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Assisted Living Executive

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Tools of Engagement
Tools of Engagement
From elaborate outdoor spaces to intense Wii competitions, communities are engaging residents at a higher level—an effort that’s great for quality of life, and not bad for business, either.
By: Anya Martin

In the new intergenerational garden at Valley House in Castle Rock, Colorado, children enjoy the playground while their grandparents, residents at the assisted living community, enjoy the scene from park benches. Another group of residents practices golf skills on the putting green. Also among the outdoor attractions, a paved walking path—accessible to residents who use wheelchairs and mobility aids—winds in and out of carefully landscaped areas. An open lawn invites croquet and badminton matches. A raised vegetable garden lets seniors sit while planting, and residents and their families can pick apples and strawberries in a nearby orchard.

A central gazebo is known as The Meeting Place to encourage community and family barbecues, birthday parties, and other gatherings. It’s also the gathering spot for daily exercise sessions, when the weather cooperates. Benches throughout the garden provide inviting spaces for anyone who just wants to sit and watch the outdoor activities.

And if residents want real peace and quiet, they can slip away to a semi-private “Kissing Corner,” featuring a view of a tranquil pond and the fragrance of nearby roses.

“The Kissing Corner has generated a lot of fun comments from residents,” says Barbara Dice, executive director of the 23-resident assisted living community, one of three owned by Castle Country Assisted Living in Douglas County, Colorado. “They love the name. Of course, there are a lot more women than men in assisted living, so they are not sure how it’s going to work,” Dice jokes.

Every aspect of the Valley House landscape is part of a strategic plan that aims to encourage activity—similar to public parks—down to the carefully selected trees and shrubs that are known to attract birds. The goal is to make the garden a lively and interactive place; it’s also just one example of the many innovative ways communities are approaching resident recreation, as part of an integrated strategy to enhance resident experiences every day. Communities are taking advantage of new technology, for example, and inviting seniors to be more involved in planning their own fun.


Guidance and Flexibility

A recent study by Rush University Medical Center in Chicago confirms: Social activity not only improves quality of life for seniors, it also slows motor function loss and other aspects of age-related decline. Therefore, an overall wellness program for residents will have at its core a comprehensive network of activities, each one a strategy to enhance resident care and the resident experience. However, true success lies in providing corporate guidance and allowing for community flexibility.

For example, the LiveWell! Lifestyles program administered by Tampa, Florida-based Horizon Bay Retirement Living encompasses six dimensions of wellness—physical, emotional, social, spiritual, intellectual, and vocational. To ensure residents have access to a balance of activities in each category, the company developed LiveWell! Standards of Excellence. Jim Concotelli, vice president of resident programs, and Horizon Bay’s regional directors conduct onsite visits and program evaluations, and coach program managers at the community level. But they also allow communities the creative freedom to customize programs to the interests and needs of their residents.

Popular LiveWell! social activities include tea parties, happy hours, musical entertainment, and mind aerobics and brain games, sometimes organized into team competitions, Concotelli says. Another hit this year are educational programs on self-care for chronic pain, such as breathing relaxation techniques.

The successful recreation program developed by Mount Laurel, New Jersey-based Brandywine Senior Living also is based on a mix of corporate-level guidance and community flexibility, says Maria Nadelstumph, vice president of organizational development and program excellence. Arts and entertainment directors from all of the company’s assisted living communities meet quarterly at the corporate office to share ideas that have been successful in their residences and jointly develop strategies to roll out new programs companywide.

To date, the most well-attended activities have included block parties for new residents to meet neighbors, live acoustic cafes with local musicians, mock game shows, art lectures, volunteer activities such as packing gift baskets for the troops, educational programs where Brandywine taps a local college for an expert on a particular topic, and the Brandywine Cup competition, during which communities compete to create the most creative slate of activities. Last year’s winner, Brandywine Senior Living at Huntington Terrace in Long Island, organized a marriage vows renewal ceremony and reception for residents and staff, talent shows, cook-offs, a USO-themed party, and a carnival.


Seniors in Charge

Communities that are successfully enhancing their residents’ daily experiences all point to a simple strategy—ask residents what they want to do. Today’s seniors are more eager to participate in activity planning than residents in years past, Nadelstumph says, just make sure your avenues for collecting feedback are resident friendly and designed to deliver specifics.

As part of Brandywine’s new “Make Life Beautiful Every Day” program, residents take surveys to assess what they like or don’t like about activities and are invited to join activity-planning committees.

“Engagement is a key piece,” Nadelstumph adds. “Lots of residents are voicing their opinions and no longer letting the recreation director do all the planning. After all, it’s their home, it’s their community.”

At Horizon Bay communities, all new residents receive an overview of the LiveWell! program and take a lifestyle interest survey to match them with activities and other residents with common interests, Concotelli says. Annual satisfaction surveys collect comments on existing programs and include feedback mechanisms to identify ideas for new ones. And residents who want to get more involved both in planning and civic engagement at their residences can join the LiveWell! Leadership Forum.

