Coffey Break


  Forward to a friend December 2016 Vol 15, Issue 11

In This Issue

Adult Day News (GADSA)

Activity Professionals (GAAP)
LeadingAge Georgia Business Connection
Center For Positive Aging
Culture Change News
Georgia Institute on Aging
General Notes of Interest
LeadingAge (National)
News Throughout the Spectrum of Aging Services
Public Policy
Vacancy Report

Quick Links

Upcoming Events Calendar
Job Mart


Special Thanks to Our Institute Partners

Institute Supporters

Inside Your Association - LeadingAge Georgia

LeadingAge Georgia is the statewide association of over 150 key not-for-profit and other mission-focused organizations dedicated to providing quality housing, health care, community-based and other related services for older Georgians. The mission of LeadingAge Georgia is to represent and promote the common interests of its members through leadership, advocacy, education and other services in order to enhance each member's ability to serve older Georgians.





From the Staff and Boards of LeadingAge Georgia,
Georgia Institute on Aging and Center for Positive Aging





Conquering Ageism is LeadingAge's New Vision, Sloan Says LeadingAge's new vision is to "permanently change the image of aging in our society," the organization's president and CEO, Katie Smith Sloan, told those attending the opening general session of its annual meeting October 30th in Indianapolis. Board members unanimously agreed on the vision, Sloan said, and she called on members to discuss ageism at the meeting and speak out against it when they return home.


Full Article


Click HERE for agesism video



2017 Membership Dues Every member will receive their 2017 dues invoice and other important 2017 information this month. We know some of you want to pay your dues before year end. We thank each organization for your continued support and valued leadership in the important work laid out by the boards of the Association, Institute and Center. If you have not received your invoice or if you have questions, please contact us as dues payments are due January 31st. If your budget year begins July 1st, just remind us. NOTE: We begin making dues payments for your national membership to LeadingAge (national) the first quarter of 2017.


Ambassador Andrew J. Young Jr. Receives"Positive Aging Icon Image" Award From LeadingAge Georgia


Ambassador Andrew J. Young Jr., 84, recently was presented with the 2016 Positive Aging Icon Image Award by the Georgia Institute on Aging and LeadingAge Georgia at their annual Profiles in Positive Aging Awards Gala. The Icon award recognizes Ambassador Young for his lifetime of vital contributions to society and his continued service to others on a local, national and global scale.


In addition to the Icon award, Clarence Martin, Atlanta City Councilman (District 10), read and presented an Atlanta City Council Proclamation from Mayor Kasim Reed's office in honor of Ambassador Young.


When asked what Young attributes his longevity to, he spoke of the importance of accentuating the positive in life rather than focusing on the negative. He gave example after example of the positive change that is possible when businesses, governments and the public collaborate together. And he encouraged the gala's audience of over 225 to keep a favorite song or hymn in their hearts and minds for inspiration when the road of life gets rocky.


As for how Young feels about aging, he chuckled, "I'm looking forward to old age."

From his early days as a pastor in Alabama and a civil rights leader in the '60s to three-terms in Congress, a U.S. Ambassadorship, and two terms as Mayor of Atlanta, Young continues to share his knowledge, experience and innovative ideas with the same passion and vigor he has demonstrated for 60 years. His life philosophy supports his sustained stamina: "Change comes little by little. Nothing worthwhile can happen in one generation," Young said.

"Our organization strives to dispel the negative stereotypes of aging and promote a culture of positivity and inclusion," said Jacquelyn Thornton, senior vice president of LeadingAge Georgia. "Ambassador Young shared generously with our gala attendees, providing inspiring and often humorous stories of his political and personal life. We were honored by his presence, authenticity and eagerness to share his life experiences with us."

The annual Profiles in Positive Aging Awards Gala held at the Atlanta History Center also celebrated 20 of Georgia's elders from all walks of life who exhibit the power of positive aging in their daily lives. Among those honorees were Francie Ross (93) of St. Anne's Terrace in Atlanta who hit her second hole-in-one at age 88; Gracie Phillips (82) of Lenbrook in Buckhead who served in government for years and was inducted into the YWCA Academy of Women Achievers; and Carolyn Hartfield (68), representing AARP, who is a National Senior Olympian and founder of OPALS (Older People With Active Lifestyle).

LeadingAge Georgia is the statewide association for over 160 not-for-profit and other mission-driven organizations dedicated to providing quality housing, health care and community-based services for Georgia's elders. Its educational arm, the Georgia Institute on Aging, hosts the annual awards gala to raise awareness for quality elder care and to fund year-round educational opportunities for paraprofessionals, professionals, and family members who provide care for seniors.


