The Green House Model and Outcomes Real Tales of Transformation

Size: px
Start display at page:

Download "The Green House Model and Outcomes Real Tales of Transformation"

Transcription

1 The Green House Model and Outcomes Real Tales of Transformation

2 Nursing Home History Passage of Medicare/Medicaid Offered a Nursing Facility Benefit Began the rise of Convalescent Hospitals Convalescent Hospitals designed like hospitals Quality of Life concerns 1960 s - depersonalization of nursing home life 1970 s - custodial care 1980 s - psychic despair 1990 s - loneliness, helplessness and boredom Frank, B. 2004

3 What if? What comes next is a clear break with the past. A massive shift towards deinstitutionalization of older people is called for, and the foundation for such a shift is being laid right now. A Green House home is a sanctuary for a new kind of elderhood; it is an intentional community for people seeking the worth and meaning in late life. Dr. Bill Thomas, 2005

4 Green House Transformation Shift within current nursing home regulatory and organizational structures Transformation: Philosophy: Meaningful Life Organizational Redesign: Empowered Staff Physical Design: Real Home 4

5 The Story of Leonard Florence Center for Living Story and Vision Chelsea Jewish Foundation Founded in 1919 by Mrs. Goldberg. Mrs. Goldberg purchased a two-family house and created a haven for elderly Yiddish-speaking Jewish immigrants who needed homemaking and personal care. In 1950, CJF needed increased capacity and built a 60-bed institutional home on the same plot of land Late 1970s, new leadership came in and soon thereafter CJF started construction of a replacement facility, the 123-bed Chelsea Jewish Nursing Home; at the time, the newly constructed CJNH was a modern, innovative facility with programs which generated interest far and wide Come mid-2000s, CJF had grown beyond CJNH and in addition now had assisted living, home care, and other services. On one of its campuses, CJF owned land which leadership long thought of as a potential future home for a second nursing facility.

6 The Story of Leonard Florence Center for Living Story and Vision, continued Instead of embarking on a new project which offered more of the same, and reasoning that traditional nursing facilities were institutional environments that they themselves hoped never to reside in, leadership decided to explore options beyond the traditional nursing home setting. Soon thereafter, they found the Green House Project, which they found inspiring as a radical departure from the traditional model and much more than nursing homes with private rooms In terms of philosophy, the Green House was in some ways not particularly novel it was what Mrs. Goldberg originally created in 1919! We were coming full circle

7 Meaningful Life

8 Living, Growing, Thriving Structure decision-making with elders Facilitate deep knowing Support a life worth living: engagement, enjoyment, purpose All people are creative, resourceful and whole

9 Leonard Florence Center Meaningful Life Resident participation and input in all aspects of care No Schedules Breakfast cooked to order and served all morning (or evening!) Residents wake up as they please No classic across-the-board staffing pattern; in one house, 50% of the residents typically are up at 3am!

10 Leonard Florence Center Meaningful Life No resident council Instead, house meetings. Smaller groups leads to increased and much more meaningful participation No carts or other institutional trappings No medication cart; meds and treatments are stored in locked drawer in resident room (narcotics stored in locked room off of the kitchen) Staff responsible for cooking go shopping downstairs for food stuffs with full resident input in menu and snack design No steam tables, food carts, etc. everything cooked in the house

11 Leonard Florence Center Meaningful Life Beyond the homes Main Street on lobby level European Day Spa (aesthetician, nail technician and hairdresser services) Bakery and Café Kosher Deli Chapel

12 Real Home 12

13 Real Home Small homes: Elders Best at 7000 square feet or under - Normalized living: Living and dining room to accommodate residents and staff Full kitchen open to dining Private bedrooms, bathrooms, showers Single family style in rural and suburban areas, low-rise/garden apartment style in dense suburban, high-rise in urban areas 13

14 Urban Green House

15 Typical Residential Floor Plan

16 Living Room

17 I want to go home. Often when a resident says - I want to go home - they are not necessarily referring to the house they came from, but rather to a state of being that was comfortable, ordered, and fundamentally orienting. Caulkins, M. 2003

18 Leonard Florence Center for Living Activities both large and small Some of the most meaningful activities are not classic activities e.g. kibitzing with cook Larger-scale activities (concerts, large bingos) exist but are not the sole dayto-day activities, and overall are more appreciated than they would be in traditional environments The 10-person house creates a sense of family. Resident-to-Resident support is tremendous

19 Leonard Florence Center for Living People in Short-term rehab support each other in their recovery Encourage each other to participate and push each other along Minutes are up and there are less denials compared to traditional facility

20 Empowered Staff 20

21 Organizational Redesign Elder at the heart of the organizational chart Shahbazim versatile worker Prepare meals, housekeeping, laundry Additional education hours = 128 Redefines roles and responsibilities of the direct care worker, nurses and the clinical support team

22 The Hierarchy Structure Administrator Director of Nursing Dietary Supervisor Environmental Supervisor ADON Cooks Diet Techs Housekeeping Supervisor RN Supervisors Dishwasher Housekeepers LPN s C.N.A. s

23 Organizational Redesign 23

24 Nurses in The Green House Homes Care Role Model Gerontological Expert Care Partner Mentor and Teacher

25 Direct Care Staffing 12 Room Green House Shahbazim 3 Shahbazim am shift 2 Shahbazim pm shift 1 Shahbaz - night shift Total = 4.0 HPPD Universal worker role Nurses One Nurse per two houses am shift One Nurse per two - three houses pm shift and night shift Total: HPPD 25

26 Self-Managed Work Team Group of Shahbazim who are responsible and trusted to manage the Green House home Work collaboratively with leaders and members of the clinical support team

