Senior Resources Northeast Directory 2018-19

S ENIOR R ESOURCES' 2018 / 2019 Northeast Wisconsin Directory of Services for Older Adults Counties Served:

Brown Calumet Door Fond du Lac Green Lake Kewaunee Manitowoc Marinette

Marquette Oconto Outagamie Shawano Sheboygan Waupaca Waushara Winnebago

Comprehensive

Information On:

Compliments of:

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

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

Retirement living worth Smiling about!

HOBART, WI Emerald Bay Retirement Community (RCAC) 650 Centennial Centre Blvd. Hobart, WI 54155 www.bakaenterprises.com (920) 544-5041

APPLETON, WI Emerald Valley Assisted Living (CBRF) 200 W. Valley Rd. Appleton, WI 54915 www.bakaenterprises.com (920) 830-6649 KEWAUNEE, WI Emerald Shores Assisted Living (CBRF)

Managed by:

3232 N. Ballard Rd., Suite 202 Appleton, WI 54911 Office: (920) 574-3833 Fax: (920) 574-3850 www.bakaenterprises.com

Emerald Bay Memory Care (CBRF) 650 Centennial Centre Blvd. Hobart, WI 54155 www.bakaenterprises.com (920)544-5041

1100 Baumeister Dr. Kewaunee, WI 54216 www.bakaenterprises.com (920) 388-2833

5HJLVWHU IRU FODVVHV RQOLQH www.bakaenterprisesenrollment.com RU SKRQH (920) 574-3833 State Approved Administrator Course (DHS 83.15) and Train-the-Trainer courses now available!

NEENAH, WI Emerald Ridge Assisted Living (RCAC) 130 Byrd Ave. Neenah, WI 54956 www.bakaenterprises.com (920) 722-5100

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BAKA presents EMERALD VALLEY ASSISTED LIVING

BAKA presents EMERALD RIDGE ASSISTED LIVING

BAKA presents EMERALD SHORES

ASSISTED LIVING

MEMORY CARE

LET HOPE THRIVE – AT SELECT SPECIALTY HOSPITAL

Select Specialty Hospitals provide highly specialized extended acute care to promote the recovery of chronic critically ill and medically complex patients.

Our hospitals have hundreds of physician specialists on staff, as well as an experienced team of caregivers including registered nurses, respiratory therapists, wound specialists and all the various rehabilitation therapists. Each patient is unique at Select Specialty, so we develop personalized treatment plans with individualized goals to maximize recovery in the shortest time possible. Our mission is to provide an exceptional patient care experience that promotes

healing and recovery in a compassionate environment. Our expertise extends to patients who have the following:

• Acute Respiratory Conditions / Ventilator Dependence • Chronic Lung Disease (COPD, Emphysema) • Complex Wounds / Infectious Diseases

• Cardiovascular Conditions • Neuromuscular Disorders • Surgical Complications • Renal Disease – Hemo & Peritoneal Dialysis • Post Stroke & Traumatic Brain Injuries

• Pre & Post Transplant Care • Metabolic Encephalopathy

Select Specialty Hospital - Madison 801 Braxton Pl. Madison, WI 53715 608-260-2703 Select Specialty Hospital - Milwaukee 8901 W. Lincoln Ave., 2nd Floor West Allis, WI 53227 414-328-7705 Select Specialty Hospital - St. Francis

3237 S. 16th St., 5th Fl. Milwaukee, WI 53215 414-328-7705

To learn more about our specialized acute care services or to take a online virtual tour of our hospitals, go to >>selectmedical.com/hospitals

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2018-19 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

