PATIENT AND FAMILY GUIDE BOOK | LIVING WITH PEACE AND CONFIDENCE SECTION (Appendix) SECTION 2-B (Appendix) 2-B Managing Uncontrolled Symptoms
Alternate Care Settings
Should you develop uncontrolled symptoms that cannot be addressed in your current residence, your hospice benefit includes General Inpatient Level of Care, which is provided in an alternate care setting, such as a hospice inpatient unit or skilled nursing facility. In order to continue receiving hospice care from MJHS Hospice and Palliative Care (MJHS-PC), you must be at a MJHS-PC contracted facility. This section includes the most current list of alternate care settings that MJHS-HPC is contracted with. Please complete the Inpatient/Skilled Nursing Preference Form in this section to predetermine where you would prefer to be transferred, should this level of care be needed. In the event of an emergency we will do our best to transfer you to the unit or facility of your choice. If your symptoms become unmanageable, don’t panic: STOP and call one of our 24/7 numbers: • Brooklyn: (718) 921-7900 • Queens and Nassau: (516) 239-2400 • Manhattan and the Bronx: (212) 649-5555 A nurse or physician will immediately evaluate your symptoms to see if a General Inpatient Level of Care is best for you. You can decide to receive care from a hospice or facility not contracted with your MJHS-PC for symptoms related your hospice diagnosis by revoking your hospice benefit or assuming responsibility for any fees or changes related to the care provided.
Inpatient Units
BRONX MONTEFIORE MEDICAL CENTER MONTEFIORE MEDICAL CENTER MONTEFIORE MEDICAL CENTER (EINSTEIN CAMPUS) (MOSES CAMPUS) (WAKEFIELD CAMPUS) 1825 Eastchester Road 111 East 210th Street 600 East 233rd Street Bronx, NY 10461 Bronx, NY 10467 Bronx, NY 10466 Phone: (718) 904-2000 Phone: (718) 921-4321 Phone: (718) 920-9000 MURIEL AND HAROLD BLOCK RESIDENCE 2550 Webb Avenue, 12th Floor Bronx, NY 10468 Phone: (718) 509-0400
** Accepts ventilator patients MUS.20.v4
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SECTION BROOKLYN BORO PARK CENTER MOUNT SINAI BROOKLYN NEW YORK PRESBYTERIAN 4915 10th Avenue (KINGS HIGHWAY) METHODIST HOSPITAL Brooklyn, NY 11219 3201 Kings Highway 506 Sixth Street Phone: (718) 851-3700 Brooklyn, NY 11234 Brooklyn, NY 11215 Phone: (718) 252-3000 PHONE: (718) 780-3000 MANHATTAN MOUNT SINAI BETH ISRAEL MOUNT SINAI ST. LUKE’S MOUNT SINAI WEST (3 DAZIAN) 1111 Amsterdam Avenue (FORMERLY ROOSEVELT 1st Avenue at 16th Street New York, NY 10025 HOSPITAL) New York, NY 10003 phone: (212) 523-4000 1000 Tenth Avenue Phone: (212) 420-4460 New York, NY 10019 phone: (212) 523-4000 THE NEW JEWISH HOME 120 West 106th Street New York NY, 10025 Phone: (212) 870-4913 LONG ISLAND: NASSAU AMSTERDAM AT HARBORSIDE BEACH TERRACE CARE CENTER GOOD SHEPHERD HOSPICE 300 East Overlook 640 West Broadway INPATIENT