Senior Resources Southeast KRW 2018-19 Directory

S ENIOR R ESOURCES’ 2018/2019 SoutheastWisconsin Directory of Services for Older Adults Counties Served: Kenosha Racine Walworth Comprehensive Information On:

• Adult Day Services • Care Coordination • CBRFs • Home Health Agencies • Home Care / Non-Medical • Home Medical Equipment • Hospice Services • Hospitals • RCACs • Senior Housing • Skilled Nursing Facilities

Compliments of:

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

At-home care that feels right at home. At Aurora at Home, the best in health care comes right to your door. We’ve been keeping people independent in their homes since 1907, providing everything from skilled nursing to physical therapy to end-of- life care. With Aurora at Home, you’re connected to all the specialized resources of Aurora Health Care, delivered with compassion and understanding. We’re here when and where you need us most. Services include: hysical therapg ’ 7\TcaW]\ bVSrapy ’ ;SRWQOZ S_cW^[S\b ’ 6]a^Wce/palliative carS ’ /\R []re ...

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A N I NTRODUCTION AND O VERVIEW OF THE D IRECTORY 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 recommendation. Senior

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elcome to the eight edition of Senior Resources’ Southeast Wisconsin Directory of Services for Older Adults. This directory was developed to assist older adults and family members locate appropriate health care and housing options in Kenosha, Racine and Walworth coun- ties. This directory is broken down into sections. Each section begins with a narra- tive describing the service offered followed by a com- prehensive listing of all

Resources in not responsible for inaccuracies in this direc- tory. We hope this information is helpful. This directory will be updated and published annually. We would appre- ciate any comments or sug- gestions 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

M AP OF S OUTHEAST W ISCONSIN C OUNTIES C OVERAGE A REA

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Racine Kenosha Walworth

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T ABLE OF C ONTENTS

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Find us on the Web @ www.seniorresourcesonline.com

R E S O U R C E S

A BOUT THE D IRECTORY

A DULT D AY S ERVICES •Adult Day Services Article . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 C ARE C OORDINATION •Care Coordination Article . . . . . . . . . . . . . . . . . . . . . . . . . . .10 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 H OME M EDICAL E QUIPMENT & S UPPLIES •Medical Equiment Article . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 •Introduction and Overview of Directory . . . . . . . . . . . . . . . . . .1 •Map of Southeast Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . ..1 •Aging & Disability Resource Centers . . . . . . . . . . . . . . . . . . .3 •Obtaining Additional Copies . . . . . . . . . . . . . . . . . . . . . . . . . .3 •Family Care & Family Care Partnership . . . . . . . . . . . . . . . . .4 •Overview of the Medicare Program . . . . . . . . . . . . . . . . . . . .6 •Overview of the Medicaid Program . . . . . . . . . . . . . . . . . . . . .7 H OME H EALTH A GENCIES •Community Based Residential Facilities Article . . . . . . . . . .16 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 •Residential Care Apartment Complexes Article . . . . . . . . . .74 •Wisconsin Affordable Assisted Living Program . . . . . . . . . . .76 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 •Home Health Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 H OME C ARE / N ON -M EDICAL •Home Care / Non-Medical . . . . . . . . . . . . . . . . . . . . . . . . . .40 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 A SSISTED L IVING C HOICES FOR S ENIORS

GARY KNIPPEN President & Sales info@seniorresources online.com

JOE LAUERMAN Production Coordinator seniorresources@wi.rr.com

Senior Resources, Inc. P.O. Box 285 Germantown, WI 53022-0285 (262)-253-0901 info@seniorresources online.com 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.

H OSPICE S ERVICES

•Hospice Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62

H OSPITAL S ENIOR P ROGRAMS

•Hospital Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71

S ENIOR H OUSING

•Senior Housing Overview . . . . . . . . . . . . . . . . . . . . . . . . . . .84 •Housing Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86

S KILLED N URSING F ACILITIES

•Skilled Nursing Facilities Article . . . . . . . . . . . . . . . . . . . . .100 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102

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A GING AND D ISABILIY R ESOURCE C ENTERS

