Coffey Break


  Forward to a friend October 2017 Vol 16, Issue 10

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.



CEO Search Committee Update

We are pleased with the response we received from individuals from all over the country expressing interest in joining LeadingAge Georgia. The committee consists of Terry Barcroft (Wesley Woods Senior Living), Deke Cateau (A.G. Rhodes Health & Rehab), Gwen Hardy (Presbyterian Homes of Georgia), Chris Keysor (Lenbrook and chair-elect of LeadingAge Georgia) and Tom Rockenbach (Carlyle Place and Treasurer, LeadingAge Georgia) as chair of the search committee.


We have engaged Joan Carlson to assist us with the process. Joan has reviewed over 100 applications and resumes. The committee met of September 28th to review resumes and select four finalists to be interviewed on October 12th. Our board chair, Mark Lowell (ED, St. Georgia Village), and Nancy Hooks from LeadingAge national will join the committee on this day for the interviews. We are excited about the prospects and will announce our selection as soon as possible.


We feel we can say with confidence that our organization will certainly miss having Walter at the helm. We wish him the best in his consulting endeavors and look forward to continued opportunities to work with Walter and David in the future.

Tom Rockenbach, Chair, LeadingAge Georgia Search Committee



Nominate a Colleague for an Award

Each year, the LeadingAge Georgia membership comes together to participate in the Annual Business Meeting (December 7, 2017). You are invited to participate by nominating individuals who enhance our organizations and inspire us by their involvement, innovation, leadership, advocacy, as well as personal and organizational generosity.


Please take a moment to think someone you would like to nominate for one of the following categories (DEADLINE: October 13, 2017)



2017 AWARD Categories


LeadingAge Georgia Award of Honor
The Award of Honor, the Association's highest award, is presented to a distinguished individual who has provided outstanding leadership to the Georgia Association and whose exemplary service and commitment to quality have advanced both the association and the aging-services field.

  • Individuals whose organizations are members of LeadingAge GA are eligible for this award.
  • Nominee has provided imaginative leadership and exceptional service to the Association
  • Nominee has accomplished significant goals over a period of time.
  • Nominee's cumulative achievements are notable and worthy of State recognition.

Innovation in Care and Services Award
This award recognizes a LeadingAge Georgia member organization for programs and/or services that are models of innovation and excellence and that contribute significantly to the quality of life of the individuals served.

  • The nominee has to be a LeadingAge Georgia member organization.
  • The nominee has been intentional in the development of an innovation that is centered around and emphasizes quality of life for the individuals served or significantly improves the aging-services organization's operations.
  • The innovation provides proven benefits to the residents, clients or the organization.
  • The innovation has been in actual operation for at least one year.

LeadingAge Georgia Volunteer of the Year Award
This award is presented to a resident or non-resident, group, or individual, volunteer of an LeadingAge Georgia member facility that has performed significant volunteer service to clients/residents, and has demonstrated unusual commitment to preserve the dignity and well-being of the residents/clients.

  • Nominee serves an LeadingAge Georgia member organization
  • Nominee has served the organization for a significant period of time directly or indirectly.
  • Nominee has made a difference in the life of the organization or an individual that is significant.
  • Nominee has demonstrated significant commitment to service of residents/clients in the area of aging.

LeadingAge Georgia Distinguished Service Award
This award recognizes the achievements of members, Trustees of governing member boards, non-members, or institutions in making outstanding contributions toward the welfare of older persons in areas such as research, education, communication, public policy, or excellence in leadership or governance accountability for member organizations. (It is not required that the nominee be a LeadingAge Georgia/National member.)

  • Nominee does not have to be a LeadingAge Georgia or LeadingAge National member unless the nominee is a Trustee, then the Trustee must be a member of a LeadingAge organization.
  • Nominee has spent a significant period of time meeting the needs of or serving the aging community or an organization that serves the aging.
  • Nominee has made contributions toward education, communication, board governance, public policy, or innovations in working with and serving seniors.

Caring Heart Award
This award recognizes the achievements of frontline staff and direct care employees, whose caring spirit have made significant impact upon the lives of older adults, while working for an LeadingAge Georgia member organization.

  • Individuals who are employees of organizations that are LeadingAge Georgia members are eligible.
  • Nominee has made a significant and positive difference in the life of senior residents/clients.
  • The attributes of the nominee has enhanced the organization's commitment to quality.
  • Nominee has been an inspiration to their peers/co-workers regarding work ethics and has developed strong relationships with residents, clients and families.

Click HERE for Nomination Form


Profiles of Positive Aging Fundraiser


Profiles of Positive Aging Image Awards honors and celebrates Elders who continue to live their lives on purpose. The focus is not on chronology, rather on wisdom from life-long experiences shared with other generations.

