Coffey Break


  Forward to a friend September 2018 Vol 17, Issue 9

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

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.



Conversations with Ginny

"We must know that we have been created for greater things, not just to be a number in the world, not just to go for diplomas and degrees, this work and that work. We have been created in order to love and to be loved." ― Mother Teresa



Carol Silver Elliott, president of Jewish Family Home in New Jersey and incoming president of LeadingAge led a discussion at the PEAK conference called "Keeping the Faith in Faith-Based Services: Is it Really Important Anymore?" Carol was joined by leaders of faith-based organizations across the country and the consensus was that faith is important for LeadingAge members but it is how it is expressed that is important. The panel agreed that leading with the principles and beliefs of our faith is what is important and that if we do this it will show in our actions. They agreed that it is important to value and make feel welcome residents/clients, staff and volunteers without regard to their religious affiliation. They also agreed that our principles and beliefs show when we focus on the well-being of residents, clients and staff. I see the beliefs and principles reflected on the websites of most of our provider members – whether faith-based or mission-based. I see servant leaders in action as of our members serve on our committees and boards, present at our educational programs, mentor fellow LeadingAge Georgia members and when at work in their communities.

Simon Sinek, whose TED Talk "How Great Leaders Inspire Action" was voted one of the top 25 TED Talks of all time said it's important that when you're hiring staff you "share your purpose, your cause, your belief." He said "you are not just offering a person a job, you are hiring people who believe what you believe. Mother Theresa also said "the fruit of love is service, which is compassion in action." I wonder how many individuals realize the importance of the work they are applying for when interviewing at our member communities/organizations.


In recent months, there has been a barrage of news coverage regarding inappropriate reporting of staffing levels and abuse in nursing homes. In her recent op-ed in the "The Hill," LeadingAge president Katie Sloan responded to the lambasting of nursing homes. She cautioned "recognize that a continual drumbeat of negativity about nursing homes and the people who work in them makes it ever harder for nursing homes to attract and retain capable and talented people."

We have the ability to be part of the change that is needed regarding how people think about nursing homes. Without a doubt, our members are servant leaders focused on making a difference in the lives of older adults. Our challenge is to share the vision. We need to make the drumbeat be that working in long-term care is much more than a job. It's a chance to live a meaningful life -- a chance to live a life of service-- a chance to bring joy to elders and it's a chance to sleep at night knowing you did some good. We also need to let those we hire know that we value them, the work they do and that we care about their well-being.

At the national leadership conference recently there was talk about the need for public relation campaigns that portray the work of long-term care staff in a positive light. My counterpart in Wisconsin told us that their state spent $150,000 on this type of campaign and wished they spent $250,000 on it. I challenge us to establish a culture of celebrating the importanr work of staff in long-term care settings. Let's start small and go bigger in our efforts. I challenge you to work with your team and make a video (you can use your smart phone) and convey the importance of working in long-term care. Please feature members of your team talking about why they work in long-term care and how they feel about making a difference in the lives of older adults. Please keep it to four minutes or less, send it to me along with a signed release that allows LeadingAge Georgia to use the video for an awareness campaign. Our professional development committee will review the submissions and select one to be featured at our business meeting in December. Katie Sloan will be at our meeting and will get to see us changing the culture in Georgia to one that values individuals who chose a life of service in nursing homes and other long-term care settings.

We have some important educational opportunities coming up that will enhance your ability to bring well-being to the older adults you serve. Please join us for the Culture Change Summit on Palliative Care on September 27th. If you haven't signed up yet for our national conference coming up in October in Philadelphia please register and learn from the best of the best. For all of you who have signed up to be a sponsor and to play in our golf tournament – a big thank you --and to those who have not yet signed up please do so! I hope you have already signed up to be a part of the upcoming Profiles in Aging --- my favorite event. We still need sponsors and submissions of nominations of older adults to be honored.





