facilities we serve
  • Skilled Nursing Facilities
    Full Service Model

    (encompasses our management model in addition to many other aspects of service to enhance your speech therapy department)

    Language Fundamentals is unique organization that provides only speech pathology services to your facility.  Our passion and expertise in the field of speech pathology in nursing facilities is unparalleled, and our philosophy is to provide the highest quality of care to the residents and facilities we serve.

    The full service model offers your facility consistent SLP(s) to meet the specific needs of your organization.  Support SLP staff is available as needed to your facility, with no per diem costs.  We hire our SLP’s with a focus on finding the best therapists who have specialized their sights on working with the geriatric/medical population, which is immediately noticed by facility staff members, residents, and their families. 
    Additional services that we offer are onsite Flexible Endoscopic Evaluations of Swallowing (FEES), as well as VitalStim Therapy.  For more information on either service, please go to our ‘services’ page.

    With over 15 years of experience providing services to skilled nursing facilities, you can be assured that when you partner with Language Fundamentals for your speech therapy needs, you will be gaining a full speech therapy team that works both onsite and off to provide you and your residents with the latest treatment procedures in all aspects of speech therapy.  In this ever changing world of healthcare, the up-to-date services that Language Fundamentals provides adds tremendous value to your facility both through improved patient outcomes, as well as excellent documentation to support the services provided.

    A Fiscally Prudent Choice

    As a member of the rehabilitation team, we work closely with the other disciplines to maximize facility reimbursement as well as achieve the most appropriate RUG categories for the Med A residents.  Beyond maximizing reimbursement, Language Fundamentals works diligently to reduce the risk of aspiration pneumonia in your facility saving the facility penalties for health care acquired conditions.  Please see our white paper for more details. 

    Benefits to our full service model include:

    • Acquiring therapist(s) with the specific needs of your facility in mind
      • SLP who becomes part of the interdisciplinary team in your facility (we do not arbitrarily move therapists around)
      • Knowing that per diem therapists will have experience with medical speech pathology
    • Having extensive speech programs to best suit the needs of the residents in your facility
    • Gaining a team with a full understanding of traditional and managed Medicare Part A services, as well as HMO, CMI, Medicare Part B and G-codes
    • Knowing that excess caseloads, sick days, vacation days, and holidays are automatically covered at the same rate with no additional charges
    • Education provided to interdisciplinary team individualized to your facility at no additional charge
    • Providing documentation oversight with a focus on compliance
      • Complete mock audits to improve your success during audits
    • Continual implementation of new and changing regulations
    • Ongoing education to our SLP’s to enhance their skills to continually provide you with the best standard of practice
    • As one part of the rehabilitation team, we work under your in-house or outside agency rehab director OR we can provide you with a rehab director
    • Adapting to your rehab team.  We can work with:
      • Your in house PT/OT staff
      • Your outside therapy company who provides the PT/OT staff
    Management Model:

    Our management model offers recommendations to improve and streamline documentation as well as recommendations to enhance the speech therapy program with your own staff.

    • We can provide program development for your speech therapists
    • Mock documentation audits completed to improve documentation compliance and improve your success during audits
    • We provide your SLP with a source of contact for questions and insight
    • Educational pieces are also available which are geared toward your SLP’s, as well as for the other members of your interdisciplinary team as needed
  • Early Intervention (EI) Services

    We currently provide speech and language therapy services in several counties. We provide these services in your toddler’s natural environment to aid learning and this is where he or she is most comfortable and functions the best. That means that he/she will receive therapy in the home or childcare setting.

    Early intervention speech therapy sessions are play based as children learn through play. Play is fun and is a natural part of a child’s development. Play also creates the desire for your toddler to talk and communicate. Your child’s therapy sessions may include playing with toys, singing age-appropriate songs, and arts and crafts all while learning language concepts such as colors, shapes or following directions.

    You are encouraged to observe the sessions and the SLP will always leave time at the end of each session to review progress with you, answer any questions you may have. You are a key part to increasing your toddler’s speech and language development.

    More information on our early intervention services, Communication Foundations.

  • Homecare Services

    Providing speech therapy service in the home may be a wonderful solution for many famililies.  It provides the client with peace of mind that services will be provided in a familiar setting and allows the therapists to improve the functional abilities that are individualized to each client’s needs.

