Laguna Honda admissions criteria

To get care you must need one of the following:

1) Daily Skilled Nursing

• Tracheostomy care and suctioning (unable to independently perform/self-administer secondary to cognitive or physical impairments)
• Tube feeding (unable to independently perform/self-administer secondary to cognitive or physical impairments)
• IV therapy (unable to receive IV therapy in the community)
• Total Parenteral Nutrition (TPN) (standard formulation only)
• Blood sugar checks that cannot be managed in the community (unable to independently perform/self-administer secondary to cognitive or physical impairments and unstable, requiring frequent medication adjustment)

2) Continuous Close Observation

• Medical condition requiring monitoring of:
  • Vital signs every 8 hours by licensed clinical staff
  • Daily intake and output by licensed clinical staff
  • Pain control needs on a continuous basis for terminally ill patients
• Medication management requiring clinical assessment, evaluation, and Directly Observed Therapy (DOT) for treatment of:
  • Hepatitis C
  • TB
  • HIV/AIDS
  • Chemotherapy
• Daily supervision for safety and elopement behavior secondary to dementia-related cognitive limitations requiring a secure unit

3) Rehabilitation Services and Training in Self-Care Activities

• To facilitate discharge planning (e.g. gait and ambulation training, self-administration of medications, colostomy care, etc.).
• Daily assistance with Activities of Daily Living (ADLs) secondary to physical or mental conditions that exceeds what can be arranged with community services (must have three or more items listed below needing extensive to total assistance):
  • Assistance with mobility
  • Eating
  • Dressing
  • Toileting
  • Personal hygiene

Specialty Care requirements:

Requirements for Skilled Nursing Rehab:

• Needs Physical Therapy 5 times/week and additional rehabilitation services (e.g. Occupational Therapy, Speech, Language Therapy).

Requirements for Secured Memory Care:

• Mobile
• Serious cognitive impairment (assessed by a physician) which prevents them from making medical decisions for themselves
• At risk for unsafe wandering or elopement (assessed by clinical staff)
• Conservator or surrogate decision maker that agrees to placement in a secured setting (or Zuckerberg San Francisco General Hospital patient or Laguna Honda resident with a conservatorship proceeding pending and the intended conservator agrees with placement in a secured setting)
  

Requirements for Acute Rehabilitation services:

• Requires Physical Therapy and Occupational Therapy treatment with Speech Therapy as optional.
• Participating and progressing in therapy
• Able to tolerate 3 hours of therapy per day
• Discharge disposition identified and is available at the time of completion of acute rehabilitation

Apply now:

Download and complete the Admissions application.

You may not be eligible if you:

• Have a communicable disease requiring isolation for which appropriate facilities are not available at Laguna Honda
• Are dependent on a ventilator
• Require ICU care
• Require IV Antibiotics more than once every 6 hours
• Have a primary psychiatric diagnosis without coexisting dementia or other medical diagnosis requiring skilled nursing or acute care
• Have a mental illness or developmental disability requiring an organized program of active psychiatric intervention not available at Laguna Honda
• Have active substance use requiring a higher level of care than what we offer
• Are under police hold (unless 24-hour guards are provided by the Sheriff’s Department)
• Require restraints not used for postural support for skilled nursing and long-term care
• Have a significant likelihood of unmanageable behavior, including:
  • Actively suicidal
  • Dangerous to self or others
  • Violent or assaultive behavior
  • Criminal behavior, including but not limited to possession of weapons, illicit drug selling, or purchasing
  • Possession or use of illegal drugs or drug paraphernalia
  • Sexual predation
  • Elopement or wandering not confinable with available elopement protection except for secure memory care