The City pays the nursing home a flat rate for all patients which is not dependent upon the amount of care rendered to the patients. Care in the homes is oriented towards maintenance. The philosophy is on maintaining health, but no rehabilitation of patients. Hospice is offered in the homes, at the request of certain patients. Inspections of the facility are conducted annually by the government.
Administrative paperwork is sent to the government for review.
The government agency, following review of the facility's paperwork, informs the facility of the date of its upcoming inspection. The inspection usually lasts one to two days and is mostly concerned with paperwork. The inspectors may or may not interview the patients to see if they are satisfied with their care. Inspectors may or may not tour the facility. The temperature of the refrigerator may be checked, but this is not always deemed necessary.