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Levels of Care

What We Offer

Each resident will receive a Level of Care (LOC) assessment prior to admission and periodically during their stay in order to promote the highest level of independence. Prior to admission to Ivy Manor, each prospective resident will receive an initial assessment determining their initial rate.  Within the first thirty (30) days of admission, a detailed Level of Care Assessment (LOC) will be done, determining the continued LOC.  The Level of Care plan is designed in a way to encourage residents to function as independently as possible. A general outline of the care levels are as follows:

Level 1: Monitored Care

The Monitored Care level is for the resident who completes their activities of daily living autonomously.  Assistance with personal care is not required on a daily basis, but a supportive environment with basic services is provided. Basic service includes:

  • Private Room w/Private Bath Medication Monitoring/Administration

  • 24 hour supportive environment

  • Housekeeping Services

  • Health Monitoring

  • Laundry Services

  • 3 Home-cooked meals a day

  • Cable TV in Common areas

  • Nutritious Snacks each day

  • Utilities

  • Leisure time activities

  • Local Telephone calls from house phone

  • Weekly bathing assistance

In Good Hands
Physical therapy on leg

Level 2: Supportive Care

The Supportive Care level is for residents who require frequent assistance with most activities of daily living.  Along with the basic services listed under level 1, the resident may require assistance with bathing, grooming or personal hygiene. The resident may also require one or more of the following services:

  • Incontinence Care- Occasional 

  • Occasional Redirection and Orientation

  • Special Dietary Modifications

  • Needs assistance less than daily

  • Medication Management

  • Assistance with Equipment needs(oxygen, brace, etc)

  • Cueing/Supervision for completion of activities of daily living

Level 3: Assisted Care

The Assisted Care level is for residents who require daily assistance from a caregiver to complete their activities of daily living. Along with the basic services in Level 1 & 2, the resident may require one or more following service:


  • Assistance Eating

  • Specialized 1 to 1 activity time

  • Incontinence Care - Daily

  • 1 Person Transfer

  • Challenging Behavior Management 

  • Hospice/Palliative Care

  • Extensive Medication Management 

  • Diabetic Care (Accuchecks, Insulin)

  • Assistance/Stand-by assist for completion of activities of daily living

Home Nurse Examining Patient
Patient with Healthcare Nurse

Level 4: Extended Care

The Extended Care level is for residents who require daily assistance with their activities of daily living and may have some medically complex issues requiring the RN or LPN more frequently. Along with the basic services offered in level 1, 2 & 3, the resident may require one or more following services:


  • 2 Person Transfer

  • Use of Hoyer Lift or EZ-stand

  • Complex Medication Management

  • Use of more than 1 Schedule II pain medications

  • Ostomy care

  • Catheter care

  • Pain Management

  • Specialized Dietary Needs

  • Wound care/dressing changes daily

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