Since 2012 LeadingAge Georgia members, the Georgia Institute on Aging, and collaborative partners like Pfizer, AARP Georgia, Georgia Power, Amerigroup, and JenCare--have been forging this important movement to overcome ageism in our society. As Katie Sloan, the CEO of LeadingAge national puts it--Ageism is one of the last socially accepted "isms" in American society. So to overcome this stigma, we're asking the community and providers of Aging Services to join us in showing the positive aspects of Aging by celebrating our elders who continue to do exceptional things in our communities—locally, statewide, nationally, and internationally!

Come and experience the living gallery and hear the myriad fascinating stories of our 20 honorees, during the Profiles of Positive Aging Image Awards Gala on Nov 5th at the Atlanta History Center.


Click HERE for Tickets!


Our community Icon in Positive Aging this year is Dr. Melvin Pender, a 1968 summer Olympic Gold Medalist who is also a decorated army hero after serving two tours in the Vietnam War. Mel speaks all over the country and internationally to impart wisdom among teens and youth regarding character and resilience. Recently Mel shared with me that "his life is like a fairytale, but not without great challenges and perseverance." His life quote is "to whom much is given, much is required".


In addition to honoring Mel, we will recognize 19 others to include our first International honoree from Cameroon, Mr. Francis Njuakom Nchii.


Leading up to this event to further advocate positive aging, the importance of culture change and fully embrace the Age-Friendly Communities approach to actualizing Livable communities for all in the domain of Social Inclusion, Social participation and Respect for all citizens. Click HERE to view the Positive Aging Interview with WSB People 2 People host Jocelyn Dorsey and Jacque Thornton, LeadingAge Georgia Sr. Vice President, one-on-one.



Georgia Night Dinner at LeadingAge National Conference

Remember to register as space is limited for the Georgia member dinner during the conference. This year Georgia Night is Sunday evening, October 29th.


Click HERE for registration



6 Ways to Address the LTSS Workforce Crisis Most providers of long-term services and supports (LTSS) struggle to address high turnover rates and growing job vacancies within their organizations. A recent article by LeadingAge Senior Vice President of Research Robyn Stone warns that those struggles are likely to escalate over the next 2 decades unless policy makers take 6 actions. "The current direct care worker shortage … is simply a bellwether of things to come over the next 20 years as Baby Boomers age and the life expectancy of younger people with disabilities increases," writes Stone in the Public Policy and Aging Report.

Full Article



New Report: A Portrait of LeadingAge Members LeadingAge members are generally well-established organizations that operate in more than one service setting, employ their own W-2 staff members, and have taken deliberate steps to keep pace with current trends in the field of long-term services and supports (LTSS). These are only a few of the facts that LeadingAge learned during 2016 when it used 5 different surveys to collect information about its members.


Full Article



HUD Benchmarking Survey 2017 (Based on 2016 Financial Data)

LeadingAge Georgia has partnered with Mauldin & Jenkins, LLC for the 4th edition of a HUD benchmarking study for HUD elderly housing communities located throughout the state of Georgia. LeadingAge Georgia represents over 160 key mission-driven providers dedicated to quality housing and community-based services. Members serve over 127,000 older Georgians each year. LeadingAge Georgia's mission is to represent and promote the common interest of its members through leadership, advocacy, professional development, and other services in order to enhance each member's ability to serve older Georgians.


For the 2017 benchmarking survey, an email request was sent out to 120 email addresses, through Survey Monkey, targeting 147 elderly housing communities in the state of Georgia. We obtained approximately 25 responses. Results of the survey are available at no charge for organizations that participated. We request a $150 donation to our Institute for organizations wanting results that did not participate. The financial information provided was input by the properties from their Statement of Financial Position, Statement of Activities and Statement of Cash Flows from their most recent audit report.



The Caregiver Smile Summit

The Caregiver Smile Summit is a virtual Summit that will transform your caregiving by providing practical knowledge to make you a better caregiver, take care of your own health, while preparing you for your own aging journey.


We want you to be able to rock the caregiving experience. Turn it from a burden to opportunity. From surviving to thriving. We have assembled more than 50 experts in the health, aging and caregiving field who will address all of the important topics you need to know about as a caregiver. We are thrilled that 6 or the 50 presenters are from Georgia!


Register before the videos go live and save. The all-access pass is just $79. That's $79 for 51 experts and 53 sessions. On October 30, the price will increase to $97.

LINK to Register:


But here's the thing. This Summit is ideal for almost anyone. If you are just starting to see the signs that mom and dad need care, this is for you. If you are an experienced caregiver, this is for you as well. Even if your caregiving journey is over there is something you can learn about preparing for your own aging needs. That is why boomers should consider attending the Summit. And even foresighted GenX'ers and Millennials, who make up 25% of family caregivers, can learn something too.


