BEACON - Transitions in Aging (August 2014)

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www.BeaconSeniorNews.com Produced by the BEACON’s Advertising Team © copyright 2014 Nursing Home Hospice Bereavement Assisted Living Senior Living Home Care Medical Services Medical Equipment Aging in Place Medicare Financial Planning 2014 Your Local Guide to Aging Well

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Transcript of BEACON - Transitions in Aging (August 2014)

Page 1: BEACON - Transitions in Aging (August 2014)

www.BeaconSeniorNews.comProduced by the BEACON’s Advertising Team © copyright 2014

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Your Local Guide to Aging Well

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Proper long-term care planning offers peace of mindBy Billie Castle

Statistics show that less than a third of Americans over 50 have

made plans for possible long-term

care needs. We must face the fact that at a certain age, and it is different for everyone, we will likely need assistance with daily activities. This help can be in our home or in an assisted living or a skilled care facility. A good estate plan includes wills, ad-

vance directives and trusts that direct the use and distribution of assets. A complete estate plan includes long-term care instructions as well.

As we age, many of us find ourselves caring for our own aging parents. They realize they need to have long-term care plans in place—and sometimes they realize it a little late. Through them, we learn it would be in

Financial Planning

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Trust in the services of a knowledgeableand experienced professional who’searned designation as a Certified ElderLaw Attorney. Take comfort in a caringadvocate with a personal interest in thewell-being of each and every client.

our best interest to put together our own long-term care instructions. Long-term care planning involves thinking about how we will pay for the care we need. This includes using savings, annui-ties, insurance, reverse mortgages and Medicaid.

There is legislation in place that governs our ability to provide care for fam-ily members and ourselves. We have rights, we have responsibilities and we have choices. Attempting to navigate the law by oneself can be mind-bog-gling. Working with a qualified attorney who knows the nuances of elder law is money well spent. A proper estate plan offers peace of mind and makes sure our loved ones are cared for properly when the time comes. A long-term care plan is added comfort to our family members who will help us when tough decisions become necessary. Estate planning is not a static exercise, and plans should be reviewed from time to time, always with the consideration of “what if” scenarios that we may experi-ence down the road. ■

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Worried about loss?Start with the “age 100” rule. When entering retirement, you are moving from the accumulation phase of life to the preservation phase. This requires that you begin allocating more money to safe, income-producing assets, such as property, and taking some of the risk off the table.

Try using this simple calculation: Subtract your age from 100, and use the answer as the absolute maximum percentage of your assets that should be in risky invest-ments. Your age then indicates the per-centage that should be allocated in safe investments. This is only a guideline; if income is needed from your investments, you will need a more in-depth investment risk assessment.

“For most people, financial planning does not come naturally, but neither does performing surgery on yourself. Do your research or seek trusted counsel,” said Andrew McNair of SWAN Capital. “This is the first step to attaining your dream while in retirement.”

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5 things you might not know about MedicareBy Lew Barr, Grand Valley Senior Benefits

Like any massive bureaucratic enterprise, Medicare can be very

confusing.

The “Medicare and You” booklet that the government sends out to people turning 65, and every year thereafter, will give you hundreds of pages of explanations about Medicare expla-nations concerning what Medicare covers, prescription drug coverage, enrollment information, what Medi-care will pay, and so on. It is easy to see why many seniors might not know what they don’t know.

I spent over 30 years in my previous career, and while I never claimed to know everything, I had enough expe-rience and knowledge to know what I didn’t know. Due to circumstances beyond my control, I had to make a career change. After giving it seri-ous thought, I decided on a career in health insurance.

As a licensed insurance agent spe-cializing in supplemental Medicare products for seniors, I work hard to ensure that the information I provide my clients is accurate and complete. Before you can sell any type of Medi-care health insurance you must past a series of tests and certifications. Additionally, if you want to represent major carriers like United Healthcare and Humana, you must pass their own series of tests and certifications specifically designed around their particular products and services. All of these certifications require an annual recertification, as rules, regulations and product offerings can change.

Below are a few things that seniors might not know when it comes to Medicare.

1. There are no annual out-of-pocket limits under Original Medicare, which is why add-ing a Medicare Supplement

or Medicare Advantage Plan to Original Medicare can help offset some of the medical costs associ-ated with aging.

2. Though Medicare is run by the federal government, supplemental product offerings and premiums vary by state and county. A Medi-care Advantage Plan available in Mesa County may not be available in Delta or Montrose counties.

3. The premium you pay is the same whether you buy a Medicare prod-uct online or through a licensed agent. This is why it’s important to contact a knowledgeable agent who can provide you with the information you need to help you determine which plan is right for you.

4. In most situations, Medicare will not pay for custodial care, which is non-skilled personal care that helps with daily living activities, such as bathing, dressing, eating, etc.

5. A low monthly premium for a Prescription Drug Plan is no guar-antee of low annual drug cost. The right drug plan for your personal situation is not determined by the monthly premium of the drug plan, but by the drug formulary. The formulary is the list and costs of prescription drugs covered under that specific plan.

The official Medicare website, www.medicare.gov, contains a wealth of information and can be a valuable re-source for seniors. If you don’t have a computer, then call 1-800-633-4227.

Lew Barr is a licensed independent insurance agent and can be contact-ed by calling 773-0220 or by email at [email protected]. ■

Medicare Are You ConfusedBy Your MedicareOptions?

My name is Lew Barr and I am a licensed insurance agentwho specializes in Medicare Products for seniors.

As an Independent Agent I represent many ofthe top plans in the Grand Valley, and I willdo the following:

• Educate and inform you of your Medicare options.

• Show you how to find a drug plan that fitsyour current situation.

• Provide you with the information you need, soyou may determine which plan is right for you.

Lew [email protected]

Medicare has an Annual Enrollment Period each year. It is from Octo-ber 15 through December 7. This period of time is also called Medicare Open Enrollment.

During Open Enrollment, people who have Medicare can check their Part D prescription drug plan and change to another Part D plan if they find one that suits them better.

In addition, Medicare beneficiaries may also be able to change their health plan coverage during Open Enrollment. Some limitations apply, depending on individual situations.Brought to you by the Senior Health Insurance Assistance Program (SHIP)

Medicare Moment

Sponsored by the Association of US West Retirees (AUSWR) and Mesa County RSVP

QUESTIONS? Call SHIP! 243-9839

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Age gracefully at home?By Shelley Clennin, Paragon Restoration & Building, Inc.

