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Provides in-home or out-of-home community-based services, including: - 24 hour emergency assistance - Adult companion services - Homemaker services - Individual community living support - Individualized home support - Night supervision - Personal support - Respite care

Provides a break for caregivers who may be experiencing physical, emotional, or mental exhaustion from their caregiving responsibilities. It allows them to take some time off to rest and recharge while their loved one receives care from qualified professionals. This type of care can be provided for a few days, or even for an extended period, depending on the needs of the caregiver and the older adult being cared for.

Offers older adults independence and support in a safe and secure setting. Services offered: - Assisted living suites - Homemade meals and three snacks daily with dietary considerations - Housekeeping services such as linen and personal laundry services - Medical services onsite such as nursing, home care, and physical therapy - Opportunities to spend time in a community setting with fun activities and excursions - Short-term out of home respite care - Staff management onsite

Provides health care for Clearwater County including: - 25 bed Critical Access Hospital - 24-hour emergency department - Inpatient/Outpatient surgery department - Respiratory Therapy - Laboratory & X-Ray services - Mammography - CT scan, ultrasound, bone densitometry - Cardiac & Pulmonary Rehabilitation - Physical Therapy - Occupational Therapy - Visiting specialists - Swing beds & Respite Care - Therapeutic dietary consultant - Outpatient IV

- Provides skilled nursing, rehabilitation, assisted living, and memory care - Visit website for location and programming information

- Caregiver coaching/counseling - Dementia empowerment service: Provides emotional support with dementia/early-stage memory loss, support system planning, goal setting, and community resources - Educational workshops - Support groups for caregivers - Volunteer in home and out of home respite care

Memory Companions: Provides safe and nurturing support for people with memory loss while their caregivers take a break. Group Respite Activities: Provides group respite activities for the in-person Saturday Caregiver Education Series and Saturday Support Group. Friendly Visitors: Volunteers provide friendship to seniors and provide respite to caregivers. Visits occur once a week or every other week for 1 - 3 hours. Activities are determined by mutual interest and can include scrapbooking, reading, games, conversations, crafts, and more.

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.

Community-Based Residential Homes - Advocacy - Community involvement - Nursing and support therapies - Respite support Family Support Services-FSS? Offers opportunities for greater personal growth for people with disabilities in their homes and in the community through: - Community involvement - Lifetime skills training - Personal needs training - Recreation/leisure activities - Social activities In-Home Support Program For individuals who have a disability and still live in their family's home or in foster care. Individuals receiving services have 1:1 staffing. Flexible based on individual needs. Services are provided in the family home, at a Hiawatha location or elsewhere in the community. Activities are customized to the individual's wants and needs. Examples of activities are similar to those of the LEEP program, but may also include: - Assistance in getting up and ready for school/work - Assistance with homework - Participation in evening or weekend leisure activities Life Enrichment and Exploration Program - LEEP For older school aged youth and adults who have disabilities. Programs runs Monday - Friday after school, non-school days, after day programs and during the summer. Provides a supervised environment with structured learning and recreational activities. Activities may include: - Crafts and cooking - Domestic training - Personal safety training - Social skills training - Summer field trips

Offers older adults independence and support in a safe and secure setting. Services offered: - Assisted living suites - Homemade meals and three snacks daily with dietary considerations - Housekeeping services such as linen and personal laundry services - Medical services onsite such as nursing, home care, and physical therapy - Opportunities to spend time in a community setting with fun activities and excursions - Short-term out of home respite care - Staff management onsite

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.

Offers short term and long term skilled nursing care with services including: - Respite and hospice services - Rehabilitation services

Provides skilled nursing communities to provide support in a home-like environment. Residents are provided daily opportunities for social interaction, personal enrichment, and holistic healing. Services provided: - 24 hours/7 days a week skilled nursing care and supervision - Comfortable rooms and shared community spaces - Dedicated caregivers and volunteers - Inpatient and outpatient rehabilitation options - Medication management and clinical support services - Personalized physical, occupational, and speech therapy services - Short-term and long-term care options - Supportive care programs such as hospice care, respite care, and memory care

Community-Based Residential Homes - Advocacy - Community involvement - Nursing and support therapies - Respite support Family Support Services-FSS? Offers opportunities for greater personal growth for people with disabilities in their homes and in the community through: - Community involvement - Lifetime skills training - Personal needs training - Recreation/leisure activities - Social activities In-Home Support Program For individuals who have a disability and still live in their family's home or in foster care. Individuals receiving services have 1:1 staffing. Flexible based on individual needs. Services are provided in the family home, at a Hiawatha location or elsewhere in the community. Activities are customized to the individual's wants and needs. Examples of activities are similar to those of the LEEP program, but may also include: - Assistance in getting up and ready for school/work - Assistance with homework - Participation in evening or weekend leisure activities Life Enrichment and Exploration Program - LEEP For older school aged youth and adults who have disabilities. Programs runs Monday - Friday after school, non-school days, after day programs and during the summer. Provides a supervised environment with structured learning and recreational activities. Activities may include: - Crafts and cooking - Domestic training - Personal safety training - Social skills training - Summer field trips

- Waivered Service homes for no more than four clients each - 24-hour supervision - In-home support services - Semi-independent Living Services (SILS), Independent Living Skills (ILS) - Respite bed

