Assisted Living Forum “State of Assisted Living” September 9, 2008.
Assisted Living Executive to Senior Living Executive
65
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Transcript of Assisted Living Executive to Senior Living Executive
P U B L I S H E D B Y A L F A T O A D V A N C E E X C E L L E N C E I N S E N I O R L I V I N G
executiveSENIOR LIVING
BEST PRACTICES | STRATEGIC SOLUTIONS | INNOVATIVE THINKING MARCH/APRIL 2013
Operations
MUST-HAVE
TOOLSHIGH-TECH
Staff and Culture
Marketing
Largest Providers
Fueled by numerous
small deals, companies stack
up differently this year
Leveraging online consumer reviews
The Four Seasons Way of leadership
2013
YARDI VoyagerTM Senior Housing»» Comprehensive accounting, financials, and investment management»» Resident census and occupancy management, online portals, and electronic billing»» Customizable resident assessments, care plans, and caregiver FTE management»» Incident and accident tracking with dynamic action plan workflows and analytics»» Electronic health records with integrated eMAR and bi-directional pharmacy interface»» CRM, prospect and referral marketing, and sales counselor performance metrics
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SMARTER One platform with built-in accounting, billing, marketing, and resident care management
SMARTWeb-based senior housing software
Please give us a brief description of Watercrest Senior Living Group.
Watercrest Senior Living Group is based out of Vero Beach, Florida and specializes in assisted living and memory care community operations, market repositioning, and advisory services. Partnering with a wide variety of stakeholders such as land owners, real estate developers, investors, financial institutions, and REITs, Watercrest focuses on its core strength – operations management of assisted living and memory care communities.
Tell us about a recent major business initiative.
We were presented recently with several partnering opportunities with major developers who share our vision of building the next generation of assisted living and memory care communities. Combining our knowledge of senior housing operations with the experience and capabilities of our development partners, we are well-positioned to create amazing new communities that cater to the aging baby boomer generation. This initiative will require us to scale quickly as new communities come online in diverse geographic locations, and we needed a software solution that would support our current operations and anticipated growth.
What was most important to you in seeking a senior housing management software solution?
We knew we needed a Web-based, hosted environment that provided real-time information and analytics for every aspect of our operations. We wanted an integrated system that tracked residents from initial contact through move-in,
billing, and care. Yardi Voyager includes full accounting functionality and allows us to analyze our revenue, labor, and operating expenses within a single platform. Recent enhancements of incident tracking, vital signs, and eMAR give us even greater control over resident care while minimizing risk. Beyond that, we take our partnerships very seriously, and having worked with Yardi for many years, we knew Yardi would be our best partner. Yardi listens to its clients and constantly enhances its software with greater depth and functionality specific to our industry.
How have you successfully met the challenge of addressing both the property management and resident care aspects of senior housing operations?
Running a management company whose core business is caring for residents creates a whole set of challenges beyond traditional property management. When we launched our company, we made the decision to invest in state-of-the-art systems that would integrate all aspects of our operations and enable us to create a workflow from marketing to billing to care. We are a high-touch industry so it’s critical that our systems enhance the level of care we provide our residents and present an intuitive, user-friendly platform for our managers. We are confident that Yardi will be a key partner in our future growth and success.
Marc VorkapichPrincipal and Chief Executive Officer
Joan WilliamsPrincipal and Chief Financial Officer
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March/April 2013
executiveSENIOR LIVINGcontents|V o l u m e 2 0 | N u m b e r 2 | P u b l i s h e d b y A L F A
Features
30 The Reviews Are In!By Adam StoneWith sites like Caring.com, Yelp!, Google+, Yahoo! Local, and others, consumers have an open invitation to speak their piece, whether for good or ill. It’s a phenomenon senior living must reckon with.
34 Wanted: Custom Tech SolutionsBy Bryan OchallaTechnology may have advanced by leaps and bounds over the last few years, but that doesn’t mean senior living execs are content with the devices and software that currently help them accomplish their work. They’re looking for everything from software applications, to iPads, to community-wide Wi-Fi. PLUS: Annual List of Sales & Marketing High-Tech Tools
40 The OverachieverBy Adam StoneFormer Four Seasons Hotels executive Jim FitzGibbon gives Senior Living Executive a sneak peek at his 2013 ALFA Conference & Expo keynote address, talking about leadership, resident satisfaction, and personal ambition.
43 EXPO PreviewYour first look at exhibitors at the 2013 ALFA Conference & Expo in Charlotte, North Carolina
Cover Story
2 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
12 2013 Largest Senior Living ProvidersBy Anya MartinSmaller REITs joined their larger counter-parts last year, along with private equity and HUD financing, to bring new capital into senior living. Many sector insiders dubbed 2012 the year of the small deal, and those were plentiful, spurring little change at the top but much reshuffling among the regional operators on the 80 Largest Senior Living Providers List. PLUS: Meet the top CEOs
30
34
4 Top of Mind Richard P. GrimesALFA President/CEO
6 Need to KnowIndustry news and updates
10 ALFA for YouWorking on your behalf
50 Public Policy BriefAccreditation and licensing
52 People & PlacesAppointments and developments
56 Member IndexGuide to members in this issue
58 Ad Index Guide to advertisers in this issue
EXECUTIVE PUBLISHERRICHARD P. GRIMES, ALFA President/CEO [email protected] twitter.com/rickgrimes
PUBLISHER
DEBRA J. STRATTON
EDITOR
ANGELA HICKMAN BRADY404.918.6775 [email protected]
PRODUCTION ASSISTANTS
CHRISTINE [email protected] [email protected]
CONTRIBUTING WRITERS
ANYA MARTIN, BRYAN OCHALLA, ADAM STONE
ART DIRECTOR
JANELLE WELCH
ALFA MEDIA SALES TEAM
JAMISON J. GOSSELIN ALFA SVP, Marketing & Communications
SCOTT NARUG Senior Sales Manager 312.673.5974 [email protected]
HALLIE JAEGER Sales Coordinator 312.673.5732 [email protected]
PUBLISHING OFFICES
STRATTON PUBLISHING & MARKETING INC.5285 Shawnee Road, Suite 510, Alexandria, VA 22312703.914.9200; fax 703.914.6777Email: [email protected] circulation information, call 703.894.1805.
Insights and critical review provided by the ALFA OPERATIONAL EXCELLENCE ADVISORY PANELTHOMAS CROAL, CFO, Silverado Senior Living, CFO Roundtable
JENNIFER WIEST, Director of Clinical Services, Carlton Senior Living, Clinical Quality Roundtable
ALAN FAIRBANKS, EVP, Bickford Senior Living, COO Roundtable
JUDD HARPER, COO, The Arbor Company, COO Roundtable
LIBERTY STANSBERRY, SVP, Human Resources, Emeritus Senior Living
JIM PUSATERI, SVP of Sales, Brookdale Senior Living
GUY HEMOND, Director Dining Service, Benchmark Senior Living, Dining Service Roundtable
ANNA DE LA CERDA, Director of Licensing and Public Policy, Emeritus Senior Living, Government Relations Roundtable
ANDREA TEICHMAN, SVP and General Counsel, Benchmark Senior Living, Government Relations Roundtable
GLENN MAUL, SVP Human Resources, Brookdale Senior Living, Human Resources Roundtable
SCOTT RANSON, Chief Information Officer, Brookdale Senior Living, Information Technology Roundtable
MICHELLE HAMILTON, SVP of Operations, Country Meadows Retirement, Regional Executives Roundtable
THOMAS BAKER, SVP Sales and Marketing, Country Meadows Retirement
STEVEN HEANEY, VP of Development, Brandywine Senior Living, Regional Executives Roundtable
Published by THE ASSISTED LIVING FEDERATION OF AMERICA, Alexandria, Virginia. Senior Living Executive (print ISSN 2161-6698, online ISSN 2161-67IX) is published bimonthly by the Assisted Living Federation of America, 1650 King Street, Suite 602, Alexandria, Virginia 22314. Periodicals postage paid at Alexandria, VA, and additional mailing offices. ALFA member companies receive subscriptions for staff as part of their membership. Free controlled subscriptions are also available to qualified individuals in the senior living business. Senior living and other professionals who do not qualify may purchase an annual subscription: $95 for individuals and $125 for institutions. Go to www.alfa.org/subscribe for details.
POSTMASTER: SEND ADDRESS CHANGES TOSenior Living Executive, 1650 King Street, Suite 602, Alexandria, Virginia 22314 703.894.1805. Printed in USA. Copyright 2012. Prior to photocopying items for educational classroom, internal, or personal use, please contact the Copyright Clearance Center, Customer Service, 978.750.8400, 222 Rosewood Dr., Danvers, MA 01923 or check CCC Online at www.copyright.com. Senior Living Executive will not be responsible for the return of any unsolicited manuscripts or photographs.
