Showing posts with label long-term care. Show all posts
Showing posts with label long-term care. Show all posts

Thursday, 25 June 2015

Princess Health and The Homeplace at Midway opens, with cottages for nursing, assisted living, memory care; first 'Green House' facility in Ky..Princessiccia

By Kacie Kelly and Al Cross
University of Kentucky School of Journalism and Telecommunications

The Homeplace at Midway was formally opened Thursday, June 25, bringing to fruition a 16-year campaign for a nursing home in the Woodford County town of 1,700. For photos from its June 28 open house, click here.

Construction this spring (Christian Care Communities photo)
The Homeplace, which has four residential buildings that look like single-family homes, is more than a nursing home. Two of the buildings are for skilled nursing, but one is for assisted living and the other is for "memory care" or personal care of patients with dementia and other cognitive impairments.

�The Homeplace at Midway represents a new beginning for older adults in Kentucky and for communities across the commonwealth to embrace them as living treasures, not a burden or a challenge,� Dr. Keith Knapp, president and chief executive officer of Christian Care Communities, which built the Homeplace and will operate it, said at the ribbon-cutting ceremony.

Assisted living cottage (Photo by Kacie Kelly)
�We are extremely grateful to the City of Midway, the Midway Nursing Home Task Force, Midway College, state and local government agencies, our capital campaign�s Leadership Council and all our friends and supporters who championed this new direction and envisioned with us a new day when older adults would receive the highest quality care and support, without feeling their lives are being disrupted or overtaken,� Knapp said. �We trust that it will inspire other senior living providers to move in a similar direction.�

The Homeplace is the first facility in Kentucky built with The Green House model, which includes home-like environments and strong relationships with caregivers, with the goal of meaningful lives for residents. Dr. William Thomas, creator of the model, told the crowd at the event, �The Homeplace, with its emphasis on home, shows how care can be made more loving, community centered and effective.�

One of the two skilled-care cottages (Photo by Kacie Kelly)
Patients have been moving in all month. The staff at The Homeplace is trained to use the �best friend approach,� Laurie Dorough, the facility's community-relations manager, said in an interview. Staff and volunteers are to treat residents as they would treat a best friend.

Knapp said at the ribbon-cutting, �Each resident will have a private bedroom and bath and share, just as people do in any home, the kitchen, living room, den and porch areas. It�s all designed to give residents the freedom to set their own daily routines and to live life to its fullest, while receiving the individual care they need � within each cottage.

The assisted-living cottage is larger than the others, to provide room for more activities and �the potential for spouses to live there,� said Laurie Dorough. �It�s kind of the first step out of independent living,� she said. The cottage has an open kitchen where residents can get involved with meal preparation or �come out and see what�s cooking.�

Skilled-care cottage bathroom lift system (Photo by Kacie Kelly)
The skilled-nursing cottages have bedrooms with medicine cupboards rather than medical carts, and a bathroom lift system (photo at right) that takes the resident straight to their own bathroom. The bedrooms are relatively small, an incentive for residents to spend more time in the communal living space.

The Homeplace campus, across Weisenberger Mill Road from Midway College, also includes an administrative cottage and the Lucy Simms Lloyd Gathering House for special gatherings, worship services and activities.

Between the cottages is the courtyard, with lighted walking paths from building to building, a gazebo, and space for outdoor activities. �Our hope is to maybe start a community garden,� said Dorough.

The long campaign for a nursing home, led by the Midway Nursing Home Task Force, began to see success in 2010 when Louisville-based Christian Care agreed to be the developer. Christian Care has facilities in 11 Kentucky cities, and a church-outreach program with more than 230 churches as partners.

The Homeplace will have a partnership with Midway College, which becomes Midway University July 1. �We are excited to work with Midway College to not only provide learning opportunities for students but also for the residents of The Homeplace,� said Tonya Cox, the facility's executive director.

