2020 South Central Directory

S ENIOR R ESOURCES' 2020/2021 South Central Wisconsin Directory of Services for Older Adults

Counties Served:

Jefferson Juneau Lafayette Richland

Columbia Dane Dodge

Grant Green Iowa

Rock Sauk

Comprehensive

Information On: • Adult Day Services • Care Management • CBRFs (Assisted Living) • Home Health Agencies • Home Care / Non-Medical • Home Medical Equipment • Hospice Services • Hospitals • Hospital Swing Bed Programs • RCACs (Assisted Living) • Senior Housing • Skilled Nursing Facilities

Compliments of:

Visit us online: www.seniorresourcesonline.com Senior Resources, Inc. • P.O. Box 285 Germantown, WI 53022-0285

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F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

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a dulT d ay s erviCes •Adult Day Services Article . . . . . . . . . . . . . . . . . . . . . . . . . . .16 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 C are M anagers •Care Managers Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 •Care Managers Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . .21 •Introduction and Overview of Directory . . . . . . . . . . . . . . . . . .4 •Map of South Central Wisconsin . . . . . . . . . . . . . . . . . . . . . ..4 •Obtaining Additional Copies . . . . . . . . . . . . . . . . . . . . . . . . . .5 •Family Care and Family Care Partnership . . . . . . . . . . . . . . .6 •What Is An ADRC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 •Alzheimer's Assistance/Aging & Disability Resource Centers . . .9 •Overview of the Medicare Program . . . . . . . . . . . . . . . . . . .10 •Overview of the Medicaid Program . . . . . . . . . . . . . . . . . . . .11 •Coping with a Diagnosis of Dementia . . . . . . . . . . . . . . . . . .12 a ssisTed l iving C HoiCes for s eniors •Community Based Residential Facilities Article . . . . . . . . . .24 •I Can’t Do This Anymore! . . . . . . . . . . . . . . . . . . . . . . . . . . .28 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 •Residential Care Apartment Complexes Article . . . . . . . . .114 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 H oMe M ediCal e quipMenT •Home Medical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . .54 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 •Home Health Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 H oMe C are / n on -M ediCal •Home Care / Non-Medical Services Article . . . . . . . . . . . . . .68 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 •Hospitals: An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 •Long-Term Acute Care (LTAC) Hospitals . . . . . . . . . . . . . .100 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 H ospiTal s wing b ed p rograMs •Swing Bed Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112 •Senior Housing Overview . . . . . . . . . . . . . . . . . . . . . . . . . .130 •Housing Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 •Subsidized Housing Article . . . . . . . . . . . . . . . . . . . . . . . . .158 •Subsidized Housing Listings . . . . . . . . . . . . . . . . . . . . . . . .159 •What is Hospice? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 H oMe H ealTH a genCies H ospiCe s erviCes H ospiTal s enior p rograMs s enior H ousing

GARY KNIPPEN President info@seniorresources online.com

JOE LAUERMAN Production Coordinator seniorresources@wi.rr.com

Senior Resources, Inc. P.O. Box 285 Germantown, WI 53022 tel: (262)-253-0901 fax: (262)-253-0903

Note: Every effort was made to verify the accuracy of the information contained in this directory. This information is provided with the under- standing that the consumer will contact providers to obtain information them- selves prior to making a final decision regarding services. Advertisements do not constitute endorsement by Senior Resources, Inc. All rights reserved. The contents of this publication may not be reproduced without written consent of the publisher.

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•Skilled Nursing Facilities Article . . . . . . . . . . . . . . . . . . . . .168 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170

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How will we get through this?

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(800) 9 30-2 770 | agrace.org

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A N I NTRODUCTION AND O vERvIEW OF ThE D IRECTORY followed by a comprehen- sive listing of all providers. Information was obtained from questionnaires and phone calls to providers listed in this directory. Every effort was made to verify the accuracy of this data. Inclusion in this direc- tory does not constitute a

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elcome to the fifteenth edition of Senior Resources’ South Central Wisconsin Directory of Services for Older Adults. This directory was developed to assist older adults and family members locate appropriate health care and housing options in Columbia, Dane, Dodge, Grant, Green, Iowa, Jefferson, Juneau, Lafayette, Richland, Rock and Sauk counties. This directory is broken down into sections. Each sec- tion begins with a narrative describing the service offered M ap of s ouTH C enTral w isConsin C ounTies

recommendation. Senior Resources in not responsible for inaccuracies in this direc- tory. We hope this information is helpful. This directory will be updated and pub- lished annually. We would appreciate any comments or suggestions regarding this directory. Please call 262- 253-0901. For information on services for older adults in Wisconsin outside of this geographical area, please visit our website at: www.seniorresourcesonline.com

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F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

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N EED A DDITIONAL C OPIES ?

