2021 Senior Resources Northeast Directory

S ENIOR R ESOURCES' 2021 Northeast Wisconsin Directory of Services for Older Adults Counties Served:

Brown Calumet Door Fond du Lac Green Lake Kewaunee Manitowoc Marinette

Marquette Oconto Outagamie Shawano Sheboygan Waupaca Waushara Winnebago

Comprehensive

Information On:

Compliments of:

• Adult Day Services • Adult Family Homes (Assisted Living) • Care Coordination • CBRFs (Assisted Living) • Home Health Agencies • Home Care / Non-Medical • Hospice Services • Hospitals • Medical Equipment Providers • RCACs (Assisted Living) • Senior Housing • Skilled Nursing Facilities

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

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

CHECK OUT OUR ALL NEW WEBSITE!

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table of contentS

S E N I O R

a bout tHe d iRectoRy

R E S O U R C E S

a dult d ay S eRviceS •Adult Day Services Article . . . . . . . . . . . . . . . . . . . . . . . . . . .16 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 c aRe c ooRdination •Care Coordination Article . . . . . . . . . . . . . . . . . . . . . . . . . . .22 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 •What is the IRIS Program? . . . . . . . . . . . . . . . . . . . . . . . . . . .3 •Introduction and Overview of Directory . . . . . . . . . . . . . . . . . .4 •Obtaining Additional Copies . . . . . . . . . . . . . . . . . . . . . . . . . .5 •Map of Northeast Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . ..5 •What is an ADRC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 •Aging & Disability Resource Centers / Alzheimer’s Assistance . .7 •Family Care & Family Care Partnership . . . . . . . . . . . . . . . . .8 •Overview of the Medicaid Program . . . . . . . . . . . . . . . . . . . .10 •Overview of the Medicare Program . . . . . . . . . . . . . . . . . . . .11 •Elder Law & Estate Planning . . . . . . . . . . . . . . . . . . . . . . . .12 •What is a Senior Care Advisor . . . . . . . . . . . . . . . . . . . . . . ..14 c ommunity b aSed R eSidential f acilitieS (a SSiSted l iving ) •Community Based Residential Facilities Article . . . . . . . . . .26 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 •Home Health Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76 H ome c aRe / n on -m edical •Home Care / Non-Medical Article . . . . . . . . . . . . . . . . . . . . .86 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 •Long Term Acute Care (LTAC) Hospitals Article. . . . . . . . . .118 •Hospital Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 R eSidential c aRe a paRtment c omplexeS (a SSiSted l iving ) •Residential Care Apartment Complexes Article . . . . . . . . .130 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 •Senior Housing Overview . . . . . . . . . . . . . . . . . . . . . . . . . .148 •Retirement Communities . . . . . . . . . . . . . . . . . . . . . . . . . .149 •Independent Senior Housing . . . . . . . . . . . . . . . . . . . . . . .150 •Housing Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 •Subsidized Housing Article . . . . . . . . . . . . . . . . . . . . . . . . .184 •Subsidized Housing Listings . . . . . . . . . . . . . . . . . . . . . . . .186 •Hospice Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 H ome m edical e quipment & S upplieS •Home Medical Equipment Article . . . . . . . . . . . . . . . . . . . . . . . .114 •Home Medical Equipment Listings . . . . . . . . . . . . . . . . . . . . . . .115 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 jlauerman@wi.rr.com

Senior Resources, Inc. P.O. Box 285 Germantown, WI 53022 tel: (262)-253-0901 fax: (262)-253-0903 info@seniorresources online.com Visit Our ALL-NEW Website: www.seniorresourcesonline.com Note: Every effort was made to verify the accuracy of the information contained in this directory. This infor- mation is provided with the understanding that the con- sumer will contact providers to obtain infor- mation themselves prior to making a final decision regarding services. Advertisements do not con- stitute endorsement by Senior Resources, Inc. All rights reserved. The con- tents of this publication may not be reproduced without written consent of the publisher.

