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Residential Provider
Expansion into Home and
Community-Based Services
TaBlE of ConTEnTS
Executive Summary 2
Introduction 5
Nursing Homes
Alterszentrum Viktoria, Switzerland 13
Feros Care, Australia 19
Isabella Geriatric Care, United States 31
Tabitha Health Care, United States 42
Continuing Care Retirement Communities
BallyCara, Australia 51
First Choice, United States
Residential Provider Expansion into Home and Comm
TaBlE of ConTEnTS Executive Summary
ExECuTivE SummaRy A growing number of not-for-p
Nursing Homes Four organizations included in the
EXECUTIVE SUMMARY Well-Spring (North Carolin
inTRoduCTion The International Association of H
as they design an HCBS program. These programs ca
Isabella Geriatric Care in New York, United
INTRODUCTION overview of Providers5 The timeline
individuals and their family/support networks wil
INTRODUCTION Organizations encounter competition
provide the services you want to offer and learn
nuRSing HomES
Case Study alTERSzEnTRum vikToRia BERN, SWITzER
ALTERSzENTRUM VIkTORIA O
Timeline 1868 Alterszentrum ViktoriA
home portion of its campus to independent apartme
the canton’s standards, the canton will discontin
ALTERSzENTRUM VIkTORIA A Swiss nursing shortage
Case Study fERoS CaRE COOLANGATTA, QUEENSLAND,
FEROS CARE Physiotherapy Podiatry Denti
Timeline 1990 feros cAre
FEROS CARE Dependence on Government Programs Ini
Internet training and support Personal care
FEROS CARE Feros Care also receives some sta
Feros Care provided this snapshot of its home and
FEROS CARE through tracking of quality indicator
The bulk of Feros Care’s current revenues ste
FEROS CARE The hiring process for care coord
Feros Care has learned that it needs a substa
FEROS CARE lessons learned Feros Care offers the
Case Study iSaBElla gERiaTRiC CEnTER NEW YORk,
ISABELLA GERIATRIC CENTER Policy Context Isabell
Timeline 1875 isAbellA GeriAtric center
ISABELLA GERIATRIC CENTER Naturally Occurring Re
Management of transitions between a hospital o
ISABELLA GERIATRIC CENTER Purchasing print an
Table 1. demographic Composition of isabella’s Co
ISABELLA GERIATRIC CENTER Staff Benefits Pay rat
Staff Recruitment The human resources (HR) depart
ISABELLA GERIATRIC CENTER Res
to complete all forms that are required
Case Study TaBiTHa HEalTH CaRE LINCOLN, NEBRASk
Many private-pay clients currently make use of bo
Timeline tAbithA heAlth cAre 1890 Expande
Approximate reimbursement figures for Tabitha
TABITHA HEALTH CARE figure 3. Payer Sources for H
Finding the right mix of clients, payers and
TABITHA HEALTH CARE figure 5. full-Time and Part-
creates so much paperwork that Tabitha employs a
ConTinuing CaRE RETiREmEnT CommuniTiES 50 | Re
Case Study BallyCaRa villagE of fRiEndS SCARBOR
BALLYCARA VILLAGE OF FRIENDS organization will a
Timeline bAllycArA VillAGe of friends
BALLYCARA VILLAGE OF FRIENDS BallyCara Commu
Home Care Packages The government-subsidized Home
BALLYCARA VILLAGE OF FRIENDS Sources of Reimburs
BallyCara Community Care strives to provide a sin
BALLYCARA VILLAGE OF FRIENDS Workforce Challenge
BALLYCARA VILLAGE OF FRIENDS By providing a ran
Case Study fiRST CHoiCE Virginia Mennonite Reti
Timeline first choice 1954 Vi
FIRST CHOICE Expansion into Home
Non-medical services include: Bathing and dres
FIRST CHOICE Home health care clients: Firs
First Choice consistently assigns two to thre
FIRST CHOICE lessons learned First Choice and ex
Case Study SHEPHERd’S CaRE aT HomE EDMONTON, AL
SHEPHERD’S CARE AT HOME private-pay home care se
Timeline shepherd’s cAre At home 1970 E
SHEPHERD’S CARE AT HOME “Added Care” could poten
Mental stimulation Overnight services Pe
SHEPHERD’S CARE AT HOME complaints and concerns.
As the official launch of Shepherd’s Care at
SHEPHERD’S CARE AT HOME Aides account for th
and other issues that affect the agency’s cliente
SHEPHERD’S CARE AT HOME Perceived Benefits Despit
Case Study WEll-SPRing RETiREmEnT CommuniTy GRE
WELL-SPRING RETIREMENT COMMUNITY for an organiza
Timeline Well-sprinG retirement community
description of the Program Well-Spring Home Care
Home Care. ACE will operate the adult day center
WELL-SPRING RETIREMENT COMMUNITY Well-Spring
Executive director Assistant executive dire
WELL-SPRING RETIREMENT COMMUNITY Well-Spring
New partnerships: Providing home and community
ConTinuing CaRE aT HomE PRogRamS 86 | Resident
Case Study CadBuRy SEnioR lifESTylES CHERRY HIL
CADBURY SENIOR LIFESTYLES The Department of
Timeline 1977 cAdbury senior lifestyles
CADBURY SENIOR LIFESTYLES insurance to reduce ga
CADBURY SENIOR LIFESTYLES Table 1. membership op
CADBURY SENIOR LIFESTYLES Table 2. average fee S
Key positions within the Cadbury at Home program
CADBURY SENIOR LIFESTYLES The care coordinator i
Marketing the program: Educating older consume
ConCluSion Eight nursing homes, continuing care
Footnotes 12 1 One agency: Interview with the
98 | Residential Provider Expansion into Home and