Professionals – Senior Resources’ Directories are provided free to profession- als. These directories can be given out to older adults and family members to assist them in locating appropriate services. If you are a professional working with older adults and need additional copies, please call or e-mail us and we will be happy to get you addi- tional copies. Individuals –We do provide these directories to profes-

our comprehensive website of Services for Older Adults in the state of Wisconsin at www.seniorresourcesonline.com. Senior Resources, Inc. PO Box 285 Germantown, WI 53022 262-253-0901 info%seniorresourcesonline.com

sionals to give out to the community. If you can’t find a copy or want a copy of any of our other directo- ries, please call or e-mail us. We do ask for a z3 donation if possible to help cover our shipping costs. If you are looking for Wisconsin based services in areas where we do not print a directory, please check out

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F AMILY C ARE AND P ARTNERShIP Individuals must also meet these requirements: • Income • Functional • Residency – Family Care is offered in certain counties in Wisconsin. Individuals must live in one of these counties Partnership Partnership helps you coordi- nate your health, medical and long-term care needs. All Partnership members are part of a care team. • Together you will discuss your goals, assess your abili- ties and needs, and name your outcomes. • The team creates a plan just for you to support your health, medical, and long- term care needs. • The plan includes items in the Partnership benefit plan plus other natural supports that will help you achieve your outcomes. • The care team works with you to coordinate all covered health services. This means they will check with your providers to see how care is going and help manage spe- cial services such as X-rays, tests, and any follow-up care. Who can be a Member of Partnership? Partnership is for people who

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amily Care and Partnership are programs that help frail seniors and adults with disabilities manage health and long-term care needs. Partnership also provides assistance with medical needs. Here’s more information about these programs. Family Care Family Care helps you coordinate your long-term care needs. All Family Care members are part of a care team. Your care team includes you, a care manager and a registered nurse. • Together you will discuss what your goals are, assess your abilities and needs, and name your outcomes. • The team creates a plan just for you to support your long-term care needs. • The plan includes items in the Family Care benefit plan plus other natural supports that will help you achieve your out- comes. • The care manager and regis- tered nurse stay in contact with you to ensure all parts of the care plan are working well, and make changes if necessary. Who can be a Member of Family Care? Family Care is for people who need help with long-term care and who are: • Frail adults, age 65 or older • 18 or older with physical dis- abilities • 18 or older with intellectual dis- abilities

need help with their health, med- ical and long-term care needs and who are: • Frail adults, age 65 or older • 18 or older with a physical or intellectual/developmental dis- ability Individuals must also meet these requirements: • Income • Functional • Residency – Partnership is offered in certain counties in Wisconsin. Individuals must live in one of these counties How do I Become a Member of These Programs? The Aging and Disability Resource Center (ADRC) in your county will help you understand your options along with income and other requirements, and deter- mine if you qualify for Family Care, Partnership or another pro- gram. To learn more about ADRCs and locate one in your county, visit: www.dhs.wiscon- sin.gov/adrc/

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Now, one company. My Choice Family Care and Care Wisconsin are managed care organizations committed to a better kind of care for people who need it most - seniors, adults with disabilities, and the families and friends who support them. We are a team of professional and community-based caregivers working with Wisconsin’s Family Care program to deliver custom services that put members in charge of their health and independence. Names you trust. Working together for you.

Senior Resources, Inc. specializes in providing comprehensive information on service providers for older adults in the state ofWisconsin. If you are a consumer or would like to reach a consumer, we have many options available via our catalogs and the world wide web. Online: www.seniorresourcesonline.com Email: info@seniorresourcesonline.com Mail: P.O. Box 2 8 5 Germantown, WI 5 3 0 2 2

Tel: 2 6 2 -2 5 3 -0 9 0 1 Fax: 2 6 2 -2 5 3 -0 9 0 3

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WhAT IS AN ADRC?

benefit Counseling: • Benefit specialists provide information and advocacy about government and other benefits that you may be entitled to receive, such as Medicare, Medicaid, Social Security, Disability, low income housing, etc. access to funding for long Term Care: • The ADRC can determine if you will be eligible for public funding for your long term care. • The ADRC can explain the program choices you have that will provide your long term care. These programs include Family Care, IRIS and in some areas Partnership and PACE. Health and wellness: • ADRC can connect you to wellness programs to help keep you healthy and inde- pendent, such as Stepping On Falls prevention, Living with Chronic conditions and others.