Gala Photos compliments of Courtney Bush Photography

Gala YouTube Video


2017 Annual Business Meeting

The 2017 Annual Business Meeting was facilitated and Called to Order by Tom Rockenbach (Carlyle Place), the Immediate Past Chair of the LeadingAge Georgia Board of Directors.


Thanks to Lenbrook for hosting the meeting. We were welcomed by Chris Keysor (CEO) and Rochelle Valsaint. Robbye Jarrell led the opening reflection.

Nancy Hooks (LeadingAge National) was introduced and presented the national accomplishment of the year.

Andy Landrum (Clairmont Oaks), Chair of the Georgia Institute on Aging, presented highlights of the Institute successes, Lisa Kiely (Lenbrook) and George Tucker (Campbell-Stone) shared highlights of the professional development and reviewed some of the upcoming opportunities in 2017. Jacque Thornton (LeadingAge Georgia) thanked the PARTNERS & SUPPORTERS of the 2016 Sponsorship program.


Institute Certificates were given to 23 LeadingAge Georgia members who completed the 2016 LeadingAge Georgia Leadership Academy

Scott Morrison (BrightStar), Center Board Officer, recognized Harry Haisten, Jr. for his work with the Center and annual golf and announced the naming of the golf trournment in his honor. The trophy for the winning team was presented to Mike McDaniel at Lenbrook.

Andy Landrum was recognized for his service as the Georgia Institute on Aging Board Chair

The Allison Cuba CHAMPION Award was presented to Carolyn Roper

Tom Bauer, LeadingAge Georgia Policy Advisor reviewed the 2016-2017 policy/advocacy issues, then Gwen Hardy & David Sprowl presented the LeadingAge national Policy Congress Report

Tom Rockenbach installed new officers for 2017 (seen below) and board class of 2019


Mark Lowell, new LeadingAge Georgia Board Chair, encouraged members to be engaged and take advantage of the many benefits of membership.

President & CEO Walter Coffey made closing remarks – encouraging members to be involved and to be inspired to serve as we move into the future -


2017 LeadingAge Georgia Awards
Antoinette Sturm, member of the 2017 Awards Committee facilitated the program.


The 2017 Caring Hearts Awards were presented to:
Janice Brooks from Decatur Christian Towers (presented by Kyle Huhtanen)

And Vanissa Johnson from A.G. Rhodes Health & Rehab (presented by Arletta Brinson)

The 2017 Volunteer of the Year Awards were presented to:

Stephanie Hill from Clairmont Oaks (presented by Ellen Miller-Mapp)

And Lou Geerlings from Carlyle Place (presented by Erin Jones)


2017 Innovation in Care & Services Award was presented to Presbyterian Homes of Georgia (presented by Dan Pompillio from SimpleC and accepted by Gwen Hardy, PHGA)

The 2017 Distinguished Service Award was presented to Ginny Helms from the Alzheimer's Association, Georgia Chapter (presented by Walter Coffey)


The 2017 Award of Honor was presented to David Sprowl from Lutheran Towers (presented by Karon Winston and Liana Sisco)


Thanks to Morrison Community Living for sponsoring and providing the lunch for the event.



2017 Leadership Academy Registration Now Open


LeadingAge Leadership Academy offers LeadingAge Georgia members a challenging and engaging year-long learning experience, designed to help aging services professionals at any level in their organization accelerate their leadership development so they are better equipped to serve our field.


The vision of LeadingAge Georgia is to create a generation of authentic, open-minded and transformational leaders who will collaboratively and innovatively create the future of aging services in America.

The 2017 class begins in February. This class is limited to 24 participants.


Click here for registration form.


Value First



LeadingAge Georgia Members - Thank You!

From janitorial supplies to passenger vehicles with wheelchair lifts, in 2016 LeadingAge Georgia members continued capitalizing on savings through Value First group purchasing organization. We are grateful for your trust and loyalty. Thank You!

Our goal is to serve and support you and your communities in the best way possible. Whether you are in the market for kitchen equipment, planning major renovations, trying to drive down day-to-day operating costs, or just want someone to work with staff on identifying additional vendors to compete for your business, Value First can assist you. Let us know how we can help. Contact Vanessa Ceasar at or call 404-421-3956.


Value First is owned by LeadingAge national and twenty five state associations, including LeadingAge Georgia. This is your GPO!

Free Membership Benefits

Cost Studies: A cost study is an apples to apples comparison of what your community is currently spending versus pricing available through Value First. You can have cost studies done in one or more of the following recurring expense categories: food, medical supplies, janitorial and housekeeping supplies and office supplies.

Project Support: When it is time to replace flooring, buy new furniture, convert to LED Lighting or undertake some other major project, staff does not have to go it alone. Value First can identify companies to compete for your business and assist with the quote review process.