27 Leonard Florence Center for Living Typical Elder and STR Homes 1:5 Shabaz day/evening, 1:10 overnight 1:20 Nursing 24/7 Specialty Homes (ALS/MS) 1.5:5 Shabaz day/evening, 1.5:10 overnight 1:10 Nursing 24/7

28 Quality Care and Quality Life An institutional model that provides basic medical care but does not address the human needs of connectedness and relationships is one that shuts down human beings. The literature amply documents the indisputable link between psycho-social well being and clinical outcomes, between quality of care and quality of life. Barbara Frank Frank, B. 2004

29 Satisfaction & Clinical Research Kane: JAGS 2007 Satisfaction and Clinical Significant improvements in satisfaction Better clinical outcomes Sharkey: JAGS 2011 Staff Time and Clinical Acuity the same between settings Fewer total hours in GH homes Better clinical outcomes 4 times more engagement between staff and elders Bowers: Working Paper Nursing Quality Seamless communications and deep relationships Nursing care as good or better than traditional

30 Consumer Research Edge Research 2012 Caregivers 97% say GH model addresses their greatest concerns about NHs 90% think it is important or very important for providers to build more GHs in their community 68% of caregivers believed GH better for relative than being cared for at home 73% would drive miles to receive GH services 60% would pay 5% - 25%+ more

31 Consumer Research Components considered very desirable: Private rooms 80% Individualized schedules 75% Extra staff training 74% Shahbaz role 74% Home design 74% Increased direct care time 70% Family dining table 63% Home cooking 61% Small size 60%

32 Financial Research Green House Homes Jenkens et al: % more direct care time 5% less overall labor costs Median operating costs essentially equal to traditional nursing home (+$1.49/day) Capital cost at the low end of culture change model

33 Business Case Video Covers aggregate experience 3 adopters own experience Covers diverse scenarios - Rural, suburban, urban - Southeast, Mid Atlantic, Northeast - High income, low-income communities - LTC only, LTC + rehab - Not for profit, for-profit 33

34 Total Time Per Resident Day Traditional Nursing Home Green House Home 60 fewer minutes per day 6 Hours 58 Minutes 5 Hours 58 Minutes 34

35 NIC Article - Financial Benefits Occupancy increases: GH homes average 96% National average 86% and falling Private pay occupancy increases: GH homes increased private pay days by 24% Nationally, NHs lost 8% private pay days in same period Private pay rates increase with private rooms Short-term Medicare, HMO occupancy increases with all private rooms 35

36 Leonard Florence Center for Living Financial Outcomes NOI for 2012 $1.1 million Operating costs higher than traditional facility because of specialty populations served, but offset by solid quality mix (55-60% in an area without a large amount of private pay) Overall construction costs significantly higher, but if debt can be lowered enough through fundraising and/or governmentsponsored programs (eg New Market Tax Credits), the on-going operations are sustainable

37 Case Study Before LTC NH beds, 26 private rooms Existing building well maintained Average occupancy of 88.5%, 22% private pay Private pay: $219/day Medicaid : $167/day Operating costs: $200/day After - 3 Green House homes of 10 people Move 30 beds to Green Houses 86 private Rooms (26 existing +30 GH + 30 formerly doubles) Increases occupancy 6.5% Increases private pay days 24% 37

38 Short-Term Rehab in GH Homes A real home is the best place to recover and get back home: Home layout Medication management Private rooms with private bathrooms Home cooked meals Access to fresh air and sunlight Rehab in a real home Lower ratios and consistent assignment Leonard Florence Center for Living 38

39 Other Innovations Repositioning CCRC Assisted Living Dementia Care PACE 39

40 5-Star Nursing Home Rating System 83% of Green House Homes are 4 or 5 Stars compared to 42% of nursing homes nationwide!

41 Press Opinion A Real Home Rising Challenger Takes on Elder-Care System Culture Change Goes Mainstream - Green House Homes, Considered the Pinnacle of the Movement, Spread to 26 States Green House Homes: A Model for Aging That Promotes Growth Where We Live As We Age Reformers Seek To Reinvent Nursing Homes Rethinking Old Age Home Sweet (Rest) Home A Healthier Take on a Nursing Home A Nursing Home You Can Call Home

42 Spread Operating 146 homes On 35 campuses In 23 states In Development 120 homes On 19 campuses In 9 additional states 42

43 Green House Team Implementation Partnering Approach: Partner with organization Expertise in Model: Provide expertise in model components, implementation, training Risk Mitigation: Help to get it right and mitigate risks

44 The Green House Project Comprehensive Culture Change Model Strong consumer response Product differentiation in crowded markets Evidence-Based Model Known performance satisfaction, clinical, financial Revenue enhancement opportunities Tested implementation approach Sustainable Model On-going education and support Peer Network Slip-resistant Agile Model Small homes allow flexibility/specialization 44

45 Contact Information Anna Ortigara, RN, MS, FAAN Resource Development Director Maura Porcelli (703)

Improving Transitions Between Emergency Departments and Long Term Care

Improving Transitions Between Emergency Departments and Long Term Care Improving Transitions Between Emergency Departments and Long Term Care Mary T. Knapp RN, MSN/GNP, NHA, FAAN The Health Care Improvement Foundation January 21, 2014 Purpose of Presentation Provide and overview

More information

Changing Roles and Responsibilities of the LTC Nursing Team

Changing Roles and Responsibilities of the LTC Nursing Team Changing Roles and Responsibilities of the LTC Nursing Team Irene Fleshner, RN, MHSA, FACHE Senior Vice President, Genesis HealthCare Principal, Reno, Davis & Assoc. Inc Objectives: Understand historical