According to a recent study, 90 percent of people would like to live

out their lives at home. However, that same study shows that only 5 percent of them have taken steps to make that a reality. If you’re not making plans to age at home, then you are making plans to age somewhere else. That’s where Paragon Restoration & Building, Inc. comes in. We can meet with you or your loved one, and make a plan for you to live in your home as long as possible. We are your local aging-in-place experts.

Do you know what stage of mobility decline is present in you or your loved one’s life? Here is a handy guide.

Stage 1: When fully ambulatory, being proactive is important so as to take care of some of the preventable hazards, which can potentially cause injury. We offer free in-home assess-ments, which will help educate you on adaptations and equipment available for your safety and independence.

Stage 2: At the time when evident weakness and lack of endurance starts to show up, it is a good idea to consider making small changes that will create a safer living environ-ment. Such as refraining from the use of throw rugs, installing lever-style faucets or lever-style doorknobs.

Stage 3: If performing tasks, such as grooming or meal preparation, become tiresome, it may be beneficial to consider aids such as grab bars, a raised toilet or hand-held shower head. At Paragon, we can supply these items and offer installation at competitive pricing.

Stage 4: According to the Center for

Disease Control and Prevention, accidental falls are at an all-time high, causing injury or fatalities to an estimated 433,000 older individuals annually. Preventive measures are critical. We take pride in our level of education on and assistance with the removal

of things that can cause falls.

Stage 5: Typically after a fall victim is released from a hospital, therapy and rehabilitation are required. Regain-ing mobility is better achieved when confidence and peace of mind are present. We will walk you through the steps to take to help maintain your independent living goals.

Stage 6: Occasionally the need will arise for a short-term stay at a rehabilitation center before transition-ing back into the home. During that period of recovery, Paragon Restora-tion & Building, Inc. will adapt your home for your mobility devices as well as help envision any future home accessibility needs.

Stage 7: If assistance with light duties is what you are looking for, it may be beneficial to secure a non-medical care provider. We partner with several local professionals that we can recommend for you. We will work together so we can determine your home accessibility needs.

Stage 8: At this stage it is typical that a full-time home health care profes-sional be involved. A caregiver usually provides assistance with duties such as bathing, medication, etc.. We will work with the caregiver to not only ensure your safety, but the care-giver’s as well. Modifications such as transfer systems, ramps, barrier-free showers and bathing stations are all within our scope of expertise.

Stage 9: Should the patient need hospice care, we are available to provide helpful solutions for perform-ing duties such as bathing in bed or enabling the patient to move freely throughout the home using a ceiling-mounted lift system.

If remaining independent and safe in your home is what you are looking for, our vision for you is the same. ■

aging in Place Universal Design Bathing Stations Barrier Free Showers Grab Bars & Installation Ramps (Constructed or Pre-Built) Interior / Exterior Platform Lifts Electric Door Openers Portable Threshold Ramps Custom Bathroom & Kitchen Design Ceiling Mounted Patient Transfer Systems Transfer Systems

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Help to stay in your homeBy Cloie Sandlin

Are you worried about living safely and independently at home? Do

you need to make modifications to your home, but can’t afford it? There may be help.

Housing Resources of Western Colo-rado’s Housing Rehabilitation program provides low- and moderate-income homeowners the means to repair and upgrade their homes through a low- to no-interest loan program. Im-provements and repairs can be made to plumbing, electrical, windows, roofing, handicap accessible modifi-cations, foundation and siding.

“The program usually has a waiting list,” Program Coordinator Jani Hunter said. “But we’re having a hard time finding eligible people because we have to secure the deed of trust. To do that, they must have equity in their home.”

Annette Benoit is a senior who en-listed the program’s help three years ago.

“It was hard for me to get around at home,” Benoit said. “I was concerned about safety, and like many seniors, I wanted to stay in my home longer.”

Once approved for the program, Hunter came to inspect Benoit’s home for needed repairs and brought

together a pool of contractors for her to choose from.

Hunter oversaw the entire process. Doorways were widened and loose transition boards were replaced. They installed a sliding screen door leading to the patio, and a handicap acces-sible shower and grab bars in the bathroom. The patio in the backyard was made of rickety wooden boards, which were replaced with concrete.

“When you get to be my age, it’s hard to tell who’s trustworthy,” Benoit said. “It’s nice to have someone see the whole process through.”

The loans taken out to pay for the project are secured by a promissory note and deed of trust. Loan interest rates range from 0-3 percent.

“They give you a reasonable price to pay each month,” Benoit said. “They really work with your budget.”

Payments are based on what the clients can pay, not the amount of money they borrow. Payments, inter-est rates and terms can be rene-gotiated if the income of the client changes. All loans must be paid in full when the property is sold, given away or inherited.

“It’s an excellent program for se-niors,” Benoit said. “There’s some-thing special about staying at home.”

To see if you qualify for the Housing Rehabilitation program, call Hunter at 773-9739. ■

970 683-1848www.housingresourceswc.org

Contact Jani Hunter for program details

773-9739524 30 Road, #3

GRand Junction, co 81504

As you age your needs change. Now we can help your house

change with you

Replace youR old Roof

install new windows

add handicap accessibility

Our Housing Rehabilitation program provides low and moderate income homeowners the means to repair and upgrade their homes through a low to no-interest loan program. Housing Resources makes the loans, secured by a promissory note and deed of trust. Our specialists will:

• Secure bids for your project.• Help you choose a qualified contractor.• Help with all inspections, and provide assistance with the paperwork.

Eligible home improvement activities include, but are not limited to:

• Remove old shingles and install new roofing materials.• Replace old leaky windows with high efficiency dual pane windows.• Handicap accessible modifications.

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Fashionable even while rolling aroundBy Tait Trussell

By far, the elderly population makes up the highest number of people

using wheelchairs, as 2.9 percent of those aged 65 or older use wheelchairs. That’s about 900,000 people.

In Toronto, Canadian de-signer Izzy Camilleri has a new exhibit offering a unique platform for showcasing her innovative clothing fashions for people using wheel-chairs—mostly seniors.

