Admissions
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General Requirements for Admission
- A diagnosis of incurable cancer with documentation to support the diagnosis. (A pathology report, CT scan or similar documentation is required.)
- The need for palliative care after all aggressive cancer treatment(s) [i.e. radiation, chemotherapy and surgery] have been completed.
- Financial need: Insurance is not accepted, but those with insurance are not automatically disqualified; individual circumstances are taken into consideration.
- A signed Do Not Resuscitate form (DNR).
- TB QuantiFERON or Skin Test (PPD) Results.
- A list of current medications.
- A signed Health Care Proxy.
- A completed NY DOH 695 screening form (if New York resident).
- A medical history and physical exam or consultation (i.e., narrative report).
- A completed APPLICATION FORM (please complete all six pages).
- TB Treatment Agreement Form, if applicable.
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Rosary Hill Home's Non- Discrimination Policy
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Subject to rights and limitations stemming from federal and state constitutional and statutory law, Rosary Hill Home does not discriminate and does not permit discrimination, including, but not limited to, bullying, abuse, harassment, or differential treatment on the basis of actual or perceived sexual orientation, gender identity or expression, or HIV status, or based on association with another individual on account of that individual’s actual or perceived sexual orientation, gender identity or expression, or HIV status.
You may file a complaint with the office of the New York State Long-Term Care Ombudsman Program (1-855-582-6769) if you believe that you have experienced this kind of discrimination.
No interpretation of this notice shall require Rosary Hill Home to act in a manner contrary to the exercise of the teachings and tenets of the Catholic Church as protected in constitutional and statutory law.
If you have any questions or feel that you have been discriminated, please contact our Administrator:
Sister Stella Mary
(914) 769-0114 Option 4
(845) 216-0857
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