The Homeplace will be offering internships and other learning opportunities for students. This partnership will also benefit residents, Cox said: �Our residents will also have the opportunity to attend events and classes to foster their lifelong learning.�

Cox said The Homeplace aims to provide �unique long-term care in a way that honors their preferences and desires to be home.� More information is on the facility's website. It will host an open house from 1 to 3 p.m. Sunday, June 28.

Monday, 19 May 2014

Princess Health and Princess Health andForum hears ideas for improving long-term care in Kentucky.Princessiccia

Princess Health and Princess Health andForum hears ideas for improving long-term care in Kentucky.Princessiccia

People gathered at the Lexington Senior Citizens Center May 16 to discuss problems with long-term care and potential ways to improve it, at an event organized by the Nursing Home Ombudsman Agency of the Bluegrass. Gov. Steve Beshear requested that such forums occur across Kentucky.

Attendees split into groups to discuss various topics regarding care of the aging in Kentucky. DG Gridley, founder of Grace Place, said that when she gets older, she would like to continue living in her own house but go to a facility during the day. Grace Place, staffed by medical professionals, is a health club for seniors. Several attendees said care in a nursing home should be based the preferences of each resident. For example, if the requirements were that each resident get a bath twice per week, and one resident wants a bath every day, he or she should be able to do that.

Some attendees encouraged others to speak up when they think elders are not being properly cared for. If something seems out of line, investigate, but people should also share positive stories, they said. Discussing such topics will help get people involved in such issues, some said.

Do you have complaints or comments about long-term care in Kentucky? Do you have suggestions to improve care for the aging population? Send your comments to nhoa@ombuddy.org. Comments will be sent to Beshear. All submissions must be sent by Aug. 31.

Forum attendees addressed these questions:

1. What does quality care mean to you? What does quality care look like, feel like? What are the key components to quality care? Who is responsible for good quality care in each of the settings?

2. If you have used a facility (assisted living, personal care, adult day and nursing homes) what did you like the most? The least? If you could make one improvement in a facility placement, what would it be?

3. What are the qualifications of a good caregiver regardless of the setting? How does staff impact care? Is staff education and training important? What topics/techniques should staff learn to address or demonstrate proficiently?

4. In a facility, is the number of staff persons on duty important, or is the quality of the staff more important? Why do you feel that way?

5. Where do you believe abuse and neglect are most prevalent? Knowing the definitions of abuse, neglect and exploitation which do you think is the biggest threat to the elderly and why? What might reduce these threats and help the elderly live safer higher quality lives?

6. Community involvement aids facilities, caregivers and providers in ensuring quality care and quality living for Kentucky's vulnerable citizens. How can members of our community be more involved in ensuring quality living and quality care for the elderly and individuals with disabilities?

Tuesday, 19 February 2013

Princess Health and Bill to shield nursing homes from lawsuits clears Senate along party lines; not looking healthy in House despite TV, radio ads.Princessiccia

Princess Health and Bill to shield nursing homes from lawsuits clears Senate along party lines; not looking healthy in House despite TV, radio ads.Princessiccia

Last week the state Senate approved on party lines a bill that would make lawsuits against nursing homes go through a review panel first. Republicans supported the bill and Democrats voted against it in a 23-12 vote that marked the clearest partisan split in the Senate in this year's legislative session.

Senate Bill 9 would create medical review panels of three physicians and an attorney moderator to hear complaints against long-term care facilities and vote on whether the suit had enough merit to go to court.  The bill's sponsor, Senate Health and Welfare Chairwoman Julie Denton, R-Louisville, declind to answer an opposign senator's questions about the bill. She said in introducing it that the panel would be advisory but its opinion would be admissible in court and would curb such lawsuits, reports Jack Brammer of the Lexington Herald-Leader.

Bills like this have failed in years past and could have diverse implications for Kentucky communities and nursing homes. At least one Kentucky newspaper looked around and found that lawsuits are one reason Extendicare Health Services Inc. shed management responsibilities last year for all 21 of its facilities in Kentucky, reports Nick Tabor of the Kentucky New Era in Hopkinsville.