CENTER (AT MERCY Port Washington, NY 11050 Long Beach, NY 11561 MEDICAL CENTER) Phone: (516) 472-6610 phone: (516) 431-4400 1000 North Village Ave, 2P Rockville Centre, NY 11570 Phone: (516) 517-7000 MOUNT SINAI SOUTH NASSAU NYU WINTHROP HOSPITAL 1 Healthy Way 259 First Street Oceanside, NY 11572 Mineola, NY 11501 phone: (516) 632-3000 Phone: (516) 663-0333 QUEENS FLUSHING HOSPITAL MEDICAL JAMAICA HOSPITAL MEDICAL NEW YORK PRESBYTERIAN CENTER CENTER QUEENS 4500 Parson Blvd. 8900 Van Wyck Expresway 56-45 Main Street Flushing NY, 11355 Jamaica NY, 11418 Flushing NY, 11355 Phone: (718) 670-5000 Phone: (718) 206-6000 Phone: (718) 670-2000
** Accepts ventilator patients MUS.20.v4
2 MJHS HOSPICE AND PALLIATIVE CARE: (718) 921-7900 | (212) 649-5555 | (516) 239-2400. PATIENT AND FAMILY GUIDE BOOK | LIVING WITH PEACE AND CONFIDENCE SECTION (Appendix) Skilled Nursing Facilities 2-B BRONX o BAINBRIDGE NURSING AND o BETH ABRAHAM HEALTH o BRONXCARE SPECIAL REHABILITATION CENTER SERVICES CARE CENTER 3518 Bainbridge Avenue 612 Allerton Avenue 1265 Fulton Ave Bronx NY, 10467 Bronx NY, 10467 Bronx, NY 10456 Phone: (718) 655-1991 Phone: (718) 519-4000 Phone: (718) 579-7000 o BRONX GARDENS o BRONX PARK REHABILITATION o CITADEL REHABILITATION REHABILITATION AND NURSING AND NURSING CENTER AND NURSING CENTER AT CENTER 3845 Carpenter Ave KINGSBRIDGE 2175 Quarry Rd. Bronx, NY 10467 3400 Cannon Pl Bronx, NY 10457 Phone: (718) 798-1100 Bronx, NY 10463 Phone: (718) 960-3917 Phone: (718) 796-8100 o CONCOURSE REHABILITATION o EASTCHESTER REHAB o FORDHAM NURSING AND & NURSING CENTER 2700 Eastchester Rd REHABILITATION CENTER 1072 Grand Concourse Bronx, NY 10469 (FKA TERRACE HEALTH CARE Bronx, NY 10456 Phone: (718) 231-5550 CENTER) Phone: (718) 681-4000 2678 Kingsbridge Terrace Bronx, NY 10463 Phone: (718) 796-5800 o HOPE CENTER o HUDSON POINTE AT RIVERDALE o KINGS HARBOR MULTICARE 1401 University Avenue CENTER FOR NURSING & REHAB CENTER Bronx, NY 10452 3220 Henry Hudson Pkwy 2000 East Gunhill Road Phone: (718) 408-6333 Bronx, NY 10463 Bronx, NY 10469 Phone: (718) 514-2000 Phone: (718) 320-0400 o MORNINGSIDE NURSING AND o RIVERDALE NURSING HOME o SCHERVIER NURSING REHABILITATION CENTER 641 West 230th Street CARE CENTER 1000 Pelham Parkway South Bronx, NY 10463 2975 Independence Avenue Bronx, NY 10461 Phone: (718) 796-4800 Bronx, NY 10463 Phone: (718) 409-8200 Phone: (718) 548-1700 o SPLIT ROCK REHABILITATION o THE PLAZA REHABILITATION o TRIBORO CENTER FOR REHAB AND HEALTH CARE CENTER AND NURSING CENTER & NURSING (FKA DAUGHTERS 3525 Baychester Avenue 100 West Kingsbridge Road OF JACOB) Bronx, NY 10466 Bronx, NY 10468 1160 Teller Avenue Phone: (718) 798-8900 Phone: (718) 410-1500 Bronx, NY 10456 Phone: (718) 293-1500 o UNIVERSITY CENTER o WORKMEN’S CIRCLE 2505 Grand Avenue MULTICARE CENTER Bronx, NY 10468 3155 Grace Avenue Phone: (718) 295-1400 Bronx, NY 10469 Phone: (718) 379-8100