More information

Sweet Homes Alabama The 4th Annual Green House Project Meeting and Celebration

Sweet Homes Alabama The 4th Annual Green House Project Meeting and Celebration Sweet Homes Alabama The 4th Annual Green House Project Meeting and Celebration September 8 & 9, 2011 Pre-Conferences September 7 The Wynfrey Hotel Birmingham, AL Sponsored by NCB Capital Impact and The

More information

When Short-Term Rehab Turns into a Long-Term Stay

When Short-Term Rehab Turns into a Long-Term Stay When Short-Term Rehab Turns into a Long-Term Stay Even if your family member moves to a longstay unit, he or she may be able to return home later -- if there is more progress, the home is prepared, and

More information

the garden assisted living The Homestead at Rochester A Senior Living and Care Community

the garden assisted living The Homestead at Rochester A Senior Living and Care Community the garden assisted living The Homestead at Rochester A Senior Living and Care Community the garden Assisted Living At The Homestead at Rochester, delightfully spacious, sensibly planned apartment homes

More information

ASSISTED LIVING COMMUNITY

ASSISTED LIVING COMMUNITY Guide to Choosing an ASSISTED LIVING COMMUNITY www.alfa.org How to Use This Guide This guide from ALFA explains assisted living and what consumers can expect from an assisted living community. Also included

More information

ECONOMIC DEVELOPMENT, NEIGHBORHOODS, AND STRATEGIC PLANNING DEPARTMENT M E M O R A N D U M

ECONOMIC DEVELOPMENT, NEIGHBORHOODS, AND STRATEGIC PLANNING DEPARTMENT M E M O R A N D U M ECONOMIC DEVELOPMENT, NEIGHBORHOODS, AND STRATEGIC PLANNING DEPARTMENT M E M O R A N D U M DATE: February 27, 2008 TO: FROM: SUBJECT: Ray Giometti, Planning Commission Chair Members of the Planning Commission

More information

Best Practices in Financial Benchmarking

Best Practices in Financial Benchmarking Best Practices in Financial Benchmarking ILLINOIS SENIOR LIVING CFO WORKSHOP August 2, 2007 Part of the Ziegler CFO Workshop Series SM Dan Gray Consultant Continuum Development Services Deb Reardanz CFO

More information

ASSISTED LIVING COMMUNITY

ASSISTED LIVING COMMUNITY Guide to Choosing an ASSISTED LIVING COMMUNITY CHOICE DIGNITY INDEPENDENCE QUALITY CARE QUALITY OF LIFE RESIDENT-CENTERED SUPPORT COMMUNITY ASSISTANCE CARE PRIVACY PEACE OF MIND CHOICE DIGNITY INDEPENDENCE

More information

Choosing an Assisted Living Facility: Comparing Apples to Apples!

Choosing an Assisted Living Facility: Comparing Apples to Apples! Choosing an Assisted Living Facility: Comparing Apples to Apples! A Report Provided by Wisconsin Association of Homes and Services for the Aging 204 South Hamilton Street Madison WI 53703 (608) 255-7060

More information

2016 AGING SERVICES PROGRAM DESCRIPTIONS

2016 AGING SERVICES PROGRAM DESCRIPTIONS 2016 AGING SERVICES PROGRAM DESCRIPTIONS Contents Adult Day Services... 2 Assisted Living... 2 Person-Centered Long-Term Care Community... 3 Home and Community Services... 3 Case Management... 4 Independent

More information

Making the grade worksheet: ASSISTED LIVING FACILITIES

Making the grade worksheet: ASSISTED LIVING FACILITIES Making the grade worksheet: ASSISTED LIVING FACILITIES This worksheet is designed to familiarize you with the types of services offered by assisted living facilities. Consider reviewing the guide in advance

More information

Career Options for Direct Service Workers in Maine

Career Options for Direct Service Workers in Maine Career Options for Direct Service Workers in Maine Maine s Career Options in the field of Direct Service Work (Specialized Content) Homemaker Homemakers assist individuals with household or personal care

More information

Long Term Care Rehabilitation Services Home Care Hospice Day Services Advocacy and Education Long Term Care Protection

Long Term Care Rehabilitation Services Home Care Hospice Day Services Advocacy and Education Long Term Care Protection Long Term Care Rehabilitation Home Care Hospice Day Advocacy and Education Long Term Care Protection For over 40 years, The Jewish Home has been a leader and trusted provider of skilled nursing and senior

More information

PhiladelPhia house dignity in everything We do...

PhiladelPhia house dignity in everything We do... Philadelphia House DIGNITY IN EVERYTHING WE DO... Philadelphia House Welcome to Philadelphia House Philadelphia House is a purpose built two - storey care home, situated in a residential area approximately

More information

SENIORS HOUSING & CARE JOURNAL

SENIORS HOUSING & CARE JOURNAL ISSN 1941-7187 2011 Volume 19 Number 1 SENIORS HOUSING & CARE JOURNAL 1 20 1 Managing Editor Linda Hollinger-Smith, PhD, RN, FAAN Mather LifeWays Institute on Aging Editors Joan Hyde, PhD David A. Lindeman,

More information

SUPPORTIVE HOUSING OPTIONS NYC

SUPPORTIVE HOUSING OPTIONS NYC SUPPORTIVE HOUSING OPTIONS NYC A guide to supportive housing models for people living with mental illness. 2012 EDITION Center for Urban Community Services (CUCS) Residential Placement Management System

More information

September 27, 2011 UWRA Seminar. Continuum of Care Retirement Communities Madison Wisconsin

September 27, 2011 UWRA Seminar. Continuum of Care Retirement Communities Madison Wisconsin Continuum of Care Communities, 3 examples Page 1 of 12 September 27, 2011 UWRA Seminar Continuum of Care Retirement Communities Madison Wisconsin Prepared by the Committee on Financial Matters in Retirement