NOTE: Read the article in the Center for Positive Aging section below, "Adult caregivers overwhelmed and undertrained" for information on why this Caregiver Summit is important.



Free Nutcracker Tickets for Aging Communities

The Northeast Atlanta Ballet has generously offered Aging Communities FREE tickets to a showing of an abbreviated production of "The Nutcracker." It will be on November 27th at 11:30am at the Infinite Energy Center in Duluth. The Gwinnet Symphony Orchestra will be providing live music as well!


This particular performance will be dedicated SOLELY to Aging persons, their family members, and of course staff who attend.

Contact More Than A Song today to reserve FREE tickets


Value First


Need a Ride?


• Passenger Van

• Shuttle Bus

• Ambulette (non-emergency wheelchair van)

• Truck

• Sedan


LeadingAge Value First members can access our exclusive FleetAssets vehicle rebate program for any new company van, car, truck or shuttle bus.


Click here to see sample vehicles.

Contact Value First representative Vanessa Ceasar at 404-421-3956 or send an email to for additional information.


Thank you for using Value First. This is your GPO!



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New Members

Quigley Contract
Wayne Quigley
467 Glencastle Drive, NW
Atlanta, GA 30327



Member Distinctions

Congratulations to Joyce O. Wilson on her retirement from The Hellenic Tower!


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 December



December 7 Pearl Harbor Rememberance Day

December 12 - 20 Hanukkah

December 21 Winter Solstice

December 25 Christmas

December 26 Kwanzaa

December 31 New Year's Eve



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Public Policy

LeadingAge Georgia Public Policy Report By Tom Bauer, LeadingAge Georgia Policy Advisor

The report this month is similar to that of last month. LeadingAge Georgia continues to monitor the issues related to payment for services in the Community Care Services Program (CCSP), particularly with regard to reimbursement of adult day centers. In addition, the work groups to develop the priorities of the Coalition of Advocates for Georgia's Elderly (CO-AGE), two of which have members from LeadingAge Georgia, have begun to work.

The LeadingAge Georgia board has adopted the new public policy agenda for 2017-2018 as seen below:

Legislative/Regulatory Issues

Position and Involvement:

  • Adult Day Services
    • Referrals
    • Assessments
  • Home and Community-Based Services: CMS Rules
  • Home and Community-Based Services Waiver
  • Medicaid Non-Emergency Transportation (NET)
  • Physical and Behavioral Health Needs: Aging in Place
    • Dementia
    • Mental Health
  • Community Care Services Program (CCSP)/Service Options Using Resources
    • Implementation
    • Federal (Medicaid) Changes
  • Use of the Term "Assisted Living"
  • Medicaid Funded Assisted Living Communities/Personal Care Homes

Position and Monitor:

  • Medicaid Implementation
  • Proxy Caregiver Rules
  • Continuing Care Retirement Communities (CCRCs): Department of Insurance
    • Rules
    • Examinations
  • Property Tax Issues concerning Not-for-Profit Organizations

Budget Issues

Position and Involvement:

  • Home and Community-Based Services Medicaid (CCSP) and Non-Medicaid
  • Adult Day Center Reimbursement Rates
  • Loan Forgiveness for Gerontology Education

Position and Monitor:

  • Nursing Home Provider Tax
  • Use of Civil Monetary Penalty Funds (Support the Culture Change Movement in Georgia)

Georgia Council on Aging (CO-AGE) Legislative Issues

There are two CO-AGE legislative priorities for 2018, along with a carryover issue (Abuser Registry) were chosen. Members of LeadingAge Georgia and staff are serving on these two issue development task groups. The two issues are:

  • Medicaid Funded Assisted Living (Legislation to enable the state Medicaid program to pay for assisted living, increasing the number of facilities and available openings). At the first meeting this work group discussed options ranging from developing a new Medicaid waiver in Georgia, amending the existing Assisted Living Community statute, and creating a study committee.

  • Personal Care Home Requirements (PCH) (Expansion of Enforcement Options for State). At its first meeting the group discussed background material, reviewed the rules of the Department of Community Health (DCH0 related to personal care homes and enforcement of current disciplinary measures and compared those measures or fines imposed on nursing homes (from the federal government) for violations. The former are more extensive than those for PCHs.

Georgia Institute on Aging








Dementia Beyond Drugs October 25-26 REGISTER NOW

This certification is for anyone who touches the lives of individuals living dementia. It is applicable in any setting. The event will be hosted at A.G. Rhodes Atlanta Health & Rehab.


Based on the award-winning book by G. Allen Power, M.D., this in-depth 2-day learning experience from The Eden Alternative® uses the framework of culture change to create a new approach to caring for people who live with dementia.


Learn why the current paradigm for dementia care can never produce satisfactory results and explore an experiential model that facilitates growth, meaningful engagement, and improved well-being via the application of person-directed practices.


