Seniors Housing Business

AUG-SEP 2018

Seniors Housing Business is the magazine that helps you navigate the evolution of the seniors housing industry.

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www.seniorshousingbusiness.com 31 August-September 2018 n Seniors Housing Business IGNITING SUCCESS & EXPANDING POSSIBILITIES Cappella Living Solutions provides management and consulting resources for both for-profit and not-for-profit senior living communities. CappellaLiving.com 2018: $1,245,877 OPERATING MARGIN IMPROVEMENT 2016: ($114,523) • Assumed operation in 2016 • Greatly improved revenue in a challenging rural market Call us today! Learn how we can help! 720.684.4600 HELPING YOU IGNITE SUCCESS A Cappella Community Snapshot living and what it offers. Even if it's their first encounter with the product, they likely have friends and relatives who have told them about their experiences with assisted living. Seniors and their adult children have become savvy shoppers, too. They ask a lot of questions. Adult children expect the assisted living facility to provide the needed care, as well as engag- ing programs and activities. They want to know what their par- ent will be doing during the day. "Adult children want their par- ents to have a full life," says Maria Oliva, COO at Pathway to Living. The Chicago-based company operates 25 properties and has three more under development. Pathway owns 21 of the build- ings; the others are owned in joint- venture partnerships. Also, consumers are looking for a place that can provide care options as the senior's health or capabilities decline further. "The family does not want to move their loved one again," says Oliva. The industry has responded by building more properties with some type of continuum of care, adding memory care units and access to more healthcare services. 2 On-site healthcare a must A common quip heard at indus- try meetings is that today's assisted living is more like the skilled nurs- ing of the past. In other words, more and more healthcare is pro- vided in assisted living settings. "Assisted living communities must have a robust healthcare infrastructure," says Oliva. A growing number of assisted living buildings have licensed nurses available 24/7. Doctors and other healthcare providers make regular visits to the build- ings. Providers track health out- comes to keep residents out of the hospital. Assisted living providers are switching to electronic health records and integrating their records with healthcare providers. Older and frailer seniors ben- efit from on-site healthcare. It can be difficult to get to a doctor's appointment at an outside office. A relative may not be available to help. On-site services are also a way for providers to keep resi- dents healthy and extend their length of stay. Bird of LCS explains that assisted living operators are seek- ing ways to keep residents healthy and in place to prevent them from moving to another facility, such as a nursing home that provides more healthcare. "Everyone is looking to close the back door," says Bird. A year ago, LCS introduced a "healthcare navigator" program. Each community has a dedicated navigator who coordinates health- care services for the resident both within the community and with outside providers. This includes any transitions the resident may make from one care setting to another. For example, a resident may have been hospitalized followed by a stay at a rehab facility. The healthcare navigator works with the case manager or social workers at the hospital and rehab facility to make sure the transitions back and forth are smooth, and that the resident gets the services he or she needs. The healthcare navigator can also help sort out details like long- term-care insurance claims. The navigator is that middle person who steps in to guide the process, says Bird. "It gives the customers a little relief so they don't have to worry about the details." The navigator's services are included in the monthly fee — residents don't pay extra for the service. "It gives us a competitive edge and meets the needs of our customers," says Bird. Does the navigator program increase the resident's length of stay? It's too soon to tell, says Bird. The program is only a year old and the data is not yet available to determine whether residents are staying longer. But anecdotally, executive directors believe the program has helped to increase the length of stay, says Bird. Also, the resi- dent and family have someone to help the senior through a health episode. Capital Senior Living provides a good example of how healthcare has become a focus at assisted liv- ing properties. The company has filled a num- ber of leadership positions with talent from hospitals and post acute care providers. The com- pany has also expanded its quality By Ben Burke President CA Senior Living I absolutely still think it is a social model. The product we offer is socialization — being around other folks, sharing experiences, learning together and helping each other out. It's one of the healthiest things you can do. It will always be the number one aspect of our product. By Maria Oliva COO Pathway to Living The industry is recog- nizing that assisted liv- ing is a social model and a medical model. I don't think it's one or the other. It's both. Residents have the need to be social and live well and age well, with good healthcare and coordinated care. By Chris Bird Executive Vice President LCS We are a social model based on healthcare needs. People are not moving into assisted living for social interac- tion. That is a benefit of the move, but something has happened healthwise that no longer makes it ideal to live at home. Resi- dents need healthcare, but they also want great dining and great programs. By Larry Cohen CEO Capital Senior Living We have a Ritz- Carlton type focus with good food, good service and nice amenities. We are a people busi- ness, and we have to have a social presence. But most people are moving in because of a need. We have to have that care component. We play an important role in the healthcare continuum. Is assisted living a medical or social housing model? A long-standing debate in the senior living industry is whether assisted living is a social or medical housing model. Here's a roundup of opinions:

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