More information

Creating a New Language for the Eden Alternative Journey

Creating a New Language for the Eden Alternative Journey Creating a New Language for the Eden Alternative Journey Words Make Worlds The language we use to describe who we are and what we do defines the care environment. Historically, traditional approaches to

More information

Residential & nursing care

Residential & nursing care CARE Residential & nursing care A more flexible range of care services A more individu al experience A more individu al experience 1 Our services at a glance Individualised care plans structured around

More information

NorthWest Senior and Disability Services. Directory of Services

NorthWest Senior and Disability Services. Directory of Services NorthWest Senior and Disability Services Directory of Services 2 Table of Contents About Us 4 Our Vision and Mission 5 Our Core Values 6 Help with Your Questions 7 Financial and Medical Help 9 In-Home

More information

Michigan Affordable Assisted Living Program Housing & Services Staff Orientation Program

Michigan Affordable Assisted Living Program Housing & Services Staff Orientation Program Michigan Affordable Assisted Living Program Housing & Services Staff Orientation Program This educational module was developed by the MI Affordable Assisted Living Steering Committee formed by the Michigan

More information

Respite Care Guide. Finding What s Best for You

Respite Care Guide. Finding What s Best for You Respite Care Guide Finding What s Best for You Everyone needs a break. If you are a caregiver, you may need a break from caregiving tasks. If you have dementia, you may want a break from the daily routine

More information

Easing the Transition: Moving Your Relative to a Nursing Home

Easing the Transition: Moving Your Relative to a Nursing Home Easing the Transition: Moving Your Relative to a Nursing Home Alzheimer s Association, New York City Chapter 360 Lexington Avenue, 4th Floor New York, NY 10017 24-hour Helpline 1-800-272-3900 www.alz.org/nyc

More information

Aging in Place Workbook

Aging in Place Workbook WORKBOOK Aging in Place The MetLife Aging in Place Workbook Your Home As a Care Setting November 2010 Mature Market INSTITUTE In conjunction with Louis Tenenbaum, CAPS, CAASH The MetLife Mature Market

More information

IHCA Nurse Manager Training

IHCA Nurse Manager Training IHCA Nurse Manager Training Traci Treasure, MS, CPHQ, LNHA Quality Improvement Consultant 22 March 2012 Clinical Quality Care Module 8 self study discussion Theories of Aging Aging Process Altered Physiological

More information

Forest Side Assisted Living for those with Dementia Repositioning/Adaptive Reuse

Forest Side Assisted Living for those with Dementia Repositioning/Adaptive Reuse Forest Side Assisted Living for those with Dementia Repositioning/Adaptive Reuse Constructed in the mid-twentieth century as a home for elderly women, this structure is located in an upscale Washington

More information

Role 1 Leader The Exceptional Nurse Leader in Long Term Care:

Role 1 Leader The Exceptional Nurse Leader in Long Term Care: Competencies for Nurse Leaders in Long Term Care National Validation March 2001 American Health Care Association TENA(R) Sponsorship Program from SCA Hygiene Products Part 1 Directions: Place a check mark

More information

Five Star Quality Care March 2016

Five Star Quality Care March 2016 Five Star Quality Care March 2016 Disclaimer. THIS PRESENTATION CONTAINS FORWARD LOOKING STATEMENTS WITHIN THE MEANING OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995 AND OTHER SECURITIES LAWS.

More information

Consumer Information Guide to Assisted Living in Minnesota

Consumer Information Guide to Assisted Living in Minnesota Consumer Information Guide to Assisted Living in Minnesota Assisted Living Establishment /Housing with Services Building 1. Name of Establishment: Cornerstone Assisted Living of Plymouth 2. Address, City,

More information

Providence Place Senior Health and Housing

Providence Place Senior Health and Housing Providence Place Senior Health and Housing www.providenceplacenc.com However you define living well every day, Providence Place is here for you. At Providence Place we honor the individual with the full

More information

2 Table of Contents. The Hospitality Industry: An Overview 3

2 Table of Contents. The Hospitality Industry: An Overview 3 2 Table of Contents The Hospitality Industry: An Overview 3 The Hospitality Industry: An Overview 3 The Restaurant and Food Services Industry 3 The Hotel and Lodging Industry 4 Whether you are dining at

More information

NC STATE BOARD OF EXAMINERS FOR NURSING HOME ADMINISTRATORS REGISTERED SPONSOR COURSE LIST FOR 2010

NC STATE BOARD OF EXAMINERS FOR NURSING HOME ADMINISTRATORS REGISTERED SPONSOR COURSE LIST FOR 2010 NC STATE BOARD OF EXAMINERS FOR NURSING HOME ADMINISTRATORS REGISTERED SPONSOR COURSE LIST FOR 2010 2010-001-3.0 Regulatory & Reimbursement Update NC Health Care Facilities Association 3.0 Hours January

More information

GUIDESHEET FOR EVALUATING CONTINUING CARE RETIREMENT COMMUNITIES

GUIDESHEET FOR EVALUATING CONTINUING CARE RETIREMENT COMMUNITIES GUIDESHEET FOR EVALUATING CONTINUING CARE RETIREMENT COMMUNITIES Introduction The Ohio State University Retirees Association Benefits Committee has prepared this guidesheet to help members who are considering

More information

2014 LeadingAge Ohio / OHCA Salary and Benefits Survey Glossary

2014 LeadingAge Ohio / OHCA Salary and Benefits Survey Glossary Position Descriptions SKILLED NURSING FACILITY Direct Care Nursing Medical Director- Oversees care and quality, as well as the workings of the interdisciplinary team. An involved and informed medical director

More information

Choosing a Memory Care Provider Checklist (Part One: Comparing Communities)

