LOUDOUN NURSING AND REHABILITATION CENTER

INOVA LOUDOUN NURSING AND REHABILITATION CENTER (LNRC) WAS PART OF THE INOVA HEALTH SYSTEM (UNDER INOVA HEALTH CARE SERVICES) WHOSE MISSION WAS TO PROVIDE SAFE, PROGRESSIVE, HIGH QUALITY CARE TO RESIDENTS IN A HOMELIKE ENVIRONMENT. THE FACILITY IS A 100-BED NOT-FOR-PROFIT LONG-TERM CARE FACILITY DESIGNED SPECIFICALLY TO MEET THE NEEDS OF THE INCREASING ELDERLY POPULATION WHILE PROMOTING THE RESIDENTS' HIGHEST PRACTICABLE PHYSICAL, MENTAL, AND PSYCHOSOCIAL WELL-BEING. SERVICES AND ACTIVITIES WERE COORDINATED WITH INOVA TO MEET THE HEALTHCARE NEEDS OF THE RESIDENTS OF LOUDOUN COUNTY, VIRGINIA AND THE NEIGHBORING COMMUNITIES. IN 2023, THERE WERE A TOTAL OF 7,783 RESIDENT DAYS. SERVICES OFFERED INCLUDE:SKILLED CARE: PROVIDED INPATIENT REHABILITATION AND INTENSIVE MEDICAL MANAGEMENT FOLLOWING AN ACUTE HOSPITALIZATION. PROGRAMS WERE TAILORED TO HELP EACH RESIDENT ACHIEVE MAXIMUM PHYSICAL, FUNCTIONAL, AND COGNITIVE POTENTIAL WHICH INCLUDED STROKE, ORTHOPEDIC, NEUROLOGICAL DISEASE, AND PULMONARY REHABILITATION.INTERMEDIATE CARE: PROVIDED LONG TERM NURSING CARE WHILE INCORPORATING ACTIVITIES, SPIRITUAL PROGRAMS, AND ACCESS TO MANY OTHER COMMUNITY RESOURCES. AS OF MARCH 31, 2023, LNRC FINALIZED AN AGREEMENT TO AFFECT THE SALE OF LNRC AND CONCLUDED THEIR SERVICES UNDER INOVA LOUDOUN HOSPITAL. CHARITY CARE ALL INOVA FACILITIES, INCLUDING LNRC, PROVIDED CHARITY CARE IN ACCORDANCE WITH INOVA POLICIES WHICH ENSURE ACCESS TO MEDICALLY NECESSARY CARE FOR ALL INDIVIDUALS. CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY. THESE POLICIES INCLUDE THE FOLLOWING KEY PROVISIONS:1. EMERGENCY CARE SHALL BE PROVIDED TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY.2. NON-EMERGENCY MEDICALLY NECESSARY CARE, EXCEPT FOR CERTAIN SPECIALTY OR REFERRAL PROGRAMS, SHALL BE PROVIDED BY ALL HOSPITALS AND ACCESS FACILITIES TO MEDICALLY INDIGENT PATIENTS. "MEDICALLY NECESSARY" REFERS TO CONDITIONS WHICH, IF NOT PROMPTLY TREATED, WOULD LEAD TO AN ADVERSE CHANGE IN THE HEALTH STATUS OF A PATIENT. FREE CARE IS PROVIDED TO UNINSURED OR UNDERINSURED INDIVIDUALS WITH FAMILY INCOMES AT OR BELOW 400% OF THE CURRENT FEDERAL POVERTY GUIDELINES (FPG).3. IN 2021, THE FINANCIAL ASSISTANCE POLICY (FAP) EXPANDED ELIGIBLE RESIDENCY BY REDUCING THE TIME OF RESIDENCY FROM 90 DAYS TO 30 DAYS.INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S FAP OR SOMETIMES REFERRED TO AS THE CHARITY CARE POLICY. INFORMATION REGARDING THIS POLICY IS WIDELY PUBLICIZED AND IS KEPT UP TO DATE ON THE INOVA WEBSITE AND THROUGH SIGNAGE. UPON ADMISSION TO ANY INOVA HOSPITAL OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING EMERGENCY DEPARTMENTS AND LNRC, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT THE CHARITY CARE PROGRAM AND REFERRALS TO MEET WITH INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S FINANCIAL ASSISTANCE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY THE INOVA PATIENT ACCOUNTS DEPARTMENT WITH THE PATIENT CONTACTED IF ADDITIONAL INFORMATION IS REQUIRED IN ORDER TO MAKE A DETERMINATION. THE PATIENT IS SUBSEQUENTLY PROVIDED A LETTER, NOTIFYING THEM AS TO WHETHER OR NOT THEY QUALIFY FOR FINANCIAL ASSISTANCE.MEDICAID ESTABLISHED UNDER TITLE XIX OF THE SOCIAL SECURITY ACT, THIS PROGRAM PROVIDES ASSISTANCE FOR THE MEDICALLY INDIGENT, INCLUDING THOSE WHO CANNOT PAY FOR CARE DESPITE BEING ABLE TO AFFORD OTHER LIVING EXPENSES. ALSO INCLUDED UNDER THIS PROGRAM ARE THE BLIND, DISABLED, PREGNANT WOMEN, VERY LOW INCOME PARENTS, CHILDREN, AND THE ELDERLY. WHILE VIRGINIA MEDICAID COVERAGE WAS EXPANDED IN 2022 TO INCREASE THE NUMBER OF ELIGIBLE INDIVIDUALS AND INCLUDE POSTPARTUM COVERAGE, THE REIMBURSEMENT THAT IHCS FACILITIES INCLUDING LNRC RECEIVE FROM THE MEDICAID PROGRAM ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED.PARTICIPATION IN GOVERNMENTAL PROGRAMS FOR THOSE WITHOUT THE ABILITY TO PAY VARIOUS GOVERNMENT PROGRAMS PROVIDE FOR THE INDIGENT, INCLUDING MEDICAID RECIPIENTS. THESE PROGRAMS PROVIDE A PERCENTAGE OF REIMBURSEMENT FOR QUALIFYING PATIENTS; HOWEVER, PAYMENT IS TYPICALLY BELOW THE COST OF THOSE SERVICES. IN ADDITION TO FEDERAL AND STATE PROGRAMS, THE INOVA SUBSIDIARIES, INCLUDING IHCS AND LNRC, WORK WITH VARIOUS COUNTY GOVERNMENTS AND AGENCIES IN PROVIDING CERTAIN FREE SERVICES TO THOSE RESIDENTS THE COUNTY IDENTIFIES AS MOST IN NEED.