JOIN THE RESPONSIBILITY REVOLUTION !!
Thursday, March 27, 2008
Senior Living Communities - Where does Mom's rent go ?
You and your parent tour a facility. The people are so nice. The place looks like a fine hotel. Everyone is so happy to see you. It must be heaven. Oops, trying to avoid that! But as the last stop on route, except of course for some of you, not a bad place to hang your silk scarf, and support hose.
"That beautiful apartment is how much?" $5,000 dollars a month..."and up!!!!????" You swallow. Subtle, but hard. Your parent imagines friends,fun, privilege, bridge players, and chocolate. So where does your rent go? I will give you a hint: it is not dining services, or housekeeping, or maintenance, or capital improvements of health care, or activities. In many upscale senior living communities, you may be surprised to discover that over 40-50% of the operational dollars go to marketing and not to services that directly benefit your parent. The reason is simple, senior residents move into these communities when they have an average of 5 years left to live. Sad, but factual. So inherent in all "retirement communities" is alot of resident turnover, even when residents are content within their community. Just imagine the numbers, when the residents are not content.
When a resident dies, an apartment becomes empty, and corporate revenues shrink. Some corporations have silent partners (investors), who do not appreciate declines in occupancy levels. Less occupants, less profits. So a tremendous amount of your rent dollars are spent attracting a continual stream of new residents. 40-50% of the yearly budget at the property level is spent on marketing, and the recruitment of future residents. There is even greater turnover, of course, when the services are so-so. I was given $2.40 per person per meal, based on two meals per day in one such upscale retirement community in La Jolla California, as recently as 2007. Marketing first, nutrition? Somewhere much farther down the list.
The caretaking mission represented by these corporations is really not their mission. Profit, not people, again is the mission. The mission of most of these communities is NOT to keep your parents content with cruise ship five star services, no matter what they say to you, during your "free" marketing tour and lunch. The corporate mission is to keep the building full, create large revenues, make tremendous profits,purchase more properties, turn them in to more goldmines. Oh, the hours spent in departmental leadership meetings, working on the shape of the spin.
Until late 2007, I functioned as the Dietary Director for one such "for-profit" corporation. This Carlsbad company, proudly announced, at the 2006 dietary conference for all dietary directors, that they made a NET profit of $11 million dollars with their 23 properties nationwide. More shocking is the fact that some of their properties went much of the year below full occupancy. You can just imagine the profit at full occupancy. Alot of profit for a company that on my campus, outside of dining services, had alot of resident turnover, unhappiness with other services, and four executive director turnovers in two years! It is only about occupancy folks. The rest is marketing.
I am not alone in my understanding of just how senior living communities operate. But, people on the inside of the industry, do not speak up because: they are care-givers, and need these jobs. Some, like me, become disillusioned care-givers, and leave the industry. Find the honest broker on your marketing tour, and call them later for a personal chat. They will tell you. Most workers, and local property leadership in these companies are disillusioned too. Or they have darker motives for staying in silence.
There are many things I discovered in my tenures, that have turned me off to retirement communities as a viable future option for aging adults. I have not even touched on the average direct care-giver to resident ratios of 1 to 20 :at the very best. This ratio is at the very root of the problem. Try caring for twenty parents with two hundred challenges daily per parent, and you will get the picture. The cloth just does not stretch to cover the need.
Higher corporate costs drive operational changes that should concern adult children seeking quality residential solutions to caring for their aging parents. I do not believe that all upscale retirement communities really fulfill their care giving promises: and today there are alot of other alternatives you should also consider.For this much rent ( and more), similar services, are offered for this inclusive price: you should, and do expect five star level housekeeping, fine dining complete with special holiday programming; wellness programs that focus on fall prevention, strength training, and balance education for your parent; maintainence (toilets do have their problems, so do air conditioners/heaters, elevators). If you are still considering an upscale independent living community of 100 to 500 occupants, consider this: every year, you can expect a cost of living increase of 5-9 % in these communities: whether you like it or not. And trust me, the corporation can always defend the reasons for the increase. You will have only the choice to pay or move.
Are indepenedent living communities really full of independent living seniors? Retirement communities ususally bill themselves as housing for independent living residents: those with minimal mobility and functionality issues. But in the last twelve years, I have seen less truly independent residents, and more highly dependent, borderline assisted living or early dementia type residents move in. The corporation is motivated simply by the drive to keep the place full. This creates a great demand on service personnel, often untrained. If your parent is very independent, it can be depressing. Your high functioning parent may be seated in the dining room, at dinner, with someone with incontinence issues. Or worse. So before you sign that rental agreement, remember what I have shared with you : current and future residents are hunted constantly by full time marketing people to keep the building full. We had 140 residents, and two full time marketers: they were each required to make 50 phone call contacts each day to "prospects". Be comfortable but observant, when taking a marketing tour of a community: observe the care giving ratio; study the interaction of the residents with each other, and with department heads, peak into administrative offices, talk with the maintainence director and the dietary director about the challenges of their positions. Call them later to ask about what they didn't say. Find out about the property's budget: anyway you can. Look at the food served; tour the kitchen, look in those walk-ins. Fresh, homemade preparations or commercial preparations? Sit down at lunch with a random group, and not of the marketer's choosing. Always try to take an 'unplanned' tour, to get the most honest insight.
