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Admission Process

Serving Elderly Patients & Beyond

An application and admission order from a primary-care physician must be completed before admission. An elder will be admitted if his or her care need meets admission criteria and a room is available. On the day of admission, other paperwork will be completed with the elder, family member or person who holds power of attorney, and a Klein Center social worker.

If a room is not available, a completed application places an elder on a waiting list for admission. When a room becomes available, the elder or family member may accept or decline the room.

The following is required before admission:

  • Advance directives – Copies of the durable power of attorney for health care and living will

  • History and physical examination by a physician within one year of the admission date or, if admitted directly after a hospital stay, a copy of the hospital’s health and physical form

  • List of medications

  • Medical insurance cards – Copies of Medicaid, Medicare, Medicare Part D, Medicare supplement insurance or other prescription plan cards

  • Preadmission assessment – We meet with people who want to live with us to assess whether the Klein Center can meet their needs and their family members’ expectations.


Our elders receive bills from Klein Center and other providers, depending on the services they receive. They may include:

  • Durable medical equipment

  • Heritage Partners Pharmacy

  • Physicians

  • Podiatrist

  • Telephone company

If you think your Klein Center bill is incorrect, please call Patient Financial Services-Insurance Billing at 319-768-3631. For questions about other bills, call the telephone number on the statement.


The Klein Center accepts three kinds of payment:

  1. Medicaid (Title 19) – The client-participation fee usually is the total of the elder’s Social Security check less the cost of Medicare supplement insurance, if any, and $50 for personal needs such as hair care. The Department of Human Services determines the fee after an application approved.

  2. Private pay – On the day of admission, elders or family members receive a prorated statement for the current month. Immediate payment is expected. Subsequent payments are due by the 10th of each month.

  3. Long-term care insurance – Most policies pay only a portion of the bill. The responsible party will be billed for the balance.

For more information about Klein Center, call 319-768-4600 today.