Choosing a Memory Care Provider Checklist (Part One: Comparing Communities) Choosing a Memory Care Provider Checklist (Part One: Comparing Communities) Before you choose a memory care community, it is helpful to have a tool to compare your options. We have created the chart below,

More information

Anam Cara Dementia Respite Service

Anam Cara Dementia Respite Service Anam Cara Dementia Respite Service Anam Cara is gaelic meaning Soul Friend. Anam Cara symbolises a spiritual friendship that is not affected by time, distance or separation. In the old Celtic tradition

More information

The Senior Care Continuum: A quick guide to the options

The Senior Care Continuum: A quick guide to the options The Senior Care Continuum: A quick guide to the options As they begin their searches, families may be overwhelmed by the sheer number of in-home care and senior housing choices. For some, the result is

More information

THE ESSENTIALS ASSISTED LIVING COMMUNITIES

THE ESSENTIALS ASSISTED LIVING COMMUNITIES THE ESSENTIALS ASSISTED LIVING COMMUNITIES The MetLife Mature Market Institute Celebrating its 15-year anniversary in 2012, the MetLife Mature Market Institute is Metropolitan Life Insurance Company s

More information

Assisted Living: What A Guardian Needs To Know

Assisted Living: What A Guardian Needs To Know Assisted Living: What A Guardian Needs To Know Course level: Intermediate Writer: Holly Robinson, JD is associate staff director of ABA Commission on Law and Aging, where she directs the Older Americans

More information

Home and Community Based Services Report Card

Home and Community Based Services Report Card Home and Community Based Services Report Card For more information contact: P.O. Box 64976 St. Paul, MN 55164-0976 651-431-2500 This information is available in accessible formats to individuals with disabilities

More information

Finding an Assisted Living Facility Last update: May 16, 2014

Finding an Assisted Living Facility Last update: May 16, 2014 Summary Finding an Assisted Living Facility Last update: May 16, 2014 When an elderly person or couple either can no longer live alone or does not want to, assisted living can be a great option. A wide

More information

A Primer on Ratio Analysis and the CAH Financial Indicators Report

A Primer on Ratio Analysis and the CAH Financial Indicators Report A Primer on Ratio Analysis and the CAH Financial Indicators Report CAH Financial Indicators Report Team North Carolina Rural Health Research and Policy Analysis Center Cecil G. Sheps Center for Health

More information

Your Guide to Choosing a Nursing Home or Other Long Term Care

Your Guide to Choosing a Nursing Home or Other Long Term Care CENTERS FOR MEDICARE & MEDICAID SERVICES Your Guide to Choosing a Nursing Home or Other Long Term Care This official government booklet explains: How to find and compare nursing homes and other long-term

More information

Your Guide to Choosing a Nursing Home or Other Long Term Care

Your Guide to Choosing a Nursing Home or Other Long Term Care CENTERS FOR MEDICARE & MEDICAID SERVICES Your Guide to Choosing a Nursing Home or Other Long Term Care This official government booklet explains: How to find and compare nursing homes and other long-term

More information

Spring 2012 NYU Florence Housing Introduction and Descriptions

Spring 2012 NYU Florence Housing Introduction and Descriptions Spring 2012 NYU Florence Housing Introduction and Descriptions Please read all of the following information carefully, and e-mail the NYU Florence staff at florence.studentlife@nyu.edu should you have

More information

You Can Live Safely at Home

You Can Live Safely at Home You Can Live Safely at Home Learn More About Options for Home & Community-Based Services Rhode Island Executive Office of Health and Human Services Table of Contents 2 Where to Start 3 Plan Ahead 5 How

More information

Priory View Independent Living

Priory View Independent Living Priory View Independent Living lifestyles Priory View is our first exciting Independent Living development for older people who want to retain their independence for as long as possible. Priory View offers

More information

Frequently Asked Questions Assisted Living, Specialized Care & Memory Loss

Frequently Asked Questions Assisted Living, Specialized Care & Memory Loss Health Care Services Frequently Asked Questions Assisted Living, Specialized Care & Memory Loss What is the difference between the Assisted Living and Special Care areas? In terms of the experience, you

More information

~Marshall Senior Housing~

~Marshall Senior Housing~ ~Marshall Senior Housing~ Patricia Court ElderShare 1232 Patricia Court East ~ Marshall MN 56258 Contact: Heidi Schmidt. 507-537-0715 Patricia Court ElderShare offers five (5) private bedrooms in a family-like,

More information

Top 23 Questions to Ask When Choosing an Assisted Living Facility!

Top 23 Questions to Ask When Choosing an Assisted Living Facility! Top 23 Questions to Ask When Choosing an Assisted Living Facility! A Free Report Provided by Wisconsin Association of Homes and Services for the Aging 204 South Hamilton Street Madison WI 53703 (608) 255-7060

More information

THE FIRST RETIREMENT COMMUNITY IN HOUSTON

THE FIRST RETIREMENT COMMUNITY IN HOUSTON THE FIRST RETIREMENT COMMUNITY IN HOUSTON OUR ROOTS RUN DEEP Welcome to a retirement community rich in history a place where solid Christian values and principles meet the genteel warmth of a gracious

More information

Aging and Disability Services Pressures and Priorities. Ricker Hamilton Deputy Commissioner of Programs June 12, 2015

Aging and Disability Services Pressures and Priorities. Ricker Hamilton Deputy Commissioner of Programs June 12, 2015 Aging and Disability Services Pressures and Priorities Ricker Hamilton Deputy Commissioner of Programs June 12, 2015 The content of this presentation does not relate to any product of a commercial interest.

