Case Study: The Paramount at Somers (Q2 2023)

Concierge: Dominic DiLieto
Patient: Roseann Murphy
Patient age: 79
Admitted: March 8th, 2023
Admitted from: Westchester Medical Center
Discharge Date: June 10th, 2023
Length of stay: 3 Months (94 Days)
Reason for stay: Rehabilitation following a car accident.


Details of experience:

Earlier this month, a resident of ours finished her rehabilitation here at The Paramount and headed back home; she was referred to as the ‘Miracle Woman’ by the therapy team. A name she had worn proudly, Roseann Murphy spent her spring of 2023 here in our community rehabilitation following a car accident in February.

Though tough days seemed to be destined ahead with her steps to recovery, Mrs. Murphy’s positive mindset and willingness to get better made it easy for her to reach her goals and make new friends here in our community. The car accident Roseann had been in had put her in the Westchester Medical Center for over two weeks and resulted in many injuries to her extremities. She had suffered a broken left arm, right shoulder, and right leg, leaving only her left leg as weight bearing.

With such injuries, it had seemed impossible to recuperate for Roseann; she said, ‘I was overwhelmed and didn’t know where to start.’ Our therapy team understood this sentiment; with three of her four limbs not being weight-bearing, strengthening Roseann after her long stay at the hospital would take time. One day at a time, her goal was chipped away at. Soon enough, she could be weight-bearing with her arms and back to being able to feed herself. Then after that, she was back to putting pressure on her right leg on the stationary bike. She thus earned the nickname ‘Miracle Woman’ from the therapy team.

Her achievements, she said, could not be done without the help of others. When talking about her stay here, she had not referred to the staff here as ‘staff’ but as friends. Wendy, Lyn, and Richard were always helpful on the units, saying they were very accommodating and pleasant. Her therapists, Bella, Jesse, and Danny, were always people they looked forward to seeing each day. ‘It didn’t feel like work when I was with them in the gym; they made it fun,’ Roseann said.

Roseann finished the interview by saying, ‘You have to strive to get to where you want to go in life.’ A sentiment we will, of course, remember here at The Paramount.

We wish Mrs. Murphy all the best in her continued journey of rehabilitation in the future.

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Case Study: The Paramount at Somers (Q1 2023)

Patient age: 64
Admitted from: Westchester Medical Center
Discharge Date: 2/1/23
Length of stay: 2 Months (65 Days)
How did they hear about The Paramount? The hospital recommended our facility
Reason for stay: Rehabilitation after amputation


Details of Experience:

In the fall of last year, Mr. Robert Dumas joined our community here at The Paramount following an 18-day stay at the hospital. His first impression when first arrived that Monday was meeting the Concierge, Nathan, and enjoying his new mattress, which he was happy to have after staying in a hospital bed for nearly three weeks. In the spring of 2022, Mr. Dumas was admitted to the hospital with an infection in his left foot, and after attempts to stop the infection throughout the year, the best course of action was to partially amputate his left leg from below the knee.

After such a transformative surgery, Mr. Dumas came to The Paramount. In this process, the first step was to guarantee complete and full healing following the surgery. Our wound care team led this process and was guided by our wound nurse, Kari. At this time, it was as if Mr. Dumas now had to learn how to walk again, a process he had not had to go through in over 60 years. To help guide him through this process again was our therapy team and a little outside help. First off, Bob’s therapists, Pooja and Danielle, worked with him to regain strength and improve balance using a new prosthetic. The workouts included weightlifting, using the stationary bike, cone drills, walking outside on different terrains, and obstacle courses.

Throughout his stay here, Mr. Dumas was visited by Todd Schaffhauser and Dennis Oehler of the CareRite Amputee Rehabilitation Program. Todd and Dennis are both Paralympic Gold Medalists and help mentor new amputees through the transition, both mentally and physically. Though there were a lot of changes occurring, Mr. Dumas kept some things consistent, he kept himself busy and occupied with his work as a writer for the Mahopac Newspaper. Day in and day out, he set some time aside to get some work done on his computer but caught the bar cart’s attention on Tuesdays to get a deserved beer. He would spend other time talking with nursing aides Lynn, Brianna, and Shannon. From rehab to music to TV (specifically the show Supernatural), many friendly faces were around to lend a helping hand and socialize with at times.

