Case Study: Water’s Edge Rehab & Nursing Center at Port Jefferson (August 2019)

Patient’s Name: Marcia Berger
Patient’s Age: 71-years-old
Admission Date: 06/19/2019
Discharge Date: 08/13/2019
Discharged To: Home
Length of Stay: 55 Days
Reason for Stay: Frequent falls, weakness
How did this patient hear about Water’s Edge?: This patient has stayed at our community in the past.


Details of Experience:
Ms. Marcia Berger is a lovely, pleasant woman who generally enjoys spending her time alone watching TV. Ms. Berger was re-admitted to Water’s Edge Rehab and Nursing Center at Port Jefferson on the evening of June 19, 2019. Upon admission, Ms. Berger was greeted by a number of Water’s Edge interdisciplinary staff in which she stated, “I came back here because of the great experience I had last time.”

Marcia was referred to a sub-acute rehab because of her need for rehabilitation. Due to her legs frequently collapsing, which caused her to fall often; Ms. Berger was ready to set goals and work hard to achieve them. Her main goal was to go back home independently and she fully trusted our team of therapists to get her there.

During her time at therapy, Marcia worked on bed mobility tasks, functional transfers, ambulating independently and walking up and down the stairs. Our team of therapists used therapeutic exercises such as training in correct hand/foot placement, weight shifting, transfer training, and so much more to assist her in meeting her goals.

After a few, short weeks, Marcia was making drastic improvements in physical therapy. Ms. Berger spent 6 out of 7 days every week exercising in the gym surrounded by the supportive team at Water’s Edge. She considered every piece of advice that would aid her in going home and in her downtime, met friends and participated in activities through recreation.

Before we knew it, Marcia was ready to go home. She crushed meeting all of her goals and was able to go home independently, just as she had hoped. Due to her hard work, the help and support of our interdisciplinary team, Marcia was walking out the door with utmost pride. She stated, “if all else failed, I knew I could count on you guys to get me here and you did.”

Team Water’s Edge sends out best wishes to Marcia, as so goes home for a happy, healthy and successful future!

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Case Study: Water’s Edge Rehab & Nursing Center at Port Jefferson (July 2019)

Patient’s Name: Bernard Bruen
Patient’s Age: 75-years-old
Admission Date: 01/15/2019
Discharge Date: 07/01/2019
Discharged To: Home
Length of Stay: 166 Days
Reason for Stay: Right leg below-knee amputation and Necrotic Tongue
How did this patient hear about Water’s Edge?: North Shore University Hospital.


Details of Experience:
Mr. Bernard Bruen arrived at our community on the evening of January 15, 2019, from North Shore University Hospital. He came to the Water’s Edge after a right leg below-knee amputation, in hopes he could reach his prior level of function with his new prosthetic. Mr. Bruen also had a necrotic tongue which is a rare manifestation of giant cell arteritis causing slurred speech and the inability to eat. Upon admission, Mr. Bruen was greeted by a number of our interdisciplinary teams who were awaiting his arrival. Our team members were ready to accommodate his needs and ensure the most comfortable stay. Bernard’s one wish was to return home with his wife and he trusted that we would make it happen.

Mr. Bruen was ready to take action. He demonstrated good rehabilitation potential with great motivation to participate, strong family support and very supportive caregivers. After being evaluated for rehabilitation and help from our team, Bernard was able to set goals; both short and long term. Our team of physical therapists worked towards his goals to safely perform bed mobility tasks, transfers, and self propels in a wheelchair independently with his new right lower extremity prosthetic. Our team of occupational therapists worked towards his goals to dress, increase sitting balance and increase activity tolerance for functional activities. All the while, our speech therapist worked with Mr. Bruen to improve his overall oral and pharyngeal phases of swallowing to reduce the risk of aspiration and get him eating solid foods!

Bernard started his stay on the 15th of January with max to moderate dependency for nearly all daily functions after a below-knee amputation. After approximately one month, Mr. Bruen and his team of therapists began to see a great improvement in his level of function in all areas. He went from needing maximum assistance in some areas to only needing moderate assistance and in other areas went from needing moderate assistance to minimum assistance. Mr. Bruen began to personally see much improvement and was so gracious for his team.

