Category: Personal Care

From an upswing in sales activities to new concepts in senior living and positive attention from the press, there were lots of successes for our participants this February. However, some attendees struggled with challenges like sales slumps and poor Google reviews — and their fellow participants jumped in with some welcome advice.

Prospects Falling in Love With Communities
The month of love was very busy for Roundtable attendees. There was a major upswing in activity after the holiday slowdown with lots of tours, applications and move-ins. Many communities are at or close to full occupancy. But higher occupancy levels create their own unique problems.

“We’ve had so much success that I don’t have move-in-ready inventory, which is a challenge in itself.” (Missouri)

One creative working solution that an Illinois participant found was marketing guest suites for a trial stay of one to two weeks, in order to “allow those people [who are interested] to try it out for a week or two, and get a feel for living here.” (Illinois)

Unique New Approaches to the Senior Living Concept
Many of the Roundtable attendees had exciting and fresh takes on what senior living can mean, with upcoming projects and expansions underway.

Zen Community
One participant is involved in a “Zen” contemplative care community opening in California later this summer.

“The community will be a contemplative care community with a much different approach to assisted living and memory support than we’ve done in the past. There will be Zen teachers who live in the community, a tea room, and a fully vegetarian offering based on the Greens restaurant in San Francisco. It’s been 10 years in the making.” (Delaware/California)

An On-Site Dog Grooming Spa
One participant added an on-site dog grooming spa. “In one of our apartment buildings, we took over a floor and added a dog grooming spa where we will have a groomer assist residents on campus.” (Arkansas)

Hybrid Home Expansion
Another participant is involved in a “hybrid home” expansion project. “A hybrid home is really the best of an apartment and the best of a cottage or villa. It will be three stories high with an open floor plan. We often hear prospects say they wish they had parking or a garage, and this model has an underground parking structure where every resident can have one car, kept underground and out of the elements.” (Pennsylvania)

Memory Care Village
One participant from New Jersey has plans for developing a memory care village based on the Hogeweyk concept from the Netherlands. “It is a self-enclosed village concept with its own supermarket, cafe, etc., and everything right there on campus. We’re hung up on the zoning process right now and we expect the local town to contest it. The position of the model, that the residents get to live a natural life, is the hook that draws people in. It’s not just dementia care, but dementia living.” (New Jersey)

Media Coverage of On-Campus Fun
A number of participants were able to invite the media to their community, where they got some coverage for fun activities put on to chase away residents’ winter blues.

“We had our indoor snowball fight yesterday! We ended up on the front page of today’s local paper, the local televised news, and even on CBS and ABC news. (Illinois)

ADVICE FROM THE ROUNDTABLE

Navigating Difficult Conversations With Residents
Dealing with an unhappy resident can put staff in treacherous waters, and even more so when the resident is inciting a tirade against the whole community. One participant shared an experience dealing with one such displeased resident, and the Roundtable weighed in with advice.

The Situation:
“We had very little blowback [about rate increases]. The only negative feedback was from just one individual, who seems to have started a campaign with their family and friends to give us 1-star reviews on Google. A lot of it is just not accurate at all. So that’s been a little challenging.” (Arkansas)

The Advice:
“We’ve found that it’s best if the response is quick, and acknowledges what they’ve said — and if you extend the courtesy to please contact as soon as possible and show that you want to learn more about this situation. At that point, you’re really trying to influence the future visitors and viewers as opposed to what they’re actually doing to the Google ratings.” (Pennsylvania)

“Sometimes in those situations, just posting the response and being timely is important. Also, try to drive the conversation offline because what you’re trying to flag for those reading the 1-star reviews is that you care, and that there might be another side to the story.” (Bill Mulligan, Varsity)

Sales Cycle Slumps
One Pennsylvania participant enlisted the Roundtable participants for help with an issue with one of their sales counselors who is in a “slump,” asking, “What do you all do when you have a slow sales cycle and you want to get it kick-started?”

“Maybe you could have a heart-to-heart with them. Ask them if they’re feeling intimidated by an area, or what their knowledge level is, just work with that person.” (Washington state)

“Speaking from personal experience, a number of years ago when I was on the sales side, I went through a slump period. I tried talking to other people and seeing what they were doing, and analyzed my own weak areas. I discovered something about myself, that I spent too much time launching into our community offerings when talking with the prospect rather than getting to know their story first. When I turned that around and focused on the person and said, ‘Tell me more about you,’ it made a really big difference.” (Arkansas)

Learn from your peers at our weekly Sales & Marketing Roundtables. Join us on Thursdays at noon ET, 11 a.m. CT and 9 a.m. PT. For login information, email .