Racine County Aging & Disability Resource Center 14200 Washington Ave Sturtevant, WI 53177 262-833-8777 www.adrc.RacineCounty.com Walworth County Aging & Disability Resource Center W4051 County Road NN, P.O. Box 1005 Elkhorn, WI 53121 262-741-3400 www.co.walworth.wi.us For information on Wisconsin’s Family Care Program, please see article on page 4. 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

ging & Disability Resource Centers provide individualized services to people who are elderly or who have a physical or devel- opmental disability. People with a mental illness or a sub- stance use disorder may receive individualized ser- vices from the Aging and Disability Resource Center or be connected to assistance through other resources. Aging and Disability Resource Centers are also available to help families and friends, caregivers, physi- cians, hospital discharge plan- ners and other professionals 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- sionals to give out to the

who work with older peo- ple and people with disabil- ities. Kenosha County Aging & Disability Resource Center 8600 Sheridan Rd., Ste 500 Kenosha, WI 53143 262-605-6646 www.KenoshaCounty.org

N EED A DDITIONAL C OPIES ?

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 our comprehensive website

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

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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 man- age special services such as X- rays, tests, and any follow-up care. 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/developmental dis- ability Who can be a Member of Partnership?

F AMILY C ARE & P ARTNERSHIP • Residency – Family Care is offered in certain counties in Wisconsin. Individuals must live in one of these counties Partnership helps you coordinate 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 out- comes. • The team creates a plan just for you to support your health, Partnership

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 regis- tered nurse. • Together you will discuss what your goals are, assess your abili- ties 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 regis- 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 disabilities Individuals must also meet these requirements: • Income • Functional tered nurse stay in contact with you to ensure all parts of the care plan are working well, and make changes if necessary.

Choosing Self-Direction in Long-Term Care ?

CHOOSE

tmgwisconsin.com

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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 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/

Article provided by Care Wisconsin, www.carewisc.org

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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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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

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

program. This act protects married individuals from depleting their assets due to an extended nursing home stay. If the couple's combined assets are: $0 - $50,000 the "community spouse" may keep ALL $50,001 - $100,000 "community spouse" may keep .....$50,000 $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

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

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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D AY S ERVICE P ROGRAMS – T HEY ’ RE N OT J UST FOR C HILDREN ! Evaluating Day Service Programs State certified programs requirements include the fol- lowing: • Individual service plans for each participant • Standards for nutrition including well-balanced lunches and snacks • Stated participant rights ensuring all are treated with respect and dignity • Activity programming that considers participant’s inter- ests, lifestyle, ethnicity and abilities • Background checks on all care providers employed by the program Programs are surveyed mini- mally once every three years to retain their certification. This check and balance assures care- givers that the program provider is accountable for the services of its’ day services center. Unfortunately, Medicare and most insurances do not cover the cost of day service pro- grams. Costs range on average from $45 to 75 per day, depending upon the length of your situation. How to pay for day service programs

ost people are familiar with the concept of child day care, but not many know that safe, quality adult day services is an option for caregivers as well. Programs providing half, full and extended hours of care for older adults are referred to as “adult day services” or “ADS”. The typi- cal participant in adult day ser- vices is over the age of 65, may have mid to advanced dementia or other physical limitation, and would benefit from the socializa- tion and care provided in an adult day services setting. Many adult day services centers seek State Certification, which requires cer- tain criteria are met to provide an enriching experience for the par- ticipants, and peace of mind for the caregiver. First Steps Why is the caregiver considering adult day services? The primary reason to consider an ADS is for respite care. The care- giver may still be working full- time and is concerned about their loved-one being home alone dur- ing the day. There may be con- cerns about social isolation, prop- er nutrition, and tending to per- sonal care needs. Wandering may also be an issue. If the caregiver is home during the day, they may need a break from the 24 hour caregiver responsibility. ADS pro- grams provide time during the week to do things caregiver’s want and need to do – schedule appointments, grocery shop, socialize with friends, rest. Realizing it is time to seek outside help, and not allowing feelings of inadequacy or guilt to influence this decision, is the first step in determining if ADS is right for

Kenosha ............................9 Racine ..............................9 Walworth ........................9 County Index (ADRC) is a smart step to learn about funding options for which you may qualify, both for trans- portation and day services. the day and whether or not transportation is included. Some programs provide transportation and those that don’t will, in most cases, be happy to help you arrange transportation if needed. Often times these ser- vices are subsidized through the county and are quite affordable. Contacting your county’s aging department or Aging and Disability Resource Center Senior Resources, Inc. specializes in providing comprehensive information on service providers for older adults in the state ofWisconsin. If you are a consumer or would like to reach a consumer, we have many options available via our catalogs and the world wide web. Online: www.seniorresourcesonline.com Email: info@seniorresourcesonline.com Mail: P.O. Box 285 Germantown, WI 53022

