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Irvington Rehabilitation Care Articles

Serious falls put seniors at risk

Chuck Clifford came to lying 
flat on his back on an icy sidewalk, motionless and unable to move his limbs. The life of the Angie’s List member in Mundelein, Ill., changed with a single, fateful slip during 
a 2008 ice storm that fractured 
his neck and came within about 
a millimeter of completely severing 
his spinal cord.

Rehab providers offer stroke survivors hope

Annually, about 800,000 Americans suffer a stroke, a leading cause of death and disability. But many survivors find hope in rehab, where doctors and therapists help them return to a "new normal."

Angie's List In The Press

Sample Physical Rehabilitation Services Reviews

A
"The staff is friendly. They were educational and informative. They do a good job. I plan on going to them in the future."
A
"The staff is friendly. They were educational and informative. They do a good job. I plan on going to them in the future."
F
""
Irvington Physical Rehabilitation Services Provider Name Locked
& Rehabilitation Hospital" is not the type of medical facility that one goes to voluntarily or intentionally!
In the vast majority of cases patients at this facility who are on Medicare and thus are perhaps enrolled in a local Medicare HMO (e.g., Senior Dimensions before takeover by United Healthcare) like my mother have no choice but to go to this facility since this is the only option that their health insurance plan covers.
Visits by physicians are sporadic and brief, many if not most physicians are trained overseas and are still on the road to learning proper spoken and written English (thus occurrence of nonsensical phrases such as “deFooter” in discharge letters – pray tell what might a “deFooter” be?).
Written treatment plans from the initial acute care hospital are not followed/ignored, most likely because the discharge documentation was never read by the attending foreign-born physician responsible for a patient’s care at the rehabilitation facility.
Apart from patient medications initially not being correctly provided as specified b y the referring hospital (Valley Hospital), nursing staff apparently does not know that patients need a minimum of approximately 1.5 – 2.0 liters per day of water on an ongong basis to survive. Proper oral care is not provided to patients (especially the demented) who can no longer provide such care on their own. Thus, the risk of aspiration (food & drink) and of developing aspiration pneumonia are increased.
Administrators (a Mr.
Irvington Physical Rehabilitation Services Provider Name Locked
at the time) do not respond in any way, shape, manner or form to numerous certified letters sent “Return Receipt/Requested” concerning important patient-related healthcare issues at the facility.
Bearers of the ultimate in bad news (such as you are going to die!) do not even have the professionalism or common sense to first properly introduce themselves when talking to worried and stressed-out family members, and oh so much more than I can relate here.
When it became apparent that my mother - whose swallowing had been evaluated and cleared - was not eating and drinking enough to survive over the intermediate to long-term, I considered whether or not something might be preventing her from doing so other than the fact that her time had come and she truly couldn’t eat and drink enough anymore (part of the natural dying process as the body shuts down).
It turned out that she had a urinary tract infection (UTI) and infections are known to negatively impact cognitive (mental) functioning in dementia patients – make them more confused, somnolent.
The UTI was only diagnosed at my suggestion/insistence; the staff would not have been motivated to do this on their own. Apparently,
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab does not even have something as
Irvington Physical Rehabilitation Services Provider Name Locked
as a urine dipstick test available to quickly and efficiently screen for potentially bothersome, patient-impairing UTIs in catheterized patients.
This was not supposed to happen at
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab since the treatment plan accompanying her transfer documentation from Valley Hospital clearly stated that she was to remain free of infection (indwelling catheter
Irvington Physical Rehabilitation Services Provider Name Locked
) and that pertinent laboratory values (ESR, leukocyte count, CRP) were to be regularly monitored to ensure that this was the case. None of this was apparently done according to the medical records.
Since my mother had an indwelling urinary catheter (
Irvington Physical Rehabilitation Services Provider Name Locked
catheter) first placed when she was admitted to the Valley Hospital ICU on 02/12/1007 and such a catheter remained in place until she died 44 days later, medical staff at all of the healthcare facilities where she was a patient should have been aware that she would inevitably develop a (
Irvington Physical Rehabilitation Services Provider Name Locked
) catheter-associated urinary tract infection (no longer than 3-4 weeks at the utmost). This is undoubtedly what happened to her, as far as the UTI that she developed was concerned.
When my poor mother was being transitioned from
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab to hospice care (was supposed to be home hospice with an initial stay at the
Irvington Physical Rehabilitation Services Provider Name Locked
Hospice IPU to treat her UTI, but she actually never got to go home again) on 03/23/2007, the expectation was that she would be receiving all of her needed medications while being given intravenous fluids and having her UTI treated with antibiotics (Levaquin i.v.).
If the UTI was indeed the culprit in preventing her from eating and drinking enough to survive she would resume doing so once it had been successfully treated. Otherwise, she was going to die a natural death due to inadequate hydration/nutrition within about 1-2 weeks.
