Reed City Fields
SaveInterior
Decor
Building
Architecture
Bedroom
Windows
Dining
Landscaping
Lighting
22109 Professional Dr, Reed City, MI 49677
For more information about senior living options: (844) 490-3973
At Reed City Fields, the monthly costs for housing reflect a premium when compared to both Osceola County and the broader Michigan state averages. For instance, a studio apartment at Reed City Fields is priced at $4,400, significantly higher than the county's average of $3,515 and the state average of $3,824. Similarly, the one-bedroom option is listed at $5,000, which again surpasses the Osceola County rate of $3,335 and Michigan's statewide average of $3,384. This pricing suggests that Reed City Fields may offer unique amenities or services that justify its higher costs in relation to neighboring areas.
| Floor plans | Reed City Fields | Osceola County | Michigan |
|---|---|---|---|
| Studio | $4,400 | $3,515 | $3,824 |
| 1 Bedroom | $5,000 | $3,335 | $3,384 |
The staff at Reed City Fields consistently demonstrate genuine compassion and empathy toward the residents, creating a warm and welcoming environment. Residents enjoy home-cooked fresh meals, and many express satisfaction with the quality of food provided. Families appreciate the friendly and helpful nature of the staff, who are dedicated to making loved ones feel comfortable. The facility is clean and well-maintained, contributing to a positive living experience for residents. Communication between staff and families is effective, helping to ensure that care needs are met and that families feel involved in their loved one's well-being. Many residents actively participate in engaging activities offered at the community, enhancing their quality of life. New management has improved the atmosphere of the facility, making it feel more welcoming for both residents and families. Families feel reassured knowing their loved ones are safe and secure in a caring environment.
A family member felt that their loved one was treated poorly compared to other residents, highlighting inconsistent care and attention levels. There were complaints about the cleanliness of individual living spaces and common areas, particularly regarding bathrooms. A resident's family member expressed frustration over a lack of communication when it came to updates on their loved one's condition. An individual noted that they had to be vigilant due to their father's medical issues and felt that requested updates were not consistently provided. The review described an embarrassing incident involving a staff member making a distasteful comment about the wife being there to "babysit" her husband. Concerns were raised about the facility's policies regarding mobility requirements for residents, with inconsistencies in how these rules were applied among different individuals. One family experienced difficulty when they needed assistance transferring their loved one from the facility to the emergency room, feeling unsupported by staff during this time.Reed City Fields has become a focal point for discussions about assisted living and the quality of care provided to its residents. Experiences shared by various families highlight a spectrum of satisfaction, though there appears to be room for improvement in certain areas. One common sentiment throughout the reviews is that the facility offers initial warmth and a welcoming atmosphere upon entering. Several families expressed their appreciation for the friendly demeanor of the staff, which creates a conducive environment where both residents and their families feel valued.
However, while many reviews praise the caring nature of the staff, others shed light on concerns regarding inconsistent treatment across residents. For instance, one family highlighted disparities in individualized attention—reporting that some relatives received considerable one-on-one support while their own family member was not afforded the same level of care. This inconsistency created feelings of embarrassment and distress during visits; one employee’s comment about needing someone to "babysit" their loved one emphasized this feeling of unequal treatment among residents.
Nutritional quality is another critical area addressed by reviewers. Some families pointed out that fresh fruits and vegetables were noticeably absent from meal offerings, raising questions about dietary standards within the facility. Conversely, other reviewers praised home-cooked meals and expressed satisfaction with menu options available at Reed City Fields. This divide indicates a need for consistency in food quality that meets all residents' needs rather than catering to select preferences.
Communication is another recurring theme among these evaluations. While some families reported positive interactions with staff regarding their loved ones’ well-being, others faced challenges when seeking information or updates about residents' health statuses. One family described difficulties experienced by an elderly mother trying to inquire about her husband’s progress in the dementia unit—information they felt should have been more readily accessible. Inadequate communication concerning urgent matters was also raised; incidents like difficulty receiving assistance during emergency situations underscored stress placed on family members.
On a more positive note, recent management changes have resulted in improved overall experiences according to multiple reviews. Many families noted how these changes fostered an upbeat atmosphere within Reed City Fields, where activities are plentiful and community engagement appears encouraged among residents. The new administration seems dedicated to enhancing resident experiences by nurturing relationships between staff and inhabitants while ensuring transparency in operations.