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8 | S E N I O R R E S O U R C E S 2020-21 and assistance! Aging and Disability Resource Centers (ADRCs) are the first place to go to get accurate, unbi- ased information on all aspects of life related to aging or living with a disability. ADRCs are friendly, welcoming places where anyone - individuals, concerned families or friends, or professionals working with issues related to aging or dis- abilities - can go for information tailored to their situation. The ADRC provides information on broad range of programs and ser- vices, helps people understand the various long term care options available to them, helps people apply for programs and benefits, and serves as the access point for publicly-funded long term care. These services can be provided at the ADRC, via telephone, or through a home visit, whichever is more convenient to the individ- ual seeking help. ADRCs are available in all Wisconsin counties. To find an ADRC go to http://www.dhs.wisconsin.gov /adrc/index.htm serviCes provided by THe adrC information and assistance: • Information about local ser- vices and resource • Assistance in finding ser- vices to match your needs o housekeeping and chore services o health (healthy lifestyles, manage- ment of chronic condi- tions, dementia, etc) o Transportation

o Nutrition, home delivered meals o housing, including senior and low income housing o Assisted Living, nursing homes and other long term care facilities o Financial assistance linkages o Legal issues (guardianship, power of attorney, client rights advoca- cy) o Abuse, neglect and financial exploita- tion o Adaptive equipment choices you have when making decisions about where to live, what kind of help you need, where to receive that care and help, and how to pay for it. • One-on-one consultation to help you think through the pros and cons of the various options in light of your situation, values, resources and prefer- ences. long Term Care options Counseling: • Information about the

F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

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F or information on S enior S ervices in Wisconsin, visit our website www.seniorresourcesonline.com

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"reasonable, measurable progress" in their rehabilitation, or continue to need "skilled nursing" care to contin- ue on Medicare benefits. Once a per- son reaches their "maximal poten- tial", Medicare benefits end. This can happen anytime after the first 20 days. • Medicare Part A provides no cover- age beyond 100 days Is Home Health Care covered under Medicare? Yes, Medicare pays 100% for all covered and medically necessary home health services under Part A (or Part B if beneficiary does not have Part A) as long as the beneficiary continues to meet the coverage requirements. Medicare will pay for an unlimited number of visits during an unlimited period, as long as it is med- ically necessary and coverage require- ments are met. It is the intent of home health visits under Part A to deliver skilled medical attention to home- bound patients. Home health care is not available for chronic illness or to help with Activities of Daily Living (ADL's). Requirements include: • Home Health Care Agency must be Medicare certified. • Patient must be under a doctor's care and the doctor must authorize med- ical treatment. • Patient must be in need of skilled care . Hospice care is a service provided to termi- nally ill persons with a life expectancy of six months or less. Medicare defines a hospice as a public agency or a private organization whose primary role is to provide pain relief and symptom management to terminally ill patients. This benefit does not generally cover inpatient room or board charges. Medicare requirements include: • Doctor certification that patient is ter- minally ill and has a life expectancy of less that 6 months • A Medicare-certified hospice pro- gram must provide care Medicare pays 100% of most covered ser- vices. Medicare pays for up to two 90-day periods, one 30-day period, and a fourth unlimited extension period. The beneficiary pays a small co-insurance fee only for outpa- tient drugs and inpatient respite care. For more information on Medicare, please visit www.medicare.gov. Article submitted by Barbara Horstmeyer, Benefit Specialist, Senior Planning Group. 1-866-670-0888

O vERvIEW OF ThE M EDICARE P ROGRAM become entitled to Social Security retirement benefits. They do not have to pay a monthly payment called a premi- um for Part A because they or a spouse paid Medicare taxes while they were working. Some seniors, such as those who have not completed the mandatory number of working quarters for Social Security benefits, enroll on a voluntary, premium-paying basis. Medicare Part A begins when someone enters a hospital. Medicare Part A has hospital deductibles. • First 60 days, Medicare pays all but $1,408 • Days 61 to 90, Medicare pays all but $352/day • Days 91 to 150, Medicare pays all but $704/day • Beyond 150 days, Medicare pays nothing Remember, Medicare is a health insur- ance program aimed at covering acute health care costs such as hospitalization (Part A) and periodic doctor visits (Part B). It does not cover most nursing home fees, nor does it offer extensive home health care for the chronic ills often experiences with age. What does Medicare cover for nursing home care? Very little! Medicare Part A helps pay for inpatient skilled nursing care in a Medicare participating skilled nursing facility (SNF) or rehabilitation service facility following a 3 day hospi- tal stay if a person's condition requires skilled nursing services or rehabilitation services such as Physical Therapy (PT), Occupational Therapy (OT), and Speech Pathology (SP). Doesn't everyone get 100 days cover- age in a SNF? No. Medicare will pay up to 100 days. • Days 1-20, Medicare Part A pays 100% • Days 21 - 100, Medicare pays all but the daily co-insurance amount that is the patient's responsibility. The 2020 coinsurance amount is $176.00 per day. After the first 20 days, a person must be making

