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Wellness Wednesday – Laughter (and Fun) Can Be Great Medicine

 

Laughter (and Fun) Can Be Great Medicine

When we talk about “wellness” for residents, most immediately think exercise, healthy diet and monitoring the typical health indicators.  While all those things are necessary, don’t forget to include things they enjoy.  Your residents are no different from their younger counterparts, they just want to have a little fun!

A retirement community in Essen, Germany created this awesome calendar using their residents to recreate famous movie scenes. (Think James Bond, Breakfast at Tiffany’s, Rocky, The Blues Brothers) These lucky residents got the star treatment with professional stylists, makeup, costumes and professional photographers.  Residents that participated ranged in age from 76 to 98.  Buzzfeed.com reports “The calendar models were interviewed about the project and said it was a ton of fun to dress up as their favorite actors.”

See all these wonderful photos at Buzzfeed.com

Financial Fridays – To Spend or Not To Spend, Is That Really the Right Question?

As we are nearing the end of January, hopefully you have done or are planning to conduct an inventory of your community’s strengths, weaknesses, accomplishments and, perhaps, things that just did not get done over the past year.  Taking this inventory into consideration and looking forward, do you have a plan for 2014? Have you set short term and long term goals and outlined specifically how you plan to achieve those goals?

When planning your capital budget spending for 2014, you may think you can avoid or delay some expenditures or improvements that may not seem to affect you in the short run.  But, are you really giving consideration to what putting off capital upgrades/repairs/improvements might cost you in the long run? While some improvements might seem to be unnecessary, they could be vital to the continued viability and success of your community – particularly from the perspective of future prospects who will be visiting your community.

As Jim Moore states:

“Up to 20 percent of older communities across the United States may no longer be able to effectively serve their future residents while being truly competitive in the marketplace.  This is especially true in market areas that compete with newer, state-of-the-art buildings.  The term “older, functionally obsolete community” does not necessarily mean a facility that has been operating for 15 to 20 years.  Some five-year-old communities can have serious obsolescence and deferred maintenance problems.”

Upgrades/Cosmetics – While your community may be functional and livable, is it attractive and does it present a favorable first impression?   Will your community show well as compared to the competition in your market area? Putting off some upgrades could make your community look “old” and send potential new residents looking elsewhere.

Repairs/Replacements – While some repairs and replacement purchases can seem expensive, will the long run benefits outweigh the short run costs?  For example, will it prevent a complete breakdown of important operating systems such as the heating & air conditioning systems, the resident’s elevator or the ability to provide an efficient and quality food and beverage operation? Should operational efficiencies be improved with new equipment in the short run that will save money over the long run?

So, is the question “to spend or not to spend” or should it be how do we spend the right amount of money at the right time? Prudent capital budget planning involves optimizing financial returns to the owner/operator while delivering positive impressions and tangible benefits to both the current and future new residents.

On our next Financial Friday post we will outline 7 steps to the capital budgeting process.

Much of this information is taken from Jim Moore’s book Independent Living and CCRC’s; Survival, Success & Profitability Strategies for Not-for-Profit Sponsors and For-Profit Owner/Operators.

If you are concerned about your capital spending plan and how it affects YOUR community, contact MDS to schedule your consultation to make sure your community is on track for the future.

Wisdom Wednesday

Are Your Employees On Board With Your Organizational Goals?

“Researchers have found that companies with the strongest cultures – where values and norms are widely shared and strongly held – tend to outperform their peers” – Adam Zuckerman

It is the time of the year to review past goals and set new ones.  A few things to ponder:

“A good plan today is better than a perfect plan tomorrow” – General George S. Patton

Employee performance increases by an average of more than 15 percent when supervisors help their team members set goals.  The best goal statements are challenging but attainable, communicated clearly and known to others and accepted by employees (i.e. “buy-in” has been achieved).

To add practicality to your goal-setting process, keep these bits of advice in mind:

  • Look backward before you define tomorrow’s goals.  The future can often be foretold dimply by projecting last year’s history forward and adjusting it for current conditions.
  • When you sense the changes may make history obsolete, define your new goals within ranges.  That is, instead of an absolute goal of, say, an 8 percent reduction in expense, aim for a range of 5 to 10 percent.
  • Always set the routinely attainable goals first.  Then you can consider goals that require problem solving and innovation.  Don’t commit to more than you can deliver.  Set only goals you believe you can attain with the resources at hand.
  • Allow for environmental or organizational influences that can affect your plans for better or worse.  Give special attention to human factors – especially the extent to which your employees will support or obstruct your plans.
  • Follow up by creating a feedback loop.  Monitor your goal-achievement success to see what lessons you can learn for future improvement.

