Home Health

Welcome to the Adair County Health Department’s Home Health Agency!

About our Agency


The Adair County Health Department and Home Health Agency has been proudly serving Home Heath clients in Adair County for the past 25 years.  We provide skilled nursing, physical therapy, occupational therapy, speech therapy, and home health aide services for our clients that are individualized to their needs and ordered by a physician.  Our agency is licensed by the State of Missouri Bureau of Home Care and Rehabilitative Standards and Certified as a Medicare provider. We serve clients residing in Adair County, and northern Macon County.


                                                                                   What is Home Health Care?

Homecare or home health care is supportive care provided in the patient’s home by licensed healthcare professionals. Often, the term home health care is used to distinguish it from “in-home custodial services” which is care that is provided by persons who are not nurses, doctors, or other licensed medical personnel.  Home Health services help adults and seniors who are recovering after a hospitalization, or acute illness, or other facility stay, or need additional support to remain safely at home and avoid unnecessary hospitalization. These Medicare-certified services may include short-term nursing, rehabilitative, therapeutic, and assistive home health care. This care is provided by registered nurses (RNs), physical therapists (PTs), occupational therapists (OTs), speech language pathologists (SLPs), and home health aides.


Who do we Help?

We serve individuals recovering from a wide range of surgical procedures or illnesses.  These include:

  • Knee or hip replacements
  • Back surgery
  • Orthopedic repairs or fractures
  • Heart surgery and procedures
  • Clients recovering from pneumonia, strokes, and other acute illnesses.

In addition, we serve clients suffering from chronic illnesses including diabetes, coronary heart disease, and cancer.  Here, we focus on teaching and stabilizing client’s chronic conditions.

What are Requirements for Receiving Home Health Services?

As our home health agency is certified by Medicare, there are very specific requirements for receiving home health services.  These requirements include the following:

  • Services we provide are physician ordered
  • Services ordered are “skilled” services including skilled nursing. physical therapy, occupational therapy, or speech therapy.
  • The client is homebound.  Here it is difficult for the client to leave home and is done very infrequently.  For example, a client could leave home for a doctor’s appointment.

What do we do in Client’s Homes?

Our staff assesses clients during each visit in the home.   Progress with treatment and/or concerns are communicated to your physician so that changes can be made for your care.  Needed changes in your care plan could include medications, diet, or frequency of skilled nursing or therapy visits. Generally, the following services are provided in the home:

  • General assessment and evaluation for home health services
  • Medication management
  • IV therapy
  • Wound care
  • Pain management
  • Lab draws
  • Catheter care / changes
  • Injections
  • Physical therapy Home Safety evaluation and treatment
  • Occupational therapy-helps you regain independence with your activities of daily living
  • Speech therapy evaluation and treatment
  • Home health aide services.   Short-term assistance with bathing and personal care is provided while clients are receiving home health services
  • Teaching by staff about medications, diet, the disease process, or questions you may have regarding your care

Upon admission, clients will be instructed by our staff on how to contact our on call nurse should you have questions about your condition or care after hours.  Our office hours are Monday thru Friday from 8:00am to 4:00pm.   A nurse is also available after hours, weekends and holidays.

Our Therapy Services

Physical therapy is a treatment provided by licensed healthcare professionals that you  might need when health problems or surgery make it hard to move around and do everyday tasks. It helps to maintain, improve or restore your physical function and your fitness level. Physical therapy can help improve movement, activity and educate you in ways to manage your pain. Exercise instruction to improve and restore strength, balance and coordination is included.

The goal of physical therapy is to make daily tasks and activities easier.  Some examples: walking, going upstairs, or getting in and out of bed.  Physical therapy can help with recovery after some surgeries. Your doctor may suggest physical therapy for injuries or long-term health problems such as:

  • Back pain
  • Difficulty walking
  • Osteoarthritis and rheumatoid arthritis
  • COPD
  • Balance and coordination deficiency
  • Parkinson’s disease
  • Difficulty performing activities of daily living

Your physical therapist will examine you and make a treatment plan. Depending on your health problem, your therapist will help you with flexibility, strength, endurance, coordination, and/or balance.

First, your therapist will try to reduce your pain and swelling. Then he or she will probably work to increase your flexibility, strength, and endurance.

Second, Physical therapy almost always includes exercise. It can include stretching, core exercises, strengthening, and walking. Your physical therapist may teach you and exercise program so you can do it at home.

Third, your physical therapist also may use manual therapy, education, and techniques such as heat, cold and electrical stimulation.

The role of the Occupational Therapist (OT) is to help clients find ways to perform their everyday “occupations” in a safe and independent manner following surgery, injury or illness.  Most often, these daily occupations include daily tasks such as bathing, dressing, meal preparation, money management, etc.  Examples of what an OT may do are as follows:

  • Help a client use a bath bench to safely enter and exit the shower following hip surgery
  • Teach a person with low vision adaptive techniques to prepare a meal
  • Make recommendations regarding equipment or home modifications that will make the home safer.

How do I Select a Home Heath Provider?

CEA_Web_BadgeWe recommend that our clients or family members contact us as soon as possible when home health services will be ordered by your physician.  For example, prior to an orthopedic procedure such as a knee or hip replacement, clients are welcomed to meet our staff to discuss how care will transition from the hospital to home health services.  We believe that bonding process will only enhance the recovery process and let us answer any questions you may have.

When you have completed your procedure at the hospital, a case worker will ask you if you have selected an agency for your home health care.  Usually, you will be given a list of home health agencies operating in your county of residence.  Here are some suggestions to assist you with this process:

  • It is your choice which home health agency you choose for your care.  This is a Medicare regulation.
  • Talk to your primary care physician, family members and friends about which home health provider can best meet your needs.  Let your physician and family members, and hospital staff know which home health agency you prefer.
  • When you choose the Adair County Health Department’s Home Health Agency you will receive services certified by Medicare and also help support public health services in your community.

How do I pay for Home Health Services?

Your home health services can be paid from a number of options including:

  • Medicare
  • Medicaid
  • Commercial insurance
  • Veterans Administration (VA)
  • Workman’s compensation
  • Private Pay

How we protect your Health Information.

Please click on the link below to review your HIPAA rights in our “Notice of Privacy” statement.  We will correspond and share your health information with your physician, our home health staff, and designated caregivers you approve to support your home health services.

Public Health