Construction Services: You control the project. We help reduce the cost of material and equipment. Many of the architects and designers you do business with are market leaders that are part of the Value First Construction Program, or are Business Members of your state's LeadingAge association. If you want Value First to provide support on the project, we can work with the architect and develop a vendor line-up based on the design. The architect is not mandated to choose Value First Construction Program vendors. However, if asked to bid, our construction program vendors must quote contract prices. Construction program bids are checked for accuracy on price, terms, and warranty.


Contact Value First Representative, Vanessa Ceasar, at
or call 404-421-3956.

Click HERE to request a free Value First cost study.




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Member Distinctions

Congratulations to Tom Downs, CFO, Canterbury Court on his retirement!


Congratulations to George Tucker, new Adminstrator at Campbell-Stone Sandy Springs!



Calendar Information


To assist with planning, we are sharing information on special holidays and observances for each month 2 months early.


This month we are sending you information for February





February 2 Groundhog Day

February 5 Superbowl Sunday

February 14 Valentine's Day

February 20 Presidents' Day




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Public Policy


LeadingAge Georgia Public Policy Report

By Tom Bauer, LeadingAge Georgia Policy Advisor


Now that the November elections are complete, the assumptions about the 2017 Georgia General Assembly are somewhat in flux. There was a strong expectation that the session would deal with health care reform and Medicaid. However, in light of the federal election results, the legislature is anticipated to take a "wait and see" attitude. Nevertheless, one issue which will be considered is continuation of the "bed tax" on hospital services to draw down additional federal Medicaid dollars.


One result at the state level is that Rep. Valerie Clark, who had been a strong and successful advocate for seniors, including the enhancing of home and community based services, especially adult day health centers, was not returned to office.


Another change at the state level saw Governor Deal appointing the Department of Community Health commissioner Clyde Reese to the Georgia Court of Appeals. Mr. Reese will be replaced by Frank Berry, who had been the commissioner of the Department of Behavioral Health and Disabilities. LeadingAge Georgia looks forward to working with Mr. Berry and his new leadership team.


Adult Day Services-Community Care Services Program/ SOURCE

LeadingAge Georgia is still awaiting federal approval of the 5% increase in Medicaid reimbursement for adult day health service rates. LeadingAge Georgia will also be attempting to seek another increase in 2017 in order to begin to bring ADH reimbursements up to a more appropriate level.


LeadingAge Georgia will continue to maintain productive dialogue with DCH, especially on waiver issues, the Transition Plan, and CCSP-SOURCE.

Coalition of Advocates for Georgia's Elderly (CO-AGE)

LeadingAge Georgia staff and consultants continue to work with Coalition of Advocates for Georgia's Elderly, especially on the CO-AGE budget issue to secure more funding for transportation for seniors. Tom Bauer is an active member of the task force, the work of which is in progress. One decision that the group has made is to pursue funding to the Areas Agencies on Aging for to both augment transportation services and innovations. LeadingAge Georgia is also monitoring the CO-AGE priority to allow dental hygienists to provide certain services in nursing home settings without a supervising dentist being present while services are rendered.


Georgia Institute on Aging








2017 Annual Conference: The Power of Purpose


A clear sense of purpose enables you to focus on what matters most, taking risks regardless of the challenges or obstacles ahead. We are lucky. As aging services providers, it's easy for us to see the value of our work. The lives we touch and the families and caregivers we support—all have an impact well beyond the walls of our organizations. However, to find real purpose and meaning in what we do, it is important that we tap our own potential, find the courage and determination to live our mission with focus on the values, talent, skills and passion of those we serve to make a difference in the world.


Click HERE for Exhibitor Prospectus


Click HERE for Attendee Pre-Registration Form


Upcoming Events



Elderly Housing Symposium

January 19, 2017



Financial Preparedness Symposium

January 26, 2017

Registration coming soon


POLST (Physicans Order for Life Sustaining Treatment) Webinar
January 27, 2017
Information coming soon




Leadership Academy First Event
February 15, 2017

Power of Purpose: Workforce Summit

February 16, 2017

Registration coming soon


Activity Professionals Forum Conference Call

February 22, 217


Service Coordinator Forum Conference Call

February 22, 2017


Maintenance Professionals Forum Meeting

Briarcliff Oaks

February 22, 2017

Registration coming soon

Adult Day Services Symposium

February 24, 2017

Registration coming soon


March Assisted Living Symposium

March 2, 2017

Registration coming soon

Certified Eden at Home Certification
March 7-9, 2017

Registration coming soon

Leadership Academy Second Event

March 15, 2017

LeadingAge PEAK Leadership/Advocacy Conference in Washington, DC

March 20-22, 2017

2017 Annual Conference: Power of PURPOSE

Hilton Head Island, SC

March 27-29, 2017

Exhibitor Prospectus

Attendee Pre-Registration Form


AprilSupervisor & Manager Leadership Summit
(includes budgeting 101, conflict resolution, coaching)

April 20, 2017


Mental Health First Aid with Older Adult Module

April 26, 2017



CCRC Symposium

May 5, 2017


Leadeship Academy Third Event

May 17, 2017


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Center for Positive Aging






Tech Tools for Independence

The Center for the Visually Impaired (CVI) is Georgia's largest comprehensive fully accredited private facility providing rehabilitation services for the blind and visually impaired across the lifespan.