** Accepts ventilator patients MUS.20.v4
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Skilled Nursing Facilities continued
2-B BROOKLYN o BEDFORD CENTER FOR o BISHOP HENRY B HUCLES o BORO PARK CENTER FOR (Appendix) ** SECTION NURSING AND REHABILITATION NURSING HOME REHABILITATION AND 40 Heyward Street 835 Herkimer Street HEALTHCARE Brooklyn, NY 11249 Brooklyn, NY 11233 4915 Tenth Avenue Phone: (718) 858-6200 Phone: (718) 221-2600 Brooklyn, NY 11219 Phone: (718) 851-3700 o BROOKLYN CENTER FOR o BROOKLYN GARDENS REHAB & o BROOKLYN QUEENS NURSING REHABILITATION AND NURSING CENTER HOME RESIDENTIAL HEALTH CARE 835 Herkimer Street 2749 Linden Blvd 1455 Coney Island Avenue Brooklyn, NY 11233 Brooklyn, NY 11208 Brooklyn NY, 11230 Phone: (718) 221-2600 Phone: (718) 277-5100 Phone: (718) 252-9800 o BUENA VIDA CONTINUING CARE o DOWNTOWN BROOKLYN NURSING o COBBLE HILL NURSING HOME & REHAB CENTER AND REHABILITATION CENTER 380 Henry St 48 Cedar Street 727 Classon Ave Brooklyn NY, 11201 Brooklyn, NY 11221 Brooklyn, NY 11238 Phone: (718) 855-6789 Phone: (718) 455-6200 Phone: (718) 636-1000 o CONCORD NURSING NURSING o CROWN NURSING HOME o CROWN HEIGHTS CENTER FOR AND REHABILITATION 3457 Nostrand Ave NURSING AND REHABILITATION 300 Madison Street Brooklyn, NY 11229 810 St. Mark’s Avenue Brooklyn, NY 11216 Phone: (718) 535-5100 Brooklyn, NY 11213 Phone: (718) 636-7500 Phone: (718) 467-7300 o FOUR SEASONS NURSING & o HAMILTON PARK NURSING AND o HAYM SOLOMAN NUSING HOME REHAB CENTER ** REHAB CENTER 2340 Cropsey Ave 1555 Rockaway Parkway 691 92nd Street Brooklyn, NY 11214 Brooklyn, NY 11236 Brooklyn, NY 11228 (718) 373-1700 Phone: (718) 927-6300 Phone: (718) 567-1000 o KING DAVID REHAB CENTER o LINDEN CENTER FOR NURSING o MENORAH CENTER FOR REHAB (F/K/A Sephardic) AND REHABILITATION AND NURSING CARE 2266 Cropsey Avenue 2237 Linden Boulevard 1516 Oriental Blvd. Brooklyn, NY 11214 Brooklyn, NY 11207 Brooklyn, NY 11235 Phone: (718) 266-2418 Phone: (718) 649-7000 Phone: (718) 646-4441 o NEW CARLTON REHAB AND o RUTLAND NURSING HOME ** o SCHULMAN & SCHACHNE NURSING CENTER 585 Schenectady Avenue INSTITUTE FOR REHABILITATION 405 Carlton Avenue Brooklyn, NY 11203 & NURSING Brooklyn, NY 11238 Phone: (718) 604-5000 555 Rockaway Parkway Phone: (718) 789-6262 Brooklyn, NY 11212 (718) 240-6902 o SEA CREST NURSING AND o SEAGATE REHAB & NURSING o SHORE VIEW NURSING AND REHABILITATION CENTER CENTER REHABILITATION CENTER 3035 West 24th St 3015 West 29th Street 2865 Brighton 3rd Street Brooklyn NY, 11224 Brooklyn, NY 11224 Brooklyn NY, 11235 Phone: (718) 372-4500 Phone: (718) 266-5700 Phone: (718) 891-4400 ** Accepts ventilator patients MUS.20.v4