By discharge, Mr. Dumas could walk all the way across and up and down the entire building. We wish him luck on his journey of his further rehabilitation. He is also fully back to writing for The Mahopac News. You can find his story of his journey through his rehabilitation and recovery in the February issues of the papers. The Paramount wishes nothing but the best to Mr. Dumas for him and the rest of his voyage of recovery.

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Case Study: The Paramount at Somers (Q4 2022)

Concierge: Dominic DiLietto and Nathan Viechweg
Patient Age: 82
Admission Date: September 16th, 2022
Admitted From: Lennox Hill Hospital
Discharge Date: 12/22/22
Discharged To: Home
Length of Stay: 98 Days
How did this patient hear about The Paramount: Recommended by the hospital social worker
Reason for Stay: Rehabilitation following heart surgery


Details of Experience:

Just a few days after being admitted to Lenox Hill hospital due to shortness of breath and overall weakness, it was clear that Dan was having Cardiac issues, and an operation would be necessary to correct those issues. Two days after his admission to the hospital, Daniel was scheduled for surgery. Following the operation to fix a leak in his mechanical mitral valve, a fixture that had been put into place over thirty years ago, Dan started to work to get back on his feet and back to his 100% self. Still, he would require rehabilitation to attain that level.

Just over three months ago, Mr. Daniel Pironti arrived at our community from the hospital after undergoing surgery. When Mr. Pironti came into The Paramount, he had felt even weaker than when he had first gone to the hospital, understandably, because of the heart surgery. Mr. Pironti had experienced slight dizziness when he would stand up. His struggle with his shortness of breath, along with the ‘dizziness and headrushes’ he would experience, created a very tough task of progressing with occupational and physical therapy. Mr. Pironti was a maximum assist for both walking and transporting at that time while also needing the aid of oxygen.

Fast forward a week, and the patient began regaining strength. Mr. Pironti no longer felt dizzy when standing/walking. The effort he had put into strengthening his body by participating and therapy and keeping up with his diet to have the energy was really starting to become evident. With the help of his therapists, Myra and Katie, Mr. Pironti had progressed from only being able to walk only about 10 feet without rest to 20 to 30 feet at a time in the span of one month at The Paramount.

Throughout his stay here, Dan celebrated many occasions with us. He joined the other veterans in our community on Veteran’s Day to celebrate his service and the sacrifices he had made while in the Navy. Mr. Pironti also celebrated his birthday here with his wife and daughter. His wife, Nancy, came to visit regularly and Danielle, his daughter, a medical professional herself, came every Saturday to spend a day with her father.

Through his stay here, everyone working on the unit could see his progress. Soon enough, he was moving
around the unit alone, talking with other veterans he had gotten to know. He would also move right in front of his television to get a better look at his Cleveland Browns each Sunday.

Just after three months, Mr. Pironti was ready to head back home, using what he had learned in physical and occupational therapy with us, just in time to be home for the holidays as well. Mr. Pironti left our facility able to go up a flight of stairs with no assistance and no breaks and walked over 100 feet using only his walker.

The Paramount wishes Mr. Pironti and his family all the best and will miss his joyful spirit here at The Paramount.

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Case Study: The Paramount at Somers Rehabilitation and Nursing Center (Q3 2022)

Concierge: Dominick DiLieto
Patient Age: 86
Admission Date: August 27th, 2022
Admitted From: Putnam Hospital
Discharge Date: 10/7/22
Discharged To: Own Home
Length of Stay: 41 Days
Reason for Stay: Rehabilitation of fractured hip
How did this patient hear about The Paramount at Somers? Recommended by the Hospital.