Overall impressions vary widely but lean toward positivity for those who experience top-tier care at Reed City Fields Assisted Living. Many families report feeling reassured knowing their loved ones are receiving compassionate service alongside structured daily routines filled with engaging activities—a vital aspect of enhancing life quality for seniors facing various challenges due to age or health conditions. Though certain aspects require attention—from nutrition to communication—the overall sentiment remains optimistic as people witness improvements reflective of dedicated staff efforts striving towards excellence within this evolving community resource.
1-bedroom apartments1-bedroom apartments are important for seniors because they provide a sense of independence, privacy, and autonomy while still offering the necessary space for comfortable living. These apartments allow seniors to maintain their own personal space and lifestyle preferences in a supportive community setting. Studio apartmentsStudio apartments are important for seniors because they offer a smaller, more manageable living space that is easier to navigate and maintain as physical abilities decline. Additionally, studio apartments provide seniors with independence and privacy while still being part of a community that offers support and social opportunities.
Assisted LivingAssisted living facilities provide crucial support and care for seniors who may need help with daily tasks such as medication management, bathing, and meal preparation. These communities offer a safe and comfortable environment where seniors can maintain their independence while receiving the assistance they need to thrive in their golden years.
Memory CareMemory care is crucial for seniors as it provides specialized support and services for individuals with dementia or Alzheimer's disease. These programs offer a safe and secure environment where residents receive personalized care, cognitive stimulation, and help with daily activities. Memory care helps seniors maintain their independence, quality of life, and dignity while also providing peace of mind for their families.
Cats allowed"Pet friendly" senior living communities are important for seniors because pets provide companionship, reduce feelings of loneliness and depression, promote physical activity and mental stimulation, and offer a sense of purpose and responsibility. Pets can improve overall well-being and quality of life for seniors in many ways.
Dogs allowed"Pet friendly" senior living communities are important for seniors because pets provide companionship, reduce feelings of loneliness and depression, promote physical activity and mental stimulation, and offer a sense of purpose and responsibility. Pets can improve overall well-being and quality of life for seniors in many ways.
Activities on-siteActivities on-site are important for seniors because they provide opportunities for socialization, mental stimulation, physical activity, and overall well-being. Engaging in activities can help seniors stay active, maintain their independence, and improve their quality of life.
Air-conditioningAir conditioning is important for seniors as they are more vulnerable to heat-related illnesses and may have underlying health conditions that make it difficult for them to regulate their body temperature. It helps to keep them comfortable, safe, and healthy in hot weather.
Beautician on-siteHaving a beautician on-site at a senior living community is important for seniors as it allows them to easily access grooming and personal care services, boosting their self-esteem and overall well-being. It also provides convenience and helps seniors maintain their sense of independence and personal style.
Cable or satellite TVCable or satellite TV is important for seniors because it provides entertainment, news, and companionship, helping to combat loneliness and boredom. It also offers a wide range of programming options tailored to different interests and preferences.
Devotional services off-siteDevotional services off-site are important for seniors as they provide spiritual nourishment, social engagement, and a sense of community outside of the senior living facility. This can enhance overall well-being and help combat feelings of isolation and loneliness often experienced by older adults. Devotional services on-siteDevotional services on-site provide seniors with spiritual support and a sense of community, as well as an opportunity for reflection and guidance during their senior living experience. This can promote emotional well-being and connection to others, leading to a more fulfilling and enriching lifestyle in their later years.
Dining roomDining rooms are important for seniors as they provide a space for socialization, connection, and nutritious meals. They offer opportunities for residents to bond over shared meals, foster a sense of community, and promote healthy eating habits. Dining rooms also ensure that seniors have access to well-balanced meals tailored to their dietary needs and preferences.
GardenGardens are important for seniors as they provide a peaceful and therapeutic environment for relaxation, physical activity, and socialization. Being in nature has been shown to reduce stress, improve mood, and promote overall well-being. Gardens also offer opportunities for seniors to engage in gardening activities, which can improve mobility, flexibility, and cognitive function. Additionally, gardens create a sense of community and connection with others who share a passion for plants and outdoor spaces.
Ground floor unitsGround floor units are important for seniors because they provide easy accessibility, reduced risk of falls and injuries, and convenience for those with mobility issues. Seniors can avoid climbing stairs or using elevators, making daily tasks and activities more manageable and enjoyable.
