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<br /> Residential Provider<br /> Expansion into Home and<br /> Community-Based Services<br /> <br /> TaBlE of ConTEnTS<br /> Executive Summary 2<br /> Introduction 5<br /> Nursing Homes<br /> Alterszentrum Viktoria, Switzerland 13<br /> Feros Care, Australia 19<br /> Isabella Geriatric Care, United States 31<br /> Tabitha Health Care, United States 42<br /> Continuing Care Retirement Communities<br /> BallyCara, Australia 51<br /> First Choice, United States <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 1" href="http://viewer.zmags.com/publication/4b2881ac?page=1"> Residential Provider Expansion into Home and Comm</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 2" href="http://viewer.zmags.com/publication/4b2881ac?page=2"> </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 3" href="http://viewer.zmags.com/publication/4b2881ac?page=3"> TaBlE of ConTEnTS Executive Summary </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 4" href="http://viewer.zmags.com/publication/4b2881ac?page=4"> ExECuTivE SummaRy A growing number of not-for-p</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 5" href="http://viewer.zmags.com/publication/4b2881ac?page=5"> Nursing Homes Four organizations included in the </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 6" href="http://viewer.zmags.com/publication/4b2881ac?page=6"> EXECUTIVE SUMMARY Well-Spring (North Carolin</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 7" href="http://viewer.zmags.com/publication/4b2881ac?page=7"> inTRoduCTion The International Association of H</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 8" href="http://viewer.zmags.com/publication/4b2881ac?page=8"> as they design an HCBS program. These programs ca</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 9" href="http://viewer.zmags.com/publication/4b2881ac?page=9"> Isabella Geriatric Care in New York, United </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 10" href="http://viewer.zmags.com/publication/4b2881ac?page=10"> INTRODUCTION overview of Providers5 The timeline</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 11" href="http://viewer.zmags.com/publication/4b2881ac?page=11"> individuals and their family/support networks wil</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 12" href="http://viewer.zmags.com/publication/4b2881ac?page=12"> INTRODUCTION Organizations encounter competition</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 13" href="http://viewer.zmags.com/publication/4b2881ac?page=13"> provide the services you want to offer and learn </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 14" href="http://viewer.zmags.com/publication/4b2881ac?page=14"> nuRSing HomES</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 15" href="http://viewer.zmags.com/publication/4b2881ac?page=15"> Case Study alTERSzEnTRum vikToRia BERN, SWITzER</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 16" href="http://viewer.zmags.com/publication/4b2881ac?page=16"> ALTERSzENTRUM VIkTORIA O</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 17" href="http://viewer.zmags.com/publication/4b2881ac?page=17"> Timeline 1868 Alterszentrum ViktoriA </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 18" href="http://viewer.zmags.com/publication/4b2881ac?page=18"> home portion of its campus to independent apartme</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 19" href="http://viewer.zmags.com/publication/4b2881ac?page=19"> the canton’s standards, the canton will discontin</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 20" href="http://viewer.zmags.com/publication/4b2881ac?page=20"> ALTERSzENTRUM VIkTORIA A Swiss nursing shortage</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 21" href="http://viewer.zmags.com/publication/4b2881ac?page=21"> Case Study fERoS CaRE COOLANGATTA, QUEENSLAND, </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 22" href="http://viewer.zmags.com/publication/4b2881ac?page=22"> FEROS CARE  Physiotherapy  Podiatry  Denti</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 23" href="http://viewer.zmags.com/publication/4b2881ac?page=23"> Timeline 1990 feros cAre </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 24" href="http://viewer.zmags.com/publication/4b2881ac?page=24"> FEROS CARE Dependence on Government Programs Ini</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 25" href="http://viewer.zmags.com/publication/4b2881ac?page=25">  Internet training and support  Personal care</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 26" href="http://viewer.zmags.com/publication/4b2881ac?page=26"> FEROS CARE Feros Care also receives some sta</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 27" href="http://viewer.zmags.com/publication/4b2881ac?page=27"> Feros Care provided this snapshot of its home and</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 28" href="http://viewer.zmags.com/publication/4b2881ac?page=28"> FEROS CARE through tracking of quality indicator</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 29" href="http://viewer.zmags.com/publication/4b2881ac?page=29"> The bulk of Feros Care’s current revenues ste</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 30" href="http://viewer.zmags.com/publication/4b2881ac?page=30"> FEROS CARE The hiring process for care coord</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 31" href="http://viewer.zmags.com/publication/4b2881ac?page=31"> Feros Care has learned that it needs a substa</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 32" href="http://viewer.zmags.com/publication/4b2881ac?page=32"> FEROS CARE lessons learned Feros