PLEASE REVIEW THE FORM CRITERIA BELOW
SELECT “CONTINUE TO FORM” AT THE BOTTOM OF THE PAGE TO CONTINUE

ADMISSIONS FORM CRITERIA
(Please Fax the Required Documents to HRC)

REQUIRED for all patients prior to acceptance to Harbor Recuperative Care:

  • Must be cleared of all active communicable diseases/exclusions
  • Must have discharge orders including: Diagnosis, Dietary orders, follow-up scheduled appointments, Plan of Care and Discharge Prescriptions
  • If medical procedures are indicated, must have plan in place (i.e. home health visits, clinic appointments, physical therapy visits, etc.)
  • Must have Social Worker evaluation
  • If uninsured, must have at least one month supply of all prescribed medications

 

HRC Candidate Admission Criteria:

  • 18 years of age or older
  • Able to self-represent
  • Able to self-medicate
  • Discharge ready per Hospital policies and protocol
  • Cleared of all active Communicable Diseases (see list below)
  • Homeless or Temporarily Homeless
  • Returning bodily functions
  • Understands, is willing and compliant with ALL HRC Rules & Regulations
  • 1-Assist: ADL/Transfer
  • Exacerbated chronic condition (9DHF, O2 dependent, dialysis-OK) case by case evaluation determined by HRC Admissions
  • Compliant with ALL medical and psychiatric treatments
  • Ambulates without need for supervision/monitoring, using an assistive device or not
  • Able to ambulate at least 150 feet with or without assistive device

HRC Exclusion of Candidate:

  • Acute psychosis
  • Alzheimer’s – mid to late
  • Arsonist
  • Assault on Law Enforcement Officer
  • Bipolar with hallucinations/delusions
  • BLE and/or BLU Amputation/weakness unable to transfer
  • Blind/legally blind
  • Combative/Violent
  • Commode
  • Deaf/severe hearing loss
  • Dementia – severe (severe memory loss/retention)
  • Hallucinations/Delusions
  • Hemiplegic/Hemophilia
  • Insight below “Fair” and/or Judgement below ‘Fair”
  • Quadriplegic
  • Schizophrenia with hallucinations/delusions
  • Sex offender
  • Suicidal/borderline suicidal
  • Unable to self-medicate
  • Unable to self-represent
  • Unable to transfer within minimum or 1 assist

Communicable Diseases/Conditions (Active):

  • Bedbugs
  • Cdif
  • CRE
  • Cholera
  • Crabs
  • Ebola
  • Hanta Virus
  • Influenza (any)
  • Impetigo
  • Lice
  • Measles
  • Meningitis
  • Meningococcemia
  • MRSA
  • Mumps
  • Pertussis
  • Pink Eye
  • Pneumonia (any)
  • Rabies
  • Rubella
  • Scabies
  • Tuberculosis
  • Venereal Disease

*The above is not an exhaustive list. If the candidate has been diagnosed with any active communicable disease, it must be indicated under “Patient Status” on the form.

© 2019 Harbor Recuperative Care    |    Created by Lerner IT Consulting, LLC