The operators of three separate assisted living facilities in Florida have been arrested, all on charges of operating without licenses. One of the arrests was in Volusia County, the others in Duval County.

In Volusia, officers from the state’s Medicaid Fraud Control Unit arrested Marjorie Nelson, owner and operator of Helping Hands Manor I and II in Edgewater. According to the Attorney General’s office, Nelson told investigators she had not licensed the second location because upgrading the septic system and fire suppression systems would cost too much. Those upgrades were necessary to qualify for a license. Nelson is charged with operating an unlicensed assisted living facility, a third-degree felony. If convicted, she faces up to five years in prison and a $5,000 fine.

In Duval County, officers arrested Tommy Teague and Roberto Gallegos on charges of operating an unlicensed facility at 2198 Mossbrook Court in Jacksonville. Teague and Gallegos face third-degree felony charges and could each face up to five years in prison if convicted.

At the third facility, Medicaid fraud investigators determined through a routine spot-check that Torina Brooks had exceeded the capacity of her licensed facility, Pauline’s House in Jacksonville. Brooks placed the extra clients in an unlicensed facility across the street and requested Medicaid reimbursement for their care. She faces one count of operating and/or maintaining an assisted living facility without a license, one count of Medicaid fraud and one count of grand theft, all third-degree felonies, and could face up to 15 years if convicted of all charges.

To legally and properly operate an assisted living facility in the state of Florida, there are various administrative and operational requirements which must be met. These include licensing procedures, staffing requirements, compliance with county health and local fire authority regulations and the safe management of medication by trained staff personnel.

For a searchable database of licensed assisted living facilities throughout Florida, visit Florida Senior Living Advisor. Licensing status can change, so be sure to ask for proof of licensure when visiting a facility. For more information on the Florida’s licensing process for senior living facilities, visit the Florida Agency for Health Care Administration (AHCA).

For this week’s Friday’s Featured Facility- a community that may represent a trend in senior living. Oak Hammock at the University of Florida in Gainesville is the only university-based retirement community in Florida and one of only a handful across the country. But these types of senior living facilities are attracting attention and popularity among boomers who appreciate the vibrant educational, cultural and social offerings that a university setting can offer.

Oak Hammock’s 136-acre facility is a continuing care retirement community (CCRC), meaning it offers a range of options – everything from independent living to assisted living to memory care and skilled nursing. For a one-time entrance fee, ranging from  $147,500-over $500,000 – Oak Hammock residents are guaranteed long-term care at a significantly reduced rate. There are also monthly fees ranging from $1800-5000 to cover everything from utilities to social activities and some meals.
What makes Oak Hammock unique is its integration with the University of Florida. Star Bradbury, Director of Life Planning at Oak Hammock, told me that the community would not exist without the University. Oak Hammock’s board is appointment by UF’s president, and the school’s deans and staff provide input for the community’s activities. Among the benefits listed on Oak Hammock’s website are:

• Because our 22,000-sq.-ft. Fitness Center is affiliated with UF’s College of Health and Human Performance, attention has been paid to the smallest detail – from installing the right equipment to calibrating the ideal temperature for the swimming pools. 
• The College of Dentistry staffs an on-site, full-service dental hygienist suite.
• The College of Veterinary Medicine operates a Veterinary Clinic at Oak Hammock, providing routine wellness care. Pet sitting is also offered.
• The College of Fine Arts provides performance venues and schedules on-site recitals.
• The College of Medicine provides a Mini-Medical School series.
• The College of Pharmacy provides weekly consulting services with members
• Liberal Arts and Sciences presents educational programs in a wide range of disciplines.
• Oak Hammock members serve as mentors, lecturers and volunteers in the University’s many academic programs. 
• Because Oak Hammock is directly affiliated with the University of Florida, members have campus privileges similar to those of University faculty – with access to sports, performing arts events, library and research facilities, and more.

Oak Hammock is home to approximately 400 people. Most live in independent living apartments or freestanding homes. The facility also has a capacity for 42 people in its assisted living unit, 42 in skilled nursing and 24 in memory care. Oak Hammock currently has a waiting list, but if you are interested, you can secure a spot on that list for a fully-refundable $1500 deposit.

To learn more about Oak Hammock at the University of Florida, visit www.oakhammock.org.

I’m starting a new segment on the Florida Senior Living Advisor blog today called “Friday’s Featured Facility.” Every Friday I’ll tell you about one of the more than 3700 senior living facilities in Florida, everything from assisted living facilities, to nursing homes, continuing care retirement communities, hospice, skilled nursing units and adult day care centers. If you’d like to recommend a facility for me to feature, send it to me at mitra@flseniorlivingadvisor.com.

The inaugural “Friday’s Featured Facility” is Guardian Home Health in Spring Hill, Florida, about 60 miles north of Tampa. This is actually an assisted living facility, but the name “home health” refers to the fact that it is located in a single-family home. The facility is licensed to care for six residents. Of the nearly 3,000 assisted living facilities in Florida, about half have a capacity of less than 10.