The journey seemed long for Mr. Bruen, but with a positive attitude and extensive support, he persevered and pushed through knowing he was where he was meant to be. Bernard got the opportunity to work with our Amputee Walking School and stated how “Dennis and Todd were great people and really impacted my stay and life. I will never forget them.” Dennis and Todd came to our community monthly to mentor Bernard and assisted in taking him to the next level.

Mr. Bernard Bruen’s stay was coming to an end and as discharge approached, he continued to persevere, making life-changing efforts to meet his goals. Upon discharge, Bernard has excelled expectations. He met his short and long term goals in physical and occupation therapy, going home performing everyday functions with modified independence. After working with our speech therapist, Mr. Bruen was also able to eat solid food upon discharge. As his discharge date has finally arrived, Mr. Bruen left our community and interdisciplinary team with all smiles. He stated, “I will miss all of the really great people I have met and will definitely be back to visit.”

We wish Mr. Bruen the absolute happiest and healthiest future and hopes he comes to visit us soon!

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Case Study: Water’s Edge Rehab & Nursing Center at Port Jefferson (June 2019)

Patient’s Name: George Burnett
Patient’s Age: 74-years-old
Admission Date: 04/08/2019
Discharge Date: 06/14/2019
Discharged To: Home
Length of Stay: 67 days
Reason for Stay: Triple Bypass Surgery.
How did this patient hear about Water’s Edge at Port Jefferson Rehabilitation & Nursing Center?: Wife sought out community.


Details of Experience:
Mr. George Burnett was a man who, after serving his time in the Army, simply enjoyed spending time with his wife and kids. On the regular, he was hanging out at home with his wife, watching his son play football and/or spending quality time with his daughter. Although, after a decrease in physical strength and balance, Mr. Burnett found himself in Southside Hospital going through a Triple Bypass Surgery.

Upon discharge at the hospital, George was on the search for a skilled subacute nursing facility that would be utilized to assist him in building strength. Who better than to trust with finding a qualified community than his loving and caring wife? Mrs. Burnett came across the Water’s Edge community in her search and chose us because of our close proximity to their home and recommendations from the hospital.

Mr. Burnett arrived at our facilities, on the evening of April 8th, in which he described the transition over to our community as “good as can be expected.” Upon admission, George was greeted by a number of our interdisciplinary team at the Water’s Edge. By the next morning, he described our team as “caring, attentive, and helpful.”

Our therapy team was eager to assist George in meeting his long term goals. After the initial evaluation, our therapists worked together to come up with a plan of treatment that George was in agreement with. George demonstrated excellent potential because of his will to work hard, prior level of function, strong family support and encouragement. Starting off with a list of short term goals, Mr. Burnett worked to crush each one at a time.

The journey was en route as Mr. Burnett worked on his energy conservation techniques, positioning maneuvers, pressure-relieving techniques, safe transfer techniques and use of assistive devices with our team of physical therapists. All the while, occupational therapy worked with George in order to facilitate improved functional abilities, increase safety and decrease the need for assistance.

Within a few short weeks, Mr. Burnett went from not being able to even attempt walking stairs to being able to walk 15 steps. He went from ambulating 30 feet with a contact guard assist to ambulating 350 feet with modified independence. George was progressing in leaps and bounds; we could not be more thrilled for him!

As George’s discharge quickly approached, he expressed “your community is filled with a wealth of great, kind and supportive people. I had Warren as my therapist and my whole family loves him, we intend to take him to dinner soon. Honestly, your team couldn’t have done their job any better.” Team Water’s Edge wishes George the utmost future and we hope he will visit us soon!

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Case Study: Water’s Edge Rehab & Nursing Center at Port Jefferson (May 2019)

Patient’s Name: Alan Edelman
Patient’s Age: 82-years-old
Admission Date: 03/21/2019
Discharge Date: 05/10/2019
Discharged To: Home
Length of Stay: 50 days
Reason for Stay: Femoral bypass.
How did this patient hear about Water’s Edge at Port Jefferson Rehabilitation & Nursing Center?: Patient had stayed here prior.


Details of Experience:
After spending some time at Stony Brook University Hospital due to femoral bypass surgery, Mr. Alan Edelman was set out to choose a sub-acute rehabilitation center. This wasn’t Mr. Edelman’s first experience with sub-acute rehab; therefore, he knew that the Water’s Edge Rehab and Nursing Center at Port Jefferson would be where he wanted to go. Alan arrived at our community on the evening of March 21, 2019, where he was greeted by a number of our professional team members to help him get settled.

