Heart of the Home December 2013

Heart of the Home
December 2013
Lakeland Health Care Center
Staff
Administrator
Bernadette Janiszewski
Director of Nursing
Anne Simpson (Interim)
Admissions Coordinator
Lena Rosenthal
Support Services
Supervisor
Sharon Annen
Therapeutic Recreation
Coordinator
Lynette Kasper
Clinical Dietician/
Quality Operations Manager
Barbara Kropacek
Nurse Managers
Anne Simpson (Memory)
Robin Licht (Medical)
Patty Stern (Asst. Nurse Manager)
Social Workers
Molly Maguire-Reek (Memory)
Ceci Gratz (Medical)
Board of Trustees
Jerry Grant– Chair
Tim Schiefelbein– Vice Chair
Ken Monroe
Joe Schaefer
Tim Brellenthin
Administrator’s Corner
By Bernadette Janiszewski
As the year closes I want to thank our employees for many outstanding
accomplishments in 2013. Throughout the year family members compliment the
little things you do. It is through your dedication and hard work that good things
happen in our facility.
Thank you to everyone who works in our nursing department. Your warm,
compassionate care contributes to the well being of our residents.
Thank you to social services for being advocates for our residents. You help
to make sure the voices of all of those who live in our facility are heard.
Thank you to the members of the therapeutic recreation department. You
have developed some wonderful programs that help to keep our residents
active, both within our facility as well as in the community.
Thank you to the business office staff. Your assistance to residents and
family members helps ensure they have access to personal services such as
the bank, as well as important financial and insurance programs.
Thank you to everyone who works in the dietary department. The
wonderful meals you provide can be the highlight of a resident’s day.
Thank you to medical records, the ward clerk and our scheduler. Your
support services are valuable to all of our employees as well as our
residents.
Thank you to our maintenance technicians. You work hard to keep our
building and grounds safe and beautiful throughout the entire year.
Thank you to the Rehab Care group. Therapy services enhance quality of life
and the independence of all of our residents.
Thank you to all DBM employees. Your hard work is reflected in our
beautiful facility.
Thank you to our volunteers. You are special people who share your time,
talents and life experiences with our residents.
I look forward to 2014 as we work together to continually provide a caring and
nurturing environment for our residents!
Wisconsin Music & Memory Initiative
By: Kay Yurk, Recreational Therapy
Lakeland Health Care Center is very excited to announce that we have been one of the 100
nursing homes chosen in Wisconsin to become a certified Music & Memory facility.
The Music & Memory Initiative is a Department of Health Services (DHS) program intended for
those residents with a diagnosis of Alzheimer’s or a related dementia. The initiative will provide
Lakeland with equipment for 15 residents to experience personalized music, including iPod
Shuffles, ear buds, chargers, splitters and a $150.00 iTunes credit to start a music library. The goals
of the program are to reduce the reliance of anti-psychotic and anti-anxiety medications, reduce
agitation and sun-downing behaviors and increase pleasure and fulfillment through the use of
music.
Although, there are guidelines in selecting our first 15 participants, we are looking forward to
expansion of the program to include residents with other diagnosis. If you have an iPod that you
would like to donate to the program please drop it off in the recreation department. For a glimpse
of how the program has affected “Henry” go to http://www.dhs.wisconsin.gov/music-memory.
New Year– New Insurance Cards
Gift
Certificates
Gift Certificates for our beauty shop or gift shop
are perfect for birthdays, during the holidays, or
simply to surprise a resident of Lakeland Health
Care Center.
It’s easy to purchase gift certificates right at the
front desk. Please see a receptionist or ask your
social worker. Don’t worry about losing the paper
certificate. Support Services staff will maintain a
list of purchases and withdrawals and this
information is available to you, upon request.
You can’t go wrong with a gift certificate!