Details of Experience:

On August 27th, Mrs. Edith Boucher fell down two stairs after her electric chair lift failed to make it completely down the flight of stairs in her house. Thankfully, she had her friends with her as they were on their way to dinner. As a result, Mrs. Boucher fractured her left hip, leading to her inability to hold her weight or transfer herself without assistance. Even worse, Mrs. Boucher never got her dinner that night, a point she said she would never forget. She received surgery to repair the fractured hip and now requires inpatient rehabilitation to return to enjoying dinners with friends as quickly as possible.

Just a few days after her surgery, Mrs. Boucher was transferred to The Paramount at Somers, where she would join our Essex short-term unit. She began rehabilitation within 24 hours of her arrival, focusing on ambulation and weight bearing. When admitted, Edith needed maximum assistance. However, she was always ready to work. Her therapists, Katie and Tom, spoke of her ambition and drove to get better, saying, “she was always ready at the top of each morning to get going on her rehabilitation.” Mrs. Boucher can now ambulate independently and walk up to over 100 feet using a walker or railing. She also has no trouble ambulating around her room with minimal assistance from walkers, railings, etc.

What also helped her in her recovery journey was the support she had received from her friends and family. Her best friends and neighbors, Deedee, Susan, and Rose have come every day to check in, spend time, and share meals with Mrs. Boucher. Her children, Joyce, Michael, and Joseph, visit quite often to help get her through a difficult time. Edith shares that the team has made her feel welcomed and is very helpful. She shared that Kelly, her dietician, always assisted with reviewing and implementing food preferences and upcoming menus with her. Victoria, her unit manager, and her physical therapists, Tom and Katie, were always great to talk with, no matter the concern or topic at hand.

Mrs. Boucher is looking forward to returning home, readying to discharge the first week of October, and returning to her daily routines. She was even grateful enough to invite some staff over for corned beef and cabbage once she returned home, which she says is her best dish.

The team at The Paramount wishes Edith all the best on her continued healthcare journey.

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Case Study: The Paramount at Somers Rehabilitation and Nursing Center (Q2 2022)

Concierge: Dominick DiLieto
Patient age: 83
Admission date: April 7, 2022
Admitted from: Phelps Hospital / Northwell Health
Discharge Date: June 16, 2022
Discharged To: Daughter’s Home
Length of stay: 70 Days
Reason for stay: To receive rehabilitation services secondary to broken femur and history of stroke.
How did this patient hear about The Paramount? Recommended by a hospital case manager


Details of Experience:

When Carol Kotash arrived at The Paramount on April 7, she had suffered a fall in which she had broken her left femur and hit her head. Carol had challenges with body movement due to a series of strokes she had in the past. Upon her arrival, Carol was greeted by our Interdisciplinary team, including Nursing, Dietary, Rehabilitation, Recreation, and Concierge. The team discovered that one of Carol’s passions was painting and being creative with her hands. She was very concerned about not having the ability, during her stay, to pursue her passion and was motivated to be as engaged in her treatment as possible. The team was excited to help Carol continue to express her creativity.

The Therapy team created a personalized treatment plan for Carol. On Day one, she needed extensive assistance from our staff with her daily routine. Before the incident, Carol had required the assistance of a walker for ambulation, but afterward, she was incapable of moving over 20 feet without assistance. She could not transfer herself into a chair, dress, use the bathroom, or climb any stairs. This left her frustrated yet determined to meet her goals.

When Carol completed treatment, she was able to complete her Activities of Daily Living (ADL) with complete independence. Using only her walker, she could walk over 175 feet without hands-on assistance. On one of her last days here at The Paramount, we had a barbecue for Carol’s unit, Essex, which was being held in our outside tent on the opposite end of our community. The distance is nearly the length of a football field. Carol, on her own, was able to walk down our “Main Street” and attend the barbeque, displaying to the entire community the tremendous progress she had made.

While staying at The Paramount, Carol celebrated many holidays, including Easter, Mother’s Day, and Nursing Home Week. Carol had often participated during these occasions, socializing with both the other residents and staff. In the days leading to Mother’s Day, she was kind enough to hand out hand-painted cards to the team to celebrate them and the mothers and grandmothers in their lives. On the day of her discharge, the remaining homemade cards and her paintings were given by her to the resident in the neighboring room, a woman she had become friends with while at The Paramount.

