Care Center (February 2018)

Patient’s Name: Barbara Bakert
Patient’s Age: 69
Initial Admission Date: 1/3/18
Discharge Date: 2/14/18
Re-Admission Date: 2/20/18
Admitted From: Overlook Hospital
Discharge Date: TBD; early March
Length of Stay: 87 Days
Reason for Stay: Encephalopathy, difficulty walking
How did this patient hear about Chatham Hills? Hospital nurse referral.

Details of Experience:

Barbara was completely independent prior to be admitted to Chatham Hills Subacute Care Center. She lives at home with her daughter, her newborn granddaughter and two family friends. Her goal, as she stated, was “I want to be able to take care of myself so I can take care of my daughter and her baby, not the other way around.”

Barbara initially came to Chatham Hills on January 3, 2018 with Encephalopathy, generalized weakness, and altered mental status. Upon admission, she was not able to ambulate long distances with the use of a rollator. She demonstrated deficiencies in standing resulting in frequent loss of balance. Barbara’s plan of care was focused around her ability to walk, dress, and maintain balance and safely performing household tasks.

During her stay here, Barbara participated in our Amputee Walking School with Dennis Oehler, Todd Schaffhauser and our therapy department. Barbara received her prosthetic in October 2016 due to Charcot Foot. During the Walking School, they focused on answering questions, shared experiences and got the time to talk to other patients with the same situation as her. Barbara also participated in many activities and events. She also participated in our special Wine and Cheese tasting night with our activities assistant, Dusti, and her family by her side.

Barbara was discharged from Chatham Hills to Overlook Hospital for a procedure on February 14, 2018. At the hospital, she was consistently having her blood pressure monitored as she struggled from having high blood pressure. The doctors adjusted her medication to address her blood pressure and she was readmitted back to Chatham Hills on February 20, 2018.

Upon re-admission, Barbara had stated to her therapists that she wants to be able to walk with a cane rather than a rolling walker. She wants to be able to stand and walk with her granddaughter in her arms. One of Barbara’s occupational therapists, Sara, took this goal into consideration. She started to practice Barbara’s therapy routine, but this time holding a baby doll. She practiced her therapy session to safely navigate with the baby in hand. Sara stated, “Barbara was very dedicated to improving her functional mobility. She made strides to reach the goals that she had.”

Unfortunately, on February 5, Barbara slipped and fell and suffered a decline in therapy. She initially started therapy walking 250 feet with a rolling walker. After her fall, she was only able to tolerate walking 10 feet. She was also only able to stand less than 3 minutes with support due to the pain in her right knee from the fall. Her therapists have been working with her five days a week to help her achieve her goal of going home walking with a cane.

As her discharge date is nearing closer, she is consistently improving every day. She has always been determined and compliant. As Barbara states, “I was a mess when I came here and was worried about my recovery. As of now, I am close to prior level of function including mobility, cognitive thinking and my speech. When you’re in a rehab, you’re constantly thinking about your health which isn’t good. Being able to talk to people and talk about things going on in the world and not just focusing on my health really helped me. You (Kathleen, Concierge) are especially good at that. Talking to you and getting to know you was where I got the most therapy. Thank you to the whole therapy department, Candace, Sara, Michelle, Archie, Leslie, Nicole, Steve, Gia and Sue; they helped me start to achieve my goal. Thank you to my aides Jennifer, Stephanie and Doreen for all the kindness you showed me while taking care of me. My time here has been the best part of a bad situation.” From Team Chatham Hills, we want to congratulate Barbara on her success in therapy here and her continuing success in our community!

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“When I Lost My Brother, My Social Worker Helped Me Get Through It.”

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“When I lost my brother, my social worker helped me get through it,” shared a young, bright member of Girl Scout Troop 989. The Troop recently partnered with CareRite Centers, LLC in celebration of National Social Work Month in March. The observance is dedicated to recognizing the countless hours social workers spend helping families in need.

CareRite partnered with Girl Scout Troop 989 in an effort to allow today’s youth to thank these caregivers for acting as leaders and role models in the community. The troop shared alongside executive leadership of CareRite why they were thankful for these heroes. “My social worker was there for me and my mom when my grandma got sick,” echoed throughout a silent room as a panel of the nation’s leading healthcare professionals were captivated by their personal fragility.

