Care Initiatives Hospice takes pride in being responsive to requests for information, admission referrals, and patient/family needs. Our care team is available 24/7 and will respond to our patient or family needs in a timely manner, usually within one-hour.
24-hour Skilled Nursing Care
Skilled nursing care facilities are licensed healthcare facilities that are inspected and regulated by the Iowa Department of Inspections and Appeals. These facilities are staffed by registered nurses, licensed practical nurses, certified nursing assistants and a variety of therapists as well as other disciplines in dietary, social services, activities, housekeeping, laundry and administration. All Care Initiative’s locations provide 24-hour care or skilled nursing services.
We offer long- and short-term care for individuals who need more assistance than an at-home caregiver can provide. We provide rehabilitation services and care for those who suffer from serious or persistent health issues, such as Alzheimer’s disease, COPD, or Chronic Heart Failure.
As the largest non-profit senior healthcare provider in the state, we take our jobs very seriously and are committed to providing care with compassion, dignity and respect. We offer one-on-one physical therapy, occupational therapy and speech therapy; nutritious meals; laundry service; social and activity programming as well as 24 hour individualized nursing care. With over 3,000 staff members serving an average of 2,500 of Iowa’s elderly, our commitment to the best quality care, compassion and respect is our top priority. Care Initiatives facilities are Medicaid and Medicare certified.
Accelerated Care Plus Therapy Equipment
Most of Care Initiatives facilities have incorporated Accelerated Care Plus Therapy, a cutting-edge therapy system which is non-invasive and medication-free. ACP Therapy addresses a wide range of prevalent conditions including pain, inflammation, neuromuscular re-education, stroke recovery, contractures, urinary incontinence, wounds, joint replacement recovery, chronic obstructive pulmonary disease (COPD), rheumatoid arthritis, knee osteoarthritis, herpes zoster and fall prevention.
ACP’s rehabilitation programs are built around proven medical technology, called “Therapeutic Modalities”. Devices such as infrared therapy and ultrasound can help reduce pain and inflammation. Additionally, they may use electrical stimulation to increase circulation and simple exercises to improve flexibility, strength and balance.
By introducing these treatment options, therapists are able to improve outcomes for a broader range of patients and more medically complex conditions.
When medical, memory, or aging issues reduce your loved one’s ability to safely stay in his/her home, but he/she is still largely independent, assisted living may be the best option. Your loved one may still desire the privacy and autonomy, but may need a little assistance – cleaning, laundry, minor home repairs, cooking.
Care Initiatives Assisted Living locations offer several amenities including outdoor gardens, internet access and opportunities to socialize. Our facilities were created to allow older Iowans to “age in place” while having access to high quality healthcare nearby. By taking advantage of Care Initiatives Assisted Living you will experience the full-service, caring compassion you deserve.
Care Initiatives does have eight locations designated for low income Iowans. Those locations are: Avoca Lodge, Circle Terrace Lodge in Manly, Dunlap Assisted Living, Estabrook Lodge in Eldora, Lamoni Assisted Living, Odebolt Assisted Living, Panora Assisted Living, and Valley Lodge in Correctionville. Click here to learn more.
Care Initiatives provides bariatric services and accommodations, including one facility with a dedicated unit. The bariatric units are available for patients before and/or after having gastric bypass surgery. The nurses and dieticians in these units are accustomed to following doctor’s and nutritionist’s directions as the patient recovers. In addition to skilled nursing care, the rooms for bariatric patients are equipped with large doors, a larger bed and furniture and a larger bathroom entrance for the comfort and ease of our guest.
Beauty Shop/Barber Shop
We believe that every patient and resident has a right to beauty services that make them proud of their appearance. Our on-site beauty shops are available to help them do that. Residents can make an appointment with one of our friendly beauticians and schedule their next spa day.
Care Initiatives Hospice offers specially trained individuals to assist families and caregivers through the grief process. We offer an organized program of bereavement services for family members, caregivers and significant others, as well as the general public. Services include: letters and supportive information, support groups, memorial services, and visits and/or telephone calls.
Care Initiatives Hospice & Other Hospice Services
Care Initiatives Hospice provides compassionate health care and palliative support for people facing life-limiting illnesses or conditions. We offer a physician-directed, nurse-coordinated interdisciplinary team approach to personal care. Our goal is to add comfort and quality to the late stages of life.
Care can be provided wherever the patient is – at home or in a care facility. Regardless of the level of need, or where care is administered, no one facing a life-limiting or terminal illness is ever turned away because of an inability to pay. We offer these services throughout 66 Iowa counties. Find a Care Initiatives Hospice office near you.