An estimated 1.6 million Americans residing outside of institutions use wheelchairs, according to data from the National Health Interview Survey on Disability (NHIS-D). Most (1.5 million) use manually moved chairs while some 155,000 people use electric wheelchairs. The proportion of the population using wheelchairs increases sharply with age.

“Fashion Follows Form: Designs for Sitting” opened recently at the Royal Ontario Museum in Toronto. Camil-leri’s creations were a focal point in the exhibit, featuring items from her

adaptive clothing line for both men and women.

She was quoted in the Los Angeles Times saying, “It’s really great to be able to share my story and my history, and put (out) the work I’m doing now, which is very important for

people to know about who need it.”

Journalist Barbara Turnbull is an honorary co-chair of the exhibit and has a special connection to Camilleri, as she is the designer’s first seated client. Initially, learning to create clothing for seated clients presented a fresh set of challenges and consid-erations for Camilleri.

“When you’re paralyzed, for example, the risk of pres-sure sores is huge,” Camil-leri said. “And sometimes you can get pressure sores from your clothes. I needed to learn how the clothes needed to be cut, and even about seams and bulk. You could actually hurt someone

if you don’t do it properly.”

To help illustrate how the items are customized for individuals in wheel-chairs, a selection of her works were displayed in both seated and standing positions. A classic trench coat was drafted in an L-shape following the line of the body while seated and a formal suit featured added length to the back and less in the front body area to accommodate the wearer.

Detailed descriptions accompanied each item showcased, highlighting the careful work done to make them

Medical equiPMent & Medical ServiceS

With a strong local focus, we aim to be the most

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Izzy Cailleri

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easier to wear and take off.

“Sometimes, it can be transforming for people because they›ve never been able to dress properly or they buy things that are too big because it’s easier to get on,” she said. “But then they look all disheveled. It’s allowed people to also be who they are. It gives them identity

and it gives them dignity.”

These clothing creations will undoubt-edly be welcome news to the many seniors who have to spend so much of their lives in wheelchairs.

There are dozens of wheelchair fashion websites. Camilleri’s website is www.izadaptive.com. ■

Classic Trench Coat

Separating Biker Jacket

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Communication is key in long-distance caregivingBy Paula McCormick, Elder Quest

Long-distance caregiving is a grow-ing task for an estimated 14 million

Americans. This relationship presents many challenges, but many can be eliminated or minimized with some tasks completed by yourself or with the help of various professionals.

For most people, the primary challenge of long-distance caregiving is com-munication. Some-times, information expressed over the phone is not always accurate. Over time, the need for spe-cific information on the health and well being of seniors usu-ally becomes more critical. The seniors might not recognize the needs they have or might have vague ways of describ-ing them. They might fear the poten-tial consequences if they divulge the truth. They might think, “If I tell them the truth, they’ll surely put me in a home,” or they just might not see the seriousness of their situation.

In the case of adult children being the long-distance caregiver, they might not know what questions to ask or how to ask them without sounding too invasive. They might respond to what they hear in a different way than their siblings would. When serious in-formation is mentioned on the phone,

adult children might react imme-diately without thinking things through, retreat and disengage from further communication, or do nothing and just wait it out. The senior parents may also not share the same information to all of their children.

Now what are some of the things you can do to help improve communica-tion, get more accurate information, and maintain the senior’s indepen-dence?

Keep the lines of communication open with seniors and maintain a positive attitude. Ask for more details about their days without sounding like an FBI agent. Begin sentences with, “I am concerned.” For example, “I am concerned that the burners being left on might start a fire.” See what kind of response you get. If they stop

talking to you, it might indicate how sensitive they are to comments about how they are man-aging. This means it’s probably time for a personal visit by you or a profes-sional. If they are open to suggestions like leaving reminder notes, or only using the microwave, then you know they are being somewhat re-alistic and coopera-tive, which is good.

Recognize that you are entering into a new season with your aged relatives. Be aware that their needs and abilities are changing. Roles will be shifting. So be kind to one another. Tell yourself and others involved that although it might not be easy, you are willing to help because you all care for one another.

Next month, I will cover the neces-sary information you will need before you receive that emergency call in the middle of the night. It will be your tool kit for surviving the long-distance challenge. ■

HoMe care

Providing quality in-home health care to Grand Junctionand surrounding communities since 1989.

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There’s no place like home.We can help.

Aging Parents? How do we help?

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Aging Parents? How do we help?

Don’t wait for a medical crisis to force unwanted

options on them!

You CAN make a You CAN make a difference!

7 important tools you can learn now!

Family Dynamics, Communication,

Legal issues, Housing optionsHousing options

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PRESENTED BY: ELDER QUEST * Hosted by: WCCC

Register at 255-2828 Oct 23 6-8 p.m. Oct 25 9-11 am

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Prevent falls and remain safe for independent livingBy Sue Brown, Home Care of the Grand Valley

There are multiple risk factors that cause falls. When an individual is

exposed to multiple risk factors, the probability of a fall is greater and the result of the fall is more likely to threaten the individual’s independence.

Some people believe that falls are a normal part of aging, but what they don’t know is that many falls are preventable.

At Home Care of the Grand Valley, we think fall prevention is very important. That’s why one of our team members can visit a client’s

home and evaluate each client’s risk factors. We then educate our clients and their loved ones on what factors contribute to falls and what they can do to prevent them.

Risk factors include, but are not limited to, the client’s level of physical activity, medication effects, impaired vision and home safety hazards. Our

nurses and therapists of-ten partner with resourc-

es in our community to help prevent our

clients from falling.

When some-one falls, immediate

response is required. Home Care of the

Grand Valley can provide personal electronic monitoring

available through Lifeline.

For more information about help to stay in your home and for an in-home visit at no cost to you, call Home Care of the Grand Valley at 263-0202. ■

Your Goals Are Our Goals!Bringing Health Care Home To You

• Home visits from our Nurses,Therapists and Aides

• Personal Care Providers• Personal Safety Alert Units• In Home SupportServices (IHSS)

Call us FIRST to see how we can help you.