NAB/NCERS approved for 13.25 hours


Click HERE to register





Adult Day Services Fall Event

October 13, 2017



Leadership Academy Fifth Event

October 18, 2017


Coaching Supervision

October 19, 2017



Dementia Beyond Drugs (via Eden Alternative)

October 25-26, 2017



LeadingAge National Conference

October 29 - November 1, 2017


Georgia Night Dinner at the LeadingAge Conference

October 29, 2017

Click HERE for registration



Profiles of Positive Aging Image Awards

November 5, 2017

Click HERE for honoree entry form

Deadline for entries is August 31, 2017


Eden Associates Forum

November 8, 2017

Registration Information


Forums Calls

November 15, 2017

8:00-8:30 am Maintenance/Environmental Services Forum
9-9:30 am GAAP (Activity/Life Enrichment/Wellness Professionals
11-11:30 Service Coordinators/Social Workers/Wellness Professionals
1-1:30 Marketing Professionals Forum


Technology & Aging Summit

November 16, 2017

Registration coming soon



Annual Business Meeting

December 7, 2017

Registration coming soon


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Center for Positive Aging






2017 Harry G. Haisten Golf Tournament
Harry Haisten, a long-time member of North Avenue Presbyterian Church and an avid golfer, exemplifies positive aging. He has been the champion for ensuring this golf event continues in order to support the work of the Center.


Due to inclement weather, we had to cancel the event this year, however, we thank all the players, volunteers and sponsors for their ongoing support of the work of the Center for Positive Aging as our mission is to educate, engage and empower older Georgians to make informed decisions about the care and services they need.


Thanks to our Premium Sponsor:

AON Risk Solutions

Presybterian Homes of Georgia


Thanks to the following Hole Sponsors:

American Southern Insurance

Chattahoochee Enterprises
Greenbrier Development
Morrison Community Living
Parker Poe
Personal Care, Inc.
Steve Ayers Construction

St. George Village

Talmage Terrace Retirement Community
Turner Enterprises
Vulcan Materials Company

5 Tips for Transition: A Smooth Move from Rehab to Home

If you or someone you love has had to stay at a rehabilitation facility after a stroke, surgery or an injury, you know that recovery can be a long and difficult process filled with uncertainty about what to expect when transitioning back home.


Changes will be inevitable, but here are 5 tips that can help make the move back home smoother and less stressful:


Full Article


Preventing Falls: A Home Safety Checklist Please Note: This is an adaption of an article that originally appeared on the blog of LeadingAge member Providence Life Services, an organization with several communities located across Illinois.


Studies show that 70% of falls among seniors result in hospital admissions. Falls account for 40% of all nursing home placements, and they are the leading cause of death among those ages 65 and up. In short, falls are dangerous.

Here are some tips to help make your home fall-proof. By checking off the items on this list, you may be able to prevent a serious injury to yourself or a loved one-- after all, safety is important to people of all ages!

Even when rugs are carefully taped down, they are a potential tripping hazard. Walkers, canes, crutches, and shoe heels can easily catch on the edges or corners, and the results can be painful. Even bed skirts and shower curtains that are too long, or coat hooks that are hung too low can lead to dangerous entanglements.

Children's toys, piles of books, half-finished projects, half-dirty laundry, dormant sports equipment — all should be cleared from floors and stairways.
The only thing on your stairways should be a small, lightweight, handled basket — one at the top and one at the bottom. When you need to bring something upstairs or downstairs, put it in the basket, and slide the handle over your arm.
This leaves your other hand free to grab the stair rail.

All stairways should have sturdy handrails.
Even if you don't think you will use them now, at some point you'll appreciate having the option. And invest in grab bars in bathrooms — in the shower and tub, as well as near the toilet. Make sure handrails and grab bars are installed by a professional, so they remain secure.

Soapy water is extremely slippery, especially on porcelain or tile. Install rubber mats or treads in tubs and showers, or anywhere that soapy water could splash and create a hazard.

Make sure wires, cords, and cables run along walls, not across walkways. You can use electrical tape or special staples to secure cords against baseboards. Don't run cords under rugs or carpeting — this may prevent tripping, but it can be a fire hazard.

Especially in the kitchen, arrange items that you use most frequently on shelves that are easiest to reach. Keep a step ladder nearby for those occasions when you do need to reach a higher shelf.

When a step ladder is not convenient, the tendency is to stretch and reach for an item anyway, and the result can be pulled neck muscles or a bump on the head when the object slips out of reaching fingers.

Use a sturdy, level step ladder that has rubber grips on the feet and a stepping area wide enough to make you feel comfortable.

If you have cabinets under your kitchen counters, consider installing pull-out sliding shelves to make items more viewable and accessible.

