Moving Mom 1000 Miles – Assisted Living to Skilled Nursing

Moving Mom 1000 Miles – Assisted Living to Skilled Nursing

Diane and her Mother

Diane and her Mother

Well, it is a complicated process moving a parent from an assisted living to skilled nursing.  Add 1000 miles into the equation and prepare for asking a tremendous amount of favors and help with no physical eyes on the situation. This is my story…

My mom has lived in a Continuing Care Retirement Community in Seattle, WA for 15 years.  For the past 7 years, she has lived in Assisted Living.  Her ailments have progressed to diabetes, severe vascular dementia, incontinence and now all symptoms indicate breast cancer.  Short-term memory loss and 90 years of age does not equate to any invasive procedures or surgeries.  When I visit her one-day, she has no memory of my visit the next day.

I could not stomach her completely alone (no children in the same state) and moving to the next level of care or a hospice community.  So my husband and I decided to quickly move her to Southern, CA, before she could not travel anymore.

All professionals who know my mom and I have been very supportive of this move.  Here are some of things that had to be put in place for this transition: Coordinating with the assisted living team where she lives, a nurse consultant to assess her and be our eyes in another state, her doctor, a home healthcare agency to take her to the doctor, the social worker at the HMO, the skilled nursing community that she was moving to, the federal government regarding her medical insurance and a Medicare representative.

The paperwork and logistics included filling out 27 pages of a Medi-Cal application, finding 22 additional documents for Medi-Cal, providing all the information that the new skilled nursing required, buying plane tickets, combining all our plane seats into one row, having someone drive my mom and us to the airport in Seattle and having Freedom Village Skilled Nursing pick us up at the airport when we arrive in California – whew!!!!

My mom does not know that she is going to move, because she cannot mentally process anything beyond 30 seconds in the short term and it would create anxiety for her – not understanding.

I am going to continue sharing my story as this moves takes place over the next few days.  Prayers and patience are needed to survive this.  I am excited for my mom to be located by our family in California and terrified of travel day.  I am her protector and don’t want her to suffer in anyway emotionally or physically.  It’s thrilling that my company in California is welcoming my mom with open arms – thank you Freedom Village.

Please comment to join the conversation and interact with other senior living professionals on what is currently being effective to increase occupancy on a nationwide basis.

Diane Twohy Masson is the author of Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” available for sale at Amazon.com.  Masson’s book will be required reading at George Mason University in the Fall as part of the marketing curriculum.  She is currently consulting with Seniors For Living and two debt-free Continuing Care Retirement Communities in Southern California – Freedom Village in Lake Forest and The Village in Hemet, California. Connection and partnership opportunities: Email: diane@marketing2seniors.net

Misclassifying Leads Can Decrease Move Ins

Misclassifying Leads Can Decrease Move Ins

Misclassifying Senior Living SalesAfter the initial tour are you or your senior living sales people classifying the lead correctly in your database and following up with the prospective resident appropriately?

What is your retirement community’s definition of a hot lead?

Many senior housing professionals only classify a lead as HOT if:

  1. The senior says they want to move someplace right away.
  2. They tell you their home is on the market.
  3. The adult child says their mom or dad is in the hospital and can’t move back home.

Here are some more lead situations that I would classify as hot (Even if they say – “I AM NOT READY YET!”):

  1. The senior is considering putting their home on the market.
  2. Someone wondering how long they should continue living in their home.
  3. Telling you they are about a year away, but also saying it has been difficult managing in a two story home.
  4. My spouse has just been diagnosed with…

Prospects don’t jump up and down and say I am an easy sale.  Senior Living Sales is an art and it’s up to us to read between the lines.  If someone comes to see you in person, they should be a warm or hot lead until they clearly indicate they are not.  They walked into your senior living community for a reason…

Post-analyze their situation in the quiet of your office.  This can help you strategize how you can help move someone forward the next time you talk to them.  Some sales people (particularly green sales people) can benefit from strategizing with their boss to determine the next course of action with a prospective resident.

Can anyone share how they read between the lines, helped a senior solve their problem and it resulted in a move in?

Please comment to join the conversation and interact with other senior living professionals on what is currently being effective to increase occupancy on a nationwide basis.

Diane Twohy Masson is the author of Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” available for sale at Amazon.com.  Masson’s book will be required reading at George Mason University in the Fall as part of the marketing curriculum.  She is currently consulting with Seniors For Living and two debt-free Continuing Care Retirement Communities in Southern California – Freedom Village in Lake Forest and The Village in Hemet, California. Connection and partnership opportunities: Email: diane@marketing2seniors.net

Choosing Rental Versus Entrance Fees in Senior Housing

Choosing Rental Versus Entrance Fees in Senior Housing

Many seniors or adult boomer children looking for housing struggle to understand the difference between selecting a month-to-month rental choice vs. selecting an entrance fee at a Continuing Care Retirement Community.  I have seen people create excel spreadsheets in order to understand what may have better financial implications in the long run for their family member.