    We have a unique ability to offer homecare services independently, as well as through several agencies.  Regardless, we assign a specific licensed, caring speech language pathologist  to each client, so a strong therapist/client relationship can be formed that enhances progress during therapy.

    Language Fundamentals is the ideal choice to partner for your homecare agency.  Our staff are located throughout multiple counties, so you can be assured that your clients always have access to an SLP.

  • Outpatient Speech Language Pathology

    Language Fundamentals offers outpatient evaluation and treatment services to adults and children with speech complications, communication impairments, cognitive-communication issues, difficulty swallowing, and/or voice problems.

    We currently cover the areas below:
    • Armonk
    • Bedford
    • Port Jervis
    But please bear with us as we continue to expand.

    Insurance Coverage:
    Language Fundamentals accepts most insurances but please call us at 845.897.3330 or email info@langfun.com for more information.

    Visits typically Monday – Friday: 8:30 am - 5:00 pm by appointment only (other times may be scheduled depending on availability)
    To make a referral or request an initial evaluation:
    845.897.3330 (phone) or 845-897-3753 (fax)

    Services for Children through Adults

    Each of our Speech Language Pathologists is highly trained to provide diagnostics and treatment for a full range of individuals and ages with speech, language, and swallowing needs. Some of our clinicians also specialize in certain areas. We will be able to answer any questions you have when you contact our office.
    The following is a non-exhaustive list of the services we offer to adults:
    • Stroke
    • Parkinsons Disease
    • Stuttering
    • Cognitive impairments
    • Traumatic Brain Injury (TBI)
    • Chewing/Swallowing difficulties
    • Memory impairments
    • Difficulty clearly forming words
    • Difficulty understanding others or making self understood
    • Voice disorders

    The following is a non-exhaustive list of the services we offer to children:
    • Articulation
    • Phonological Processes
    • Apraxia
    • Stuttering
    • Pragmatics

    Outpatient Services Include:

    Fiberoptic Endoscopic Evaluation of the Swallow Evaluation is an instrumental evaluation tool that assesses the motor components of swallowing for patients. FEES provides clinicians with data that aids in identifying patients at risk for aspiration and guides the clinician in recommending the most appropriate foods and liquids to a patient so that he or she can swallow safely. For more information, please visit our FEES page.

    Neuromuscular Electrical Stimulation:
    Neuromuscular electrical stimulation (VitalStim) is therapy for patients who have trouble swallowing (dysphagia). It uses small electrical currents to stimulate the muscles responsible for swallowing, while speech-language pathologists help patients re-educate their muscles through rehabilitation therapy.

    Lee Silverman Voice Treatment Program:
    Language Fundamentals has speech language pathologists who are certified to provide this intensive four-week outpatient treatment program, which has been scientifically and clinically verified to improve the voice and speech of patients with Parkinson's disease or other neurological disorders for those who qualify. In addition to targeting immediate post-treatment improvement, the program focuses on developing skills for long-term maintenance.

    Voice Evaluation and Treatment Programs:
    Individually designed outpatient programs are available to alleviate voice problems associated with vocal nodules and polyps or with overuse/misuse of the voice. Treatment utilizes different types intervention including exercises tailored to improving laryngeal function, vocal hygiene instruction and recommendations individualized to each person's work, social, and home environments.

    Stuttering Therapy:
    Programs that are designed individually are available for children, teens and adults who stutter. The focus is multifaceted and incorporated education regarding strategies to minimize stuttering while speaking, including speaking more slowly, and regulating breathing, while also incorporating environmental influences on fluency. Therapy progresses from single sounds, syllable to longer words and more complex sentences.

  • Hospitals

    Clinical expertise at the hospital level of care is critical and Language Fundamentals understands the need for efficient use of therapy services.  We implement programs that reduce the risk of aspiration pneumonia, which may result in longer hospital stays and HAC readmissions.  Language Fundamentals provides expert clinicians to area hospitals that are competent in instrumental exams such as modified barium swallow studies (MBS) and flexible endoscopic evaluation of the swallow (FEES).   

    Beyond clinical excellence, our clinicians pride themselves on clear concise communication skills, conveying much needed information to nursing and physician staff. 

    Please call for more information or to set up meeting to assess your needs.

services we offer

Speech Therapy

Swallowing Therapy


Evaluation & Treatment