Tel: 262-253-0901 Fax: 262-253-0903

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Kenosha, Racine & Walworth Counties

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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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of home medical equipment and supplies: • aids for daily living • ambulatory aids • bathroom safety products • braces and supports • compression hosiery • diabetes management supplies • infusion pumps and sup- plies • incontinence management products • lift chairs • ostomy and wound care management products • oxygen tanks and respira- tory care equipment • tube feeding pumps and supplies • wheelchairs and scooters Home medical equipment companies provide more then products. They can provide a range of profes- sional services that include: • certified compression garment fitter • certified orthopedic fitter • enterostomal therapist • nutrition support dietitian • registered and licensed H OME M EDICAL E QUIPMENT AND S UPPLIES

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practical nurses • registered pharmacist • rehab specialist • respiratory therapist

ndependence. Security. Good health. Goals desired by us all. But, as we grow older, attaining and maintaining these goals is more challeng- ing. Innovations and advance- ments in home medical equip- ment have made it easier for older adults to reach these goals and to remain in their own homes. Home can be a personal residence or an apart- ment in a continuing care/retirement community or other complex. Whether recovering from an accident, illness or surgery; living with a disability; or, adjusting to the normal effects of growing older, living at home can be a realistic and attainable goal. Home medical equipment companies provide the ser- vices, equipment and supplies to assist many individuals who believe home is where they want to be. In consulta- tion with your physician and other health care professionals, the right products and services can be prescribed and provid- ed. Many of these products and services are covered by Medicare, Medicaid or private insurance. Here is a partial list

Your insurance coverage may include several preferred providers of home medical equipment, supplies and ser- vices. To help you decide which provider to use, ask your physician or relatives and friends who may have been served by a home med- ical equipment company. Or, contact the companies yourself and ask questions that include: • Will the provider bill my insurance, Medicare and/or Medicaid when appropri- ate? • Does the provider train, supervise and monitor its clinical services and delivery personnel? • Will the company deliver the products and provide instructions on their use? • Does the company provide 24-hour service? • Is the provider accredited? Using products and ser- vices provided by home med- ical equipment companies can add to your good health and feeling of independence and security.

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Schedule your FREE Home Safety CHECK!

262-909-2874 www.LivingWellHomeMed.com What We Do : We provide services as a center of excellence in helping you Age in Place through In-Home Physical Therapy, Accessibility and Mobility. In-Home Physical Therapy Services ✔ Highly skilled Physical Therapy care done in your home ✔ Preoperative/Postoperative Physical Therapy ✔ Seamless transition to outpatient physical therapy Kenosha North: 3921 30 th Avenue Kenosha, WI 53144 Kenosha South: 10222 74 th Street Kenosha, WI 53142 Aging In Place Services ✔ A comprehensive In-Home Safety Evaluation ✔ Pre & Post Surgical Home Assessment/Education ✔ Work with clients after the modifications or products have been installed to ensure safe usage ✔ Educate clients on the safe usage of products/home modifications

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CBRF's are identified by licensure level or class. These licensure levels are listed at the right of this page. The licensure level determines the type of residents that may reside in the facility. Critical to those explor- ing CBRF options is the ability of the program to handle resi- dents with a diagnosis of dementia- /Alzheimer's dis- ease, specific ambulation diffi- culties and the need for stand- by assistance. Certain facilities are designated as dementia- /Alzheimer's specialty facili- ties. Some may also provide 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 criti- cal 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 and some services included in the month- ly fee and some personal care C OMMUNITY B ASED R ESIDENTIAL F ACILITIES

C

ommunity Based Residential Facilities (CBRF's) are state licensed supportive living facilities where five or more unre- lated adults reside. Care, treat- ment 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 residents maintain as inde- pendent a lifestyle as possible. Typical services offered include meals, housekeeping, laundry, linen exchange, medication moni- toring and assistance with dress- ing and bathing. CBRF's also offer residents the opportunity to socialize. Each facility will offer some level of organized activity based on resident interests. For the socially isolated senior, the move to a CBRF can be a wonder- ful 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 con- structed 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 decorating.