In conclusion, you may get more services, of a better quality, in smaller board and cares, than you will in large retirement communities. Retirement communities do have a huge socialization advantage: alot more prospective playmates for your parents. But they are not for everybody. Make sure to take an industry savvy professional along with you while you are touring, and examining what you really ARE getting for your rent.
Saturday, March 8, 2008
CHANGE THE WAY YOU COOK, SLOW YOUR RATE OF AGING
Sunday, January 27, 2008
ACTIVE AGING COOL WEBSITES
WALK.SCORE.COM- ON-LINE TOOL THAT CALCULATES THE WALKABILITY OF A NEIGHBORHOOD. HELPING YOU LOCATE RESIDENCES IN NEIGHBORHOODS THAT SUPPORT WALKING. RESEARCH SUPPORTS THAT IN COMPACT NEIGHBORHOODS WHERE STREETS WERE DESIGNED FOR WALKING, THERE IS A SUBSTANTIAL DECREASE IN OBESITY,DIABETES,LUNG DISEASE,HYPERTENSION, CAR ACCIDENTS, AIR POLLUTION.
THE PEACE CORP HAS STARTED TARGETING VOLUNTEERS THAT ARE 50 + YEARS OF AGE. NOW, HERE IS A WAY TO START GIVING BACK TO YOUR WORLD. WWW.PEACECORPS.GOV/MINISITE/50PLUS
CHECK OUT BODYVIVE @ WWW.LESMILLS.COM. ONLY 160 CLUBS IN THE U.S HAVE CERTIFIED INSTRUCTORS, AND PROGRAMMING.
IF YOU HAVE BEEN VERY INACTIVE FOR DECADES OR HAVE HUGE BALANCE CHALLENGES: CHECK OUT SILVER SNEAKERS YOGA STRETCH AND SILVER SPLASH PROGRAMS WWW.SILVERSNEAKERS.COM
For a peek at the upcoming US Department of Health and Human Services guidelines for physical activity, to be released in October 2008, go to : www.health.gov/PA guidelines
Visit the Center for Successful Aging’s website: http://hhd.fullerton.edu/csa
Thursday, January 24, 2008
TURNING OFF AGING, DRIVING DOWN HEALTH CARE COSTS
Thursday, January 17, 2008
Suggestions for those beginning rehab of their lifestyle
Wednesday, January 16, 2008
BOOMERS WILL REDEFINE THE WORLD CONCEPT OF AGING...AGAIN !!
Monday, January 14, 2008
Retirement Communities: Are they actively transforming the way we age ?
I took a year off in 2004, to do some travel, remodel aspects of my 85 year old mother's home in West Los Angeles, and pay more attention to my middle age health. Bouyant and re-charged, I returned to the job market, and was immediately hired by another corporation's "flagship property". As Dietary Director, I was still charged with a similar mission, "do whatever it takes to keep the residents satisfied". Only this time, my company was for profit; the first senior corporation I worked for was not for profit.
My last employer made $11 million dollars in profit from 23 retirement communities; they spent $2.40 per resident per meal, based on two meals per day. Dining services had, by far, the largest budget for all the properties within the corporation: that will tell you how little is actually spent on housekeeping, wellness, environmental services, capital expenses. In September of 2007, the management team of my property had to discourage the corporate leadership from spending $250,000 renovating the front of the building for aesthetic reasons(stamped concrete, palms, glamorous entrance, walkways,lighting), when the residents were screaming about the level of noise in their dining room, and the discomfort of their upholstered chairs.
If you care about the way that your parent ages, there are many other alternatives to these glossy retirement communities. At the very least, you should understand that the data supports the conclusion that people moving into retirement communities, actually decline faster than they would if they were at home with caregivers.
A CALL TO SHIFT THE ILLNESS CENTERED PARADIGM IN AMERICA
As a society, we have made it easy for people to become unhealthy: it is socially acceptable to become sedentary: you are simply ‘not athletic’; your honorable commitment to your sedentary job excuses you from hunting and foraging (otherwise known as exercise); your parents had diabetes, so it is in your genes, and therefore o.k. for you to be diabetic as well.
As a society, we may be appalled at the high cost of health care, but we don’t see the connection between the outrageous checks we write each month to maintain our wellness coverage, and the cost to our ourselves, and our society of supporting the epidemic of commitments made to illness lifestyles.
As an individual who understands my nature, my evolution, and works hard to incorporate good science to optimize my own health, and quality of longevity, I am committed to seeing a cultural change in this country that shifts responsibility for illness back to the individuals whose personal choices are making them ill, and making me pay for their illness.
TransformAging is my vision for a cultural movement that seeks to establish ‘wellness is the only option’ education as part of core curriculum from elementary schools thru graduate schools. I think you should understand how to feed yourself, and how to care for your amazing body before your graduate high school. There is simply too little cultural pressure in this society against individuals who consistently make illness choices.