Guest parkingGuest parking is important for seniors because it allows their friends and family members to visit them easily and safely. Having convenient parking options can help combat feelings of isolation and loneliness, promote regular social interaction, and improve overall mental and emotional well-being for seniors in senior living communities.
Handicap accessible"Handicap accessible" amenities are crucial for seniors to ensure they can easily navigate and access facilities, services, and activities without barriers or limitations due to physical impairments. This promotes independence, safety, and inclusivity for seniors in senior living communities.
Housekeeping servicesHousekeeping services are important for seniors because they help maintain a clean and safe living environment, promote independence, and reduce the risk of accidents or illnesses. Additionally, having assistance with household chores can alleviate physical strain and allow seniors to focus on other aspects of their well-being.
Indoor common areasIndoor common areas are crucial for seniors as they provide a space for socialization, recreation, and community engagement, promoting overall well-being and reducing feelings of isolation and loneliness.
KitchenetteKitchenettes are important for seniors living in senior living communities because they provide the convenience and independence of being able to prepare simple meals and snacks in the comfort of their own living space. This can help promote a sense of autonomy and well-being for seniors, allowing them to maintain some level of control over their dietary choices and daily routines.
LaundryLaundry services are important for seniors as they may have difficulty with physical tasks such as bending, lifting, or carrying heavy loads. Having access to laundry services can help seniors maintain personal hygiene, cleanliness, and independence in their daily lives.
Outdoor common areasOutdoor common areas are important for seniors as they provide a space for socialization, physical activity, and relaxation. Being outside in nature can improve mood and overall well-being, while also encouraging movement and engagement with others. These spaces can help combat feelings of isolation and promote a sense of community among residents.
Party spaceHaving access to party space is important for seniors as it provides opportunities for socialization, connection, and enjoyment. These spaces allow seniors to celebrate special occasions, host gatherings with friends and family, and participate in community events, enhancing their overall well-being and quality of life.
Private bathroomsPrivate bathrooms are important for seniors in senior living communities because they provide independence, dignity, and comfort. Having a private bathroom allows seniors to maintain their personal hygiene routines without the need for assistance, promoting a sense of autonomy and privacy. Additionally, private bathrooms help prevent the spread of infections and provide a safe and clean environment for seniors to navigate safely. Resident parkingResident parking is crucial for seniors in a senior living community as it provides convenience, accessibility, and safety for residents who may have limited mobility or rely on personal vehicles for transportation. Having designated parking spaces ensures that seniors can easily access their homes without having to walk long distances or navigate crowded parking lots, ultimately enhancing their overall quality of life and sense of independence.
Respite or short term stays offeredRespite or short term stays provide seniors with a temporary solution when their regular caregiver is unavailable, offering them the opportunity to receive additional care and support during times of need, while also giving caregivers a chance to rest and recharge. TV roomTV rooms are important for seniors in senior living communities because they provide a space for social interaction, entertainment, and relaxation. Watching TV can help reduce feelings of loneliness and boredom, and create a sense of community among residents. Additionally, TV rooms offer a break from daily routines and can be a source of comfort and familiarity for seniors.
Wheelchair accessible showersWheelchair accessible showers are crucial for seniors as they provide a safe and independent bathing option for those with mobility challenges. These showers help prevent falls and allow seniors to maintain their dignity and autonomy while ensuring they can bathe comfortably.
Wi-Fi/high-speed internet availableWi-Fi/high-speed internet is important for seniors to stay connected with loved ones, access online resources, and participate in virtual activities to combat feelings of loneliness and isolation. It also allows them to easily manage healthcare needs, access entertainment, and engage in lifelong learning opportunities.
Ambulatory care"Ambulatory care services provide essential medical support and treatment to seniors without requiring hospitalization, allowing them to maintain their independence and quality of life while managing chronic conditions or receiving routine medical care."
Diabetic careDiabetic care is crucial for seniors as they are more susceptible to developing diabetes due to aging and other health conditions. Proper management of diabetes can help prevent complications such as heart disease, vision loss, and nerve damage, improving the overall quality of life for seniors in senior living communities.