Care Where You Are
Care Initiatives Hospice staff are not focused in one location. Our care team provide service where you are - personal home, nursing home, hospital or assisted living.
Discharge Planning / Home Visits
Discharge planning and home visits can be complicated, especially when dealing with persistent health care needs and health maintenance. But at Care Initiatives, our caregivers and staff will work with residents, patients and families to set expectations for a visit or permanent return home, and provide the necessary guidance for maintaining a custom care plan.
Hydroworx Hydrotherapy Pool
Care Initiatives Pinnacle Specialty Care features one of the only on-site Hydroworx Hydrotherapy Pool in the Cedar Valley area. Water therapy can help you rehabilitate quickly after an injury or surgery, and our caregivers can provide a customized hydrotherapy program to meet your needs. The adjustable water temperature is always just right, and the pool’s advanced treadmill and massage jets help you regain strength and increase circulation.
Care Initiatives Independent Living communities offer a homelike setting among your peers. There are several living options ranging from studio living to one bedroom, and two bedrooms. (Options vary by location.) The underlying benefit is in knowing that there are highly qualified, healthcare providers nearby so that any life-changing event can be minimized and controlled and there are options to grow within the community.
Individualized Care Plans
We believe in treating every patient to the best of our abilities, which means administering care that is custom to the individual. Each patient or resident of Care Initiatives receives a customized care plan implemented by Care Initiatives caregivers, leading them to higher independence and quality of life.
We carefully analyze the medical history of our patients and residents, and we implement the care advised by their doctors. Each patient receives treatment and care individualized to them and based on their health needs.
Intravenous (IV) Therapy
Intravenous (IV) therapy is the fastest route to deliver fluids and medications throughout the body. It may be used to correct electrolyte imbalances, deliver medications, blood transfusion or as fluid replacement. It is particularly useful for elder patients who might not be getting as much fluids as they should and, because of the side effects of some medication, they have increased potential to become dehydrated. IV therapy gives the resident in need the right balance of water and electrolytes to keep their body functioning properly. Additionally, IV therapy is of particular use in cases where oral antibiotics are not effective.
Lymphedema & Wound Therapy
Lymphedema is the abnormal accumulation of body fluid, typically in an extremity or one area of the body. Lymphedema occurs when the lymphatic system for fluid drainage is damaged. Left untreated, it can result in swelling, pain, weeping of fluid through the skin, inability to utilize the affected extremity, skin changes, wounds, and development of greater complications.
“Primary” lymphedema is when your lymph system is damaged and issues arise on their own. “Secondary” lymphedema is caused by a condition or procedure that damages your lymph nodes.
Lymphedema Therapy can…
- Identify and discriminate between lymphedema, lipedema, lipolymphedema, phlebolymphedema, dependent edema, and venous edema.
- Perform a bedside ankle-brachial index study using a hand-held Doppler and choose an appropriate level and type of compression.
- Use advanced hand techniques, precise targeting of soft tissue layers and lymphatic structures, and ergonomic positioning.
- Implement an appropriate exercise program to alleviate pain and reduce symptoms.
Medication management is one of the most important daily challenges for patients and residents. Care Initiatives nurses and caregivers are here to implement a medication management plan that works for each individual according to their custom care plan. We help patients and residents understand their medications, and we implement a management schedule that is safe, healthy and effective for each person.
Memory Care Units
Care Initiatives offers seven specially equipped locations for elderly Iowans suffering from Alzheimer’s disease, dementia or other related memory impairment disorders. While receiving compassionate care from our dedicated nurses and staff, the residents in our memory units also have added security and enhanced cognitive and psycho-social programming customized to accommodate the individual’s capabilities and attention span. The units are a very structured format designed to reduce agitation and encourage social interaction. Although all of our locations provide some level of memory care, Care Initiatives facilities with specialized memory care units include Cedar Rapids, Corydon, Eldora, Manly, Southern Hills (Osceola) and Stratford.
When the chores of daily living – bathing, dressing, grooming, etc. – become too much to handle, that’s when our occupational therapists step in. Occupational therapy is the use of treatments to develop, recover, or maintain the daily living skills of a patient whose normal routine may have been interrupted by illness, injury or surgery. Our therapists work one-on-one with each client and family to determine goals, offer a customized plan to improve the client’s abilities and ongoing evaluation to continue making progress. Additionally, occupational therapy can involve adapting the client’s living space to help toward greater independence.