S killed n uRSing f acilitieS

•Skilled Nursing Facilities Article . . . . . . . . . . . . . . . . . . . . .194 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .196

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W HAT IS THE IRIS P ROGRAM ?

If you want to enroll in IRIS, you will need to contact your local Aging and Disability Resource Center (ADRC). ADRC represen- tatives offer free, unbiased infor- mation about long-term care options and resources in Wisconsin for older adults, peo- ple with disabilities, and their families. To locate the ADRC in your county, visit: www.dhs.wiscon- sin.gov/adrc

RIS (Include, Respect, I Self-Direct) is Wisconsin’s self- directed long-term care program for older adults and people with disabilities who are eligible for Medicaid. IRIS is designed to help you live your life with the support you need. How it works You have many choices when you join IRIS. Once a budget is established for you based on your long-term care needs and goals, you will choose: • What goods, supports and services you need. • When and where you want your supports provided. • Who will provide them. All IRIS participants have a support and service plan. IRIS has a broad set of services available for you to maintain or improve your quality of life. Support from others You’re responsible for manag- ing your IRIS budget, acting as an employer to workers you choose to hire and follow- ing IRIS program rules. However, joining IRIS doesn’t mean doing things all by yourself. You will have others to help you along the way. Every IRIS participant has an IRIS Consultant Agency (ICA)

and Fiscal Employer Agent (FEA) to help support them in self-direction and handling the requirements of the IRIS pro- gram. Your IRIS consultant will work with you one-on-one, get to know you and learn what is important to you. Where can i learn more about iRiS and how do i enroll?

Source: WI Department of Health Services website and IRIS Participant Handbook

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A N I NTRODUCTION AND O vERvIEW OF THE D IRECTORY tion begins with a narrative describing the service offered followed by a com- prehensive listing of all providers. Information was obtained from questionnaires and phone calls to providers listed in this directory.

Every effort was made to veri- fy the accuracy of this data. Inclusion in this directory does not constitute a recom- mendation. Senior Resources in not responsible for inaccu- racies in this directory. We hope this information is helpful. This directory will be updated and published annu- ally. 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.

elcome to the nineteenth edition of Senior Resources’ Directory of Services for Older Adults in Northeast Wisconsin. This directory was developed to assist older adults and fam- ily members locate appropri- ate health care and housing options in Brown, Calumet, Door, Fond du Lac, Green Lake, Kewaunee, Manitowoc, Marinette, Marquette, Oconto, Outagamie, Shawano, Sheboygan, Waupaca, Waushara, and Winnebago counties. This directory is broken down into sections. Each sec-

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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 profes- sional working with older adults and need additional copies, please call or e-mail us and we will be happy to get you additional 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 directories, please call or e-mail us. We do ask for a $3 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

m ap of n oRtHeaSt W iSconSin c ountieS

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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.

he place for information 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 /LTCare/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

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F AMILY C ARE AND P ARTNERSHIP disabilities •18 or older with intellec- tual disabilities 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 coor- dinate 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 abilities 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 out- comes. •The care team works with you to coordinate all covered health ser- vices. This means they will check with your

providers to see how care is going and help manage special services such as X- rays, tests, and any follow- up care. Who can be a member of partnership? Partnership is for people who need help with their health, medical and long-term care needs and who are: • Frail adults, age 65 or older • 18 or older with a physical or intellectual/develop- mental disability* 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 and determine if you qualify for Family Care, Partnership or another program. To learn more about ADRCs and locate one in your county, visit: www.dhs.wisconsin.gov/adrc/

amily Care and Partnership are programs that help frail seniors and adults with disabilities manage health and long-term care needs. Partnership also pro- vides assistance with medical needs. Here’s more information about these programs. family care Family Care helps you coordi- nate your long-term care needs. All Family Care mem- bers 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 outcomes. • The care manager and reg- istered nurse stay in con- tact 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