Carol was always a positive influence and shared her incredible energy with everyone. Her room was right across the hall from Victoria, the Essex Unit Manager, and the two became fast friends. When asked if there had been a staff member that made her feel more comfortable, Victoria was the first on Carol’s list. Carol said, “Victoria had always been available to help me and always did so in a pleasant manner.” She was very grateful to her Occupational Therapist, Dawn, as well as Marva, the Housekeeper on her unit. She praised the staff’s work, saying, “the staff as a whole exhibited great patience all around, and everyone works together like a family.”

Carol completed her healthcare journey with us on June 16, returning to living with her daughter. We celebrated her graduation from rehabilitation and presented Carol with a Paramount “Came as a Patient, Left as a Friend” t-shirt. The team truly feels like Carol was, and always will be, a friend to all she knew here.

The team at The Paramount wishes Carol much success on her continued healthcare journey.

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CareRite Celebrates Heart Health Month

Each year during the month of February, CareRite Centers communities across the nation recognize and celebrate Heart Health Month to raise awareness for cardiovascular health. This year’s programming will provide both virtual education and support to the greater community.

Read the full story here!

Download Article

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Case Study: The Paramount at Somers Rehabilitation and Nursing Center (May 2021)

Concierge: Julie Lavadhi
Patients Age: 59-years-old
Admission Date: 4/1/21
Admitted From: Putnam Hospital Center
Discharge Date: 5/6/21
Length of Stay: 36 days
Discharged To: Home
Reason for Stay: Post Total Hip Arthroplasty
How did this patient hear about the The Paramount at Somers Rehabilitation and Nursing Center? His mom worked here 25 years ago, and he also knew people from here.


Details of Experience:
William M. is a 59-year-old male admitted to The Paramount at Somers for short-term rehabilitation from Putnam Hospital Centers (PHC) post Total Hip Arthroplasty (THA) on 3/30/21. The patient’s past medical history includes right knee reconstructive surgery, left foot fusion, hypertension, and shortness of breath (SOB).  Before the surgical intervention, Bill lived alone in a private residence with ten steps inside and was independent in bed mobility, transfers, ambulation, and stair negotiation. 

Upon admission into the community, Bill was greeted and welcomed by The Paramount staff and immediately comfortable.  The team worked hard to develop a plan of action to support Bill’s goals of returning home to his normal activities of daily living and that he would be able to return to work. 

Bill was evaluated for physical therapy and occupational therapy.  At the evaluation time, Bill was weight-bearing as tolerated (WBAT) on the left lower extremity (LLE). He complained of sharp pain with movement 6/10 around the area of the incision. William presented with Maximum assistance with bed mobility, total dependence with transfers, ambulated 5 feet with total dependence (TD) using a front wheeled walker (FWW), and was unable to negotiate stairs. 

Rehabilitation sessions increased endurance using the nustep bike and improved standing tolerance while ambulating using a Front Wheeled Walker. In addition, Bill was given an exercise program that he began within two weeks, as soon as it was safe for him to complete it independently. Bill was performing in the hallway, with the assistance of the guard rails – side-stepping, hip marching to 90 degrees of flexion, heel raises, sit to stand, and hip abduction on bilateral sides. The patient began to progress quickly with intervention.  

Bill did continue to suffer from hip pain but was given cryotherapy, which he enjoyed and expressed relief post-treatments. He quickly increased distance with GAIT training, ambulating approximately 200 ft by mid-April with a front-wheeled walker. At this time, Bill started to GAIT train using a straight cane (SC), which he would use at home. He began stair negotiation training with rehab therapists, stairs using bilateral handrails, graduating to facility stairs within two weeks. He was trained to use the straight cane to mimic his stairs at home.

