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We provide in home care to clients who qualify to receive these services. We accept Medicaid, some private insurances, private pay, and workers compensation insurance.

Personal Care Services

Personal care services (PCS) are available for clients who have a medical condition that requires direct and ongoing care by a physician, are medically stable at home, and need help with personal care tasks due to the medical condition. Personal Care Services are available to clients who don't qualify for CAP services. PCS is to assist the help available from family members and community resources. Children as well as adults are eligible for this service.

Payment sources:

  • Medicaid (60 -80 hours per month) If you have a "Blue" Medicaid card you may receive services with no direct cost to you.
  • Private Insurance & Worker's Comp - Ask your insurance company to see if you're covered
  • Private Pay - Up to 24 hours per day 7 days per week

PCS provides an in-home aide for:

  • Assisting with personal care, grooming, hygiene, shaving, toileting, feeding
  • Assist in the self-administration of medications
  • Assisting with activities of daily living. (Ambulation, range of motion, turning, reposition, transfers from bed-chair, personal hygiene, bowel and bladder programs, etc.)
  • Monitor vital signs, catheter care, non-sterile dressing changes, prescribed heat and cold applications, and ensuring compliance with medical routines.
  • Assisting with errands, shopping, appointments
  • Home management (cleaning, meal preparation)
 
 
Community Alternative Program

 

A program funded by Medicaid that allows an individual to remain at home. Services can include an in-home aide, respite care and even nursing care for certain clients. The Community Alternatives Program has a lead agency. There can only be one lead agency in each county. The lead agency is the starting place for CAP services. There will be case manager assigned to your care through the lead agency. Each lead agency has a list of the agencies that provide services in that county. As a client, you have the right to choose which agency you want to provide your care. The lead agency cannot influence or suggest a home care provider. You may choose any provider on the list. It does not have to be the lead agency. A Medicaid funded program allowing an alternative to nursing home placement.

CAP Services Offered By Our Agency

  • CAP/DA - Disabled Adults 
    • In-home Aide for personal care
    • In-Home Aide for respite
  • CAP/C - Children 
    • In-Home Aide for personal care
    • In-Home Aide for respite
    • RN's & LPN's for Nursing care
  • CAP/AIDS- For persons diagnosed with AIDS or children HIV positive and meet other criteria 
    • In-Home Aide for personal care
    • In-Home Aide for respite
    • RN's & LPN's for Nursing care
    • RN's & LPN's for respite care

     

    CAP/MR-DD - Call for info

  •  
     
    Companions/Private Sitters
     
    Our agency provides aides and nurses for companions and private sitters. This service is available to anyone who needs it. Companions and sitters are provided for shifts of at least 4 hours but can be provided for 24 hours a day. Services must be for at least 20 hours a week. Companion services can be scheduled for one week to an indefinite period of time.

    Companions and sitters provide company for the client during an illness at home or hospital/nursing home stay. They are employed through the agency so you know that references and background checks have been done.

    Companions and sitters provide only basic services such as:

  • At Home:

    • Provide companionship

    • Provide nourishment

      • Drinks 

      • Food 

    • Help the client to and from the bathroom (if client is able to walk)

    • Personal care

      • Give bed baths

      • Change gowns

      • Change bed linens

    • In the hospital or nursing home:

      • Provide companionship

      • Get assistance from nurse or aides as needed

        • Bathroom needs

        • Gown/Linen changes

        • Fluid needs

        • Medication needs (notify the nurse for pain, nausea, etc.)

      • Assist with meal as needed

      • Provide over-night relief for family

           Payment sources: Private pay only
     

     

    Nursing Services
     
    Private Duty Nursing

    Medicaid pays for Private Duty Nursing as long as it is a continuous, necessary service by a licensed nurse that is needed in the client's home (ventilator dependent, device-based respiratory support, tracheostomy care, and tracheal suctioning, etc.).

     Besides providing care in the home, the nurse may accompany a client outside the home when the client's normal life activities take the client away from home (such as a child attending school during the day).

    Private duty nursing is available for children and adults.

    Private duty nursing can also apply to a private pay or private insurance situation.

    Payment sources include: Medicaid, private insurance, private pay, workers compensation.

