PATIENT AND FAMILY GUIDE BOOK | LIVING WITH PEACE AND CONFIDENCE SECTION (Appendix) SECTION 2-B (Appendix) Managing Uncontrolled Symptoms 2-B
Should you develop uncontrolled symptoms that cannot be addressed in your current residence, your hospice benefit includes the General Inpatient Level of Care provided in a contracted MJHS Hospice Inpatient Unit (IPU) or skilled nursing facility. In order to continue receiving hospice services from MJHS-HPC, any hospitalization related to your hospice diagnosis must be provided at an MJHS-HPC contracted facility. You can decide to use services or be admitted to a hospital or facility not contracted with MJHS-HPC for symptoms related to your hospice diagnosis by revoking your hospice benefit or assuming responsibility for any fees or charges related to the service provided. If your symptoms become unmanageable, don’t panic: STOP and call one of our 24/7 numbers: Manhattan and the Bronx: (212) 649-5555 Brooklyn: (718) 921-7900 Queens and Nassau: (516) 239-2400 A nurse or physician will immediately evaluate you and your symptoms to see if the General Inpatient Level of Care is best for you. Please speak to your RN Case Manager at the time of admission to predetermine where you would prefer to be transferred, should this level of care is needed.
Locations for Inpatient Level of Care BRONX MJHS HOSPICE MURIEL AND MONTEFIORE MEDICAL CENTER MONTEFIORE MEDICAL CENTER HAROLD BLOCK RESIDENCE (EINSTEIN CAMPUS) (MOSES CAMPUS) 2550 Webb Avenue, 12th Floor 1825 Eastchester Road 111 East 210th Street Bronx, NY 10468 Bronx NY, 10461 Bronx NY, 10467 Phone: 1-800-Hospice (467-7423) Phone: (718) 904-2000 Phone: (718) 920-4321
MONTEFIORE MEDICAL CENTER (WAKEFIELD CAMPUS) 600 East 233rd Street Bronx NY, 10466 Phone: (718) 920-9000
** Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2
MJHS HOSPICE AND PALLIATIVE CARE (212) 649-5555 | (718) 921-7900 | (516) 239-2400. 1 PATIENT AND FAMILY GUIDE BOOK | LIVINGWITH PEACE AND CONFIDENCE 2-B Locations for Inpatient Level of Care continued (Appendix)
SECTION BROOKLYN MJHS HOSPICE INPATIENT MJHS INPATIENT UNIT MOUNT SINAI BETH ISRAEL - RESIDENCE AT MENORAH AT BORO PARK CENTER BROOKLYN DIVISION ** 1516 Oriental Blvd. FOR REHABILITATION AND 3201 Kings Highway Brooklyn NY, 11235 HEALTHCARE Brooklyn NY, 11234 Phone: (718) 368-7744 4915 10th Avenue- 3rd Floor Phone: (718) 252-3000 Brooklyn, NY 11219 Phone: (718) 851-3700 NEW YORK METHODIST HOSPITAL 506 Sixth Street Brooklyn NY, 11215 Phone: ( 718) 780-3000 MANHATTAN MJHS HOSPICE INPATIENT UNIT MOUNT SINAI ST. LUKE’S MOUNT SINAI WEST (FORMERLY AT MOUNT SINAI BETH ISRAEL 1111 Amsterdam Avenue ROOSEVELT HOSPITAL) (9 Dazian - Pod D) New York, NY 10025 1000 Tenth Avenue 1st Avenue at 16th Street Phone: (212) 523-4000 New York, NY 10019 New York, NY 10003 Phone: (212) 523-4000 Phone: (212) 844-1712 NEW JEWISH HOME 120 West 106th