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 be available through the Family Care Program. These funds are administered by each county’s Aging Resource Center. In order to become eligible for funding, you must apply with the Aging Resource Center in the county in which the facility you desire to live in is located, not necessarily the county in which you live. Although a facility may accept funds, they do not have any control over availability or access of same. Class AA: A Class A Ambulatory 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 ambulato- ry or semiambulatory 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. Licensure Level or Class:

Cont. on page 18

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• Private accommodations • Assistance with the activities of daily living (may include bathing, dressing, grooming) • Supervision of oral medication • Weekly housekeeping • 3 meals daily • Staff on premises 24 hours • Laundry & housekeeping services • Comprehensive emergency response system • LPN and RN on staff 24/7 • Incontinence assistance • Full range of activities 7 days a week with outings in the community • Utilities (except phone and cable) • Inpatient therapy

1001 S. Pine St., Burlington,WI 262-767-1516 reception@pinebrookpointe.net

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bulatory, but one or more of whom are not mentally or physi- cally capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or physical prompting.

Class ANA: A Class A Nonambulatory CBRF may serve residents who are ambulatory, semiambulatory or nonambulato- ry, but only if they are mentally and physically capable of respond- ing to an electronic fire alarm and exiting the facility without any help or verbal or physical prompt- ing. Class CA: A Class C Ambulatory CBRF may serve only residents who are ambulatory, but one or more of whom are not mentally or physically capable of responding to an electronic fire alarm and exit- ing the facility without any help or verbal or physical prompting. Class CS: A Class C Semiambulatory CBRF may serve only residents who are ambulatory

C OMMUNITY B ASED R ESIDENTIAL F ACILITIES or semiambulatory, but one or more of whom are not mentally or physically capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or physical prompting. Class CNA: A Class C Nonambulatory CBRF may serve residents who are ambula- tory, semiambulatory or nonam-

Article provided by: Kari Ajack, Administrator, Avalon Square

Kenosha ..........................20 Racine ............................22 Walworth ......................25 County Index

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• Assisted Living Specializing in Memory Care & Dementia • Safe Environment: Delayed Egress, Memory Care Specific Design • We Accept Private Pay and Family Care • Competitive Rates, (10% Veterans Discount) • Residents Realize Quiet Enjoyment • We Offer 24/7 Supervision • Private Room & Bath • Neighborhoods • Respite

Tender Reflections of Elkhorn 1550 N Country Club Parkway • Elkhorn WI 53121 t l l I

Visit our website for a Virtual Tour www.TenderReflectionsAL.com Call 262-723-1344

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At Kenosha Place our residents feel independent and have services available to themwhen needed. We encourage continued independence with a customized care plan. Assistance is provided by trained caregivers available 24-hours a day.

resident amenities include

Restaurant-style service for breakfast, lunch & dinner Weekly housekeeping Personal laundry including bed & bath linens Availability of staff 24-hours per day Personalized care plans

24-Hour emergency call response Nutritious snacks available throughout the day Assistance in scheduling transportation Assistance in scheduling medical appointments Licensed nurse on staff

5048 Green Bay Road, Kenosha, Wisconsin 53144 www.KenoshaplaceSL.com Take a tour today. Contact our community at 262.652.5149

We provide exceptional quality care in a loving, safe, family-like environment.

• 24/7 assistance with ADL’s: such as bathing, grooming, housekeeping, & medication administration • Daily Activities and Outings • Social, recreational and educational programming

• Transportation to and from doctor appointments & assistance with other transportation arrangements • Assistance in utilizing community resources • Handicap accessible rooms

• Family Care, long-term care insurance, & flexible private pay options are accepted • Three nutritious meals a day and snacks. • Monitoring of changing personal and healthcare care needs

CBRF HOUSE 10628 22nd Ave. Pleasant Prairie, WI

AFH HOUSE 4297 123rd St. Pleasant Prairie, WI

www.AnInnovativeCare.com Info@AnInnovativeCare.com T: 262-997-3835

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Senior Resources, Inc. specializes in providing comprehensive information on service providers for older adults in the state ofWisconsin. If you are a consumer or would like to reach a consumer, we have many options available via our catalogs and the world wide web. Online: www.seniorresourcesonline.com Email: info@seniorresourcesonline.com Mail: P.O. Box 285 Germantown, WI 53022

NOW OPEN - MEMORY CARE Safe, well - appointed building / Trained, caring staff

IN2L2L It’s never too late to learn individualized activities Also featuring 94 Assisted Living Luxury Apartments Chef Prepared Meals/ 24- hour staff /Spa Tub/ Pub A variety of exceptional apartments and a variety of pricing options