Copyright ©2013 Assisted Living Federation of America. All rights reserved. No part of this publication may be reproduced or transmitted in any form—print, electronic, or otherwise—without written permission from ALFA.
Reliable Resources
58 Business LinkProducts and services for senior living
60 Talking Points What people are saying online
6
4 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
I was recently interviewed by an investigative television journalist who, with his “Do-you-still-beat-your-wife?”-type questions made it seem that he was hell-bent on making a case for greater government control of private-pay businesses that offer assisted living. Interestingly, the program originally scheduled to air in September is now scheduled to air in May. Why the delay? I’d like to think that the more they “investigated” our business, the more they came to realize that what we offer is a vital part of the solution to the nationwide problem faced by aging seniors who don’t want to—or no longer can—live at home alone or with family. Yes. Let’s start afresh…
Dear Aspiring Investigative Journalist...
Let me help you get on the right track. Let me tell you of a growing nationwide problem that, if documented and done well, could earn you a Pulitzer Prize—or at least some well-deserved credit for making a difference:
The AARP recently revealed that an astonishing 19 million family caregivers are provid-ing medical and nursing services in their home for which they have no training and are not quali-fied! The national tragedy for millions of Americans is that the quality of life for both the caregiver and the cared-for is thoroughly compromised and the outcomes are sometimes horrible and deadly. This problem is worthy of a serious investigation by reporters like you who aspire to expose problems, right wrongs, and offer solutions.
Of course, you and your TV crew can’t witness the hundreds of thousands of accidents and incidents and close calls that occur every day in the privacy of home or to put your arms around the exhausted caregivers. How-ever, to understand the scope of this problem, you might want to visit any emergency room any time day or night. There, you will find a disproportionately high number of seniors brought in by anxious family caregivers. You’ll be appalled to see the number of seniors who are over- and under-medicated, fighting a raging infection, suffering the effects of exposure after they wandered confused from their home, or in agony with broken bones, lacera-
tions, and bruises sustained in a fall that occurred when they were alone. A good investigative journalist like you would draw attention to these 19 million along
with 74 million baby boomers lining up for the same. You would point to the fact that there are other options besides home. For example, many Americans would live a far better quality of life in a professionally managed senior living community purpose-built to reduce the incidence of falls and accidents, staffed 24/7 with professionals who could provide the appropriate care, medication managers disciplined to ensure timely and correct dispensing of meds, socialization to reduce isolation and depression, and activities to inform and enrich their lives.
A few years ago, you might have met my 83-year-old mother on a stretcher in the ER. She was one of these 19 million family caregivers who, over two years, provided medical and nursing care to my step-father until he fell on her, slamming her into a door, and put-ting them both in the hospital. It might have been different for my mom and dad had they seen a Pulitzer Prize-winning program that helped them understand the risks of home and helped overcome their needless reservations or fears of moving to a professionally managed community for seniors.
A program that accomplishes this will put you on the right track. Good luck!
Richard P. Grimes, [email protected], is president/CEO of the Assisted Living Federation of America, www.alfa.org, representing professionally managed senior living communities and the residents and families they serve.
COMINGin the May/June 2013
Senior Living Executive
BEST OF THE BESTALFA’s annual Best of the Best
competition is back with innovative solutions and approaches you can try
in your residences.
.........................................
Time ManagementTime and attendance issues can create major headaches for HR professionals and clinical care leaders. We’ll take a
look at some ideas to make staff scheduling easier and more effective.
.........................................
Moving DayMove in and move out policies are only
getting trickier with rising resident acuity. We’ll look at some policies that
are working.
.........................................
Plus, more insights from ALFA Conference &
Expo speakers.
Are You a Subscriber to Senior Living Executive?You can receive the best-read publica-tion in the senior living field at no cost to you. Just visit www.alfa.org/subscribe and submit your informa-tion to receive a free subscription.
i
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6 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
What are the most innovative trends growing in senior living community design? » Connectivity to the surrounding community through locations near urban amenities and design features that promote outdoor views and walkability;
» Connectivity to nature including adjacent parklands, oversized balconies, outdoor dining venues, gardening spaces, and natural indoor lighting;
» Designing for capability, not dis-ability, such as incorporating tech-nology to increase independence and facilitating resident involvement with
cooking/dining experience;
» Affordability-driven innovations such as hybrid buildings, which provide a variety of housing options within a high-density setting;
» Ecologically sustainable design and construction practices;
» Neighborhood/household models and design that supports person-cen-tered care.
This list was compiled from 50 projects submitted for consideration in the American Institute of Architects 11th Biennial Design for Aging Review design competition. Visit www.aia.org for more info.
Shawn Stanchfield, executive chef for Newport Beach, California-based Vintage Senior Living, has cooked up a fresh approach to dining. His “Farm Fresh” food service program encourages
chefs at the company’s 24 retirement communities to seek out seasonally fresh ingredients from local farmers in California and Washington.
Stanchfield spends 60 percent of his time traveling
to Vintage’s communities and teaching dining staff how to move away from pre-packaged, frozen foods and famil-
iarize themselves with locally available products. Staff are trained to prepare recipes that meet specific dietary requirements and ensure that the taste comes from the freshness of the food itself.
For example, Stanchfield will ad-vance-order 50 cases of peaches from Mahoney Farm in Temecula, California, so that residents can enjoy the fruit at peak season. To communicate the local connection, table displays highlight seasonal items and the farms where they were harvested.
“Residents keenly remember the seasonality and rich flavors of fresh-picked fruits, vegetables, and other regional delicacies,” Stanchfield says. “They appreciate the fact that an extra effort is made to serve entrees appro-priate for the season and to satisfy each community’s unique tastes.”
A TASTE FOR LOCALLY GROWN FOOD
Design Trends Today: Get Outside
2013 Senior Living by Design CompetitionHas your company recently opened a residence that uses innovative design concepts to promote connectivity to the outdoors, to encourage resident mobility, and to support person-centered care? Enter today at www.alfa.org/awards.
Interestingly, many of these features were also found among entries in Senior Living Executive’s Senior Living by Design Awards, published in the November/December 2012 issue. Visit www.alfapublications.org to read the whole story.
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channels, and high-speed Internet. Bulk TV & Internet provides your residents with all of their favorite shows for one low monthly rate.
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8 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
need to know
Alzheimer’s Tool Kit Addresses Care for Both Resident and CaregiverRecognizing the workplace stress inherent in caring for residents with Alzheimer’s disease and other memory disorders, nurse investigators from Rush University College of Nursing in Chicago have developed a Skill Building Model that pro-vides a new way of thinking about how to provide this specialized care.
“The point of the Skill Building Model is to empower caregivers to recognize their own talents and strengths when dealing with people with dementia, in-cluding recognizing when they’re feeling burdened with stress,” says Danielle Arends RN, MSN, advanced practice nurse at Rush Alzheimer’s Disease Center. “Em-ploying the Skill Building Model will give caregivers the tools and strategies they can use to provide the best care possible.”
Using a National Institutes of Health, National Institute on Aging grant, the nurse investigators joined forces with online training provider Care2Learn/ Upstairs Solutions to translate their group-based training into a web-based format for professional caregivers as well.
“In these roles, the caregiver is listening to and taking on a lot,” says Arends. “You have to know your bound-aries, know what you can and can’t do, and have a colleague you can talk with. Remember it’s the disease that’s causing this, not necessarily the person. Remember to laugh and use humor whenever possible.”
Learn more: www.rush.edu/rumc/page-1099611541603.html
—By Dr. Carol J. Farran and Dr. Judith J. McCann, Rush University College of Nursing, Chicago
Why Google+ Matters The Google+ social network is now fully integrated with Google search and can definitely affect your business. Whenever anyone searches for your communities online, Google+ ratings and reviews pop up. Today Google+ has more than 500 million users and millions of business listings, called Google+ Local pages. If you don’t take control of your Google+ Local page and keep tabs on Google+ ratings and reviews, you could lose potential residents.
Google+ Local PagesGoogle+ Local pages are like profiles for businesses. Owners can post hours, location, contact info, updates, photos, videos, and more to their pages. Google+ users can also post reviews and ratings on Google+ Local pages. And those re-views and ratings show up prominently in Google search results.
Get Started with Google+Create a Google+ Local page for each one of your senior living communities. Here’s how: 1. Create a Google+ profile2. Sign in to your new Google+ account3. Click “Pages” under “More” on the left4. Click “Create new page”5. Select the Local Business category6. Enter your business’ phone number and click “Locate”7. If you see your business, click on it. If you don’t, click “Add your business to
Google”8. Enter your community’s basic information, including address, phone number,
contact info, logo, etc. 9. Click “Create” and you’re done. Now you can add more details about your com-
munity and post content to engage your audience
Keep It GoingOnce you’ve created a Google+ Local page, maintain it. Post relevant content, including photos, upcoming events, exercise and health tips, or anything that may appeal to your audience of potential customers and their families.