An adult day services program providing: - Caregiver support including support groups - Health and wellness services including health checkups provided by registered nurses, medication administration, assistance with chronic care management, rehabilitative therapies, and exercise - Personal care - Spiritual support

Offers older adults independence and support in a safe and secure setting. Services offered: - Assisted living suites - Homemade meals and three snacks daily with dietary considerations - Housekeeping services such as linen and personal laundry services - Medical services onsite such as nursing, home care, and physical therapy - Opportunities to spend time in a community setting with fun activities and excursions - Short-term out of home respite care - Staff management onsite

Assisted living facility features: - Three meals a day and snack - Housekeeping in the unit, linen and personal laundry services - Scheduled transportation - ER system throughout building - Respite care - Grocery shopping assistance - Home health services - Separate secured memory care unit

Offers older adults independence and support in a safe and secure setting. Services offered: - Assisted living suites - Homemade meals and three snacks daily with dietary considerations - Housekeeping services such as linen and personal laundry services - Medical services onsite such as nursing, home care, and physical therapy - Opportunities to spend time in a community setting with fun activities and excursions - Short-term out of home respite care - Staff management onsite

Skilled care nursing facility providing 24-hour nursing care Services include: - Hospice care - Memory Care unit for women - Nutritional services - Occupational, physical and speech therapy - Pet Therapy - Recreational and music therapy - Rehabilitation for short term stays - Respite care - Secured Memory Care units - Social Services

Provides year-round short-term relief for children and adults ages five and up who are living with developmental or physical disabilities. The program offers several recreation, education, and leisure activities, but is not limited to: - Adaptive sports and recreation - Arts and crafts - Educational activities - Sensory stimulation - Skill building - Variety of games ?NOTE: Activities are hosted by respite counselors who engage participants through motivational support, fostering teamwork, and empowering others

Services include: - Residential supports and services - Adult foster care - Supported living services - 24-hour emergency assistance - Respite care in- and out-of-home - Adult companion services - In-home family support - In-home independent living skills training - In-home supported living services for adults

Provides services to adults and children who have developmental disabilities or related conditions, including persons with challenging behaviors, those who are mentally fragile, and those who are challenged by communication deficits and physical limitations. Included in this service: In-Home Support Home and community-based services for persons living in the family home. Programs are designed for individuals who may need skills enhancement for socialization, management of finances, housekeeping, and other activities of daily living. Also provide services to children, assist families with support, advocacy, transition, and maintenance of skills. Respite Care Services provide short-term relief from the demands which around-the-clock care places upon families who have disabled and/or chronically ill family members at home. Services are provided in the client's home or in a licensed foster home. Trained staff assume the care of these individuals for a matter of hours or days to allow the families time for rest and recreation. Semi-Independent Living Services Designed for persons living in their own home or apartment who require minimal supervision. Individual programs are tailored to provide assistance & training in paying bills, building socialization skills, accessing the community in which he or she lives. Supported Living Servicesclass="pasteContent_RTE">Provides residential services in homes for 1-4 persons. Programs provide up to 24-hour supervision. With increased structure and support, individuals are taught skills that will increase their use of community resources and enable them to live in a less restrictive environment.

Offers family caregivers assistance through coaching and counseling, classes, emergency care planning, respite care, support groups, and volunteers

Individualized Home Supports with Family Training - Services for people who live in their family home that provide support and/or training in the following community living service categories: - Community participation - Health, safety, and wellness - Household management - Adaptive skills *Designed to provide training to the person as well as their family members Individualized Home Supports with Training - Services for people who live in their own home or family home that provide support and/or training in the following community living service categories: - Community participation - Health, safety, and wellness - Household management - Adaptive skills - Formal person-centered outcomes - Completion of skill assessments *Designed for adults in need of support and training in one of the above-mentioned service categories. Individualized Home Supports without Training - Services for people who live in their own home or family home that provide support in the following community living service categories: - Community participation - Health, safety, and wellness - Household management - Adaptive skills - Complimentary support plan (SP) - Informal and formal person-centered outcomes *Designed for adults or children who require support in one of the above-mentioned service categories. Specialist Services - Provision services that extend past the scope and duration of available waiver and state plan services including: - Assessments/individual program plan and program development - Training and supervision of staff - Monitoring of specific program implementation Respite - Short-term care services provided to a person when their primary caregiver is absent or needs relief. Services include: - In-home respite: Service is provided to a person in their home or the family home. - Out-of-home respite: Service is provided to a person in a licensed or unlicensed setting that is not the person's home. - Respite level A: Active, out in the community - Respite level B: Stay at home and local outings only - Respite level C: Sleep in - Respite level D: 24-hour period Homemaker Services - Services that help a person manage general cleaning and household activities. Services include: - Cleaning: light housekeeping tasks, laundry services - Home management: cleaning, transportation arrangement, meal preparation, shopping for food, and household items - Assistance with ADLs: cleaning, assistance with ADLs (ambulating, bathing, dressing, eating, grooming, toileting) *Training is not covered under this service. To receive homemaker services, homemaker cleaning must be the primary service provided. County-Funded Semi-Independent Living Services (SILS) - Services needed to maintain and improve an adult's capacity to live in the community. Supports people in ways that enable them to achieve personally desired outcomes and lead self-directed lives including: - Money management - Meal preparation - Shopping - Obtaining and maintaining a home - Self administration of medication - Formal skill building