Shoreham Intermediate Care Facility (ICF)
Issue: The federal and state governments are looking to close large campus-based Intermediate Care Facilities. Ninety-six individuals currently reside at our ICF in Shoreham. As such, this ICF is in danger of being closed. It is the State’s belief that a residence with 96 people is more like an institution. They believe because of its size there is no personalization or individualized care and there is no community integration. AHRC provides individual care with a person-centered approach at all of our homes no matter what the size. Each resident at our ICF is supported based not only their needs but their wants. The Shoreham ICF is in no way an institution; each home is just that, a home. It is not a three story building with the Rec Hall on one side and the cafeteria on the other. It is comprised of 12 separate homes that run independently of each other; it is not much different than a retirement community. It’s a group of people with similar lifestyles living in one area. The individuals who live in our homes are well integrated with their community.
Smaller Homes: The state would like to see all the individuals at the Shoreham ICF split up and placed in smaller homes of 4 or 6 individuals. Even though some of the residents at this ICF have lived there for a better part of their lives and it is their home; they may not be given the choice to stay. The belief is that this will allow the individuals to be more integrated into the community. When it comes to being a part of the community the residents at the homes in Shoreham couldn’t be more involved. Whether it be going to the store and buying a lotto ticket, taking a trip to the beauty salon or going to have a meal at a local restaurant, the individuals are just as much a part of their community as you or I would be. You can be isolated in a smaller house on a cul-de-sac. It is not the number of people that determine individualized care and integration; it is staff and resources that do.
Better Care in Smaller Environments: It is also a belief that the care of the individual suffers in larger facilities. That could not be further from the truth. Shoreham has nurses on staff 24 hours a day and care plans in place for each individual. Due to the fact that many of the individuals can not move without assistance there are plans put in place that require staff move the individuals every 1 to 2 hours in order to avoid any skin breakdown. For the past two years Shoreham has had zero skin integrity issues. All the staff at our ICF treat the residents with dignity and respect; they know their behaviors, their limits and their preferences. It is with this knowledge that our staff supports the residents and in a manner that allows them to lead a life with dignity.