Be sure to monitor and respond to all reviews, positive or negative. Thank re-viewers for positive reviews and engage negative reviewers to see if you can solve their problems. Often, addressing concerns can turn disgruntled reviewers into your biggest advocates.
Ask for positive reviews, too. If a resident’s family member had a great expe-rience with your community, ask them for a Google+ review. Make sure reviews are as specific as possible—Google+ users rank reviews based on helpfulness, and the most helpful reviews will appear first in search engine results.
What’s ClickingSENIOR LIVING’S LATEST ONLINE SEARCH DATABy G5 Marketing
HUD Loan Total $5.5 Billion for Senior Housing Last YearIf REITs fueled development and growth funding in senior housing last year, its maintenance came from the Department of Housing and Urban Development (HUD). HUD’s 232 Lean program was the sector’s biggest source for refinancing debt capital in fiscal year 2012, which ended Sept. 30, 2012, with the federal government
agency processing 706 senior housing loans, totaling nearly $5.5 billion.
That dollar amount is up more than 60 percent over a $3.3 billion previous record in 2011. Lancaster Pollard processed the most HUD Lean transac-tions—98 loans totaling $738.6 million or 13.5 percent of its total volume. Cambridge Realty Capital reported that 9.6 percent of its annual loan volume was in HUD loans.
Early last year, HUD had received criticism for loan approval delays, which grew to a backlog of 400 applica-tions. The agency, however, increased its staff, including hiring private sector subcontractors, and by spring the roadblock had eased, resulting in the record year.
$6 billion
$5 billion
$4 billion
$3 billion
$2 billion
$1 billion
0FY2010 FY2011 FY2012
Section 232 Volume by Fiscal Year
$2,542,587,800
$3,288,581,750
$5,471,533,125
Source: U.S. Department of Housing and Urban Development
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 9
HUD’s 232 Lean program was
the senior living sector’s
biggest source for refinancing
debt capital last year. Get Seniors Moving to
Cut Dementia RiskNon-disabled seniors who regularly partici-pated in 30 minutes of physical activity three times a week decreased their risk of vascular-related dementia by 40 percent and cog-nitive impairment of any type by 60 percent, according to study results published in the American Heart Association journal Stroke.
While other research has suggested the benefits of physical activity for brain health, this multina-tional European study is significant for its size and scope, including annual comprehensive cognitive assessments of 639 people aged 60-79 for three years. Individuals engaged in gym classes, walking, and biking.
The positive effects also were maintained regardless of age, education, stroke history, di-abetes, and changes in the brain’s white matter as gauged by MRIs at start and conclusion of the study. The American Heart Association recommends at least 150 minutes of moderate exercise every week or 75 minutes of vigorous exercise for optimal health.
The American Heart Associationrecommends 150 minutes of moderate exercise every week.
at least
10 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
ALFA foryouDouble Downing on Executive Education
WWW.ALFA.ORG/CONFERENCE LEARN MORE AT
ALFA is doubling its investment in executive education at the ALFA 2013 Conference & Expo, May 6-9, in Charlotte. Why? If senior living is to grow to meet the needs of more seniors, we need more leaders capable of leading organi-zations in the service of seniors. Whether that organization is a community or a company, the senior living business will need more skilled, knowledgeable, and creative executives to manage more communities, more staff, and more resources. ALFA is well positioned in 2013 to address this challenge by doubling its commitment to executive development and facilitating world-class education sessions and peer-to-peer best practice sharing at the an-nual ALFA conference and expo.
Consider what’s new at ALFA 2013 to support senior living in the effort to grow leadership:• ALFA is doubling the number of concurrent
sessions available at the conference.• ALFA is partnering with the well-respected
Erickson School of Aging Studies at the University of Maryland Baltimore County to curate the Executive Director Leadership Institute at ALFA 2013.
• ALFA will focus on both information and skills development in sessions.
• ALFA will test peer best practice exchanges on The Expo floor for the first time ever.
• ALFA welcomes more experts from outside senior living this year to supplement the expertise from inside the business.
powered byconfidenceMax used to worry a lot about falling
Intel-GE Care Innovations™ QuietCare® learns
the activity patterns of community residents
and fl ags anomalies. Care providers can identify
risks and potential events sooner—such as
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we design all of our products to improve the
confi dence of those who use them.
Because confi dence is a powerful thing.
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Intel-GE Care Innovations™
QuietCare®
Identify potentially urgent issues with advanced wireless motion sensor technology.
The Care Innovations™ QuietCare® system is not an emergency response or alarm system and is not intended for providing medical care. Data from the QuietCare® system should not be
relied on as medical advice or clinical diagnosis.
Copyright © 2012 Intel-GE Care Innovations LLC. All rights reserved. Care Innovations, the Care Innovations logo, and the Caring Icon logo are trademarks of Intel-GE Care Innovations LLC.
QuietCare is a registered trademark of Intel-GE Care Innovations LLC. Intel and the Intel corporate logo are trademarks of Intel Corporation in the United States and/or other countries, used
under license. GE and the GE Monogram are trademarks of General Electric Company in the United States and/or other countries, used under license.
Fin_Max-CareInnovation-SLE.indd 1 7/19/12 10:22 AM
New in 2013: Jobs are cross-posted to Simplyhired.com. Simply Hired is a vertical search engine company that reaches 30 million job seekers and attracts candidates from a network of 40,000 partner sites. New in 2013: Upgrade a 30-day job post to a 60-day job post for only $50. Free resume database access to 500+ senior living professionals with an active local ALFA job board post.
New in 2013: 6-month, Unlimited upgrade option that distributes your job on up to 300 healthcare job boards in the National Healthcare Career Network (NHCN). Free resume database access to 140,000+ healthcare professionals with an active NHCN post. New in 2013: ALFA will link to individual job posts of any upgraded jobs via the ALFA Update e-Newsletter. Upgrade options can be reviewed at alfa.org/career.
Hire forAllison Guthertz, Vice President of Quality Resident Services at Benchmark Senior Living, says that the secret to finding great employees committed to serving seniors is to “Hire for Heart. You can train the individual on the regulations, company policy, etc., if they have the heart (and appropriate credentials) as a foundation from which to build.”
You’ll ❤ the New Career Center Features!
alfa.org/career
powered byconfidenceMax used to worry a lot about falling
Intel-GE Care Innovations™ QuietCare® learns
the activity patterns of community residents
and fl ags anomalies. Care providers can identify
risks and potential events sooner—such as
falling—while Max can enjoy life with his privacy
and independence intact. At Care Innovations™,
we design all of our products to improve the
confi dence of those who use them.
Because confi dence is a powerful thing.
careinnovations.com/SLE
Intel-GE Care Innovations™
QuietCare®
Identify potentially urgent issues with advanced wireless motion sensor technology.
The Care Innovations™ QuietCare® system is not an emergency response or alarm system and is not intended for providing medical care. Data from the QuietCare® system should not be
relied on as medical advice or clinical diagnosis.
Copyright © 2012 Intel-GE Care Innovations LLC. All rights reserved. Care Innovations, the Care Innovations logo, and the Caring Icon logo are trademarks of Intel-GE Care Innovations LLC.
QuietCare is a registered trademark of Intel-GE Care Innovations LLC. Intel and the Intel corporate logo are trademarks of Intel Corporation in the United States and/or other countries, used
under license. GE and the GE Monogram are trademarks of General Electric Company in the United States and/or other countries, used under license.
Fin_Max-CareInnovation-SLE.indd 1 7/19/12 10:22 AM
Fast Forward
This year, the top 80 providers account for a total operational resident capacity of more than 514,000, 2 percent higher than last year.
While big REITs still accounted for the lion’s share of spending even on small-scale acquisitions, smaller REITs also entered the market to buy properties.
Mergers and acquisitions are viewed as the No. 1 growth strategy in 2013 by two thirds of senior housing and care industry executives.
Largest Senior Living Providers 2013
affect how companies
12 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
Big deals by big REITs was the major theme for senior living growth in 2011, and that trend continued throughout 2012. But then smaller REITs became active players, too,
private equity re-entered the game, and HUD clocked a record year as a funding source for refinances. With capital more readily available, some companies started developing new prop-erties again. These micro-trends spurred many sector insiders to dub 2012 as the year of the small deal, and those were plentiful, spurring little change at the top but much reshuffling among the regional operators on the 80 Largest Senior Living Providers List.
Small deals
By Anya Martin
stack up
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 13
ated by McLean, Virginia-based Sunrise Senior Living (No. 4) for $845 million. As of that deal’s official closing in early January 2013, the REIT had confirmed that its investment in Sunrise properties totaled $3.4 billion and was expected to increase to about $4.3 billion by July 2013 with the exercise of its rights to acquire additional joint partner interests at fixed purchase prices.
