Offers home care services to individuals with a disability or in need of medical support and assistance at home. Services include: Home health aides/homemaker services - Exercises - Laundry - Light homemaking duties - Meal planning and preparation - Nonsterile dressing changes - Personal care Home health care nurse services - Case management (evaluation and assessment of care plan) - Catheter care, dressing changes, injections - Home safety evaluation - Medication management - Ostomy care and education - Therapeutic activities Therapy - Physical therapy

Alzheimer's and Dementia Care: Provides individualized assessments for evaluating cognitive and functional levels. Services include: - Promoting independence in dressing, bathing, toileting and assistance with memory, communication and swallowing difficulties - Provide education with addressing physical health needs, medication management, strength development and fall risk reduction - Teaching families and caregivers strategies for managing the care needs of their loved ones - Teaching how to effectively respond to challenging behaviors such as aggression, agitation, and repetition - Treatment planning Home Health Aide (HHA): Home Health Aides are responsible for documenting the care provided to individuals, and notifying the case manager of any changes in health. Home Health Aides may assist in the following areas: - Assistance with dressing - Bathing, washing hair and shaving - Getting in/out of bed - Maintaining a safe living environment - Monitoring blood pressure, temperature and other vital signs ?In-home Therapies: Provides in home occupational, physical, or speech therapy to assist with the recovery process Respit Care: Provides in-home respite care to give caregivers a break

Provides home and community-based services such as: - 24-hour emergency assistance - Adult companion services - Assistance with daily living skills such as grooming, bathing, eating, transfers, and dressing - Assistance with medical appointments, transportation support, medical documentation, reminders, and follow-up coordination - Care plan coordination - Chronic disease management - Housekeeping and homemaker services - Individual home support without training or individual community living support - Diabetic monitoring and education - Meal preparation, nutrition education, and grocery shopping assistance - Medical and mental wellness for emotional support - Pain management and wound care management - Respite care services in-home or out-of-home - Skilled nursing care

Community First Services and Supports (CFSS) is a Minnesota health care program that offers flexible options to meet the unique needs of people. CFSS allows people greater independence in their homes and communities. CFSS replaces personal care assistance (PCA) and the Consumer Support Grant (CSG). CFSS covers the same main services as PCA: - Activities of daily living, such as eating, bathing, grooming and transferring - Health-related tasks - Instrumental activities of daily living, such as shopping, cooking, laundry, and assistance with self-administered medications - Observation and redirection of behavior. Under CFSS, individuals will work with a Consultation Services Provider, like Arc Northland, to be able to choose between the Budget Model or Agency Model. Consultation Services Providers will provide education on their options and provide support in writing their service delivery plan.

- 24 hour High-Tech or Complex Nursing (Ventilator Nursing Care LPN/RN) - 24-hour Home Health Aide and Personal Care Attendant (HHA/PCA) - 24-hour Private Duty Nursing or Regular Nursing (LPN/RN) - Home Health Aide (HHA), Personal Care Attendant (PCA), Homemaker, Companion - Licensed Practical Nurse (LPN) - Registered Nursing - Skill Home Visit (assessment)

Provides comprehensive home health care services, including: - Home health aides to assist with personal care, meal preparation, light housekeeping, and daily living activities - Rehabilitation therapy (physical, occupational, and speech therapies) - Skilled home nursing - Spiritual/pastoral health support

Home Care Specialized nursing care is provided by public health nurses in the home to assist with medication management, wound care, dressing changes, post-operative care, and other services ordered by the client's physician. The public health nurse may also assign a licensed practical nurse or home health aide to assist in the care of the client. Home health aides/elder care aides provide personal care (hair washing, showers, nail care, etc.), visiting, light housekeeping, and other services for clients with medical or health problems. Aides may also monitor vital signs and provide basic health services. The public health staff is available to perform home safety checks for families with children or for elders. A limited number of safety items may be available following the home safety check. Instruction on how to use this equipment will be provided, although the nursing staff cannot install the equipment for families. Community Health Representatives (CHR) Transportation Provides transportation for individuals to medical, dental, and optical appointments only after all other resources are exhausted. Appointments should be confirmed with the CHR's schedule to assure that clients arrive on time to their appointments. No one under the age of 18 will be transported without a parent. All persons being transported are required to wear a seat belt at all times. Delivers medical prescriptions to homebound elders who have no other means of obtaining their medication.