Care offers the</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 33" href="http://viewer.zmags.com/publication/4b2881ac?page=33"> Case Study iSaBElla gERiaTRiC CEnTER NEW YORk, </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 34" href="http://viewer.zmags.com/publication/4b2881ac?page=34"> ISABELLA GERIATRIC CENTER Policy Context Isabell</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 35" href="http://viewer.zmags.com/publication/4b2881ac?page=35"> Timeline 1875 isAbellA GeriAtric center </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 36" href="http://viewer.zmags.com/publication/4b2881ac?page=36"> ISABELLA GERIATRIC CENTER Naturally Occurring Re</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 37" href="http://viewer.zmags.com/publication/4b2881ac?page=37">  Management of transitions between a hospital o</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 38" href="http://viewer.zmags.com/publication/4b2881ac?page=38"> ISABELLA GERIATRIC CENTER  Purchasing print an</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 39" href="http://viewer.zmags.com/publication/4b2881ac?page=39"> Table 1. demographic Composition of isabella’s Co</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 40" href="http://viewer.zmags.com/publication/4b2881ac?page=40"> ISABELLA GERIATRIC CENTER Staff Benefits Pay rat</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 41" href="http://viewer.zmags.com/publication/4b2881ac?page=41"> Staff Recruitment The human resources (HR) depart</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 42" href="http://viewer.zmags.com/publication/4b2881ac?page=42"> ISABELLA GERIATRIC CENTER  Res</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 43" href="http://viewer.zmags.com/publication/4b2881ac?page=43"> to complete all forms that are required </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 44" href="http://viewer.zmags.com/publication/4b2881ac?page=44"> Case Study TaBiTHa HEalTH CaRE LINCOLN, NEBRASk</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 45" href="http://viewer.zmags.com/publication/4b2881ac?page=45"> Many private-pay clients currently make use of bo</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 46" href="http://viewer.zmags.com/publication/4b2881ac?page=46"> Timeline tAbithA heAlth cAre 1890 Expande</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 47" href="http://viewer.zmags.com/publication/4b2881ac?page=47"> Approximate reimbursement figures for Tabitha</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 48" href="http://viewer.zmags.com/publication/4b2881ac?page=48"> TABITHA HEALTH CARE figure 3. Payer Sources for H</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 49" href="http://viewer.zmags.com/publication/4b2881ac?page=49"> Finding the right mix of clients, payers and </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 50" href="http://viewer.zmags.com/publication/4b2881ac?page=50"> TABITHA HEALTH CARE figure 5. full-Time and Part-</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 51" href="http://viewer.zmags.com/publication/4b2881ac?page=51"> creates so much paperwork that Tabitha employs a </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 52" href="http://viewer.zmags.com/publication/4b2881ac?page=52"> ConTinuing CaRE RETiREmEnT CommuniTiES 50 | Re</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 53" href="http://viewer.zmags.com/publication/4b2881ac?page=53"> Case Study BallyCaRa villagE of fRiEndS SCARBOR</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 54" href="http://viewer.zmags.com/publication/4b2881ac?page=54"> BALLYCARA VILLAGE OF FRIENDS organization will a</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 55" href="http://viewer.zmags.com/publication/4b2881ac?page=55"> Timeline bAllycArA VillAGe of friends </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 56" href="http://viewer.zmags.com/publication/4b2881ac?page=56"> BALLYCARA VILLAGE OF FRIENDS BallyCara Commu</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 57" href="http://viewer.zmags.com/publication/4b2881ac?page=57"> Home Care Packages The government-subsidized Home</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 58" href="http://viewer.zmags.com/publication/4b2881ac?page=58"> BALLYCARA VILLAGE OF FRIENDS Sources of Reimburs</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 59" href="http://viewer.zmags.com/publication/4b2881ac?page=59"> BallyCara Community Care strives to provide a sin</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 60" href="http://viewer.zmags.com/publication/4b2881ac?page=60"> BALLYCARA VILLAGE OF FRIENDS Workforce Challenge</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 61" href="http://viewer.zmags.com/publication/4b2881ac?page=61"> BALLYCARA VILLAGE OF FRIENDS By providing a ran</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 62" href="http://viewer.zmags.com/publication/4b2881ac?page=62"> Case Study fiRST CHoiCE Virginia Mennonite Reti</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 63" href="http://viewer.zmags.com/publication/4b2881ac?page=63"> Timeline first choice 1954 Vi</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 64" href="http://viewer.zmags.com/publication/4b2881ac?page=64"> FIRST CHOICE Expansion into Home</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 65" href="http://viewer.zmags.com/publication/4b2881ac?page=65"> Non-medical services include:  Bathing and dres</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 66" href="http://viewer.zmags.com/publication/4b2881ac?page=66"> FIRST CHOICE Home health care clients: Firs</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 