More information

This Guide has provided you with general information about nursing

This Guide has provided you with general information about nursing For more information on long-term care and culture change, you can access Creating Home: A Guide to Better Care Options for an Aging America at www.pioneernetwork.net. What are Key Questions to Ask the

More information

Current State of Home Health Care. Robert J. Rosati, PhD IOM Workshop on the Future of Home Health September 30, 2014

Current State of Home Health Care. Robert J. Rosati, PhD IOM Workshop on the Future of Home Health September 30, 2014 Current State of Home Health Care Robert J. Rosati, PhD IOM Workshop on the Future of Home Health September 30, 2014 Overview Medicare Home Health Care Eligibility Services Size and Expenditures Traditional

More information

Redefining Assisted Living and Memory Care. four locations in the des moines area offering the best in assisted living and groundbreaking memory care

Redefining Assisted Living and Memory Care. four locations in the des moines area offering the best in assisted living and groundbreaking memory care Redefining Assisted Living and Memory Care four locations in the des moines area offering the best in assisted living and groundbreaking memory care Redefining Assisted Living When you hear the words assisted

More information

Billingswood Manor Mission Statement

Billingswood Manor Mission Statement Billingswood Manor Mission Statement To provide our residents with a unique retirement community living experience in a professional, friendly, secure and caring environment. To enhance their quality of

More information

Irene Fleshner, RN, MHSA, FACHE SVP, Strategic Nursing Initiatives Genesis HealthCare Principal, Reno, Davis and Associates, Inc.

Irene Fleshner, RN, MHSA, FACHE SVP, Strategic Nursing Initiatives Genesis HealthCare Principal, Reno, Davis and Associates, Inc. Irene Fleshner, RN, MHSA, FACHE SVP, Strategic Nursing Initiatives Genesis HealthCare Principal, Reno, Davis and Associates, Inc. Independent Living Continuing Care Retirement Community Home Care Assisted

More information

ACCOMMODATIONS IN NYC YMCA /VANDERBILT

ACCOMMODATIONS IN NYC YMCA /VANDERBILT www.rennert.com ACCOMMODATIONS IN NYC YMCA /VANDERBILT Economy Student Residence Walking distance to school Single rooms Double rooms (for 2 students arriving together, except during summer months June

More information

Regency Rehabilitation Center

Regency Rehabilitation Center Regency Rehabilitation Center 6631 N. Milwaukee Ave. Niles, IL 60714 847-647-7444 www.regencyrehabcenter.com Specialists in Rehabilitation Experts in Caring Quality Skilled Nursing Care Regency Rehabilitation

More information

Selly Wood House Residential/Nursing Home Supported Housing

Selly Wood House Residential/Nursing Home Supported Housing Selly Wood House Residential/Nursing Home Supported Housing Since the foundation of Bournville Village Trust in 1900, our role has been more than just putting roofs over people s heads. Throughout our

More information

Collaboration Between Adult Day Services and Community Agencies

Collaboration Between Adult Day Services and Community Agencies Collaboration Between Adult Day Services and Community Agencies IDOA Supervisor Conference May 5, 2015 Written by: Tom Shoemaker, MSW, LCSW, OSF Hospice Social Worker & Community Education Coordinator

More information

Your Guide to Choosing a Nursing Home or Other Long Term Care

Your Guide to Choosing a Nursing Home or Other Long Term Care CENTERS for MEDICARE & MEDICAID SERVICES Your Guide to Choosing a Nursing Home or Other Long Term Care This official government booklet explains: How to find and compare nursing homes and other long-term

More information

CCRC/Nursing Home Salary & Benefits Report Job Descriptions. Salary Positions

CCRC/Nursing Home Salary & Benefits Report Job Descriptions. Salary Positions Salary Positions Management and Administrative 01 EXECUTIVE DIRECTOR Responsible for all operations of the community. Hired by the Board of Directors; reports to board regarding strategic planning and

More information

The JOURNEY OF ELDERCARE

The JOURNEY OF ELDERCARE The JOURNEY OF ELDERCARE ELDERSPEAK Glossary Terms commonly used by Professionals in Aging Acute v. Chronic Acute - care delivered in a hospital that is usually shortterm and recuperative. Chronic - condition

More information

REHAB COMES. of AGE PERSONALIZED REHAB DESIGNED FOR OLDER ADULTS

REHAB COMES. of AGE PERSONALIZED REHAB DESIGNED FOR OLDER ADULTS REHAB COMES of AGE PERSONALIZED REHAB DESIGNED FOR OLDER ADULTS Expert, individualized rehabilitation services for older adults recovering from joint replacement, stroke, surgery and illness. REHABILITATION

More information

Care and Social Services Inspectorate Wales

Care and Social Services Inspectorate Wales Care and Social Services Inspectorate Wales Care Standards Act 2000 Inspection Report Brynawel Rehab Care Home Llanharry Road Llanharan Pontyclun CF72 9RN Type of Inspection Baseline Date of inspection

More information

Building Child Care A California Statewide Collaborative

Building Child Care A California Statewide Collaborative This case study describes the development of a child care center that is co-located with new affordable family rental housing in a major urban California setting. The housing development also includes

More information

ASBURY METHODIST VILLAGE JOB POSTING 4/16/15 Careers in Nursing JOB TITLE JOB CRITERIA POST DATE

ASBURY METHODIST VILLAGE JOB POSTING 4/16/15 Careers in Nursing JOB TITLE JOB CRITERIA POST DATE Asbury Communities, Inc. Asbury Methodist Village Human Resources Department If you are interested in a position, please inquire in the Human Resources Office. EOE Asbury Associates applying for a position

More information

THE GREEN HOUSE Project. Show Your Support for The Green House Model. Top 5 Myths about The Green House Model. Showing Support by Engaging with Media

THE GREEN HOUSE Project. Show Your Support for The Green House Model. Top 5 Myths about The Green House Model. Showing Support by Engaging with Media THE GREEN HOUSE Project Consumer Tool Kit Background materials FAQ Understanding The Green House Model The Green House Model Works The Green House Experience Green House in the News Glossary Action materials

