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What Is Long-Term Care and Skilled Nursing?

Long-term care and skilled nursing provide ongoing medical care, rehabilitation and daily living support for people who can no longer safely live independently or who require extended recovery and monitoring. At Kaleida Health, our facilities, including HighPointe on Michigan, DeGraff Rehabilitation and Skilled Nursing Facility and The Pavilion at Bradford Regional Medical Center, are designed to support comfort, safety and quality of life while addressing complex medical and functional needs.

WHO WE SERVE

Who Can Benefit From This Care

  • Adults who need ongoing skilled nursing or medical supervision

  • Patients recovering from serious illness, injury or surgery

  • Individuals transitioning from hospital care to extended recovery

  • People living with chronic, complex or progressive conditions

  • Children who require specialized long-term nursing care

  • People seeking care in downtown Buffalo, North Tonawanda and Bradford, PA

The Care We Provide

Long-term care

Ongoing nursing care and daily living support for people who need extended medical supervision and assistance. Care focuses on comfort, dignity and maintaining the highest possible quality of life. Residents can make their own choices regarding meals, clothing, bathing and the activities they prefer to attend.

Post-acute care and rehabilitation

Short-term skilled nursing and rehabilitation services for patients recovering after hospitalization, surgery or serious illness. Services may include physical, occupational and speech therapy to support recovery and a safe return home when possible.

Pediatric long-term care

Specialized long-term nursing care for children with complex medical needs, delivered in a supportive environment designed to meet the physical, emotional and developmental needs of pediatric patients.

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What to expect from your care

Comprehensive evaluation

Your care team conducts a thorough review of medical history, current needs and recovery goals to determine the most appropriate level of care.

A personalized care plan

Each patient receives an individualized care plan that is regularly reviewed and updated to reflect changing needs, progress and preferences.

Ongoing coordination and support

Our teams work closely with patients, families and Kaleida Health providers to ensure seamless, coordinated care across settings.

Recreation and meaningful activities

Residents have access to recreation and activity programs designed to support physical, emotional and social well-being. Activities are tailored to individual abilities, interests and ages, and may include group programs, creative activities, therapeutic recreation and opportunities for social connection. These programs help residents stay engaged, maintain routines and experience a sense of purpose and enjoyment as part of daily life.

Why patients choose Kaleida Health

  • Experienced skilled nursing and rehabilitation specialists

  • Person-centered care focused on dignity, respect and comfort

  • Coordinated care across Kaleida Health hospitals and services, including Golisano Children’s Hospital of Buffalo, Buffalo General Medical Center, Gates Vascular Institute, Millard Fillmore Suburban Hospital and Bradford Regional Medical Center

  • Safe, supportive environments designed for recovery and long-term care

  • Clear communication with patients and families

  • Meaningful activities that help residents stay active and engaged, offering families peace of mind that their loved ones are comfortable and cared for

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Getting started

Admissions can be requested by contacting our care team, working with a hospital discharge planner or through a referral from your primary care provider or specialist.

We accept most major insurance plans, including Medicare and Medicaid. Coverage varies by service, and our team can help explain your options.

  • Photo ID and insurance card
  • A list of current medications
  • Recent medical records or discharge paperwork
  • Completed application for admission

Frequently asked questions

This care may be needed when a person requires ongoing nursing services, rehabilitation or medical supervision for an extended period of time.

Not always. Some patients receive skilled nursing or post-acute care temporarily while recovering, while others may need longer-term support depending on their condition.

With advance notification, long-term residents can spend time away from the facility on short outings with their family and friends. Transportation is the responsibility of family and friends.