Care Initiative’s Outpatient Therapy is a form of therapeutic treatment offered to those who do not require hospitalization or 24-hour care. Our services are available to all members of the community and it allows for care close to home.
We provide our clients with an initial assessment and follow-up supportive treatment. Outpatient therapy programs typically include one or more of the following disciplines: physical therapy, occupational therapy and speech therapy, which are provided by qualified and trained therapy professionals. Programs are tailored to meet the needs of individuals.
Care Initiatives' Care Team has a goal of helping our patients maintain a dignified and proper quality of life. Controlling pain can be an important part of the process. Our Care Team will work closely with your physician and you to develop a compassionate plan for managing pain.
Each Care Initiatives location helps provide access to pastors, chaplains and other religious leaders and services for the spiritual wellbeing of residents. Religious services are held regularly in Care Initiatives locations, and we will work with residents and their families to coordinate services if possible.
Healing from a serious illness or injury can be a long road to recovery. Care Initiatives’ physical therapy program aims to help patients set goals and achieve them with the objective of restoring health and prevention of illness and injury. Our physical therapists will work one-on-one to customize each client’s rehabilitation program. We seek to address each individual’s health needs, including balance, strength training, flexibility and pain management.
From group card games and social hours to special meals and outings, Care Initiatives is committed to making life fun and exciting for our residents. Weekly activities are planned and posted at each location, and all residents are welcome to attend. Families and friends are also always welcome to join us for activities and outings.
Whether your loved one incurred a life-altering health event such as a heart attack or stroke, or a lengthy illness that has temporarily deterred returning home, Care Initiatives has the ideal alternative in our Rehab to Home program. Our dedicated staff of nurses and therapists will develop a program, by maximizing each individual’s potential, to allow your loved one to return to their prior level of functioning and return home if medically indicated.
If an at-home caregiver or family needs temporary relief from the day-to-day care needs of their loved one, any of our care locations are able to assist. Sometimes respite care is used when a family or caregiver plans a vacation, needs a break or change of pace, or wants to trial a long-term care facility for possible placement at a later date. Contact your nearest location to learn more about how temporary respite care may be a solution for you or your family.
We believe that each patient and resident should be able to choose what they eat, so Care Initiatives locations serve several menu options at each meal. Each choice is nutritionally balanced and can be customized to suit special dietary needs.
Special Dietary Accommodations
We can accommodate many dietary needs for our patients and will work with their families and caregivers to understand and maintain a plan that works. Whether the dietary restriction is part of a resident’s health care plan or personal preference, we are happy to provide for their needs.
With the increased risk of diseases such as strokes, dementia, head injuries, etc., the elderly often encounter problems in communicating. There may be problems in processing auditory information or mentally recalling an event or a word. Our speech therapists will conduct a thorough evaluation to determine if there is a language-based problem, the orientation of the problem and best possible treatment. We focus our efforts on helping each patient learn to process, organize or recall information, and offer some additional tactics of communicating, such as writing down information or recording it. We also work to help with swallowing disorders that are often the result of a stroke.
Our hospice spiritual care givers work with each patient and family to visit with and assist with any spiritual needs in accordance with the patient's or family's beliefs and desires.
Tube feeding, or enteral feeding, is a way to deliver needed nutrients and fluids through a tube if your loved one is not able to take food or drink by mouth. In some cases, it may be only necessary for a short time. In other cases, it can be a more permanent solution. Our capable staff is able to monitor and assure your loved one receives the best nutrition.
Several of Care Initiative’s locations hold contracts with the Department of Veterans Affairs to provide care for veterans who are not acutely ill or in need of hospital care. For more information about VA Contracts, click here. Locations include: Belle Plaine, Centerville, Cherokee, Correctionville, Creston, Eldora, Fonda, Kingsley, Lantern Park (Coralville), NorthCrest (Waterloo), Oakwood (Albia), Ravenwood (Waterloo), State Center, Stratford, West Ridge (Knoxville) and Westwood (Sioux City). Please call us to learn more at 515-224-4442.
Wound Care Management
As people age, skin integrity is an important factor in maintaining overall health. Our team of healthcare providers at Care Initiatives is trained in treating existing wounds should a patient be admitted with an existing pressure ulcer. Using the latest in medical technology, our nursing staff incorporates V.A.C. ® Therapy to promote wound healing. V.A.C. Therapy applies negative pressure through a patented dressing. When applied at the site of a wound, this vacuum-like pressure helps draw wound edges together, remove infectious materials and actively promote granulation for faster healing.