At the Arizona Pioneers' Home, we offer three levels of care:

• Supervisory care services – General supervision, including daily awareness of resident functioning and continuing needs.  The ability to intervene in a crisis and assistance in the self-administration of prescribed medication.   The facility is to be available for emergencies, reminding, and knowing the whereabouts of the resident.
• Personal care services – Assistance with activities of daily living.
• Directed care services - Incapable of recognizing danger, summoning assistance, expressing need or making basic care decisions.
   

• PIONEER: As a NEW RESIDENT admitted as a “Pioneer” you must complete a 60-Day Adjustment Period in which you must remain independent in order to become a permanent resident of the Pioneers’ Home. In order to ensure understanding, we have developed the following so that you may understand what the Home considers independence/independent and what you need to be able to demonstrate to complete the trial period successfully. It is not all inclusive but covers most of what nursing will evaluate you on. Note: If due to illness or injury you temporarily require additional care such as APH infirmary, hospital, or rehabilitation facility, once your independent abilities are regained, your 60-Day Adjustment Period may be extended by the number of days you were in the infirmary or out of APH.

• MINER: As a NEW RESIDENT admitting as a “Disabled Miner”, physical or financial, we need to determine which level of care is appropriate for you.  You will either live on one of the independent floors (1st or 3rd), or you will live in one of our two Infirmaries on the 2nd floor, North or South.   In order to ensure understanding, we have developed the following so that you may understand what the Home considers independent and what you need to be able to demonstrate to successfully live on the 1st or 3rd floor.   It is not all inclusive but covers most of what is expected of Independent residents. If the following description does not apply to you please ask for the Dependent Resident Introduction. The Director of Nursing and Superintendent will make the final determination of placement.

• As a 1st and 3rd FLOOR PERMANENT RESIDENT, MINER OR PIONEER, you must maintain your independence in order to remain on what is considered an independent floor of the Home. The following criteria shall also be considered in determining if you should move to the 2nd floor for infirmary care.
  • Able to demonstrate continence or ability to manage bowel and bladder incontinence independently. Able to change and dispose of soiled briefs or pads in a sanitary manner by placing in a sealed bag and placing in garbage container. Ability to clean self, clothes and linens if incontinent and/or use a urinal and disposing of urine in the toilet and rinse in designated station only. Room must remain odor free.
  • Able to bathe or shower independently and safely twice weekly and shampoo own hair at least once weekly. Ability to enter into shower stall or tub, turn water to a safe temperature and exit shower stall or tub without assistance from any other person. Able to dress in clean clothes after bathing/showering.
  • Ability to ambulate independently and safely (with or without walker and/or cane) from designated room to lobby, dining room, or North Infirmary. Able to ambulate safely outside of building to doctor appointments, work the elevator without assistance and navigate stairs in case of an emergency.
  • Ability to locate important/significant areas of the facility - meaning your assigned room, nurse’s station, lobby, restrooms and dining room without verbal or physical cues within two weeks of admission. Able to evacuate facility during an emergency with minimum verbal or physical cues.
  • Able to maintain room cleanliness by keeping items picked up off of the floor, making bed daily, washing linens weekly & as needed, take garbage out to larger cans in the hallway, place incontinence pads and briefs tied up in smaller bags into the larger cans. Small items must be moved out of the way in order for housekeeping to clean the floors each week.
  • Ability to care for your physical needs without assistance from others. Able to bathe, toilet, transfer, ambulate, feed, groom and dress yourself without assistance from others. Must attend at least two of the three daily meals each day in dining room.
  • Able to manage day to day activities both physically and cognitively without excessive verbal cues.

• New residents (except qualifying miners), are admitted on a 60-Day Adjustment Period, calculated from the admit date.
• During the first 60 days in APH, a new resident is required to spend each night at APH. This allows for sufficient time for a new resident to adjust to their new environment.
• At the end of 21, 45, and again at 60 days, staff will evaluate how a new resident is adjusting to the Arizona Pioneers' Home. If a person’s health fails, or other circumstances occur and statutory requirements to live at the Arizona Pioneers' Home are not met, the person is discharged until they can again meet the requirements, at which time the person can be readmitted.
• When it is determined that a new resident is not meeting the requirements to successfully complete the 60-Day Adjustment Period, a 30 day notice is given to the resident and responsible party in which to make other living arrangements.

Residents (except qualifying miners) are required to pay, to the extent that they are financially able to do so, the cost incurred by the State of Arizona. A.R.S. 41-923 (D).