Street New York NY, 10025 Phone: (212) 870-5000 LONG ISLAND: NASSAU THE AMSTERDAM AT MEADOWBROOK CARE CENTER MJHS HOSPICE INPATIENT HARBORSIDE 320 W. Merrick Road UNIT AT BEACH TERRACE CARE 300 East Overlook Freeport NY, 11520 CENTER Port Washington NY, 11050 Phone: (516) 377-8232 640 West Broadway Phone: (516) 472-6610 Long Beach NY, 11561 Phone: (516) 431-4400 SOUTH NASSAU COMMUNITIES WINTHROP UNIVERSITY HOSPITAL HOSPITAL One Healthy Way Oceanside NY, 259 First Street 11572 Phone: (516) 632-3000 Mineola NY, 11501 Phone: (516) 663-0333
** Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2
2 MJHS HOSPICE AND PALLIATIVE CARE (212) 649-5555 | (718) 921-7900 | (516) 239-2400. PATIENT AND FAMILY GUIDE BOOK | LIVINGWITH PEACE AND CONFIDENCE SECTION (Appendix) QUEENS FLUSHING HOSPITAL MEDICAL NEW YORK PRESBYTERIAN SILVERCREST CENTER FOR 2-B CENTER QUEENS 56-45 Main Street NURSING AND REHAB ** 4500 Parson Blvd. Flushing NY, 11355 144-45 87th Avenue Flushing NY, 11355 Phone: (718) 670-2000 Briarwood NY, 11435 Phone: (718) 670-5000 Phone: (718) 480-4000
Skilled Nursing Facilities
BRONX o BAINBRIDGE NURSING AND o BETH ABRAHAM HEALTH o EASTCHESTER REHAB AND REHABILITATION CENTER SERVICES HEALTH CARE CENTER ** 3518 Bainbridge Avenue 612 Allerton Avenue 2700 Eastchester Road Bronx NY, 10467 Bronx NY, 10467 Bronx NY, 10469 Phone: (718) 655-1991 Phone: (718) 519-4000 Phone: (718) 231-5550 o FORDHAM NURSING AND o HUDSON POINTE AT RIVERDALE o MORNINGSIDE HOUSE NURSING REHABILITATION CENTER CENTER FOR NURSING & REHAB HOME & REHABILITATION 2678 Kingsbridge Terrace 3220 Henry Hudson Pkwy SERVICE CARE Bronx NY, 10463 Bronx NY, 10463 1000 Pelham Parkway S. Phone: (718) 796-5800 Phone: (718) 514-2000 Bronx NY, 10461 Phone: (718) 409-8200 o THE PLAZA REHABILITATION o RIVERDALE NURSING HOME o SCHERVIER NURSING CARE 100 West Kingsbridge Road 641 West 230th Street CENTER Bronx NY, 10468 Bronx NY, 10463 2975 Independence Avenue Phone: (718) 410-1500 Phone: (718) 796-4800 Bronx NY, 10463 Phone: (718) 548-1700 o SPLIT ROCK REHABILITATION o TRIBORO CENTER FOR o UNIVERSITY NURSING HOME AND HEALTH CARE CENTER ** REHABILITATION AND 2505 Grand Avenue 3525 Baychester Avenue NURSING CARE Bronx NY, 10468 Bronx NY, 10466 1160 Teller Avenue Phone: (718) 295-1400 Phone: (718) 798-8900 Bronx NY, 10456 Phone: (718) 293-1500 o WORKMEN’S CIRCLE MULTICARE CENTER 3155 Grace Avenue Bronx NY, 10469 Phone: (718) 379-8100
** Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2
MJHS HOSPICE AND PALLIATIVE CARE (212) 649-5555 | (718) 921-7900 | (516) 239-2400. 3 PATIENT AND FAMILY GUIDE BOOK | LIVING WITH PEACE AND CONFIDENCE
Skilled Nursing Facilities continued