“Over the last several years, we have focused on aligning ourselves with the top operators in the [senior living] sector who provide the highest quality of care and also have strong real estate,” says Charles J. Herman Jr., chief investment officer and executive vice president of Health Care REIT. “Clearly Sunrise is one of them, and this acquisition was really a con-tinuation of our relationship investment strategy. We’ve been close to the company for years, although we hadn’t done any [previous] investments.”
Only one deal this year removed an entire company from the Largest Provider list. Kennett Square, Pennsylvania-based Genesis HealthCare (No. 24) acquired Sun Healthcare Group Inc. in a nearly $300 million transaction, which rocketed it up from No. 36 in 2012. Genesis also clocked the second-largest year-over-year percentage gain in capacity with an increase of 57 percent, or 1,620 residents. The biggest per-centage rise was 59 percent by Clearwater, Florida-based Senior Management Advisors (No. 55), thanks to acquiring a portfolio of five communities with a capacity increase of 734 residents to a total of 1,974. Last year, the company ranked No. 74.
While Genesis is on the list for its assisted living capacities and Sun was No. 61 last year, both companies’ much larger skilled nursing practices and complimentary rehabilitation service and hospice offerings drove that deal, says Genesis HealthCare CEO George V. Hager Jr. “With a much greater national footprint, we would be more attractive to managed care payers and also be able to take advantage of economies of scale by eliminating technology and overhead costs,” he explains. “We thought there were tremendous synergies by consoli-dating both companies.”
After Health Care REIT executed a $2.4 billion leaseback of mostly skilled nursing properties operated by Genesis in 2011, the operator also counts Health Care REIT as its biggest capital partner and principal funding source for new development. Hager notes that in skilled nursing, as in assisted living, not many large portfolios remain where the real estate and operating businesses are combined.
Small REITs, Private Equity, HUDAs in 2012, much of the action was on a smaller scale with regional companies acquiring one or two communities or small portfolios, often with providers teaming up with REITs through RIDEA and other partnerships. While big REITs still accounted for the lion’s share of spending even on small-scale acquisitions, smaller REITs also entered the market to buy properties. The average deal size dropped by nearly 50 percent, but the number of publicly announced transac-tions rose by 9 percent, Monroe says.
Senior Living Executive’s annual list of the largest for-profit senior living opera-tors, both public and private, ranks pro-viders by total resident capacity (as of Jan. 1, 2013), as reported by each company. This year, the top 80 providers account for a total operational resident capacity of more than 514,000, 2 percent higher than last year. Companies also reported capaci-ties of nearly 237,000 in independent living and more than 241,000 in licensed assisted living. About 14 percent, or 71,960, of total capacity was in memory care. The same 12 companies, led by Brookdale Senior Living (No. 1) main-tained the top dozen positions, though all but three exhibited some capacity increase. The smallest company on the list now is Waukesha, Wisconsin-based Capri Senior Communities with a capacity of 1,113, 12 percent more than the 992 capacity that put Retirement Unlimited in the No. 80 spot last year.
Big Deals, Big REITsThe overall dollar volume of publicly announced senior housing acquisitions (including skilled nursing) in the United
States and Canada in 2012 was $9.2 billion, according to The Senior Care Investor. That amount is 57.5 percent lower than last year’s $16 billion, but that drop did not reflect an un-healthy market but rather that a few very pricey and exceptional major REIT acquisitions were off the table, having already taken place in 2011, says Stephen Monroe, editor of that publication and The Senior Care Acquisition Report.
In fall 2012, HCP Inc. spent $1.73 billion to acquire the former Sunwest Senior Living portfolio of 133 communities in 29 states from a joint venture by Seattle-based Emeritus Corp. (No. 2) and Blackstone Real Estate Partners VI, an affiliate of The Blackstone Group LP. In August, Toledo, Ohio-based
Health Care REIT publicly announced it would buy all 262 properties oper-
Rank CompanyTotal Memory Care Operational Resident Capacity
1 Merrill Gardens LLC Seattle, WA www.merrillgardens.com 9,500
2 Emeritus Corporation Seattle, WA www.emeritus.com 9,077
3 Sunrise Senior Living McLean, VA www.sunriseseniorliving.com 8,325
4 Brookdale Senior Living Brentwood, TN www.brookdaleseniorliving.com 7,508
5 HCR ManorCare Toledo, OH www.hcr-manorcare.com 3,178
Top 5 Memory Care Providers(As of Jan. 1, 2013)
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 15
“On a transaction basis, 2012 was one of the most active years I have ever seen,” he adds. “There was a lot of liquidity and fluidity in the market.”
Examples of companies that rose up the Largest Providers List due wholly or partially to acquisitions included Rose- ville, California-based USA Properties Fund (No. 13), which ranked No. 18 last year and gained 25 percent (1,573 residents); Atlanta-based The Arbor Company (No. 54), up six places with a capacity gain of 16 percent due to new management contracts; and Redding, California-based Northstar Senior Living (No. 67), up 12 places thanks to managing six new properties. Two companies made sufficient capacity gains to rejoin the list after dropping off last year—Bloomfield, New Jersey-based Juniper Communities (No. 77), through acquiring six communi-ties, and Georgetown, Tennessee-based Independent Healthcare Properties (No. 78), via opening three new properties.
Charlotte, North Carolina-based Senior Living Communities was the provider that
exhibited the biggest drop in rank (from No. 28 to No. 61) and also in percentage of resident capacity with a 54 percent de-crease due to property sales. It also should be noted that a few companies, such as Erickson Living (No. 7) and Aegis Living (No. 46) show slightly lower numbers in the 2013 list but have not actually lost capacity, just adjusted their calculations for greater accuracy.
Although REITs display strong bal-ance sheets and the ability to raise inex-pensive capital effectively, they also have the advantage of not being so impacted by the ups and downs of the real estate cycle, Herman says. “That is very helpful for a lot of our operators, especially those that at one point did joint ventures with private equity and found that they could be in vulnerable positions in a downturn real estate cycle,” he adds. “Our capital is long and patient, and not necessarily looking for a short-term exit.”
Nevertheless, 2012 also saw more tradi-tional funding sources come back into play, including private equity. For example, real estate private equity giant Fortress Invest-
ment Group acquired most of the com-munities operated by BPM Senior Living (No. 50 in 2012) and renamed that com-pany Blue Harbor
Senior Living (No. 59). As in previous years, regional operators leveraged long-term relationships with local banks, too.
When it came to refinancing debt capital, the Department of Housing and Urban Development (HUD) 232 Lean program was the sector’s biggest source, processing 706 senior housing loans, totaling almost $5.5 billion, in fiscal year 2012, which ended Sept. 30, 2012. That dollar amount is up more than 60 percent over a $3.3 billion previous record in 2011.
“The drivers were a very low interest rate environment, with borrowers getting rates below 3 percent with 35-year amortization,”
{ Largest Senior Living Providers 2013 }
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says Bill Kauffman, managing director of the seniors housing finance group at St. Paul, Minnesota-based Oak Grove Capital. “That’s a compelling combination.”
Fannie Mae and Freddie Mac also were significant players for single proper-ties or smaller portfolios, but agency originators competed for a smaller-size pie of potential borrowers due to REIT competition, he adds. Oak Grove closed $311 million in senior housing financing in 2012, including about $116 million in HUD transactions.
“This is a great time to be an ex-perienced senior housing operator,” Kauffman says. “You will have a number of financing choices.”
Already in 2011, the acquisitions market had shifted from distressed prop-erties at bargain prices to higher quality ones, and that trend continued throughout 2012, Monroe says. “High-quality proper-ties and portfolios bring out more buyers, and the REITs don’t like distressed turn-around properties, so, yes, the quality train continued to roll on,” he adds.
Cap rates continued to decline in 2012. While year-end statistics were not avail-able at publication-time, the average rate for independent living and assisted living combined had dropped from 8.8 percent in 2011 to 8.4 percent as of Sept. 30, 2012. “Interest rates are low and there’s still plenty of capital out there,” Monroe says.
Construction Starts Still Low To judge from all the announcements of groundbreakings and openings, senior living construction seemed to show a
small uptick this year, but statistics show that start levels remained low as they have been over the past few years rather than accelerating, says Michael Hargrave, vice president of the National Investment Center (NIC) MAP. The ratio of annual (TTM) construction starts to inventory was 1.4 percent at the end of 2012, down from 1.8 percent at year-end 2011.
However, the type of building starts has shifted from independent living and CCRC projects in 2007 and 2008 toward the needs-based areas of assisted living and memory care in the past few years through 2012. “This is an interesting trend considering the fact that fundamen-tals in independent living are growing,” Hargrave says. “Occupancy rates for inde-pendent living properties have been rising for nine straight quarters and are at their highest levels since third-quarter 2008 in MAP 31 [NIC’s analysis of the 31 largest U.S. metropolitan areas].”
