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Levels of Care

Prior to moving into Lutheran Crossings’ assisted living community, each resident is assessed to determine the degree of assistance they require with their Activities of Daily Living (ADL). Results from the assessment are used to identify the areas of support the resident requires. At Lutheran Crossings, we refer to this as their Prescription for Wellness -- a personalized care plan that guides us to help them maintain their overall health and well-being. 

Each resident’s Prescription for Wellness is different, and is based on the level of care they require as identified by evaluating the following Activities of Daily Living (ADLs):

Areas of Assistance (Seven ADLs)

  • Showering – An assessment will determine the resident’s ability to shower independently and/or the level of assistance required to safely complete. For example, a resident who needs help entering and exiting the shower two times a week would require a lower level of care than a resident who not only requires help with entering and exiting, but also with washing.
  • Dressing – The assessment will determine if the resident can dress without assistance. Will they need daily help with picking out clothing, putting clothing on, buttoning, and zippering?
  • Medication Administration – This assistance is provided to residents who do not wish to self-administer medications, or are unable to. An assessment to determine a resident’s self-administration abilities is conducted prior to move-in. Administration of injectable medications, lab monitoring, and nebulizer use may be placed into a higher level of care, as it may require additional nursing supervision.
  • Personal Hygiene – Daily hygiene and grooming activities can be a challenge for some residents. However, it is important for them to look and feel their best so they can be socially engaged and active. Whether they need help with brushing their hair and teeth, washing their face, shaving, or clipping their nails, we can help. They might only need gentle reminders each day, or hands-on, full service assistance.
  • Dining – Meals are served in our dining room. An assessment will determine if assistance with meals is required, whether it be cutting their food into manageable pieces or opening items for their use.
  • Mobility – Fall prevention is very important. We carefully evaluate each resident’s ability for proper and safe mobility to determine if they can safely maneuver themselves around. Additionally, if they need assistance with a walker or wheelchair, can they safely transfer themselves from bed to walker/wheelchair and back?
  • Continence – Our assessment will evaluate the resident’s continence status, types of medications, cognitive function, and mobility in order to determine whether there are issues with incontinence. For those who experience incontinence, absorbent products are made readily available for an additional fee.

Other areas that are evaluated and included in the assessment report are safety concerns, socialization and activities, as well as cognitive status. Upon completion of the assessment, our care team will discuss the detailed Prescription for Wellness and outline the fees required to maintain it.