Where you can receive care

Long-term care and skilled nursing services are available at select Kaleida Health facilities in Western New York and Pennsylvania:

North Tonawanda, NY: DeGraff Rehabilitation and Skilled Nursing Facility

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Bradford, PA: The Pavilion at Bradford Regional Medical Center

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Helping families navigate long-term and skilled nursing care

Resources and helpful information

  • Birth certificates for the applicant and spouse
  • Social security cards for the applicant and spouse
  • Alien registration card / I-94 card / Naturalization papers for the applicant and spouse
  • Marriage certificate or separation papers or divorce papers
  • Death certificate(s) of spouse(s)
  • Veteran Discharge papers for applicant and /or spouse
  • Power of Attorney Papers
  • Written Authorization to Represent the Applicant
  • Medicare and other health insurance cards and verification of monthly premiums
  • Verification of ALL sources of income for the applicant and the spouse, such as but not limited to, wages, social security, pensions, veterans and military benefits, interest and dividend income. The gross amounts must be verified, with all deductions, and the frequency with which the income is received.
  • Verification of ALL the assets of both the applicant and spouse MUST be documented. Account statements for all accounts currently active and those that were active within the last 36 months prior to the date of application must be provided. If the applicant or spouse set up a trust or are the beneficiaries of a trust, the trust document must be provided and all assets owned by the trust must be documented for the 60 months prior to the date of application.
  • Examples of some types of assets that must be documented are (but not limited to) checking & savings accounts, CD’s, stocks, bonds, mutual funds, retirement funds, annuities, Life insurance policies, burial spaces, burial funds, all properties owned, vehicles, mobile homes and RVs.

Medicare is the Federal health insurance program that covers individuals over 65 and some disabled under 65. Medicare is divided into two parts: Part A hospital insurance and Part B medical insurance (optional). If you are eligible for social security, there is no monthly premium for Part A Medicare. The monthly premium for Part B is automatically deducted from your Social Security check every month. In 2003, Part B cost around $60 a month.

  • What Medicare Covers

Medicare pays for some preventive services and covers many services considered medically necessary. Part A pays for most in-patient hospital care, some in-patient skilled nursing home care, some home health care and hospice care. Part B pays for doctors' services, out-patient hospital care, out-patient physical and speech therapy, some home health care, ambulance services and some medical equipment and supplies.

  • What Medicare Does Not Cover

Basic Medicare won't pay for items like prescription drugs, physicals, hearing aids, eyeglasses or long-term care. Medicare pays for less than half of what it costs seniors for health care.

Title XIX of the Social Security Act is a Federal/State entitlement program that pays for medical assistance for certain individuals and families with low incomes and resources. This program, known as Medicaid, became law in 1965 as a cooperative venture jointly funded by the Federal and State governments (including the District of Columbia and the Territories) to assist States in furnishing medical assistance to eligible needy persons. Medicaid is the largest source of funding for medical and health-related services for America's poorest people.

 

Within broad national guidelines established by Federal statutes, regulations and policies, each State (1) establishes its own eligibility standards; (2) determines the type, amount, duration and scope of services; (3) sets the rate of payment for services; and (4) administers its own program. Medicaid policies for eligibility, services and payment are complex and vary considerably, even among States of similar size or geographic proximity. Thus, a person who is eligible for Medicaid in one State may not be eligible in another State, and the services provided by one State may differ considerably in amount, duration or scope from services provided in a similar or neighboring State. In addition, State legislatures may change Medicaid eligibility, services and/or 

  • Family and Visitors

* View Long Term Care Visitation Guidelines for current visitation.

When leaving at night, if you would like an escort to your vehicle, please contact security by dialing "0" from the nursing unit.

  • Residents

Leave all valuables (jewelry, money, credit cards etc.) at home. Valuables should not be admitted with the resident. If necessary, the facility has a safe for valuables which are sealed in an envelope. The resident will receive a signed receipt for items placed in our safe. All belongings are logged in the chart.

Do not bring large sums of money to the room; we highly recommend keeping just a couple of dollars on the resident's person.

Do not leave valuables unattended in the room.

Do not leave valuable items on the bed (especially glasses, hearing aids, dentures, etc.); they may get mixed in with soiled linen.

A locked nightstand is available, please see the social worker to obtain a key.