CVI has launched Tech Tools for Independence, a free, monthly tech demo - open to the public - featuring demonstrations of accessible technology geared toward users who are blind or visually impaired, including:

  • iPhone/iPad
  • Tablets
  • Computer Enhancement Software
  • Desktop and Portable Video Magnifiers

Dates: Second Monday of each month
Time: 10:00 a.m. - 12:00 p.m.


Location: CVI, 739 West Peachtree St. NW, Atlanta, GA 30308 (Corner of West Peachtree & 4th Street).


For more information, or to reserve your spot, call 404-875-9011 or email





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Culture Change News






Making the Leap from Wellness to Well-being... By Laura Beck, Learning & Development Guide for The Eden Alternative


The older I get, the more I find myself thinking about what it means to "age well." By tuning into my own experience, I tap into nuances that I don't really see reflected back in the world around me. I hear buzz about successful aging, positive aging, even active aging, and I am always intrigued by what these different phrases actually mean. Digging more deeply, there seems to be a common thread in the current culture -- we are aging well when we successfully maintain a certain level of physical and cognitive fitness over time.

Feeling healthy, fit, and sharp is, no doubt, a good thing. I'll certainly take it. But is it enough? For me, as I age, I hope for a deepening in how I experience life. I seek a stronger sense of myself and how I show up in relationship to others. I aspire to share my voice freely, to express my creativity, to share the wisdom I've gained through a life lived, and to never ever stop growing intellectually, relationally, emotionally, and spiritually. I will know I am aging well, when I am encouraged to grow, no matter what challenges I face over time, either physically or cognitively. When society affirms that I have value and purpose, no matter how old I am or where I live, I will know I am aging well. Successful aging, then, is as much about holding our culture accountable for its perceptions, as it is about holding ourselves accountable for our own health and wellness.

What I seek is a powerful sense of well-being. Yet, the traditional models of care designed to support our health and wellness seem to struggle with this one. Focused mostly on measuring the quality of physical care, they fail to capture the subtleties of what it means to be human and experience a rich quality of life that helps us thrive, not just survive.

This conundrum inspired The Eden Alternative to launch a grant-funded effort to explore well-being in more depth. Bringing together an interdisciplinary task force of experts and change agents, the initiative identified the seven primary Eden Alternative Domains of Well-Being™:

Identity, connectedness, security, autonomy, meaning, growth, and joy.
Task force findings included the observation that "wellness implies healthiness, which may peak and decline over time. Happiness, too, is a human emotion that comes and goes. In contrast, well-being evolves and develops over a lifetime, deepening as we grow into our full potential as human beings."[1]

Building on this, Al Power, M.D., award-winning author of Dementia Beyond Drugs, shares, "If we only focus on physical and cognitive ability, there will come a time in our lives -- using the cultural focus on youthfulness as the yardstick -- where we don't quite 'make the grade.' If we only have these goals, we are setting ourselves up for disappointment. By exploring well-being, we create more opportunities to expand the range of our goals beyond physical health alone."

When teaching others about the Domains of Well-Being, simple descriptors are applied that have meaning for everyone. No matter what phase of life we are in, all seven Domains continue to be relevant to our experience. Not a single Domain becomes less important to us over time, although the interplay between the seven can be framed any number of ways.

Here is one such example: IDENTITY is about personhood and being well-known to each other. Knowing each other well makes it possible for relationships to grow and deepen (CONNECTEDNESS). Feeling connected to others and our environment, we feel safe enough (SECURITY) to express ourselves and exercise our right to choose (AUTONOMY). Our ability to clearly state our needs and direct the course of our existence helps us engage in daily life with a sense of MEANING and purpose. By pursuing what's meaningful to us, we build on our strengths and experience GROWTH. Working together, these six previous Domains create a sense of JOY and fulfillment in our lives.

As a paradigm shift, the Domains of Well-Being have had a powerful impact on how we care for each other. The practice of person-directed care, which focuses on putting the individual first, reaches new heights when care partners use the Domains as a filter for problem-solving and thinking creatively about supporting the growth and well-being of others. Suddenly, the basic ideas behind person-directed care become less abstract and more visceral, as the Domains invite us to reflect on what we each hold dear in our own lives.