T ABLE OF C ONTENTS

A BOUT THE D IRECTORY

S E N I O R

A DULT D AY S ERVICES •Adult Day Services Article . . . . . . . . . . . . . . . . . . . . . . . . . . .18 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 A DULT F AMILY H OMES (A SSISTED L IVING ) •Adult Family Homes Article . . . . . . . . . . . . . . . . . . . . . . . . . .24 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 •Introduction and Overview of Directory . . . . . . . . . . . . . . . . . .4 •Obtaining Additional Copies . . . . . . . . . . . . . . . . . . . . . . . . . .5 •Map of Northeast Wisconsin . . . . . . . . . . . . . . . . . . . . . . . . ..5 •What is an ADRC? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 •Aging & Disability Resource Centers / Alzheimer’s Assistance . .7 •Family Care & Family Care Partnership . . . . . . . . . . . . . . . . .8 •Overview of the Medicaid Program . . . . . . . . . . . . . . . . . . . .10 •Overview of the Medicare Program . . . . . . . . . . . . . . . . . . . .11 •Elder Law & Estate Planning . . . . . . . . . . . . . . . . . . . . . . . .12 •What is a Senior Care Advisor . . . . . . . . . . . . . . . . . . . . . . ..14 •On-Site Medical Care - The Doctor Is In . . . . . . . . . . . . . . .16 H OME H EALTH A GENCIES C OMMUNITY B ASED R ESIDENTIAL F ACILITIES (A SSISTED L IVING ) •Community Based Residential Facilities Article . . . . . . . . . .32 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 •Home Health Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 H OME C ARE / N ON -M EDICAL •Home Care / Non-Medical Article . . . . . . . . . . . . . . . . . . . . .94 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 C ARE C OORDINATION •Care Coordination Article . . . . . . . . . . . . . . . . . . . . . . . . . . .28 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 •Long Term Acute Care (LTAC) Hospitals Article. . . . . . . . .130 •Hospital Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 R ESIDENTIAL C ARE A PARTMENT C OMPLEXES (A SSISTED L IVING ) •Residential Care Apartment Complexes Article . . . . . . . . .142 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 H OME M EDICAL E QUIPMENT & S UPPLIES •Home Medical Equipment Article . . . . . . . . . . . . . . . . . . . . . . . .126 •Home Medical Equipment Listings . . . . . . . . . . . . . . . . . . . . . . .127 •Senior Housing Overview . . . . . . . . . . . . . . . . . . . . . . . . . .160 •Retirement Communities . . . . . . . . . . . . . . . . . . . . . . . . . .161 •Independent Senior Housing . . . . . . . . . . . . . . . . . . . . . . .162 •Housing Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164 •Subsidized Housing Article . . . . . . . . . . . . . . . . . . . . . . . . .196 •Subsidized Housing Listings . . . . . . . . . . . . . . . . . . . . . . . .198 •Hospice Article . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 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 info@seniorresources online.com

Note: Every effort was made to verify the accuracy of the information contained in this directory. This infor- mation is provided with the understanding that the con- sumer will contact providers to obtain infor- mation themselves prior to making a final decision regarding services. Advertisements do not con- All rights reserved. The con- tents of this publication may not be reproduced without written consent of the publisher. stitute endorsement by Senior Resources, Inc.

S KILLED N URSING F ACILITIES

•Skilled Nursing Facilities Article . . . . . . . . . . . . . . . . . . . . .208 •Provider Listings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210

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

Woodside Senior Communities has been leading the standard of quality care for seniors in the Green Bay area for 50 years. As a full continuum of care community, Woodside provides a wide spectrum of housing and service options including:

Schedule a tour today and we will be happy to help you find a place for you in our Woodside community. For more information, please visit woodsideseniorcommunities.org.

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

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

Every effort was made to veri- fy the accuracy of this data. Inclusion in this directory does not constitute a recom- mendation. Senior Resources in not responsible for inaccu- racies in this directory. We hope this information is helpful. This directory will be updated and published annually. We would appreci- ate any comments or sugges- tions regarding this directo- ry. Please call 262-253-0901. For information on services for older adults in Wisconsin outside of this geographical area, please visit our website at www.seniorresourcesonline.com.

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

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

2018-19

N EED A DDITIONAL C OPIES ?

Professionals – Senior Resources’ Directories are provided free to profession- als. These directories can be given out to older adults and family members to assist them in locating appropriate services. If you are a profes- sional working with older adults and need additional copies, please call or e-mail us and we will be happy to get you additional copies.

our comprehensive website of Services for Older Adults in the state of Wisconsin at www.seniorresourcesonline.com.

sionals to give out to the community. If you can’t find a copy or want a copy of any of our other directories, please call or e-mail us. We do ask for a $3 donation if possible to help cover our shipping costs. If you are looking for Wisconsin based services in areas where we do not print a directory, please check out

Senior Resources, Inc. PO Box 285 Germantown, WI 53022 262-253-0901 info@seniorresourcesonline.com

Individuals –We do provide these directories to profes-

M AP OF N ORTHEAST W ISCONSIN C OUNTIES

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

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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

Aging & Disability Resource Centers/Alzheimer’s Assistance Aging & Disability Resource Centers

ADRC of Brown County 300 S. Adams Street Green Bay, WI 54301 920-448-4300 www.adrcofbrowncounty.org ADRC of Fond du Lac County 50 N. Portland St. Fond du Lac, WI 54935 920-929-3466 www.fdlco.wi.gov/adrc

ADRC of Calumet County 206 Court St. Chilton, WI 53014 866-739-2372 www.yourADRCresource.org ADRC of Green Lake County 571 County Road A, PO Box 588 Green Lake, WI 54941 877-883-5378 www.adrcinformation.org ADRC of Marinette County 2500 Hall Ave. Marinette, WI 54143 715-732-3850 www.marinettecounty.com/adrc

ADRC of Door County 916 N. 14th Ave. Sturgeon Bay, WI 54235 920-746-2372 http://adrcdoorcounty.org/