(970)263-0202Bringing Health Care Home to You

Medicare/Medicaid Certified www.homecareofthegrandvalley.org

Local Not-For-Profit since 2002

2352 N.7th Street, Unit CGrand Junction, CO 81501

970-208-3985www.nightingales-care.com

Housekeeping & Laundry Medical Reminders Shopping & ErrandsCompanionship & Dementia Care Personal Care/Bathing Assistance

Respite Care Long-term or Temporary Care Meal Preparation

2829 North Avenue, Suite 102Grand Junction, CO 81501

970-208-8359www.elitecareathome.org

Medical Care Provided in the comfort of your own home!

Services include: Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Home Health Aides, and Social Work Services.

Treating patients with compassion, dignity, respect and understanding, we are committed to providing excellent care to you at all times.

Let home care help with life’s transitionsBy Janet Walker, Nightin-gale’s Home Care & Sarah Andrews, Elite Care at Home

Remember when, as children, many of us were told to go to school,

grow up, get married, have children of our own and retire? That was prob-ably mostly true for a lot of us. But as some of us know, it doesn’t always happen in that exact sequence and so much more happens in between. I bet that if we look back at the transitions in our life, we’d realize that some were welcome and some were very difficult.

We plan many transitions so well. Examples are weddings, where we go to college, or where we choose to live. Do we plan on where we want to be in our golden years? Will our children or family always be available

to help us if we need it? These may be hard questions; however, you need to plan for them just like you planned for everything else in the past. When deciding on your next journey, consider quality of life, level of care needed and cost.

Benefits of in-home care include:

1. Care is delivered in your home.

2. Meals and your routine are customized to fit you.

3. Stress is reduced and indepen-dence maintained.

4. Home care is the most efficient and cost-effective form of health care.

Be proactive and in control of your future just like you were with all of your past decisions. Speak up and advocate for the care you receive, wherever you are.

For more information and a free consultation, call Nightingale’s Home Care at 208-3985 or Elite Care at Home at 208-8359. ■

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Resources

aging in Place

in-HoMe care

MedicareFinancial Planning

Medical ServiceS

Medical equiPMent

Planning for your long-term careIdeally, one should start saving for re-tirement at birth. But who has that kind of foresight? Your projected retirement savings will have a great deal to do with your long-term care choices and now is a great time to sit down with a good attorney, a good financial planner and your insurance agent.

AttorneysLaw Office of Billie M. Castle ..................255-7488 (See ad page 2)

Elder Care ManagerElder Quest, Paula McCormick ............ 985-5950

Elder Quest provides peace of mind through quality care management. From brief consultations to ongoing support, we can guide you and your family through the maze of care op-tions. (See ad page 8)

Insurance ServicesLew Barr, Grand Valley Senior Benefits ................ 773-0220 (See ad page 3)

In-Home CareYou should live long enough that someday your kids will say to you, “Ew! I’m not doing that.” When that happens or when you need assistance around the house, consider calling someone to help you out.

Caregiving/ Nonmedical- A non-medical caregiver is someone who will do stuff like walk with you, run a few errands, tidy up the living room and listen to your childhood stories.

Nightingale’s Care ............. 208-3985 (See ad page 9)

Caregiving/ Medical Home Care- A skilled medical caregiver can do everything a nonmedical caregiver can, plus give you a shot.

Columbine Caregivers ........ 241-2698

At Columbine Caregivers, we respect our clients’ individual needs for privacy while assisting them to maintain a high quality of life at home. Trusted home care since 1989. (See ad page 8)

Medical ServicesSome medical services, like foot sur-gery, will keep you mobile, while other medical procedures can keep you look-ing younger. (Rumor has it that Suzanne Somers is in her 90s!) Whatever you need, we have local experts that can help.

Center for Mental Health ....252-6220 (See ad page 17)

Family Health West .............858-2503 (See ad page 17)

Grand River Health.............. 625-1100 (See ad page 2)

Grand Valley Foot & Ankle Center .................245-3338

Welcome to the most comprehen-sive foot and ankle care in Western Colorado. From routine foot care to the most complex foot and ankle injuries, G.V.F.A.C. will keep you on your feet. (See ad page 7)

Medical EquipmentAs you age, you may need tools to help you walk, such as a cane, walker or a wheelchair. Modern technology has made great advancements in helping people hear and see more clearly.

AAA Hearing ...................... 243-6440 (See ad page 6)

Numotion Seating & Mobility .......................... 242-3011 (See ad page 6)Aging in Place

The experts agree that the best place for you to live as you grow older is in your own home. But in order to do so, you may need to change your house to fit your changing needs. It could be as simple as adding a grab bar in the shower or as involved as adding an elevator if you’re having trouble getting up and down the stairs.

Handy-Pro Services ............683-1848

Handy-Pro Services provides profes-sional home remodeling, repair and maintenance at fair, honest prices. We are full service, from hanging artwork and installing appliances to outdoor additions and major handicap modifi-cations. (See ad page 5)

Housing Resources of Western Colorado ............................773-9739

The Homeowner Rehabilitation pro-gram serves low- to moderate-income homeowners and provides a means to do necessary repairs or modifica-tions to their home. This is a loan program with interest rates from 0 to 3 percent. (See ad page 5)

Paragon Restoration & Building, Inc .................. 241-2180 (See ad page 4)

Medicare CounselingRSVP - SHIP ........................243-9839 (See ad page 3)

Healing Hearts Saving Lives .................... 433-8084 (See ad page 7)

Western Colorado Specialty Pharmacy .................844-245-5050

At Western Colorado Specialty Phar-macy we believe everyone is unique so we provide compounding pharmacy services custom made for you. Expert and caring staff offers private consult-ing support and education to help you manage your medications and com-pounding therapies. (See ad page 7)

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nurSing HoMe

HoSPice

BereaveMent

For a more complete list oF resources please call the beacon oFFice at 243-8829 For our Free 2014 directory.

aSSiSted living

Senior living coMMunity

BereavementWhen it’s time to go you can always go in style.

Morris Monument .............. 323-6658 (See ad page 19)

Snyder Grand Valley Memorials, Inc. ................242-2020 (See ad page 19)

Other ResourcesRegion 10 Community Living Services, Montrose...........249-2436

Hospice When medicine can no longer offer you a cure, hospice care can provide you comfort and support when you’re terminally ill. But what’s really cool is that hospice care can offer that support to your family and friends as well. While they can’t offer you a miracle drug, what they do offer is a miracle.