The business office keeps copies of all resident
insurance cards. This includes Medicare Part D
prescription coverage, as well as Medicare Parts A
& B, supplemental, and long term care. Anytime
your plan changes, or a new card is issued, please
stop by the front desk and we will make a copy of
it. If you have questions, or we can provide
assistance of any kind, please be sure to call or
stop by the front desk and anyone in the business
office will be happy to help.
Holiday Word Search
J
C
Z
K
F
G
C
F
Z
R
A
T
S
B
X
Y
H
M
Q
H
W
T
J
A
R
T
A
E
F
S
H
A
A
I
C
D
P
R
P
M
W
S
T
V
M
D
L
F
K
R
B
Y
Z
E
Z
I
Y
L
N
U
T
M
X
O
R
U
E
O
S
E
T
L
O
S
A
U
Z
S
E
Y
R
U
H
I
V
Z
U
Y
L
Q
S
T
G
B
L
E
P
A
I
J
N
T
N
S
R
B
I
K
T
M
O
X
P
J
C
T
G
D
I
F
J
N
D
N
G
M
P
A
R
S
U
N
C
O
E
V
D
D
T
O
S
G
H
C
S
S
T
E
T
A
L
E
I
A
W
Y
Z
W
T
U
T
Y
D
N
G
W
K
E
R
T
A
A
M
S
R
S
O
G
S
I
E
V
O
E
L
S
A
C
G
S
O
D
C
H
X
T
N
S
Z
H
W
U
K
N
I
O
N
R
K
L
Z
D
C
N
E
N
O
J
Y
I
C
R
W
A
I
D
M
G
N
R
E
R
D
M
R
Q
M
E
E
C
N
H
S
I
P
T
L
R
P
F
X
T
C
O
Z
G
G
W
Y
Q
W
T
S
E
V
L
E
I
U
Y
I
Z
I
H
A
I
C
I
C
L
E
S
N
A
A
Q
P
Y
L
CARDS
CAROLS
CHRISTMAS
DINNER
ELVES
FAMILY
FRUITCAKE
ICICLES
JESUS
LIGHTS
NATIVITY
NORTHPOLE
PRESENTS
REINDEER
SANTA
SNOW
STAR
STOCKING
TREE
YULE LOG
New Year Celebration
with “Tom Stanfield
December 28th
Saturday Music with
Tim
January 18th
Save your unwanted Christmas Gifts….
We are starting a new idea for our Golf Outing baskets. We would like to start
accepting items now for the annual basket raffle in October. This year we will
help put together amazing baskets using your generous donations.
So, if you have any gifts that just don’t measure up, we will take your donation
and combine it with others to make a wonderful basket for our raffle.
We will be looking for specific items for baskets. If you would like to donate,
we will take mini or large bbq grills, tickets to events, stadium blankets, beer and wine to make a beer
of the month basket or a wine and cheese basket. How about a blender, crock pot, movie passes,
specialty items, ladies jewelry, garden supplies, kids toys, red wagons, buckets and shovels, movies,
or themed items for a holiday basket?
Some fun Summer Basket ideas would be a combination of out door games, such as horse shoes,
croquet sets, volleyball and basketball equipment. Gardening supplies are also great with things like
a wheelbarrow, shovel, rake, soil, seeds and a watering can.
Many hands (donations) make light work!
We will take you donations in the Recreation office. Be sure to see staff for a receipt for your
donation.
Inpatient and Observation Hospital Stays
By: Bernie Janiszewski
It’s important for our residents and family members to understand that a patient can spend a few days in the
hospital being monitored and treated by doctors and nurses and never formally be admitted to the hospital. If this
hospital visit is considered observation, it is an outpatient visit. Outpatient visits are NOT covered under Medicare
Part A (hospital coverage). Outpatient visits are covered under Medicare Part B (insurance). They carry large out-ofpocket expense for the patient. Under Medicare Part B, the patient is separately billed for every procedure, every
doctor visit and every medication. Unless the patient has a secondary insurance that covers all deductibles and copays, the patient can owe several thousands of dollars following a hospital visit.