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

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

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

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O vERvIEW OF THE M EDICAID P ROGRAM cies is less than $1,500. If the face value exceeds $1,500, full cash value counts towards resource limit. Term insurance has no cash value and is exclud- ed 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 irrevocable burial trusts, of which the total face value may not exceed $4,500. Any princi- pal 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 consid- ered as though it were irrevoca- ble by law for these burial 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 transporta- tion of the eligible individual or couple or a member of the eligi- ble individual'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

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 individual is asset-qualified, Medicaid supplements the individual's own payment. Within the Federal guidelines, each state is able to establish their own eligi- bility standards, determine the type, amount and duration of services, set the rate for payment of services, and administer their own program. This article will outline the eligibility requirements for Wisconsin as of 2020. 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 liv- ing 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 indi- vidual's or couple's household. 3. Life Insurance : Life insurance is exempt if the face value of all poli-

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 pro- tects married individuals from depleting their assets due to an extended nursing home stay. If the couple's combined assets are: $0 - $100,000 "community spouse" may keep .....$50,000+$2,000 $100,001 - $257,280 "community spouse" may keep .....HALF+$2,000 $257,280 + "community spouse" may keep ....$128,640 plus $2,000 for a total of $130,640 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.

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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the patient's responsibility. The 2020 coinsurance amount is $176.00 per day. After the first 20 days, a person must be making "reasonable, measur- able progress" in their rehabilitation, or continue to need "skilled nursing" care to continue on Medicare benefits. Once a person reaches their "maximal potential", Medicare benefits end. This can happen anytime after the first 20 days. • Medicare Part A provides no coverage 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 cover- age requirements. Medicare will pay for an unlimited number of visits during an unlim- ited period, as long as it is medically neces- sary and coverage requirements are met. It is the intent of home health visits under Part A to deliver skilled medical attention to homebound 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 medical 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 program 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 out- patient drugs and inpatient respite care. For more information on Medicare, please visit www.medicare.gov.

O vERvIEW OF THE M EDICARE P ROGRAM Most seniors become eligible for Part A coverage when they reach age 65 and become entitled to Social Security retire- ment benefits. They do not have to pay a monthly payment called a premium 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 bene- fits, 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 expe- riences 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 ser- vice facility following a 3 day hospital 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 coverage 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

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 (per- manent kidney failure requiring dialysis or a transplant) Medicare has Two Parts: Medicare Part B covers physician services, outpatient hospital care, ambulance ser- vices, prosthetic devices, medical equip- ment, 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 - $202.60 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 over $750,000 monthly Part B premium of $491.60 Part A (Hospital Insurance) Medicare Part A primarily provides cover- age for inpatient hospital care. It also pro- vides hospice care. Limited coverage is provided for skilled nursing home and home health. No coverage is provided for assisted living. Part A (Hospital Insurance) Part B (Medical Insurance)

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lder law Elder law attorneys help clients plan in advance for the costs of long-term care. They also guide families in emergency situations on options to protect assets and maintain control of a loved one's care. When planning prospectively for long-term care, the most important document is a good Financial Power of Attorney (POA). If you are worried that the costs of nursing homes and care will deplete your assets, and you will find yourself with- out money available to direct your care or provide care for your spouse, then you must give your POA the authority to work with an elder law attorney. The two programs available to help people afford the costs of long-term care are Medicaid and the Department of veteran's Affairs Improved Pension Program (commonly called Aid & Attendance available to wartime veterans and their spouses). Qualified attorneys can help families gain access to assistance and understand the options available to maintain assets and control while using the different programs. Families can become over- whelmed by all of the responsi- bilities: completing numerous applications for facilities, pro- grams, and benefits, finding the right information, protecting funds and property, advocating for medical care, and honoring the wishes of loved ones. Elder Law attorneys can help families