Application of the Domains inspires care partners to ask thorough, sensitive questions that help them identify the unmet needs of others. This is particularly valuable for those who are no longer able to advocate for themselves, due to changes in their physical and cognitive abilities. Through the Domains, care partners feel more empowered to reveal the root of the issue, rather than only respond to the symptom.

Care is defined by The Eden Alternative as "helping another to grow." If well-being implies the ability to grow into our greatest potential, then shouldn't the pursuit of well-being exist at the core of what it means to provide genuine care - not only to others, but to ourselves? Whoever we are and whatever our stories may be, making the leap from wellness to well-being is a profoundly personal journey. As I grapple to achieve balance in my own busy life as a single working mom, the Domains of Well-Being have offered me a humbling wake-up call about my own habits and choices. As I grow and age, the context will undoubtedly shift, but the quest for well-being will remain, always holding the promise of a life worth living.



1st Annual North American Dementia Education Conference



Click here to learn more



Sponsored by:



Culture Change Network of Georgia Advisory Group Meeting

The next CCNG Advisory Group Meetings is scheduled for November 11th. Please contact Walter Coffey at if you would like to participate.


Watch for information and materials.



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Adult Day Services News (GADSA)


Adult Day and Community Services in the New Administration

It is always difficult to determine future policy because there are so many unknown factors that determine policy, such as oversee contingency operations, changes in the global economy, etc. However we can develop possible scenarios that may occur in the Trump Administration and 115th Congress based on some of the president-elects campaign promises, his choices of Cabinet secretaries and agency directors.


House Speaker Paul Ryan's (R-Wis.) has close ties with Reince Priebus, the President-elects choice for Chief of staff. This relationship could facilitate Rep. Ryan's plans for changing Medicaid. In Rep. Ryan's A Better Way, he discusses revising Medicaid into per-capita allotments as the basis for a state's federal funding. There could also be a block grant option for states opting out of the per-capita allotment. Previous analyses of the block grant proposal have projected that every state would receive lower federal Medicaid funding than it now does. Rep. Tom Price is the president-elects choice for Secretary of Health and Human Services. Rep. Price as the chairman of the Republican Study Committee, called for major decreases in federal spending.


Full Article


Adult Day Services Symposium - Save the Date

The 2017 Adult Day Services Symposium will be held February 24, 2017 at Trinity Presbyterian Church in Atlanta. Information and registration coming soon.


2016 GADSA Leadership Team

President: Ned Morgens, Skylark Adult Day Services

Vice-President: Georgia Gunter, Adult Day of Dunwoody

Carla Jones, Rosswoods

Claire Russell, The Homeplace

GA Association of Activity Professionals










GAAP Chat/Forum

February 22, 2017 - 9:00am

Dial 712-432-6100

Passcode: 27514617


2016 GAAP Leadership Team

President: Wendy Boyd (The Gardens at Calvary; Columbus)
Vice-President: Laura Jones (Briarcliff Oaks; Atlanta)
Membership: Kathy Hobbs (Canterbury Court; Atlanta)
Program/Education: Scott Bassett (Philips Tower; Decatur)

LeadingAge Georgia Business Connection

The 2016 LeadingAge Ziegler 150 Publication

For 13 consecutive years, LeadingAge and Ziegler have partnered to produce the LeadingAge Ziegler 150 ("LZ 150") publication, which details the largest 150 not-for-profit multi-site senior living providers in the country. The 2016 report, which will be released in full detail in the coming weeks, quantifies the largest 150 not-for-profit multi-site senior living providers in the country. The LZ 150 ranks organizations according to the overall number of market-rate units within their system as of 12/31/2015. Additional listings in the report provide insight into Affordable Housing properties, as well as the largest single-site providers in the country.

So what do we know about the largest 150 not-for-profit multi-site senior living organizations in the country? Below are some key takeaways from the report.

