Senior Resources South Central

S ENIOR R ESOURCES' 2018/2019 South Central Wisconsin Directory of Services for Older Adults

Counties Served:

Columbia Dane Dodge

Jefferson Juneau Lafayette Richland

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

:KHQ OLIH RƫHUV WKH JLIW RI WLPH how will you spend it? Some days, even the smallest task can be a struggle. That’s when a helping hand will make all the difference. The community of friends at Oak Park Place comes with Independence When You Want It, Assistance When You Need It. So bumps in the road don’t become road blocks. We’ll help you every step of the way. Offering a continuum of care for seniors:

i Assisted Living i Memory Care i Rehabilitation Services i Independent Living

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COMING SOON! Call 608-285-2687 or email

Call 608-663-8720 or email madisonsales@oakparkplace.com. 718 Jupiter Dr., Madison, WI 53718 www.OakParkPlace.com/Madison Call 608-355-4111 or email baraboosales@oakparkplace.com. 800 Waldo St., Baraboo, WI 53913 www.OakParkPlace.com/Baraboo

nakomasales@oakparkplace.com. 4325 Nakoma Rd., Madison, WI 53711 Call 608-208-4466 or email janesvillesales@oakparkplace.com. 700 Myrtle Way, Janesville, WI 53545 www.OakParkPlace.com/Janesville

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S E N I O R R E S O U R C E S

2017

T ABLE OF C ONTENTS

S E N I O R

A DULT D AY S ERVICES •Adult Day Services Article . . . . . . . . . . . . . . . . . . . . . . . . . . .18 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 C ARE M ANAGERS •Care Managers Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 •Care Managers Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . .25 •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 •Get Active To Ease Osteoarthritis . . . . . . . . . . . . . . . . . . . . .14 •On-Site Medical Care - The Doctor Is In! . . . . . . . . . . . . . . .16 A SSISTED L IVING C HOICES FOR S ENIORS •Community Based Residential Facilities Article . . . . . . . . . .28 •I Can’t Do This Anymore! . . . . . . . . . . . . . . . . . . . . . . . . . . .32 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 •Residential Care Apartment Complexes Article . . . . . . . . .118 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 H OME M EDICAL E QUIPMENT •Home Medical Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . .56 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 •Home Health Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 H OME C ARE / N ON -M EDICAL •Home Care / Non-Medical Services Article . . . . . . . . . . . . . .70 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 H OME H EALTH A GENCIES S KILLED N URSING F ACILITIES •Skilled Nursing Facilities Article . . . . . . . . . . . . . . . . . . . . .172 •How to Choose a Post Hospital Rehabilitation Center . . . .174 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .176 •Senior Housing Overview . . . . . . . . . . . . . . . . . . . . . . . . . .132 •Housing Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 •Subsidized Housing Article . . . . . . . . . . . . . . . . . . . . . . . . .162 •Subsidized Housing Listings . . . . . . . . . . . . . . . . . . . . . . . .163 •Hospitals: An Overview . . . . . . . . . . . . . . . . . . . . . . . . . . .102 •Long-Term Acute Care (LTAC) Hospitals . . . . . . . . . . . . . .104 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 H OSPITAL S WING B ED P ROGRAMS •Swing Bed Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116 •What is Hospice? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 •Provider Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 H OSPICE S ERVICES H OSPITAL S ENIOR P ROGRAMS S ENIOR H OUSING

R E S O U R C E S

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

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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Can we get care at home?

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

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S E N I O R R E S O U R C E S

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

2018-19

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 fourteenth 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 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 and housing options in Columbia, Dane, Dodge,

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

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.

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

professionals 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 $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

Individuals –We do pro- vide these directories to

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S E N I O R R E S O U R C E S

2018-19

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 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 Partnership

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

Choosing Self-Direction in Long-Term Care ?

Senior Resources, Inc. specializes inproviding comprehensive informationon service providers for older adu lts in the state ofWisconsin. If you are a consu mer or wou ld like to reach a consu mer, we have many options available via ou r 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

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tmgwisconsin.com

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.

