Community Health Nursing Home Service Line Community Health Centers of the Rutland Region’s Nursing Home Service Line provides a network of medical professionals which supports patients that require both long-term care and short-term rehabilitation. Skilled Nursing Facilities For approximately three years, Community Health has had embedded nurse practitioners and care coordinators that support/provide daily, onsite medical care to nursing home patients at Mountain View Center and Rutland Healthcare and Rehabilitation Center. In 2017, Community Health’s Nursing Home Service Line added The Pines for Nursing and Rehabilitation, making it the third skilled nursing facility (SNF) to join our service area. Community Health’s primary care medical professionals work in collaboration with staff members at all of the facilities. “This program has had a great impact on nursing facility quality measures as well as excellent, timely medical care for our patients at the skilled nursing facilities,” says Community Health Clinical Director Claudia Courcelle. “Two of our goals are to decrease hospital readmissions for our nursing home patients as well as decrease emergency room visits unnecessarily.” The Community Health Nursing Home Service Line providers, managed by Medical Director Dr. Bradley Berryhill, are responsible for admissions, discharges, diagnosing an illness or condition, assisting with sick care and providing regulatory visits required by state and federal law. Dr. Berryhill and his staff of physicians do regular onsite visits to the nursing home patients whenever necessary and work in conjunction with Community Health’s nurse practitioners and care coordinators who visit 12 to 14 patients each day and manage their ongoing care. Nurse Practitioners available 24 hours per day, 7 days per week If a Community Health provider is not present in the SNF, then a designated nurse practitioner will be on call. Nurse practitioners are available 24 hours per day and seven days per week. Medical Director: Dr. Bradley Berryhill View profile Clinical Director: Claudia Courcelle, RN, BSN, MSA The staff employed by the nursing homes include RNs, LPNs, LNA’s, physical therapists, occupational therapists, dieticians and social workers. The Community Health physicians and nurse practitioners are the providers that determine what the patients need for medical care. “As part of the Nursing Home Service Line, the Community Health nursing support team assists patients in their transitions of care which supports them as they are both admitted and discharged from the nursing home facility,” Courcelle says. They are there to support the team and provide clinical data necessary to support the patients. This is a key component of the CHCRR care management program. “For many of these patients, the SNF becomes their home,” Courcelle says. “They have the ability to see their provider and receive ongoing medical care in their home environment. It is important that these patients receive a warm handoff and that all information is communicated appropriately for our patients. Our providers are always there to support our patients.” For more information about Community Health’s Nursing Home Service Line, please contact Claudia Courcelle at 802-855-2018.