“CareRite Centers proudly supports hundreds of social work professionals across the nation. We are so thankful for the thousands of heroes we have within each and every discipline throughout our network, who go above and beyond the call of duty to ensure incredible levels of customer service and patient satisfaction. Our communities are known among their peers as stellar leaders, largely due to the passion and commitment of these heroes who call their respective CareRite community their ‘home away from home,’” shared Ashley Romano, National Director of Patient Experience/Research Development for CareRite Centers.

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Case Study: Chatham Hills Subacute Care Center (January 2018)

Patient’s Name: Edward Ginty
Patient’s Age: 80
Initial Admission Date: 11/2/17
Admitted From: Kessler Rehabilitation Center
Discharge Date: 1/28/18
Discharged To: Plan is to go home
Length of Stay: 87 Days
Reason for Stay: Diagnosis of right hip fracture
How did this patient hear about Chatham Hills? Referral from the Social Worker at
Morristown Medical Center.

Details of Experience:

Mr. Ed Ginty was admitted to Chatham Hills Subacute Care Center from Kessler Acute Rehabilitation Center on November 2, 2017. Ed was admitted with a diagnosis of a right hip fracture. Upon arrival to Chatham Hills, Ed was greeted by our Nursing team, Rehab team, Concierge and Social Worker.

Prior to being admitted to Chatham Hills, Ed had a very complicated hospital course. On August 19, Ed underwent revision of a right total hip replacement. After about a month in the hospital, he was then discharged to Kessler Rehabilitation Center. He was shortly readmitted to Morristown Medical Center on September 11 in intensive care with acute renal insufficiency with septic shock secondary to MRSA infection. Ed was then transferred to Columbia Presbyterian Hospital for surgery due to retinal detachment. After being discharged from Columbia Presbyterian, he was transferred back to Kessler for continuing rehabilitation and now is a Patient at Chatham Hills Subacute Care Center for continued therapy to be able to return to his prior level of function.

After Ed’s complicated hospital course, he was a little discouraged wondering when he would get back to his life prior to the complications. He stated, “a couple days of recovering turned into 8 months.” He did not have the best experiences at the places that he had gone to. When Ed first arrived to Chatham Hills for rehabilitation, he needed maximum assistance with his usually independent daily routines. He was only able to ambulate up to 75 feet with
minimum assistance with a rolling walker. Throughout his therapy sessions, he worked on strength training, walking and participated in activities that challenged his balance. His therapists had to educate him on use of adaptive equipment to perform dressing tasks independently. With practice, he was able to get ready in the morning by himself. He continued to progress in therapy so much that upon arrival of his discharge date, he was able to ambulate
over 225 feet! He is now able to achieve modified independence using a rolling walker and occasional stand by assist. As Ed stated, “The therapists I have here I found were really helpful. My stay here was very very good. All the physical and occupational therapists are great! The nurses I had were like sisters and the aides were great, too. Everything here couldn’t have been nicer.”

Ed has been making tremendous progress during his time spent at Chatham Hills. He has a discharge date for Sunday, January 28, 2018. He has a very supportive family who is also eager to have him home. It’s been a long time coming and team Chatham Hills couldn’t be happier in congratulating Ed for his recovery from a long journey!

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Case Study: Chatham Hills Subacute Care Center (December 2017)

Patient’s Name: Jean T.
Patient’s Age: 83
Initial Admission Date: 10/05/2017
Admitted From: Acute Care Hospital
Re-Admission Date: 11/02/17
Re-Admitted From: Morristown Medical Center
Discharge Date: 12/08/2017
Discharged To: Home
Length of Stay: 36 Days
Reason for Stay: Generalized Muscle Weakness, Difficulty in Walking
How did this patient hear about Chatham Hills? Jean’s daughter came in for a tour of
Chatham Hills.

Details of Experience:

Jean was presented to Morristown Medical Center on September 13, 2017 with complaints of expressive aphasia and confusion noted by her family. She went through various tests that confirmed that she had a stroke. She was discharged to an acute care facility where she stayed for a couple days until she had to be readmitted to the hospital again due to shortness of breath, worsening speech and generalized weakness. She was discharged back to an acute care facility where she stayed for about two weeks. She was then informed that she would need extensive subacute care to be able to go back to her prior level of function.

Upon arrival to Chatham Hills Subacute Care Center, Jean was greeted by professionals who anticipated her arrival. Within the first twenty-four hours of her stay, she was evaluated by her therapists to determine the level of care she was going to need. Jean came across multiple complications throughout her stay at Chatham Hills. Just weeks after her admission, she was sent to the hospital due to increasingly slurred speech and having trouble bringing the fork to her mouth while she ate. Upon returning back to Chatham Hills, Jean was presented with weakness and a significant decline in mobility and self-care.