2018 Profiles of Positive Aging Honoree Entry Form

You're invited to experience an inspiring event with your colleagues and community heroes & heroines for the sixth annual Profiles of Positive Aging Awards Gala. This event is intended to unveil the beautiful truths about aging. On November 18, 2018 (3:00 pm – 5:00 pm), we'll pay tribute to Elders who have changed our lives, achieved a positive aging lifestyle, and continue to give of their tremendous talents and wisdom across our great state and nation.


The Profiles of Positive Aging Gala is designed to support the educational arm of LeadingAge Georgia, the Georgia Institute on Aging. The purpose of the Institute is to provide affordable, quality professional development for individuals working in the field of aging. Currently, the Institute provides education to over 1300 professionals, via 25-30 events each year, who are dedicated to providing the best care and services to older Georgians.


PLEASE NOTE: Date has changed to November 18, 2018


Click HERE for tickets


Wellbeing is Everyone's Business

by Jacque Thornton


As our nations health care system moves from fee for service to a well care model, it's imperative that we all join in to assist staff, residents, clients, patients to live their best lives. To achieve the 8 dimensions of wellness inclusive of the 7 dimensions of well-being, we must do things differently. The status quo just won't do.


We have a number of programs coming up that can help you and your team enhance the wellbeing of those you serve:



Profiles in Positive Aging Debuts at the Center for Civil and Human Rights

The public is invited to attend an inspiring exhibition honoring 22 unsung community heroes and heroines at the inaugural Profiles in Positive Aging Exhibition to Re-frame Aging in partnership with the Center for Civil and Human Rights in Atlanta. The exhibit will feature older adults in Georgia, nationally, and globally, who have multiple life lessons to share as learners, innovators, and teachers. Experience the living gallery of Georgia's elders engaged in positive aging. Invite your family, friends, and colleagues to attend this wonderful exhibition honoring exemplary people who are living positive and influential lives while embracing aging as they continue to learn and grow well past retirement age.


The Center for Civil and Human Rights museum will now become home to the storyboards about these individuals to reach the broader public as we work collectively to overcome ageism in our society—one story at a time. In addition, Story Corps is lending their support and technology to help us record the oral history of the elders featured during the Exhibit. Please join us for this unprecedented moment at the Center for Civil and Human Rights museum on Sept. 25th. The exhibit is opened from 10 am - 2 pm.


Click here for tickets at the special rate of $14 each.




LeadingAge Meeting + Expo


If you haven't registered yet for the LeadingAge Meeting + Expo coming up October 28th – 31st in Philadelphia please register now. The education sessions planned are highly relevant topics with cutting edge information designed to reinforce our passion for what we do and prepare us to help older adults thrive. Some of the sessions that look enticing are: Hospice Deep Dive: The Intersection of Policy, Practice and Partnership; Technology Deep Dive: Shaping the New Health Care Ecosystem; Social Connectedness and Engagement Technologies: Provider Case Studies; Nature Meets Nurture: Designing a WELL Building; Lifelong Learning Through University Partnerships; A New Model of Home Support; Managing Wellness Over Illness; The Slippery Slope Between Functional and Frail in Independent Living Residents; Meeting the Rising Acuity Needs in Assisted Living; and Transition Support: Enhancing Self-Management at a Critical Crossroad.

Click HERE to register



Georgia Night Dinner

Networking with peers and colleagues is as powerful as the exceptional continuing education you'll experience during the LeadingAge annual meeting in Philly. Join us for an evening of delicious cuisine over the beautiful skyline of Philly at R2L Restaurant. Just a few blocks from the convention center, I recommend strolling by the historic City Hall or Union League to take in the rich history before or after you dine with us.


Click HERE to register



Center for Positive Aging Golf Tournament - WE NEED YOU!

Our annual golf tournament is your tournament and it supports the important work of the Center for Positive Aging and the Georgia Institute on Aging. We ned your support to make this a success and fund our mission!