Eyesight does fade with age, so lighting becomes more important. Use brighter bulbs wherever possible, and make sure stairways are well lit (with light switches at both ends).

Leave hall lights or bathroom lights on in preparation for nighttime trips. You may pay a few cents more on your electric bill, but you'll save the cost of a midnight ambulance ride!


The above tips are a great way to make sure your home is free of basic safety hazards. Luckily, these do not require much time or money.

Eventually, however, safety may require more extensive remodeling (widening doorways, eliminating stairs, adding ramps, lowering light switches, etc.) or moving into a community setting.



AP-NORC Poll: Adult caregivers overwhelmed and undertrained

WASHINGTON — Adult caregivers looking after aging relatives and friends have little training for their stressful roles but still find the experience rewarding, according to a poll released Thursday. The Associated Press-NORC Center for Public Affairs Research survey finds that long-term caregivers don't just provide rides to the doctor and run errands. Nearly half perform some kind of medical care, from changing bandages (30 percent) to inserting catheters or feeding tubes (6 percent).


Only 47 percent of those say they got most or all of the training needed for their often delicate tasks. Despite all the challenges, more than 9 in 10 call their care-giving experience worthwhile, even if they also find it stressful (77 percent), and overwhelming (52 percent).


"It's a labor of love, but it can be stressful," said Cheryl Johnson, a factory supervisor from Bay Minette, Alabama, who along with other family members is caring for her elderly mother and stepfather. "Nobody can ever be prepared for that." Her mother has liver disease.


The poll of people age 40 and over who have either provided or received long-term care offers a glimpse into homes across the United States where aging and disabled people are being cared for by an ad hoc army of relatives, neighbors and friends.


It highlights how long-term care remains a major unmet need for government programs and private health insurance. The lack of training for caregivers is a shortcoming in the health system, said Judy Feder, a professor at Georgetown University McCourt School of Public Policy.


Full Article


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Culture Change News






Dementia Beyone Drugs

Based on the award-winning book by G. Allen Power, M.D., this in-depth 2-day learning experience from The Eden Alternative® uses the framework of culture change to create a new approach to caring for people who live with dementia. Learn why the current paradigm for dementia care can never produce satisfactory results and explore an experiential model that facilitates growth, meaningful engagement, and improved well-being via the application of person-directed practices.

October 25-26, 2017 Atlanta, GA 13.5 NAB/NCERS


Register Here:


Participants will learn how to…

  • Identify the limitations of our current approach to care for those living with dementia;
  • Envision an "Experiential Model" for viewing dementia and recognize the importance of enhancing well-being for all; and
  • Apply the model to everyday situations of need by using creative solutions to empower individuals to live full and positive lives.

Who should attend?

All organizations and individuals who…

  • Provide care and support for people who live with dementia;
  • Wish to deepen awareness of and responsiveness to the needs of individuals living with dementia through person-directed practices; and
  • Want to implement practice-based solutions that create individualized approaches that improve well-being for people living with dementia and their care partners.

Contact the Eden Alternative Education Coordinator, Meredith Martin for more information: or 585-461-3951 ext. 3051.


Culture Change Network of Georgia Advisory Group Meeting

CCNG advisory group 2017 meetings
November 8 at King's Bridge Retirement Center


Watch for information and materials.




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Adult Day Services (GADSA)


Adult Day Services Fall Event

October 13, 2017 at Cathedral Towers in Atlanta

9:30am - 3:30pm




2017 GADSA Leadership Team

President: Claire Russell, The Homeplace

Vice-Presidents Public Policy: Ned Morgens, Skylark Senior Care;
Aysha Cooper, SarahCare of Snellville

Vice-Presidents of Members: Georgia Gunter, Adult Day of Dunwoody;
Carla Jones, Rosswoods; Peggy Padgett, Georgia Infirmary Adult Day Health

GA Association of Activity Professionals











Join us for the next GAAP Chat on November 8, 9:00am - 9:30am as we plan for the 2018 Calendar of Events.


Call 1-712-432-6100

Passcode: 27514617



2017 GAAP Leadership Team

President: Scott Bassett (Philips Tower, Decatur)
Vice-President: Amanda Bennett (Campbell-Stone Sandy Springs; Atlanta)
Membership: Melissa Scott-Walter (A.G. Rhodes Health & Rehab; Atlanta)
Program/Education: Liana Sisco (Lutheran Towers; Atlanta)
NAAP Liaison: Wendy Boyd (The Gardens at Calvary; Columbus)


News Throughout the Spectrum of Aging Services

Assisted Living Communities/Personal Care Homes

Assisted Living Salary & Benefits Survey – NOW OPEN

Now that it's October, it's survey time again. HCS is currently conducting its annual Assisted Living Salary & Benefits study. The study is conducted and published by HCS and supported by LeadingAge.