edicare is a National Health Insurance Program administered by the Health Care Financing Administration (HCFA). Benefits are for: People 65 years of and older. Some people with disabilities under age 65. People with End Stage Renal Disease (permanent kidney failure requiring dial- ysis or a transplant) Medicare has Two Parts: Part A (Hospital Insurance) Part B (Medical Insurance) Medicare Part B covers physician ser- vices, outpatient hospital care, ambu- lance services, prosthetic devices, med- ical equipment, and supplies. You pay the Medicare Part B premium of $144.60 per month for single individuals with an income of $87,000 and a married couple with less than $174,000 (2020 rate). • Single with income greater than $87,000 and less than $109,000 or married with income greater than $174,000 and less than $218,000 - $202.40 monthly Part B Premium • Single with income greater than $109,000 and less than $136,000 or married with income greater than $218,000 and less than $272,000 - $289.20 monthly Part B Premium • Single with income greater than $136,000 and less than $163,000 or married with income greater than $272,000 and less than $326,000 - $376.00 monthly Part B Premium • Single with income greater than $163,000 and less than $500,000 or married with income over $326,000 and less than $750,000 - $462.70 monthly Part B Premium • Single with income greater than $500,000 or married with income greater than $750,000 - $491.60 monthly Part B Premium Part A (Hospital Insurance) Medicare Part A primarily provides cover- age for inpatient hospital care. It also provides hospice care. Limited coverage is provided for skilled nursing home and home health. No coverage is provided for assisted living. Most seniors become eligible for Part A coverage when they reach age 65 and

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from depleting their assets due to an extended nursing home stay. If the couple's combined assets are: $0 - $50,000 the "community spouse" may keep ALL $50,001 - $100,000 "community spouse" may keep .....$50,000+$2,000 $100,001 - $252,840 "community spouse" may keep .....HALF+$2,000 $252,841 + "community spouse" may keep ....$126,420 plus $2,000 for a total of $128,420 These figures are adjusted annually for inflation. Note: This article provides a limited space for information regarding Medicaid Eligibility. There are opportu- nities for married couples to protect more that the above figures. Attorney Ryan Zenk offers free consults or call for your free booklet on "What is Spousal Impoverishment?" please call 262-670- 8888 or 1 (866) 670-0888. For more information, please visit the Wisconsin Medicaid webpage. Article submitted by Barbara Horstmeyer, Benefit Specialist, Senior Planning Group . 1- 866-670-0888

O vERvIEW OF ThE M EDICAID P ROGRAM limit. Term insurance has no cash value and is excluded from countable assets. 4. Household goods and per- sonal effects : Generally no inquiry unless reason to suspect unusual value. 5. Pre-paid funeral arrange- ments : Each fiscal group mem- ber may have one or more irrev- ocable burial trusts, of which the total face value may not exceed $4,500. Any principal amount over $4,500 is a countable asset. Although Wisconsin law allows $3,000 to be irrevocable, Wisconsin’s Medicaid state plan allows an additional $1,500 to be considered as though it were irrevocable by law for these bur- ial trusts. This is why $4,500 is allowed. Married couples can own exempt assets listed above plus: 1. One automobile per household is excluded regardless of the value if it is used for transportation of the eligible individual or couple or a member of the eligible indi- vidual's or couple's household. 2. IRA of the community spouse How much money may a couple "Shelter"? The Spousal Impoverishment Act passed by the U.S. Congress in 1988 and the Omnibus Budget Reconciliation Act of 1993 (OBRA'93) provides the legal means for anyone to shelter assets and qualify for financial assistance through an entitlement program. This act protects married individuals

his article focuses on the Medicaid program as it applies to elder- ly and disabled individuals. There are three common names for one program. 1. Medical assistance 2. Medicaid 3. Title 19 Medicaid is a welfare program jointly funded between the Federal and State government. It is designed to assist in paying for skilled nursing facility expenses and many other medical expenses for individuals who have mini- mal assets and inadequate income to pay for these expenses. The individual is normally responsible to pay for all of his/her own long term care expenses: generally, if the cost of this care exceeds the individual's income and the individ- ual is asset-qualified, Medicaid supple- ments the individual's own payment. Within the Federal guidelines, each state is able to establish their own eligibility standards, determine the type, amount and duration of services, set the rate for payment of services, and administer their own program. This article will out- line the eligibility requirements for Wisconsin as of 2019. A single adult qualifies if they meet the following criteria: The applicant can't retain more than $2,000 plus exempt assets 1. Home : Homestead property is exempt regardless of the value if the applicant intends to return home, or if a disabled child is living in it. 2. Car : One automobile per house- hold is excluded regardless of the value if it is used for transportation of the eligible individual or couple or a member of the eligible individ- ual's or couple's household. 3. Life Insurance : Life insurance is exempt if the face value of all poli- cies is less than $1,500. If the face value exceeds $1,500, full cash value counts towards resource