During OT sessions, rehab focused on increasing sitting out of bed tolerance due to pain, increasing UE strength to assist with transfers, ambulation, and Activities of Daily Living. Bill was educated on hip precautions and provided with adaptive dressing devices. He was educated and trained on how to increase independence and safety during tasks, increasing standing tolerance, ability to weight shift to increase the ability to participate in upper body tasks, and lower body dressing tasks with increased independence and safety. Bill had poor functional task endurance, and endurance training and strengthening were necessary to increase safety for his return home. 

Bill was highly motivated during his therapy. He used a rolling walker and was able to progress to a cane at times. He trained on walking on uneven surfaces, transferring to multiple surfaces and heights to ensure hip precautions will be maintained when he returns home. Bill had a supportive family and friends whom he often spoke to on his phone. His independent pursuits included watching TV, reading, and being on his phone.  

Recreation staff has provided a tabletop packet to work on independently, at his leisure, while in the confines of his room.  Bill’s focus was to get better and to get his strength back so he can return to work and also to be able to travel to Texas.  

Upon discharge, Bill was independent with bed mobility, modified independence (MI) with functional transfers, using a straight cane, able to ambulate 300 ft with a straight cane (SC) with Modified Independence, and was able to ascend/descend 12 steps with SC using a step-to method. He demonstrated good safety awareness and was able to maintain hip precautions at all times. 

He was encouraged to continue with physical and occupational therapy with either home services or outpatient. Bill’s goal is to return to work in a hardware store early this summer.  Upon discharge evaluation, Bill shared that he was very happy with the stay and that the staff was very friendly and helpful.  

We are very grateful to our patients for choosing The Paramount for Rehabilitation and Nursing Care. 

From everyone here at The Paramount, we wish you good luck! 

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Case Study: The Paramount at Somers Rehabilitation and Nursing Center (April 2021)

Concierge: Julie Lavadhi
Patients Age: 85-years-old
Admission Date: 1/20/21
Admitted From: Montefiore Medical Center
Discharge Date: 4/10/21
Length of Stay: 80 days
Discharged To: Home
Reason for Stay: Encephalopathy, acute kidney failure, and hyperosmolality and hypernatremia.
How did this patient hear about the The Paramount at Somers Rehabilitation and Nursing Center? Hospital Referral


Details of Experience:
Franco Dedvukaj is an 85-year-old patient referred to The Paramount Rehabilitation and Nursing Center from Montefiore Medical Center. The primary diagnosis wass encephalopathy, acute kidney failure, and hyperosmolality and hypernatremia. His past medical history included hypertension, hyperlipidemia, heart block, cerebral vascular accident, ascending, prostate cancer, covid-19, and aortic aneurysm. Prior to hospitalization, he was independent in all self-care and activities of daily living.

Prior to admission, he lived at home with his wife and son and was independent in all his activities of daily living.   He enjoyed spending time outdoors and spending time with his family and friends.  Franco’s primary language is Albanian.  Upon admission into the community, Franco was greeted and welcomed by The Paramount staff and immediately made comfortable.  The team worked hard to develop a plan of action to support Franco’s goals of returning home to his family.  

Upon evaluation, Franco was alert and oriented, with the ability to follow one-step directions. He showed confusion due to the primary speaking language being Albanian. His current level of activities of daily living required total dependence from a therapist and frequent rest breaks. Bed mobility, transfers, and ambulation were all at a total dependence level. In addition, he was totally dependent during upper body dressing, lower body dressing.  He had poor sitting tolerance, poor sitting balance, and poor standing endurance. 

During his therapy sessions, Franco would practice transfers from multiple surfaces; He was able to consistently ambulate with Front Wheel Walker with decreased number of rest breaks to eventually none taken. He would complain of bilateral knee pain from his arthritis. He would also practice bed mobility tasks, such as: coming from supine to edge of the bed and rolling from side to side. 

During occupational therapy, Franco worked on self-feeding, demonstrating improved sitting tolerance, sitting balance, upper extremity strength to feed himself throughout the whole meal. He also improved nutritional intake and alertness during meals. During upper body dressing, the patient demonstrated improved sitting at the edge of bed balance and tolerance, as well as upper extremity strength to be able to raise his arms and clear over his head. The patient became modified independent, utilizing a wheelchair on the unit and performing self-propulsion safely. 