  • The organizations range in size from 18,527 market-rate units (National Senior Campuses, MD) to 588 market-rate units (St. John's Lutheran Ministries, MT).
  • The 150 organizations represent a total of 1,253 market-rate communities, the largest proportion of which (50%) are Life Plan Communities (fka CCRCs).
  • While the number of market-rate units increased in 2015, the number of new communities was flat year-over-year. The majority of the unit increases are accounted for by expansions and growth through affiliation and acquisition.
  • Minnesota and Pennsylvania have the largest proportion of market-rate communities as represented by the LZ 150 with 198 and 131, respectively.
  • When looking at the states with the highest proportion of LZ 150 headquarters, Pennsylvania ranks first with 23 organizations. Illinois, Minnesota, and Ohio are tied for second with 10 organization headquarters; California and New York come in third with 8 organization headquarters among the LZ 150.
  • The LZ 150 has a total of 53 debt ratings across 48 organizations, with 45 of the 53 in the "A" and "BBB" category.
  • Twenty-three percent (23%) of the organizations have at least one accredited community. Acts Retirement-Life Communities and Presbyterian Senior Living have the largest number of accredited communities (20 each).
  • Of all the organizations represented in the LZ 150, 84.7% are faith-based, 2.7% are fraternal, and 0.7% are military-affiliated.
  • Nearly half (42%) of the LZ 150 organizations provide Affordable Housing for seniors, either through units within a market-rate campus or via free-standing Affordable Housing properties.
  • 32% of the providers manage one or more senior living communities for another organization.

Click HERE for the full report.



Love & Company New C-Suite Webinar Series

Didn't catch our sessions at LeadingAge?
Miss our sessions at LeadingAge? Love & Company invites you to join them and a team of industry colleagues for new webinars recreating a session from last month's annual LeadingAge meeting.

Register today to attend:

  • Predictive Modeling: Identifying the Prospects Most Likely to Buy–Tuesday, December 20th

Webinars air 1-2 p.m. (EST)


For full webinar description, and to register, click HERE

News Throughout the Spectrum of Aging Services

Assisted Living Communities/Personal Care Homes

LeadingAge ALF Study Extension

The deadline for the Assisted Living Salary & Benefits Report has been extended to December 12th. Questionnaires can be downloaded HERE.


There is no cost to participate in the study. LeadingAge members receive an additional discount off the price of the Report. Publication is scheduled for January 2017.


The Report covers management salaries, nonmanagement wages, and fringe benefits. Last year's Report contained data from over 1,200 Assisted Living Facilities across the nation.


Salaries and bonus payments will be reported according to unit size, profit type, revenue size, CBSA, state, region, and nationally. In addition, both for-profit and not-for-profit data will be separately covered in the Report. Information on 18 fringe benefits will be reported according to region. Percent increases planned for 2016 will be reported for management, nonmanagement, RNs, LPNs, and CNAs.


Nationally known, the Report is recognized as the standard for reliable and comprehensive compensation data for ALFs/Personal Care Facilities. The Report is published by Hospital & Healthcare Compensation Service (HCS) in cooperation with LeadingAge.


New Data Document the Benefits of Assisted Living
It's not unusual for families to delay their search for assisted living for an older relative, either because the older relative does not want to move or because family members have a negative view of assisted living. But a new survey from senior living referral service A Place for Mom suggests that the majority of older adults and their family caregivers experience measurable increases in quality of life after an older relative moves to assisted living. The survey was conducted in collaboration with Sage Projections, a Seattle-based research and consulting company.

Full Article

Federally Assisted Housing (HUD-Subsidized)

National Academy of Medicine Will Explore Housing Plus Services on December 12
The role of housing as a social determinant of health will be the topic for discussion on Dec. 12 when the National Academy of Medicine (NAM) holds an all-day public workshop focusing on the affordability, availability, and importance of housing for vulnerable older adults and people with disabilities.

Dr. Robyn Stone, executive director of the LeadingAge Center for Applied Research, and a NAM member, will participate in the workshop, which will:

  • Summarize the state of the knowledge on housing as a platform for health and independence.
  • Highlight successful and promising collaborations to provide affordable and accessible housing.
  • Explore sustainable and scalable strategies, policies, and practices to support linking affordable housing with services to benefit health and optimize independence.  Identify data needs and research gaps to measure effectiveness of models of housing with supportive services.

As a NAM member, Stone has been instrumental in raising awareness about housing plus services models among her colleagues on NAM's Board of Health Sciences Policy. The workshop is a direct result of those efforts.

Full Article


3 Options to Preserve PRAC Properties - a LeadingAge White Paper
The earliest Section 202 capital advance properties with project rental assistance contracts (PRAC) are now more than 20 years old. Many of these properties already have capital needs outstripping available capital resources, and newer properties risk going down the same path.

We have a unique opportunity to address this issue now, sooner rather than later, and avoid burdening this critical resource with a growing capital needs backlog that will only be aggravated in years to come.

A task force of LeadingAge members developed the a three-fold recommendation for solutions:

  • Expand the existing Rental Assistance Demonstration (RAD) program to include PRACs, making it possible to leverage new financing;
  • Ensure that PRAC budgeting processes going forward adequately fund reserve for replacement (reserve) accounts, and allow access to residual receipts account to offset repair needs.
  • Restore emergency capital repair funding authority for critical needs.

Read the White Paper here.