The competition will be a scramble format, with prizes awarded to the top three teams, both men and ladies. The 1st place team is awarded custodianship of the trophy for a year (won by Lenbrook-Atlanta CCRC). Additionally, there are numerous prizes for longest drives, closest to the hole, and oldest and youngest participant.



2018 Tournament Itinerary
Columbus Day: Mon., Oct. 8th

8:15 am: Registration | Practice Range
9:00 am: Shotgun Start
11:30 am: Lunch on the Fairway
2:30 pm: Presentation of Prizes


Tournament Hosted at RiverPines Golf Club
Enjoy the many attributes of RiverPines. Designed by nature and enhanced by man, this 18-hole Championship Course and Par-3 Course will challenge you with woods, ravines, creeks and ponds. Lush Bermuda grass fairways and carefully-cultivated bentgrass greens will inspire you to play your best as you wind your way through this picturesque Chattahoochee River setting—a short drive from downtown Atlanta.


Ways To Support:

  • Hole Sponsorship
  • Closest to the Hole Sponsorship
  • Register a Foursome
  • Register a Twosome
  • Donate Golf Balls
  • Donate Door Prizes


Click HERE for registration brochure




National Adult Day Services Week: September 16-22

by Ginny Helms


This week we celebrate all of our members who work in adult day programs. You improve the lives of individuals who attend your programs – helping participants to be part of a community with friends and staff who care about them. You provide meaningful, person-centered activities that ensure socialization and enhance well-being. Many of you provide medical oversight that helps keep those you serve healthy. We know your clients have at least one good meal a day because you feed them and they sleep better at night because they've had a full day. You also help families sleep better because they know their loved ones are in good hands with you. We know that there are challenges with running/working in an adult day program but you do it anyway. Thank you for the important service you provide that greatly enhances the lives of older adults and individuals with disabilities.


There are a lot of individuals who could use your services, families who could use the peace of mind that comes from having their loved in an adult day program and individuals/organizations who could help support your mission. I strongly encourage you to take advantage of it being National Adult Day Services Week and increase awareness of your programs. Engage your team and submit information to your local media this week! Ask those you serve, their families and staff to tell their stories about the importance of your services – why they come to your center, what it means to them and how it has enhanced their lives. Pictures paint a thousand words so ask for one or more individuals to let you snap their photo for the media, get a media release and send it along with some quotes from those you serve. Send your article/press release with the stories and photos to your local media and post it on Facebook. Please like the LeadingAge Georgia Facebook page and we'll repost it.


I'd like to thank the leaders of our Adult Day Services of Georgia Association for their great work with us as we work with the State to address transportation issues and referrals from case managers. I am also grateful for their collaboration on helping to secure an increase in funding this past legislative session. You all are wonderful.



Help with HR

The LeadingAge Human Resources committee plans to begin offering HR classes via Come to Meeting so that our members who don't have full time human resource staff can build their HR skills and better manage HR responsibilities. We'll be sending out a survey to inquire what topics you would like to have offered. Please respond to the survey when it comes out so we can see how to best serve your HR needs. Traci Montgomery of Wesley Woods provided a stellar training on providing performance reviews as part of the Leadership Academy training and more training like this will be available to you in the near future. A big thank you to the HR committee for the work you all are putting into this new training.


Value First


Medical Supplies and Equipment

(This list is a small sample of GPO manufacturer contracts in the med-surg spend category.)


■Abbott Nutrition ■ArjoHuntleigh
■Bard Medical ■Becton, Dickinson
■Convatec ■Covidien
■Essity/SCA Tena ■First Quality
■Sage Products ■Smith & Nephew



When was the last time your community analyzed medical supplies costs? Can't remember? Let Value First do a cost study for you. A cost study is a detailed, line-item analysis of what your community is currently paying compared to pricing available through Value First group purchasing organization. Whether your distributor is McKesson, Medline, Neil Medical, Holladay (or a different company) we can do an analysis for you. This is a free service available to LeadingAge/Value First members.