Surrounded by his loving daughters and our staff, Mr. Edelman was eager to get started doing what had to be done so he could go home. If you asked, Alan would have told you, “My leg is frozen and if I had wished it would that it is unfrozen and I could just walk again.” With that being said, our team of therapists was ready for the challenge.

Upon admission, Alan was referred to rehabilitation due to a decrease in strength, functional mobility, and coordination; amongst other things. He was completely dependent on our physical therapists and was only able to initiate movement; as well as needing about 25% of help from our occupational therapists. Alan’s long term goal was to be able to perform all tasks with complete independence, as he always had. Setting the bar high, Mr. Edelman was ready to work.

Our team of occupational therapists worked with Mr. Edelman by performing resistance exercises, weights, and therapeutic exercises to facilitate independence in self-care tasks. They used gross motor and fine motor coordination techniques, with the help of techniques to enable functional balance skills. All the while, our team of Physical Therapists used therapeutic exercises to facilitate independence in mobility tasks. They used gait training; such as strategies to safely maneuver around obstacles, task progression while ambulating and self-correction

during performance. Our therapists used activities such as weight shifting, bed mobility, transfer training, and placement of objects out of reach to increase dynamic skill performance.

Within one month of his stay, Mr. Alan Edelman went from being completely dependent on needing a contact guard to assist for his physical movement, as well as being able to walk 30 feet. He also improved in performing daily life functions, going from needing 25% assistance to only needing supervision. A few weeks away from his planned discharge date, Mr. Edelman and his team of therapists worked hard towards meeting his goals.

Upon discharge, Mr. Edelman was able to walk 125 feet with contact guard assistance and occasional verbal cues. Alan was also able to perform daily life functions independently, only needing assistance with set up. He was so thrilled with how far he has come. When approached by our Concierge; he said, “Look! I can move my leg and I can walk!”

Mr. Alan Edelman expressed an abundance of gratitude to our team, as he was able to walk out the front door. We will miss Alan’s love for chocolate, great attitude, and a positive spirit. Team Water’s Edge wishes nothing for the best for him as his journey continues!

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Case Study: Water’s Edge Rehab & Nursing Center at Port Jefferson (April 2019)

Patient’s Name: Dorianne Deto
Patient’s Age: 63-years-old
Admission Date: 03/01/2019
Discharge Date: 04/04/2019
Discharged To: Home
Length of Stay: 35 days
Reason for Stay: Patient experienced a fall causing many fractures throughout her body.
How did this patient hear about Water’s Edge at Port Jefferson Rehabilitation & Nursing Center?: Stony Brook Hospital.


Details of Experience:
Ms. Dorianne Deto arrived at the Water’s Edge Rehab and Nursing Center on March 1, 2019, from Stony Brook Hospital. Ms. Deto experienced a fall in her home, which led to a number of fractures throughout her body. After spending some time in the hospital, Dorianne was on the search for a skilled nursing facility to help her get stronger so she can safely return home.

After careful consideration, Ms. Deto chose our community because of a wonderful recommendation from the hospital. On the evening of March 1st, Dorianne arrived at our community and was greeted by a number of members from our interdisciplinary team. She was brought to her room, where she was able to make her needs known to each of our team members and also, get some rest! Ms. Dorianne had goals. She was eager to go from needing assistance with most daily functions to being able to independently live, as she always has. Who better for the job than our very own team of therapists?

At first, Ms. Deto experienced a hard time adjusting to our community. After a few days, we found that Ms. Deto was spending the majority of her time in her room. Curious as to why, our concierge, Rachel, made it a point to give a little extra TLC to our new patient. Following a much-needed conversation, Rachel was able to discover that as well as being in extreme discomfort most hours, Dorianne also suffers from anxiety. Ms. Deto would attempt to leave her room, but got overwhelmed and wanted to return almost immediately, even during her time at physical therapy.