Online: www.seniorresourcesonline.com Email: info@seniorresourcesonline.com Mail: P.O. Box 2 8 5 Germantown, WI 5 3 0 2 2

Tel: 2 6 2 -2 5 3 -0 9 0 1 Fax: 2 6 2 -2 5 3 -0 9 0 3

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C OPIng WITh A D IAgnOSIS OF D EMEnTIA ations, providing an outlet for confronting the emotions and fears. If group settings are uncomfortable at this stage, organizations like the Alzheimer’s and Dementia Alliance and local aging and disability resource centers may directly provide or pro- vide referrals to one-on-one counseling services. Ultimately, planning is critical to decide how the person with dementia will be cared for as the disease progresses. One option is to provide care in their home setting, either through family caregivers or through home health care ser- vices. This maintains a famil- iar environment, but can be prohibitive in terms of the caregiver’s physical and men- tal commitment, or cost pro- hibitive if outside services are required for extended hours. Resources including adult day care may be available through local senior centers for those receiving in-home care. Assisted living is another option. Many licensed senior communities provide dedicat- ed memory care services. These environments may

ife gets more difficult for everyone involved when a loved one is diagnosed with a dementia-related condition. Most of us are not aware of the twists and turns that come with these situations, and find our- selves at a loss for what to do next. Fortunately, there are a host of resources available to provide support and education. A good place to start is with some basic definitions. We all need to recognize that dementia does not mean crazy. Dementia is an umbrella term that covers a variety of conditions, includ- ing Alzheimer’s disease and vascular dementia. People who have been diagnosed with dementia may also have other illnesses. Because of the preva- lence of this, ongoing care— including assistance with the activities of daily living (ADLs), supervision, medication admin- istration—along with basic cooking and cleaning services may be needed. What are the options available for families dealing with a diag- nosis of dementia? There are many groups available to pro- vide support and counseling for the person diagnosed, their family and friends. Support groups can help educate about the disease and provide advice about living with dementia. They also can provide connec- tions with others in similar situ-

include safeguards to prevent the wandering behaviors often associated with dementia and are staffed 24-hours a day. Activities are tailored to those with dementia, and are designed to support physical and cognitive strengths as well as quality of life. The struc- tured setting can be soothing, as it provides a predictable sched- ule and minimizes the surprises that can be upsetting for those with dementia. Family caregiving, professional home care, or assisted living. Whatever the option chosen— and many families find them- selves ultimately using a combi- nation of all three—resources are available to provide support. Following are just a few sources to contact for more information and/or support services: Alzheimer’s and DementiaAlliance www.alzwisc.org 888-308-6251 Alzheimer’s Disease and Referral Center www.nia.nih.gov/alzheimers 800-438-4380 Alzheimer’s Association

www.alz.org 800-272-3900 Eldercare Locator www.eldercare.gov 800-677-1116

Article submitted by Oak Park ® Place Community

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Senior Resources, Inc. specializes in providing comprehensive information on service providers for older adults in the state of Wisconsin.

If you are a consumer or would like to reach a consumer, we have many options available via our catalogs and the world wide web.

Online: www.seniorresourcesonline.com • Email: info@seniorresourcesonline.com Mail: P.O. Box 285, Germantown, WI 53022 • Tel: 262-253-0901 • Fax: 262-253-0903

VISIT OUR BRAND NEW WEBSITE!