The plan sounded very reasonable and feasible, but alas
Irvington Physical Rehabilitation Services Provider Name Locked
& Rehabilitation Hospital and its incompetent staff threw a monkey wrench into our well-thought-out plan.
I didn’t find out about this until after my mother had passed away much more suddenly than expected in hospice care (only 5 days after admission), apparently suffering from end-stage respiratory failure and congestive heart failure.
After obtaining copies of all of her medical records from
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab at a cost of some $600.00, it was very clear that she was also suffering from pneumonia (discharge chest x-
Irvington Physical Rehabilitation Services Provider Name Locked
from
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab showed a “right parahilar infiltrate” and “incipient effusion”). This is information that should have been communicated to me and my family – free of charge – while my mother was still alive!
But why were we never told by anyone at
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab that she had pneumonia?
This discharge chest x-
Irvington Physical Rehabilitation Services Provider Name Locked
which is standard operating procedure before discharging/transferring someone who has been an inpatient at a given healthcare facility for some time was taken the evening of Thursday, 03/22/2007. The results of this x-
Irvington Physical Rehabilitation Services Provider Name Locked
were available at 10:30 a.m. the very next day, Friday – her day of transfer to hospice care.
She did not leave
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab for
Irvington Physical Rehabilitation Services Provider Name Locked
Hospice until after 1:00 p.m. on Friday, 03/23/2007. Certainly there was enough time for someone to find out the results of her chest x-
Irvington Physical Rehabilitation Services Provider Name Locked
before she left curative care for hospice care – if that is what they had wanted to do.
Hasn’t anyone ever heard of a telephone call or to specifically request that the x-
Irvington Physical Rehabilitation Services Provider Name Locked
results be immediately faxed as soon as they are available, because the patient is being discharged the very next day? It makes absolutely no sense to order a test – such as a chest x-
Irvington Physical Rehabilitation Services Provider Name Locked
– which then comes back showing serious pathology, never look at it and never report the findings to the affected/interested parties.
If a test is of absolutely no consequence, why order it in the first place? If you order a test and it comes back showing something important, you better “get off your a** pronto” and provide appropriate follow-up in a timely manner!. No follow-up was ever provided to the
Irvington Physical Rehabilitation Services Provider Name Locked
Hospice (by phone or otherwise)!
I strongly believe that we and the hospice were intentionally not told that my mother had pneumonia, because it was known that this would very likely delay her transition to hospice care. We might have been willing to transfer her to hospice care with a urinary tract infection (
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab didn’t want to keep her with just a mere UTI!), but pneumonia very likely would have meant that we would have wanted to pursue some additional treatment (antibiotics) in curative care first, before agreeing to hospice care.
With a capitated patient like my mother who had been at
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab for 23 days (and thus was approaching the maximum covered day count in rehab under capitation), there was certainly a financial incentive of the part of
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab to empty her bed as soon as possible and make it available to the next paying customer.
So the solution was
Irvington Physical Rehabilitation Services Provider Name Locked
:
Irvington Physical Rehabilitation Services Provider Name Locked
’t tell the patient or her family that she has pneumonia!
Irvington Physical Rehabilitation Services Provider Name Locked
Hospice also was never given a copy of her discharge chest x-
Irvington Physical Rehabilitation Services Provider Name Locked
findings in the transfer documentation accompanying her to hospice care. Her physican at
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab supposedly never saw or signed off on these findings (no initials on the pertinent sheet; all this really proves is that he didn’t initial the sheet).
She’ll be dead in hospice care before they know it and no one will be any the wiser about what really happened. Well they didn’t count on me requesting copies of her medical records on the very day that she died in hospice care – THE BASTARDS!
This story has had a long aftermath dragging on for several years after the events in 2007: correspondence with the CEO of Fundamental Long Term Care (FLTC) - the parent company of
Irvington Physical Rehabilitation Services Provider Name Locked
& Rehabilitation Hospital, an agreement (copy available) to compensate us the princely sum of $1,000.00 for expenses (which we declined not only because we would have had to keep our mouth shut about what happened) related to medical records and the need to obtain an amended death certificate from the
Irvington Physical Rehabilitation Services Provider Name Locked
County Coroner’s Office (ultimately only possible because an accidental death – fall), since
Irvington Physical Rehabilitation Services Provider Name Locked
Hospice did not want to change the cause(s) of death on the death certificate that they initially issued for liability reasons.
Ultimately, this ended up as a complaint with CMS (Centers for Medicare & Medicaid Services). Supposedly several people at