does not protect assets from the costs of long-term care, i.e. the assets are still countable for Medicaid. Using a trust gives your loved ones a plan for your estate that maintains privacy and minimizes administrative fees. conclusion Whether Elder Law or Estate Planning, always seek an experi- enced attorney who focuses their practice in the those areas. This can be a confusing and, in the case of Elder Law, a stressful time for clients and their loved ones. End of life decisions, med- ical care, benefit programs and qualifications, inheritances, cost of care, legal documents, and access to information all can become complicated issues where everyone seems to have a different answer. The best advice comes from a team that includes your finan- cial advisor, your tax advisor, your senior advisor, and your estate planning or elder law attorney. Take the steps to make sure they are there to help you and your loved ones when needed. Article submitted by Attoney Sarah J. Kons, a partner with Hooper Law Office, LLC. She is also accredited by the Department of Veteran's Affairs to plan for Veterans and their spouses. The Attorneys at Hooper Law Office practice solely in Estate Planning & Elder Law, teaching locally and nationally on those topics.

E LDER L AW & E STATE P LANNING

navigate the system and plan to afford care. estate planning Wills A Last Will and Testament is a set of instructions intended for the Probate court. The judge uses the Will to determine the distribution of money and property. In Wisconsin, the process takes about a year, and the average cost is 3-5% of the estate. Many people try to avoid Probate through automatic transfers on accounts. These types of trans- fers, such as beneficiary desig- nations, avoid probate, but they lack a central plan. There are no instructions for benefi- ciaries predeceasing, young beneficiaries, beneficiaries with disabilities, etc. trusts A Revocable Living Trust, is an agreement about how assets are managed during someone's lifetime, who man- ages assets during incapacity, and to whom it passes after death. Property passed using a Trust avoids Probate and has a plan for the assets. Importantly, a revocable trust

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W HAT IS A S ENIOR C ARE A DvISOR ? results, pricing, and unique offerings. Many Care Advisors are also certified through the Society of Certified Senior Advisors. This certification requires passing a test on common issues facing seniors such as insurance, Medicare/Medicaid, com- mon medical conditions, and social and financial challenges. The certification also requires significant continuing education cred- its, compliance with a code of ethics in working with seniors and a comprehen- sive background check. Other advisors have creden- tials such as degrees in nursing, social work or physical therapy. How does it Work? When you meet with a Senior Care Advisor, they will take the time to under- stand your situation; ask you questions about the elders’ care needs and pref- erences, their budget, and their goals, their interests, and concerns. With this valuable information, the advisor is then able to make

hen it comes to under- standing senior housing, many families don’t know where to turn. One great option is to partner with a local Senior Care Advisor. While they all offer a similar service, each Senior Care Advisor will do things a little bit different. Here are some things you need to know before you start working with a Senior Care Advisor. What is a Senior care advisor? Senior Care Advisors are pro- fessionals who help seniors, and their families navigate the daunting, and often-over- whelming task of finding appropriate and affordable senior care and living options. A skilled Senior Care Advisor brings confidence and peace of mind to families who are unsure of where to start their eldercare journey. Depending upon the organization, the services for the help of a Senior Care Advisor are often paid for by the assisted liv- ings and home care agencies, making it a no-cost service to the senior or their family. Partnering with a Senior Care Advisor is often an ideal first step in exploring options. They are experts with the communities and services they work with. The Senior Care Advisor will provide you with information about a senior living community’s care capability, state survey

appropriate and personalized recommendations for care and housing that is specific to the individual's needs. Some Senior Care Advisors will even tour and interview care facilities alongside the family, making sure that they are asking the right questions and getting the critical infor- mation that they need to make the best decision for the elder. Senior Care Advisors also connect families with other relevant local resources such as home care providers, spe- cialized Elder Law Attorneys, Financial Advisors, veterans & Elder Care Benefits, Moving/downsizing Services, or any other resources that would be helpful. Families benefit from a team of advi- sors that are operating in the Seniors best interest. Let a Senior Care Advisor help lead the way. Whether you are planning, or you need help with senior housing today, partnering with a credible Senior Care Advisor will relieve the stress, fear, and uncertainty in the decision-making process. Article submitted by Michelle Graf, Owner of CarePatrol of the Fox Cities. Michelle also has