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

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to need "skilled nursing" care to con- tinue on Medicare benefits. Once a person 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 Part A because they or a spouse paid Medicare taxes while they were work- ing. Some seniors, such as those who have not completed the mandatory num- ber 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 $1,340 • Days 61 to 90, Medicare pays all but $335/day • Days 91 to 150, Medicare pays all but $670/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 2018 coinsurance amount is $161.00 per day. After the first 20 days, a person must be making "reasonable, measurable progress" in their rehabilitation, or continue

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 $134.00 per month for single individuals with an income of $85,000 and a married couple with less than $170,000 (2018 rate). • Single with income greater than $85,001 and less than $107,000 or married with income greater than $170,001 and less than $214,000 - $187.50 monthly Part B Premium • Single with income greater than $107,001 and less than $133,500 or married with income greater than $214,001 and less than $267,000 - $267.90 monthly Part B Premium • Single with income greater than $133,501 and less than $160,000 or married with income greater than $267,001 and less than $320,000 - $348.30 monthly Part B Premium • Single with income greater than $160,000 or married with income over $320,000 - $428.60 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 become entitled to Social Security retire- ment benefits. They do not have to pay a monthly payment called a premium for

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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 $100,001 - $247,200 "community spouse" may keep .....HALF +$2,000 $247,200 + "community spouse" may keep ....$123,600 plus $2,000 for a total of $125,600 These figures are adjusted annually for inflation. Note: This article provides a limited space for information regarding Medicaid Eligibility. There are oppor- tunities 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 cash value counts towards resource 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 sus- pect unusual value. 5. Pre-paid funeral arrange- ments : money paid for burial spaces, urns, vaults, caskets, lot can be of unlimited value. Irrevocable burial trust exempt up to $3,000. Sometimes indi- viduals contract for an all- expense package of services and burial spaces, and the pur- chase of "burial insurance" that they irrevocably assign to the funeral home in full pay- ment for the service contract. Married couples can own exempt assets listed above plus: 1. A car of any value in addition to the car of the "institutional- ized" spouse with a value of $4,500 or less. 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 from depleting their

his article focuses on the Medicaid program as it applies to elderly 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 minimal 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 eli- gibility 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 2018. 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 is generally excluded if the current market value is less than $4,500. 3. Life Insurance : Life insurance is exempt if the face value of all policies is less than $1,500. If the face value exceeds $1,500, full

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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S E N I O R R E S O U R C E S

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C OPING WITH A D IAGNOSIS OF D EMENTIA 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. 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 include safeguards to prevent the wandering behaviors Ultimately, planning is critical to decide how the person

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 Dementia Alliance www.alzwisc.org 888-308-6251 Alzheimer’s Disease and Referral Center www.nia.nih.gov/alzheimers 800-438-4380

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- ations, providing an outlet for confronting the emotions and

Alzheimer’s Association www.alz.org 800-272-3900 Eldercare Locator www.eldercare.gov 800-677-1116

J asmine Rogness, Regional Director of Marketing, Oak Park Place Community

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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 onservice providers for older adu lts inthe state ofWisconsin. If you are a consu mer or wou ld like to reach a consu mer, we have many options available via ou r catalogs and the world wide web. Call, write or email us for more informa- tion on any of our fine publications. Online: www.seniorresourcesonline.com Email: info@seniorresourcesonline.com Mail: P.O. Box 2 8 5 , Germantown, WI 5 3 0 2 2

