Accommodations
We are a 94–bed Medicare certified facility which provides comprehensive rehabilitation and restorative services. We offer private and semi-private rooms each with its own bathroom. Each room is cable and phone ready. Residents are offered a wide variety of meaningful activities. Participation is strongly encouraged, but always voluntary. Residents have the opportunity to empower themselves through Resident Council meetings, spiritual fulfillment, cooking, current events, exercise groups, social groups and many other resident focused activities. We provide in house laundry services at no additional charge. We have in-house services such as barber and hairdressing services available as well as optometry, podiatry, audiology and dental care. Some of these services are billed through insurance and some are at the responsibility of the resident.
The listing of Services and Costs is noted below.
Nursing Facility List of Services and Costs:
Room and Board:
Please contact Baldwinville for current private and semi–private rates.
Coinsurance payments:
The coinsurance rate for Medicare part A covered days is $133.00 day for 2009 for the 21st through the 100th day. The coinsurance rate for Medicare part B therapy and ancillary services is 20% of the total billed charge. The part B annual deductible for all part B services is $135.00 per year for 2009. These coinsurances will be billed to your secondary insurance. If there is no secondary insurance in place or if there are maximum limitations on your policy you may be responsible for these payments.
Bed hold payments:
If you are transferred to a hospital for a medical leave and plan to return to your bed here, we are obligated under OBRA and the Division of Medical Assistance to hold your bed for 10 days. If Medicaid coverage is not in force you are obligated to pay us our private per diem rate if you plan to return here. If you have Medicaid coverage in force, we will bill Medicaid for the hospital days. If a resident remains in the hospital for longer than 10 days, the facility no longer is required to hold the bed and does have the option to discharge the resident from the facility or the family may choose to pay privately to hold the bed. Please see our bed hold policy for further detail.
Pharmacy Charges:
Stat-Care Pharmacy is contracted by us to provide pharmacy services. If you are covered under Medicare A, your pharmacy costs will be included in your Medicare rate and you will not be charged separately.
Stat-Care pharmacy will bill your Medicare D plan directly or your secondary insurance if they are contracted with them and if your insurance has pharmacy coverage. If you do not have retail pharmacy benefits as part of your secondary insurance coverage or if Stat-Care is not able to bill your insurance company they will contact you to make other payment arrangements. Stat-Care Pharmacy has indicated to us that they make every effort to keep their prices at a reasonable amount. If you would like a price quote please feel free to contact them 1-888-839-3303.
Specialty Mattress Equipment:
If a specialty mattress is necessary for your treatment, per your doctor’s order, this equipment can be ordered for you. While under Medicare A coverage this charge is included in your Medicare rate. Medicaid or other insurance coverage may cover this cost if you are not utilizing Medicare A days. If you do not have this type of coverage you may be liable for payment. The charge for this equipment varies by type of bed ordered. The rental fees for this range from $10.00 to $ 200.00 per day.
Laundry Services:
Laundry services are provided by the nursing home at no additional cost to the resident.
Physical, Occupational and Speech Therapy Services:
Therapy services are provided to our residents according to their doctor’s orders and therapists plan of treatment. If you are covered under Medicare A, your therapy costs will be included in your Medicare rate and you will not be charged separately.
The facility will bill Medicare for part B therapy services at the CMS approved current fee screens and also your secondary insurance for the 20% co-insurance, up to the 2006 yearly maximum of $1740.00 for physical therapy and speech therapy; $ 1740.00 for occupational therapy. If you do not have secondary insurance to cover the co-pay you may be responsible to pay us this amount privately. All efforts to secure reimbursement for Medicare B therapies will be utilized.
Hairdresser Fees:
These fees are the resident’s responsibility. The fee schedule is as follows:
Hairdresser Fees:
| -$ 11.00 Haircut | -$ 11.00 Set (no shampoo) |
| -$ 12.00 Set & Shampoo | -$ 20.00 Wash, Haircut and Set |
| -$ 45.00 Permanents | -$ 35.00 Color Treatment |
Telephone Services:
Telephone services are provided by Verizon and billed directly to the resident by the company. The customer service representative phone number is 1-800-870-9999.
**Medicaid recipients are eligible to receive additional discounts. This will be reviewed with you when service is ordered.
Cable Services:
Cable television is provided by Comcast and billed directly to the resident by the company. The customer service representative is Keith McDonald and can be reached at 1-978-963-3363.
Newspaper Delivery:
The fees for newspaper delivery are based upon the particular newspaper's current rates. The following papers are available for delivery:
- The Gardner News
- Athol Daily News
- Worcester Telegram (incl. Sunday)
- Winchendon Courier
- Fitchburg Sentinel
- Boston Globe (weekly or Sunday only)
Podiatry, Optometry, Dental and Audiology Services:
These medical services are provided to our residents by Healthdrive Medical and Dental Practice.
For Medicaid recipients there is an allowance available for dental care and the purchase of eyeglasses. Healthdrive is responsible for authorizing the paperwork involved for this allowance. The dental care fee or the cost of eyeglasses purchased can be used as a credit for the monthly patient paid amount. The Healthdrive bill is paid directly to Healthdrive.
A schedule of pricing provided by Healthdrive is provided below as well as in the Healthdrive brochure and authorization form included in your admission packet.