2-B BROOKLYN o AUGUSTANA CENTER FOR o BEDFORD CENTER FOR o BORO PARK CENTER (Appendix) ** SECTION EXTENDED CARE AND NURSING AND REHABILITATION 4915 Tenth Avenue REHABILITATION 40 Heyward Street Brooklyn, NY 11219 5434 Second Avenue Brooklyn, NY 11249 Phone #: (718) 851-3700 Brooklyn, NY 11220 Phone: (718) 858-6200 Phone #: (718) 630-6000 o BROOKLYN GARDENS REHAB & o BUENA VIDA CONTINUING CARE o CENTER FOR NURSING NURSING CENTER & REHAB CENTER REHABILITATION 835 Herkimer Street 48 Cedar Street 520 Prospect Place Brooklyn, NY 11233 Brooklyn, NY 11221 Brooklyn, NY 11238 Phone: (718) 221-2600 Phone: (718) 455-6200 Phone: (718) 636-1000 o CONCORD NURSING HOME INC. o CROWN HEIGHTS CENTER FOR o FOUR SEASONS NURSING & 300 Madison Street NURSING AND REHABILITATION REHAB CENTER ** Brooklyn, NY 11216 810 St. Mark’s Avenue 1555 Rockaway Parkway Phone: (718) 636-7500 Brooklyn, NY 11213 Brooklyn, NY 11236 Phone: (718) 467-7300 Phone: (718) 927-6300 o HAMILTON PARK NURSING AND o THE HERITAGE REHAB & o KING DAVID REHAB CENTER REHAB CENTER HEALTH CENTER (F/K/A Sephardic) 691 92nd Street 5606 15th Avenue 2266 Cropsey Avenue Brooklyn, NY 11228 Brooklyn, NY 11219 Brooklyn, NY 11214 Phone: (718) 567-1000 Phone: (718) 851-1000 Phone: (718) 266-2418 o LINDEN CENTER FOR NURSING o MENORAH CENTER FOR REHAB o NEW CARLTON REHAB AND AND REHABILITATION AND NURSING CARE NURSING CENTER 2237 Linden Boulevard 1516 Oriental Blvd. 405 Carlton Avenue Brooklyn, NY 11207 Brooklyn, NY 11235 Brooklyn, NY 11238 Phone: (718) 649-7000 Phone: (718) 646-4441 Phone: (718) 789-6262 o THE PHOENIX REHABILITATION o RUTLAND NURSING HOME ** o SEAGATE REHAB & NURSING AND NURSING CENTER 585 Schenectady Avenue CENTER 140 St. Edwards Street Brooklyn, NY 11203 3015 West 29th Street Brooklyn, NY 11201 Phone: (718) 604-5000 Brooklyn, NY 11224 Phone: (718) 858-6400 Phone: (718) 266-5700 o SPRING CREEK REHAB AND o ST. JOACHIM & ANNE NURSING NURSING CARE CENTER & REHAB CENTER 660 Louisiana Avenue 2720 Surf Avenue Brooklyn, NY 11239 Brooklyn, NY 11224 Phone: (718) 669-7100 Phone: (718) 714-4800
** Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2
4 MJHS HOSPICE AND PALLIATIVE CARE (212) 649-5555 | (718) 921-7900 | (516) 239-2400. PATIENT AND FAMILY GUIDE BOOK | LIVINGWITH PEACE AND CONFIDENCE SECTION (Appendix) MANHATTAN
o AMSTERDAM NURSING HOME o FORT TRYON REHAB & o GOUVERNEUR NURSING 2-B
1060 Amsterdam Avenue HEALTH CARE FACILITY (Lower E. Side) New York, NY 10025 801 West 190th Street 227 Madison Street Phone: (212) 316-7700 New York, NY 10040 New York, NY 10002 Phone: (212) 543-6400 Phone: (212) 238-7897 o HARLEM CENTER FOR NURSING o ISABELLA GERIATRIC o NEW JEWISH HOME – AND REHAB CENTER ** MANHATTAN DIVISION 30 West 138th Street 515 Audubon Avenue 120 West 106th Street New York, NY 10037 New York, NY 10040 New York, NY 10025 Phone: (212) 690-7400 Phone: (212) 342-9200 Phone: (212) 870-5000 o NEW EASTSIDE NURSING HOME o NORTHERN MANHATTAN o UPPER EAST SIDE REHAB 25 Willett Street REHABILITATION AND NURSING (F/K/A DEWITT) New York, NY 10002 CENTER 211 East 79th Street Phone: (212) 673-8500 116 East 