A couple of key question to ask yourself in your search for senior housing are:

  • How long do you plan to live? (I know it’s a tough question, but are you living a healthy lifestyle now?  The age of parents at death can be a small factor, but how you treat your body with exercise and eating healthy is considered a key to aging well now.)
  • Do you have long-term care insurance? (Having it can be considered an asset, but it comes with an expensive monthly fee and some policies have limits of two or three years of maximum care in a skilled nursing center.  Older policies do not include in-home care or assisted living, so check your policy.)
  • Can your savings and assets survive, if you and/or your spouse needed assisted living or skilled nursing care for 5 or more years?

The average cost of Skilled Nursing Care on a national basis runs between $6,500 and month and $9,500 a month according to a national Metlife survey.  Why is this cost important?  Because this is a cost that can quickly wipe out your savings account.

Month-to-month retirement community rentals offer no protection for the future…what if you live there for eleven years and run out of assets?  If you can’t make your monthly fee – you would be asked to leave period.  There is no long-term contract with you.  We have all read articles in the newspaper talking about someone spending $300,000 plus at a rental community over the years and then being turned away because they ran out of assets.  You might be asking yourself – could this really happen to someone?

Well, my own mother ran out of her resources after living in a Continuing Care Retirement Community for eleven years.  She had not anticipated living in a higher level of care for three plus years.  It was horrible when her annuity and assets shrank and she was unable to pay the full monthly payment at her Assisted Living.  The great news is that she was not asked to leave.  Her Continuing Care Retirement Community in Seattle had never asked anyone to leave because of financial reasons.  What a relief for my mom and my family…

Many Continuing Care Retirement Communities offer a guarantee of care for the rest of your life, if you outlive your resources.  What incredible peace of mind this provides for residents and their family members.  Yes, this guarantee comes with the price of an entrance fee and those vary nationally.  I represent a Continuing Care Retirement community in California, whose entrance fees start at $55,000.  What a reasonable price, it’s less than the cost of one year of Skilled Nursing Care… Plus, when a resident pays an entrance fee, the monthly fees at Continuing Care Retirement Communities tend to be much lower than month-to-month rentals.

What are your thoughts on rentals versus entrance fees?

Diane Twohy Masson is the author of “Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” available for sale at Amazon.com.  If your curiosity is piqued to inquire on Diane’s availability to speak at a senior housing conference (CCRC, independent living, assisted living, skilled nursing or memory care) – please call: 206-853-6655 or email diane@marketing2seniors.net.  Diane is currently consulting in Southern California for Freedom Management Company, the proud debt-free owners of Freedom Village in Lake Forest and The Village in Hemet, California.  For more information:   Twitter: @market2seniors Web: www.marketing2seniors.net Blog: http://marketing2seniors.net/blog/

Why are Seniors Waiting Longer to Move into Retirement Communities?

When the decision to move to a senior living community is finally made – the seniors tend to be older and frailer.  Many providers blame the economy and accept a lower occupancy as a sign of the times.  The days of having someone move in off the wait list have disappeared.  So it is time to strategize…

Let’s enter the mind of a senior.  Many have experienced painful losses in their stock portfolios in recent years.  Depending on the area of the country they live, their home is worth much less than the inflated value they recognized as truth in 2007.  Many seniors feel they have lost several hundred thousand dollars and can’t afford to move into a Continuing Care Retirement Community (CCRC) with an entrance fee.  Some silent generation seniors are penny pinching again and think it’s less expensive to live in his or her paid off home.   Other seniors are just so attached to their home of 40 or 50 years that they can’t imagine living somewhere else.

Yet as they age, day-to-day living can become more of an effort.  Many of the responsibilities of their home have to be hired out – such as gardening, yard work, window and gutter cleaning, possibly housekeeping and painting.  Many seniors had a do-it-your-self mindset and become frustrated at the quality of workmanship that hired help provides.  Cooking a healthy meal for one or two is just too much work and who wants to wash all those dishes?   Maybe the laundry room is located down the basement stairs, they live in a split-level home or stairs have become a struggle.

Now they have arrived at your CCRC or independent living door because a resident friend encouraged them to come and see it or an exciting event intrigued them enough to leave their home.  This prospective resident is not going to be sold with one visit.  First they have to picture themselves living in your community.   The first impressions are everything, so the food, the tour, the model apartment and enjoying some of the lifestyle are all vital.  This person may need to come to three events such as: a musical event, a cultural event and an educational event.  If possible, they need to experience the events in different parts of your community.   Hearing testimonials from vibrant residents or having opportunities to interact with lively residents can be very helpful.

