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iCare Health Network’s MissionCare Health is the Leading Provider and Operator of Long Term Care for the Justice Involved and Difficult to Place Population

Since 2013, iCare Health Network has operated the first long term care nursing center for the justice involved population and individuals that are otherwise challenging to transition and place in an appropriate site of care. 

Now, in 2021, when budget and policy experts search for a provider and operator with experience, accomplishments and successes in working with a justice-involved population in a Medicare/Medicaid certified and state licensed Long Term Care Facility, iCare Health Network stands out as the gold standard. As such, we have created a new brand, MissionCare Health, that incorporates both 60 West and MissionCare at Holyoke as well as future, similar endeavors.  

What follows is a description the current programs at MissionCare locations, the MissionCare philosophy and best practices for such a program and facility. 60 West is the flagship project and location for this program and is heavily highlighted. 

Check out the 60 West page here


PBS NewsHour Segment


Timeline and Background for the 60 West project

In 2012, in response to a State of Connecticut Request for Proposal (Titled “Nursing Home For Individuals In State Care Who Are Difficult To Place”), iCare Health Network submitted a response which resulted in a engagement with the State of Connecticut to establish nursing home care for individuals in state care.

Check out news, stories, and updates from 60 West

The basic resident profile was individuals that were: (1) difficult to place at a site of appropriate care as a result of their judicial, social or other history; and (2) they met federal requirements for long term care in a nursing home setting; and, (3) would be transitioning from a correctional facility, have criminal justice involvement and/or be individuals transitioning from a higher level of care provided by the Department of Mental Health and Addiction Services (DMHAS).

After being  the selected bidder and contracting with the State of Connecticut, iCare opened “60 West”, a 95 bed skilled nursing center operated by an iCare entity known as SecureCare Options in 2013, in Rocky Hill, CT. iCare continues to manage and operate this nursing facility.   

Vital Stats for 60 West

  • Overall 5-Star Rating - One of only nine nursing homes in CT with 5-Star Ratings in all four categories (98th percentile – 320 out of 15,600 nationally).
  • Over 100 resident admissions from correctional facilities since opening.
  • Over 200 total admissions from a state facility since opening.
  • Coordinated care and supervision for residents needing SNF level of care under the Psychiatric Security Review Board (PSRB) who were found not guilty of a crime by reason of mental disease or defect.
  • Care and supervision for residents who are listed on the Connecticut Sex Offender Registry.
  • Acquired Brain Injury - Traumatic Brain Injury Program.
  • US News and World Report – Best Nursing Homes – 2018-2019 and 2019-2020 in the Long Term Care category. 
  • Zero Employee-Related Lost Time Injuries since opening in 2013
  • 2020 American Health Care Association (AHCA) ‘Silver Quality Award’ Recipient
  • Mission Statement: “Provide Enrichment Through Specialized Care, Dignity and Acceptance.” 

Keys to Success in Long Term Care for the Justice Involved Population

  1. Policies, procedures and interventions compliant with state and federal nursing facility regulations, including 2017 revisions to CMS Guidelines addressing justice-involved residents.
  2. Development of innovative and unique programming in a person-centered facility environment and culture guided by the social and cultural backgrounds and interests of the individuals who contribute to the community’s composition.
  3. Procedures to assess and treat PTSD and undiagnosed traumatic reactions and symptoms of residents. 
  4. “Stigma-free” campaign and initiative in which all employees pledged to adopt a broadened philosophy of caregiving, including a commitment to welcome and respect those of differing cultures and backgrounds.
  5. Extensive pre-admission screening (CCR 2505-10 8.400) and risk mitigation strategies and protocols.
  6. Knowledge, skills and experience in legal, government and community relations, clinical operations and healthcare regulations.
  7. Recruitment, screening, hiring and training of the staff as building blocks for the development and maintenance of an environment and person-centered programming that promotes resident quality of life.
  8. A physical environment designed with a focus on safety and comfort, with removal or mitigation of potentially dangerous, hazardous or antagonistic spaces, equipment or systems prior to occupancy with particular attention to creating an atmosphere or milieu conducive to healing.
  9. Specialized visitation policy and procedures, screening and access control supervision have proven effective in providing a safe environment, while ensuring resident rights to visitation are protected.
  10. Extensive experience with justice-involved nursing facility residents with court-ordered restrictions or conditions of parole or probation.
  11. Facility policies, practices and care planning that assist residents with their legal responsibilities through awareness of the resident’s restrictions, education on consequences, and counseling regarding a resident’s choices and actions. 
  12. Training in Safety-Care™, a certified behavioral management training curriculum that places great emphasis on safe and effective de-escalation and management of potentially harmful resident care situations.