High acuity careHigh acuity care is important for seniors because it provides specialized medical attention and support for individuals with complex medical needs. This level of care ensures that seniors receive the appropriate treatment and assistance to maintain their health and quality of life as they age.
Hospice careHospice care is important for seniors as it provides specialized end-of-life support, pain management, and emotional comfort for both the senior and their loved ones. It allows seniors to maintain dignity, receive personalized care, and spend their remaining time in a peaceful and comfortable environment.
Incontinence careIncontinence care is essential for seniors to maintain their dignity, hygiene, and overall quality of life. By addressing incontinence issues promptly and effectively, seniors can enjoy a sense of independence and comfort in their daily activities.
Medication managementMedication management is crucial for seniors to ensure they are taking the right medications at the correct dosages and times. This helps prevent adverse drug interactions, reduces the risk of medication errors, and promotes overall health and well-being. Proactive management also allows for adjustments as needed based on changing health conditions or new prescriptions. Personal care assistantsPersonal care assistants are essential for seniors as they provide assistance with daily tasks, such as dressing, bathing, and medication management. They offer crucial support and companionship to help seniors maintain independence and quality of life in their own homes or in senior living communities.
Anytime diningAnytime dining is important for seniors because it allows them the flexibility to eat when they are hungry, rather than being restricted to set meal times. This can be especially beneficial for those with medical conditions or medications that affect their appetite, as well as those who may have difficulty adhering to a strict dining schedule. Overall, anytime dining promotes independence and overall well-being for seniors in senior living communities. Gluten-freeGluten-free options are important for seniors as they are more prone to digestive issues and dietary sensitivities. Offering gluten-free meal choices in senior living communities can help improve their overall health and well-being. Guest mealsGuest meals are important for seniors living in senior living communities because they provide an opportunity for socialization and companionship. Sharing a meal with friends, family, or new acquaintances can help combat feelings of loneliness and isolation, promote a sense of community, and enhance overall well-being. Additionally, guest meals allow seniors to enjoy delicious food in a comfortable setting without the hassle of cooking or cleaning up, making dining a pleasurable and stress-free experience. KosherKosher options are important for seniors because they adhere to dietary laws that are significant to many Jewish individuals, providing them with peace of mind and an opportunity to maintain their cultural traditions and beliefs while living in a senior living community. Low / no sodiumLow/no sodium options are important for seniors because excessive sodium intake can lead to high blood pressure, heart disease, and other health issues commonly experienced by older adults. By choosing low/no sodium foods, seniors can better manage their health and reduce their risk of developing these conditions. Meals provided"Meals provided" are crucial for seniors in assisted living communities as it ensures they have access to nutritious, balanced meals without the stress of meal planning and preparation. This can help promote overall health and well-being for seniors who may have limited mobility or cognitive abilities. No SugarNo sugar diets are important for seniors because they can help prevent or manage chronic conditions such as diabetes, heart disease, and obesity. Sugar can also contribute to cognitive decline and inflammation in the body, so reducing sugar intake can lead to overall improved health and well-being in older adults. Room serviceRoom service is important for seniors in a senior living community because it provides convenience and allows them to have their meals delivered directly to their room. This can be especially beneficial for seniors who may have mobility issues or difficulty accessing the dining area. Room service ensures that seniors are able to receive nutritious meals without having to navigate through the facility, allowing them to maintain their independence and overall well-being.
Special dietary restrictionsSpecial dietary restrictions are important for seniors because age-related changes in metabolism and health conditions can make it difficult for their bodies to process certain foods. By following a diet tailored to their specific needs, seniors can maintain their overall health and well-being, manage chronic conditions, and reduce the risk of complications such as malnutrition or food interactions with medications.
Art classesArt classes are important for seniors because they provide a creative outlet, improve cognitive function, reduce stress and anxiety, promote socialization, and enhance overall well-being and quality of life. Arts and craftsEngaging in arts and crafts activities provides seniors with a creative outlet, promotes cognitive function, enhances dexterity and fine motor skills, fosters social interaction, and boosts overall well-being and mental health.
Catholic servicesCatholic services are important for seniors because they provide spiritual support, a sense of community, and opportunities for social interaction that can enhance overall well-being and quality of life in their later years. Devotional activities offsiteDevotional activities offsite are important for seniors because they provide social engagement, spiritual growth, and a sense of community outside of their living environment. This can improve overall well-being, mental health, and combat feelings of isolation or loneliness. Devotional activities on-siteDevotional activities on-site provide seniors with a sense of community, spiritual fulfillment, and emotional support, promoting overall well-being and a positive sense of purpose in their lives.
