The Care Club of Collier County is an adult day care center located in Naples, Florida. Open since 1993, The Care Club is a not-for-profit organization that provides day care for people afflicted with Alzheimer’s Disease and other memory disorders. Executive Director Luanne Wahlstrom tells me that most of her clients are senior citizens, although there are some younger people who have had strokes or head injuries. The  Care Club is licensed to serve 41 people. Wahlstrom says that during the winter months, the “high season” in Naples, they operate at full capacity; at other times they average around 30 clients.

The Care Club is open from 8:30am-4:30pm. Wahlstrom says they keep clients busy with a variety of activities, including singing, exercise, board games and bringing in outside entertainment. While there is a nurse on staff, she says the program is more  social than medical. They also provide clients with breakfast, lunch and an afternoon snack.

According to the website, The Care Club of Collier County administrates a sliding-fee scale of rates, and does not turn anyone away for financial reasons.

To learn more about The Care Club of Collier County, visit http://www.colliercareclub.org/index.htm. For a complete list of adult day care facilities in Florida, as well as other senior living facilities, visit Florida Senior Living

Advisor.

The old keep getting older. No wonder many Florida senior living facilities and businesses that serve the elderly tell me they are continuing to do steady business, even in these tough economic times. Life expectancy in the United States has reached an all-time high: 77.9 years. The increase is due mainly to falling death rates in almost all the leading causes of death.

The new statistics come from the National Center for Health Statistics, part of the Centers for Disease Control and Prevention. Men now have a life expectancy of 75.3 years. For women, it’s 80.4 years. The numbers are for the year 2007, and are based on 90 percent of death certificates in the United States.

I never really thought about where these life expectancy figures come from. Now I know: the CDC analyzes figures on the death certificate that are completed by funeral directors, attending physicians, medical examiners, and coroners. They use these figures to estimate how long a baby born today will live, assuming mortality trends stay constant. U.S. life expectancy has grown nearly one and a half years in the past decade, and is now at an all-time-high. The average life expectancy for babies born in 2007 is nearly three months greater than for children born in 2006.

One reason for the increased life span is that there were sharp drops in mortality rates for several leading causes of death, including: influenza and pneumonia; homicide; accidents; stroke; diabetes; and hypertension. The latest numbers also reflect a decline in the two leading causes of death in the United States: heart disease and cancer. Together, heart disease and cancer accounted for just under half of all the deaths.
Other interesting tidbits from the report:

• For the first time, life expectancy for black males reached 70 years.
• Alzheimer’s disease became the sixth leading cause of death, surpassing diabetes, which now ranks seventh. The number of deaths from Alzheimer’s remained steady, but there was a 3.9 percent drop in the number of deaths by diabetes. Also, as people live longer, more develop Alzheimer’s.

So what does this trend mean for the senior services industry? How do we grow and adapt while continuing to offer high quality services to the elderly in our senior living facilities. What about implications for Social Security and Medicare? Share your thoughts below.

Today’s featured senior living facility is Pinebrook Rehabilitation and Nursing Center in Venice, FL. Pinebrook is a 120-bed facility that offers a wide range of post-acute care, short-term rehabilitation, long-term care, and other specialty medical services. They also have a special Alzheimer’s care unit called the Avalon Wing, and they provide hospice-related services (in partnership with a licensed hospice organization) and respite-care services (for elderly people whose primary, at-home caregiver is temporarily unavailable).

Pinebrook has been part of the Venice, Florida, community for more than 17 years. Last year the facility received the Excellence in Action Award from the Florida Health Care Association, in recognition of outstanding customer service.
One of the facility’s unique features is an outdoor therapy garden. This functional therapy garden provides real-life activities where elderly residents can regain balance, strength, mobility-and confidence. For example, instead of using parallel bars indoors, patients can cross a bridge with parallel railings that spans a man-made koi pond.

Other therapeutic areas include:

• A beach-like area to practice walking in sand
• A gravel walkway similar to many home driveways
• An uneven pavement area

Pinebrook also offers:

• On-site beauty/barber shop
• Common room
• Several dining rooms
• Family lounge
• Well-equipped therapy gym
• Koi pond
• Picnic areas
• Assistance with scheduling transportation to medical appointments and nearby shops

To learn more about Pinebrook Rehabilitation and Nursing Center, visit www.pinebrookrnc.com. For a searchable database of senior living facilities in Florida, visit Florida Senior Living Advisor.