Franco had great family support, who was very involved and very caring. They visited and FaceTimed with him on a weekly basis.  Franco’s main goal was “to get better” and go home to his family. While his focus was rehab, Franco enjoyed his independent pursuits such as watching TV, talking to his family on the phone while in the confines of his room.  Sometimes he would read the paper in his language and a few books that family provided for him.  Activities provided a tabletop activity packet to use at his leisure. Franco participated during the happy hour and really enjoyed it. In addition, the Concierge provided 1:1 visits to increase socialization and extra support, as she spoke the same language and he felt more comfortable.  He was so sweet and pleasant.  Everyone fell in love with him. Every time you walked in the room, he would offer you candies. 

Throughout his therapy, Franco was able to perform all activities of daily living above his evaluation levels.  Franco was recommended a front wheeled walker to ambulate short distances at home, for which he was educated and fitted prior to discharge. The Resident’s family requested a wheelchair so that they are able to take him to excursions that require long-distance ambulation. Upon discharge, he required minimal assistance for all his activities of daily living. 

Franco demonstrated excellent progress and returned home at the highest practical level. Franco shared with the concierge that he is so thankful of the staff and the care he received here. “Special thanks to my therapists who worked with me and helped me regain my strength”.  The team is proud to have been a part of his therapy recovery journey. We are very grateful to our patients for choosing The Paramount for Rehabilitation and Nursing Care. 

From everyone here at The Paramount we wish you Good Luck. 

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Case Study: The Paramount at Somers Rehabilitation and Nursing Center (March 2021)

Short Term Rehabilitation Following Hemiarthroplasty Hip Surgery

Concierge: Julie Lavadhi
Patients Age: 77-years-old
Admission Date: 1/6/21
Admitted From: Northern Westchester Hospital
Discharge Date: 03/10/21
Length of Stay: 63 days
Discharged To: Home
Reason for Stay: Skilled PT/ OT Hip replacement surgery
How did this patient hear about the The Paramount at Somers Rehabilitation and Nursing Center? Hospital Case Worker


Details of Experience:
Mr. Steven is a 77-year-old gentleman welcomed to The Paramount at Somers Rehabilitation and Nursing Center for short-term subacute rehab, following his hospital stay at Northern Westchester Hospital Center. He had been admitted following a fall at home and hospitalization, requiring Hemiarthroplasty surgery to repair his fractured hip.

Before admission, Steven resided alone in a co-op apartment with ramps to enter and an elevator inside. He was independent with all activities of daily living (ADL’s) and did not use Assistive Device (AD) for functional mobility.

Upon admission into the community, Steven was greeted by the Paramount staff, immediately assessed, and made comfortable. The community worked hard to develop a plan of action to support Steven’s independent return home.

Upon initial physical and occupational therapy evaluations, Steven was assessed as unable to care for himself or perform any of his activities of daily living independently without skilled care assistance. Due to the nature of his injuries, he had a great deal of weakness, decreased functional activity tolerance, reduced Activities of Daily Living (ADL) performance, and needed increased assistance for balance. Also, he was considered to be at high risk for falls.

Mr. Steven worked diligently with his Physical and Occupational Therapists on strengthening his leg muscles, range of motion, transfers, and all his ADLs. At the end of this period, he improved his endurance and tolerance for pain. He was instructed on safety techniques, body awareness, and compensatory strategies.

Steven’s main goal was “to get his strength back and go home.” While his focus was rehab, Steven enjoyed independent pursuits such as watching TV and surfing the web (as he is a collector), and reading. Therapeutic Recreation provided a tabletop activity packet to use at his leisure. Also, the concierge provided 1:1 visits to increase socialization and provide extra support.

Steven continued to stay focused. He improved his strength and endurance, progressing from needing maximum assistance to moderate assistance. He could increase his balance, and the duration of persistence doubled during this phase of treatment. Steven began to tolerate weight bearing on his affected leg and balance exercises and functional activities. He progressed from moderate to minimum assistance with dressing, transfers. Although he had pain initially when he began to bear weight on his affected leg, his pain tolerance improved.