GamesGames are an essential part of senior living as they help promote cognitive function, social interaction, and overall well-being. Playing games can improve memory, concentration, and decision-making skills while also providing a fun and engaging way to connect with others. Seniors who participate in games regularly tend to experience higher levels of satisfaction and happiness in their daily lives.
Happy hourHappy hour is important for seniors as it provides a social activity that promotes camaraderie and reduces feelings of loneliness or isolation. It also offers an opportunity for older adults to relax, unwind, and enjoy some drinks or snacks in a fun and welcoming atmosphere.
Jewish servicesJewish services are important for seniors as they provide a sense of community, spiritual support, and connection to their heritage and traditions. These services help enhance overall well-being and quality of life for older adults in senior living settings.
KaraokeKaraoke provides seniors with a fun and social activity that can boost mood, confidence, and cognitive function. It encourages social interaction, physical movement, and creative expression, making it an important form of entertainment for senior living communities.
Live musical performancesLive musical performances can provide seniors with a sense of joy, nostalgia, and connection. Music has the power to evoke emotions and memories, improve mood and cognitive function, and foster social interaction among seniors. It can also serve as a form of therapy and stress relief for older adults, making it an important activity to include in senior living communities.
Live well programs"Live well programs are essential for seniors as they provide opportunities for physical activity, social engagement, and mental stimulation, ultimately promoting overall health and well-being in later years." Mormon/LDS servicesMormon/LDS services are important for seniors as they provide a sense of community, spiritual support, and connection to their faith during their later years. These services offer opportunities for socialization, worship, and guidance in navigating the challenges of aging. Other religious servicesOther religious services are important for seniors as they provide a sense of community, spiritual comfort, and opportunities for socializing. These services can help seniors feel connected to their faith and maintain a sense of purpose and belonging in their later years. Protestant servicesProtestant services are important for seniors because they provide spiritual nourishment, community support, and a sense of belonging. These services can help seniors connect with others who share their faith, find comfort and guidance in times of need, and maintain a sense of purpose and fulfillment in their later years. Visiting chaplain or priestHaving a visiting chaplain or priest at a senior living community is important for seniors because it provides spiritual support, comfort, and guidance during a time of life that can be challenging and uncertain. Their presence can help seniors feel connected to their faith, find peace of mind, and cope with the emotional and mental struggles they may face in their later years.
Wii bowlingWii bowling is important for seniors as it provides a fun and engaging way to stay active, socialize, and improve hand-eye coordination. It can help prevent isolation, boost mental well-being, and promote physical fitness in a safe and accessible manner.Reed City Fields is a comfortable and inviting assisted living community located in Reed City, MI. Our community specializes in memory care for individuals with Alzheimer's disease and other forms of dementia.
Our studio apartments provide a cozy and private living space for residents to call their own. Each apartment is equipped with air-conditioning and cable or satellite TV for the comfort and entertainment of our residents.
We understand the importance of maintaining physical appearance, which is why we have an on-site beautician available to our residents. Additionally, we offer devotional services both on-site and off-site to cater to the spiritual needs of our residents.
At Reed City Fields, we prioritize the well-being of our residents by providing a range of amenities and services. Our dining room offers delicious meals that cater to special dietary restrictions such as gluten-free, kosher, low/no sodium, and no sugar options. Room service is also available for those who prefer to dine in the privacy of their own apartments.
Our community features indoor common areas where residents can socialize and engage in various activities such as arts and crafts, games, karaoke, live musical performances, and more. We also have outdoor common areas where residents can enjoy fresh air and take leisurely walks through our garden.
Residents at Reed City Fields have access to various care services including diabetic care, high acuity care, hospice care, incontinence care,and medication management. Our dedicated personal care assistants are always available to provide assistance when needed.
Convenience is key at Reed City Fields as we are situated near several parks, pharmacies, physicians' offices,and restaurants. Transportation services are readily available for those who require it. In addition, places of worship are located nearby for spiritual fulfillment.
With our exceptional amenities, dedication to quality care services,and convenient location,length like home at Reed City Fields.