More information

CONTINUUM OF CARE HOW INPATIENT AND RESIDENTIAL REHABILITATION POSITION PROVIDERS FOR OUR FUTURE REGULATORY AND DEMOGRAPHIC ENVIRONMENT

CONTINUUM OF CARE HOW INPATIENT AND RESIDENTIAL REHABILITATION POSITION PROVIDERS FOR OUR FUTURE REGULATORY AND DEMOGRAPHIC ENVIRONMENT CONTINUUM OF CARE HOW INPATIENT AND RESIDENTIAL REHABILITATION POSITION PROVIDERS FOR OUR FUTURE REGULATORY AND DEMOGRAPHIC ENVIRONMENT Readmission penalties under Medicare s Hospital Readmissions Reduction

More information

Choosing a Nursing Home: What to Look For, What to Ask.

Choosing a Nursing Home: What to Look For, What to Ask. Choosing a Nursing Home: What to Look For, What to Ask. When considering moving Mom into a nursing home, you should determine Mom s specific needs and your specific family situation as well as what aspects

More information

SUCCESS HOME FOR. The Green House Difference 68% PRIMARY 64% PRIVATE 69% INCOME

SUCCESS HOME FOR. The Green House Difference 68% PRIMARY 64% PRIVATE 69% INCOME HOME FOR SUCCESS Becoming a trademarked Green House Project gave us instant credibility, access to the best training and resources available, and an opportunity to collaborate with other Green House communities

More information

CENTERS FOR MEDICARE & MEDICAID SERVICES. Guide to Choosing a. Nursing Home

CENTERS FOR MEDICARE & MEDICAID SERVICES. Guide to Choosing a. Nursing Home CENTERS FOR MEDICARE & MEDICAID SERVICES Guide to Choosing a Nursing Home This official government booklet explains: How to find and compare nursing homes How to pay for nursing home care Your nursing

More information

Dell Connected Learning for Schools. Transforming Education for the Digital Age

Dell Connected Learning for Schools. Transforming Education for the Digital Age Dell Connected Learning for Schools Transforming Education for the Digital Age This document was created to provide Dell s point of view for primary and secondary schools and contains the following sections:

More information

ILLINOIS. Downloaded January 2011

ILLINOIS. Downloaded January 2011 ILLINOIS Downloaded January 2011 Section 300.330 Definitions The terms defined in this Section are terms that are used in one or more of the sets of licensing standards established by the Department to

More information

the christian village

the christian village 2015 Capital Campaign Founded in faith Driven by excellence The VISION lives on the christian village Dear Friends: Fifty years ago, God moved in a phenomenal way when our ministry started with the vision

More information

Regulation of Licensed Nursing Practice in Nursing Homes: How RN and LPN Scopes of Practice are Enacted

Regulation of Licensed Nursing Practice in Nursing Homes: How RN and LPN Scopes of Practice are Enacted Regulation of Licensed Nursing Practice in Nursing Homes: How RN and LPN Scopes of Practice are Enacted Kirsten N. Corazzini, PhD Collaborating Researchers: Duke University School of Nursing Ruth A. Anderson,

More information

14500 N. Frank Lloyd Wright Blvd. Scottsdale, Arizona 85260 480-767-9800 www.sierrapointe.com

14500 N. Frank Lloyd Wright Blvd. Scottsdale, Arizona 85260 480-767-9800 www.sierrapointe.com 14500 N. Frank Lloyd Wright Blvd. Scottsdale, Arizona 85260 480-767-9800 www.sierrapointe.com Glossary of Senior Housing Terms The terms below can help you learn about commonly used terms and the different

More information

Culture Change and Person-Centered Care

Culture Change and Person-Centered Care Culture Change and Person-Centered Care Kim McRae Have A Good Life kim@haveagoodlife.com Atlanta, GA Getting to Know Me Who Am I? Getting to Know You Who Are You? * Nursing Care * Assisted Living * Adult

More information

COVENANT HEALTH SYSTEMS POSITION OPENINGS For May 2015

COVENANT HEALTH SYSTEMS POSITION OPENINGS For May 2015 Bethany Health Care Center Framingham, MA COVENANT HEALTH SYSTEMS POSITION OPENINGS For May 2015 Please visit www.bethanyhealthcare.org for career opportunities Campion Health Center Weston, MA Per Diem

More information

Consumer Guide. Assisted living and residential care facilities

Consumer Guide. Assisted living and residential care facilities OREGON DEPARTMENT OF HUMAN SERVICES: Seniors and People with Disabilities Oregon Consumer Guide Assisted living and residential care facilities PAGE ii CONSUMER GUIDE for Assisted Living and Residential

More information

CONSUMER INFORMATION GUIDE: ASSISTED LIVING RESIDENCE

CONSUMER INFORMATION GUIDE: ASSISTED LIVING RESIDENCE CONSUMER INFORMATION GUIDE: ASSISTED LIVING RESIDENCE 1 TABLE OF CONTENTS Introduction 3 What is an Assisted Living Residence? 3 Who Operates ALRs? 4 Paying for an ALR 4 Types of ALRs and Resident Qualifications

More information

Senior Living and Long Term Care Properties An Institutional Investor Introductory Primer. Cambridge Realty Capital Companies.