67" href="http://viewer.zmags.com/publication/4b2881ac?page=67"> First Choice consistently assigns two to thre</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 68" href="http://viewer.zmags.com/publication/4b2881ac?page=68"> FIRST CHOICE lessons learned First Choice and ex</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 69" href="http://viewer.zmags.com/publication/4b2881ac?page=69"> Case Study SHEPHERd’S CaRE aT HomE EDMONTON, AL</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 70" href="http://viewer.zmags.com/publication/4b2881ac?page=70"> SHEPHERD’S CARE AT HOME private-pay home care se</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 71" href="http://viewer.zmags.com/publication/4b2881ac?page=71"> Timeline shepherd’s cAre At home 1970 E</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 72" href="http://viewer.zmags.com/publication/4b2881ac?page=72"> SHEPHERD’S CARE AT HOME “Added Care” could poten</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 73" href="http://viewer.zmags.com/publication/4b2881ac?page=73">  Mental stimulation  Overnight services  Pe</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 74" href="http://viewer.zmags.com/publication/4b2881ac?page=74"> SHEPHERD’S CARE AT HOME complaints and concerns.</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 75" href="http://viewer.zmags.com/publication/4b2881ac?page=75"> As the official launch of Shepherd’s Care at </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 76" href="http://viewer.zmags.com/publication/4b2881ac?page=76"> SHEPHERD’S CARE AT HOME Aides account for th</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 77" href="http://viewer.zmags.com/publication/4b2881ac?page=77"> and other issues that affect the agency’s cliente</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 78" href="http://viewer.zmags.com/publication/4b2881ac?page=78"> SHEPHERD’S CARE AT HOME Perceived Benefits Despit</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 79" href="http://viewer.zmags.com/publication/4b2881ac?page=79"> Case Study WEll-SPRing RETiREmEnT CommuniTy GRE</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 80" href="http://viewer.zmags.com/publication/4b2881ac?page=80"> WELL-SPRING RETIREMENT COMMUNITY for an organiza</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 81" href="http://viewer.zmags.com/publication/4b2881ac?page=81"> Timeline Well-sprinG retirement community </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 82" href="http://viewer.zmags.com/publication/4b2881ac?page=82"> description of the Program Well-Spring Home Care </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 83" href="http://viewer.zmags.com/publication/4b2881ac?page=83"> Home Care. ACE will operate the adult day center </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 84" href="http://viewer.zmags.com/publication/4b2881ac?page=84"> WELL-SPRING RETIREMENT COMMUNITY Well-Spring</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 85" href="http://viewer.zmags.com/publication/4b2881ac?page=85">  Executive director  Assistant executive dire</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 86" href="http://viewer.zmags.com/publication/4b2881ac?page=86"> WELL-SPRING RETIREMENT COMMUNITY Well-Spring</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 87" href="http://viewer.zmags.com/publication/4b2881ac?page=87">  New partnerships: Providing home and community</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 88" href="http://viewer.zmags.com/publication/4b2881ac?page=88"> ConTinuing CaRE aT HomE PRogRamS 86 | Resident</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 89" href="http://viewer.zmags.com/publication/4b2881ac?page=89"> Case Study CadBuRy SEnioR lifESTylES CHERRY HIL</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 90" href="http://viewer.zmags.com/publication/4b2881ac?page=90"> CADBURY SENIOR LIFESTYLES The Department of </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 91" href="http://viewer.zmags.com/publication/4b2881ac?page=91"> Timeline 1977 cAdbury senior lifestyles </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 92" href="http://viewer.zmags.com/publication/4b2881ac?page=92"> CADBURY SENIOR LIFESTYLES insurance to reduce ga</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 93" href="http://viewer.zmags.com/publication/4b2881ac?page=93"> CADBURY SENIOR LIFESTYLES Table 1. membership op</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 94" href="http://viewer.zmags.com/publication/4b2881ac?page=94"> CADBURY SENIOR LIFESTYLES Table 2. average fee S</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 95" href="http://viewer.zmags.com/publication/4b2881ac?page=95"> Key positions within the Cadbury at Home program </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 96" href="http://viewer.zmags.com/publication/4b2881ac?page=96"> CADBURY SENIOR LIFESTYLES The care coordinator i</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 97" href="http://viewer.zmags.com/publication/4b2881ac?page=97">  Marketing the program: Educating older consume</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 98" href="http://viewer.zmags.com/publication/4b2881ac?page=98"> ConCluSion Eight nursing homes, continuing care</a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 99" href="http://viewer.zmags.com/publication/4b2881ac?page=99"> Footnotes 12 1 One agency: Interview with the </a> <a title="Residential Provider Expansion into Home and Community-based Services by Sodexo, IAHSA, LeadingAge page 100" href="http://viewer.zmags.com/publication/4b2881ac?page=100"> 98 | Residential Provider Expansion into Home and</a>