125th Street New York, NY 10075 New York, NY 10035 Phone: (212) 879-1600 Phone: (212) 426-1284 o ST. MARY’S CENTER, INC. 516 West 126th Street New York, NY 10027 Phone: (212) 662-1826 LONG ISLAND: NASSAU o AMSTERDAM AT HARBORSIDE o BEACH TERRACE o FULTON COMMONS CARE 300 East Overlook CARE CENTER CENTER NURSING AND Port Washington, NY 11050 640 West Broadway REHABILITATION Phone: (516) 472-6610 Long Beach, New York 11561 60 Merrick Avenue Phone: (516) 431-4400 East Meadow, NY 11554 Phone: (516) 222-9300 o GRANDELL REHABILITATION o LONG BEACH NURSING AND o MEADOWBROOK CARE CENTER AND NURSING CENTER REHABILITATION CENTER 320 W. Merrick Road 645 West Broadway 375 East Bay Drive Freeport, NY 11520 Long Beach, NY 11561 Long Beach, NY 11561 Phone: (516) 377-8200 Phone: (516) 889-1100 Phone: (516) 897-1000 o OCEANSIDE CARE CENTER o ROCKVILLE SKILLED NURSING o PARK AVENUE EXTENDED 2914 Lincoln Avenue AND REHABILITATION CENTER CARE CENTER Oceanside, NY 11572 50 Maine Avenue 425 National Boulevard Phone: (516) 536-2300 Rockville Centre, NY 11570 Long Beach, NY 11561 Phone: (516) 536-8000 Phone: (516) 431-2600 ext. 3004
** Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2
MJHS HOSPICE AND PALLIATIVE CARE (212) 649-5555 | (718) 921-7900 | (516) 239-2400. 5 PATIENT AND FAMILY GUIDE BOOK | LIVING WITH PEACE AND CONFIDENCE
2-B Skilled Nursing Facilities continued (Appendix)
SECTION LONG ISLAND: NASSAU continued o SUNHARBOR MANOR 255 o TOWNHOUSE CENTER FOR o WOODMERE REHAB & HEALTH Warner Avenue REHABILITATION AND CARE CENTER ** Roslyn Heights, NY 11577 NURSING ** 121 Franklin Place Phone: (516) 621-5400 755 Hempstead Turnpike Woodmere, NY 11598 Uniondale, NY 11553 Phone: (516) 374-9300 Phone: (516) 565-1900 QUEENS o CLIFFSIDE REHAB & o CYPRESS GARDEN o FAIRVIEW NURSING CARE RESIDENTIAL HEALTH CARE CENTER FOR NURSING CENTER INC. CENTER 139-66 35th Avenue 69-70 Grand Central Parkway 144-45 87th Avenue Flushing, NY 11354 Forest Hills, NY 11375 Briarwood, NY 11435 Phone: (718) 961-5300 Phone: (718) 263-4600 Phone: (718) 886-0700 o FRANKLIN CENTER FOR o FOREST VIEW CENTER FOR o HILLSIDE MANOR REHAB & REHABILATION AND REHAB AND NURSING EXTENDED CARE NURSING ** 71-20 110th Street 182-15 Hillside Avenue 142-27 Franklin Avenue Forest Hills, NY 11375 Jamaica Estates, NY 11432 Flushing, NY 11355 Phone: (718) 793-3200 Phone: (718) 291-8200 Phone: (718) 670-3400 o HOLLISWOOD CENTER FOR o MARGARET TIETZ NURSING o MEADOW PARK REHAB AND HEALTHCARE AND REHABILITATION CENTER REHABILITATION AND HEALTH 195-44 Woodhull Avenue 164-11 Chapin Parkway CARE CENTER Jamaica, NY 11423 Jamaica Hills, NY 11432 78-10 164th Street Phone: (718) 740-3500 Phone: (718) 298-7800 Fresh Meadows, NY 11366 Phone: (718) 591-8300 o NEW SURFSIDE NURSING HOME 22-41 New Haven Avenue Far Rockaway, NY 11691 Phone: (718) 471-3400