earned an MBA and is a Certified Senior Advisor ®

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A

A DULT D AY S ERvICES opportunities and hands-on opportunities within program- ming. With the option of various services, there is programming appropriate for wherever an indi- vidual might be within their life, disease process, and/or disability journey. • Emotional and Psycho-social: Jane E. Brody in her article ‘The Surprising Effects of Loneliness on Health,’ and The New York Times’s department The Upshot last December, Dr. Dhruv Khullar, found evidence that social isola- tion can disrupt sleep, cause abnormal immune responses and accelerated cognitive decline, and that loneliness raises stress hor- mones and inflammation which can increase the risk for heart disease, suicide attempts, arthri- tis, and Type 2 diabetes. Adult Day Centers offer social engage- ment opportunities and allow individuals to get out of the home, avoiding social isolation and therefore increasing overall health. Not only do Adult Day Services benefit the program member emotionally, but family and caregivers as well. Additionally, operating normal business hours, 5 days a week and sometimes weekends, family members are able to receive respite. • Environmental: Programming offers the ability to get outside and be hands on with nature. One’s environment is supportive and structured, based off individ- ual need and perception. This

dult Day Services offer a safe and supervised community based set- ting for those with or without disabili- ties while embracing all aspects of Healthy Aging, a current movement which focuses on maintaining several aspects of a person’s wellbeing, which will be discussed in the following paragraphs. By using an individual- ized approach and plan, which incor- porates these healthy aging aspects, services can assist in maintaining an individual’s personhood and provide purpose. Adult Day Services prides itself on the embodiment of these aspects of healthy aging: • Physical: Physical activity such as walks, stretches, chair yoga, danc- ing, and exercise are part of a nor- mal program routine as well as preventative educational speakers. These activities have brought improvement in cognition, balance and stamina, and prevent cardio- vascular disease and diabetes. Depending on one’s physicality, personal cares, health screening and monitoring, therapy and reha- bilitative services may be included within his/her care plan. If accessi- bility to the center is an issue, indi- viduals can look into the Adult Day Center’s transportation services. • Nutritional: Adult Day Services offer snacks throughout the day and often a nutritional meal. • Cognitive, Intellectual and Occupational: Centers offer various program options apart from social programming, ranging from cogni- tive stimulation programs, memory training programs, and educational programs for work and indepen- dent living skills. Social programs will also offer cognitive stimulating activities and build on the skills of individuals through reminisce

environment fosters safety balanced among other physical attributes and fosters exploration. • Spiritual: Though often broad, there are centers that offer reli- gious-based activities within pro- gramming. • Financial: Adult Day Services are considerably more affordable ($61/day) than nursing homes ($225/day), assisted livings ($119/day), or in-home care ($164-$220/day). Many Adult Day Services also offer funding and subsidized costs to make these fees even more affordable. Family mem- bers are also able to continue to work and nursing home placement is delayed. The Chair of the National Prevention, Health Promotion, and Public Health Council states that since 2011, the first wave of the baby boomer gener- ation over the age of 65 has reached 46 million and is projected to reach 74 million by 2030. Americans 65 years old today, can also expect to live an additional 19 years, and wish to remain independent within their homes as they age. In order for indi- viduals to be successful with their goals of independence, these aspects of healthy aging are crucial. Adult Day Services fills both of these needs with its structured and social envi- ronment while embracing all aspects of Healthy aging. Submitted by Curative Connections. Curative Connections is an Adult Day Center that offers a wide range of programming, pro- viding overall wellness.