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).

An Orlando-area senior living facility is awaiting test results to determine the source of a virus that has sickened more than a dozen elderly residents. According to Dain Weister of the Orange County Health Department, last week 16 elderly residents at Emeritus at Crossing Pointe developed gastrointestinal problems such as diarrhea, vomiting and nausea. With today’s heightened awareness of swine flu, that was the first concern, but Weister told me they have  ruled that out. He said they have  also determined it was not a food-borne illness. He said they suspect it could be norovirus, sometimes known as stomach flu.

Emeritus at Crossing Pointe offers independent living, assisted living and Alzheimer’s care to 179 residents. This past weekend, the facility was closed to visitors in an effort to stop the spread of the illness. As of today, just the second floor memory care unit is still closed since that is where the outbreak occurred. A few of the sick residents had to be hospitalized but all are now back at Emeritus, according to Weister.

Weister said norovirus outbreaks are not unusual in nursing homes. According to the Centers for Disease Control, norovirus is highly contagious. The symptoms usually include nausea, vomiting, diarrhea, and some stomach cramping. Sometimes people additionally have a low-grade fever, chills, headache, muscle aches, and a general sense of tiredness. The illness often begins suddenly, and the infected person may feel very sick. In most people the symptoms lasting for about 1 or 2 days. One of the most common complications of norovirus among the elderly is dehydration.

Many senior living facilities are run by large regional and national corporations. Those that are locally owned are usually very small, housing maybe half a dozen residents. Courtyard  Gardens in Jupiter, FL is an exception and it is this week’s Friday’s Featured Facility on the Florida Senior Living Advisor blog. Courtyard Gardens is an assisted living facility with just more than 100 residents. It opened 10 years ago and is owned by a local resident, Dr. George Peck, and his daughter.

Courtyard Gardens Marketing Director Donna Phillips started working at the facility after her mother moved in nine years ago. She told me she was raving about the care her mother was receiving to anyone who would listen, and that’s when management approached her about becoming the marketing director. “I know what people are going through because  I’ve been there,” she said. When asked what sets Courtyard Gardens apart, Phillips says it is the facility’s caring and qualified staff.

“We have 85 staff for 111 residents. And we put money into their continuing education,” she explained. “Everyone has Alzheimer’s training, even the front desk receptionist. And everyone has first aid training.” Phillips says every employees understands that the residents come first, and their safety and happiness are the top priorities.

Phillips says another reason they are always at 100% occupancy is the great food. “Our chef is from the Ritz-Carlton. Everything is made from scratch, and we always have fresh fruit and vegetables,” she said. Rates at Courtyard Gardens range  from $3135 for a studio to $4140 for a one-bedroom apartment. In addition, there are “levels of care” that can be added on if a resident needs help showering, taking medication, etc. These levels add about $400 to the monthly fee. In the Alzheimer’s unit, costs range from $3700 for a shared unit to $4500 for a single.

To learn more about Courtyard Gardens, visit the facility’s website at www.courtyardgardens.com.

I am trying to vary the topics for my Florida Senior Living Advisor blog, from the lighthearted to the more serious, but all with a focus on topics of interest or importance to senior citizens, their caregivers and family members. One topic I will always address is any instance of elder abuse that I hear about at a Florida senior living facility. And unfortunately, there seems to be plenty of material on this topic.

In the less than three months since I launched Florida Senior Living Advisor, this is now the fourth incidence of abuse that I am reporting. In this most recent case, a Broward County woman faces charges of abuse of an elderly person after she allegedly attacked a 65-year-old patient at the Manor Pines Nursing and Rehabilitation Center in Fort Lauderdale. To make matters worse, the patient suffers from Parkinson’s disease.

Eronie Deverlus, 50, was arrested a few days ago by law enforcement officers with the Attorney General’s Medicaid Fraud Control Unit. According to Sandi Copes, a spokeswoman for Florida Attorney General Bill McCollum, Deverlus was a nursing assistant at Manor Pines and While working at the center, she allegedly struck the female patient in the face after becoming angry with the woman.