Owner Elaine DeCiutiis runs Guardian Home Health, along with her husband Frank and daughter, Paulamarie Aurigemma. DeCiutiis and Aurigemma are both certified nursing assistants and have backgrounds in health care administration. They opened the home last October, with the goal of providing very personalized care to each elderly resident.

“When I’ve gone to big nursing homes, I see people just sitting there and doing nothing,” says DeCiutiis. “We try to keep them active. We play cards.  We discuss current events. We go to the movies or out to lunch.”

DeCiutiis also tailors each meal to the residents’ taste as much as possible.

“You could say we spoil them,” she says with a laugh. “But at their age, they deserve to be spoiled.” Residents are also offered a shower every day, a service that is often not possible in larger facilities where there may not be enough staff to accommodate residents in this way.

For more information on Guardian Home Health, you can visit their website at www.guardianhomehealth.org. You can also call 352-688-8832 or send an email to edecuitiis@tampabay.rr.com.    

This made me smile. I just heard about a wonderful exhibit at the Museum of Florida History in Tallahassee. “Art from the Heart” is a display of artwork from 35 nursing home and assisted living residents from throughout Florida. The elderly residents created the artwork as entries for the Florida Health Care Association’s “Art from the Heart” 2009 calendar competition. According to a news release from the FHCA, some of the artists have been creating art their entire lives, while others have recently discovered their talent. Some of the individuals who submitted pieces for this year’s calendar include:

• 82-year old Helene Kereluk’s passion is painting, as demonstrated by her “St. John’s River” artwork featured on the 2009 calendar cover. She studied art in Chicago and continued her studies after moving to DeLand, Florida, where today she resides at The Cloisters independent and assisted living facility (ALF) and teaches a monthly class for her fellow residents.
• 84-year old Sally Darcangelo never realized her natural talent for painting, ceramics and crafts until entering Palm Garden of Pinellas in Largo, where she has lived for over a year. Her “Starry Night” painting is the featured artwork for May.
• 56-year old Bruce Landers is a C5, 6, 7 quadriplegic who is paralyzed from the chest down and has no hand or finger function. He used a hand adaptation to create his “Lighthouse Keepers Home” painted jigsaw puzzle that is the featured artwork for September. Bruce resides at Park Meadows Health and Rehabilitation Center in Gainesville.

The artwork will be on display in the Museum’s Heritage Gallery through September 7. The 2009 Art from the Heart calendars sold for $7 each, with proceeds used toward FHCA’s Quality Credentialing Foundation. The Foundation focuses on improving services and quality care for those living in Florida’s nursing homes by offering long term care providers mentoring, information and resource sharing and advocacy. The Foundation also promotes increased customer satisfaction and employee retention in long term care facilities and offers continuing education and scholarships for long term care nurses, nursing assistants (CNAs) and other professional staff.

For a comprehensive searchable database of senior living facilities in Florida, visit Florida Senior Living Advisor.

There are two things I know my 84-year-old father will always have in his pocket: a toothpick and a wad of bills. Like many elderly people who grew up in a different era, his preferred form of payment is cold hard cash. Over his lifetime, he has used credit only sparingly and I don’t think he has ever had a debit card (no matter how hard I try to explain that it is like using cash, he doesn’t buy it). Since he moved into a Florida continuing care retirement community about a year ago, I have been a little concerned about him keeping too much cash on hand. Thankfully his building has a Bank of America branch right in the basement. Not only does it give him peace of mind to know that he has easy access to his money, but I think it also helps preserve his sense of independence and dignity, especially since he no longer drives. 

I got to thinking about this after reading last week that an employee of a West Palm Beach nursing home has been arrested for stealing more than $2300 from an elderly resident. The employee, Natasha Petit-Homme was an admissions clerk at Woodlake Nursing and Rehabilitation Center in West Palm Beach.  According to Florida Attorney General Bill McCollum, Petit-Homme gained access to the victim’s checkbook, wrote herself a check for $2,341 and deposited the funds into her personal checking account. Petit-Homme is charged with one count of exploitation of an elderly person, a third-degree felony. She faces up to five years in prison and a $5,000 fine if convicted.

I don’t know anything about this victim’s capabilities or her situation, but I have to wonder why a nursing home resident is keeping a checkbook. These are sensitive issues, I know. As I have seen with my father, control of one’s finances is an important part of maintaining dignity and holding on to some independence. And as I have also seen with him, things can change rapidly for the elderly. Someone who is sharp-minded and on top of things today can go downhill in a matter of weeks or even days. Maybe the best we can do for our loved ones who are in senior living facilities is to be aware of these issues, discuss personal security with them and look out for changes in their mental abilities that may warrant a change in their responsibilities.