Jean made consistent progress and substantial functional gains in response to skilled interventions. When she was initially admitted to Chatham Hills, she needed assistance with all ADL’s-(activities of daily living). Jean also was diagnosed with Dysphagia. Her swallowing was impaired with right sided facial weakness. Upon admission, she was on a puree diet with thickened liquids. While receiving speech therapy three times a week, she started showing substantial progress. With exercise, her facial weakness improved, her vocal hoarseness improved and she advanced two diet levels!

On December 8, 2017, Jean was discharged home with an eager excitement to be back with her very supportive family. Upon discharge, her ambulation increased from 150 feet to over 300 feet and she was able to be independent achieving her goal. She only needed minimal supervision with a regular diet, thin liquids and being able to feed herself! Team Chatham Hills is thrilled for Jean and the incredible strides she achieved while under our care. Congratulations, Jean!

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Case Study: Chatham Hills Subacute Care Center (November 2017)

Patients Name: John D.
Patients Age: 86
Admission Date: 10/13/17
Admitted From: Morristown Medical Center
Discharge Date: 11/16/17
Discharged To: Home
Length of Stay: 34 Days
Reason for Stay: Presented with facial droop and slurred speech.
How did this patient hear about Chatham Hills? Social Worker referral.

Details of Experience:

John was presented at Morristown Medical Center on October 10, 2017 with complaints of facial drooping, slurred speech and collapsing of his legs while walking. During his stay, he had gone through multiple tests to find out the cause of his symptoms. John underwent a CT scan where the results came back determining he had a mild stroke. John was notified that he would have to go to a rehabilitation facility due to the decline in his functional status.

Upon arrival to Chatham Hills Subacute Care Center, John was greeted by professionals who anticipated his arrival. Within the first 24 hours of his stay, he was evaluated by the clinical team, the administrative staff, both his physical and occupational therapists, and many other valued members of the Chatham Hills team. John was evaluated by his therapists to determine the level of care he was going to need.

At the beginning of his stay, John needed assistance with all activities of daily living. He was only able to ambulate 30 feet using a rolling walker and was unable to shift his weight safely without loss of balance. He had impaired balance and was at an increased risk for falls. John participated in several activities to assist in improving his dynamic standing balance and strength. John made consistent progress during therapy towards reaching his goals and is continuing to perfect his techniques. His personal goal was to be able to go back home walking safely.

Throughout his stay at Chatham Hills, therapists worked with John on his self-care management. He worked on postural control, balance, coordination, and strengthening activities to increase his functional task performance. He participated in therapy six days a week and achieved his goal of walking 300 feet without support! John has a very supportive family who he lives with and who is making appropriate accommodations for his safe return home. As John gratefully shared, “My time here has been enjoyable. People are very kind. I have enjoyed my stay here, but I’m anxious to go home after about a month. The therapy department was very professional during the process. I have a positive outlook on my time here. The nurses and all those who have helped me out couldn’t have been more pleasant. I would certainly recommend Chatham Hills to friends of mine if they needed a place for therapy.”

John was independent prior to his admission to the hospital. His wish when he came to Chatham Hills was to be able to go back home to his wife and family. With hard work and determination, team Chatham Hills is very pleased and excited to congratulate John for the incredible success he achieved while under our care. We wish him nothing but the best!

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Case Study: Chatham Hills Subacute Care Center (October 2017)

Patients Name: Ms. Evelyn
Patients Age: 85
Admission Date: 9/20/17
Admitted From: Acute Care Hospital
Discharge Date: 10/19/17
Discharged To: Assisted Living Facility
Length of Stay: 29 days
Reason for Stay: Syncope
How did this patient hear about Chatham Hills? She lives in the area.

Details of Experience:

Ms. Evelyn was presented to the emergency room at Morristown Medical Hospital on August 26, 2017. She was at mass and had suffered an episode of syncope that lead to falling, striking her head and losing consciousness. While in the hospital, Ms. Evelyn had gone through multiple tests and CT scans. She remained in the hospital’s ICU for a week prior to being transferred to acute rehab.

After her successful stay at Morristown Medical and acute rehab, Ms. Evelyn was notified that she would need extensive subacute rehabilitation to support the ability to be independent before returning back to living independently. Ms. Evelyn has lived in the area for a long time and has always known about Chatham Hills. She thought it was a great place to go to be close to home.