In fourth-quarter 2012, independent living occupancy had risen 2.2 percentage points to 89 percent and assisted living occupancy was 2 percentage points improved at 89 percent, compared to the cyclical low in 2010. Overall occupancy rates for senior living continued to climb slowly to 89 percent in fourth-quarter 2012, up a full percentage point from 88 a year before, according to NIC. Last year, the number of occupied units increased by 10,443 compared with inventory growth of 6,075 in MAP 31, indicating a strong level of absorption due to measured and not ex-cessive growth, Hargrave observes. Seniors housing annual absorption was 2 percent
Rank CompanyTotal Assisted Living Operational Resident Capacity
1 Emeritus Corp. Seattle, WA www.emeritus.com 33,063
2 Brookdale Senior Living Brentwood, TN www.brookdaleseniorliving.com 28,280
3 Sunrise Senior Living McLean, VA www.sunriseseniorliving.com 18,815
4 Five Star Quality Care Newton, MA www.fivestarseniorliving.com 11,049
5 Atria Senior Living Group Louisville, KY www.atriaseniorliving.com 10,728
6 Merrill Gardens LLC Seattle, WA www.merrillgardens.com 9,500
7 Assisted Living Concepts Menomonee Falls, WI www.alcco.com 9,325
8 Elmcroft Senior Living Louisville, KY www.elmcroft.com 5,705
9 Capital Senior Living Corp. Dallas, TX www.capitalsenior.com 5,700
10 Leisure Care LLC/One-Eighty Seattle, WA www.leisurecare.com 5,219
(As of Jan. 1, 2013)
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{ Largest Senior Living Providers 2013 }
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during the fourth quarter of 2012, similar to the previous quarter and one year ago.
The partnership between Irvine, California-based Silverado Senior Living (No. 53) and Health Care REIT has been key in funding six new communities that will open between February 2013 and early 2014. Two received direct RIDEA funding. The other four have been financed through a new model gaining some traction in senior living. Dallas-based Meridian Realty Advisors LLC (no relation to Meridian Senior Living) is developing and constructing the proper-ties using a mix of private equity and bank funding, with Silverado signed on as the management company. Then, once the buildings are filled, Silverado will leverage its relationship with Health Care REIT to buy the properties.
“Meridian saw the growing market for senior housing in general and specifi-cally the memory-impaired and looked at Silverado’s track record of success,” says Loren B. Shook, president, CEO, and chairman of Silverado. “We are their exit
plan. We fill up, create maximum value, and then buy it. The nice thing for families is they don’t have a change in operator, so [the transition] is seamless for them.”
Autumn Leaves Alzheimer’s and Memory Care is another example of a pro-vider on a growth path in this needs-based sector of dementia care. Managed by Con-
stant Care Family Management, based in Irving, Texas, it more than doubled in size from nine properties in 2008 to 23 com-munities in 2012. While now at a resident capacity of 1,024, it landed at No. 83 and did not make the list, but Autumn Leaves has six new properties under construction and is slated to open in 2013-2014, with
Rank CompanyTotal Independent Living Operational Resident Capacity
1 Holiday Retirement Lake Oswego, OR www.holidaytouch.com 40,813
2 Brookdale Senior Living Brentwood, TN www.brookdaleseniorliving.com 28,567
3 Life Care Services LLC Des Moines, IA www.lcsnet.com 21,202
4 Erickson Living Catonsville, MD www.ericksonliving.com 20,080
5 Five Star Quality Care Newton, MA www.fivestarseniorliving.com 10,361
6 Merrill Gardens LLC Seattle, WA www.merrillgardens.com 9,500
7 USA Properties Fund Inc. Roseville, CA www.usapropfund.com 7,853
8 Capital Senior Living Corp. Dallas, TX www.capitalsenior.com 7,200
9 Senior Lifestyle Corp. Chicago, IL www.seniorlifestyle.com 6,894
10 Leisure Care LLC/One-Eighty Seattle, WA www.leisurecare.com 6,172
(As of Jan. 1, 2013)
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a probable six more starts in 2013, says Brenda Brantley, CFO of parent com-pany, The LaSalle Group.
“Whereas independent and assisted living saw occupancy rates drop in 2008-2010, in memory care, we didn’t see that much of an impact,” she adds. “That’s why our capital sources are not affected.”
The LaSalle Group owns its own con-struction company so it can control costs and ensure delivery schedules will be met. Its financing comes through repeat investors who have supported the com-pany’s ventures back to its founding 14 years ago. “The strength of your balance sheet and track record holds the most weight with financial sources,” Brantley says. “Our investors are confident we can build, open, and fill our communities.”
Bright Times AheadExpect the senior living sector to con-tinue to consolidate and grow in 2013, according to experts. Rumors continue of possible big transactions, with all the public companies being potential acquisition targets by REITs, Monroe says. On the smaller side, expect the same trends to continue, with REITs and even private equity firms partnering with operators to facilitate single community and small portfolio acquisition, as well as new construction.
“I would expect the REIT industry to still be pretty busy in 2013 largely due to the cost of capital advantage we currently have,” Herman says. “We have been very successful in consolidating the real estate within our sector.”
HealthCare REIT is actively seeking growth opportunities with all of its operator partners, with a preference for providers who offer a mix of services among independent living, assisted living, and memory care, he adds. The REIT also is interested in increasing its investment in international properties in Canada and the United Kingdom. “We have got some of the best operators in the sector, and I would expect to see our portfolio increase in size as we see opportunities both for acquisition and for development,” Herman says.
Mergers and acquisitions are viewed as the No. 1 growth strategy in 2013 by two thirds of senior housing and care in-dustry executives, with 54 percent citing assisted living as the most promising
growth market, according to GE Capital Healthcare Financial Service survey results released in November 2012. Only 27 percent said they planned to grow via upgrading and repositioning existing properties.
Overall the outlook for senior living is very positive, says Thomas H. Grape, chairman and CEO of Wellesley, Massachusetts-based Benchmark Senior Living. The provider financed its first new 84-unit assisted living and memory care community (in Bedford, New Hampshire) in almost a decade through a combination of a loan from First Niagara Bank with its RIDEA partnership with Health Care REIT. Benchmark is also starting construction on another assisted living community in Connecticut and has several more in development.
“It’s a very competitive acquisition market right now, so we are not seeing a lot of prospects,” Grape says, about the decision to build rather than grow via purchasing existing property. “As a result of the REITs being so active, there are very few quality opportunities being marketed that don’t have multiple bidders being very aggressive.”
Neither Grape nor Shook anticipate overbuilding as a concern for senior housing in the next few years. While financing is possible for seasoned opera-tors, Grape is still hearing reports that lenders and investors are being selective, he says. Shook predicts memory care will stay attractive, in particular, because of its needs-based aspect.
Market fundamentals are expected to continue to improve throughout 2013,
Hargrave says. “On the demand side, the economy is growing at a rate near 2 percent at the beginning of 2013, and the housing market is improving in most areas of the country,” he adds. “On the supply side, we expect inventory growth to be higher than 2012, but still well below growth levels seen from 2006 to 2009. Based on this, we expect the seniors housing occupancy rate to rise about 89.5 percent by the end of 2013.”
And as has been the pattern for more than five years, no senior living company went public in 2012. Only five companies on the 2013 Largest Providers list are now publicly traded, two less than last year due to Health Care REIT’s acquisi-tion of Sunrise Senior Living and Genesis HealthCare’s takeover of Sun HealthCare. With REIT access to cheap cash, senior living companies can reap a higher valu-ation and finance growth better through a REIT purchase than through an IPO, Monroe says.
Anya Martin is a contributing writer to Senior Living Executive. Reach her at [email protected].
Who’s WhoContact information for members in this article.
Thomas H. Grape | [email protected]
�George V. Hager Jr. | [email protected]
�Michael Hargrave | [email protected]
�Charles J. Herman Jr. | [email protected]
�Bill Kauffman | [email protected]
�Stephen Monroe | [email protected]
�Loren B. Shook | [email protected]
{ Largest Senior Living Providers 2013 }
Mergers and acquisitions are viewed as the No. 1 growth strategy in 2013 by two thirds of senior housing and care indus-try executives, with 54 percent citing assisted living as the most promising growth market.
SLS-Sr Living Exec Mar-Apr13 FINAL AD.indd 1 1/28/2013 11:17:18 AM
22 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
2013 Largest Senior Living Providers
Note: See page 25, last page of Largest Providers list, for footnotes.