Senior Living and Long Term Care Properties An Institutional Investor Introductory Primer. Cambridge Realty Capital Companies. Senior Living and Long Term Care Properties An Institutional Investor Introductory Primer Chicago, Illinois 125 S. Wacker Drive Suite 1800 Chicago, Illinois 60606 Table of Contents: 1. Capitalization Rate

More information

CENTERS FOR MEDICARE & MEDICAID SERVICES. Your Guide to Choosing a. Nursing Home

CENTERS FOR MEDICARE & MEDICAID SERVICES. Your Guide to Choosing a. Nursing Home CENTERS FOR MEDICARE & MEDICAID SERVICES Your Guide to Choosing a Nursing Home This official government booklet explains: How to find and compare nursing homes How to pay for nursing home care Your nursing

More information

PACE Program Development Considerations: Responding to the Unique Needs of Seniors and their Families

PACE Program Development Considerations: Responding to the Unique Needs of Seniors and their Families Responding to the Unique Needs of Seniors and their Families PACE Program Development Considerations: Program Start-up and Development Costs To provide a general understanding of the start-up requirements

More information

A learning disability rehabilitation service

A learning disability rehabilitation service A charity leading innovation in mental health Registered Charity No: 1104951 A learning disability rehabilitation service Supporting the first steps to independence between hospital and community St Andrew

More information

Culture shift strains social services as elderly Asians' numbers rise

Culture shift strains social services as elderly Asians' numbers rise SEATTLE POST-INTELLIGENCER http://seattlepi.nwsource.com/local/65060_census03.shtml Culture shift strains social services as elderly Asians' numbers rise Wednesday, April 3, 2002 By VANESSA HO SEATTLE

More information

Housing Options. Housing & Residential Services University of California, Santa Barbara

Housing Options. Housing & Residential Services University of California, Santa Barbara Housing Options Housing & Residential Services University of California, Santa Barbara UCSB Housing & Residential Services Home of the Gauchos A big part of any college student s experience is where they

More information

Administrative Director of Health Information Management Loyola University Health System Maywood, Illinois

Administrative Director of Health Information Management Loyola University Health System Maywood, Illinois Administrative Director of Health Information Management Loyola University Health System Maywood, Illinois Position Specification April 2015 Summary Loyola University Health System (LUHS) is seeking an

More information

Alignment of ANCC Forces of Magnitude and TIGER Collaboratives

Alignment of ANCC Forces of Magnitude and TIGER Collaboratives Alignment of and I. Transformational Today's health care environment is experiencing unprecedented, intense reformation. Unlike yesterday's leadership requirement for stabilization and growth, today's

More information

Emerging trends in Human Resources Management

Emerging trends in Human Resources Management Emerging trends in Human Resources Management Robert c. myrtle, dpa Director, executive master of leadership Professor of public administration, and Professor of gerontology Session Outcomes: Discover

More information

Insurance for Long-Term Care: The Real Reasons behind Rate Actions. Reassuring Clients about Future Price Stability.

Insurance for Long-Term Care: The Real Reasons behind Rate Actions. Reassuring Clients about Future Price Stability. Insurance for Long-Term Care: The Real Reasons behind Rate Actions Reassuring Clients about Future Price Stability October 16, 2013 Americal Advanced Insurance Solutions, LLC Specializing in Long-Term

More information

Good Times. Good Friends. Great Care!

Good Times. Good Friends. Great Care! Good Times. Good Friends. Great Care! Situated on the shores of Lake Champlain, The Residence at Shelburne Bay offers picturesque views of the lake and the Adirondack Mountains beyond. Photo credit: Daderot

More information

Definitions of Common Terms Used in Long-Term Care and Culture Change

Definitions of Common Terms Used in Long-Term Care and Culture Change For more information on long-term care and culture change, you can access Creating Home: A Guide to Better Care Options for an Aging America at www.pioneernetwork.net. Definitions of Common Terms Used

More information

Appletree Grange Care Home. Satisfaction Survey 2012 Residents & Relatives Report. September 2012 Interplay Solutions

Appletree Grange Care Home. Satisfaction Survey 2012 Residents & Relatives Report. September 2012 Interplay Solutions Appletree Grange Care Home Satisfaction Survey 2012 Residents & Relatives Report September 2012 Interplay Solutions Appletree Grange Care Home Satisfaction Survey 2012 Barchester work hard to provide the

More information

Summer Camps. May 30 - August 5, Summer Camp Adventures for Boys and Girls in Rising K-12 Boarding Options Available for Grades 6-12

Summer Camps. May 30 - August 5, Summer Camp Adventures for Boys and Girls in Rising K-12 Boarding Options Available for Grades 6-12 May 30 - August 5, 2016 Summer Camps Summer Camp Adventures for Boys and Girls in Rising K-12 Boarding Options Available for Grades 6-12 Brandon Hall School CONTACT US! Summer Camps Contact: Camp Address:

More information

The State of Housing for People with Disabilities

The State of Housing for People with Disabilities The State of Housing for People with Disabilities The state of housing for people with disabilities provides important historical context for some of the major policy barriers in the area of housing and

More information

MARKET ANALYSIS OF DEMAND FOR SENIOR HOUSING AND RELATED SERVICES IN THE HAWLEY, MINNESOTA HAWLEY MARKET AREA MARCH 2013

MARKET ANALYSIS OF DEMAND FOR SENIOR HOUSING AND RELATED SERVICES IN THE HAWLEY, MINNESOTA HAWLEY MARKET AREA MARCH 2013 MARKET ANALYSIS OF DEMAND FOR SENIOR HOUSING AND RELATED SERVICES IN THE HAWLEY, MINNESOTA HAWLEY MARKET AREA MARCH 2013 Purpose of the Study The City of Hawley contracted with Health Planning & Management

More information

KNIGHTSBRIDGE LONDON SW3

KNIGHTSBRIDGE LONDON SW3 KNIGHTSBRIDGE LONDON SW3 22, 24, 26 AND 28 EGERTON GARDENS LONDON SW3 2DB A highly acclaimed traditional English hotel comprising 47 air-conditioned guest-rooms and suites within four intercommunicating

More information