Ms. Evelyn was greeted by professionals at Chatham Hills Subacute Care Center who anticipated her arrival. Within the first twenty four hours of her stay, she was evaluated by the clinical team, the administrative staff, both her physical and occupational therapists who were going to be working with her and many other valued members of the Chatham Hills team. Ms. Evelyn was evaluated by her therapists to determine the care that she was going to need during her healing journey.

Upon arrival to Chatham Hills Subacute Care Center, Ms. Evelyn required contact guard assist with all activities of daily living. She was able to walk and ambulate on level surfaces 100 feet with an appropriate team member to assist her. She was not able to ambulate up any stairs when first arriving to Chatham Hills. While attending therapy six days a week, she was beginning to get back to where she started. She was making consistent progress toward reaching her goal of returning back to life prior to her fall. Upon nearing her anticipated discharge date home, Ms. Evelyn is now able to walk 325 feet and can maintain standing balances without support. She also had a goal to safely ascend and descend seven stairs, which she exceeded by being able to do 12 stairs! In just a little less than one month’s time, she has a projected discharge date for October 19, 2017. She has a very supportive family who has since moved her into an accommodating Assisted Living Facility.

Ms. Evelyn was independent prior to her collapse. Her wish when she came to Chatham Hills was to be able to go back home and back to her life. Team Chatham Hills is very pleased and excited to congratulate Ms. Evelyn for the incredible success she achieved while under our care. We wish her nothing but the best!

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Case Study: Chatham Hills Subacute Care Center (September 2017)

Patients Name: Marian M.
Patients Age: 86
Admission Date: 7/24/2017
Admitted From: Morristown Memorial Hospital
Discharge Date: 9/29/2017
Discharged To: Home
Length of Stay: 67 Days
Reason for Stay: Rehabilitation for fracture of right pubis, difficulty in walking.
How did this patient hear about Chatham Hills? Physician referral.

Details of Experience:

Ms. Marian was presented to the emergency room at Morristown Medical Hospital on July 19, 2017 with a fractured pubis. She shared that she hit her right hip on her bedpost while getting into bed and experienced severe pain. After being admitted to the hospital, Ms. Marian did not undergo any surgical operations. She spent most of her first night resting on her right side. She was also not allowed to use her right leg until physician clearance.

After her successful experience at Morristown Medical Center, Ms. Marian was notified that she would need extensive inpatient rehabilitation to support the ability to be independent before returning home. Marian’s primary care doctor and doctor from the hospital had recommended she admit to Chatham Hills Subacute Care Center. Marian’s daughter researched our community and knew it was the place she wanted her mother to be treated. She was admitted to Chatham Hills on July 24, 2017.

Ms. Marian was greeted by professionals at Chatham Hills who anticipated her arrival. Within the first 24 hours of her stay, she was evaluated by the clinical team, the administrative staff, both her physical and occupational therapists who were going to be working with her, and many other valued members of the Chatham Hills team. Marian was evaluated by her therapists to determine the care that Marian was going to need.

Upon arrival to Chatham Hills Subacute Care Center, Ms. Marian was NWB-(Non Weight Bearing) on her right side. While on program, Ms. Marian made consistent progress toward reaching her goals and is continuing to keep perfecting her techniques. Her goal was to be able to go back to being totally independent in all aspects of daily living like she was prior to her accident. After achieving continued progress participating in therapy six days a week and nearing her anticipated discharge date home, Marian is now able to walk 175 feet and able to climb 10 steps. In just a little over two month’s time, she has a projected discharge date for September 29, 2017. She is now planning on returning home. She has a very supportive family who is making appropriate accommodations to make the environment safer. As Marian gratefully shared, “My time in therapy was good. It was a process you go through. Every day I got stronger. Of course I have improved, the therapists are really good.”

Ms. Marian was independent prior to her accident. Her wish when she arrived to Chatham Hills was to return back home and get back to that point. We are very happy to congratulate Marian on getting to this point and being able to return back to her home!

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Chatham Hills Resident Receives Honorary Send-off

Retired firefighter and current resident at Chatham Hills Subacute Care Center, Bernie Conlan, received a true fireman’s send-off as former and current Chatham Township Firefighters and volunteers arrived in the fire engines to surprise him! It was an enjoyable opportunity for Bernie to reminisce and reflect with fellow fireman, along with family and friends as he embarks on the next chapter of his life at the New Jersey Fireman Home!

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