Deverlus, who was fired shortly after the incident, is charged with one count of abuse of an elderly person, a third-degree felony. If convicted, she faces up to five years in prison and a $5,000 fine.

Confession time… I’m visiting family in Tennessee this week so I’ve been neglecting my blogging duties a bit. Late yesterday I remembered that I had not yet written this week’s “Friday’s Featured Facility.” (That’s the problem with starting a regular feature such as this – you create a natural deadline for yourself!) I decided I wanted to write about one of Florida’s adult day care centers, but which one? A quick search of my Florida Senior Living Advisor database lead me to All One Family Senior Day Programin Merritt Island. Two minutes into my conversation with owner Stephanie Licavoli, and I knew I had found a great senior facility to feature.

Stephanie explained that she and her sister-in-law Karen Wilkes decided to open their adult day care center after their family members had bad experiences in other facilities.

“They would come home with urine-soaked clothes,” Stephanie explained. “And she was left sitting in front of the TV all day and then be up all night when I got her home.” Those personal experiences have helped Stephanie and Karen create a facility that they say is “completely different from any other senior day care.”

According to Stephanie, Florida law only requires that an adult day care center keep its clients busy 60% of the day, so many only meet that minimum requirement. All One Family keeps its clients busy the entire day, alternating between physical exercise and mental stimulation.

“In many centers, all you see are recliners and television,” she explained. “We don’t have any recliners. We play games, we go outside and we have a Wii game that they love.” Stephanie said they also focus on treating clients with respect and dignity, regardless of their physical or mental limitations.

All One Family is open from 7:45am-4pm Monday-Friday, but Stephanie said they are very flexible because she knows from experience that caregivers have needs outside of those times. “If a caregiver wants to go out to dinner, or if you are running late, we don’t charge anything extra for that.” All One Family is licensed to care for 24 people. Their current average is 15-19 per day. The cost is $68 per day, but here again, Stephanie said they are flexible and will work with people who have financial limitations.

Adult day care can be a wonderful option for someone who wants to care for their elderly loved one in their own home, yet who has work or personal commitments during the day that get in the way. There are more than 150 licensed adult day care centers in Florida. It’s clear to me that All One Family is one that is setting a high standard for quality.

To learn more about All One Family, visit their website at www.allonefamilyseniordayprogram.com.

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.    

It’s no surprise that elderly couples that have been together for decades can take on each other’s traits – developing similar political views, taste in food and music, sense of humor and even physical appearance. But a recent study suggests something remarkable – spouses of people with dementia are at substantially increased risk of developing dementia themselves.

No, dementia is not contagious. Rather, researchers say that the stress involved in caring for a person with this condition is huge and stress is a known risk factor for dementia. In addition, people who are stressed are less likely to eat a healthy diet and exercise, both of which are critical to brain health.

The study was presented at the Alzheimer’s Association 2009 International Conference on Alzheimer’s Disease.

Researchers followed more than 1,200 couples for 10 years. They found that wives who cared for husbands with dementia were nearly four times more likely to develop dementia than wives of men who didn’t have the condition. Husband caregivers were almost 12 times more likely to develop dementia than husbands of women who were cognitively healthy.

Why are male caregivers at greater risk of developing dementia than female? Researchers say it’s because elderly men tend to rely on their wives to keep up social ties with relatives and friends. Also, men often fail to go to the doctor without some nudging from their wives, according to the study. This places them at higher risk for high cholesterol, high blood pressure, and other conditions that may raise the risk of dementia.

Researchers offer this advice for adult children of people with dementia:

• Visit frequently and relieve the caregiving parent from his or her duties so he or she can get some rest.
• Make sure the healthy parent gets out and engages in social activities.
• Ensure both parents get to the doctor regularly.

These are good reminders for all senior citizens, not just those caring for someone with dementia.

Adult day care centers are an option for some families caring for a relative with dementia. These facilities offer a respite for caregivers. Most operate during normal business hours Monday-Friday, although some do offer evening and weekend hours. For a complete list of adult day care centers in Florida, visit Florida Senior Living Advisor.