Whether you like it or not, the way you choose to live your life, on a daily basis, determines your state of health. Repeat bad choices over and over again, day in, and day out, and your body, and brain will just make healthy adaptations to the environment that you are creating. These healthy adaptations take the form of deadly diseases, because your choices are telling your system to shut down and die: again, whether that is your intent or not, is irrelevant.
It is a proven fact that 70% of all premature death and aging is lifestyle related. Individuals who refuse to make wellness choices should be penalized by the society: their health insurance premiums should be ten times what mine are.
Obese adults, obese children should be taxed for taxing the society, driving up everyone’s costs because they choose to overeat, because they have a dollar in their pocket, an overabundant recreational (not nutritional)food supply; and they choose not to hunt or forage(exercise). In evolution, nature does kill off animals, and human animals that make these choices: but in the meantime, why are the wellness committed individuals paying the way for illness committed individuals to make these choices that work against our very nature ?
We have a huge medical and pharmaceutical industry that exists solely because we all support an individuals’ right to make choices: even unhealthy ones. Picking up the tab for someone else’s unhealthy choices is going too far, and it has got to stop. It is up to this generation of boomers to stand up, and start to shift the paradigm from illness centered aging to wellness centered aging.
Health insurance premiums must reflect our focus on wellness: if you continue to be inactive, or obese , year after year, despite all the awareness, and education that passively surrounds you: your health premiums should go up. If your actively engage in growing younger, and making the time to signal your brain and body that it is springtime, a time to grow, no matter what your age: you should have lower premiums.
It is pathetic that we have the highest standard of living, and the highest incidence of illness and disability over fifty years of age, fifty percent of which could be eliminated by making lifestyle choices that are true to our true nature.
ARE YOU SIGNALING YOUR BODY AND BRAIN TO AGE ?
If you suffer from depression, you can turn your take a look at your lifestyle survival strategies, and make different choices. In nature, depression is normal: it is a survival mechanism. Depression is the body and brain’s response to famine, excess food intake, and inactivity.
As we evolved over millions of years of howling, blizzarding winters on the African savannah, it was this “survival depression” that kept us alive until the warmth of spring. We hunted and gathered every single day; we were only sedentary if there was a famine. As winter, drought or famine approached, we became sedentary, built up our fat reserves, made our shelters to hibernate: we burrowed for warmth, and safety, in small spaces that made it impossible to move, further slowing down our metabolism. These natural behaviors signaled the critical systems in our bodies and brains to shutdown, decay, atrophy, loose their muscles, in order to survive the winter. Survival depression was our healthy response to our environment.
Now here we are in 2008, with lengthy commutes to work, whole days sitting at our computers, with little movement of our bodies; hours of TV, or checking email, surfing the web, nights of reading alone in our big houses with central heating, and air……….we are sending the signals to our body that it is winter everyday. When we don’t send out the signals EVERYDAY to our bodies to ‘hunt, and forage’; eventually this constant depressed state of decay, this modern equivalent to survival on the Tundra, takes over. And as we chronically age, the rate of this decline, and decay just accelerates. Too many decades of simulate winters. Our bodies and brains are just responding. No wonder that we have a picture of aging in America that is one of decay, decline. Our modern lifestyle is killing us. During our evolution, the effect of adaptation on the part of the body to the physical work of hunting and gathering, lead to chemical changes in the brain: optimism ( I will survive); increased energy, curiousity, zeal for exploration, alertness, and a willingness to work with others.
In 2008, we see an overabundance of food supply, particularly the cartoon fun foods of zero nutritional value but tons of age-accelerating sugar; we control the temperature of houses and cars, and the tigers that would be chasing us, are in our zoo’s. Our need to exercise, move constantly is who we are. This body is really a bunch of chemical and electrical impulses that drive all our cells to function when we are forcing some adaptations on the part of our bodies and brains to occur.
Without these acts to trigger growth in our bodies, on the cellular level; we decay. We survived over hundreds of millions of years, because each one of our ancestors got it right, and passed on their strength, speed, and smarts genetically. It took us millions of years to evolve to this point: evolve from bacteria going back billions of years. But we are basically unchanged.
In the absence of these pressures that cause our bodies and brains to adapt, and on the cellular level to “grow”, our bodies and brains start shutting down. Daily we are sending out signals to our bodies to decay, and do so quickly. No matter what we choose to think, this is what our choices tell our body: no need to adapt, no need to get strong, no need to grow: we have to go to work, sit in our cubicle, move information on our computers. Our body is not designed for sitting in front of a computer, or a TV; or driving a car to Northern California to take in 600 miles of incredible sights, or staying in bed all day because it is Sunday.
So, as we repeat this mal-adaptation over thirty years, we reach fifty, and are ‘suddenly’ surprised that we are falling apart. If you find yourself 'suddenly suprised', read on: you change the course of your life. If you are a woman, it is critical that you raise your own awareness about the process of aging: consider that 3 million of the 70 million baby boomers are expected to live past 100 years of age. Of this 3 million boomer centurians, 85 % will be female.
You can change the signals you are unwittingly sending your body and brain: return to this site, and find out how..............