There is no cost to participate. LeadingAge participants may purchase the results for $165 versus the $350 non-participant rate. The results include salary and hourly data reported by county, state, profit type, revenue and bed-size. A press release is attached, detailing the study. HCS is also conducting a separate study on long-term care corporate executive compensation. Questionnaires for both are available on the HCS website:

Assisted Living Salary & Benefits Study

Submission Deadline: November 13, 2017
Publication Date: January 2018

Multi-Facility Corporate Compensation Study

Submission Deadline: December 4, 2017
Publication Date: January 2018

For more info contact:
Rosanne Zabka | Director of Reports
Hospital & Healthcare Compensation Service
201.405.0075 ext. 11 |

Federally Assisted Housing (HUD-Subsidized)

HUD Benchmarking Survey 2017 (Based on 2016 Financial Data)

LeadingAge Georgia has partnered with Mauldin & Jenkins, LLC for the 4th edition of a HUD benchmarking study for HUD elderly housing communities located throughout the state of Georgia. LeadingAge Georgia represents over 160 key mission-driven providers dedicated to quality housing and community-based services. Members serve over 127,000 older Georgians each year. LeadingAge Georgia's mission is to represent and promote the common interest of its members through leadership, advocacy, professional development, and other services in order to enhance each member's ability to serve older Georgians.


For the 2017 benchmarking survey, an email request was sent out to 120 email addresses, through Survey Monkey, targeting 147 elderly housing communities in the state of Georgia. We obtained approximately 25 responses. Results of the survey are available at no charge for organizations that participated. We request a $150 donation to our Institute for organizations wanting results that did not participate. The financial information provided was input by the properties from their Statement of Financial Position, Statement of Activities and Statement of Cash Flows from their most recent audit report.



TRACS User Deactivation Start October 22 for Users with 90-days of Inactivity
Coordinators may review HUD's Mandatory TRACS User Certification Instructions available on HUD's web site HERE.


Questions relative to the FY 2017 TRACS Annual User Recertification requirement should be addressed to or the HUD Helpdesk at 1-800-767-7588.


TRACS Coordinator Actions Needed by December 31
Mary Ross has since clarified that "starting September 1, TRACS Coordinators will be required to certify all TRACS Users who continue to need access to TRACS data. It is mandatory that Coordinators certify all TRACS Users no later than December 31, 2017. Users who are not certified by December 31, 2017 will no longer have access to TRACS."

"The RHIIP Listserv also referenced a complimentary, interactive, online training option provided by HUD. This training provides an overview of the process and is intended for TRACS Coordinators. The training is not mandatory. However, TRACS User Certification is Mandatory; hence the reference 'Mandatory TRACS User Certification'."


CMS released the updated RAI Manual on August 31, 2017 for use with Assessment Reference Dates (ARD) on or after Oct 1, 2017. There are two sections that are completely new, a new ADL algorithm, and some surprising coding instructions.

Working with the ACTION Campaign
LeadingAge is working with the ACTION Campaign to expand the Housing Credit by 50%, help the Housing Credit better serve extremely low-income older adults, and improve it as a housing preservation tool (Housing Credits are used to preserve aging Section 202 communities and other affordable housing for low-income older adults).


These are just a few of the benefits of the House and Senate bills:
Fact sheet on the House bill, Housing Credits, and older adults.

Fact sheet on the Senate bill, Housing Credits, and older adults.

Expanding and strengthening the Housing Credit is one of LeadingAge's top priorities. Learn more about LeadingAge's Save HUD 202 campaign.



Home and Community Based Services

Home Health Agencies Brace for November's Emergency Prep Rule
As a new emergency preparedness rule from the Centers for Medicare & Medicaid
Services (CMS) looms, home health companies big and small are scrambling to make sure their bases are covered before it takes effect in November. Under the rule, which was first introduced in 2013 and finalized last September, heath care providers across 17 settings, including home health care, must meet four emergency preparedness standards by Nov. 15: Have an emergency plan with an all-hazards approach; develop policies and procedures based on the emergency plan; come up with a communication plan that complies with federal and state laws and loops in other area providers; and develop and maintain training programs and drills.

Full Article


Rural Home Health Agencies Need Affordable Internet Access
The Rural Health Care Connectivity Act of 2015 allows skilled nursing facilities to receive support from the Universal Service Fund's Rural Health Care Program (RHCP). The RHCP funds telecommunications and broadband services used to provide health care in rural communities. Nursing homes were recently included in the list of providers eligible to receive support from RHCP.