The Centers for Medicare and Medicaid Services (CMS) believes that most inpatient admissions (those covered
under Medicare Part A) will span at least two midnights. This 2-midnight benchmark helps Medicare figure out if an
inpatient admission is appropriate. The decision to admit the beneficiary as an inpatient is a complex medical decision
made by the physician. If the physician is unable to determine at the time the beneficiary presents whether the
patient will require two or more midnights of hospital care, the physician may order observation services and
reconsider providing an order for inpatient admission at a later point in time. Therefore, a resident/family member
may not know at the time they go to the hospital if the hospital stay will be covered under Medicare Part A or B. They
may not know what type of expense they will be incurring. The hospital utilization resource committee can change the
status while the patient is in the hospital.
This 2-midnight benchmark should not be confused with the 3-day qualifying stay. In order for a resident to
utilize their Medicare Part A benefit in a nursing home, they must spend 3 midnights in the hospital, admitted as an
inpatient status. Hospital observation days do not count. If a resident does not meet the 3-day qualifying hospital
stay, rehab therapy services in a nursing home are not covered under Medicare Part A. This entire system becomes
more complicated when the hospital codes one night as observation and two nights inpatient or two nights
observation and one night inpatient. Residents, family members and our admission team need to ask very specific
questions of the hospital in order to determine the type of Medicare coverage a resident has when returning from or
being admitted from a hospital.
Promoting Employee Empowerment
By Amber Strait, RN, MDS Coordinator
This is a program to encourage and reward staff to go above and beyond the
call of duty for our residents, families and peers. The concept of this program
is to have anyone write a quick note about how a staff member went “above
and beyond” for them. Notes will be placed in a secure box and management will review them
each week and hand out “money” to turn in for prizes. One “dollar” will be given for peer to peer
compliments and three “dollars” will be given for resident or family to peer compliments. There
will be a variety of prizes for staff to “buy,” from small prizes like novelty items to bigger prizes such
as pizza parties.
Thanks for Making a Difference
Season’s Greetings
By: Ceci Gratz, CSW
At this time of the year we can become so
overwhelmed and consumed by the extras
that we want to accomplish. During this hustle
and bustle we can at times be so wrapped up
in our own organized chaos that we forget
about others. This holiday season take a
moment and remember those that have little,
if any, family to help make their holiday
special. Think about providing special notes or
cards to shut-ins, a small plate of cookies to a
neighbor, or a few extra minutes with one of
our residents that may not have many visitors.
As we all are aware depression can increase
during the holidays. Begin looking at people in
a different light, challenge yourself, ask
yourself just what might make a difference to
that person to brighten their day, and always
remember someday it could be you or one of
your loved ones feeling sad and lonely during
the holiday. Take this challenge, and you will
discover that you get back more than you give.
May your holidays be joyous.
J
C
Z
K
F
G
C
F
Z
R
A
T
S
B
X
Y
H
M
Q
H
W
T
J
A
R
T
A
E
F
S
H
A
A
I
C
D
P
R
P
M
W
S
T
V
M
D
L
F
K
R
B
Y
Z
E
Z
I
Y
L
N
U
T
M
X
O
R
U
E
O
S
E
T
L
O
S
A
U
Z
S
E
Y
R
U
H
I
V
Z
U
Y
L
Q
S
T
G
B
L
E
P
A
I
J
N
T
N
S
R
B
I
K
T
M
O
X
P
J
C
T
G
D
I
F
J
N
D
N
G
M
P
A
R
S
U
N
C
O
E
V
D
D
T
O
S
G
H
C
S
S
T
E
T
A
L
E
I
A
W
Y
Z
W
T
U
T
Y
D
N
G
W
K
E
R
T
A
A
M
S
R
S
O
G
S
I
E
V
O
E
L
S
A
C
G
S
O
D
C
H
X
T
N
S
Z
H
W
U
K
N
I
O
N
R
K
L
Z
D
C
N
E
N
O
J
Y
I
C
R
W
A
I
D
M
G
N
R
E
R
D
M
R
Q
M
E
E
C
N
H
S
I
P
T
L
R
P
F
X
T
C
O
Z
G
G
W
Y
Q
W
T
S
E
V
L
E
I
U
Y
I
Z
I
H
A
I
C
I
C
L
E
S
N
A
A
Q
P
Y
L
Memory Care News
The Lakeland Health Care
Center’s Board of Trustees and
our staff spent a considerable amount of
time this past year analyzing the memory
care unit. Since we moved into our facility
guidelines for placing someone on a locked
unit have changed. A diagnosis of dementia,
by itself, should not be the criteria for
placement in a secured neighborhood. A
secured unit should house those who pose a
wandering risk and those with high
behavioral challenges.