Request a Cost Study Today!
To submit your cost study request click the following link:


For additional information contact Value First representative Vanessa Ceasar at or (404) 421-3956

This is your GPO!

Value First, an affiliate of Vizient/Provista, is a group purchasing organization owned by LeadingAge national and twenty-five state associations, including LeadingAge Georgia. Value First is designed to leverage the buying power of thousands of senior service providers across the country to get the best pricing on a comprehensive array of products and services. This is your GPO




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New Members

Atlanta Home Care Partners

Sally Winter

3006 Clairmont Road

Atlanta, GA 30329

(404) 228-0103



FloorCare Specialists

Matt Williams
4040 Nine McFarland Drive, Suite 1000
Alpharetta, GA 30004
(678) 802-6020




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 November




November 1 All Saint's Day

November 6 Election Day

November 11 Veteran's Day

November 13 Caregiver Appreciation Day

November 15 Great American Smokeout

November 22 Thanksgiving





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Public Policy

LeadingAge Georgia Public Policy Report

by Tom Bauer, LeadingAge Georgia Policy Advisor


Now that Labor Day has come and gone, the next phase of the general election campaigning is in full swing. The outcome of November elections will likely impact some of LeadingAge Georgia's public policy issues, especially budget requests and other legislative items which require funding.


State Budget

This is the first year that Governor Deal has not issued budget instructions requiring state agencies to cut their budget. Thus, it is more probable that some LeadingAge (LA) budget priorities might receive increased funding. Along with CO-AGE (Coalition of Advocates for Georgia's Elderly), LA, is supporting increased funding to shorten the waiting list for home and community based services (HCBS), which allows persons who would otherwise qualify for Medicaid to remain at home rather than in a nursing home. CO-AGE is requesting $10 million to address the waiting list of 12,000 individuals who are in need of in-home services.



The Georgia Department of Community Health (DCH) met in late August and approved a budget request for increases in Medicaid. DCH is asking for $72.9 million in additional funding for the current fiscal year (FY 2019, which runs through next June 30), and $195.8 million more for fiscal 2020. For the 2020 budget, $88.9 million is for increased Medicaid enrollment, and $66.6 million is requested to offset a slight decrease in the federal Medicaid matching rate. That request proposal now goes to the governor's office and then to the General Assembly in January.


Implementation of SB 406 (Fingerprint check)

The DCH budget request for FY '20 also includes a substantial amount to implement SB 406, which requires fingerprint checks of prospective employees working directly with patients in nursing homes and other long term care settings like personal care homes and adult day centers.


Life Plan Communities/CCRCs

LeadingAge intends to introduce legislation in the 2019 General Assembly to change the name of continuing care retirement communities (CCRCs) to Life Plan Communities (LPCs). CCRC members, along with the Georgia Department of Insurance, have been asked to review the current CCRC law to recommend any other minor changes necessary.



Members and staff of LeadingAge are members of work groups developing the following issues:

  • Medicaid Funded Assisted Living
  • Personal Care Home Requirements
  • Medicaid Coverage for More Georgia Seniors

Georgia Institute on Aging










Profiles in Positive Aging Exhibit Debut
Center for Civil & Human Rights

September 25, 2018

Click here for tickets


Culture Change Summit

September 27, 2018





Engage at Every Age Expo

October 3, 2018



Center for Positive Aging Golf Tournament Fundraiser

October 8, 2018

Registration Brochure


Leadership Academy Fifth Event

October 10, 2018


Adult Day Services Symposium

October 19, 2018

Registration coming soon


LeadingAge National Conference

October 28-31, 20018
Philadelphia Convention Center


Georgia Night Dinner at the LeadingAge National Conference

October 28, 2018





Profiles of Positive Aging Gala - Note: Date Change

November 18, 2018

Click HERE for tickets


Technology & Aging Summit

November 15, 2018

Information coming soon



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Center for Positive Aging







Engage at Every Age Expo 2018

Engage at every age is a multi-cultural expo for the greatest generations of our time — to connect, inspire, become informed, empowered, and sample the rich heritage of our collective communities! Join LeadingAge Georgia and other proud partners for a spectacular experience to include Senior Idol and Top Chefs! Your residents and clients will have a marvelous opportunity to access the following galleries:


  • Wellness & Well-being "Healthy Living"Gallery
  • Forever Young Gallery
  • Cultural Arts | Theatre | Entertainment Gallery
  • BizHub & Financial Gallery
  • Social Engagement | Tech Savvy Square
  • and so much more...

This event is free and open to the public. LeadingAge Georgia members are serving as judges for Senior Idol and Top Chefs. Be Engaged. Be Inspired.



Click here for more information.



Where We Live: Communities for All Ages


Check out what's happeing around the US.
100+ inspriring examples from America's local leaders.


Click HERE to read more.








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Culture Change News

2018 Annual Culture Change Network of Georgia Summit

Person-Centered Palliatie Care: A Key to Well-Being


Our Culture Change Summit is coming up in just over a week. Make sure to sign up now to increase your knowledge and ability to help those you serve access palliative care.


Older adults often experience pain associated with chronic conditions and acute illnesses. When the pain is not managed, the quality of life for the person diminishes and the person suffers from pain, isolation and depression along fatigue, loss of appetite, difficulty sleeping, and any a host of other symptoms that diminish well-being.

We're calling on you and your team to join us for this important summit on palliative care, to learn best practices and to help ensure that older adult who need palliative care receive it.

We will talk about what palliative care is, how it's different than hospice care, and how it is the key person-centered approach to providing relief from the symptoms and stress of chronic and acute illnesses.

It is all about improving quality of life and well-being for the individual who is experiencing the illness as well as their family/care partners. Palliative Care is not just about treating pain. It also treats depression, It helps give people the strength they need to carry on with daily life.

Research shows that once people know what palliative care is and what it can do, 92% want palliative care for themselves and those they love. We will discuss how we can come together as a community of caring to advance awareness and access to palliative care in Georgia.

Click HERE to register



The Eden Alternative Training

CMP Funds Continue to Support Transformative Culture Change Education to Georgia Nursing Homes Via The Eden Alternative® in Six Locations Throughout The State: Project Space Is Limited

RISE UP for Person-Directed Care in Georgia is a powerful, new grant opportunity that will help nursing homes improve quality of care and quality of life for their residents and advance their culture change journey. Thanks to the Georgia Department of Community Health, grant funds will make it possible for up to six people from each organization to experience the three-day in-person Certified Eden Associate Training, a power-packed culture change certification from The Eden Alternative®. The Culture Change Network of Georgia partnered with The Eden Alternative to bring this opportunity to Georgia.


Click HERE for more information.



2018 CCNG Advisory Group Meeting Dates & Update

Friday, October 12, 2018 | 9:30am – noon | Location: TBA


Adult Day Services (GADSA)



Adult Day Services Symposium: SAVE THE DATE

October 19, 2018
Information coming soon


2018 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: Carla Jones, Rosswoods; Peggy Padgett, Georgia Infirmary Adult Day Health



News Throughout the Spectrum of Aging Services


Federally Assisted Housing (HUD-Subsidized)

Getting Ready for RAD for PRAC

by Colleen Bloom, LeadingAge

In 2017, LeadingAge members successfully urged Congress to allow interested Section 202/PRAC communities to convert their rental assistance to the Section 8 platform though an expansion of the Rental Assistance Demonstration (RAD) program. With passage of the HUD FY18 budget, RAD for PRAC became a reality. Since that time, LeadingAge has engaged members of the self-appointed Housing Advisory Group to discuss and provide recommendations as to how HUD should best implement its new RAD for PRAC authority, and helped to coordinate discussions among key external stakeholders as well.

