Evansville Manor: Skilled Healthcare & Rehabilitation

From the Administrator

November 2016

Welcome to the beginning of the "start of the holiday season" this month.  As I write this we are seeing the start of the magnificent fall colors, but I'm sure many of the leaves will be gone by the time you read this.

Of course November, this holiday season start, begins with Thanksgiving.  The following is First President George Washington's proclamation officially starting this traditional holiday (if you notice spelling/grammar concerns, they are NOT errors):
By the President of the United States of America, a Proclamation.
Whereas it is the duty of all Nations to acknowledge the providence of Almighty God, to obey his will, to be grateful for his benefits, and humbly to implore his protection and favor-- and whereas both Houses of Congress have by their joint Committee requested me to recommend to the People of the United States a day of public thanksgiving and prayer to be observed by acknowledging with grateful hearts the many signal favors of Almighty God especially by affording them an opportunity peaceably to establish a form of government for their safety and happiness.
Now therefore I do recommend and assign Thursday the 26th day of November next to be devoted by the People of these States to the service of that great and glorious Being, who is the beneficent Author of all the good that was, that is, or that will be-- That we may then all unite in rendering unto him our sincere and humble thanks--for his kind care and protection of the People of this Country previous to their becoming a Nation--for the signal and manifold mercies, and the favorable interpositions of his Providence which we experienced in the course and conclusion of the late war--for the great degree of tranquility, union, and plenty, which we have since enjoyed--for the peaceable and rational manner, in which we have been enabled to establish constitutions of government for our safety and happiness, and particularly the national One now lately instituted--for the civil and religious liberty with which we are blessed; and the means we have of acquiring and diffusing useful knowledge; and in general for all the great and various favors which he hath been pleased to confer upon us.
and also that we may then unite in most humbly offering our prayers and supplications to the great Lord and Ruler of Nations and beseech him to pardon our national and other transgressions-- to enable us all, whether in public or private stations, to perform our several and relative duties properly and punctually--to render our national government a blessing to all the people, by constantly being a Government of wise, just, and constitutional laws, discreetly and faithfully executed and obeyed--to protect and guide all Sovereigns and Nations (especially such as have shewn kindness unto us) and to bless them with good government, peace, and concord--To promote the knowledge and practice of true religion and virtue, and the encrease of science among them and us--and generally to grant unto all Mankind such a degree of temporal prosperity as he alone knows to be best.
Given under my hand at the City of New York the third day of October in the year of our Lord 1789.
Along with the season, I again want to remind everyone, for anyone covered by Medicare, remember that the annual open enrollment period for Medicare coverage (traditional Parts A & B), Medicare Advantage Replacement Plans (Part C), and Medicare Part D (medicine & drug coverage) begins October 15th and runs until December 7th.  If you are contemplating a change in any coverage it must be done during this time frame.  

As indicated last month, a cautionary note.   A number of people have elected a Medicare Replacement "Advantage" Part C plan, which replaces the traditional Medicare Parts A, B, & D.  Although this does provide some of the similar coverages, usually at a reduced monthly premium rate, these Medicare Replacement "Advantage" Part C plans do not provide the identical coverage of traditional Medicare and many insured's are "unpleasantly surprised" at the reduced coverage periods, additional deductible and co-pay differences, as well as somewhat frequent denial of coverage in many instances when the need is deemed necessary and/or could have been covered under traditional Medicare.  Our experience here at Evansville Manor is consistent with reports from others throughout Wisconsin.  Residents and families of those whom we have served have expressed concerns and confusion with Humana and United Health Care policies, among others.

If you have, or contemplate electing coverage of a Medicare Replacement "Advantage" Plan (Part C), be sure that you understand the differences in coverage, and especially, the deductibles and co-pays, as well as the risk of coverage denial, and for coverage following post-acute hospital care.

Another subject for this time of the year is that we have entered the traditional influenza season, beginning last month.  Vaccination of all residents and staff has been completed.  As we have a couple of staff members who are not vaccinated so when the flu is prevalent in the geographic areas of Dane & Rock Counties, they are required to wear masks when in resident areas.  Similarly, during such times (please take note of the posting of signage in and around the facility) we ask that any unvaccinated visitors mask, covering both the mouth and nose, when in the building.  Of course, we encourage EVERYONE to be vaccinated but we also understand there are a few who cannot be vaccinated due to medical conditions.  As it takes a couple of weeks after vaccination to become effective, it's important to obtain the vaccination now or as soon as possible.  Please remember to wash hands often, use hand sanitizers frequently, cover coughs and sneezes, etc., both for one's own safety but also for our residents, most of whom have compromised health issues.  Your cooperation is very much appreciated.

Enjoy the beautiful fall season and a very blessed Thanksgiving to all later this month.

Cliff