Rank Company
Total Resident Capacity
Total Independent Living Operational Resident Capacity
Total Assisted Living Operational Resident Capacity
Total Memory Care Operational Resident Capacity
Total Number of Properties
Public or Private Chief Executive
1 Brookdale Senior LivingBrentwood, TNwww.brookdaleseniorliving.com
64,354 28,567 28,280 7,508 647 Public; NYSE:BKD
Andrew Smith, CEO
2 Emeritus Corp.Seattle, WAwww.emeritus.com
47,443 5,303 33,063 9,077 482 Public; NYSE:ESC
Granger CobbPresident and CEO
3 Holiday Retirement 1
Lake Oswego, ORwww.holidaytouch.com
42,811 40,813 1,998 0 316 Private Jack R. Callison Jr., CEO
4 Sunrise Senior LivingMcLean, VAwww.sunriseseniorliving.com
32,464 5,324 18,815 8,325 262 Private Mark Ordan, CEO
5 Life Care Services LLCDes Moines, IAwww.lcsnet.com
25,520 21,202 3,358 960 103 Private Ed Kenny, President and CEO
6 Five Star Quality CareNewton, MAwww.fivestarseniorliving.com
24,433 10,361 11,049 3,023 214 Public; NYSE:FVE
Bruce J. Mackey Jr., CEO
7 Erickson LivingCatonsville, MDwww.ericksonliving.com
21,110 20,080 1,030 0 16 Private Alan Butler, CEO
8 Atria Senior Living GroupLouisville, KYwww.atriaseniorliving.com
16,068 5,340 10,728 1,654 130 Private John Moore, CEO
9 Capital Senior Living Corp. 2
Dallas, TXwww.capitalsenior.com
12,900 7,200 5,700 0 101 Public; NYSE:CSU
Lawrence CohenCEO and Vice Chairman of the Board
10 Senior Lifestyle Corp.Chicago, ILwww.seniorlifestyle.com
11,519 6,894 3,838 787 99 Private Jon DeLuca, CEO
11 Merrill Gardens LLC 3
Seattle, WAwww.merrillgardens.com
9,500 9,500 9,500 9,500 56 Private Bill Pettit, President
12 Assisted Living Concepts 4
Menomonee Falls, WIwww.alcco.com
9,325 0 9,325 0 211 Public; NYSE:ALC
Dr. Charles RoadmanPresident and CEO
13 USA Properties Fund Inc.Roseville, CAwww.usapropfund.com
7,853 7,853 0 0 43 Private Geoffrey C. BrownPresident
14 Century Park AssociatesChattanooga, TNwww.centurypa.com
7,747 4,675 3,072 0 50 Private Bryan Preston, President
15 Meridian Senior Living LLCHickory, NCwww.meridiansenior.com
7,278 641 4,225 2,412 102 Private Charles Trefzger / P. Kacy KangCEO / COO
16 Elmcroft Senior LivingLouisville, KYwww.elmcroft.com
7,126 0 5,705 1,225 86 Private Pat Mulloy, CEO
17 Leisure Care LLC/One-Eighty 5
Seattle, WAwww.leisurecare.com
7,039 6,172 5,219 82 34 Private Tana Gall, President
18 Brightview Senior LivingBaltimore, MDwww.brightviewseniorliving.com
6,792 5,230 1,141 371 55 Private Marilynn Duker, President
19 Watermark Retirement CommunitiesTucson, AZwww.watermarkcommunities.com
5,971 3,659 1,791 513 32 Private David Barnes, CEO
20 Integral Senior LivingCarlsbad, CAwww.islllc.com
5,222 1,207 2,799 1,216 49 Private Sue Farrow, CEO
21 HCR ManorCareToledo, OHwww.hcr-manorcare.com
4,976 493 4,483 3,178 77 Private Paul A. OrmondPresident, CEO, and Chairman
22 Hawthorn Retirement Group LLCVancouver, WAwww.seniorlivinginstyle.com
4,795 3,841 954 67 31 Private Patrick Kennedy, CEO
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 23
Rank Company
Total Resident Capacity
Total Independent Living Operational Resident Capacity
Total Assisted Living Operational Resident Capacity
Total Memory Care Operational Resident Capacity
Total Number of Properties
Public or Private Chief Executive
23 Benchmark Senior LivingWellesley, MAwww.benchmarkseniorliving.com
4,685 451 4,234 1,354 46 Private Thomas H. GrapeChairman and CEO
24 Genesis HealthCare Corp. 6
Kennett Square, PAwww.genesishcc.com
4,478 0 0 0 71 Private George V. Hager Jr., CEO
25 Bonaventure Senior LivingSalem, ORwww.retirementperfected.com
4,421 1,499 2,570 284 37 Private Kelley D. Hamilton, CEO
26 Greystar Real Estate PartnersCharleston, SCwww.greystar.com
3,947 3,947 0 0 13 Private Robert A. FaithChairman and CEO
27 Senior Resource Group (SRG)Solana Beach, CAwww.srgseniorliving.com
3,911 2,800 1,333 194 18 Private Michael S. GrustPresident and CEO
28 American House Senior Living CommunitiesBloomfield Hills, MIwww.americanhouse.com
3,710 3,621 75 14 31 Private Dale Watchowski, CEO
29 Vi Living 7
Chicago, ILwww.viliving.com
3,609 3,236 797 158 10 Private Randy RichardsonPresident
30 Vintage Senior LivingNewport Beach, CAwww.vintagesenior.com
3,500 549 2,951 491 24 Private Brian J. Flornes, CEO
31 BMA Management Ltd.Bradley, ILwww.bma-mgmt.com
3,427 68 3,359 62 36 Private Rod BurkettPresident and CEO
32 Kisco Senior Living LLCCarlsbad, CAwww..kiscoseniorliving.com
3,340 2,025 1,223 92 20 Private Andrew S. KohlbergPresident
33 Frontier Management LLCDurham, ORwww.frontiermgmt.com
3,185 744 1,548 893 41 Private Gregory RoderickPresident and CEO
34 Belmont Village Senior LivingHouston, TXwww.belmontvillage.com
3,015 300 2,115 600 21 Private Patricia G. WillPresident and CEO
35 Country Meadows Retirement CommunitiesHershey, PAwww.countrymeadows.com
2,965 666 1,838 461 10 Private G. Michael LeaderPresident and CEO
36 Coordinated Services Management Inc.Roanoke, VAwww.csmmanagement.com
2,845 1,499 1,349 313 25 Private Robert McNichols, CEO
37 Spectrum Retirement CommunitiesDenver, COwww.spectrumretirement.com
2,791 1,682 1,109 170 25 Private John Sevo / Jeffrey KrausManaging Directors
38 Trilogy Health Services LLCLouisville, KYwww.trilogyhs.com
2,652 175 2,042 435 72 Private Randall BuffordPresident and CEO
39 Prestige Senior Living LLCVancouver, WAwww.prestigecare.com
2,650 24 2,000 650 39 Private Harold G. DelamarterPresident and CEO
40 Western Seniors Housing Inc.Irvine, CAwww.wshousing.com
2,632 0 0 0 26 Private Anthony SandovalPresident
41 AmericareSikeston, MOwww.americareusa.net
2,539 75 2,089 387 86 Private Clay Crosson, President
42 Hearth ManagementSyracuse, NYwww.thehearth.net
2,474 1,182 1,356 335 12 Private Dan Suits, COO
43 Justus Rental Properties Inc.Indianapolis, INwww.justus.net
2,472 2,301 171 0 7 Private Walter E. Justus, President
44 Harbor Retirement Associates LLCVero Beach, FLwww.hraseniorliving.com
2,404 250 1,575 579 17 Private Timothy S. SmickPresident and CEO
24 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
{ 2013 Largest Senior Living Providers }
Rank Company
Total Resident Capacity
Total Independent Living Operational Resident Capacity
Total Assisted Living Operational Resident Capacity
Total Memory Care Operational Resident Capacity
Total Number of Properties
Public or Private Chief Executive
45 Brandywine Senior LivingMount Laurel, NJwww.brandycare.com
2,401 65 2,336 610 23 Private Brenda Bacon, CEO
46 Aegis LivingRedmond, WAwww.aegisliving.com
2,319 17 2,302 733 28 Private Dwayne J. ClarkChairman and CEO
47 Trinity Lifestyles Management 8
Alpharetta, GAwww.trinitylifestyles.com
2,313 207 1,597 461 23 Private Al Holbrook, Chairman
48 Discovery Management GroupBonita Springs, FLwww.discoverymgt.com
2,300 1,925 375 81 6 Private Thomas J. Harrison, CEO
49 JEA Senior LivingVancouver, WAwww.jeaseniorliving.com
2,263 85 2,173 1,848 34 Private Cody Erwin, CEO
50 MBK Senior LivingIrvine, CAwww.mbkseniorliving.com
2,236 671 1,287 278 17 Private Terry Howard, President
51 Era Living LLCSeattle, WAwww.eraliving.com
2,204 1,422 756 26 8 Private Eli Almo, President and CEO
52 Grace Management Inc.Minneapolis, MNwww.gracemanagement.com
2,149 1,236 616 297 23 Private Eugene Grace, President
53 Silverado Senior LivingIrvine, CAwww.silveradosenior.com
2,043 0 2,043 2,043 25 Private Loren B. ShookPresident, CEO, and Chairman
54 The Arbor Company 9
Atlanta, GAwww.arborcompany.com
1,983 410 1,573 0 19 Private Ellison Thomas, President
55 Senior Management AdvisorsClearwater, FLwww.seniormanagementadvisors.com
1,974 196 1,778 354 16 Private Steven Piazza, CEO
56 Senior Star LivingTulsa, OKwww.seniorstar.com
1,961 1,976 672 262 12 Private Anja RogersCOO and Senior Vice President
57 Kaplan Development GroupJericho, NYwww.kapdev.com
1,806 483 1,323 322 16 Private Glenn Kaplan, CEO
58 Chelsea Senior LivingFanwood, NJwww.chelseaseniorliving.com
1,785 108 1,677 359 16 Private Herb Heflich, CEO
59 Blue Harbor Senior Living 10
Portland, ORwww.blueharborsl.com
1,769 380 1,107 315 15 Private Dan Lamey, COO
60 Legend Senior LivingWichita, KSwww.legendseniorliving.com
1,699 542 1,428 268 26 Private Tim Buchanan, CEO
61 Senior Living Communities 11
Charlotte, NCwww.senior-living-communities.com
