Behavioral Care

Maravilla is an innovator in all areas of behavioral health and long-term care. We individualize and tailor our care to those who live in the community of Maravilla – our neighbors. Maravilla has long partnered with Mercy Care Long Term Care Plan, United Health Care Community Plan, Banner University Family Care, AHCCS/ALTCS, and Veterans Affairs Health Administrations (VA). We are certified by the National Council for Certified Dementia Practitioners – a nationally recognized organization that specializes and certifies health care providers in the treatment of patients with memory impairment and dementia.

Our community is comprised of five “neighborhoods” or units, providing specific individualized care to their distinct populations. These neighborhoods provide distinct levels of behavioral care and interventions. Our neighbors move through these units as their needs change, but their sense of “home” is cultivated regardless of the neighborhood. Maravilla Care Center’s unique model incorporates individualized person centered practices to create its homelike environment. Practices include animal visits and unique exercise classes.

Our Neighborhoods

Apache

This unit is a “neurobehavioral” residential placement where residents pose little risk of overt aggression to others but maybe uncooperative, aggressive, and impulsive in response to medical procedures and care placing them at risk. These residents would include individuals with neurocognitive and neuromuscular progressive disorders such as Parkinson’s disease, Huntington’s Chorea, Amyotropic Lateral Sclerosis (ALS), Multiple Sclerosis (MS), Muscular Dystrophy and Myasthenia Gravis as well as residents dealing with residual impacts of acute conditions such as stroke and Traumatic Brain Injury (TBI). 

Neighbors require supervision seven days per week, 24 hours per day to develop the skills necessary for daily living, to assist with planning and arranging access to a range of educational, therapeutic and aftercare services, and to develop the adaptive and functional behavior that will allow the neighbor to obtain their highest level of functioning and live a complete and full life. 

Staff trained for this neighborhood are knowledgeable and well trained on the impact of medical conditions on cognitive functioning and psychological well-being. Staff members are grounded individuals who are problem solvers and flexible. They project a confident yet quiet and calm demeanor. Staff members work independently within the parameter of established plans of medical and behavior care. The pace, atmosphere and people are best in slow, tranquil environments. 

 

Rio/Hollywood

This unit is a “mental health” residential placement where residents exhibit little physical aggression but may be emotionally unstable in response to stress and/or a lack of structure. Residents in this neighborhood can include individuals with mood and thought disorders such as bipolar disorder, depressive disorder, anxiety disorders, schizophrenia and personality disorders. 

Neighbors require supervision seven days per week, 24 hours per day to develop and maintain the skills necessary for daily living, to assist with planning and arranging access to a range of educational, therapeutic and aftercare services, and to develop the adaptive and functional behavior that will allow the neighbor to obtain their highest level of functioning and live a complete and full life. 

Staff trained for this neighborhood are knowledgeable and well trained on chronic psychiatric disorders, associated symptoms, and behaviors. Staff members benefit from having understanding of basic psychotropic drug classification and common side effects. Staff work well as part of an interdisciplinary team who are capable of quick thinking and improvisation, as well as a sense of humor. 

 

Paradise Island

This unit is a dementia unit for diminished cognitive capacity. Residents must have a diagnosis of dementia (includes Alzheimer’s disease), Organic Brian Syndrome (OBS), or other diagnosis affecting their cognitive ability where residents pose little risk for initiating aggressions, b ut lack focus and boundaries making reactive aggression a risk whe n personal space is violated by others or in reaction to needed intrusive care. These neighbors exhibit problematic wandering behaviors that ca nnot be managed in a traditional nursing facility setting. These residents may also have disinhibited impulses, inappropriate sexual behaviors, and impulsiveness that put them at risk. 

Staff trained for this neighborhood are knowledgeable in the n ature and course of normal age-related cognitive decline associated with dementia, as well as primary causes of progressive dementia including Alzheimer’s disease, Vascular dementia, Frontotemporal dementia, and Wernicke- Korsakoff syndrome. Staff members are energetic and proactive.

 

Sunset Point

This unit is a high acuity residential unit with private rooms for residents with predisposition for self-initiated interpersonal aggression due to a wide range of personality and disruptive behavioral disorders. They may be highly reactive to surroundings due to paranoia, suspiciousness, and general distrust of others. 

Neighbors require supervision seven days per week, 24 hours per day to develop the skills necessary for daily living, to assist with planning, and implementing a range of educational and therapeutic experiences and arranging access to aftercare services as appropriate. They also develop the adaptive and functional behavior that will allow the neighbor to live a complete and full life. 

Staff trained for this neighborhood are knowledgeable and well trained in a broad spectrum of disruptive behavioral and personality disorders, antecedents of aggression and violence, and de-escalation techniques. Staff members are mentally disciplined, and project calm confidence in the face of verbal and physical intimidation. 

 

Victorian Lane

Victorian Lane is considered the long-term care home sanctuary for residents who have been challenged by medical conditions, psychiatric disorders, and disruptive behavioral disorders where aging or their disease process has advanced to the point of diminished general vitality making previous challenges of managing disruptive and aggressive behavior absent or greatly reduced. 

The risk of overt aggression is low, with some challenges with reactive aggressions to intrusive c are due to sensitivity to pain and/or diminished awareness of surroundings . Residents from other neighborhoods may also step down to the lower level of behavioral care in Victorian Lane as their needs change or disease state progresses. 

Staff trained for this neighborhood are knowledgeable are emotionally mature and older staff member comfortable with the various physical and emotional “end stage of life” realities. Staff members are, confident, supportive and comforting individuals. 

 


Maravilla Care Center is committed to delivering exceptional healthcare, with a focus on support to patients with behavioral care needs. We are deeply committed to a person-centered care model and making the individual’s well-being our highest priority. We achieve this by understanding and honoring each resident’s individual needs and desires, and proactively serving them. We value kindness, compassion, and integrity in our staff and expect the highest performance from our team. Proven expertise in managing behaviors sets us apart from all other long-term care facilities.

Our Activity Service Department not only provides comprehensive activities for our neighbors, but also works closely with each neighborhood to ensure appropriate activities are available at any time during the day. We recognize the critical role of activities in behavior management. Our highly skilled and excellent Rehabilitation Department provides Physical, Occupational, and Speech Therapies to each of our neighborhoods. Each therapist is a vital member of each neighborhood and dedicated to individualized person-centered care. The psychological and behavioral needs of our neighbors are under the direction of a qualified team of behavioral experts including psychiatric nurse practitioners, a psychologist, a counselor, and Maravilla Care Center’s interdisciplinary team.

Services provided include:

  • Psychiatric medication management
  • 14-day psychotropic review per CMS requirements
  • Judicial review for Court Ordered Treatments
  • Development and update of Behavioral Care Plans
  • Behavioral care/mental health staff education and training
  • Admission review and unit placement protocols
  • Unit step up and step down and level of care determination