We determined that many of our residents
living on the memory care unit do not need
to live behind locked doors. Therefore, in
early 2014 we are moving the memory care
doors. The rooms in the Aster Avenue
neighborhood will be secured. Buttercup
Boulevard will no longer be located behind
doors. Family members and guests will be
able to leave the unit without the
assistance of a staff member.
The care on this specialty unit will not
change. We will continue to make this a
time of active engagement for our
residents who have a memory related
diagnosis. Moving the doors allows for a
less structured, more appropriate specialty
unit. If you have any questions or
concerns about the move, please feel free
to contact Molly Maguire-Reek or Anne
Simpson at any time. We want to keep you
informed every step of the way.
October Fit and Fun
By: Sandy O’Dierno, Restorative/Clinic Aid
October’s Fit and Fun Day had the residents doing something they have never done before--knocking over gravestones. It was fun having a Halloween twist to exercising. Jaime from
the recreational therapy department made some ghastly, but cute grave stones. The poor
souls whose gravestones are now overturned include Common Sense, Sleeping Beauty,
Elmer Fudd, Peter Pan, Dopey, and Oscar the Grouch (may they rest in peace). For the first
round, performing upper extremity range of motion, the residents used the gravestones as
bowling pins. They are great bowlers! For the next round, the residents threw bean bags at
the gravestones to knock them down. By throwing the bean bags, the residents maintain or
increase strength in their upper arms. The residents also went “batty” when batting around
orange balloons with pumpkin faces drawn on them. The benefits of batting balloons are to
maintain or increase range of motion, strength, and hand-eye coordination. Fit and Fun Day
is designed to exercise and socialize while having fun, and not to view exercise as work.
Although Amber Strait is our new MDS Coordinator, she is not new to
our building. In fact, she has grown up at our facility. Amber
started her nursing career as a CNA in 2000 in the old building when
she was just 16 years old. In 2006, she worked as an LPN in our
facility and left when she returned to school to become an RN.
Amber received her degree at Gateway Technical College and was
hired as a full time RN in 2012. Amber brings many things to the
LHCC family, including a medical-surgical certification and hospital experience.
Amber has two children, a 13 year old son and 2 year old daughter that keep her busy when not at work.
She enjoys baking, and in her own words, she “LOVES TO SHOP!” We look forward to working with Amber
in her new role as the MDS Coordinator. Her great attitude and ability to bring people together make her
a welcome addition to our team.
Hello, my name is Stephanie Stancl. I am a student at the University
of Wisconsin, La Crosse and will be finishing up my final semester of
college here at Lakeland Health Care Center as an intern in the
Recreation Department. I will graduate with a major in Therapeutic
Recreation and a minor in Psychology, with a gerontology emphasis.
Some of my hobbies and interests include; playing and watching
sports, reading, doing arts and crafts, playing games, drawing,
listening to music and spending time with friends and family…..the list
goes on and on.
I have a passion for learning about new things, places and new people. I will be here at Lakeland Healthcare
Center for seven weeks and have already learned a lot!