              Hourly Nursing

    Hourly nursing can be used for many different reasons. These visits are billed by the hour and usually are 1-2 hours a day 5-7 days per week. 

    Any of the following reasons may constitute a nursing visit:

    • Vital sign monitoring
    • Wound care (pressure ulcers, surgical wounds)
    • Nasopharyngeal and tracheostomy aspiration 
    • Catheter Care (Irrigation, insertion or replacement of catheters, care of newly inserted suprapubic catheters)
    • Nasogastric, gastrostomy and jejunostomy tubes (placement, feedings, and teaching)
    • Insulin administration and teaching
    • Oxygen administration set up, monitoring and teaching 
    • Diet teaching

    Home Infusion Therapy

    Home Infusion Therapy allows patients to continue with their daily activities while receiving care in the comfort of their home or alternate site setting. Generations works with the prescribing physician who directs the overall management of the patient’s care. We focus on managing each component of the therapy through our comprehensive staff of clinicians and case managers. Our commitment is to provide the highest quality of care, clinical excellence, and customer service.

    Clinical Expertise

    Generations employs registered nurses who have extensive acute care backgrounds. They evaluate patients for acceptance based on appropriateness for non-hospital care. The nurses educate the patient and family members with respect to medication and self-administration techniques. Education and assessment continue during routine follow-up visits. Generations nurse clinicians are experienced in infusion management and maintain and problem-solve the patient’s IV site and catheter. Monitoring the patient on an on-going basis includes assessing response to therapy, lab draws and coordinating other services the patient may require. Generations works closely with certified nursing agencies as required ensuring care standards are achieved.

    Our pharmacy has extensive admixture experience and are available as resources for drug information. They are active participants in the patient‘s ongoing care plan. Our pharmacy has a complete formulary of drugs and solutions. Infusion pumps and equipment are selected based on the latest technology, cost-effectiveness, and most appropriate selection for each patient. Medications and supplies are delivered to the patient’s setting in limited quantities to control drug costs due to therapy changes.

    Generations Home Health Agency continually strives to improve the quality, convenience and cost-effectiveness of our services.

    We take great care to make sure you understand and can follow through with your individualized course of treatment. Our infusion nurse consults with your primary care physician to define a complete plan of care.

    You will be educated on the equipment, medications and solutions, self-monitoring techniques and proper management and disposal of materials. The infusion nurse will also monitor your lab work, provide continuous support and assess your progress.

    Our number one goal is to provide you with the best care possible, making full use of proven traditional methods and innovative new technologies. Our approach combines professional infusion therapy nurses and clinical pharmacists with special services including home delivery and lab monitoring.

    • Our IV Team provides short and long term IV therapy

    • Our nurses provide the same quality IV care in the home that you previously relied upon in the hospital setting

    • Our IV nurses are specially trained and available to patients 7 days a week, 24 hours a day.

    • Our nurses obtain and monitor lab work and give specialized attention to specific and often complex multiple medical issues.

    • Our IV team keeps the physician informed of your patient's condition on a regular basis.

    Our service makes all the arrangements for home infusion and nutrition support therapies, including the initiation and supervision of a treatment plan, comprehensive patient and care-giver education, close monitoring and the delivery of supplies and equipment.

    Therapies Provided

    • Total Parenteral Nutrition (TPN)

    • Enteral Nutrition (EN) Supplies & Formulae

    • Antibiotic Therapy (Intravenous)

    • Chemotherapy for Cancer Treatments (Intrathecal and Intravenous)

    • Pain Management Therapy (Subcutaneous, Intrathecal and Intravenous)

     

    Reimbursement Information


     One call to Generations Home Health Agency and we will: (1) pre-certify and verify the patient's insurance coverage; (2) coordinate all infusion needs; (3) coordinate all nursing care. 

     

    We Accept the following types of insurance:

    • Blue Cross/Blue Shield of NC;

    • Medicaid

    • State employee and teacher's comprehensive plan

    • Other Private Insurances with prior approval

     

    To Obtain Services
    Have your physician refer your care to Generations Home Health Agency.
    Call us directly at (336) 372-1755
    Come by our office at 665 South Main Street, 204 Trojan Village Shopping Center, Sparta, NC
     

    Submit a Referral Form