4 MJHS HOSPICE AND PALLIATIVE CARE: (718) 921-7900 | (212) 649-5555 | (516) 239-2400. PATIENT AND FAMILY GUIDE BOOK | LIVING WITH PEACE AND CONFIDENCE SECTION (Appendix) o SPRING CREEK REHAB AND o ST. JOACHIM & ANNE NURSING o SUSAN SMITH MCKINNEY NURSING CARE CENTER & REHAB CENTER NURSING & REHABILITATION 660 Louisiana Avenue 2720 Surf Avenue CENTER 2-B Brooklyn, NY 11239 Brooklyn, NY 11224 594 Albany Avenue Phone: (718) 669-7100 Phone: (718) 714-4800 Brooklyn NY, 11203 (718) 245-7000 MANHATTAN o AMSTERDAM NURSING HOME o FORT TRYON REHABILITATION o GOUVERNEUR NURSING 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 CENTER ** o NEW EASTSIDE NURSING HOME AND REHAB 515 Audubon Avenue 25 Willett Street 30 West 138th Street New York, NY 10040 New York, NY 10002 New York, NY 10037 Phone: (212) 342-9200 Phone: (212) 673-8500 Phone: (212) 690-7400 o NEW JEWISH HOME – o NORTHERN MANHATTAN o ST. MARY’S CENTER, INC. MANHATTAN DIVISION REHABILITATION AND 516 West 126th Street 120 West 106th Street NURSING CENTER New York, NY 10027 New York, NY 10025 116 East 125th Street Phone: (212) 662-1826 Phone: (212) 870-5000 New York, NY 10035 Phone: (212) 426-1284 o UPPER EAST SIDE REHAB (F/K/A DEWITT) 211 East 79th Street New York, NY 10075 Phone: (212) 879-1600 LONG ISLAND: NASSAU o AMSTERDAM AT HARBORSIDE o BEACH TERRACE o FIVE TOWNS PREMIER 300 East Overlook CARE CENTER NURSING HOME & REHAB Port Washington, NY 11050 640 West Broadway CENTER (FKA WOODMERE) Phone: (516) 472-6610 Long Beach, New York 11561 1050 Central Ave Phone: (516) 431-4400 Woodmere, NY 11598 Phone: (516) 588-3200 o FULTON COMMONS CARE o GRANDELL REHABILITATION o LONG BEACH NURSING AND CENTER NURSING AND AND NURSING CENTER REHABILITATION CENTER REHABILITATION 645 West Broadway 375 East Bay Drive 60 Merrick Avenue Long Beach, NY 11561 Long Beach, NY 11561 East Meadow, NY 11554 Phone: (516) 889-1100 Phone: (516) 897-1000 Phone: (516) 222-9300 o MEADOWBROOK CARE CENTER o OCEANSIDE CARE CENTER o PARK AVENUE EXTENDED 320 W. Merrick Road 2914 Lincoln Avenue CARE CENTER Freeport, NY 11520 Oceanside, NY 11572 425 National Boulevard Phone: (516) 377-8200 Phone: (516) 536-2300 Long Beach, NY 11561 Phone: (516) 431-2600 ext. 3004
** Accepts ventilator patients MUS.20.v4
MJHS HOSPICE AND PALLIATIVE CARE: (718) 921-7900 | (212) 649-5555 | (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 ROCKVILLE SKILLED NURSING o SUNHARBOR MANOR 255 o TOWNHOUSE CENTER FOR AND REHABILITATION CENTER Warner Avenue REHABILITATION AND 50 Maine Avenue Roslyn Heights, NY 11577 NURSING Rockville Centre, NY 11570 Phone: (516) 621-5400 755 Hempstead Turnpike Phone: (516) 536-8000 Uniondale, NY 11553 Phone: (516) 565-1900 QUEENS o BEACH GARDENS o BROOKHAVEN REHABILITATION o CHAPIN HOME FOR THE AGING REHABILITATION & NURSING & HEALTH CARE CENTER LLC 165-01 Chapin Parkway CENTER 250 Beach 17th Street Jamaica, NY 11432 1711 Brookhaven Ave Far Rockaway NY, 11691 Phone: (718) 739 -2523 Far Rockaway NY, 11691 Phone: (718) 471-7500 Phone: (718) 869-8000 