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A DULT D AY S ERvICES cially in urban areas, may provide the full range of services. Individual par- ticipants should receive the services that they need based on an assessment by the center's professional staff and the development of a plan of care to meet those needs. Adult Day Centers have a variety of professional staff based on the range of services that they provide and may include nurses, social workers, therapists and other staff spe- cially trained to work in the day care setting. For frail older adults, Adult Day Center activities may include everything from participating in a variety of pro- grams such as current event discussion groups, arts and craft activities, health

education, and passive exercise groups. Music and art activities give participants an opportunity to express themselves in a variety of ways, as well as opportunities to learn and develop new skills. Adult Day Services are less expensive than institutional care. Fees for Adult Day Services vary from center to center based on what services are included in the fee. Some centers may be able to offer low income persons a reduced fee based on ability to pay.

dult Day Services are a practical and appealing part of the solution to long- term care needs of older adults, as well as younger disabled persons. For many, Adult Day Services are an option to nurs- ing home or other residential or institu- tional forms of care. Adult Day Centers are designed to serve adults who are experiencing a decrease in physical, men- tal and social functioning and who need the protective environment that Adult Day Services can provide. Adult Day Centers are able to care for persons with Alzheimer's Disease or relat- ed disorders, mental retardation and developmental disabilities, chronic mental illness, and physical problems related to aging and disability. Not all centers are able to provide care for all of these vari- ous populations. If you are looking for care for yourself or a loved one, it will be important to find out what kinds of people the center you are checking into is able to care for. Has the staff been trained to care for the special needs of persons with the kinds of needs you or your loved one has? Are there other people in the center with similar kinds of needs? Is the program integrated, that is do all persons regardless of disability, or spe- cial needs participate in one program or are there specialized programs and services available? These are just some of the questions you should ask. Adults who can benefit most from the special care provided in an Adult Day Center are those who need supervi- sion, social interaction and assistance with more than one activity of daily liv- ing such as eating, walking, toileting, bathing or dressing. Centers provide a wide variety of services such as Recreational Therapy, Meals, Social Services, Transportation, Personal Care including bathing, hair and nail care, Nursing Services, Rehabilitation Therapy including physical, occupational and speech therapy, and Medical Services.

County index

Columbia..n/a Dane..........17 Dodge ......18 Grant ......n/a Green ........18 Iowa ........n/a

Jefferson....19 Juneau ....n/a Lafayette n/a Richland ..19 Rock ..........19 Sauk ..........19

✓ Personalized Support for Medical Conditions ✓ Custom Program for Memory Loss ✓ Engaging Daily Activities

✓ RN, LPN, CNAs, Recreation Specialist on Staff ✓ Safe, Social, Structured Environment

608-826-8106 AdultDayCenterMadison.org

Not every center will provide all of these services. Many programs, espe-

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P ROFESSIONAL C ARE M ANAGERS needs • Ongoing oversight, moni- toring, and advocacy • Individual/family coun- seling and support • Crisis intervention BENEFITS OF CARE MAN- AGEMENT SERvICES Benefits of using care man- agement services are many, and may include: • Personalized and compas- sionate service, focusing on the client’s needs and preferences • 24/7 availability for urgent needs • Continuity of care: coordi- nation and communication with family members, medical and care providers, and legal/financial profession- als • Cost containment: the care manager’s knowledge and expertise can help you to avoid costly mistakes by carefully matching appropriate services to client’s needs. SELECTINGACARE MANAGER There are many agencies which provide Care Coordination or Care Management. Those providers who are members of the Aging Life Care Association (ALCA), formerly known as the National Association of Professional

Geriatric Care Managers (NAPGCM), meet stringent cri- teria for professional education, experience, and certification, and adhere to ALCA Standards of Practice and Code of Ethics. Additional information is avail- able on the ALCA website, www.aginglifecare.org In selecting the agency you wish to work with, you may want to ask about the following: STAFF TRAINING AND QUALIFICATIONS: • What is staff’s educational background and work expe- rience? how long have they been providing care man- agement services? • What are their professional credentials and affiliations? Are they licensed or certi- fied? If so, by who? • Are they members of the Aging Life Care Association? AGENCY STRUCTURE: • Is the agency a free-standing care management agency, part of a larger health care network, or one which also provides other services? • What are the referral rela- tionships they have with other service providers? FEE STRUCTURE: • What are the rates and fee structure? • Does the agency receive payments from other sources (e.g., placement or referral fees?) Article submitted by Miriam Oliensis- Torres, MSW, LCSW, C-ASWCM, Stowell Associates Care Managed Home Care

eriatric Care Managers (GCM) or Aging Life Care Managers (ALCM) are health and human service specialists who provide guidance, support, access to resources, and ongoing follow-up for older adults, adults with disabilities or chron- ic health care needs, and their families and support networks. Care Managers come from a variety of professional back- grounds (social work, nursing, gerontology, among others), and have a specialized focus on issues related to aging, chronic disease management and dis- abilities. The care manager is an experi- enced guide and resource for families and professionals. They have extensive knowledge about costs, quality, and avail- ability of services in their com- munity, and can connect you with the right service at the right time. Care managers also assist clients in attaining their maximum functional potential and quality of life. SERvICES PROvIDED BY A PROFESSIONAL CARE MAN- AGER: Care managers provide personalized services, based on individual client circumstances. These services may include: • Comprehensive assessments to identify problems or con- cerns, and provide solutions • Arrangement for qualified in-home care or other need- ed assistance • Identification of living options which are consistent with client needs and pref- erences; relocation planning and implementation • Referral to qualified legal, financial, or medical special- ists, based on a review of client circumstances and

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Senior Resources, Inc. specializes in providing comprehensive information on service providers for older adults in the state ofWisconsin.