HopeWest ............................ 241-2212

HopeWest is dedicated to profoundly changing the way our community experiences serious illness and grief – one family at a time. The organization provides care in Delta, Mesa, Mon-trose, Ouray and Rio Blanco counties. (See ad page 18)

Nursing HomesWhen you need more assistance and some medical care.

Mesa Manor ........................ 243-7211 (See ad page 17)

Paonia Care .........................527-4837 (See ad page 20)

Valley Manor Care Center, Montrose .......................... 249-9634 (See ad page 13)

Willow Tree Care Center, Delta ..................................874-9773 (See ad page 16)

Assisted LivingWhen you need a little assistance.

Aspen Ridge Alzheimer’s Special Care Center .......... 254-1233

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10 tips for choosing an affordable assisted living facilityBy Teresa Ambord

Assisted living communities can be a beautiful answer for those who

need it. Gorgeous new assisted living facilities have cropped up every-where, as senior care has become a huge industry.

Unfortunately, as with most things worthwhile, it’s not cheap. A MetLife survey in 2012 said the average cost of a one-bedroom apartment in assisted living rose to $3,550 per month, and depending on where you live, the price can soar much higher. In some areas, the monthly cost is closer to $9,000.

Too often the families of seniors who are not well off place their hopes on some kind of financial help, like Medicaid. But the rules for Medicaid qualification are strict and complex. Often a senior ends up between the rock (can’t afford to pay for private care) and the hard place (too finan-cially stable to qualify for help).

Whatever you decide to do, you shouldn’t feel like you are compro-mising quality of care in the interest of money, but obviously any arrange-ment you make must be affordable. So how do you balance cost and care? Do some serious homework.

1. Contact your Area Agency on Aging office and ask to talk to an advisor. In Mesa County, call 248-2717. In Delta and Montrose counties, call 249-2436.

2. Consider an assisted living facility outside your area. It’s generally advisable to place your loved ones in facilities that are

convenient for you to visit. But this could mean paying a great deal more. Driving 20 minutes to a suburb where there is a more affordable facility might be an easy trade off of convenience for price.

3. Consider a smaller living space. Obviously the larger apartments will cost more. My aunt was in an assisted living facility, which offered various sizes of apart-ments. Hers was tiny, yet more than enough for her. She had a small bedroom, a goodsized bathroom, a partial kitchen (all meals were provided), and a more than adequate living room/dining room area. She had a small front porch when she wanted to be outside, and her back door opened into a com-munal area where it was a short walk to the dining room and all kinds of activities. If your loved one does qualify for Medicaid, this will likely mean he or she must share living space with another Medicaid recipient.

4. Ask about move-in incentives. Often assisted living facilities will offer special deals to potential residents. Don’t be too proud to ask. They need to keep their occupancy high to be able to afford the quality personnel they require. So ask about discounts, such as lower rent, a waiver on the entry fee, the possibility of freezing the rent for a time. Don’t be afraid to negotiate.

5. Resist pressure. A facility that is most concerned about quality of care for your loved one will not try to pressure you. They will want you and allow you to take the time you need to make the best choice. If you are told there is a limited time offer for

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Page 13: BEACON - Transitions in Aging (August 2014)

13 2014 www.BeaconSeniorNews.com

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a certain price, beware. If you are told, “Only one unit left!” or “This special rate is only available to the end of the month,” beware.

6. Look for a not-profit facility. This won’t necessarily be easy, since NPR reports 82 percent of resi-dential care facilities are private forprofit organizations. A study of price changes over the last several years showed the profit margin of for-profit facilities jumped signifi-cantly, while at the same time, the payroll expenses fell. Does this mean you should avoid for-profit homes? Not necessarily, but keep in mind there is likely to be pres-sure from the admissions staff to make a quick decision. And check with people who live there or have loved ones there to make sure the staff is adequate.

7. Check inspection reports. Don’t judge this book by its cover. It may have terrific curb appeal to attract new residents while cutting costs on personnel and other expenses. On the flip side, a facility that looks like it needs a facelift may offer the best care in the area. How can you know? Take a look at inspection reports available through your long-term care ombudsman. Or contact the local senior center and ask how to reach the ombudsman. While you are checking on the quality of care, check on the financial stability of a facility you are considering. Ask to see a copy of the annual report. Go online and find out if there have been any negative financial reports on the facility.

8. You might also ask if there is a waiting list and if there is a proba-tionary period.

9. Ask the facility for a list of refer-ences.

10. In addition to checking inspection reports, do your own investigation. Visit, visit, visit, and don’t always call first. If you’ve zeroed in on a facility, make many visits and go at various times of day. Also make at least one unannounced visit on an evening or weekend, or both. Visit during at least one meal and ask to taste the food. ■

Eliminate the surprise costs in an assisted living facility

While you are talking price, be sure you eliminate as many

surprises as you can. There may be no intent to deceive, but prices do change and the residents themselves change, possibly requiring more care, and that could cost a bundle. If you move your mom into an assisted living and a few months later find the bill has gone up, you will no doubt be distressed, even angry. Before you commit:

Ask about upfront fees, such as for assessment and community fees.

Ask what services are included in the basic rate. More importantly, ask what will cost extra. Suppose you are in the middle of a work meeting and get a call saying your mom has a cold and wants to have her meals brought to her room until she feels better. No problem, you say. But don’t forget to ask if this costs extra. If the facility is calling to get your permission, this is a sign you’ll pay more. A cold can last for weeks and you may get a bill significantly higher than you expect. To avoid nasty surprises, know in advance what will cost extra.

Ask if the facility will give you a costs and payment schedule before you sign.

Ask if you will be given a copy of the admission agreement to take home and study before you decide.

Ask what the cost will be if some-thing significant changes. For exam-ple, your elderly dad is comfy in his new digs. But a year later he begins showing signs of dementia. At some point, he will require different treat-ment and there’s a good chance he will have to move to a dementia unit. Know in advance how much this will cost and how the need for dementia care will be determined. It is possible the facility does not even provide such things as dementia care, which would mean another move.