Team Water’s Edge got together to come up with a new plan for Ms. Deto, that would help her succeed and reach her goals! Our therapists, Kathy and Rob, took the time to meet with Dorianne and provide treatment in her room while attempting many different methods to help her stay comfortable. While our concierge took her for strolls around the community

to ensure she could go back to her room at any time, recreation provided Ms. Deto with many means of independent leisure. Ms. Deto showed appreciation in what our team was doing to help her meet her physical goals, as well as respect her needs.

Within her first week, Ms. Deto found what she called her “sweet spot.” This was the way she was able to sit or lay in for a period of time to stay comfortable. She raved about it! Within the next week of her stay at the Water’s Edge, Dorianne was getting used to our team and was able to spend more time in physical therapy and recreational activities than she did that first week.

Ms. Deto was eager to meet her goal to safely perform life tasks independently. She worked hard every day, no matter where she was working. Our team at the Water’s Edge used many different techniques to help Dorianne get where she needed to be. When she was having a hard time going from sitting to standing, our therapists used techniques such as; resistance exercises, therabands, ankle pumps, dynamic sitting balance training, static standing balance training, and gait training. When she was having a hard time performing daily life functions, our therapists used techniques such as; energy conservation, positioning maneuvers, proper body mechanics, safe transfer techniques and use of assistive devices. Within 35 days of working with our team, Ms. Deto went from needing 50% assistance with nearly everything, to independently being able to complete daily life functions; she started off walking 20 feet with assistance to walking 200 feet with just supervision.

Aside from her extraordinary success in therapy, Ms. Dorianne Deto also conquered her anxiety and was able to spend the majority of her time outside of her room prior to leaving. Ms. Deto made friends, spent time in activities and even ate her meals in the dining room with her friends.

As her discharge date quickly arrived, Ms. Deto was more than thrilled to go home. She stated, “I had the opportunity to make new friends, have a great roommate and work with the best physical therapists ever. All of my nurses and aids were wonderful. I am so happy to be going home, but I have to say – it wasn’t a bad experience.” Team Water’s Edge is so thrilled for Dorianne; we wish her the best in all her future adventures!

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Case Study: Water’s Edge Rehab & Nursing Center at Port Jefferson (March 2019)

Patient’s Name: Desiree Elliot
Patient’s Age: 56-years-old
Admission Date: 02/12/2019
Discharge Date: 03/06/2019
Discharged To: Home
Length of Stay: 22 days
Reason for Stay: Left knee replacement/arthritis.
How did this patient hear about Water’s Edge at port Jefferson Rehabilitation & Nursing Center?: At John T. Mather Memorial Hospital.


Details of Experience:
Ms. Desiree Elliot arrived at the Water’s Edge Rehab and Nursing Center on February 12, 2019, after spending some time at John T. Mather Memorial Hospital in Port Jefferson. Due to an injury at work, Ms. Elliot had to have a left knee replacement, which quickly led to the development of arthritis.

After ending up in the hospital because of a severe decrease in strength, functional mobility, and the ability to transfer and ambulate independently, Desiree was given a list of skilled nursing facilities to assist in her rehabilitation to get back to a “normal and functional lifestyle.” After spending time researching each facility, Ms. Elliot chose Water’s Edge due to its close proximity to her home, as well as the great reviews she had read up on.

Within the first 24 hours, she was greeted by therapists, nurses, social work, physicians, and administrative staff. After all, was settled, our concierge had gone to greet Ms. Elliot and found that she was feeling a little saddened that she was in this predicament and not able to go home. After welcoming her with an open heart and listening ears, Ms. Elliot expressed that “everyone here has been so nice, and it’s so quiet, but I just want to go home.” After assuring Desiree that Team Water’s Edge wants nothing but the same for her, to send her home the quickest and safest way possible, she felt more confident in her ability to get home and was eager to get started working towards her goals.

Desiree began her stay at the Water’s Edge with the need for contact guard assistance for nearly all of her daily functions. With the help of our awesome rehab team, Desiree was able to accomplish her first set of goals within just a few days – quickly moving on to an upgraded list of goals! With a motivated spirit, Ms. Elliot conquered goal after goal and can now perform some daily life skills, with modified independence, within just one week of being on the program. Two weeks in, Desiree has set the bar high, working toward the goal of being able to go up and down the stairs independently. Together, Ms. Elliot and her therapists used therapeutic resistance exercises and dynamic balancing training; as well as gross motor coordination, bed mobility activities, and dynamic functional activities to assist in meeting all of her goals.