Finally, be assured that the more often you set goals, the more accurate you will be.  This is one activity that improves with experience. – Supervision: Managing for Results, John W. Newstom

Let MDS help you review your goals and performance and make 2014 your best year ever!

Training Tuesday

As an Employer, Are You Helping Your Employees Help Your Organization?

One of the biggest factors in poor performance is lack of or insufficient training.  If an employee does not completely understand what their job is, they will perform that job poorly.  If an employee is not regularly updated on changes in their job, be it organizational changes, legal changes, or best-care practice changes, they will perform their job poorly.  If the employee is not clear what is specifically expected of them, goals, expected outcomes, quality/quantity expectations, chances are that employee will not meet those unknown expectations.

With the new year upon us, this is a great time to evaluate your organization’s training schedule, content and procedures.  New employee orientation is a foundation for all employees and training should build from there.

  • Is your new employee orientation complete and effective?
  • Do you make sure your employees are kept up to date with changes, whether internal or external?
  • Do you offer incentives for them to participate in continuing education programs?
  • Do you offer periodic in-service training?
  • Do you promote personal development to your employees?
  • Do you ever ask your employees in what areas do they feel they are not completely trained, educated or informed?

Here are a few recent articles with an increased focus on training for 2014.

Senior Housing Execs to Double Down on Training in 2014 (SeniorHousingNews.com)

With Senior Living Resident Acuity Rising, Providers Turn Attention to Training (SeniorHousingNews.com)

Senior Living Providers Turn Attention to Staff Training as Resident Needs Rise (SeniorHousingNews.com)

Management Monday

 Employee Health and Wellness; Is It Really an Employers Concern?

Senior communities and providers focus a lot on the physical and mental health and well-being of residents.  Attention is given to reducing illness, enhanced (and appetizing) nutritional options, fall prevention, and in general, providing residents with the best quality of life possible.  And in fact, this is a proven way to increase occupancy and resident satisfaction!  

But have you given the same consideration to your employees? We have previously talked about how employee satisfaction is a key to resident/customer satisfaction.  So if your employees are experiencing illness, stress, consequences of an unhealthy lifestyle, safety hazards and the impression that their employers don’t care about their well-being, how does that affect the way they perform their job?

While on the business side, wellness programs help rein in health care costs and reduce absenteeism, among other things, we hope more employers will look at wellness programs as a way to care for their employees.

While large corporations may incorporate complex, formal wellness programs there are some informal things smaller communities can do while researching or constructing a more formal program.   First, make sure your employees are educated on their own health and well-being.  One company I know has daily safety, health and wellness reminders and information.  They are presented prior to the shift and each employee signs to acknowledge they have read/heard/discussed it.  These topics vary from how to properly perform certain job tasks and keys to safety on the job to heat related illness in summer,  how to prevent heart disease, the dangers of obesity, the benefits of exercise, fire safety at home and on and on.  There is no end to the health and safety bulletins you can provide to your employees.

Whether a full-scale wellness program or informal health and wellness tips for you employees, engaging in the health and wellness of your employees with pay off with happier, healthier employees, higher employee morale and a boost to your bottom line

Personal Developement, Habits and Discipline

Most, if not all, successful people will point towards consistent personal development and certain habits that are keys to their success.  Do you engage in personal development? Reading or audio books are great sources for inspiration, motivation, creative ideas and sound advice.  One book highly recommended is Jeff Olson’s The Slight Edge.  This book tells you how to use all the personal development information and explains how small, daily habits make a huge difference.  We have included links to various article that give you some habits that successful people engage in on a regular basis.  Now, do not get overwhelmed trying to incorporate ALL these things into your daily schedule.  Add one or two until it truly becomes a habit then look to add another one or two.  It is all about small, daily steps not one huge leap.  Also, see our previous blog on personal development for a kick start to your personal development library.

5 Things Super Successful People Do Before 8 AM (Forbes)

14 Things Successful People Do On Weekends (Forbes)

14 Things You Should Do at the Start of Every Work Day(Forbes)

20 Things the Rich Do Every Day (DaveRamsey.com)

Jon Gordon’s Blog; Developing Positive Leaders, Organizations and Teams

Again, this is just a small sampling to get you started.  There are so many resource available and you need to find your “fit”.  Find that author or that blog that speaks to you, that motivates you.  Also, encourage your staff to engage in this habit as well.  If they feel productive and successful in their jobs, they will help promote customer satisfaction within your organization.  And in the end, that reflects well on you!

