Extended Congregate Care on Amelia Island

Osprey Village

Osprey Village actively promotes the philosophy of “Aging in Place.” As an Extended Congregate Care Center, we strive to retain residents whose care needs fall within the expanded scope of allowed practice, which allows for a continuum of care. The staff of Osprey Village encourages, through Extended Congregate Care, the resident to maximize their independence, dignity, choice and decision making capabilities.

The Center provides an environment suitable for Extended Congregate Care and scope of services dedicated to responding to individual needs. Appropriate staffing patterns and staff training are implemented to enhance the services, maintain the values of Extended Congregate Care and optimize resident success for “Aging in Place.” In addition to services and amenities provided for Assisted Living Residents, the following list includes some of the services provided to Extended Congregate Care Residents, which facilitates their “Aging in Place.”

Allowable Nursing Services in ALF for:

  • Basic Vitals/Weights
  • Assist/Administer Medications including Insulin Injections
  • Document in Nursing Progress Notes
  • Enema’s
  • Manage Oxygen
  • Assist with Ted hose
  • Routine colostomy care

Nursing Services allowed under LNS/ECC:

  • Conducting passive range of motion exercises.
  • Applying ice caps or collars.
  • Applying heat, including dry heat, hot water bottle, heating pad, aquathermia, moist heat, hot compresses, sitz bath and hot soaks.
  • Cutting the toenails of diabetic residents or residents with a documented circulatory problem if the written approval of the resident’s health care provider has been obtained.
  • Performing ear and eye irrigations.
  • Conducting a urine dipstick test.
  • Replacing of an established self-maintained indwelling urinary catheter or inserting an intermittent urinary catheter.
  • Performing digital stool removal therapies.
  • Applying and changing routine dressings that do not require packing or irrigation, but are for abrasions, skin tears and closed surgical wounds.
  • Caring for stage 2 pressure sores. Caring for stage 3 or 4 pressure sores is not permitted by a facility with a limited nursing services license.
  • Caring for casts, braces and splints. Caring for head braces, such as a halo is not permitted by a facility with a limited nursing services license.
  • Conducting nursing assessments if conducted by a registered nurse.
  • Applying, caring for and monitoring a transcutaneous electric nerve stimulator (TENS).
  • Catheter care and maintenance.

The primary purpose of extended congregate care services is to allow residents, as they become more impaired, the option of remaining in a familiar setting from which they would otherwise be disqualified for continued resi­dency. A facility licensed to provide extended congregate care services may also admit an individual who exceeds the admission criteria for a facility with a standard license, if the individual is determined appropriate for admis­sion to the extended congregate care facility. (Department of Elder Affairs, 2003)