After continued progress in the program, Ms. Elliot was on her way to planning a safe discharge home. Ms. Desiree Elliot shared her experience while at the Water’s Edge, “The care your team has provided has been outstanding. I never thought I’d receive such great care, but not only that, but I have also made so many friends. The rehab team has been excellent, and even the food was good! Your concierge always went above and beyond. I just can’t thank everyone enough for all they have done. It has been a wonderful experience. I am actually a little sad to be leaving.”

Upon discharge, Ms. Elliot expressed some concern with being able to walk the stairs to the best of her ability. Our team worked closely with her over her last few days in our community to ensure she felt comfortable and safe going home. Desiree discharged successfully and safely on March 6, 2019; just in time to celebrate her birthday the next day with her family! Team Water’s Edge is so happy for Desiree as she crushed her goals one step at a time while under our care. Although she will be missed, we wish her nothing but the best in all her future endeavors.

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Case Study: Water’s Edge Rehab & Nursing Center at Port Jefferson (November 2018)

Patients Age: 64-years-old
Admission Date: 10/15/2018
Admitted From: Stony Brook university hospital
Discharge Date: 11/20/2018
Discharged To: Home
Length of Stay: 42 days
Reason for Stay: patient had trouble breathing at home and also had a hard time standing and walking
How did this patient hear about Water’s Edge at port Jefferson Rehabilitation & Nursing Center? The patient’s family was given choices by the social worker’s at Stony Brook hospital; there are several rehabilitation communities in the local area. Water’s Edge was chosen by the patient’s family because of the close proximity to her home.

Mrs. Erike was admitted to our community, Water’s Edge at Port Jefferson for Rehabilitation and Nursing due to breathing complications she was having at home along with walking struggles. One night in particular, Mrs. Erike was having difficulty breathing. Her family decided to take her to the local hospital to be seen for medical care and treatment.

After a few weeks of treatment at Stony Brook hospital, Mrs. Erike was sent to our community due to her decreased functional mobility, a decrease in her range of motion, and a reduced ability to safely ambulate herself. The pain in her back and legs created concerns, which led to the reason Mrs. Erike was sent to our community.

Upon arriving to Water’s Edge, Mrs. Erike was greeted by the concierge who ensured her that the entire staff were here to help make her stay a more comfortable one. Mrs. Erike was evaluated by our admissions nurse to inquire about Mrs. Erike’s medical history and to listen to the questions and concerns the she had concerning her care.

Mrs. Erike was also visited that same day by our rehabilitation department who set forth their evaluation. After her evaluation by our physical therapy department, Mrs. Erike was given a wheelchair and a walker to begin her physical therapy.

During her first week, Mrs. Erike took some time to regain her ability to stand and walk. Through hard work with our physical therapy team and her determination, she was able to get herself out of bed and into her wheelchair without much assistance from our nursing staff. Mrs. Erkie was beginning to regain her ability to stand confidently.

During her second and third weeks, Mrs. Erike was working towards her goals to safely perform functional activities with safety awareness. With decreased complaints about pain and with decreased assistance from caregivers, she was truly working towards gaining her prior level of independence.

After two more weeks of physical and occupational therapy, Mrs. Erike and her family were excited with the level of improvement she had made. She went from not being able to walk at all, to having a baseline of walking 60ft with the help from our communities therapy department. She made substantial improvements in her ability to walk by the end of her stay. Mrs. Erike was able to walk 150ft to an astounding 175ft and she also was able to dress herself!

During her stay, we as a team were able to accommodate Mrs. Erike’s meals in order to keep her nourished for physical therapy and daily activities. We were able to accommodate her with alternate meals other than what was being served due to the fact that Mrs. Erike suggested that she rather have a sandwich for lunch and hot tea with every meal.

We have the duty to ensure to make any changes to accommodate the high level of comfort we provide.

The day came for Mrs. Erike to return home and she was grateful about the progress she had made.With the help from our staff, she was able to receive a walker to take home with her for extra support if she needed it. She also received instructions on continuing her exercise routines.
Mrs. Erike wanted us to know that she made friends here at the Water’s Edge and that with the full support from our staff, she felt confident to return back to her life at home!

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