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Brown . . . . . . . . . . . . . .18 Calumet . . . . . . . . . . .n/a Door . . . . . . . . . . . . . . .18 Fond du Lac . . . . . . . . .19 Green Lake . . . . . . . .n/a Kewaunee . . . . . . . . . . .19 Manitowoc . . . . . . . . .n/a Marinette . . . . . . . . . . .19 Marquette . . . . . . . . .n/a Oconto . . . . . . . . . . . . . .19 Outagamie . . . . . . . . . .19 Shawano . . . . . . . . . . . .20 Sheboygan . . . . . . . . . .20 Waupaca . . . . . . . . . . . .20 Waushara . . . . . . . . . .n/a Winnebago . . . . . . . . .n/a county index

Engaging in purposeful programming

Call: 920-593-3535 Hours: Monday – Friday 7:00 am – 5:30 pm Day Programs are located in Brown, Kewaunee, and Shawano Counties.

Curative Connections 2900 Curry Lane, Green Bay, WI 54311 (920) 593-3535 (800) 636-1161 WI only (920) 965-2653 Fax • www.curativeconnections.org Additional services include: Daily Living Skills & Brain Injury Rehabilitation In-Home Care, call: 920-593-3514 Employment & Training for Seniors, call: 920-593-3557 Community Dining Site, call: 920-593-3564

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NOTES

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C ARE M ANAGEMENT /C ARE C OORDINATION S ERvICES care or other services • Provide information and refer- rals to specialists in other areas of expertise • Be a liaison or “extended family” to distant or working family members or other professionals • Assist in determining, selecting, and coordinating moves to or from a single home, retirement community, assisted living, hos- pital, or nursing home • Coordinate and escort to and from appointments • Review financial, social, legal, and/or medical issues and make appropriate referrals • Provide crisis assistance and intervention • Provide Caregiver Coaching, support, and education • Act as an advocate for the client regarding care, wishes, and needs • Provide client and/or commu- nity education Many professionals call themselves Care Managers, but a Certified Aging Life Care Professional™ must meet requirements for education, experi- ence, professional references, and certification, and adhere to strict professional Standards of Practice and Code of Ethics. In looking for an Aging Life Care Manager, you may want to inquire of the following: • What is the person’s education-

inding the best type of person to assist you in the aging and/or caregiv- ing process can be challenging, emo- tional, and exhausting. This very Senior Resources Directory has an abundance of options for that purpose. However, the question commonly asked is, “Where do I begin?” or “What do I look for in this book?” or “…on a list?” An Aging Life Care Professional™, often called a Geriatric Care Manager can help you to determine and narrow down all of these resources to the best potential options to fit your specific needs and at the best times. An Aging Life Care Manager is a health and human services specialist who helps Older Adults and/or their fami- lies with their care and daily living needs. Aging Life Care Managers are trained and experienced in any of sev- eral fields related to long-term-care, including but not limited to nursing, therapy, or social work with a special- ized focus on issues relating to aging, elder care, and/or disabilities. They assist older adults and persons with disabilities in attaining their maximum functional potential and safety. In addition, the care manager is an expe- rienced guide and resource for Older Adults and/or their families or other professionals. Care managers have an extensive knowledge about types, costs, quality, and availability of ser- vices in their community. Care management can include, but is not limited to the following: • Knowledgeable and objective assessment to identify needs, strengths, wishes, problems, safety • Determine eligibility and refer, coordinate, and monitor in-home

al background and work experi- ence? How long have they been pro- viding care management services? Why are they qualified to do this? • What are their professional cre- dential/s? • Are they independent or a part of a larger organization? Are they working primarily for you, or the organization? • What are the referral relationships with other service providers? Do they accept referral bonuses? • What are the rates and billing structures? Services provided by non-professionals or for free are not always a value, as a knowl- edgeable expert can save time, stress, confusion, and money by finding the best options for you. Care management is usually pri- vately paid at an hourly rate, though some services are flat or bundled rates, and some long- term care insurance plans will pay for services. • What are their professional mem- berships? To find a certified Aging Life Care Professional™ in your area and learn more about the ben- efits, refer to the Aging Life Care Association™ (formerly National Association of Professional Geriatric Care Managers) website at: http://www.aginglifecare.org/. Article submitted by Sue Coyle. Sue is a Certified Aging Life Care™ Manager, and is a Certified Occupational Therapy Assistant by background. She is the owner of Coyle Care Management and Consulting, LLC, which provides services in the Fox Valley and surrounding areas.