5321 Douglas Ave. • Racine, WI 53402 262-898-4000 www.parkview-community.com edunk@parkview-garden.com

Tel: 262-253-0901 Fax: 262-253-0903

EqualHousing Opportunity

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NOTES

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H OME H EALTH A GENCIES

O

ftentimes, decisions about elder care and senior living are made as a result of an injury or illness and a decision regarding home care, home healthcare, or assisted living services must be made quickly. However, being knowledgeable about your options and planning ahead will allow you to make the best deci- sion for all involved. Home Health Agencies can really be defined by the level of services being offered. Non-Medical Home Health Agencies differ from companion type services because they pro- vide an additional level of assis- tance in the home. In addition to the homemaker/companion ser- vices such as meal preparation, light housekeeping, errand ser- vices and recreational activities, a Non-Medical Home Health Agency may also offer hands-on personal care services. Personal care services typically include assistance with Activities of Daily Living (ADL’s) such as bathing, dressing, grooming, eating, mobility, and toileting. A Non- medical agency which offers this advanced level of personal care may be reimbursed by long-term care insurance policies but typi- cally is not covered by Medicare/Medicaid. An agency such as this is still considered non-medical because it is not pro- viding the skilled cares that a licensed home health agency pro- vides. A Licensed Home Health Agency provides skilled care in the home that may include ser- vices such as IV therapy, wound

• Always ask the agency about minimums – hours per visit and visits per week. • Ask about the agency’s back up system in the event your scheduled caregiver has an emergency. You’ll want to make sure that agency has back-up or on-call staff in this situation. Getting additional assistance in the home early on can drastically reduce your risk of a more serious illness or medical condition later on. It may be difficult at first to ask for the additional assistance but you’ve worked hard in life and it may be time you had someone assist or someone “catering” to your daily needs.

care, physical therapy, occupa- tional therapy, speech therapy or respiratory therapy. Most home health agencies also have Home Health Aides to provide personal care services such as bathing, grooming and dressing assistance. Many times the ser- vices provided by a licensed home health agency may be reimbursable through private insurance coverage or Medicare/Medicaid Programs. When looking for a home health agency to provide you or your loved one with assistance in the home, you should con- sider the following; • If you are in need of per- sonal care services, make sure the agency provides actual hands-on care and not just “assistance” with bathing or transferring. Many times the non-med- ical agencies can provide the “assistance” services at a less expensive level of care therefore you should- n’t need to pay for person- al care services unless it’s actually hands-on assis- tance. • If you have a long term care insurance policy, have the agency check with the insurance company direct- ly to ensure the cares are covered under your policy. The agency should be happy to do this for you.

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Locally Owned Serving Southeast Wisconsin Since 2007. Committed to caring for patients and your families as we would care for our own.

Hospice - Specialty Programs

Home Care Start Service in 24-48 Hours

Palliative Care - Management of Chronic Conditions - Care for Patients Not Ready for Hospice - Patient Can Receive Home Care and Palliative Care at the Same Time

- Fall Prevention - Skilled Nursing

• Sundowner’s Program • Benevolent Touch • Sensory Awareness • Music Therapy - Therapy for Hospice Patients - Proud Member of

• Physical, Occupational, Speech Therapies

- Home Health Aide - Social Workers - Transition to Hospice Care

Serving Milwaukee, Waukesha, Jefferson, Ozaukee, Sheboygan, Washington, Racine, Kenosha and Walworth counties.

J ACKSON 262.240.0720

B ROOKFIELD 262.787.2980

W ATERFORD 262.634.6603

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

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2775 South Moorland Road Suite 203 New Berlin, WI 53151 262-641-0459 Fax: 262-641-0999 Insurances Accepted: Medicare Humana MHS (Medicare) Care Improvement Plus

Phone:

Our Staff Includes: Skilled Nursing Physical Therapy Occupational Therapy Speech Therapy Social Services Home Health Aide

Specialty Programs: Wound Care Fall Prevention Orthopedic Diabetes Cardiac Disease Medication Management Lymphedema

Servicing Southeastern Wisconsin Joint Commission Accredited Registered Nurse On-Call 24 hours a day, 7 days a week It's All About Helping People

The healing power of home.

There are so many advantages to regaining your

health at home. That’s why Horizon offers a

comprehensive suite of services to help you stay

independent while you transition to welness. Our

caregivers can provide everything you need to

enjoy a healthier, happier lifestyle in the comfort of

your own home. To learn more, visit us online, or

calus anytime, day or night.

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