1,610 0 0 0 9 Private Donald O. Thompson Jr.CEO
62 Leisure Living ManagementGrand Rapids, MIwww.leisure-living.com
1,531 78 1,453 281 31 Private Thomas NobelPresident and CEO
63 Carillon Assisted LivingRaleigh, NCwww.carillonassistedliving.com
1,504 0 1,504 456 15 Private Karen MoriartyPresident and CEO
64 Provision LivingSt. Louis, MOwww.provisionliving.com
1,502 350 1,152 306 22 Private Todd SpittalCo-Founder and President
65 Carlton Senior LivingConcord, CAwww.carltonseniorliving.com
1,472 180 1,098 194 10 Private Philip Scott, President
66 HHHunt Senior LivingBlacksburg, VAwww.hhhunt.com
1,460 0 1,460 238 20 Private James R. King, President
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 25
Rank Company
Total Resident Capacity
Total Independent Living Operational Resident Capacity
Total Assisted Living Operational Resident Capacity
Total Memory Care Operational Resident Capacity
Total Number of Properties
Public or Private Chief Executive
67 Northstar Senior LivingRedding, CAwww.northstarsl.com
1,453 20 1,024 420 20 Private Rick JensenPresident and CEO
68 Avamere Health ServicesWilsonville, ORwww.avamere.com
1,418 513 677 292 14 Private John Morgan, CEO
69 Encore Senior Living 12
Milwaukie, ORwww.encoresl.com
1,383 0 1,383 0 14 Private Peter MulbachPresident and CEO
70 Good Neighbor Care Centers LLCYakima, WAwww.goodneighbor.com
1,372 84 997 291 18 Private Jim Kobrick, President
71 Lifestyles Senior Housing Managers LLCVancouver, WAwww.lifestylesllc.com
1,366 304 684 378 10 Private Cindy Lamar / Tammy ThwaiteCo-Presidents
72 Pathway Senior LivingDes Plains, ILwww.pathwaysl.com
1,336 0 1372 0 14 Private Jerome E. Finis Principal/CEO
73 Laureate GroupWaukesha, WIwww.laureategroup.com
1,324 822 831 121 8 Private Perfers not to be listed
74 Singh Senior LivingWest Bloomfield, MIwww.singhweb.com
1,315 751 564 136 8 Private Gurmale S. Grewal, CEO
75 CRL Senior Living CommunitiesChicago, ILwww.crlcares.com
1,244 80 1,164 477 15 Private Ari Weinberger, President
76 Sovran Management Company LLCNaples, FLWebsite not available
1,220 510 948 0 16 Private George P. WagnerPresident
77 Koelsch Senior CommunitiesOlympia, WAwww.koelschseniorcommunities.com
1,196 153 499 543 15 Private Aaron KoelschPresident and CEO
78 Juniper CommunitiesBloomfield, NJwww.junipercommunities.com
1,178 80 1,098 274 19 Private Lynne Katzmann, CEO
79 Independent Healthcare Properties LLCGeorgetown, TNwww.morningpointe.com
1,149 0 1,149 344 20 Private Greg A. VitalPresident and CEO
80 Regency Senior LivingOoltewah, TNwww.regencyseniorliving.com
1,115 504 530 190 10 Private Randy Holcombe, President
81 Capri Senior Communities 13
Waukesha, WIwww.capricommunities.com
1,113 1,113 269 24 10 Private James Tarantino, Principal
All information was compiled by Senior Living Executive and reported by companies, unless otherwise indicated. In some cases, a company may be omitted because it did not respond to repeated requests for information and information from other sources was not available.
1. Holiday Retirement Corp. has 316 properties in the U.S. & Canada. Capacity provided is reflective of all properties (U.S. & Canada).
2. Capital Senior Living includes memory care as a component of assisted living.
3. Merrill Gardens LLC apartments are licensed assisted living but can also offer independent living.
4. Assisted Living Concepts is predominantly assisted living but does not publicly disclose the breakdown between independent living, assisted living, and memory care among its units.
5. Leisure Care reports some overlap between independent living and assisted living because the company has a number of floating license communities.
6. Genesis HealthCare does not break out independent living and assisted living resident capacity counts separately, but the majority is assisted living.
7. Resident capacity numbers are as of August 2012.
8. Trinity Lifestyles Management is the operations subsidiary of Solomon Senior Living Holdings.
9. The Arbor Company includes memory care as a component of assisted living.
10. Blue Harbor Senior Living was previously known as BPM Senior Living. The name change occurred after company purchase by Fortress Investment Group.
11. Senior Living Communities declined to provide a breakdown of independent living, assisted living, and memory care resident capacity in 2012.
12. Encore Senior Living information is derived from prior Largest Provider lists and other sources.
13. Capri Communities has couples residing in some of its independent apartments so its actual resident capacity may be slightly higher.
26 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
T. Andrew (Andy) Smith, CEOLength of Service in Senior Care: 28 yrs
Communities: 647
Smith has served as executive vice president and general counsel since joining Brookdale
in 2006 and as a member of the senior manage-ment executive committee. Before joining Brookdale, Smith worked as an attorney for nearly 21 years with Bass, Berry & Sims PLC, including serving as general counsel for American Retirement Corp., a predecessor company to Brookdale.
“It is an honor both to be named CEO of a company whose associates do so much every day to enrich the lives of our residents and their families and to follow Bill Sheriff, who has led the growth of Brookdale to its strong position of industry leadership,” says Smith.
P. Kacy Kang, Principal/COOLength of Service in Senior Care: 23 yrs
Communities: 102
Kang was president of Good Neighbor Care from 2008 to 2010 until
founding Meridian Senior Living with Charles Trefzger. Before that he held various executive positions with Emeritus Senior Living from 1997 to 2007.
“I often ponder when the talent pool of human capital will catch up to the will of this industry,” Kang says. “Over the last two decades I've seen the same faces recycled—including my ugly mug—through several organizations. We need leaders whose DNA is comprised of compassion and business acumen that hold true to a resident-centric philosophy.”
George V. Hager Jr., CEOLength of Service in Senior Care: 25 yrs
Communities: 71
Before becoming CEO, Hager was executive vice president and CFO. He joined Genesis HealthCare in 1992 as vice
president and CFO and was promoted to senior vice president and CFO in 1994. He spent 13 years at KPMG and now serves on numerous nonprofit boards.
“The most important trend shaping senior living is our ability to respond to the growing number of older adults who require short-term rehabilitation therapy before returning home,” says Hager. “A key component of this therapy is specialty programs like cardiac management and pulmonary care and strong education programs so that older adults can have more control and take an active role in their own disease management.”
Granger Cobb, President/CEOLength of Service in Senior Care: 30 yrs
Communities: 482
Cobb has served as presi-dent and CEO since January 2011 and as a director since 2007. He previously served
as president and co-CEO, when Emeritus completed its acquisition of Summerville Senior Living, where he had served as president, CEO, and a director. He joined Summerville in 1998 with its acquisition of Cobbco Inc., which he founded in 1989.
“I feel absolutely blessed to have the opportunity to lead a dedicated group of individuals that are drawn together by their passion for service to seniors,” says Cobb. “ It can be difficult, trying, and fraught with emotion, but at the end of the day, it is one of the most rewarding and fulfilling things I know.”
Pat Mulloy, CEOLength of Service in Senior Care: 16 yrs
Communities: 86
Mulloy has been with Elmcroft Senior Living since its founding in 2006. He has worked in the
senior housing industry since 1996. Before that, he practiced law for nearly 20 years and also served as Secretary of Finance to the Governor of Kentucky.
“The ability to recruit community leadership teams, train them, incent them to stay and build quality communities” is Mulloy’s top concern right now, he says. “I tell our associates all the time that the work we do matters," he adds. “Other than helping usher new life into this world, helping individuals live their last years with dignity and grace is rewarding work.”
