gentleman in a nursing home

Nursing Home Services

Long Term Care Ombudsmen

Ombudsmen are trained volunteers with whom residents of long-term care facilities, or their families, can speak confidentially about matters of concern.   Residents can discuss their quality of care, conflicts with staff, financial matters, food preferences, facility policies, and other issues.  Ombudsmen advocate on behalf of residents and their families, mediate solutions to various problems, and monitor care and conditions in facilities.  They maintain a presence in facilities to insure that the rights of those residents who cannot speak for themselves are protected.

Volunteers for the Ombudsman Program receive initial training, and certification; attend scheduled meetings; complete monthly and quarterly reports, and must be willing to commit to one year of service.  Contact Us or call the Long Term Care Ombudsman Program Director at 978-281-1750 or 1-866-927-1050 to request more information, to donate to the program, or to volunteer.

Learn more about local facilities and see annual licensure inspection results:

Nurses Screenings

SeniorCare’s nursing team provides medical eligibility screening, initial assessment, and any necessary periodic reassessment visits for participants who are served by our Homecare Program and Homecare Enhanced Programs, such as Group Adult Foster Care, Enhanced Community Options Program, and Community Choices Program. In addition, our nurses develop personal care plans for homecare consumers.

SeniorCare nurses provide screenings, assessments, and visits to anyone in a facility on MA Health.  Our nurses also visit residents or patients in skilled nursing facilities who may wish to return to the community and are seeking community services upon discharge.

SeniorCare nurses do not act as visiting nurses, thus they provide no direct medical nursing services to consumers.  However, our nurses work closely with our Care Managers and Homecare Staff to coordinate services, and to develop appropriate medication management strategies for consumers.

Options Counseling

Options Counseling is a free service with state-trained counselors for people age 60 and older, or age 22 and older with a disability. This service is short term– usually about 30 days. Counselors can meet with consumers by phone, email, in person, or a combination. Options Counseling is available to people who reside at home, in nursing homes, rehabilitation facilities, hospitals, and to caregivers wherever they may live, including out of state.

SeniorCare’s options counselors can help with:

  • Finding all available community care options for people age 60 and older, or age 22 and older with a disability
  • Ensuring that the individual retains control over the process
  • Unbiased information to help you weigh the pro’s and con’s of each available option
  • Referrals to other services on your behalf

Options Counseling services are available statewide, through 11 regional Aging and Disability Resource Consortia (ADRC), which are comprised of agencies from the elder network, the disability network, and other community-based partners working in concert to ensure efficient access to long term services and supports for people regardless of age, income or disability.

Care Transitions – Getting Home, Staying Home

Care Transitions is a free service from trained a Coleman or other Care Transitions Coach, and involves short term services, including one home visit, and two followup calls over a period of thirty days. Care Transition Coaches work closely with the consumer, their family and other informal supports, and medical practitioners and facility staff. The goal of Care Transitions is “Getting Home and Staying Home.”

A Care Transitions Coach can

  • Assist you when you change care settings: home to a hospital, hospital to rehab, rehab to home, home to your physician’s office, etc.
  • Work toward the goal of keeping you out of the hospital
  • Provide assistance with medications, understanding the “red flags’ of your medical condition, preparing for your primary care doctor or specialist appointment.  A personal health record is also provided for you to use for all your appointments.
  • Provide information about and referral to other programs, as needed.