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Address: 2509 Hutchinson Rd
Duluth, MN 55811

Phone: 218-464-4703

Provider: Interim Healthcare AFC

Last Updated: Feb 25, 2021

Type of Home: Foster Care, Temporary Care, Out of Metro Crisis Bed

Funding Type: DD Waiver, CADI Waiver

Beds Available: 1

Bedroom Location & Privacy: Main Floor, Basement /

# of Bathrooms: 2

Gender Allowed: Any

Age Allowed: 18+

Age Currently At Home: 25-35

Level of Intellectual Disability: Mild

Mental Health Diagnosis: Yes

Physical Accommodations Available:
Additional Notes and Information:

Nursing Support:
Additional Notes and Information:

Challenging Behaviors: Self Injurious, Verbal Aggression, Physical Aggression, Property Destruction, Elopement, Alcohol / Chemical Dependency, Emergency Use of Controlled Procedure
Additional Notes and Information:
We request to receive information that would include; * Current list of medications (we will need signed MD orders prior to admit and at least 5-7 days of medications upon admit) *PMI Number *SSN Number *List of Team Members *Primary Care Physician *Psych Physician *Current Pharmacy *Any information health concerns that are pertinent to the care of the individual and safety of the others in the home *Information on what personal needs money the person will obtain while in care/ flow of funding for this service (not each individual is able to obtain personal needs money in this situation. This program is a $700 rate per day.) * Where the individual is coming from/ why they are seeking this service/ any incidents within the past 3-6 mo/ notification of any threats the program should be aware of/ current notes on level of stability (generally any information that is going to help us serve the person to the best of our ability / training for staff) *If Available: Physical Exam Doc (within year) – looking for “free of communicable disease” (mantoux) * CSSP, IAPP, Incident Reports, Frequency Reports (Any Current 245D docs/Plans) Both sites are split level, four person settings (not a handicap accessible home). There are lighting fixtures fixed into the ceiling in each room for safety. There are also lexon covers on tvs and other vanity like light assemblies in the bathrooms. Each person served will have their own bedroom with fresh supplies upon admit (sheets, set of towels, laundry basket, basic hygiene supplies, dresser, night stand, and twin bed). Each person served will have a one to one staffing pattern from 9a-9p. There will be one overnight awake and one overnight asleep in the home from 9p-9a. We have also provided higher ratios with team agreement. There is an on call management figure available by phone support/ personal support if needed 24/7. Any situation that may be out of control or Interim cannot manage safety – staff will seek police support. There is a vehicle on the site. The vehicle will be available for scheduled use. The person can schedule times to use the vehicle other than appointments after deemed stable to go into the community (48 – 72 hours unless otherwise specified). Individuals residing in the homes are in need of short term, intensive, transitional supports and services from the crisis home. Typically the person served have varying mental disabilities which require varying levels of supports and services. Most individuals living at the crisis home are prescribed psychotropic medications. These settings are licensed under 245D.

Typical Staffing Pattern: 1:1

Overnight Supervision: Awake