Provides the following services: - Case management - Home health aides - Home nursing care - RN and LPNs - Homemaker services - Independent Living Services (ILS) - Occupational therapy - Personal care attendant - Physical therapy - Private duty nurses - Speech therapy - Supervision between patient and doctor and family - Visiting nurse services

Medicare-certified and Minnesota Department of Health licensed home care providing the following services: - Home health aide - Occupational therapy - Physical therapy - Public health nursing - Speech therapy

Companion/Night Supervision Services: Services that help an individual work toward a therapeutic or community integration goal. Night supervision is an overnight assistance and monitoring provided in the person's own home, which includes assistance with Activities of Daily Living (ADL's), reinforcing independent living skills, etc. Homemaking/Home Management Services: Provide assistance to individuals who are unable to perform day-to-day household duties and have no one available to assist them. Services include light housekeeping, laundry, limited personal care, grocery shopping, meal preparation, etc. Individual Community Living Support (ICLS): Provides assistance and support to clients who need reminders, cues, intermittent/moderate supervision, or physical assistance to remain in their own home. Services include assistance with active cognitive support, Activities of Daily Living (ADLs), household management, health, safety, and wellness, and community engagement. Personal Care Assistant (PCA): Performs care services to clients unable to live independently in the community without assistance. Services include assistance with Activities of Daily Living (ADLs), grooming/personal hygiene, light cleaning, cooking, etc. They also engage clients in activities such as reading, talking, community support, etc. Personal Support Services/Individualized Home Supports Without Training: Provided in the individual's home to achieve their full potential, to increase independence, and to meet community inclusion goals that are important and based on their need. Established to assist with Activities of Daily Living (ADLs), participation in community activities, etc. Respite Care: Short-term care services provided due to the absence or need for relief of the family member(s) or primary caregiver normally providing care. Respite can be provided in-home or out-of-home.

Home Care Services - After-hospital care - Blood pressure monitoring - Cancer care management - Care for respiratory illness - Diabetes monitoring and management - Home infusion therapy - Home safety evaluation and modification - Medication management and teaching - Nutrition counseling - Orthopedic patient care - Physical, occupational, and speech therapies - Post-partum care - Social work and long-range planning - Wound care Personal Care Services - Bathing, dressing, and grooming - Exercise and mobility assistance - Light housekeeping - Meal preparation Home Support Services - Care management - Companionship and emotional support - Foot care - Functional and cognitive assessments - Homemaker services and meal preparation - Home maintenance - Home management services and errands - Laundry assistance - Medication management - Personal care assistance (dressing, bathing and hygiene care) - Shopping and errand assistance - Transportation and escort to physician appointments - Travel companion and escort for trips or events - Wellness and safety monitoring

Provides the following services: - Home health aides - Homemaker/companion care - Personal care attendant - Rehabilitative services (physical therapy, occupational therapy, speech therapy, medical social services) - RN, LPN, skilled care

Home health care services provided: - Adult Rehabilitative Mental Health Services (ARMHS) - Foot care - Independent Living Skills services - Home health aide services - Homemaker assistance - Occupational, physical, and speech therapy - Personal care attendant - Skilled nursing - Services on holidays

Active Seniors: Provides adults 55+ with a variety of diverse activities such as exercise, wellness, and social/recreation designed to support independence Care Consultation: Keystone Care Consultants help seniors navigate their health, economic, and social needs. Care managers meet with individuals in their homes or at one of the community centers to conduct an assessment, gather input from caregivers, and create goals. Once the assessment is complete, services may include: setting up rides to a social program, researching housing options, making a referral to an agency that helps with grocery shopping and/or cleaning, providing caregiver support, and accompanying seniors to doctor visits. Grocery Delivery: Provides free grocery delivery for low-income seniors and adults with disabilities. Those who qualify can receive monthly deliveries. Delivery can include meat, dairy, fresh produce, and shelf-stable items. In each delivery, individuals will receive an average of 25 pounds of food per person in the household. Accommodations are based on customer choice models such as vegetarian, halal, etc. depending on what is available. Deliveries will be dropped off between 12:15 pm and 1:30 pm Tuesday - Thursday by a volunteer. In-Home Help: Social workers coordinate with Recover Health to provide seniors with in-home nursing care, in-home therapies, and home health aides to assist with daily care. ?Tax Preparation Assistance: Provides tax services in coordination with AARP to seniors. Visit the website https://keystoneservices.org/seniors/tax-preparation-assistance/ for an up-to-date schedule.

Active Seniors: Provides adults 55+ with a variety of diverse activities such as exercise, wellness, and social/recreation designed to support independence Care Consultation: Keystone Care Consultants help seniors navigate their health, economic, and social needs. Care managers meet with individuals in their homes or at one of the community centers to conduct an assessment, gather input from caregivers, and create goals. Once the assessment is complete, services may include: setting up rides to a social program, researching housing options, making a referral to an agency that helps with grocery shopping and/or cleaning, providing caregiver support, and accompanying seniors to doctor visits. Grocery Delivery: Provides free grocery delivery for low-income seniors and adults with disabilities. Those who qualify can receive monthly deliveries. Delivery can include meat, dairy, fresh produce, and shelf-stable items. In each delivery, individuals will receive an average of 25 pounds of food per person in the household. Accommodations are based on customer choice models such as vegetarian, halal, etc. depending on what is available. Deliveries will be dropped off between 12:15 pm and 1:30 pm Tuesday - Thursday by a volunteer. In-Home Help: Social workers coordinate with Recover Health to provide seniors with in-home nursing care, in-home therapies, and home health aides to assist with daily care. ?Tax Preparation Assistance: Provides tax services in coordination with AARP to seniors. Visit the website https://keystoneservices.org/seniors/tax-preparation-assistance/ for an up-to-date schedule.