Irvington Physical Rehabilitation Services Provider Name Locked
Rehab were subsequently terminated, but I cannot confirm this.
"
A
"I went to therapy twice a week (ultrasound, stripping, exercises to strengthen and increase range of motion, electrical stimulation and cold) and did therapy exercises three times a day at home. Within two weeks my foot was getting stronger and my pain level began dropping. I decided to try going back to work on restricted hours. I was able to tolerate a regular shoe for 6 hours a day which I had been unable to do before I began therapy. After two weeks back at work we increased the level of therapy and I had a setback and my pain level began increasing. We dropped the therapy back down and I began to bounce back. I went back off work to just concentrate on the therapy, but after another week and a half, I realized I was no longer continuing to improve. I talked to
Irvington Physical Rehabilitation Services Provider Name Locked
and we decided to stop the therapy and recommend to the doctor that I should have the surgery to remove the bones. Even though the therapy didn't fully work, my foot is stronger and I have less pain than when I started therapy so that should help me recover from surgery better. I am looking forward to working with the people at
Irvington Physical Rehabilitation Services Provider Name Locked
again for rehab after the surgery.
"
A
"It went very well overall. The front desk staff isn't very friendly, but they weren't rude; just okay. They didn't
Irvington Physical Rehabilitation Services Provider Name Locked
me when I walked in and I had to stand in front of them for a few seconds before they would acknowledge my presence. However, Dr.
Irvington Physical Rehabilitation Services Provider Name Locked
is very friendly and caring. He has a wonderful bedside manner. He took the time to explain the mechanics of the knee and he gave me time to ask any questions I had. I would definitely return to see him for any future ailments."
A
"Everything at
Irvington Physical Rehabilitation Services Provider Name Locked
was like a miracle! He went from not being able to tell us his full name and address to now being his old self again. The entire staff that cared for him was unbelievable. He received Occupational Therapy, Physical Therapy, Speech Therapy, Recreational Therapy, as well as daily sessions with a Psychologist and Physiatrist (MD specializing in physical rehabilitation). There was also a Social Worker who was assigned to his treatment team. His entire treatment team was in constant communication with me.
I couldn't believe the quality of care he received and the dedication of each Therapist who cared for him. After about 4 weeks at
Irvington Physical Rehabilitation Services Provider Name Locked
he was discharged and continued with outpatient therapy at Northern Pines Medical Center in
Irvington Physical Rehabilitation Services Provider Name Locked
, MN for about 6 weeks..
Now, a little more than a year later, it's like his accident never happened and he continues to improve. We are so grateful to the team that cared for him at
Irvington Physical Rehabilitation Services Provider Name Locked
and would never hesitate to recommend the facility.
"
A
"I have had sever stenosis for the past two years. I could not stand up or walk. Once I met with Dr. Meleger, I was diagnosed quickly and was given the choice of either injections to the spine or surgery. Of course. I chose the injections. I am now going in every three to four months to have these injections once the pain re-occurs."
B
"My experience has been very positive. It has been a year since I started seeing Dr.
Irvington Physical Rehabilitation Services Provider Name Locked
. I am not out of pain completely, but I am doing much better, and have been able to transition from working part time to full time, and have also been able (albeit slowly) to resume certain physical activities that I love and really missed a lot."
F
"Saw an advertisement on TV, telephoned and requested an appointment for two free laser treatments. After the treatments and discussion with Dr
Irvington Physical Rehabilitation Services Provider Name Locked
, my husband decided to enter into a contract for 26 treatments, which Dr
Irvington Physical Rehabilitation Services Provider Name Locked
determined would really help to resolve the pain.
Began laser treatments upper neck and lower spine for spinal stenosis in late January 2012 and after ten (10) treatments, discussed with Dr
Irvington Physical Rehabilitation Services Provider Name Locked
that they did not seem to be improving the pain situation. Took a few weeks off. Then, in early March 2012, my husband suffered a mild stroke. After his full recovery, he contacted Dr
Irvington Physical Rehabilitation Services Provider Name Locked
to advise that he did not want to continue the treatments and requested a refund for the unused portion of the paid services (26 treatments at $4,000). Dr
Irvington Physical Rehabilitation Services Provider Name Locked
assured him that someone from the billing department will review his records and give him a telephone call.
In about two weeks, we received a listing of services provided which showed that all of the $4,000 had been expended. Thus, based on this information, we knew that we had been scammed.
Consequently, we believe that this matter was handled in an extremely poor manner -- very poor customer relations. Thus, we would not recommend this facility to anyone.
"
A
"As always, I was very pleased by the treatment and care that I received. I received my usual check-up for spinal problems as well as x-rays to ensure that the shoulder problem was actually tendonitis (as diagnosed by a physical therapist) and not stemming from further degeneration in my cervical spine.
I was instructed to call if anything new cropped up,and to make another appointment if the tendonitis wasn't healed within the next month.
"

