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Skilled Nursing Facility

US News & World Report Best Nursing Homes 20-21The Iredell Skilled Nursing Facility has once again earned Best Nursing Homes status by U.S. News & World Report in the publication's 2020-21 rating. The facility outperformed state and national averages on all 10 of U.S. News' quality measures. The facility earned a perfect 5-out-of-5 rating based on measures focused on staffing, outcomes, resident complaints, and processes of care.

More than a decade ago, Iredell Memorial became the first hospital in North Carolina to apply and receive a Certificate of Need for transitional care, or "short term, long term care." Hospital leadership at that time believed, and state officials agreed, that there was a need between acute hospital care and community skilled nursing home care that simply was not being met.

Soon after, Iredell's 18-bed Hospital-Based Skilled Nursing Facility (HB/SNF) opened to provide short-stay nursing care to patients who are not ill enough to be admitted to an acute care hospital but are too ill to go home or to be cared for in a free-standing traditional skilled nursing facility. HB/SNF expanded to two floors and 48 beds when additional bed licenses were purchased from a local nursing home.

Even though the Skilled Nursing Facility is located within Iredell Memorial Hospital, it is a separate service and the patient's physician must order the admission. However, all of the hospital's services are available if and when needed.

Patients are also invited to take part in daily activities in the One West Dining Room in HB/SNF. These include crafts, games, gospel music, fun classes, Bible study, a breakfast club, weekly church services and family time. Groups such as the Living with Cancer Support Group and Grief Share also hold meetings in the dining room.

To be cared for in this facility, a patient's health needs must meet the federal definition of skilled care. If a patient is accepted for admission and is currently a patient in the hospital, he or she will be discharged from the hospital and admitted to the HB/SNF.

Iredell's HB/SNF is certified by Medicare/Medicaid.

Visiting during COVID-19

  1. HBSNF will allow visitation to all residents who have met the criteria for discontinuation of isolation precautions for COVID-19 and who are no longer in the 14-day quarantine period.
  2. Outdoor visitation is preferred as long as weather permits.
  3. Indoor visitation will also be allowed but may be restricted during the following circumstances:
    • If Iredell County’s positivity rate is greater than 10% and less than 70% of the residents are fully vaccinated, only residents who are greater than 2 weeks post-vaccine dose series completion will be allowed indoor visitation.
    • If a new case of COVID-19 among residents or staff has been identified in HBSNF, indoor visitation will cease until the facility meets the criteria to discontinue outbreak testing.
  4. Residents and staff will be screened daily for the presence of symptoms, including temperature check, as well as exposure to COVID-19.
  5. Visitors will be screened for symptoms of COVID-19 prior to the start of each visit. If a visitor has been diagnosed with COVID-19 they must provide documentation that they no longer meet CDC criteria for transmission-based precautions.
  6. If a visitor develops symptoms of or a diagnosis of COVID-19 within 2 days of visiting a resident they must notify the facility director immediately.
  7. Symptoms of COVID 19 are as follows:
    • Fever equal to or greater than 100.0 F
    • Cough
    • Shortness of breath
    • Sore throat
    • Muscle aches
    • Chills
    • Headache
    • Loss of taste or smell
    • Vomiting or diarrhea
  8. HBSNF will participate in visitation daily from the hours of 9 am until 11 am, and 3 pm until 5 pm.
  9. Each resident may be allowed 1 visitor per day. This visitor will check in at the ED entrance for screening and proceed directly to the resident’s room or visitation space where they will remain for the duration of their visit.
  10. Staff, residents, and visitors must use alcohol-based hand sanitizer before and after visitation.
  11. Staff, residents, and visitors must wear a mask that covers both the nose and mouth for the duration of the visit.
  12. Visitors must remain at least 6 feet from the resident and staff at all times.
    • If a resident is 2 weeks post-completion of a COVID vaccination series, he/she may choose to have physical contact with their visitor.
  13. Visitation may occur outside of these guidelines in certain compassionate situations as deemed appropriate by the Administrator or DON.

In certain compassionate situations, visitation may occur outside of these guidelines as approved by HBSNF administration. In these cases, HBSNF staff will alert the front desk with arrangements.