Without Extendicare management in Western Kentucky, the volume of nursing-home lawsuits in the region appears to be shrinking, Tabor reports. In recent years, nearly all the Christian County cases that have been closed were dismissed through settlements, not by judges declaring them unfounded. This suggests the bill would minimally affect the county, writes Tabor. Other Kentucky communities may be affected differently; judges differ from circuit to circuit.

Although the bill passed the Senate, it appears to be on its deathbed in the House. Rep. Tom Burch, D-Louisville, who chairs the House Health and Welfare Committee, joked about its prospects to Tabor: �I can�t make any predictions about the bill this time, but I�ve called in three priests to have the last rites ready.� If nursing homes received this new layer of protection, he said, hospitals and day-care centers would want it too.

A similar bill died in Burch's committee last year; this version is being supported by television and radio commercials urging viewers and listeners to call their legislators in support. When Extendicare announced last spring it was transferring management of all its Kentucky facilities to a Texas company, it cited Kentucky�s �worsening litigation environment� and said tort reform seemed unlikely here.

Bernie Vonderheide, director of Kentuckians for Nursing Home Reform, said most so-called �frivolous� lawsuits would cease if the state imposed minimum staffing requirements on nursing homes, his group's main legislative goal. (Read more)

Friday, 1 June 2012

Princess Health and Louisville has highest concentration of nursing-home and extended-care companies in U.S..Princessiccia

Louisville has the largest concentration of nursing-home and extended-care companies in the country. Of the 570,000 people who call Louisville home, 4,000 work in the industry and produce $28 billion in revenue, reports Frank Browning for Kaiser Health News(Kaiser photo illustration)

Though the city didn't intend to become the leader in the long-term care industry, companies opted to cluster around each other, with Humana the nucleus of the movement. "As its influence grew, the health insurance giant created spinoffs and attracted like-minded businesses, including a growing number of companies dealing with long-term care," Browning writes, without noting that Humana itself began as a nursing-home company, Extendicare, then evolved into a hospital firm and an insurance company.

There are seven key players in theindustry who have headquarters in the city: Kindred Healthcare, Trilogy Health Services, Atria Senior Living Group, Elmcroft Senior Living, ResCare, and Signature Health Care. Those companies then attracted firms such as RecoverCare and PharMerica. "It's been an evolution," Christian Furman, a gerontologist at the University of Louisville medical school, told Browning.

One of the key moves was attracting Signature, which has 73 long-term care facilities in seven states, from Florida to Kentucky. A promise of up to $4 million of corporate income tax credits in 10 years helped, but "access to talent was most important. There's an incredible amount of expertise here," said CEO Joe Steier.

The clincher was "the whole alignment of public and private support, including the University of Louisville, that has made the city into a national and international center for aging care companies," Steier said. (Read more)

Thursday, 24 May 2012

Princess Health and Nursing home chain says it will lease its Kentucky facilities because legislature didn't pass bill to filter lawsuits.Princessiccia

Princess Health and Nursing home chain says it will lease its Kentucky facilities because legislature didn't pass bill to filter lawsuits.Princessiccia

A major nursing-home chain says it will lease all of its Kentucky properties to a Texas company because a bill to insulate nursing homes from lawsuits did not pass the General Assembly this year,

Extendicare Health Services owns Pembroke Nursing and Rehabilitation Center, Shady Lawn Nursing Home in Cadiz and 19 other facilities in Kentucky, reports Nick Tabor of the Kentucky New Era in Hopkinsville. The company has been riddled with problems. A 2009 study ranked three of its Kentucky facilities among the country's worst nursing homes.

"The combination of a worsening litigation environment and the lack of any likelihood of tort reform in the state of Kentucky has made this the prudent decision for our company and its unitholders," said Tim Lukenda, president and CEO of Extendicare.

In this year's legislative session, nursing homes lobbied for a law that would have created medical review panels to evaluate potential lawsuits against nursing homes, personal-care homes and some facilities for the intellectually and developmentally disabled. The goal of the panel was to help eliminate frivolous lawsuits against the long-term care industry.