Full Article



HUD Leaders Welcome LeadingAge Staff; Share Priorities for 202 Expansion
LeadingAge staff took full advantage of the one-hour meeting to introduce LeadingAge, share some member concerns with communications and consistency, and dialogue about our housing with services priorities and innovative examples. Mr. Seats and his staff shared about Office of Multifamily Housing staffing challenges, concerns with information technology and system needs, timing expectations for release of the announcements for new 202 funds and implementation of RAD for PRAC, and plans to do a "look back" on the Multifamily Transformation to evaluate lessons learned.

Full Article



HUD Senior Living: Supplementing Meals Project
by Ginny Helms


Directors of HUD senior living homes have been telling us that many of their residents struggle to stretch their monthly income to pay all of their expenses and sometimes have to choose between medical care and groceries. In light of this, we have been working with Robyn Crittenden, Commissioner of the Georgia Department of Human Resources and Abby Cox, Director of the Georgia Division of Aging Services to develop a plan for supplementing groceries for residents in HUD senior living homes. Jan Bequeath, former president of the Alzheimer's Association has offered to volunteer and gather information we need regarding existing grocery/meals programs in our HUD communities. This information will allow us to better understand the gaps and potential solutions for supplementing meals. Please partner with us on this effort and give Jan the information she needs when she calls your community.


Home and Community Based Services

Hospice to Receive 1.8% Payment Update

by Aaron Tripp, LeadingAge

On August 6, 2018 the Centers for Medicare and Medicaid Services (CMS) published the fiscal year (FY) 2019 Hospice Wage Index and Payment Rate Update final rule. The hospice payment update percentage for FY 2019 is 1.8%.

Full Article



CMS Releases Latest Version of Comprehensive Home Health Data Set

by Robert Holly

As part of its ongoing mission to increase transparency and better inform health care stakeholders, the Centers for Medicare & Medicaid Services (CMS) has rolled out the fourth version of a massive data set highlighting utilization, payment and demographic information culled from thousands of home health providers. Released on August 28th, the Home Health Agency Public Use File showcases data from 10,138 home health agencies, nearly 6 million claims and $18 billion in Medicare payments. Information on submitted charges and chronic condition indicators is also included in the sprawling file, which covers calendar year 2016.

Full Article



Life Plan Community/CCRC

How to Share Campus Space for the Good of Young and Old
by Geralyn Magan, LeadingAge


"Intergenerational shared site" may not be a term most Americans understand well, but it represents a "concept whose time is now," according to a new report from Generations United (GU) and the Eisner Foundation.


Several LeadingAge members, featured in the new report, have obviously gotten that message.


All in Together: Creating Places Where Young and Old Thrive features several examples of how LeadingAge member organizations are sharing campus space with the younger generation.


For example: NewBridge on the Charles, a residential community operated by Hebrew SeniorLife in Dedham, MA, shares its 162-acre campus with a private school for students in kindergarten through 8th grade. The shared-site program includes intergenerational activities at all grade levels. About 10 older adults regularly help out in classrooms.


Read More



Nursing Care/Rehab

CMS Finalizes PDPM Rule

by Aaron Tripp, LeadingAge

A CMS fact sheet on the final rule, effective October 1, 2018, is also available
highlighting the three main provisions of the rule, those being the new case-mix
classification system, the Patient-Driven Payment Model (PDPM), and policy updates to the SNF quality reporting program (QRP) and value-based purchasing program (VBP). Of note, CMS states that the rule "moves Medicare towards a more valuebased, unified post-acute care payment system" which signals that this is likely foundational to the future concept of a unified post-acute care prospective payment system as mentioned in the IMPACT Act of 2014.