I want to say thank you to the residents and staff for immediately making me feel welcome here at LHCC. I
appreciate the kindness you have already shown me, especially helping me learn how to find my way around
the building!
A huge Thank You to the Recreation Department who have allowed me to take part in an internship here at
LHCC and who will continue to help me learn, and therefore succeed, in the occupation/field I have chosen to
work in.
Great Caregivers
By: Bernie Janiszewski
Throughout the year I receive many cards and
letters complimenting our staff. Residents and
family members recognize those employees who
go above and beyond to provide outstanding care.
Receiving this information offers me an
opportunity to personally thank an individual who
provides wonderful service to our residents.
Sometimes a family member wants to give a gift to
an employee. Although we do not allow employees
to receive gifts, we do offer a couple options for
acknowledging specific employees.
A gift card or donation given to the resident fund,
in honor of an employee or group of employees, is
a great way to recognize these individuals. Monies
in this fund directly benefit LHCC residents and are
spent in a variety of ways – patio furniture,
entertainment, television service, to name a few.
Another means of recognition is through the
employee scholarship fund.
The G. Charter Harrison Scholarship Fund was
established by a family in 1986 to recognize the
excellent care given to their resident. Through the
years additional donations have been received from
various organizations, individuals, and families. The
purpose of the scholarship fund is to assist
employees to pursue an education that results in
licensure as a registered or practical nurse.
Individuals going to school to become a nurse may
apply throughout the year. It’s always rewarding
to have an employee accept a new position after
graduating from college.
Sandy O’Dierno, our Restorative/Clinic Aid finished her
course of studies October 7, 2013. Sandy received a
Bachelor’s of Science degree in Business with the
emphasis of Human Resources through the University
of Phoenix. Not only did she graduate Magna Cum
Laude and received honor cords from the school, she
has also been a member of the Delta Mu Delta
National Honor Society since her induction at the
University of Phoenix building in Waukesha, WI in
March of 2013.
She enrolled with the university in August of 2009 and
started taking online classes in September of the same
year. After four years of working full time and taking
classes full time, Sandy and her husband treated
themselves to a vacation in Phoenix, Arizona so Sandy
could attend her graduation ceremony at the
University of Phoenix Stadium in Glendale, Arizona.
Way to go Sandy!
In Memory of Tim Shiefelbein
Our hearts go out to the family and friends of Tim Schiefelbein, Vice
Chairperson of the Lakeland Health Care Center Board of Trustees. Tim passed
away on December 4, 2013 at the age of 55. In addition to serving as a County Board
Supervisor, Tim was involved with The Walworth County Alliance for Children, The
Children’s Home of Their Own and he volunteered for VIP Services. He was a true
advocate for the residents of our facility.
We have been very fortunate this holiday season with support from family, friends
and community members.
To date we have received generous donations for our holiday plans from our
local church groups, ladies organizations and family members, past and present.
We are also receiving generous support from community Elves to help supply
Christmas gifts for each resident. The Human Concern Group has been instrumental
in organizing the local churches involved in this project. Also, Walworth Aurora Clinic
has many Elves shopping, wrapping and spreading holiday cheer. The Department of
Correction, Probation and Parole has adopted Lakeland Health Care Center as a site
for spreading holiday support and Christmas cheer.
We would also like to thank the many Brownie troops, local organizations and
church groups who have helped us get into the holiday spirit with their visits and
caroling throughout the facility.
Thank you everyone for your support at this time of year and the generous
outpouring you continue throughout the year. We have been very fortunate to have
your kindness, wonderful displays of talents, and generous donations and
memorials.
Thank you to the students at Lakeland School for providing
us with their choir performance.
Thanks to staff, volunteers and UW
Whitewater students who spread the Joy by helping the households
decorate the Christmas trees and areas throughout the building.
We wish you all a Joyous Holiday
Season and the Good Health for the New Year.