Offers in-home health care services to tailor to client's needs and help them remain independent without staying at a facility or hospital. Services include: - Home health aides who can help with bathing, dressing, grooming, and other delegated tasks - Occupational therapy service to help clients recover from injuries, disabilities, or illnesses and relearn everyday activities - One-on-one personal support service to support individuals to become more independent - Personal care attendants and homemakers to assist with basic home skills such as eating, transfers, mobility, positioning, toileting, light housekeeping, and laundry - Physical therapy service to help clients improve their mobility, balance, prevent falls, and recover from previous health concerns - Skilled nursing services providing initial assessment, health education, medication setup, diabetic management, wound care, health management, and more

- Provides a Public Health Nurse to do an assessment and determines the amount of time that can be authorized

A full service Medicare-certified home care agency. Provides home to care to patients that reside within 30 miles of Grand Rapids.

- Blood pressure screening - Breastfeeding mothers support - Case management and care coordination - Child and teen checkup outreach - Family planning services - Financial assistance available for prenatal care, pelvic exams, PAP smears, pregnancy testing, etc. - Follow Along Program: Home visits for newborns, including questionnaires sent to the home until child is four years old. If something on a questionnaire causes concern, a nurse will visit the home and take action if appropriate. - Food recall information - Home health care including home nursing with blood pressure screening, diabetes education for newly diagnosed patients, instructions for new diets, and monitoring of medication administration. Home Health Aides assist with bathing and personal care, meal preparation, and assistance with hair and oral care. Physical therapists, occupational therapists, and speech therapists provide services also. - Immunizations: available for children and young adults, birth through age 18. Hepatitis B and Tdap for a fee for adults. Flu shots available from October through December. - Mantoux testing (tuberculosis) - Loan closet - Maternal and child health (car seats available for low-income families) - Prenatal care and education including safety and proper use of car seats - School health nurses consult with teachers on topics such as AIDS, teen pregnancy prevention, self-breast exams, and nutrition. Preschool screenings as well as immunization, vision, and hearing clinics.

Program provides or arranges whatever support an elder neighbor needs to continue living at home as long as possible. This support, which may otherwise not be available, uses the program's small staff, volunteers, and/or paid nursing staff. Services include: - Case management - Door-to-door transportation provided by volunteers. Vehicles are not wheelchair accessible. - Health assessment - Home health aides - Information and referral, including to county services - Long term illness management ?- Medication management - Phone visits - Service coordination - Skilled nursing care - Volunteer errands and visits - Volunteer services

Provides comprehensive home health care services, including: - Home health aides to assist with personal care, meal preparation, light housekeeping, and daily living activities - Rehabilitation therapy (physical, occupational, and speech therapies) - Skilled home nursing - Spiritual/pastoral health support

Home Health Care Medicare certified home health agency available to provide: - Skilled Nursing services - Home health aide personal care services - Physical therapy in the home - Occupational Therapy - Speech Therapy - Senior companions - Respite care - Care at home during recovery from an acute illness or injury - Care at home for chronically ill/disabled adults and children - Care at home for terminally ill - Help adjusting to an illness or disability - Information about a new diet, medication or disease - Personal care & support services to help stay in the home as long as possible - Information about other community resources - Access to medical supplies & equipment - Long Term Care Consultation - Prior to nursing home placement, an assessment is done by a Public Health Nurse and Social Worker - Relocation services back into community setting

Provides home health care services to meet the needs of the individual residing in their home. Home care plans are established to provide services such as: - Ambulatory and transfer services within the home for individuals who need assistance - Assistance with personal care for bathing, dressing, and grooming - Homemaking services to help with sweeping, mopping, dishes, cleaning, changing linens, and laundry assistance - Home safety assessments - In-home respite care - Medication management - Nursing evaluations and nursing care - Prepare meals - Referrals to appropriate community resources

Medical and non-medical home care services: - Assistance with bathing and dressing - Caregiver support - Clothing selection assistance - Companionship - Laundry ??- Light housekeeping ?- Light meal preparation - Medication reminder ?- Skilled nursing services - Transitional outpatient care ??? - Transportation and running errands

Provides home care services to clients such as: - Companion and homemaking services which may include laundry assistance, grocery shopping, light household chores, errand running, socialization, and conversation -Home health aide to support clients in performing day-to-day tasks and activities. Activities may include personal care, grooming, walking/transfers, meal planning and preparation, foot care, medication reminders, and range of motion exercises. - Pediatric home care services to support children and youth living with a developmental disability and/or short or long-term health diagnosis - Skilled Nursing which may include visits for IV therapy, wound care, medication management, palliative care, management and evaluation of care, consultation, supervision of caregivers, chronic disease management, and post-surgical care