• In determining a resident’s payment:
  • Income from all sources are totaled. 
  • Credits 
    • Residents keep $240.00 of their total monthly income for a monthly spending allowance (personal debt payments, cable, cell phone or car insurance payments, lunch out with a friend, etc.). 
  • Additional credits are given for the following (if they apply):
    • Supplement insurance/Part D insurance OR an Advantage Plan 
    • Dental, Vision, Hearing insurance
    • Burial Plan (only if currently paying for the plan) OR Life Insurance plan (only if currently paying for and the face value is under $10,000)
  • We then subtract the credits from the income and the remaining amount is what a person pays to live at the Arizona Pioneers’ Home, also known as Payment for Care.
• The calculations of assets that have income potential are included as monthly income.
• Payment for Care is recalculated annually and any time a resident’s income or approved credits change.  The resident/resident representative is required to sign and submit the recalculation following review.
   

• ​​​​​If medical services, treatments, prescriptions, and related items extend beyond the normal Medicare payment limits, the resident will be billed separately by the provider. 
• Arizona Pioneers’ Home will cover the remaining balances due, which could include deductibles, co-pays, and other.
• Exceptional costs are subject to review and approval by the Superintendent. 
• Residents wishing to continue treatments that are not covered by Medicare will be responsible for payment of any related costs. 
• Residents requiring specialty care that cannot be performed by Arizona Pioneers’ Home’s contracted providers’ may be referred to specialists and clinics that accept Medicare assignment when possible.

• If the applicant owns a house independently:
  • The Arizona Pioneers' Home will assess the Fair Market Value of the house and charge interest of 100% of the value and add this to the monthly income total of the applicant/resident.
  • Any profits from the sale of a house or property (before or after admission), will not be considered as income.
  • If/when the house is sold (before or after admission to the Home), the interest earned on the monies from the sale of the house will be considered as income for two years after admission to the Home (whether or not the applicant/resident keeps the money).
• If the house is jointly owned between the applicant and any other person:
  • The Arizona Pioneers' Home will assess the Fair Market Value of the house and charge interest of 50% of the value and add this to the monthly income total of the applicant/resident.
  • Any profits from the sale of a house or property (before or after admission), will not be considered as income.
  • If/when the house is sold (before or after admission), the interest earned on the monies from the sale of the house will be considered as income for two years after admission to the Home (whether or not the applicant/resident keeps the money).
  
   

• Drugs and medicine are dispensed to residents as prescribed by a medical provider.
• Residents are not permitted to keep any type of prescription or over-the-counter medication in their room unless approved by the nursing staff and ordered by the Primary Care Provider. 

• Three meals are offered each day.  Snacks are always available.
• Residents may go at any time during dining times to be served. Serving times are:
  • Breakfast 6:30-8:30 am
  • Lunch 11:00 am-12:30pm
  • Supper 4:00-5:30 pm.
• If space is available, guests may be accommodated for a small charge. A 24-hour notice should be given when requesting to have a guest. Lunch guests can be accommodated after 12 noon.
• Residents are offered choices from daily menus, which are modified as dietary needs indicate.

• No two rooms are alike here at the Arizona Pioneers’ Home due to our unique architecture and two additions to the original building that was built over 100 years ago. 
• Rooms are not uniform in size and configurations with heaters, closets, toilet access and sinks will cause variations in both floor plans and living spaces. 
• Not all private or shared rooms are equipped with a toilet and no rooms include showers – there are many bathrooms with both a toilet and a shower located throughout the building.
   

• For all residents in double occupancy rooms compatibility is considered based on availability.
• New residents may be given a choice of rooms if there is more than one space vacant at the time they will be moving in.
• All residents sharing a room on the 1st or 3rd floor will automatically have their name placed on the private room waiting list.  Private rooms are offered based on admission date. Some private rooms are restricted to those who can ambulate and have no difficulty using stairways and ramps in the event of evacuation.  The Nursing Department will make the determination on a case-by-case basis. These rooms are not offered to those who do not meet these qualifications.  The infirmaries have no private rooms.
• An attempt is made for all new residents that have not fulfilled the 60-Day Adjustment Period to have a roommate during the entire time. This is part of the Adjustment Period.
• When an incompatibility situation arises between roommates that cannot be resolved, both residents will be moved.
• Upon admission, each resident signs a statement which reads, “I understand that I may be asked to move from one room to another and that I will do so willingly.”

• One vehicle per resident is permitted. Residents may not keep a vehicle on the property if they do not drive.
• A current Arizona driver’s license, registration, and insurance must be maintained.
• The resident must provide the Business Office with a key to the vehicle in case it needs to be moved for any reason.
• Residents may park in any available space around the building, except for those having a parking restriction.
• If your vehicle needs to be moved or towed, it will be at the owners’ expense.
• There are no reserved parking spaces.

• The chapel is open at all times, and open to all residents, regardless of denomination.
• Regularly scheduled services from a variety of denominations are held, and they are listed on the Activity calendar, along with the bulletin board outside the Chapel.