SoutheastWisconsin Directory of Services For OlderAdults

NortheastWisconsin Directory of Services For OlderAdults

Greater MilwaukeeArea

Greater MilwaukeeArea

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

Senior Health Care Guide

Senior Housing Options

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G ET A CTIVE TO E ASE O STEOARTHRITIS shoelace or bend down. It is possible to feel better by improving your diet, adding the right medica- tions and supplements and starting an exercise pro- gram. You don’t have to be a world-class athlete to bene- fit from exercise. Most peo- ple begin by putting on a good pair of sneakers and heading outdoors. Walking is one of the simplest, safest and cheapest ways to alleviate the symptoms of osteoarthritis. Take your time. Start slowly and increase your speed and distance to keep the exer- cise challenging, without being grueling. Try to make a schedule and stick to it. another excellent choice, whether you do pool laps or take up aquatic exer- cise—stretching, walking and other workouts done in water. Thanks to water’s buoyancy, it’s easy to move around in a pool. Hydrotherapy is also won- If walking becomes boring, try swimming. This is

derfully soothing to sore and tired joints.

f you have osteoarthri- tis, experts suggest that tak- ing a walk, swimming, riding a bike – or doing any level of physical activity to keep your joints moving is help- ful. In fact, a variety of aero- bic exercises will help to relieve pain, improve flexi- bility and maybe even decrease the need for pain relievers. That’s good news for the more than 20 million Americans who suffer from osteoarthritis, or degenera- tive joint disease that most often affects the hands, spine, knees and hips. Osteoarthritis occurs when cartilage (tissue that connects bones at joints) wears, frays, ulcerates and, in some cases, disappears completely, leav- ing bare joints. Symptoms include morning stiffness, tenderness, loss of mobility and function, and creaking Although the causes of osteoarthritis are unknown, age, genetics and a lifetime of wear and tear are thought to be culprits. Although no cure exists, much can be done to ease aches and improve movement. If you have osteoarthritis, you already know how painful it can be just to tie a and cracking of joints, referred to as crepitus.

Of course, it’s always impor- tant to check with your doctor before you start exercising and to keep your physician informed of your progress. If you have advanced osteoarthritis, consider work- ing with a physical therapist. That person can show you proper exercise techniques to avoid further injury. Occupational therapists can also help you remain as mobile and independent as possible. If your joint pain is not responding to your treatment plan, you may benefit from a consultation with an orthope- dic surgeon. An orthopedic surgeon specializes in the conditions and treatments available for injuries and ail- ments within the muscu- loskeletal system. Or more simply stated – they can take care of your bones and joints. And not all treatments end up as a surgery.

The physicians at Fort HealthCare Orthopaedic

Associates are experts in offering surgical and non-surgical treat- ment solutions for joint pain and other conditions. Visit FortHealthCare.com/Ortho to learn more.

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O N - SITE M EDICAL C ARE – T HE D OCTOR IS IN ! which may be difficult for the patient to manage alone. On-site primary care allows for a complete review of the patient’s ongoing plan of care thereby reducing risks from medications, and improving understanding of On-site primary care visits from a medical provider help establish a more per- sonal doctor-patient relation- ship. Seeing patients at their place of residence allows the provider to work with the on-site care team to monitor medications more closely, evaluate living space for possible safety issues, and get a better sense of how the patient is doing in general. Care team collaboration with other on-site service partners such as home care and hos- pice staff also allows for bet- ter communication and effi- ciencies in care for these patients. the full picture of the patient’s health status.

O

n-site medical care is designed to meet the unique and growing needs of patients living in residential care com- munities. Residents of care communities more often than not, have complex chronic conditions, memory issues, and multiple medications requiring close oversight by a physician care team. By using a collabora- tive, team-based, on-site, med- ical care program, it is possible to reduce the need for emer- gency room visits and trips to the hospital which leads to sig- nificant improvement in the overall care of the patient and peace of mind for their fami- lies. For those with loved ones in residential care communities, it can be a daunting challenge to transport them to a clinic setting for regular office visits. If there are complex care needs, multiple specialty visits can add to this burden. It is not unusual for patients in res- idential care communities to experience fragmented care with lack of overall care plan oversight. If multiple doctors are involved trying to manage a variety of chronic issues, this can result in a number of pre- scriptions, all with different side effects and interactions,

compassionate medical care, social and psychological sup- port, and awareness of their wishes. On-site providers have found that getting to know the patient at home, on a regular basis, helps accomplish this goal, and has an enormous positive impact on the well- being of the patient.

