ADMISSIONS

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Families who would like to start the process of consideration for admission should contact our Nursing Director, Anna Bohnen, RN, at anna@granitehousemn.org to arrange a tour and pick up a pre-screening application. We are reaching out to all families with a loved one who needs full care to join our support group, be on our list for upcoming respite care and to make inquiries for an opening. 

Admissions Criteria

Our admission criteria have been developed to include adults age 18 and over who may have spent at least a year post-onset of injury in sub-acute and other residential facilities where aggressive coma stimulation, medication, and physical therapies are prescribed. After one year, the recovery potential for patients in a minimally conscious state is very low, and we establish our criteria this way to insure that every individual has at least had every chance for the best outcome possible. Our residents will have already reached the last phase in the aggressive coma stimulation programs offered by facilities such as Bethesda Rehabilitation Hospital in St. Paul and may already be in a long-term care facility, with or without a Brain Injury program.


Other potential residents may have been cared for at home, especially those whose brain injury occurred at a very young age. These families are very special to us because they understand the level of care and daily routines that they have provided themselves. 

Demographic and Situational Criteria

1. Between the ages of 18 and 54 upon admission
2. Has a severe and permanent disorder of consciousness, such as a traumatic or 

acquired brain injury
3. Minimum one year post-injury or onset of diagnosis
4. Resident of Twin Cities Seven County Metro Area
5. Certified disabled by the Social Security Administration or the State Medical Review Team
6. Requires full assistance for all Activities of Daily Living
7. Be on Minnesota Medical Assistance and eligible for CADI or DD waivered services. 

Profile

Our residents require full assistance for mobility, do not communicate verbally, and may either eat softened foods with assistance and/or have a G-tube for administration of medications and liquid nutrition. They need maximum assistance with all activities of daily living (ADL's), including full assist with transfers between bed and wheelchair.

Minimally Conscious State

Neurological Status/Level of Consciousness: Minimally Conscious State
1. Candidates’ level of consciousness must be characterized as Minimally Conscious, identified otherwise as Level III on the Rancho Los Amigos Scale of Cognitive Functioning, or “Rancho Scale.”
2. Can demonstrate response to visual, auditory and physical stimuli that is purposeful and not purely reflexive
3. Must have a neurological assessment with the Granite House visiting neurologist, Dr. Donna Koning at the Stillwater Medical Group, or an arranged consultation with his or her established neurologist before determination of eligibility.  


  For more information about the Minimally Conscious State, follow LINK to this article

  For more information about the Rancho Scale, follow LINK to this article.  

Medical Stability

1. Does not have a condition which requires 24-hour continuous monitoring by a Registered Nurse.
2. Does not have a known progressive neuromuscular degenerative disease.
3. Does not have a tracheostomy and is not ventilator dependent.
4. Does not have a chronic condition that has required two or more hospitalizations or a prolonged hospitalization of three weeks or more within the last six months, and for which there has been no treatment response.
5. Free of severe or life-threatening allergies to common environmental allergens, e.g. nuts, flowers, perfumes, animals etc. which require special precautions.
6. Cannot be using medications or substances that require excessive staff resources to manage.
7. Granite House does not accept individuals who have a chronic contagious infectious disease that would put other patients or staff at risk. 

Person-Centered Planning

1. Applicant has a current service need that would be improved with admission to Granite House.
2. If the applicant is currently in an institutional or residential setting, the Granite House program would better meet this person’s needs than their current living situation.
 3. If the applicant is currently living with family or guardians, current or anticipated challenges exist in providing long-term care to meet this person’s needs in their current care setting   
 4. Person is able to participate and benefit from Granite House programs offered: group music therapy; visiting therapists such as pet therapy, recreational therapy, and sensory therapy; hydrotherapy, physician-directed passive range of motion and programs of physical and occupational therapy; and can observe and/or participate in group activities without disrupting or infringing on the rights of other residents during this time.