He continued to progress in his balance and pain tolerance. He was able to walk short distances with PT/ OT up to 150 feet and went from moderate assistance to minimum assistance up to a distance of 75 feet. His improved balance and endurance helped him progress from minimum assistance to contact guard assistance with dressing and ADLs.

Steven progressed in ambulation from minimum assistance to contact guard assistance up to 150 feet. His balance and endurance improved when he transferred and dressed with only supervision.
During this final phase of treatment, Steven turned a corner and entered an independent level of functioning for all of his ADLs and transfers. His walking increased from 150 feet to 350 feet for indoor and outdoor ambulation. He had excellent safety awareness, improved his functional capacity, improved balance and strengthening of his lower extremities, and most importantly, a lower risk of future falls.

In conclusion, Steven could have potentially spiraled downward with the many deficits he had due to his broken hip. However, he had a great motivation to get better and a desire to succeed. He longed to return to his vibrant independent lifestyle at home and to enjoy his family, his friends, and his many hobbies. Thank you for putting your trust in The Paramount at Somers to provide you the unparalleled rehabilitation and skilled nursing care.

The team at the Paramount is proud to have been a part of his therapy recovery journey. Good Luck!

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Case Study: The Paramount at Somers Rehabilitation and Nursing Center (February 2021)

Patient’s Age: 90-years-old
Admission Date: 01/17/21
Admitted From: Putnam Hospital Center
Discharge Date: 02/06/21
Length of Stay: 21 days
Discharged To: Home
Reason for Stay: Congestive heart failure
How did this patient hear about The Paramount at Somers? Hospital Referral


Details of Experience:
Mr. David L. is a 90-year-old gentleman welcomed to The Paramount at Somers Rehabilitation and Nursing Center for short-term subacute rehab following his hospital stay at Putnam Hospital Center for exacerbation of congestive heart failure, hematoma of the iliopsoas, and pleural effusion. His current and past medical history includes hypertension, acute pulmonary edema, hypothyroidism, and hyperlipidemia. Prior to admission, David lived with his wife in a private home with one flight of stairs and independent with his ADLs (activities of daily living). He enjoyed watching TV and reading the NY Times.

Upon admission into the community, David was greeted by the Paramount staff, immediately assessed, and made comfortable. The community worked hard to develop a plan of action to support David’s goals of returning home independently back to his wife.
Upon evaluation, Mr. Liguori was able to follow multi-step directions. When evaluating his ADLs, he showed decreased tolerance for consecutive physical activity. He also showed weakness throughout his entire lower extremities but primarily at his hip and knee extensors, which limit his ability to stand from a seated position independently.

During therapy sessions, he participated in single leg balance activities in order to improve static and dynamic standing balance deficits, stair negotiation training, transfer training from the bedside, chair, and wheelchair, Nustep recumbent bike to improve cardiovascular endurance, and ambulation/gait training with Front WheelWalker. David reported fatigue after his therapy sessions, however, his activity tolerance improved on a weekly basis.

David’s main goal was “to get better and go home.” While his focus was rehab, David enjoyed independent pursuits such as watching TV and following the news. Therapeutic Recreation provided a tabletop activity packet to use at his leisure. In addition, Concierge provided 1:1 visits to increase socialization and provide extra support.

Throughout his therapy, with some hard work and dedication, David was able to perform all Activities of Daily Living. He was able to navigate 1 flight of stairs without shortness of breath and with proper sequencing with Stand By Assist. He was recommended to use Front WheelWalker for energy conservation purposes during gait and ambulation.

Upon discharge, David shared with the Concierge that he is so thankful for the staff and the care he received here. “Special thanks to my therapists who worked with me and helped me regain my strength.” We are very grateful to our patients for choosing The Paramount for rehabilitation and nursing care.

The team at the Paramount is proud to have been a part of his therapy recovery journey.

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