Resources, Links and News

  1. For Aging Inmates, Care Outside Prison Walls” by Christine Vestal, the PEW Charitable Trusts, 8/12/2014
  2. 60 West Project Timeline
  3. UCONN Center on Aging Study – “A Community-Based Skilled Nursing Facility for Difficult-to-Place Patients”
  4. AHCA Silver Award New Release
  5. iCare Behavioral, Cognitive, SUD Brochure
  6. iCare Mental Disorders Brochure
  7. iCare Health Network Clinical Capabilities Grid
  8. Governing Magazine Article: States Look so Nursing Homes to Lower Prison Healthcare Costs 
  9. Hartford Courant - Rocky Hill’s 60 West nursing home named one of best by U.S. News and World Report
  10. 60 West - Facility News, Discussion and Updates
  11. Admission Criteria for the Justice Involved Population
  12. PASRR Level of Care Criteria Worksheet

If you represent a State agency or other public or justice-involved organization or entity and you are interested in learning more about 60 West, MissionCare Health and/or skilled nursing programs for individuals that are difficult to place or in state care, please contact:

David Skoczulek, Vice President of Business Development, at (860) 250-3075 or email at .


iCare Health Network’s Qualifications for Special Population Care

  • Care of Justice-Involved and Difficult to Place Individuals (both in Connecticut and Massachusetts)
  • Seven (7) Secured Behavioral Health Programs
  • Six (6) Secured Memory Care Programs
  • iRecovery Substance Use Disorder (SUD) Program
  • Ancillary company providing onsite SUD counseling services
  • Huntington’s Disease Program (part of Movement Disorder Program) – Unique to only one nursing facility in CT.
  • HIV/AIDS Program – One of only two programs in CT nursing facilities.
  • Veterans Program
  • Advanced CHF and COPD Programs
  • On average, over 90% of residents payor State Medicaid
  • Both unionized and non-unionized workforce (around 1900 employees)
  • Eleven (11) American Health Care Association (AHCA) Bronze Quality Award Recipients
  • Six (6) American Health Care Association (AHCA) Silver Quality Award Recipients

 

News & Updates

Discover the latest from our blog

  • As a kick-off to the holiday season and to show appreciation to its hard working employees, the team at Chelsea Place Care Center held a Spirit Week November 14-20th.  The Week included, as it always does at Chelsea Place, plenty of music, dancing, food and fun. The different theme days included Twin Day, Sports Day, Crazy Hair or Hat Day, Throwback Thursday and more.  Nice work, Chelsea team!
  • To celebrate its hardworking staff, the team at Touchpoints at Chestnut threw an Employee Appreciation Day. No better way to show appreciation than serving some delicious food. The spread was mainly East Indian cuisine prepared by Dunns River, a Jamaican Restaurant in Hartford. The event was a big success and an excellent way to kick off the upcoming Thanksgiving Holiday. Chestnut’s Dwayne Mullings, Cori Knutsen and Jennifer Oliveira served the staff.
  • During the month of November, the home care and hospice community honors the millions of nurses, home care aides, therapists, and social workers who make a remarkable difference for the patients and families they serve. These heroic caregivers play a central role in our health care system and in homes across the nation. According to the National Association for Home Care & Hospice (NAHC) website, to recognize their efforts, we call upon all Americans to commemorate the power of caring, both…
  • On the November 16 episode of PBS NewsHour, 60 West was featured and profiled in a segment titled “America’s prison population is aging, but care options for older parolees remain limited.”  The segment featured two residents describing how 60 West has impacted their lives and Administrator Jessica DeRing detailing the impact of the care center’s mission on individuals and public policy.
  • On November 11, 2021 the team at Touchpoints at Manchester took a moment to celebrate a big achievement: the care center’s return to Five Star designation with the Centers for Medicare and Medicaid Services (CMS)! According to the CMS website, CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily and to help identify areas about which they want to ask questions. The Nursing Home Compare Web site features a q…
  • Celebrations of service, gatherings and group recognitions are beginning to reemerge and are more important than ever. This is especially true when the purpose is to celebrate our nation’s Veterans, their service and their sacrifice. On behalf of iCare Health Network, our care centers and entire staff, we would like to honor all of our nation’s veteran’s for all that they gave in service of our country.  There are dozens of veterans in every iCare facility as staff members, re…
  • Fresh River celebrated ten Veterans with a celebratory breakfast and speech proclamation to thank them for their services. Rosanne, our recreation director, put this all together, and our creative Dietary manager cooked them a wonderful breakfast. We were lucky enough to have our First Selectman, Jason Bowsza, to not only come and show appreciation to our veterans, but to present them with personalized certificates for their services in the Army, Navy, Air Force, and Marines. Their true spirits…
  • On November 5, 2021, Silver Springs’ Lynn Webster, RN, retired from Silver Springs and iCare Health Network after 41 years of service. Lynn began her career at Silver Springs in May of 1980 in the dietary department. She worked in various roles throughout the center, including as a charge nurse, nursing Supervisor and several years, up until her retirement, as a Regional Nurse Liaison.  Lynn was recognized in May of this year as a winner of the Nightingale Award for Excellence in Nursing …