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Geriatric care managers help seniors and their families navigate the complex issues of agingSusan Williams remembers the

struggle of trying to find services for her parents as they aged. She was overwhelmed and didn’t know where to turn. She finally called Sally Schae-fer, the CEO of Hilltop at the time, who was able to point her in the right direction. But she remembers thinking that there needed to be somewhere people could turn to find answers and support. Today, Williams is a geriatric care manager for Hilltop’s Home Care.

The good news is that there are more services and senior care options available than ever before. However, navigating these choices can be con-fusing, stressful and time consuming. What is even more challenging is that families often wait until they are faced with a health crisis or other major change before seeking services or help. Geriatric care managers help in navigating the aging process from the family’s and the senior’s perspective. Geriatric care managers have become an indispensible and critical first step in helping people face the complex issues of aging.

Geriatric care managers are experi-enced problem solvers. They provide in-depth assessments, home safety evaluations, service coordination, and ongoing monitoring for seniors and their caregivers. Care manag-ers are adept at building personal relationships with clients, and finding solutions that meet the needs and desires of those they serve. Often the concerns of family members and caregivers may seem to contradict the wishes of their loved ones, result-

ing in emotional conflicts. In these cases, the geriatric care manager has the ability to act as a neutral third party, circum-venting the emotions involved to arrive at a solution that works for everyone.

“Building trust and relationships is key for geriatric care managers,” Williams said.

The relationship can be short or long term, but the goal is always to meet the needs of the seniors and their caregivers. Care managers will evaluate all available services in the community and make unbiased rec-ommendations. These recommenda-tions will also reflect the full range of senior life options, including indepen-dent, home care, medical and senior living communities. Geriatric care managers can also play a valuable role in monitoring the ongoing needs of seniors when their family members live outside the area.

Geriatric care managers often work with clients who are choosing to age at home or in the care of family members. This provides unique chal-lenges and opportunities that affect seniors and their caregivers. To meet these needs, Hilltop Home Care has developed a full range of services that allows seniors to remain safe and independent in their own homes.

Companionship services can offer seniors the extra support they need while providing their caregivers with the flexibility and personal time they need. These services include provid-ing conversation, monitoring diet and eating habits, playing games, going for walks and reading. For those needing personal care, services include assistance with grooming and bathing, incontinence care, transfer help and medication reminders.

As the number of seniors and their caregivers grows, it is reassuring to know there is a wide range of quality care options available, and a geriatric care manager can help you navigate your choices. For more information on geriatric care managers and Hilltop Home Care, call 208-1345 or visit www.HilltopHomeCareGj.org ■

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15 2014 www.BeaconSeniorNews.com

Three myths of senior living communitiesBy Dwayne J. Clark

It’s difficult to overcome stereo-types of senior living communities.

Despite the fact that the level of care and amenities have evolved signifi-cantly over the past decade, people still tend to think of senior housing as the “old folks’ homes” of the past: antiseptic, white-walled, linoleum-lined institutions with cold nurses, hot temperatures and nasty food. It’s no wonder then that people continue to buy into three myths about senior living institutions that are wrong.

Myth #1: All senior housing options are the same.

The reality is that today’s senior living industry is similar to the hotel indus-try, with a range of choices for every lifestyle, need and budget. You can find low-end chains that offer only the very basics, similar to a Motel 6.

There are family run operations set up in residential homes like bed and breakfasts, and then there are high-end luxury options comparable to the Four Seasons.

Myth #2: Entering a senior living community hastens “the end.”

Many seniors who could benefit from just a little added care are often found living alone, away from family, isolated and devoid of much human interaction. These seniors are perfect candidates for an assisted living com-munity because once they are living in a place where they have access to medical care, personal assistance, medication management, good nutri-tion, opportunities for mental and physical activity, and a chance to make friends and socialize, they truly thrive. In fact, several studies show that not only does a move to an as-sisted living community not hasten a resident’s demise, but it can actually ensure a greater quantity and a better quality of life.

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Our Geriatric Care Managers have become an indispensable and criticalfirst step in helping people face the complex issues of aging. They providein-depth assessments, home safety evaluations, service coordination, andongoing monitoring for seniors and their caregivers. Care Managers areadept at building personal relationships with clients and can even serve asa neutral third party in situations where the wishes of the client seem tocontradict the concerns of a family member.Other unique non-medical home care services available including: Personalcare. Companionship services. Downsizing and relocation. Handyman services.Housekeeping. Home electronics and computer. All caregivers are screened and insured.

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there are residents who have renewed their childhood hobbies, or taken up new ones. There are residents who always have a dinner or coffee compan-ion. They can enjoy on-site book groups and religious services. Residents often enjoy unexpected romances. Family members, freed from the worry and guilt of seeing their loved ones in less than ideal circumstances, tend to visit more often, strengthening long-worn family ties through new opportunities for quality time and stress-free activities.

Myth #3: Only the very wealthy and the very poor can afford to live in a senior living community.

The fact is that most retirement and assisted living communities are created to be affordable. The cost of assisted living needs to be carefully compared with the total ongoing costs of living at home. Additionally, as a parent or sibling ages, there are likely to be new costs, including outside help with laundry, housekeeping, home upkeep and meal preparation; medical equipment; home health care; and transportation for med-ical appointments and other necessities.

These expenses, when taken in their entirety, are likely to be almost as much as or equal to the flat-fee monthly cost of an assisted living community. Most people are surprised when they realize that not only can their parents afford to live at one of these communities, but they actually have funds left over.

Some seniors, of course, won’t have quite enough monthly income to pay the total or to pay for incidentals and will have to make use of their long-term care insurance or begin to tap their financial assets. In other cases, children or siblings help pay for the difference.

What most aging seniors need is some oversight by professionals who under-stand their unique needs. They need to be treated with kindness and dignity. Seniors will find all of that in abundance at today’s assisted living communities and nursing homes. For new residents, living away from the life they’ve always known is an adjustment, but more often than not, they quickly realize that it’s a change for the better. They soon realize that the three myths about senior living communities are just that. ■

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The role of nursing homes along the continuum of careBy Robin Avery

Nursing homes are ubiquitous insti-tutions found in communities large

and small across the U.S., where about 1.38 million U.S. elders reside today. Nursing homes have a short history, but one that holds stories of both tragic and heroic proportions.

My mother-in-law recently passed away in a nursing home at age 91. We were able to create a wonderful end-ing with a private room large enough to accommodate visiting family, and the nursing home staff catered to us during the last week of her life.