At our 31st weekly sales and marketing roundtable, communities shared their challenges, solutions and one often-used event topic that’s still getting amazing traction.

Put these ideas to work for your community by checking out the recap below.

Please join our next roundtable discussion on Thursday, October 29, at noon ET.

Lana Peck, senior principal at the National Investment Center for Seniors Housing & Care (NIC), will be joining us again to discuss the recent NIC 2020 Fall Conference and findings on the next wave of surveys. 

For login information, please contact .

A guest blog post by Brian Mailliard, CFO of St. Paul’s Senior Living Community

What does a community do with a prospective resident that is nursing home-eligible, does not need 24-hour care and yet can’t live independently? Up until now, the answer in western Pennsylvania has primarily been “personal care.” Unfortunately, Pennsylvania has many older adults who primarily live off of social security. These seniors do not have the assets to pay for personal care.

The problem is especially severe in rural western Pennsylvania. Here, the main industries of farming and manufacturing have taken a hard hit over the last 20 years. To make matters worse, affordable housing options for older adults are few and far between.

The good news is that, in the last five years, an alternative housing model has appeared. Share Care houses have been opening up in western Pennsylvania. This new housing bridges the gap for those with a low asset base who need assistance with activities of daily living.

A Neighborhood Solution

For-profit and nonprofit companies have been purchasing three-bedroom ranch homes in the community outside of their traditional campuses. The companies make small renovations, such as wheelchair ramps, wider doors and accessible bathrooms, to accommodate three residents. The residents utilize the Medicaid Home and Community-based Services waiver program,  plus their social security, to cover the cost of care. Once the home has three residents, the community can typically recoup the cost of the real estate purchase, plus renovations, in a 4–5-year time frame. At this point, the model becomes profitable. Since there are not more than three residents receiving services under the same roof, this model does not fall under personal care regulations.

The waiver will pay for an individual to get up to eight hours of assistance per day in a home in the community. Housing three residents, each optioned for eight hours of care per day, under one roof allows a company to have a care partner in the home 24 hours per day, seven days per week. Staffing is provided though a company’s home and community-based service providers, which now have the ability to offer staff the set schedules that are typically offered in home care. What I have found is that, in these small homes in the community, the staff and residents become their own little family. They grow close by doing activities together, such as shopping and cooking.

New Share Care Homes Opening

St. Paul’s Senior Living Community has opened two of these Share Care houses in the last six months. Wesbury United Methodist Community in Meadville, Pennsylvania, is also involved in Share Care. In addition to providing care at its campus, Wesbury owns and operates eight Share Care homes in the Meadville area. I have toured two of these homes. I’ve also met with Wesbury’s chief financial officer to discuss the community’s successes and struggles with Share Care.

Wesbury identified the need for a level of care for lower-income individuals that are not nursing home-appropriate. It first heard about the Share Care model from a local home care agency that operated a home. The Share Care homes are contributing to the entity’s bottom line and are operating at a profit. The impact on the outside community has also been very positive for Wesbury, with residents and staff getting involved in the greater communities in which the houses are located. That community involvement is something I plan to take back to promote at the Share Care homes within my organization.

Lessons Learned About Share Care 

Wesbury learned early on that, when making renovations, it is best to keep the house looking just like any other in the neighborhood. This way, neighbors do not get a sense that an outside organization is coming in and changing their neighborhood. One of the ways in which Wesbury combats this stigma is by putting the wheelchair access ramp inside the garage. That means the ramp is out of sight when people are driving through the neighborhood.

We have opened two of these homes in the last six months, and we are filling our second one with residents now. During this process, it has become obvious that, with any fewer than three residents, the costs outweigh the revenue. Because of this, filling the home has become a priority. When I asked Wesbury how it combats the cost of census turnover in its homes, I received a simple answer. Currently, they said, the only way to absorb the cost is by scale. The more houses you have to spread the costs of census turnover across, the better the model performs financially.

The Top Challenge Communities Face

What’s the number one struggle that Wesbury — and now St. Paul’s — has with this care model? It’s getting people approved for the waiver. Individuals who apply for the waiver wait, on average, six months for approval to be finalized. And, unlike the Medicaid benefit for the nursing home, there is no presumption of eligibility with the Home and Community-based Services Waiver. This means that someone in need of services cannot start receiving them until final approval is given.

As leaders in our communities, we have the ability to effect change. Organizations like ours and LeadingAge PA can advocate for change to the approval process for the waiver. Additionally, organizations such as mine that are just starting to offer Share Care can work with experienced organizations, like Wesbury, to learn how to navigate the current approval process. Share Care has proven that it can be an effective care model for low-income individuals who need help to live on their own. We just need to work together to make it easier to implement.