Service Coordinators Under GAO Spotlight
HUD should do more to oversee efforts to link residents to services. That's not a LeadingAge quote; this is the subtitle of a report by the Government Accountability Office published in October 2016. In its report, the GAO looked at how many Section 202 properties have a service coordinator and, for those with no service coordinators, how these properties connect residents to services. The report also looks at HUD efforts to preserve Section 202 properties given recent downward trends in funding.


To learn more, click here.


Home and Community Based Services

CMS Introduces Four New G-Codes for Home Health
The Centers for Medicare & Medicaid Services (CMS) is introducing four new home health G-codes to replace two old ones—and this worries officials at the National Association for Home Care & Hospice (NAHC), who fear providers may not have adequate time to prepare for the changes.

Full Article


Life Plan Community (CCRC)

Why Life Plan Communities Should Care about Walkability
Future residents of life plan communities may want to hang up their car keys on most days – and walk. That may come as a shock to communities whose current residents depend so heavily on their cars to stay mobile and to preserve their sense of autonomy and independence. But that's the coming trend, according to a recent article in The New York Times. According to the newspaper, more older consumers will be looking to live in mixed-use neighborhoods, "where they can enjoy a full life without a car," over the next few decades.

Full Article


Nursing Care/Rehab

OIG to Take on Nursing Home Reimbursements, Complaints in FY 2017
Federal health officials will take a closer look at Medicare reimbursements and therapy billing in nursing homes during fiscal year 2017, according to a report issued November 10th . The Department of Health and Human Services' Office of Inspector General plans to review skilled nursing facility reimbursements over the course of the year, the agency said in its Fiscal Year 2017 Work Plan, with a special focus on therapy documentation.

Full Article


LeadingAge Provides Phase 1 Implementation Summary
The new Requirements of Participation (RoPs) for Nursing Homes are complex and comprehensive, with a number of items that must be in compliance by November 28, 2016 (Phase 1). As a general statement, most of the Phase 1 requirements have to do with documentation and policy. At the very least you need to go through your policy and procedure (P&P) manuals and make sure that you have corrected for new definitions and have policies in place for areas that are specifically called out.


Click here to see this check-list.

General Notes of Interest

MDS Accuracy, Staffing Data Among Most Cited Deficiencies, CMS Reveals Deficiencies in Minimum Data Set accuracy and posted nurse staffing information were the most commonly cited among MDS 3.0 Focused Surveys conducted in fiscal year 2015, according to a new report. The FY 2015 MDS Focused Survey Summary, released by the Centers for Medicare & Medicaid Services, includes the scope and severity of deficiencies cited in the survey, as well as the top cited deficiencies.

Full Article


Plans for Emergency Preparedness Rule Implementation This Letter provides general information regarding implementation plans for the final Emergency Preparedness Rule, published 9/16/16 and effective 11/15/16.

  • Providers and suppliers affected by this rule [including nursing homes, home health, inpatient hospice, PACE] have until 11/15/17 to implement the new requirements. Surveyors will begin surveying against the new requirements after 11/15/17.
  • Interpretive guidelines and survey procedures will be developed with publication anticipated in spring, 2017.
  • CMS is developing web-based surveyor training, anticipated to be available in spring, 2017.

Full Article


CMS Finalizes $130 Million Medicare Payment Cut in 2017 The final numbers represent fewer payment cuts than the proposed changes announced earlier this year by CMS. The agency previously proposed reducing home health care payments by $180 million in 2017, or 1%. Since the proposed payment changes were announced in June, the Medicare agency upped the home health payment update from a 2.3% ($420 million) increase to a 2.5% ($450 million) increase.

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Food Trucks Come to Senior Living Providers have been working to make senior housing more of a community destination, and one broader food trend could help dramatically. Enter food trucks, mobile stations known for their convenience and diverse, artisanal food selections. Senior Housing News pinpointed food trucks as a major trend from which senior living can benefit in its new report, "Innovative Food and Dining Trends in Senior Living." On the surface, food trucks might not seem to have a place in senior living, given that most communities have extensive dining programs to begin with. Since food trucks have grown in popularity in recent years and senior living providers are constantly looking for ways to please their residents and attract the community at large, though, the prospect of hiring them for events and marketing them to the surrounding neighborhood has become more plausible.