Full Article


CMS Launches Hospice Compare Site, Aims for Patient Engagement
Hospice patients and their families now will be able to compare potential providers due to the launch of the Centers for Medicare & Medicaid Services' new Hospice Compare website on August 16th. The website includes data from nearly 4,000 hospice providers and covers seven National Quality Forum-endorsed measures on hospice and palliative care:

Full Article


Emergency Preparedness Costs Vary for Home Health Agencies
In the aftermath of two major hurricanes, home health agencies across the U.S. are Medicare & Medicaid Services (CMS) before November's deadline. But many are finding that the associated costs aren't so easy to nail down.


Full Article


Cost of In-Home Care Rose from Caregiver Shortage
This year's cost increase was particularly notable, according to Gordon Saunders, senior brand marketing manager for Genworth's U.S. Life Insurance division. Overall, the annual median cost of long-term care services climbed an average of 4.5% from 2016 to 2017, marking the second-highest year-over-year increase for nursing homes and home care since the study began in 2004.

Full Article


Health Officials Implore Healthcare Workers to 'Lead by Example,' Get Flu Shots; LTC Still Worst
The Centers for Disease Control and Prevention released data on Thursday showing that in general, 79% of healthcare personnel received the shot during the 2016-2017 flu season, on par with the preceding three flu seasons. But those working in long-term care settings fell short of hospitals (92%) and ambulatory care settings (76%), with a 68% vaccination rate for that season.

Full Article


Yale: Hospice Patients Are Admitted Too Late
Half of patients admitted into hospice care are admitted only within the last two weeks of their life, according to a recent study from Yale University physicians. This timeframe undercuts the hospice benefit, which can extend for six months, and reveals some of the challenges related to seniors in the last stage of their life.

Full Article


Hospice in Crisis
It might seem odd to talk about "innovations in dying," but in recent decades the hospice movement has become an important new pathway for the most difficult phase of life. As American health care has become ever more high-tech and expensive, the hospice model of home-based care for terminally ill patients has enabled millions of Americans to die peacefully in their own houses, without painful medical procedures—often greatly reducing stress on both the families and the health care system.

Full Article



Nursing Care/Rehab

RoPs Phase 2 Tools and Resources Released
The first release was the Facility Assessment Toolkit, which is comprised of an
overview, section by section detail, training and resources. The full toolkit may be found on the LeadingAge website under the Members tab. The Nursing Home
resources under RoPs tools have been revamped with an easier guide to review and download.

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New Congressional Sign-On Letter Urges CMS to Postpone Implementing the Nursing Home Requirements of Participation
Earlier this spring LeadingAge supported sign-on letters from Rep. Glen Grothman (RWI) and from the South Dakota delegation urging the Centers for Medicare and
Medicaid Services (CMS) to suspend enforcement of the skilled nursing requirements of participation issued in October 2016. We now have a new opportunity to raise our concerns with Congress. Senator John Hoeven (R-ND) has introduced a "Dear Colleague Letter" in the Senate with a similar request that CMS re-evaluate the nursing home RoP to allow revisions to be made and give providers sufficient time to comply with the proposed changes. Phase II of the RoP is scheduled to take effect November 28, 2017. Please contact your Senators today and encourage them to sign onto Sen. Hoeven's letter, which closes October 6.

For more information, contact Marsha Greenfield.


VA to Propose Easier Funding Access for Rural Nursing Homes
Rural veterans may soon have easier access to long-term care under a future proposal being considered by Veterans Affairs officials. Secretary David Shulkin explained to reporters during a visit to Montana this week that rural areas are often overlooked under the current demographic- and need-based guidelines the VA uses to award grants for building veterans nursing facilities, The Washington Post reported August 21st.

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Bayada, Addus Hire and Acquire to Meet Hispanic Demand
Amid concerns that home health aides may not be able to meet every client's cultural needs, some big providers are paying more attention to who they hire—and how. The need for more cultural competency among home health aides is clear, especially when working with Spanish-speaking clients. Just 20% of Hispanic Americans over the age of 40 felt "extremely or very confident" that home health aides can provide care that meets their cultural and linguistic needs, according to a recent survey from The Associated Press-NORC Center for Public Affairs Research.

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Advanced Practice Nurses Key to Improving SNF Care, Researchers Say Training an advanced practice nurse to lead a nursing home care team has shown promise for improving staff communication and the way facilities handle mobility,hydration and end-of-life care issues, a new study shows. The research was conducted by a team at the University of Missouri as part of the Missouri Quality Initiative for Nursing Homes. The program is in its fifth year of researching healthcare improvements for older adults. Part of that program included placing APRNs at 16 skilled nursing facilities to gauge how their skills influenced care coordination.

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Genworth Survey: Cost of Private SNF Rooms Jumped 5.5% in 2017
The monthly costs of a stay in a skilled nursing facility continued to grow in 2017, with the average monthly rate of a private room topping $8,000, according to Genworth's annual Cost of Care survey. The survey's results, published September 26th, found private room rates up 5.5% since 2016, for a total of $8,121 per month. That's compared to a $7,698 average monthly rate reported by last year's survey. Rates for semi-private rooms also jumped during 2017, reaching $7,148, the survey found. That's more than a 4% increase from 2016's $6,844 monthly rate.