Financial Fridays

WSJ: Foreign Investors Betting on China’s Senior Housing Market

A number of global investors are joining local Chinese real estate developers as both look to bank on a senior housing boom sparked by the country’s massive elderly population, Wall Street Journal reports.

Global property firms such as Merrill Gardens Related, a joint venture between real estate developer Related Cos. and senior housing operator Merrill Gardens, have been eyeing major Chinese cities of Shanghai, Harbin and Suzhou for senior housing developments.

Fortress Investment Group, a New York-based asset manager, with China’s largest mainland conglomerate Fosun International, formed a 50-50 joint venture called Shanghai Starcastle Senior Living Services in 2012.

The partnership opened a facility in the Baoshan district north of Shanghai in May that already holds 60 seniors, but will feature 171 independent living units and 47 assisted living units once all floors are completed.

In August, Emeritus partnered with Beijing developer Sino-Ocean Land to develop a 110 bed community called Senior Living L’Amore-Kaijian, which was part of the partnership’s $110 million senior care pipeline in China.

“China’s population is aging very quickly, so there is going to be a huge market and lots of opportunities for investors and operators,” said Serena Xie of Kaijian Huazhan Senior Care Service in the article.

In 2012, China had 121 million people aged 65 and older, representing 9.1% of the population. By 2020, that figure is expected to reach 171 million, or 12.4% of the population, according to data cited in the article from the Economist Intelligence Unit and Monitor Deloitte Analysis.

Read the WSJ article.

Written by Jason Oliva

Material courtesy of SeniorHousingNews.com and Wall Street Journal

Are You Managing Effectively?

 

 

 

You cannot successfully manage others based solely on your own personality type or leadership style.  You MUST mange employees based on THEIR personalities and working styles.  Otherwise you will fall short of motivating them and results will be sub par.

So, what type of people do you manage??

(Graphic courtesy of Toronto MBA Journal WordPress blog online)

Staffing – More Than Just Filling Positions

Staffing is such a vital part of any community operation! In addition, staffing is so much more than just hiring people to fill various positions.  Successful staffing involves:

  • Screening potential employees
  • Hiring the right person for the right job (a “good/experienced” employee in the wrong job can be just as detrimental as having a “bad/inexperienced” employee)
  • Proper orientation and training
  • Supervision and leadership that motivates and empowers employees
  • Ongoing training and developing of employees
  • Employee satisfaction / retention / reducing employee turnover

And to emphasize the importance of proper staffing “based on a nationwide survey of roughly 1,500 assisted living communities spanning customers and employees in 2012, the National Research Report finds that staffing is still paramount among all other resident satisfaction factors.”  Bottom line, your staff satisfaction directly correlates to your resident satisfaction.  In fact, Senior Living University Customer Service in Assisted Living Training addresses that you MUST treat not only residents but employees (as well as many other people groups outside of residents) as customers and strive to achieve high satisfaction among all these groups.

Staffing is Key Driver for Assisted Living Satisfaction Study Shows (SeniorHousingNews.com)

While you may think you have it covered since all your positions are filled, you must ask yourself a few questions:

  • Do I have the best people in the right jobs?
  • What motivates my employees? (If you think a paycheck is enough motivation, you are missing out on major contributions by your staff!)
  • Are employees trained properly for their jobs?
  • Are my employees satisfied? Am I treating them as a “customer”?  (A satisfied employee is what gets efficiency, productivity and resident satisfaction.)
  • Are my employees trained/empowered to problem solve and contribute new ideas?
  • Are my employees growing and developoing in their job functions, leadership, and knowledge?
  • Are my employees looking for opportunities outside my community? Why?

 

 

Limited $$ For Improvements?? One Option…

If you have limited funds for improvements at your community, several factors need to be considered before making that investment.  MDS can help you wade through the options, benefits and challenges to help determine the best decision for your needs.  According to this latest article, dining is one area to be seriously considered.

Senior Living Sees Dining as New Driver for Occupancy Growth

by: Jason Oliva, as seen on SeniorHousingNews.com  September 29, 2013

Senior living providers are making big bets on dining programs, and they’re seeing their investments and efforts pay off through higher occupancy levels and better response to marketing.

Dining services, along with caregiving and management style, have the greatest impact among service types on assisted living community resident satisfaction, according to a recent study from Western Kentucky University researchers.

The study, “Influence of Satisfaction with Services on Assisted Living Resident Satisfaction,” published in the Journal of Housing for the Elderly, found that mealtime has a greater impact on residents’ satisfaction, while apartment and facility characteristics were less significant.

