Potential residents of Laguna Honda are screened for medical necessity and level of care prior to any admission processing.
Determination is made objectively on an individual case basis according to the following criteria:
- Residence in the City & County of San Francisco
- Primary diagnosis of a medical condition (not psychiatric) that requires nursing facility care (MD verified)
- Existing physical or cognitive functional limitation requiring care that cannot be provided at a lower level (for example, a board and care home or other intermediary facility)
- Need for active daily rehabilitation on an inpatient basis
- Need for ongoing rehabilitation aimed at raising functional status
Administrative Requirements for admission include:
- Completed Inter-facility referral form
- Medi-Cal authorization number and Medicare eligibility data as available
- Private insurance coverage verification and/or HMO disenrollment documentation
- Thorough and updated medical information including medication list and tuberculosis status
- Physician and nursing assessments including current ADL ability level
Exclusion Criteria:
- Communicable disease for which appropriate isolation facilities are not available at Laguna Honda
- Applicant is under police hold, unless 24-hour guards are provided by the Sheriff’s Department
- Mental illness or developmental disability requiring an organized program of active psychiatric intervention, according to Title A of the California Administrative Code, paragraph 278.2(1), (b), (c)
- Need for most types of chemotherapy
- Ventilator dependency
- Total Parenteral Nutrition (TPN)
- Active medical problem requiring ICU care
- Primary psychiatric diagnosis without coexisting dementia or other medical diagnosis requiring SNF or acute care
- Significant likelihood of unmanageable behavior:
- Actively suicidal
- Dangerous to self or others
- Violent or assaultive behavior
- Criminal behavior including but not limited to possession of weapons, drug trafficking, possession or use of illegal drugs or drug paraphernalia
- Sexual predation
- Elopement or wandering unless admitted to a secure unit or a unit with a wanderguard