Full Article



OIG to Investigate CMS Oversight of Skilled Nursing Staffing Measures

by Alex Spanko


In the wake of controversy over nationwide skilled nursing staffing levels, the health care industry's top government watchdog has stepped in to investigate. The Department of Health and Human Services (HHS) Office of the Inspector General (OIG) announced that it will launch a probe into the way skilled nursing facilities maintain their staffing records — with a focus on the Centers for Medicare and Medicaid Services' (CMS) oversight of those requirements.

Full Article



Nursing Homes: Is Federal Regulation Tough Enough?
by Barbara Gay, LeadingAge


That question will be explored at a House Energy and Commerce Subcommittee on Oversight hearing September 6. Committee members will hear from representatives of the Centers for Medicare and Medicaid Services (CMS), the Health and Human Services Office of Inspector General, and the Government Accountability Office.


In announcing the hearing, the subcommittee chair, Rep. Gregg Harper (R-MS), said that, "This is the latest step in our ongoing investigation into the treatment of patients at nursing homes." He cited press reports of abuse and neglect occurring in nursing homes, including resident deaths at the Hollywood Hills nursing home in Florida which resulted when the public utility company failed to restore power to the nursing home after Hurricane Irma in 2017.


Full Article

General Notes of Interest

Dished: Senior Living Providers Feed a Growing Appetite for
Farm-Fresh Fare

by Tim Regan


The senior living industry is increasingly looking to local farms to help feed residents, and while the practice isn't always cheaper, many providers agree it is the wave of the future. Chicago-based senior living provider Pathway to Living launched a farm-to-table dining program in May to bring fresh produce to its residents. Similarly, Vero Beach, Floridabased Harbor Retirement Associates (HRA) in July announced a new "farm-to-fork" menu refresh to incorporate more local, seasonal fruits and veggies into its residents' diets.

Full Article



CDC Issues Flu Vaccination Guidelines for 2018-2019

by Lois A. Bowers


Last year's severe flu season affected move-ins and income at senior living communities across the country. As the industry prepares for another flu season, the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices has issued its influenza vaccination guidelines for 2018-2019. The CDC continues to recommend that everyone 6 months old and older receive an annual flu shot with any licensed, age-appropriate flu vaccine. The good news is, several types of vaccines will be available this year, and the agency does not prefer one vaccine over another.

Full Article



Job Mart

Chief Operating Officer (COO) - Canterbury Court

See full job description at:


Cook - Saint Anne's Terrace

See full job description at:


Dining Room/Catering Manager - Carlyle Place

See full job description at:


Director of Enrichment - Lenbrook

See full job description at:


Executive Director - The Jewish Tower
See full job description at:






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LeadingAge National

Coffee Chats with Congress Help Make Advocacy Real In Your Community with Coffee Chats With Congress

Our advocacy and health policy teams meet regularly with lawmakers to educate them on the policy issues that impact our provider organizations. But, as terrific as our staff is in Washington, legislators also want to hear from you, our members, because you are on the front lines watching how these issues play out day after day in your communities, and how they affect the residents and families you serve.


LeadingAge is launching "Coffee Chats With Congress" this summer and fall. This campaign is asking LeadingAge members to set up conversations with their legislators so that they can talk about the good work they're doing and the challenges that their community encounters.


Download our Coffee Chat With Congress Toolkit and join us as we educate our members of Congress on the issues facing our members and residents every day.


September is National Disaster Preparedness Month by Colleen Bloom, LeadingAge


Disasters don't plan ahead. You can. LeadingAge's Disaster Resources: Preparedness, Response and Recovery webpage includes links to help members find the most appropriate resource for them in any phase of disaster planning, response or recovery.


Full Article



Not Just Nursing Homes' Problemby Katie Smith Sloan


Lawmakers' current focus on and investigation into abuse and neglect in nursing homes, while well-intentioned, threatens to derail ongoing efforts to improve the quality of care for older adults nationwide.