This part of Reed City, Michigan offers a variety of conveniences and amenities that could be appealing for seniors looking to relocate to the area. With several physicians, including primary care providers and cancer specialists, located within a short distance, access to healthcare services is readily available. Additionally, there are places of worship nearby for spiritual support, as well as parks for recreational activities and relaxation. The presence of pharmacies and restaurants ensures easy access to essentials and dining options, while transportation services such as airport facilities and rental companies offer convenience for travel needs. Overall, this neighborhood provides a balanced mix of healthcare resources, recreational opportunities, and essential services that could make it a suitable choice for senior living in Reed City.
At Reed City Fields, the monthly costs for housing reflect a premium when compared to both Osceola County and the broader Michigan state averages. For instance, a studio apartment at Reed City Fields is priced at $4,400, significantly higher than the county's average of $3,515 and the state average of $3,824. Similarly, the one-bedroom option is listed at $5,000, which again surpasses the Osceola County rate of $3,335 and Michigan's statewide average of $3,384. This pricing suggests that Reed City Fields may offer unique amenities or services that justify its higher costs in relation to neighboring areas.
Reed City Fields offers 1-bedroom apartments and Studio apartments.
Reed City Fields is located at 22109 Professional Dr, Reed City, MI 49677 in Osceola County, Michigan
Reed City Fields offers specialized incontinence care, ensuring that residents feel comfortable and dignified while receiving the necessary support tailored to their individual needs. This compassionate approach not only alleviates physical discomfort but also addresses emotional well-being, promoting a sense of security among residents with dementia or Alzheimer's. Additionally, medication management is systematically implemented to ensure that all residents receive their prescribed medications accurately and on time, minimizing confusion and potential health risks. By taking these proactive steps, Reed City Fields creates a nurturing environment that fosters both physical comfort and cognitive stability for those navigating the challenges associated with memory care conditions.
Yes, Reed City Fields allows both dogs and cats.
Reed City Fields on seniors.fyi includes 13 photos including images showing interior, bedroom, decor, building, landscaping, dining, windows, architecture, and more.
Reed City Fields Assisted Living II
Reed City, MI
Fully furnished apartments with 24-hour care and meals at an affordable rate.
Small community size (capacity 20) may limit social opportunities.
Reed City Fields Assisted Living III
Reed City, MI
Small, intimate community with comprehensive on-site care.
Limited capacity may limit social opportunities.
Spectrum Health - Reed City
Reed City, MI
Restaurant-style dining with 24/7 care and full on-site amenities.
Small size (capacity 50) may limit activity options.
Reed City Home
Reed City, MI
Intimate 6-resident community with comprehensive care, meals, housekeeping, and medical-appointment transportation.
Limited capacity may impact availability.
Reed City Housing
Reed City, MI
Close to parks, pharmacies, dining, transportation, places of worship, and hospitals.
Country Easy Living
Reed City, MI
Small, home-like setting with personalized care and comprehensive services (24/7 supervision, meals, housekeeping, activities, transportation).
Limited capacity (12 residents), which may affect availability.
The transition from assisted living to skilled nursing care is often prompted by complex medical needs that assisted living cannot meet, with key indicators including frequent health declines, increased falls, severe memory issues, and caregiver burnout. Families should recognize these signs early to discuss options with healthcare providers and prepare for the emotional and logistical aspects of moving to a facility that offers comprehensive medical support.
Nourishing the Mind: Essential Dietary Approaches for Dementia
Dementia is characterized by cognitive decline, with nutrition playing a vital role in brain health; while no specific diet can prevent or reverse it, a nutrient-dense diet rich in antioxidants and healthy fats may support cognitive function. The MIND diet, which emphasizes beneficial foods and limits processed items, along with proper hydration and individualized meal strategies, can enhance the well-being of dementia patients.
Understanding Dementia Behaviors: Practical Insights and Strategies for Caregivers
Dementia affects memory and cognitive function in older adults, presenting challenges for caregivers due to behavioral changes such as confusion and mood swings. Compassionate, person-centered care that considers individual history and preferences, along with effective communication and environmental modifications, is essential for supporting both patients and their caregivers.
Interior
Decor
Building
Architecture
Bedroom
Windows
Dining
Landscaping
Lighting
8 Key Indicators That Suggest It May Be Time to Transition from Assisted Living to Skilled Nursing Care