All Physical Rehabilitation Services in Irvington, NY

Companies below are listed in alphabetical order. To view top rated service providers along with reviews and ratings Join Angie's List Now!
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Adam Stein MD

825 Northern Blvd
Great Neck, NY

Adler, Dr Steven

30 Hempstead Ave
Rockville Centre, NY

Advanced Spine and Pain Care, LLC

970 Summer Street
Stamford, CT

Agin, Dr. Carole

Nicholls Rd HSC L4-060
Stony Brook, NY

Alcoholism Treatment Helpline

41 Schermerhorn St Suite 882
Brooklyn, NY

Alcoholism Treatment Helpline

248 Route 25A Suite 9
East Setauket, NY

Alcoholism Treatment Helpline

10723 71st Rd. Suite 156
Forest Hills, NY

Alcoholism Treatment Helpline

2005 Palmer Ave. Suite 283
Larchmont, NY

AmeriCare Physical Therapy

1111 US Highway 22
Mountainside, NJ

AMITYVILLE HEART CENHER

129Broadway
Amityville, NY

Andrew Ankamah, MD

1543 State Hwy. 27
Somerset, NJ

Aspen Medical Associates

1 Degraw Ave
Teaneck, NJ

Athletic Share LLC

125 Half Mile Road
Red Bank, NJ

Atlantic Medicine & Wellness

2399 Highway 34
Wall Township, NJ

Audio Help Hearing Centers- Chelsea Village

314 W 14th Street
New York, NY

Audio Help Hearing Centers-Sheepshead Bay

2204 Voorhies Ave
Brooklyn, NY

Auerbach Family Chiropractic Center

3650 US Hwy 9W
Highland, NY

Axiom PT and OT Plus

115 Main Street
Tuckahoe, NY

Bachar, Dr. Jean

19 Beekman St
New York, NY