Before the modern nursing home, also known as a skilled nursing facility, there was the old age home, and before that, the almshouse. One of Amer-ica’s first true old age homes, the Indigent Widows’ and Single Women’s Society was founded

by Quakers in Philadelphia in 1817. Its mission was to provide those with social standing a place to live and die with some bit of respect and comfort, and to avoid the often nightmarish conditions found in the charitable almshouses, where the poor and those without social standing were sent to die.

Usually operated by charities, alms-houses endured a squalid reputation well into the 20th century. Abraham Epstein, an early pension advocate, wrote in 1929 that the almshouse “stands as a threatening symbol of the deepest humiliation and degrada-tion before all wage-earners after the prime of life.”

Frightful conditions in Depression-era almshouses were a driving force

nurSing HoMe

behind the Social Security Act in 1935. The belief was that by creating a source of guaranteed income, no Americans would have to end up on their deathbed without a modicum of care and dig-nity. Supreme Court Justice Benjamin Cardozo (1870-1938), writing for the majority in affirming the constitutionality of the Social Security law, proclaimed that “the hope behind this statute is to save men and women from the rigors of the poorhouse as well as the haunting fear that such a lot awaits them when the journey’s end is near.”

Beyond the personal guaranteed income of Social Security, the creation of gov-ernment-run health insurance systems like Medicare and Medicaid were signed into law in 1965 and provided additional impetus to the dramatic growth of the nursing-home industry. Between 1960 and 1976, the number of nursing homes grew by 140 percent, the number of beds increased by 302 percent, and the revenues received by the industry rose 2,000 percent.

The 1970s brought widely publicized investigations that uncovered many

instances of the poor conditions and substandard care that was more typical of early 20th-century homes for the aged and infirm. Lacking in medical care, proper nutrition and competent, caring attendants, the offending nursing homes were viewed as warehouses for the elderly or junkyards for the dying.

Like their ancestors who were horrified at the idea of disappearing into an alms-house, elderly citizens feared ending their days in a nursing home, and family members grappled with guilt because they had abandoned their loved ones to institutional care.

In 1972, Social Security reforms estab-lished a single set of requirements for facilities supported by Medicare and for nursing homes that received Medicaid. Although this limited the ability of most individuals to enter skilled-nursing facilities, it increased the demand for intermediate-care facilities. Other amendments to the Older American Acts in 1973 and 1987 provided and strengthened statewide nursing home ombudsman programs, respectively, giving nursing home residents and their

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families stable and secure channels for voicing complaints. These actions, how-ever, did not raise nursing home stan-dards uniformly nor did they eliminate the dread with which older adults faced nursing home admission.

As the percentage of the U.S. population over age 85 continues to grow, nursing home care is increasingly in the future for many of the oldest Americans. By 2000, nursing homes had become a $100 billion industry, funded largely by Medicaid and Medicare along with families’ private resources. Although only 2 percent of Americans between age 65 and 74 resided in nursing homes at the turn of the century, the proportion of those 85 or older had increased to 25 percent. (Approximately five million Americans are 85 or older.)

According to the American Health Care Association, as of December 2012, 1,382,546 people lived in 15,664 nurs-ing homes across the U.S.

In 2011, Colorado had 214 nursing homes offering 18,682 licensed beds with an average occupancy rate of 83 percent or 16,418 people. A year later, there were 19,993 beds in Colorado but only 15,875 residents—a 79 percent occupancy rate.

As a society, many want to take ad-vantage of the coming demand for long-term care services to improve the system of care for the frail elderly. However, financial challenges loom for this nursing home industry that employs

over 1.7 million people nationwide.

According to the American Health Care Association, over the next 10 years reimbursement will fall by $65 billion. There are political pressures to reduce benefits and cut costs. The republican proposals for block grants would effec-tively end government oversight that has driven the improved care that seniors receive. The AHCA estimates that nurs-ing homes are currently losing $20 per day on each Medicaid patient.

If public policy pressures inhibit industry growth by failing to provide incentives to businesses to expand or improve, they won’t, and the demand will be unmet.

If you are faced with finding a nursing home for a loved one, it pays to do your homework and explore all options, in-cluding various assisted living scenarios. If you’ve done that and your only option is a nursing home, ask people you trust about their experiences. Friends, neigh-bors, teachers and clergy may have per-sonal experience with nursing homes in the area. Your doctor or hospital’s social services departments can be valuable sources of information.

Conduct research on local nursing homes at www.medicare.gov. Click “Find nursing homes” on their home page, and then enter your zip code.

You can also contact your local Agency on Aging. If you’re in Mesa County, call 248-2717. If you’re in Delta or Montrose counties, call 249-2436. ■

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Page 18: BEACON - Transitions in Aging (August 2014)

18 www.BeaconSeniorNews.com 2014

HoSPice

Understanding hospice careBy Claire Yezbak Fadden

I was at the medical center near my home when the administrator of

my mother’s board and care intro-duced the word “hospice” to me. In her gentle way, she was getting me acquainted with the term. I had heard the word before. It was used for situ-ations that wouldn’t have a positive outcome. Just hearing her say “hos-pice” made me afraid. She and I were in the doctor’s office with my mom. For some 10 years, my mother had suffered from Alzheimer’s disease and was in the late stages.

That’s when Mom’s doctor told us everything that could be done medi-

cally was being done. “The truth is,” the doctor said, gesturing toward my 89-year-old mother, “we are moving in the direction of comfort care.”

Since that meeting, I have learned a lot about hospice care. The most important lesson

is that having hospice intervention for my mom didn’t mean that I had given up on her. It meant employing a level of care designed to improve her quality of life, even at its end. It meant that I sought optimal physical and emotional comfort for her in a way that minimized her pain. In fact, due in part to the ef-forts of the hospice care workers during the next 16 months, my mother’s quality of life improved. I believe their care extended her life.

What is hospice?Hospice dates back to medieval times when travelers, the sick, wounded or dying would seek a place for rest and comfort. Today, hospice offers a comprehensive program of care to patients and families facing a life-threatening illness. Hospice is primar-

We are here when you need help! Just call us – 24-hours a day, seven days a week. 970.241.2212 • HopeWestCO.org

Who is HopeWest?We are here for you when...You or your loved one is losing or has lost a significant someone. Grief always is difficult and doesn’t end when the funeral flowers have faded. HopeWest Grief Support offers professional counselors to walk with you along the path toward healing with one-on-one or group sessions, family programs and continued support for as long as it takes.