Article Submitted By: Bluestone Physician Services

Senior Resources, Inc. specializes inproviding comprehensive informationon service providers for older adu lts in the state ofWisconsin. If you are a consu mer or wou ld like to reach a consu mer, we have many options available via ou r 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

Those who reside in residen- tial communities deserve

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A DULT D AY S ERVICES these services. Many programs, espe- 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, occupation- al and speech therapy, and Medical Services.

County Index

Columbia..n/a Dane..........19 Dodge ......20 Grant ......n/a Green ........21 Iowa ..........21

Jefferson ..21 Juneau ....n/a Lafayette ..22 Richland..n/a Rock ..........22 Sauk ........n/a

✓ 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

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NEW WEBSITE COMING 2 0 1 8 !!

Senior Resources, Inc. specializes in providing comprehensive information onservice providers for older adu lts inthe state ofWisconsin. If you are a consu mer or wou ld like to reach a consu mer, we have many options available via ou r catalogs and the world wide web. Call, write or email us for more informa- tion on any of our fine publications. Online: www.seniorresourcesonline.com Email: info@seniorresourcesonline.com Mail: P.O. Box 2 8 5 , Germantown, WI 5 3 0 2 2

SoutheastWisconsin Directory of Services For OlderAdults

NortheastWisconsin Directory of Services For OlderAdults

Greater MilwaukeeArea

Greater MilwaukeeArea

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Senior Health Care Guide

Senior Housing Options

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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 • 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. SELECTING A CARE 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 • 24/7 availability for urgent needs

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- 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 tionships they have with other service providers?

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 chronic health care needs, and their families and support net- works. Care Managers come from a variety of professional backgrounds (social work, nurs- ing, gerontology, among oth- ers), and have a specialized focus on issues related to aging, chronic disease management and disabilities. 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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Providing superior home care and professional care management services to the Dane and Jefferson county areas through education, advocacy, and community.

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disease, specific ambulation diffi- culties and the need for stand-by assistance. Certain facilities are designated as dementia- /Alzheimer's specialty facilities. Some may also provide respite care when short term stays are needed. Facilities providing these services are identified within the detail listings in the CBRF section. CBRF's also differ in terms of pricing structures. It is critical to fully understand whether the pro- gram 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 and some services included in the monthly fee and some personal care services added on). There may also be upfront costs in the form of an entrance fee, endowment fee, application fee or security deposit.

C OMMUNITY B ASED R ESIDENTIAL F ACILITIES

ommunity Based Residential

Facilities (CBRF's) are state licensed supportive living facilities where five or more unrelated adults reside. Care, treatment or services provided in CBRF's are above the level of room and board but do not include more than three hours of skilled nursing care per week. CBRF's provide assistance with activities of daily living to help res- idents maintain as independent a lifestyle as possible. Typical ser- vices offered include meals, house- keeping, laundry, linen exchange, medication monitoring and assis- tance with dressing and bathing. CBRF's also offer residents the opportunity to socialize. Each facil- ity will offer some level of orga- nized activity based on resident interests. For the socially isolated senior, the move to a CBRF can be a wonderful experience. CBRF's provide an innovative approach to residential living for older adults. Supportive living programs come in all shapes and

sizes. The environment may be a house that has been renovated to provide personal care for a small number of people or a newly constructed building with pri- vate apartments for a large num- ber of residents. Some facilities furnish all but the residents clothing whereas others have the resident fully furnish the apart- ment and even offer the oppor- tunity for customized decorat- ing. CBRF's are identified by licen- sure level or class. These licen- sure levels are listed later in this article. The licensure level deter- mines the type of residents that may reside in the facility. Critical to those exploring CBRF options is the ability of the program to handle residents with a diagno- sis of dementia- /Alzheimer's

Financial assistance for CBRF living may come in the form of

(Cont. on page 30)

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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