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 FOREST VIEW CENTER FOR o HILLSIDE MANOR REHAB & o HOLLISWOOD CENTER FOR REHAB AND NURSING EXTENDED CARE REHAB AND HEALTHCARE 71-20 110th Street 182-15 Hillside Avenue 195-44 Woodhull Avenue Forest Hills, NY 11375 Jamaica Estates, NY 11432 Jamaica, NY 11423 Phone: (718) 793-3200 Phone: (718) 291-8200 Phone: (718) 740-3500 o MARGARET TIETZ NURSING o MEADOW PARK o NEW FRANKLIN CENTER AND REHABILITATION CENTER REHABILITATION AND HEALTH FOR REHABILITATION AND 164-11 Chapin Parkway CARE CENTER NURSING ** Jamaica Hills, NY 11432 78-10 164th Street 142-27 Franklin Avenue Phone: (718) 298-7800 Fresh Meadows, NY 11366 Flushing NY, 11355 Phone: (718) 591-8300 Phone: (718) 670-3400 o NEW SURFSIDE NURSING HOME o PARK NURSING HOME o QUEENS BOULEVARD 22-41 New Haven Avenue 128 Beach 115th Street EXTENDED CARE FACILITY Far Rockaway, NY 11691 Rockaway Park, NY 11694 61-11 Queens Boulevard Phone: (718) 471-3400 Phone: (718) 474-6400 Woodside, NY 11377 Phone: (718) 205-0287
** Accepts ventilator patients MUS.20.v4
6 MJHS HOSPICE AND PALLIATIVE CARE: (718) 921-7900 | (212) 649-5555 | (516) 239-2400. PATIENT AND FAMILY GUIDE BOOK | LIVING WITH PEACE AND CONFIDENCE SECTION (Appendix) Skilled Nursing Facilities continued 2-B QUEENS continued o QUEENS NASSAU o REGAL HEIGHTS o REGO PARK NURSING HOME REHABILITATION AND NURSING REHABILTATION AND 111-26 Corona Avenue CENTER HEALTHCARE CENTER Flushing, NY 11368 520 Beach 19th Street 70-05 35th Avenue Phone: (718) 592 - 6400 Far Rockaway, NY 11691 Jackson Heights, NY 11372 Phone: (718) 471-7400 (718) 662-5100 o ROCKAWAY CARE CENTER ** o SAPPHIRE CENTER FOR o SILVERCREST CENTER FOR 353 Beach 48th Street REHABILITATION AND NURSING NURSING AND REHAB ** Far Rockaway, NY 11691 (Formerly known as Flushng 144-45 87th Avenue Phone: (718) 471-5000 Manor Nursing And Rehabilitation Briarwood, NY 11435 Center) Phone: (718) 480-4000 35-15 Parsons Boulevard Flushing, NY 11354 Phone: (718) 961-3500 o TRUMP PAVILLION FOR o UNION PLAZA CARE CENTER o WEST LAWRENCE CARE NURSING AND REHABILITATION 33-23 Union Street CENTER 89-40 135th Street Flushing, NY 11354 1410 Seagirt Boulevard Jamaica, NY 11418 Phone: (718) 670-0700 Far Rockaway, NY 11691 Phone: (718) 206-5000 Phone: (718) 471-7000 o WOODCREST REHAB & RESIDENTIAL HEALTH CARE CENTER 119-09 26th Avenue Flushing, NY 11354 Phone: (718) 762-6100
** Accepts ventilator patients MUS.20.v4
MJHS HOSPICE AND PALLIATIVE CARE: (718) 921-7900 | (212) 649-5555 | (516) 239-2400. 7 Inpatient Unit/ Patient Name: ______Skilled Nursing Chart #: ______DOB: ____ / ____ / ____ Preference In the event of an emergency, or a need to provide a General Inpatient Level of Care at an inpatient unit or skilled nursing facility, my preference is to be transferred to the following:
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