Your on-going monthly phone call to this prospective resident should be full of encouragement and discovery to learn what they really enjoy most in life.  Maybe they swam at the local pool every morning for 40 years, but now the winter darkness is stopping them from driving.  Or maybe they enjoyed his or her subscription to the symphony, but now they can’t drive in the dark and their best friend died.  Wouldn’t it be nice if they did not have to “drive” to go to a pool, a gym, see live musical entertainment, enjoy an educational program or share a glass of wine with a friend?

What moves this type of person to give up their home?  It’s to have a vividly painted lifestyle that is 10 times better than their current situation.  At that point the perceived loss in their home value is no longer a factor.  They realize that their home has become a ball and chain and they want the freedom and conveniences that your retirement community can offer them.  It can take several months or even a year for seniors to make this decision.  A health setback or scare always speeds the process up.  Who will they think of first when they are lying in hospital recovering from a hip surgery?  Why the community that called them every month and invited them to events of course…

Selling Lifestyle is Key in CCRC and Independent living Senior Sales.  Is this helpful?

Diane Twohy Masson is the author of “Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” available for sale at Amazon.com.  If your curiosity is peaked to inquire on Diane’s availability to coach your senior living marketing team (CCRC, independent living, assisted living, skilled nursing or memory care) or have her put on a sales retreat for your organization – please call: 206-853-6655 or email diane@marketing2seniors.net.  For more information: Twitter: @market2seniors Web: www.marketing2seniors.net Blog: http://marketing2seniors.net/blog/

How Can Skilled Nursing Communities Describe Lifestyle? (Part 2)

Part 1 described how the lifestyle of long-term care resident was not discussed in the admission process of the skilled nursing facilities I toured.  It was so bad that I could not call them communities, but instead considered them institutional facilities.

These were the 10 worst skilled nursing tour experiences that I encountered recently:

1)   Not one receptionist stood to greet me

2)   No one invited me to sit down

3)   I were not offered a beverage

4)   There was no sales – just admissions needs

5)   They did not talk about the quality of their care

6)   No one mentioned how the residents minds would be engaged

7)   No activity program or menu was offered

8)   Lifestyle for long-term care was not discussed

9)   They used terms like facility and diapers

10)   No one asked about my mom as a human being and what was most important to her – such as what does she enjoy most?

These would be my top 10 recommendations to discuss lifestyle for long-term care residents in the skilled care nursing admissions process.

1)   The receptionist should stand to greet the guest with a warm smile and a friendly greeting.

2)   The admission counselor should offer a beverage and invite the guest to sit down to discuss his or her parent’s needs.

3)   The counselor should have empathy for the guest by listening to their full story and determine if it is long-term or short-term stay.

4)   The quality of the nursing staff should be addressed and how this will benefit the guest’s parent on a long-term or short-term basis.

5)   On the way down the hall to show the available bed in a room (semi-private suite is better terminology), talk about how life can be vibrant at the community and mention some of the residents by name.

6)   Paint the picture of the live music coming in on a weekly basis, how a sitting room can be place where the guest can visit with their parent in the future and how residents are engaged on a daily basis.

7)   Show the activity calendar and share an example which happened today such as — how many residents enjoyed the morning exercise program.

8)   Talk about how they can make their parent’s side of the healthcare suite (nicer word than room) more home-like with personal touches and give examples (so many are two-bed suites).

9)   Find out what the resident can currently enjoy and what they could possibly do in the future through excellent therapy at your community.

10)   After careful listening, give examples of how their parent could be mentally engaged through an activity program, visiting volunteers or caring staff.  Give the guest a copy of the activity calendar and dining menu.

No one ever wants to be admitted to a skilled nursing facility. And no one wants to picture their parent trapped in a wheel chair for the rest of their lives with no brain stimulation.   So an admission person has an opportunity to treat the family with compassion and care.  They can paint the picture of great activities in the long-term lifestyle and bring some hope for the future of the long-term resident and their family.   A better admission process – produces better feelings from the family – and can increase your referrals.

Diane Twohy Masson is the author of “Senior Housing Marketing – How to Increase Your Occupancy and Stay Full,” available for sale at Amazon.com.  For volume discount pricing or to inquire on Diane’s availability to coach and/or train your senior living marketing team (CCRC, independent living, assisted living or memory care) – please call: 206-853-6655 or email diane@marketing2seniors.net.  For more information: Twitter: @market2seniors Web: www.marketing2seniors.net Blog: http://marketing2seniors.net/blog/