The arrest in this case resulted from an investigation by the Attorney General’s Medicaid Fraud Control Unit’s Patient Abuse, Neglect and Exploitation (PANE) team. According to their website, the AG’s Medicaid Fraud Control Unit investigates fraud committed by health care providers, and it also investigates the abuse, neglect and exploitation of the elderly, ill and disabled residents of long term care facilities such as nursing homes and assisted living facilities. If you want to report fraud or abuse, you can call the statewide hotline number or contact the Medicaid Fraud Control Unit nearest you:
The statewide hotline number is 1-866-966-7226

Tallahassee (850) 414-3300

Orlando (407) 999-5588

Tampa (813) 287-7940

Ft. Lauderdale (954) 712-4600

Miami (305) 377-5441

Jacksonville (904)-858-6919

Ft. Myers (239) 338-2442

West Palm Beach (561) 837-5000

Pensacola (850) 595-6057

While I was on the AG’s website, I noticed that they also provide a link to a new brochure, “Smart Consumers Can Stop Fraud: A Guide for Seniors.” The information in the brochure provides valuable guidelines and steps for consumers to take to protect their interests, as well as information on tools designed to save money, especially in the important area of prescription medication.

I’ve been a fan of online shopping for years. I was what you’d call an “early adopter” – back when friends and family were still too scared to think about submitting a credit card number online, I jumped right in with enthusiasm. I love the convenience of being able to shop when I want (often late at night) and where I want(comparing several different stores and products without spending a dime on gas). So I was thrilled to learn about a new shopping website that is unlike any other I know of – Alice.com.

Alice carries all the common household items we all need – things like laundry detergent, shampoo, toilet paper and deodorant – that we buy again and again. Once you set up your free account, the site walks you through the process of selecting your favorite items and brands. You can search by product name, price or even find out which items have coupons available. Here’s the best part: shipping is free. And you can set up your account so Alice will remind you when to re-order; for example, toilet paper once a month, band-aids every three months, etc. The website says that it offers savings comparable to the big-box stores, because it allows manufacturers to sell directly to consumers, eliminating the middleman. I need to spend some more time comparing prices on my favorite items, but I have to say that from what I’ve seen so far, I’m impressed. (And remember  – no gas money spent.)

I’m telling you about Alice.com not just because I like the service for myself, but because I think it could turn out to be a great resource for the elderly and all users of Florida Senior Living Advisor. For example, my father lives in a continuing care retirement community. The facility provides weekly van trips to a local grocery store, but the residents are responsible for carrying their own items up to their apartments. I know it would make it easier for my dad if he didn’t have to worry about hauling things like toilet paper and laundry detergent, and he could focus on buying his favorite food items. I think Alice.com could also be a helpful service for folks living in assisted living, although maybe not as much for people in nursing homes, where most of these types of products are provided. My father is not what you would call computer savvy, so I’ll manage his online account and do his ordering for him. This would be a great way for family members who live far away to be able to help their loved ones in senior living facilities with a necessary task.

So check out Alice.com and let me know what you think. You can also enter to win a $250 gift certificate to Alice.com by visiting Five Minutes for Mom.

When I was younger, I used to read articles about the challenges faced by “The Sandwich Generation” – people trying to care for aging parents while supporting their own children at the same time. Even just a few years ago, that seemed like a foreign concept to me. My mom had passed away in 1989 from ovarian cancer. Her battle with the disease happened during my final year of college, so I never had the opportunity to truly take care of her.  My dad, now 84, has lived a fully independent and active senior lifestyle until recently. It was about 18 months ago, around his 83rd birthday,  that it became apparent that it was not in his best interest to live all alone in an apartment, without any built-in support system. Our family became concerned that he was not eating regular meals, he was not keeping up with necessary housework and, most importantly, he was not getting any social interaction.

It didn’t take much persuasion to get him to consider a move into some sort of Florida senior living facility near my home in Orlando. But finding the right senior facility in Florida - one that provided the amenities and atmosphere he wanted but that would respect his independence and dignity – that was a much bigger
challenge than I ever expected. Since he is still fairly independent, we knew he did not need a nursing home. My initial thought was an assisted living facility, but after visiting  a few I realized those types of Florida senior living facilities provide more care and less independence than he wanted. After educating myself about the  different types of senior living facilities that are available, I decided that he would do best in a continuing care retirement community – a property that provides different levels of care based on the needs of the individual.

As a former journalist, I pride myself of being able to quickly and thoroughly gather information on any given topic. So I was surprised and frustrated at my inability to find a comprehensive list of continuing care retirement communities in the Orlando area. I did find a few online, and a few in the phonebook. In the end, though, it was good old “word of mouth” that lead us to the continuing care retirement community he now lives in. That’s when I decided to develop a website that would offer a comprehensive database for a Florida senior living facility search.

Florida Senior Living Advisor is the culmination of nearly a year of brainstorming and research, with a healthy dose of fear and self-doubt mixed in. I sincerely hope that it will become a valuable resource for anyone interested in learning about senior living facilities across the state of Florida. I also hope to provide useful and timely information through this blog. This is most definitely a work in progress, so I encourage you to leave your comments here or send me an email at mitra@flseniorlivingadvisor.com.