Let me be clear: neither I nor any member of the association I lead, would for a minute argue against nursing home regulation or of righting wrongs in the administration and management of nursing homes. We make no apology or excuses for poor quality of care. Errors should be fixed. Improvements are imperative.

What we urge lawmakers and the public to recognize is that solutions have been put in to place to correct problems now under scrutiny. Whether at hearings, such as last week's Energy & Commerce subcommittee hearing, "Examining Federal Efforts to Ensure Quality of Care and Resident Safety in Nursing Homes," or through investigations, such as the OIG's probe into CMS' oversight of nursing home staffing standards, a consistent emphasis on failures of operation, without consideration of the context in which providers operate could very well result in poor policy decisions.

To be sure, the deaths of residents at the Hollywood Hills nursing home in Florida last year, a much-discussed topic at the Sept. 6 House committee hearing, never should have happened. It was a preventable tragedy. Shortly afterward, CMS finalized a requirement that all nursing homes have disaster preparedness plans in place. The regulations are very detailed, and state surveyors -- the employees charged with ensuring that nursing homes follow CMS dictates -- will penalize providers that do not comply with requirements.

Let's move forward. When considering how to right wrongs, in the case of natural disasters, policymakers would be wise to explore the interplay of municipalities and public leaders with nursing homes. Some of our members, nonprofit skilled nursing facilities, report that as they've implemented their plans, they've encountered difficulty in getting cooperation from the state and local agencies that are crucial partners in order to protect or transport seniors in the event of a disaster. How might elected officials encourage collaboration to help us all achieve a desired goal -- the safety of our older adults? Consider that, nearly one year after Hurricane Irma wreaked havoc in Florida, none of the more than 1,000 nursing homes and assisted living facilities in South Florida are on Florida Power & Light's highest priority list for power restoration. Nursing homes must be given the same priority in restoration of utility and other services that is given to hospitals in order to ensure residents' safety and security. Older adults deserve no less.

On nursing home staffing, a second topic of lawmaker and media interest, understaffing and inaccurate reporting are issues that must be addressed. Our members advocated for improvements to the old approach of self-reporting staffing data. We worked side by side with CMS and other stakeholders to create a better approach. With the rollout of self-reporting's replacement, PBJ, glitches and errors have occurred. We expect these issues will be resolved, and in a relatively short time, the reporting process and data output will be better than it was before. That's good news.

Finally, lawmakers investigating CMS' efficacy in nursing home oversight would be well-served to look not just at whether regulations, such as RoPs, are being imposed, but whether the state agencies charged with overseeing enforcement of CMS rules have the resources required to do their jobs. Look hard. The unevenness of surveyors findings and enforcement actions taken by state surveyors is well documented. State survey agencies are frequently short staffed, and turnover at these agencies is often rampant, which means that those responsible for surveying nursing homes may have neither the training nor the experience to know what they are seeing and whether conditions comply with federal standards and requirements. To those lawmakers interested in improving CMS' output, we urge ensuring that a state's nursing home Medicaid reimbursement levels and the funding of its survey agency is part of the annual CMS approval process for state Medicaid plans. CMS should ensure that reimbursement rates are sufficient to cover staffing and other essential costs of complying with federal quality standards and whether the state is investing sufficient resources in its survey agency. Approval of a state's Medicaid plan should be contingent on these factors.

No question: nursing home operation is complicated. It is important to recognize that nursing homes generally -- not only LeadingAge's members -- work hard to provide the highest quality of care and services to their residents. We all must recognize that achieving high quality requires a commitment of federal and state resources into the provision of care and the agencies called upon to enforce standards. Recognize that substantial progress has been achieved in the decades since the Nursing Home Reform Act was enacted. Recognize that a continual drumbeat of negativity about nursing homes and the people who work in them makes it ever harder for nursing homes to attract and retain capable and talented people. Each of us is aging. This is not someone else's problem. It is every one of ours.

Katie Smith Sloan is President and CEO of LeadingAge, the association of nonprofit providers of aging services.



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