Serious illness strikes you or a loved one, and you need care and support but you aren’t sure where to turn for help. HopeWest will help provide the right care by the right providers at the right time to best help you and your family. Our physicians offer expert consultations, and coordinate the best plan for care.

ded icatedto profoundly changing the way our community experiences

serious illness and grief – one family at a time.

ily a concept of care, not a place.

Hospice emphasizes palliative rather than curative treatment—quality rather than quantity of life. Its goal is to relieve and soothe the symptoms of a disease.

Who’s involved?Hospice care involves teamwork be-tween the caregivers and the fam-ily. Working with the patient and the patient’s family, a care plan is outlined. Emotional, spiritual and practical sup-port is given based on the patient’s wishes and family’s needs. The hospice physician, nurses, aids, social workers, clergy, volunteers and other profession-als work together to ease the difficulties and uncertainties of the dying process.

How to decideAt any time during a life-limiting illness, it’s appropriate to discuss all of a pa-tient’s care options, including hospice. The requirements to be hospice-appro-priate include:

• The patient must be diagnosed with a terminal illness by a physician.

• Because of the illness, the patient is considered to have a life expectancy of

six months or less, if the disease runs it normal course.

• Patients must sign a statement ac-knowledging that they choose hospice treatment over curative treatment for their terminal illness.

Understandably, most people are un-comfortable with the idea of stopping aggressive efforts to “beat” the disease. Hospice staff members are sensitive to these concerns and are always avail-able to discuss them with the patient and family. A patient who needs hospice care exceeding six months can remain in the program.

Is hospice care covered by insurance?Hospice coverage is widely available. It is provided by Medicare and by most private insurance providers. To be sure of coverage, check with your health insurance provider.

Hospice affirms life and regards dy-ing as a normal process. Its goal is to neither hasten nor postpone death. For more information on hospice services, call HopeWest at 241-2212. ■

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The plans no one wants to makeBy Teresa Ambord

Chances are, few plans are as over-whelming as planning a funeral.

If you are planning ahead for yourself or someone else, you may be able to make choices at your leisure. But when a death has already occurred, decisions must be made quickly. Ask a trusted friend to help steer you to choices that are affordable for you. Assuming a death has already oc-curred, here are some guidelines.

Last wishesYou may already know the last wishes of the decedent, such as special requests for cremation or burial in a certain cemetery. Possibly he or she has already made some arrange-ments. Those arrangements may be detailed in a will or health care direc-tive. If you don’t know if a will ex-ists, contact the probate court in the county where the person died. Expect a fee for this. Also, if the decedent left instructions not to have the will read until after the funeral, ask your attorney to find out if it includes any special last wishes that you need for planning the service. The decedent’s attorney may have a copy of the health care directive.

Who to tellTell friends and family of the de-ceased. Tell his or her employer, Social Security if the decedent was a recipient, the decedent’s insurance company, family phy-sician and clergy, and notify any organizations and social clubs

that the deceased belonged to.

Choose a funeral homeIf this is an emotionally charged deci-sion, you may be tempted to discard financial common sense. That’s why it is a good idea not to do this alone. Speak to at least three funeral homes/directors and ask for general pricing. Once you have selected a funeral home, an employee must give you an itemized statement, which includes only the goods and services you selected in your contract. Do not sign a contract without an itemized statement and total price. The funeral home will apply for death certificates for you. Decide where the service will be held, the day and time, and if the service will be traditional or military. Contact your funeral director to select the casket or cremation urn. Feel free to shop around. Choose flowers, scriptures, pallbearers and music to be played. Arrange for a funeral car, pick out clothes that the deceased will be buried in, and contact the person to perform the eulogy.

You’re ready for the obituaryYou need to contact a newspaper to run an obituary. Generally, there is a fee for this. The details you include are up to you, and may include sur-viving relatives and organizations the decedent belonged to. ■

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Page 20: BEACON - Transitions in Aging (August 2014)

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Graceful living at Paonia Care and RehabPaonia Care and Rehabilitation Cen-

ter, a Grace Healthcare Facility, is a licensed 60-bed skilled nursing and rehabilitation center rurally located on the Western Slope in the beautiful town of Paonia. We are a faith-based organization and believe that in every situation, we must choose to do the right thing for all of our stakeholders, residents and local community.

Paonia Care and Rehabilitation Center serves our residents’ needs. We are committed to the elderly and maintain their involvement in our community.

We provide skilled nursing services, post acute rehabilitation, traditional long-term care, hospice and respite stays to the North Fork Valley and surrounding areas. Our therapy services are available seven days a week. We have our own full range of in-house therapy services such as cardiac rehab, orthopedic rehab,

stroke modalities, pain management, diathermy and ultrasound therapy.

Our facility has recently been remod-eled to accommodate a memory care unit that helps with Alzheimer’s and dementia-type diagnoses. The remodel incorporated an in-patient/out-patient therapy department, which serves the entire community. These additions to our facility help us to further carry out our philosophy of person-centered care.

We encourage our staff to memorize our mission statement and emulate the culture of caring from the heart when they provide services to our residents. This statement is provided to all of our staff upon hire with the ex-pectation that the principle of graceful living is adopted into their skill set. To contact Paonia Care and Rehabilitation Center, call 527-4837 or visit www.paoniacareandrehab.com. ■

Resources available through 2-1-1:• Support for Older Americans & People with Disabilities• Basic Human Needs Resources• Physical & Mental Health Resources• Employment Support• Support for Children, Youth & Families• Volunteer Opportunities• Emergency Services• Registrations for various trainings & community events

Western Colorado 2-1-1 is the national abbreviated dialing code for free access for community, health and human services information and referral. We connect individuals and families in need to appropriate community-based organizations and government agencies who offer services and solutions to address those needs. The service is FREE and Confidential for callers. Western Colorado 2-1-1 covers 16 counties on the Western Slope.

• NOW dial 2-1-1 directly from a cell phone!

• Western Colorado 2-1-1 has an app for smart phones!

• Access services & our community calendar at www.wc211.org