The Pembroke facility has been sued 20 times in Christian Circuit Court since 2002, and seven of the suits are still pending, Tabor reports. The others were dismissed, most with confidential settlements. (Read more)

Tuesday, 15 May 2012

Princess Health and 531 deficiencies found in 80 Kentucky nursing homes in first quarter of 2012; worst one had 29; five had none.Princessiccia

Princess Health and 531 deficiencies found in 80 Kentucky nursing homes in first quarter of 2012; worst one had 29; five had none.Princessiccia

State inspectors found 531 deficiencies in 80 Kentucky nursing homes in the first quarter of this year, with one facility accounting for 29 of them alone: Life Care Center of Morehead. In five nursing homes, no deficiencies were found.

The information was released by Kentuckians for Nursing Home Reform, a nonprofit organization that advocates for nursing home residents and obtains the data regularly through open-records requests to the Cabinet for Health and Family Services and distributes it statewide. The information is posted as part of Medicare's nursing-home comparison data.

According to the Centers for Medicare and Medicaid Services, the average number of deficiencies for a nursing home inspected in the U.S. is eight and the average in Kentucky is seven. Inspections assess a facility on the care of residents and how that care is administered; on how staff and residents interact; and on its environment. Certified nursing homes must meet more than 180 regulatory standards. The state Office of Inspector General website has more data, such as the results of inspections and the ownership of each facility.

Nursing homes with 10 or more deficiencies in the first quarter were:
Life Care Center of Morehead (29 deficiencies)
Kindred Transitional Care & Rehab-Fountain Circle in Winchester (24)
Signature Health of Pikeville (19)
Hearthstone Place in Elkton (15)
Martin County Health Care Facility in Inez (14)
Wesley Manor Nursing Center in Louisville (13)
Pembroke Nursing & Rehabilitation Center in Pembroke (13)
Highlands Nursing & Rehabilitation Center in Louisville (11)
Mountain Manor of Paintsville (11)
Cumberland Valley Manor in Burkesville (10)
Klondike Care and Rehabilitation Center in Louisville (10)

The five nursing homes with no deficiencies were:
Clark Regional Medical Center in Winchester
Nazareth Home in Louisville
Essex Nursing and Rehabilitation Center in Louisville
Barren County Health Care Center in Glasgow
Cardinal Hill Rehabilitation Center in Lexington (initial inspection; under new ownership)

For more information about Kentuckians for Nursing Home Reform, click here.


Sunday, 1 April 2012

Princess Health and Effort to boost oral health in nursing homes gets tangled up with industry's attempt to insulate itself from lawsuits; both bills die.Princessiccia

Princess Health and Effort to boost oral health in nursing homes gets tangled up with industry's attempt to insulate itself from lawsuits; both bills die.Princessiccia

A bill to get nursing-home residents better dental services "appears to be dead after the Senate added language from another bill designed to shield the nursing-home industry from litigation," Deborah Yetter reports for The Courier-Journal.

House Bill 510 would have created a pilot project for the state's two dental schools to create "a program to provide better oral-health services to nursing home residents," Yetter writes. "But on Wednesday, the Senate Health and Welfare Committee added language from another bill that had stalled in the House that would require people who want to file malpractice lawsuits against nursing homes to first submit the complaint to a 'medical review panel'." (Read more

Wednesday, 7 March 2012

Princess Health and Bill passed that would require fingerprint background checks at nursing homes.Princessiccia

Princess Health and Bill passed that would require fingerprint background checks at nursing homes.Princessiccia

The state House has approved a bill requiring long-term care facilities to run background checks using fingerprinting technology, a move that would be mostly funded by a $3 million federal grant. The state will kick in $1 million.

The House approved the measure 62-36, though many lawmakers are worried about who is going to pay for the effort when the grant runs out in three years. Background checks cost between $60 and $80.

Now, long-term care facilities must "do a name-based background check," reports Beth Musgrave for the Lexington Herald-Leader. "However, those background checks only look at state records. A fingerprint check can search nationally for criminal records."

Rep. Carl Rollins, D-Midway, said he was unsure if House Bill 250 will pass in the Republican-controlled Senate. (Read more)