We accept Medicare, Medicaid, private insurance as well as private pay. Staff at Breese Nursing Home will assist you with contact information and the application process. In addition, we work with numerous insurance programs.

Private pay rates start at $140.00 per day, are based on a point system, thus you are only paying for the services you need.

Medicare:

Medicare Part A will pay up to 100 days of skilled care if the individual qualifies, but skilled care is narrowly defined, Medicare payments will usually last for only a short time and are temporary.

Medicare is a Federal health insurance program.  Under Medicare Part A, the first twenty days may be covered in full.  From days 21-100, Medicare will pay a portion of the cost of care if you continue to require skilled services.   The patient will be responsible for part of the cost (called the “co-pay”) of your stay.  The days will be covered by Medicare A only if the person had a qualifying three midnight stay in the hospital before entering the nursing home, the resident needs certain skilled care or if treatments are showing improvement in the individual’s condition so continuation of treatment is valuable.  Medicare A stops paying when the treatment ends or the 100 days are used. Detailed financial information is required if you apply for Medicaid (public assistance). Visit www.medicare.gov for more information on Medicare.

Medicaid:

Intermediate Care is provided for patients who are recovering from acute conditions but do not need continuous care or daily therapeutic services.  Intermediate care is provided by skilled professionals such as nurses or therapists under the supervision of a physician.  Medicare Part A does not cover intermediate care in nursing homes.

Medicaid will pay for Intermediate Care services if the individual is eligible.  For those who have limited income, Medicaid may be an option.  Medicaid is a joint federal-state health care program for people with a low income.  In Illinois, a person must apply to the State of Illinois through the Department of Health and Human Services to obtain Medicaid eligibility.  Strict criteria must be met in order to qualify for Medicaid.  The State of Illinois will not pay bills more than three months prior to the date of application. Visit www.medicaid.gov and go to Illinois for more information on Medicaid.

Veterans Administration:

If you are a Veteran, there may be assistance through the Veterans Administration. A person who served in the active military, naval, or air service and who was discharged or released under conditions other than dishonorable may qualify for VA health care benefits.  In order to access these benefits the Veteran must first apply for enrollment.  In Illinois, the nursing home must have a contract with the VA in order to accept payment for the nursing home stay through the Veterans Administration.

Wartime Veterans’ Improved Pension Program:

The Wartime Veterans’ Improved Pension Program is a program that provides financial assistance to wartime veterans and/or their surviving spouses who reside in long term care or assisted living facilities.  An application must be completed and other criteria must be met in order to be eligible for the program.

The State Health Insurance Assistance Program (SHIP) is a free counseling program where trained counselors provide answers to questions related to Medicare, Medicare Supplemental Insurance, Medicare Advantage, Medicaid, Long-Term Care Insurance, Prescription Coverage and low-income assistance.

• Prior to arriving at the facility, the interdisciplinary team will review your medical records to ensure that we can provide you with the medical care and support services you will need for you to achieve optimal physical and emotional health.
• The facility is required to have a PASSR screen to confirm that you currently need a skilled nursing facility and the facility is also required to complete a background check on the patient.
• Initial paperwork can be completed prior to arriving at the facility.
• After arriving at the facility, your attending physician will visit you and recommend your individualized plan of medical treatment, supervise diagnostic and therapeutic procedures and prescribe medications.  The interdisciplinary team members will be visiting to complete various assessments to identify your current status and needs.  The interdisciplinary team will also meet with the patient and family to discuss a plan of care to help the patient achieve and maintain their highest level of function and independence and safely return to their home.

Advance Directives:

Advance Directives are the legal documents and advance care planning is the process that allows you to make your wishes for care known to others.

Everyone has the legal right to accept or refuse treatments.

If you have shared your wishes for care in advance, you can help relieve the stress and worry that making medical decisions for someone else can cause.  It is important to complete the documents that share your wishes with the family members and your healthcare team so everyone understands the kind of care you want before a medical crisis occurs.

Power of Attorney for Healthcare-Advance Directive should be completed by everyone over the age of 18.  This document allows you to choose the person you want to speak for you regarding healthcare decisions when you cannot speak for yourself.  This person makes decision only if you are not able to make your own decisions, as determined by your doctor.   You should also talk to your doctor about your wishes.

The Uniform Do-Not-Resuscitate (DNR)/POLST Advance Directive form allows you to request or forbid cardiopulmonary resuscitation (CPR) to try to restart your breathing and heart should your heart and/or breathing stop.  The form also allows you to request all treatments, or limit treatments or comfort care following an emergency.  The POLST form is an advance directive in accordance with Illinois law.  It is NOT intended to replace a Power of Attorney for Health Care form.  It should be used in addition to the Power of Attorney Form.

Transition To Our Skilled Nursing Facility:

Communication and listening are important during the transition period.  Each patient is an individual and has different needs and wants.  Our facility will respect your needs and adapt our care and services to meet your individualized care and personal preferences.

Moving into a nursing home can be difficult for the patient and family even if it is a temporary move.  Empowering the patient to make their own decisions on their care will maintain a sense of control that they have had through their adult life.  Discussing and supporting the patient’s decisions alleviates anxiety and stress.   Family, friends and frequent visits will provide reassurance to the patient that you will be there for support.   Our friendly staff will provide a nurturing, supportive environment to assist with healing the mind, body and spirit.

We welcome physicians to follow their patients at Breese Nursing Home. If you need a physician while you are a resident at Breese Nursing Home, we will assist you in finding a physician.

Physicians, Dentists, Podiatrists, Optometrists visit the facility on a regular basis.

The facility offers palliative care. The facility will work with any hospice you choose.

Your loved one has the option of a short-term stay at Breese Nursing Home.

The facility will wash your loved one’s personal clothing items at no additional cost. We have a laundry department to wash resident clothes as well as linens.

We have housekeeping and maintenance staff to provide a clean, safe environment.

The facility will assist with making arrangements to meet transportation needs.

Physicians, Dentists, Podiatrists, Optometrists visit the facility on a regular basis.

The facility has rooms available for family parties and will assist with set up.