ADRC of the Lakeshore - Kewaunee County 810 Lincoln St. Kewaunee, WI 54216 877-416-7083 www.adrcofthelakeshore.org ADRC of Marquette County 428 Underwood Ave., PO Box 405 Montello, WI 53949 855-440-2372 www.adrcmarquette.org ADRC of Wolf River Region - Shawano County 607 E. Elizabeth St. Shawano, WI 54166 855-492-2372 www.adrcwolfriver.org ADRC of Waushara County 209 S. Ste. Marie St., P.O. Box 621 Wautoma, WI 54982 877-883-5378 www.adrcinformation.org

ADRC of the Lakeshore - Manitowoc County 1701 Michigan Ave. Manitowoc, WI 54220 877-416-7083 www.adrcofthelakeshore.org ADRC of Wolf River Region - Oconto County 229 Van Buren St. Oconto Falls, WI 54154 855-492-2372 www.adrcwolfriver.org

ADRC of Outagamie County 320 S. Walnut St. Appleton, WI 54911 866-739-2372 www.outagamie.org

ADRC of Sheboygan County 650 Forest Ave. Sheboygan Falls, WI 53081 920-467-4100 www.sheboygancounty.com ADRC of Winnebago County 211 N. Commercial St. Neenah, WI 54956 877-886-2372 www.co.winnebago.wi.us/adrc

ADRC of Waupaca County 811 Harding St. Waupaca, WI 54981 866-739-2372 www.yourADRCresource.org

ADRC of Winnebago County 220 Washington Ave., 3rd Fl. Oshkosh, WI 54901 877-886-2372 www.co.winnebago.wi.us/adrc Alzheimer's Assistance Alzheimer's & Dementia Alliance of Wisconsin 571 County Road A, PO Box 588 Green Lake, WI 54941 920-294-4100 www.alzwisc.org Green Lake, Marquette, Waushara

Alzheimer's Association of Greater WI 3313 S. Packerland Dr., Ste E De Pere, WI 54115 920-469-2110 www.alz.org/gwwi Calumet, Brown, Door, Green Lake, Kewaunee, Manitowoc, Marinette, Marquette, Menominee, Oconto, Outagamie, Shawano, Waupaca, Waushara, Winnebago

Alzheimer's Association - Southeastern WI 620 S. 76th St., Ste 160 Milwaukee, WI 53214 800-272-3900 www.alz.org/sewi Dodge, Fond du Lac, Jefferson, Kenosha, Milwaukee, Ozaukee, Racine, Sheboygan, Walworth, Washington, Waukesha

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

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F AMILY C ARE AND P ARTNERSHIP disabilities •18 or older with intellec- tual disabilities Individuals must also meet these requirements: • Income • Functional • Residency – Family Care is offered in certain counties in Wisconsin. Individuals must live in one of these counties Partnership Partnership helps you coor- dinate your health, medical and long-term care needs. All Partnership members are part of a care team. •Together you will dis- cuss your goals, assess your abilities and needs, and name your out- comes. •The team creates a plan just for you to support your health, medical, and long-term care needs. •The plan includes items in the Partnership benefit plan plus other natural supports that will help you achieve your out- comes. •The care team works with you to coordinate all covered health ser- vices. This means they

will check with your providers to see how care is going and help manage special services such as X- rays, tests, and any follow- up care. Who can be a Member of Partnership? Partnership is for people who need help with their health, medical and long-term care needs and who are: • Frail adults, age 65 or older • 18 or older with a physical or intellectual/develop- mental disability* Individuals must also meet these requirements: • Income • Functional • Residency – Partnership is offered in certain counties How do I Become a Member of These Programs? The Aging and Disability Resource Center (ADRC) in your county will help you understand your options and determine if you qualify for Family Care, Partnership or another program. To learn more about ADRCs and locate one in your county, visit: www.dhs.wisconsin.gov/adrc/ in Wisconsin. Individuals must live in one of these counties

amily Care and Partnership are programs that help frail seniors and adults with disabilities manage health and long-term care needs. Partnership also pro- vides assistance with medical needs. Here’s more information about these programs. Family Care Family Care helps you coordi- nate your long-term care needs. All Family Care mem- bers are part of a care team. Your care team includes you, a care manager and a registered nurse. • Together you will discuss what your goals are, assess your abilities and needs, and name your outcomes. • The team creates a plan just for you to support your long-term care needs. • The plan includes items in the Family Care benefit plan plus other natural supports that will help you achieve your outcomes. • The care manager and reg- istered nurse stay in con- tact with you to ensure all parts of the care plan are working well, and make changes if necessary Who can be a Member of Family Care? Family Care is for people who need help with long-term care and who are: •Frail adults, age 65 or older •18 or older with physical

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

Choosing Self-Direction in Long-Term Care ?