** Contracted with MJHS to provide hospice and accept ventilator patients MUS.17.v2
6 MJHS HOSPICE AND PALLIATIVE CARE (212) 649-5555 | (718) 921-7900 | (516) 239-2400. SECTION 2-B (Appendix) 7
MUS.17.v2
| LIVINGWITH CONFIDENCE AND PEACE QUEENS NASSAU AND NURSING REHABILITATION CENTER 520 Beach 19th Street NY 11691 Rockaway, Far Center) WEST LAWRENCE CARE CARE WEST LAWRENCE CENTER 1410 Seagirt Boulevard NY 11691 Phone: Rockaway, Far Phone: (718) 471-7400 Phone: Manor Nursing And Rehabilitation SAPPHIRE CENTER FOR AND NURSING REHABILITATION (718) 471-7000 (Formerly known as Flushng PENINSULA CENTER FOR PENINSULA CENTER AND EXTENDED CARE REHABILITATION Drive 50-15 Beach Channel NY 11691 Rockaway, Far (718) 734-2000 Phone: 35-15 Parsons Boulevard 35-15 Parsons NY 11354 Flushing, (718) 961-3500 Phone:
o o o o
**
AY CARE CENTER CARE AY PATIENT AND FAMILY GUIDE BOOK GUIDE AND FAMILY PATIENT
ROCKAW QUEENS BOULEVARD QUEENS BOULEVARD FACILITY EXTENDED CARE 61-11 Queens Boulevard NY 11377 Woodside, (718) 205-0287 Phone:
UNION PLAZA CARE CENTER CENTER UNION PLAZA CARE 33-23 Union Street NY 11354 Flushing, (718) 670-0700 Phone: PARK NURSING HOME NURSING PARK 128 Beach 115th Street NY 11694 Rockaway Park, (718) 474-6400 Phone: 353 Beach 48th Street NY 11691 Rockaway, Far (718) 471-5000 Phone:
o o o o (212) 649-5555 | (718) 921-7900 | (516) 239-2400.
**
**
continued
WOODCREST REHAB & CARE RESIDENTIAL HEALTH CENTER 119-09 26th Avenue NY 11354 Flushing, REGAL HEIGHTS AND REHABILTATION HEALTHCARE CENTER HEALTHCARE 70-05 35th Avenue NY 11372 Jackson Heights, (718) 662-5100 Phone: (718) 762-6100 Phone: PROMENADE REHABILITATION CENTER CARE AND HEALTH SILVERCREST CENTER FOR SILVERCREST NURSING AND REHAB 140 Beach 114th Street 11694 NY Rockaway Park, (718) 945-4600 Phone: 144-45 87th Avenue 144-45 87th NY 11435 Briarwood, (718) 480-4000 Phone: THE PAVILION AT QUEENS QUEENS AT THE PAVILION Boulevard 36-17 Parsons NY 11354 Flushing, (718) 961-4300 Phone:
Contracted with MJHS to provide hospice and accept ventilator patients
o o o o QUEENS o ** CARE MJHS HOSPICE AND PALLIATIVE Inpatient/Skilled Patient Name: ______Nursing Preference Chart #: ______DOB: ____ / ____ / ____
In the event of an emergency, and the need to provide a General Inpatient Level of Care, my preference is to be transferred to the following inpatient units:
Inpatient Units (please list in order of preference):
1. ______
2. ______
3. ______
4. ______
5. ______
Should long-term care be required during the course of my treatment, my preference is to be transferred to the following skilled nursing facilities:
Skilled Nursing Facility (please list in order of preference):
1. ______
2. ______
3. ______
4. ______
5. ______
Although it may not always be possible, MJHS Hospice will do their best to transfer you to the unit or skilled facility of your choice.
39 Broadway, 2nd Floor, New York, NY 10006 Phone: (212)-649-5555 | Fax: (212) 844-7605 | Web: mjhs.org