For one senior living provider, an overhaul of dining services served as a mechanism for weathering the recession and boosting occupancy more than 5% post-economic downturn. Implementing certain dining strategies also helped 90% of providers increase resident satisfaction levels and improve marketability, according to a white paper from a national provider of dining services.

Trinity Senior Living Communities (TSLC) has felt the successes their dining programs have brought. The faith-based nonprofit provides senior housing in 34 communities in 25 states, with 20-plus communities providing food services.

Heavily impacted by the housing downturn in 2009, TSLC leaned on its dining services program to help drive occupancy in the years following.

In 2010, when TSLC refocused its marketing efforts to lead with food sales, the provider’s assisted living segment hovered around 85% occupied, according to Kelly Gasior, vice president of strategy, senior housing operations at TSLC. By 2013, the same market segment had reached an occupancy of approximately 90.4%.

The provider’s memory care segment also saw an uptick in occupancy from 2010 to 2013, jumping from approximately 88% to just above 95%. Gasior attributes the occupancy boost to the company’s marketing strategy that spotlighted TSLC’s dining services programs.

“Dining has been a really important piece of our success over the last several years,” says Gasior. “When we really started to turn our food program around, we settled that food was what we needed to lead with.”

TSLC realized they couldn’t do it alone, so in 2007 the nonprofit provider contracted with Unidine, a national provider of dining management for senior living communities, hospitals and business catering services.

Providing dining management services to senior living communities in 26 states, Unidine believes its fresh approach that embodies a culinary perspective is what has helped its clients see their occupancy levels grow, says Richard Schenkel, president, CEO and founder of Unidine.

“Communities have the ability to use dining programs as a marketing tool to drive new residents in,” says Schenkel. “Dining programs also help drive resident satisfaction and they help retain residents.”

A combination of dining strategies that can help senior living providers achieve occupancy goals include the use of fresh foods or ingredients, as well as choice in options, according to a white paper commissioned by Unidine that surveyed 65 senior services executives in independent living, assisted living, skilled nursing facilities and continuing care retirement communities (CCRCs) in 2010.

Of the 70% of survey participants who reported using a fresh food strategy and who also specified resident satisfaction as a goal, 92% reported that their strategies contributed to their success. Similarly, 95% of executives who used fresh foods and specified improved marketability and occupancy as a goal reported their strategies contributed to their overall success.

“If a provider is looking to drive occupancy, there’s only so many ways you can compete in the market,” says Schenkel. “People are recognizing that one dining room with one menu isn’t going to make it.”

Although such changes may result in increased expense, providers can balance cost increase in one area with strategies that reduce costs in others. For example, local sourcing of fresh produce reduces, or even eliminates, transportation to lower overall food cost, notes the white paper.

Additionally, food service management companies and group purchasing organizations have the ability to aggregate purchasing volume, participate in sophisticated networks of local producers and leverage management systems across their client portfolios to further drive down costs.

Utilizing fresh food in a seasonality approach can also lead to reduced costs, according to Gasior.

“The goal is to use the freshest food at the right time,” she says. “Strawberries in February are going to be more expensive when they’re not in season.”

Since food is an integral part of people’s health, wellness and satisfaction, live demonstrations from a community’s culinary programs can have an impact on resident attraction to a certain community, according to Darin Leonardson, director of hospitality and dining at Golden Living.

“The key is making it visual,” says Leonardson. “If you don’t display or showcase these changes, then you’re perceived as clinically-based. You need to transform staffs into chefs so that customers see them.”

Signage displaying new menu options or even spotlighting locally grown produce featured in the menu can let residents know what they’re eating is fresh and not processed or pre-packaged.

Providers even hold “open house” events for their dining service programs, inviting the neighboring community to try the food for themselves. It’s also a good way to attract prospective residents, says David Kane, vice president of senior living at The Mather, a continuing care retirement community (CCRC) in Evanston, Illinois.

“Recognition in the broader community becomes helpful from a marketing perspective,” Kane says. “The most effective way to increase or generate sales for the community is through the referrals from other residents.”

This brand of oral marketing passed along from one individual to the next can be advantageous to providers looking to strengthen occupancy, improve resident retention and satisfaction within their communities.

“Word of mouth can be of strong value,” says Schenkel. “It keeps residents happier and more satisfied in wanting to be at your facility.”

Implementing a dining service program into a community takes a team-based approach that extends all the way from corporate staff to dining and dietary personnel to help drive efficiencies, according to Gasior.

“Food is a huge piece of people staying well,” she says. “If people are eating, or not eating, that’s something dietary and dining staffs bring to us so that we can get on top of a solution. It takes a whole team of people, but you can’t exclude your dining team.”

Written by Jason Oliva