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• Individualized assessment of needs, care planning, referrals, and monitoring of care • Determine safest and most independent living environment and/or services • Coordinate and assist with relocations • Provide Caregiver and/or family coaching, training, support, mediation • Coordinate, facilitate, advocate, and accompany to appointments • Offer peace of mind, hope, reassurance, and trust in your care journey • Extensive experience in aging, dementia, disabilities, and caregiving • Based in Appleton and serving the Fox Cities and surrounding areas

Sue Coyle COTA, BA, CMC

920-740-8441 www. c oy l e ca r emanagemen t . c om

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ing for older adults. Supportive living programs come in all shapes and sizes. The environ- ment may be a house that has been renovated to provide per- sonal care for a small number of people or a newly constructed building with private apartments for a large number of residents. Some facilities furnish all but the residents clothing whereas others have the resident fully furnish the apartment and even offer the opportunity for customized deco- rating. CBRF’s are identified by licen- sure level or class. These licen- sure levels are listed at the end of this article. The licensure level determines the type of residents that may reside in the facility. Critical to those exploring CBRF options is the ability of the pro- continued on page 28

C OMMUNITY B ASED R ESIDENTIAL FACILITIES

ommunity Based Residential Care Facilities (CBRF’s) are State Licensed group homes for five or more unrelated adults. CBRF’s provide assisted living and health care services above normal room and board such as assis- tance with bathing, dressing, toi- leting, mobility, nutrition, med- ications, health monitoring, safe- ty and security, socialization and companionship in an environ- ment that promotes and enhances independence. Assisted living services may be provided up to 24 hours per day, seven days per week. Skilled nursing care (nursing procedures that legally may only be done by a registered or licensed nurse) may be done 3 hours per week. For residents requiring more than 3 hours per week of skilled nurs-

ing care, the Department of Health and Family Services may be contacted to grant an exemption. The philosophy of a CBRF is to provide a home- like environment and to keep each resident as dignified and independent as possible, while maintaining a feeling of safety and security. CBRF's provide an innova- tive approach to residential liv-

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SHEBOYGAN: 92 0-2 84 -6584 OSHKOSH: 92 0-3 12 -02 60 MANITOWOC: 92 0-2 84 -6584

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gram to handle residents with a diagnosis of dementia/Alzheimer’s disease, specific ambulation difficulties and the need for stand-by assis- tance. Certain facilities are des- ignated as dementia/Alzheimer’s specialty facilities. Some may also pro- vide respite care when short term stays are needed. Facilities providing these services are identified within the detail list- ings in the CBRF section. CBRF's also differ in terms of pricing structures. It is critical to fully understand whether the program being explored has an all-inclusive fee, (room, board and all personal care included in the cost) an ala-cart program, (a fee for rent and all services are added to the monthly billing) or a modified fee program, (rent

C OMMUNITY B ASED R ESIDENTIAL FACILITIES ( CONT .) and some services included in the monthly fee and some per- sonal care services added on). There may also be upfront costs in the form of an entrance fee, endowment fee, application fee or security deposit. Financial assistance for CBRF living may come in the form of Community Options Program (COP) / Family Care

funds. COP / Family Care funds are administered by each county. In order to become eligible for COP/Family Care 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. licensure level or class: Class AA: A Class AAmbulatory CBRF may serve only residents who are ambulatory and are mentally and physically capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or

physical prompting. Class AS: A Class A

Semiambulatory CBRF may serve only residents who are

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

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