Ifyou are a consumer or would like to reach a consumer, we have many options available via our catalogs and the world wide web.

Online:www.seniorresourcesonline.com • Email:info@seniorresourcesonline.com Mail:P.O. Box 285, Germantown, WI 53022 • Tel:262-253-0901 • Fax:262-253-0903

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A

C OMMUNITY B ASED R ESIDENTIAL F ACILITIES assisted living environment. According to DhS, an assessment will include a review of physical health, medications, pain, nursing care a resident needs, mental and emotional health, capac- ity for self-care and self- direction, social participa- tion, leisure time activities and more. health reviews are based on the current diagnostic, medical and social history received from a person's health care providers, case manager and other service providers (psychiatrist, psy- chologist, licensed therapist, counselor, occupational ther- apist, physical therapist, pharmacist, social worker or registered nurse). After someone moves in, the CBRF will prepare and

implement a written tempo- rary service plan to meet the immediate needs of the resi- dent until the Comprehensive Individual Service Plan is com- pleted. This individual plan includes such things as identi- fying someone’s needs, estab- lishing measurable goals, spec- ifying methods for delivering necessary care and who is responsible for delivering the care. Plans are reviewed annu- ally or when there is a change in a resident's needs, abilities or physical or mental condi- tion. In addition to support with activities of daily living, other services commonly offered in a CBRF include meals, house- keeping, laundry, linen clean- ing and medication manage- ment. In some cases, the primary reason a person moves to assisted living is to have a more robust social life. Many communities offer organized activities based on resident interests. Book clubs, restau- rant outings, bus trips, fitness classes and more are routinely

CBRF is a place where five or more unrelated people live together in a community setting and receive care, treat- ment or services in addition to room and board. What sup- port services do CBRF resi- dents commonly receive? Residents receive assistance and support with activities of daily living (ADLs) with a goal to remain as independent as possible. ADLs are basic tasks and routine activities people do every day. Six basic ADLs include: eating, bathing, dressing, toileting, transferring and maintaining continence; being able to perform and maintain these ADLs is direct- ly linked to a person’s inde- pendence. For those who have a long-term care insur- ance policy, policy language often requires that an individ- ual must be unable to perform two or more of the six ADLs to make an insurance claim. The ability of a person to perform their ADLs is some- thing the CBRF staff will con- sider when determining if a person would benefit from an

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BELOIT: 608-295-2764 CLINTON: 608-295-2764 MONROE:

608-293-3971 STOUGHTON: 608-234-7134 azuramemory.com

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ASSISTED LIVING & MEMORY CARE

Sunset Ridge Assisted Living is a class CNA Community Based Residential Facility (CBRF), licensed by the State of Wisconsin, providing care to residents with age-related frailties, memory loss due to illness or dementias, and those who need care during terminal illness not requiring skilled nursing (nursing home) care or hospitalization. At Sunset Ridge Jefferson and Sunset Ridge Memory Care our staff of trained resident aides and certified nursing assistants specialize in Alzheimer's, dementia and advance age care. Treatments are provided for those with age-related frailties, memory care and dementia illnesses. Providing the very best care is our first priority.

Amenities and services include:

• Satellite TV Service • Private Bath • Wireless Internet • Scenic View

• On site physician • Built In Shower Seats • Large Closet & Storage • All Inclusive Utilities

• Personal Climate Controls • And more...

920-699-1275 1275 Remmel Dr. • Johnson Creek, WI 53038 www.SunsetRidgeJohnsonCreek.com

920-541-3660 826 East Reinel St. • Jefferson, WI 53549 www.SunsetRidgeJefferson.com

920-541-3536 816 East Reinel St. • Jefferson, WI 53549 www.SunsetRidgeMemoryCare.com