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It's Time to Talk about Long-Term Care's Diversity Problem Long-term care leadership has a diversity problem. Don't believe it? Travel to a national long-term care convention and look around — what do the majority of attendees look like? They look the same, if you ask those who attended and spoke at a roundtable discussion on diversity held at last week's LeadingAge annual meeting in Indianapolis. It was the first real, open dialogue on the issue that the group held at one of its national meetings, the speakers noted. And it couldn't come at a more critical time

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Amazon 'Home Assistants': The New Home Care Provider? Amazon just about does it all, but one area that it is just dipping its toes into is "Home Assistants," a new service to help keep customers' homes clean. The tip off was when a job posting was released in October for "Home Assistants," according to a report from Engadget. Home assistants would perform tasks such as laundry, tidy up people's homes and put groceries away. Originally, the service was said to be offered as an added bonus for Amazon Prime customers, but the company has now removed any link to Prime, which means this could be a service available to any Amazon user in the future.

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Workforce Pressures: It's Not About Just Millennials There's been a lot written and said lately about managing the youngest wave of workers — and rightfully so. This 18-35-year-old crowd is going to be HALF of long-term care's workforce within five years, experts predict. That's right, half. But to take your eye off the ball with your Generation Xers (remember the fretting over them just a few years ago?) or baby boomers would be a huge mistake. That was the common-sense, yet eye-opening message at a packed session at the LeadingAge annual meeting October 31st in Indianapolis.

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Medical Expenses, Including Assisted Living, Account for 25% of Family Caregiver Costs: Survey Medical expenses, including costs associated with assisted living and skilled nursing facilities, account for the second-largest share of family caregivers' out-of-pocket spending for their loved ones, according to a new report from the AARP. Such expenses make up 25% of family caregiver spending, according to the organization's research, which involved a nationally representative sample of 1,864 family caregivers and was conducted in July and August by GfK. Caregivers completed a retrospective survey and a 28-day diary tracking their out-of-pocket expenses related to caregiving.

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NYU Turns to Seniors Housing to Help Students Afford College New York University students will be moving in with seniors in a pilot project designed to make college more affordable for students. The university's "intergenerational homestay option," beginning in fall 2017, hopes to cut the cost of student housing in half for participating students, according to an online update from the NYU Affordability Steering Committee and the Affordability Working Group. "Mature" juniors, seniors and graduate students will live with older adults who are residents of a nearby seniors housing complex and have a spare bedroom, the group reported. Average yearly housing rates at NYU residence halls total approach $13,000, according to the university.

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Alone and Aging: Creating A Safety Net for Isolated Seniors Phyllis Krantzman knows what she should do, but like many of her peers, the 71-year-old doesn't know how to approach a casual acquaintance to ask who will take care of her when she needs it most. Krantzman, of Austin, Texas, is among a growing number of seniors who find themselves alone just when aging and end-of-life care becomes real. Unmarried, with no children, her younger sister, by seven years, died in 2014. Krantzman's social network is limited to a handful of work colleagues and a few acquaintances. "I'm very fearful of when I reach that place in my life when I really need help and maybe can't take care of myself anymore," she said. "I have nobody to turn to."

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LeadingAge Workforce Survey: A Step Toward Solving Workforce Issues Is your organization facing workforce challenges? Are you curious about how your turnover and retention rates compare with other not-for-profit providers of aging services?

Are you eager to learn about strategies that other LeadingAge members are using to recruit and retain workers? LeadingAge recently launched a national strategic initiative to help members around the country strengthen their workforces. But we need your help with the initiative's important first step: A Workforce Survey.

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Tech Tools for Independence

The Center for the Visually Impaired (CVI) is Georgia's largest comprehensive fully accredited private facility providing rehabilitation services for the blind and visually impaired across the lifespan.

CVI has launched Tech Tools for Independence, a free, monthly tech demo - open to the public - featuring demonstrations of accessible technology geared toward users who are blind or visually impaired, including:

  • iPhone/iPad
  • Tablets
  • Computer Enhancement Software
  • Desktop and Portable Video Magnifiers

Dates: Second Monday of each month
Time: 10:00 a.m. - 12:00 p.m.


Location: CVI, 739 West Peachtree St. NW, Atlanta, GA 30308 (Corner of West Peachtree & 4th Street).


For more information, or to reserve your spot, call 404-875-9011 or email



Online Social Interactions Linked to Longevity The results of a newly published study of 12 million Facebook users suggests that using the social network is associated with living longer, but there's a catch: the benefit appears to come when using Facebook serves to maintain and enhance someone's real-world social ties. "Interacting online seems to be healthy when the online activity is moderate and complements interactions offline," said William Hobbs, Ph.D., the first author of the study, which is published in the Proceedings of the National Academy of Sciences. He worked on the study as a doctoral student in political science at the University of California, San Diego, and is now a postdoctoral fellow at Northeastern University. "It is only on the extreme end, spending a lot of time online with little evidence of being connected to people otherwise, that we see a negative association," he added

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Job Mart

Billing & Customer Care Specialist - St. George Village

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Director, Adult Day Health Center - Athens Community Council on Aging

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