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The Long and Winding Road…

~ An Alzheimer's Journey and Beyond

The Long and Winding Road…

Category Archives: Finding a Facility

Guide to Evaluating Residential Dementia Care

22 Thursday Aug 2013

Posted by Ann Napoletan in A Place for Mom, Caregivers, Caregivers.com, Emeritus, Finding a Facility, Helpful Resources, Mom, Pat Summitt, The Early Years, Tips

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alzheimers, assisted living, dementia, long term care

Pat Summitt Foundation Guide

Kudos to the Pat Summitt Foundation for putting together this free 50+ page publication on evaluating long-term care options. 

Extracting my head from the sand

Long-term care decisions are among the most difficult you will ever face, and unfortunately it’s often a “baptism by fire” situation. That was certainly the case for us; my mom had been in the hospital and I’ll never forget standing in the hallway, numb, as the OT, PT, and social worker told me she couldn’t go home. Living independently was no longer an option. 

I shouldn’t have been caught off guard, but I was. Oh yes, I knew in my heart the day was coming, but I had buried my head deeply in the sand on the vast beach of denial. I didn’t know a darn thing about long-term care. Nothing.

So, with one week to find a facility and get Mom moved in, I dove in head first armed with — not much of anything. I had enlisted assistance from A Place For Mom, which helped immensely, but oh how I wish I’d had the Pat Summitt Foundation guide. This was all uncharted territory for me, and I learned as I went.

Business is business

While it would be lovely if everyone had their heart in the right place, the bottom line is – well, the bottom line. It comes down to dollars and cents, sales, and monthly numbers. All too often, the focus is on keeping the building full regardless of whether or not the facility can provide adequate care to meet the needs of potential residents.

In fact, a recent Frontline exposé on Emeritus Senior Living points out that facilities sometimes even seek out advanced dementia cases. Why? Well, those residents require a higher level of care, which equates to a higher monthly payment. And after all, it IS all about the bottom line, isn’t it? The facility may not be equipped or staffed to handle the care, but somehow that becomes secondary to filling the building. 

Asking the right questions

This is why it’s so very important to know exactly what to look for – and what to ask – when you’re evaluating options. The Summitt Foundation guide is divided into five chapters:

  • Dementia care options and services
  • Publicly available information about quality of care
  • Who to interview and what to ask
  • The value of observation
  • Strategies for being the best advocate you can be + list of additional resources

In addition, the e-booklet provides valuable interview guides specific to staffing, satisfaction surveys, chronic pain screening, and food service, as well as a worksheet for documenting observations. These comprehensive tools also include scoring guides and rationale to help you quantify your findings.

Eyes wide open

My nuggets of advice for families embarking on this journey:

  • Don’t wait until the last minute; start early so you’re somewhat prepared when the time comes.
  • Ask tons of questions and observe, observe, observe while you’re in the building.
  • Make unannounced visits at various times of the day/evening.
  • Talk to current residents and family members.
  • Listen to your gut – it will rarely lead you astray. If your instincts tell you something doesn’t feel right, trust yourself.
  • Download How to Evaluate the Quality of Residential Care for Persons With Dementia, by Sandra F. Simmons, Ph.D., John F. Schnelle, Ph.D., and Anna N. Rahman, Ph.D., and put it to good use!

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Aging In Place: A New Concept In Columbus

19 Monday Aug 2013

Posted by Ann Napoletan in Aging In Place, Care Options, Finding a Facility

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avondaleAn interesting new concept has hit Columbus; it combines independent apartment living with personalized home care services. Avondale, a National Church Residences community, just opened in the Dublin/Hilliard area.

I happened to be in the area a few weeks ago and the impressive complex caught my eye, but I didn’t realize what it was until seeing this piece on the local news.

Barely open and all of the apartments are full, with plans for more units on the horizon!

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Emeritus Senior Living – Exposed

31 Wednesday Jul 2013

Posted by Ann Napoletan in Care Options, Emeritus, Finding a Facility, Guilt and Regrets, Helpful Resources, Mom, Neglect and Abuse

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Emeritus

We have experienced the neglectful “care” of Emeritus first hand. Finally, this exposé by PBS Frontline and ProPublica is shining a bright spotlight on the company and their unethical practices. Long overdue.

I encourage you to take the time to watch the program, and to share it with friends and family. Individually, it’s impossible to fight a corporate behemoth like this one, but there’s power in numbers… At the very least, people in search of care should know what goes on behind closed doors at Emeritus facilities.

Time and time again, it’s been shown that priority #1 is dollars and cents – the bottom line on those financial statements. Cut labor, fill the building, don’t call the ethics hotline, bring in advanced dementia cases (they’re the big money makers), don’t staff according to ratios – we might get sued, stick to the  “keep the back door closed” policy. It goes on and on and on.

Yet Emeritus would have us think they’re simply a target – a “victim of their own growth and success.” In the end, karma handles things appropriately, and I have no doubt the same will hold true here. Thank you Frontline, ProPublica, and A.C. Thompson for starting to crack open the door for all to see…

Stay tuned for more in the coming days.

Watch Life and Death in Assisted Living on PBS. See more from FRONTLINE.

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