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General Notes of Interest

AHRQ Annual Report Shows More Americans Have Health
Insurance and Receive Safer Care, but Gains Remain Uneven
Among Minorities
AHRQ's 2016 National Healthcare Quality and Disparities Report shows that the quality of health care continues to improve gradually each year but gains remain uneven among minorities. Some of the biggest improvements are in measures of "person-centered care," such as communication between doctors and their patients, and the safety of medical care, such as fewer complications among hospital patients who were taking anticoagulants other than warfarin. The report also indicates that fewer people were uninsured, as 11 percent of people under age 65 were uninsured in 2016 compared with 18 percent in 2010. However, most disparities in health care quality continued to persist, with no significant improvements for any racial or ethnic groups, especially people in poor, low-income and uninsured households as well as blacks and Hispanics.


CMS Proposes to Cancel Mandatory Bundled Payment Models The Centers for Medicare & Medicaid Services (CMS) has proposed to cancel mandatory bundled payment models and make changes to an existing bundled payment initiative focused on joint replacements. The proposal aligns with what home health stakeholders have called for, as some have stated the mandatory bundles were being implemented too fast. Specifically, CMS is moving to scrap the Episode Payment Models and Cardiac Rehabilitation incentive payment model, which were scheduled to begin on Jan. 1, 2018.

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Attorneys General Launch National Effort to Crack Down on Elder Abuse State attorneys general across the country will focus on strengthening efforts to fight elder abuse, neglect and exploitation over the next year, Kansas Attorney General Derek Schmidt announced August 17th. The campaign, through the National Association of Attorneys General, will include abuse, neglect and exploitation at senior living communities, Schmidt told McKnight's Senior Living on Monday. He was elected president of the organization in June.

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Joint Effort Aims to Educate Senior Living Executive Directors about Financial Fraud

Four senior housing and care provider organizations have teamed up with the FINRA Investor Education Foundation to educate senior living executive directors about financial fraud and share resources that those leaders, in turn, can pass along to colleagues, residents and families. The mailing of a letter signed by the heads of the foundation, Argentum, the American Seniors Housing Association, LeadingAge and the National Investment Center for Seniors Housing & Care started Monday and will continue for several days the week of August 21st.

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How More In-Home Support Could Combat 'Pop Drop' Having more in-home support services in place could help prevent spousal caregivers from dropping their partners off at the emergency department as a source of respite, a phenomenon known in some medical circles as "pop drop."

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LeadingAge is Helping HUD and Japan Explore Aging in Place LeadingAge is working with the U.S. Department of Housing and Urban Development (HUD), Ginnie Mae, and the government of Japan to explore strategies that could help older adults remain in their homes and communities for longer. The project is part of a formal agreement between HUD and Japan to work cooperatively on researching innovative approaches to housing vulnerable older adults in both nations.

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LeadingAge Urges Lawmakers to Delay Phases of Mega-Rule as Part of Red-Tape Relief Project The next phases of the new federal requirements of participation for long-term care should be delayed in order to make implementation less burdensome and costly, the nation's largest non-profit provider organization told lawmakers last week.

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Get A License If You're Showing a Movie: 2017 Guidance LeadingAge, and all other leading industry associations have secured member savings on the Umbrella License®, the annual public performance license offered by Motion Picture Licensing Corporation (MPLC). The Umbrella License is the most comprehensive copyright license available for senior living and healthcare communities and provides annual copyright coverage for over 1,000 motion picture studios and producers. The license includes public performance rights for both major Hollywood studios and independent producers. Once licensed, an unlimited number of movies may be shown. Movies can be secured from any legal source whether rented, purchased, or borrowed via DVD, stream, or download.

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Study to Explore Ties Between Elders and Their Older-Adult Children A new study may help providers of aging services better understand the unique
relationship between residents and their older-adult children. Kathrin Boerner, an
associate professor of Gerontology at the University of Massachusetts Boston, will study the relationships of parents older than 95 with a child older than 65. Her research will be funded by a $419,855 grant from the National Institute on Aging. Senior children and very old, living parents are relatively common today.

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Can Social Isolation Be Solved with Technology? Some 12 million older adults live alone in the United States, according to the Pew Research Center. Unfortunately, isolation and loneliness are not good for your health, especially when you're older. Studies have shown that individuals age 60 and older who report feelings of loneliness had a 45 percent higher risk of death than those who do not report feeling lonely. Isolated seniors also have a 59 percent greater risk of mental and physical decline than individuals who do not experience this type of social isolation.

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