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available. For a socially iso- lated senior, a move to a CBRF can provide uplifting experiences that foster new friendships and relationships. Residents find companion- ship in socializing with others who are in a similar stage of life. Individuals also find that with supportive staff and cer- tain adaptations, they can continue to do the same activ- ities they have always enjoyed. For a long-time gar- dener, a raised flower bed can allow someone to continue their love of gardening. For someone who has enjoyed staying fit, participating in a chair-exercise group class or balance class will help them continue with their routine and abilities. Good nutrition, medication management, health monitor- ing, safety and security are other common reasons some people move to a CBRF. Caregivers in CBRFs are commonly referred to as Resident Assistants. They are trained in a variety of areas including standard precau- tions, when someone is occu- pationally exposed to blood, body fluids or other moist body substances; fire safety- including regulations and policies associated with the facilities fire procedures; first aid and procedures to allevi- ate choking; and medication administration and manage- ment of prescribed and over- the counter medications. All

monthly fee; some expenses added). Financial assistance for CBRF living may come in the form of Family Care funds. These funds are administered by each county’s Aging & Disability Resource Center. In order to become eligible for funding, you must apply with the Aging & Disability Resource Center in the county in which the facility you desire to live in is located, not necessarily the county in which you live. Simply put, CBRFs special- ize in providing care and ser- vices to people who need support with routine activi- ties of daily living so that they can stay as independent as possible and continue to enjoy interests, hobbies, good nutrition, social pursuits and much more. Article submitted by Beth Johnson, Presales Director for Oakwood Village, a non-profit Continuing Care Retirement Community with two campuses in Madison, WI.

employees at a CBRF receive training in resident rights. Critical to those explor- ing CBRF options is the ability of the program to handle residents with dementia-care needs. Some CBRFs are designated as dementia-specific care areas. Others may offer respite care or short-term stays for individuals with and without dementia. CBRF’s differ in terms of pricing structures. It is criti- cal to understand whether the program being explored has an all-inclusive fee, (room, board and personal cares included in the cost) or an a-la-carte fee struc- ture, (a fee for rent plus ser- vices), or a modified fee program, (rent and some services included in the C OMMUNITY B ASED R ESIDENTIAL F ACILITIES

County index

Columbia................30 Dane ......................32 Dodge....................42 Grant ....................44 Green ....................45 Iowa ......................46

Jefferson ................46 Juneau ..................48 Lafayette ..............48 Richland................48 Rock ......................49 Sauk ......................51

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Catholic Charities Services for Older Adults Supporting Independence, Improving Care

Independent Living

Assisted Living

Memory Care

(920) 567-2001 700 Welsh Road Watertown www.MyHeritageHomes.org

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I C AN ’ T D O T hIS A NYMORE ! selves, know that their loved one is being taken care. 2. Adult day care – several programs are available that provides care in their facilities several days during the week. This allows the individ- ual an opportunity to leave the home and have interactions with other people. 3. Assisted living – 24-hour care and supervision. This option offers the individual social interac- tion, a safe environment with specialized staff, and nutritious meals. Looking for the right assisted living can be a tiresome and an emotion- ally draining task, how- ever when you have a guide of what to look for it will seem to all come together naturally.

W

hen you provide care for a loved one, you could be providing support 24/7 – based on the needs of the indi- vidual. If the person you are caring for has Alzheimer ’s dis- ease or another related demen- tia, you are probably ‘on guard’ constantly. It can be exhausting for you. It’s okay to admit you need help! Many of the families we work with feel a sense of vanquish because they just can’t provide the care for their loved one any longer. This isn’t failure, but a natural response and the realization that changes need to occur so both you and your loved one can receive proper attention and care. Admitting and accepting that help is needed is the first step to living a better quality of life for both the loved one and family caregiver. Now what? There are several options for an individual who has Alzheimer ’s disease or anoth- er related dementia. 1. home care – professional caregivers come into your home to provide assistance with personal cares and camaraderie. having a set schedule will allow the family to run errands, attend appointments, or just take time for them-

2.how friendly is the staff? Is the staff interacting appropriately with resi- dents? 3.What types of activities are available to keep residents engaged and stimulated? 4.Ask about the dining expe- rience. Are special diets accommodated? Ask to see a menu. 5.What safety and security features does the facility have? If a person has Alzheimer ’s or another dementia, are the doors locked for security? 6. Is care provided with dig- nity? how do the residents look and do they appear happy? 7. Is the facility licensed by the State? If so, what is their survey history? 8. If the facility claims to pro- vide ‘specialty’ care, what specifically do they do to distinguish themselves for this ‘specialty’? The Aging and Disability Resource Center is available as a source to gather informa- tion and receive guidance to determine which option is best for your situation. Article submitted by: Sue White Sienna Crest Assisted Living, Inc. Nationally Certified Alzheimer’s Educator

When Looking for Assisted Living, Consider the Following When visiting Facilities. 1. Is the home clean, in good repair and free of unpleasant odors?

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