“LiveWell! Leadership Forums have created green committees for recycling and energy conservation at their community, supported local charitable organizations and schools, and developed intergenerational programs,” Concotelli says. “We’ve had some communities develop an outreach support system to keep in contact with residents who are in the hospital or going through rehabilitation.” Remember that many residents were once leaders in their jobs, nonprofit activities, and churches, he adds.

To boost activity participation, Horizon Bay also recently rolled out an educational initiative to familiarize all staff with the program schedule and ways they can gently motivate reluctant residents to attend activities they might enjoy. For example, beyond just advertising activities, staff can identify activities that match the interests of specific residents—and then extend personal invitations based on that knowledge.

“When the suggestion is personalized, it works in a different way,” says Concotelli, and greatly improves the chances that a resident will participate.


Fun and Games

In just the past couple of years, the Nintendo Wii has skyrocketed in popularity at senior living communities. Now some companies are taking Wii games to a new level by organizing competitions between their communities. Starting this fall, communities throughout the country will compete in Wii bowling and golf competitions for regional and national championships as part of the Atlanta-based National Senior League (NSL).

NSL Founder and President Dennis Berkholtz, a member of the U.S. Olympic handball team in 1972, says he started the league as a way to give back to the senior community in honor of his late mother who had Alzheimer’s disease.

“In three months, I have not contacted one senior community that doesn’t play Wii or wasn’t excited by what Wii does for its residents,” Berkholtz says. “Every community I spoke with already has a Wii and an LCD TV. The only big challenge was how to set up Webcams so people [at the competing residences] can watch each other play.”

The NSL is encouraging participating communities to wear team uniforms and help facilitate league standings and team and player statistics online, just as in any professional sports competition.

“It will help our residents stay connected to the outside world,” says Sophia Talley, executive assistant to Joe Mikalajunas, president of Bell Senior Living in Greensboro, North Carolina. Talley is managing the company’s participation in the new Wii league and says it will be a fun way to connect residents.

“They may have friends at other communities, and whether they win or lose, there’s a sense of camaraderie, team spirit, and pride for the community they live in,” she says.

However, communities should take certain precautions to ensure resident safety in such a competition—maybe even in addition to the policies and procedures most activity directors already have in place for new resident offerings. For example, because Wii activities require physical effort that can at times be quite strenuous for an older body, “each resident must go through an initial screening process completed by a nurse, and in the event a resident has special needs, a physician’s approval might be necessary with any modifications necessary prior to the resident playing,” Talley explains. Bell’s seniors also do stretching exercises before playing to prevent injuries.


Full-Circle Benefits

Having a strong activities program with high participation is becoming more important for increasing the number of move-ins and boosting a community’s bottom line, says Traci Bild, president of Tarpon Springs, Florida-based Bild Consulting, which specializes in sales and marketing in the senior living market. Today’s seniors and their families often consider three to four properties and visit a community four times before sealing a deal, and activities are key to getting them to return on those crucial repeat visits, Bild says.

“When prospects come to look at a residence and see nothing going on, they might as well stay home,” she asserts. Communities should invite prospective residents to activities that reflect their interests and set the property apart.

For more than a year before the new garden at Valley House was completed, sales staff included project plans and a video, in which residents talked about how much they were looking forward to the amenity, as part of their marketing materials for prospective residents, and it has definitely stimulated move-ins, Dice says.

One of the biggest appeals to residents has been the opportunity the park-like space affords to entertain families and grandchildren onsite, Dice adds. “I can remember going to visit my grandmother in her tiny little room and there was nothing to do. I think we’re going to see lots of grandchildren and great grandchildren that we haven’t seen before.”

Anya Martin is a contributing writer to Assisted Living Executive.


Who’s Who

Contact information for members in this article.

 

Senior, Social, Savvy 

Less than 10 percent of Americans 65 and older are participating in an online social network, but that number is sure to grow fast. In June, the media measurement firm comScore reported that Internet use was growing nearly twice as fast among people 65 and older than any other age group.

Whether they’re living at home and trying to combat loneliness or they’re residents of a senior living community where cybercafes with high-speed wifi are popular meeting places, older Americans increasingly are socializing online.

About a third of the 308 residents at River Bay Club, a Brookdale Senior Living independent and assisted living community in Quincy, Massachusetts, are using MyWay Village, an online social networking community developed for seniors. One 89-year-old resident receives photos through the site from her granddaughter who lives in Argentina. Other residents are using the platform to write their memoirs.

MyWay Village is only one of several social networking sites targeted at seniors as well as aging boomers who will soon become the next generation of residents. Other social networking sites include Eons.com, GrowingBolder.com, Boomertown, Multiply, and Rezoom. However, because many family members are already on Facebook, that’s also an easy way to introduce seniors to social networking. Once residents start making connections, they quickly become savvy social media users; any aversion to technology has not been an obstacle.

“It is about technology but it’s really about connecting residents with their families, and people they may have known, and groups they have been connected to in the past, such as World War II veterans,” says Sara Terry, vice president of Brookdale’s Optimum Life program. And these connections are helping enrich a resident’s daily experience.


Read More September 2009 Assisted Living Executive Articles:

First Published: 9/1/2009
 

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