CHOOSE

tmgwisconsin.com

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

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

E LDER L AW & E STATE P LANNING

Law attorneys can help fami- lies navigate the system and

plan to afford care. Estate Planning Wills

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

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

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

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

earned an MBA and is a Certified Senior Advisor ®

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Tender Hearts Assisted Living, LLC “Where our Hearts Care for your LovedOnes” Located in the Village of Howard

Additional 10 Units Opening in February of 2019 i pe i br a o

• Locally family owned and operated by a Registered Nurse with over 25 years experience caring for the elderly. • Both facilities each offer twenty large spacious single and double suites with handicap accessible private full bath- rooms, walk in shower, refrigerator, telephone, cable, and separate heating/air conditioning controls. • Personal care services in all inclusive rates from independent to clients needing total assistance. • 24 hour care provided by CNA’s. • Registered Nurses on site Mon-Fri and available 24-7. • 24 hour nurse call system for resident assistance. For more information or to schedule a private tour please contact Rachel A. Goffard, RN, CAEd at (920) 366-8500 or rgoffard@thcbrf.com or Chris R. Goffard at (920) 366-8452 or cgoffard@thcbrf.com.

320 Cardinal Lane, Green Bay WI 54313 www.Tenderheartsassistedliving.com

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O N - SITE M EDICAL C ARE – T HE D OCTOR IS IN ! side effects and interactions, 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.

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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

Those who reside in residen- tial communities deserve com- passionate medical care, social and psychological support, 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

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

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

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

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COUNTY INDEX

Engaging in purposeful programming

Brown . . . . . . . . . . . . . .20 Calumet . . . . . . . . . . .n/a Door . . . . . . . . . . . . . . .20 Fond du Lac . . . . . . . . .21 Green Lake . . . . . . . .n/a Kewaunee . . . . . . . . . . .21 Manitowoc . . . . . . . . . .21 Marinette . . . . . . . . . . .21 Marquette . . . . . . . . .n/a Oconto . . . . . . . . . . . . . .21 Outagamie . . . . . . . . . .22 Shawano . . . . . . . . . . . .22 Sheboygan . . . . . . . . . .22 Waupaca . . . . . . . . . . . .23 Waushara . . . . . . . . . .n/a Winnebago . . . . . . . .n/a

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

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

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women needing counseling and/or the terminally ill.

n Adult Family Home is the smallest type of residential facility licensed by the Wisconsin Department of Health Services Bureau of Assisted Living, Division of Quality Assurance. Often an actual private home, an Adult Family Home is a place where adults who are not related to the operator reside and receive care, treat- ment or services that are above the level of room and board and that may include up to seven hours per week of nurs- ing care per resident. This def- inition pertains only to three- bed and four-bed Adult Family Homes, which are reg- ulated by the Wisconsin Division of Quality Assurance and does not pertain to one-

A DULT F AMILY H OMES bed and two-bed Adult Family Homes which are regulated by individual county Human Services departments. Most Adult Family Homes specialize in a particular type of resident. Adult Family Homes can admit people of advanced age, persons with dementia, physical disabilities, develop- mental disabilities, mental health problems, traumatic brain injury, AIDS, Alcohol and other drug abuse, correc- tional clients, pregnant

Brown . . . . . . . . . . . . . .25 Calumet . . . . . . . . . . . .25 Door . . . . . . . . . . . . . . .25 Fond du Lac . . . . . . .n/a Green Lake . . . . . . . .n/a Kewaunee . . . . . . . . . . .25 Manitowoc . . . . . . . . . .25 Marinette . . . . . . . . . . .25 Marquette . . . . . . . . . . .26 Oconto . . . . . . . . . . . .n/a Outagamie . . . . . . . . . .26 Shawano . . . . . . . . . .n/a Sheboygan . . . . . . . . . .27 Waupaca . . . . . . . . . . . .27 Waushara . . . . . . . . . . .27 Winnebago . . . . . . . . . .27 County Index

An Innovative Residential Alternative to Large Nursing Homes and Assisted Living Facilities with 6 locations. HELEN’S HOUSE ® is a newer, beautiful, custom built four-bedroom home located in an actual neighborhood that is staffed 24/7 by a team of caregivers. Our 1:4 care ratio enables our caregivers to care for seniors with significant hands on care needs- even those requiring total care. HELEN'S HOUSE ® creates a place where our four beautiful seniors, including those with irreversible dementia / Alzheimer's, can live a full life regardless of their health conditions and age in place. Our four residents thrive in homes and neighborhoods where they are not defined by their medical condition, but rather by who they are as individuals.

HELEN'S HOUSE - Appleton HELEN'S HOUSE - Kaukauna HELEN'S HOUSE - Lake Park

HELEN'S HOUSE - Wrightstown HELEN'S HOUSE - Darboy HELEN'S HOUSE - Little Chute

Please call us at 920-851-2345 Web: www.helenshouse.com Email: info@helens-house.com

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