Michael S. Grust, President/CEOLength of Service in Senior Care: 25 yrs
Communities: 18
Grust co-founded Senior Resource Group in 1988. His multidisciplinary approach has created
senior living communities that blend innovative architectural solutions with the lessons learned from the hospitality industry and a keen sensitivity to the ever-changing health-care needs of residents.
"Creating environments that enhance the quality of people’s lives is always top-of-mind at SRG,” says Grust. “We believe seniors make decisions concerning senior living based on the promise of a robust community life, individualized attention, and, when necessary, expert care. Quality of life is defined by all these characteristics.”
Jack R. Callison Jr., CEOLength of Service in Senior Care: 5 yrs
Communities: 316
Callison joined Holiday in 2008. Previously, he had oversight responsibility for more than 70,000 multi-
family apartments across the United States as the president of U.S. Operations for Archstone Communi-ties. He also has worked for Helen of Troy Limited and KPMG Peat Marwick.
Marilynn Duker, PresidentLength of Service in Senior Care: 30 yrs
Communities: 55
As president, Duker is responsible for operations and long-term growth of all three Shelter Group
companies: Shelter Development, Shelter Properties, and Brightview Senior Living. She joined Shelter in 1982 as a developer, and since then has been involved in every phase of Shelter’s operations and growth. She serves on a variety of nonprofit boards.
“[It is a privilege to lead a company that serves seniors] because it is an operating business with tremendous opportunity for growth while providing a service that people really need at a very vulnerable time in their lives,” says Duker.
Dale Watchowski, President and CEOLength of Service in Senior Care: 5 yrs
Communities: 31
Watchowski joined REDICO, majority owner of American House Senior Living Communities, in 2002.
Previously, he was chief investment officer at Kojaian Cos. and has held senior management positions at Citigroup, HSBC, and J.P. Morgan Chase. He also serves as president and CEO of AQUIS, an HVAC tech-nology firm. Very active in charity and the community, he serves on the boards of several nonprofits.
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Brookdale Senior Living
Meridian Senior Living LLC
Genesis HealthCare
Emeritus Corp.
Elmcroft Senior Living
Senior Resource Group
Holiday Retirement
The Shelter Group/Brightview Senior Living
American House Senior Living Communities
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Bruce J. Mackey Jr., CEOLength of Service in Senior Care: 12 yrs
Communities: 214
Mackey has served as presi-dent and CEO since 2008. Previously, he held the posi-tions of treasurer, CFO, and
assistant secretary at the company from 2001-2008. He was treasurer and CFO of FSQ from 2001 until Five Star acquired it in 2002. He is a certified public accountant.
“Acuity levels are rising in senior living and we need to make sure as an industry that we are doing an out-standing job of taking care of our residents,” says Mackey.
Sue Farrow, CEOLength of Service in Senior Care: 38 yrs
Communities: 49
Prior to joining Integral Se-nior Living in 2001, Farrow served in key leadership positions with Aegis As-
sisted Living, Sunrise Assisted Living, and Trans- america Senior Living, participating in the develop-ment, startup, marketing, and operation of more than 10,000 congregate, assisted living, and Alzheimer’s care units. She is a founding board member and past president of the California Assisted Living Associa-tion and a former board member of ALFA.
“Few businesses allow you the opportunity to end each day knowing you have positively impacted the lives of your customers,” says Farrow.
Brian J. Flornes, CEOLength of Service in Senior Care: 25 yrs
Communities: 24 Flornes co-founded Vintage in 1998 with Eric Davidson. Prior to that, he worked at ARV Assisted
Living, one of the largest assisted living providers in the U.S. in the 1990s. Vintage’s mission is to help residents thrive in mind, body, and spirit through the dedication of our associates and program excellence.
Top of mind for Flornes is “continually striving to exceed the expectations of those we serve,” he says.
Jon DeLuca, CEOLength of Service in Senior Care: 15 yrs
Communities: 99
DeLuca, who has been CEO since 2011, previously served as CFO of the com-pany (1998-2001). Before
rejoining Senior Lifestyle in 2011, he spent nine years as co-president and CFO of Horizon Bay Retirement Living and also served as CFO of Allied Capital Corp., a provider of senior debt and mezzanine finance to small and medium size companies. He is a current member of the ALFA board of directors.
“My No. 1 focus is how do we attract and retain the right people for leadership roles at our communities and in regional support roles in our organization," says DeLuca.
Thomas H. Grape, Chairman/CEOLength of Service in Senior Care: 24 yrs
Communities: 46
Grape founded Benchmark Senior Living and is active in many professional orga-nizations. He’s one of the
founders and past chairman of ALFA, and was also one of the founders of Mass-ALFA. Grape is active on several boards, including serving as chair of the board of Ithaca College, his alma mater.
“[It is a privilege to lead a company that serves seniors] not only because of the guaranteed market growth for the rest of my career, but also because of the demographics, opportunities to be creative and innovative, to be entrepreneurial. And, when I put my head on the pillow at night, I know that what I do really touches people’s lives,” says Grape.
Rod Burkett, President and CEOLength of Service in Senior Care: 25 yrs
Communities: 36
Burkett has been at the helm of BMA Management since the company was founded in May 1999.
Previously, he enjoyed a 20-year career in health-care management, including serving as CEO of two hos-pitals and regional director for a large nursing home ownership chain. He is immediate past president of the Affordable Assisted Living Coalition and serves on the Supportive Living Facility Cabinet for Life Services Network.
“I challenge our industry to join us in evaluating how to better care for the two thirds of older adults who cannot afford traditional assisted living,” says Burkett.
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Five Star Senior Living
Integral Senior Living
Vintage Senior Living
Senior Lifestyle Corp.
Benchmark Senior Living
BMA Management Ltd.
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Andrew S. Kohlberg, PresidentLength of Service in Senior Care: 21 yrs
Communities: 20
Kohlberg provides strategic planning and direction for property operations and man-
agement, as well as sourcing and executing acquisitions including the placement of equity and debt financing. In 2002, the Seniors Housing Council awarded him the SAGE Person of the Year for his commitment to seniors housing. In 2003, he accepted the Icon Award in the Service Enriched Builder/Developer category from the National Association of Home Builders.
G. Michael Leader, President & CEOLength of Service in Senior Care: 36 yrs
Communities: 10
Leader is the son of former Pennsylvania Gov. George M. and Mary Jane Leader,
founders of family-operated Country Meadows Retire-ment Communities. He has been employed in various capacities in health-care management.
“My roles as a provider of care and an employer are exceedingly rewarding because they positively impact not only residents and employees but their families as well,” says Leader.
Dan Suits, COOLength of Service in Senior Care: 16 yrs
Communities: 12
Suits has been COO since 1997 and vice president of Fahs Construction, which develops
new Hearth properties, since 1995. He brings more than 14 years of high-level management experience.
“I have found it to be a privilege to have our program-ming vision of Live More achieved by adding joy, purpose, and meaning to the lives of our residents,” says Suits. “Live More helps our residents live life at their optimal level across eight key areas of wellness: intellectual, spiritual, emotional, social, nutritional, physical, environmental, and vocational.”
Brenda Bacon, CEOLength of Service in Senior Care: 25 yrs
Communities: 23
Bacon previously served as chief of management and planning, a cabinet-level position under
New Jersey Gov. James J. Florio, from 1989 to 1993, where she oversaw health-care and human services reform efforts and served as a senior advisor to the governor. In 1993, she also served on the Presidential Transition Team for the Department of Health and Human Services.
“As leaders in the industry, we need to be focused on what the customer demands are, now and in the future, since we are seeing a greater demand for larger rooms and more amenities, not just great care,” says Bacon.
Eli Almo, President and CEOLength of Service in Senior Care: 26 yrs
Communities: 8
Almo is co-founder of Era Living with his wife Rebecca Almo. Prior to opening Era’s
first retirement community in 1987, he had a decade of experience in the real estate development business. His and Rebecca’s shift to senior living reflects a desire to make their life’s work have a higher purpose.
“People aging in their homes is our largest market,” says Almo. “Top of mind is how technology and innova-tion, coupled with our core business strengths, can help such people age well and feel secure.”
Loren B. Shook, President, CEO, and ChairmanLength of Service in Senior Care: 17 yrs
Communities: 25
Shook co-founded Silverado, which specializes in
Alzheimer’s and memory care. He is vice chair of ALFA and a member of the NIC board of directors. He currently serves on various local and national boards, including the University of Southern California’s Leonard Davis School of Gerontology and Covenant Health Network.
Operating and growing Silverado “is consistent with God’s purpose for me at this time, and it utilizes my tal-ents in a way that serves seniors with memory-impairing diseases,” Shook says.
Ellison Thomas, PresidentLength of Service in Senior Care: 27 yrs
Communities: 19
Thomas helped found The Arbor Company and is involved in the company’s strategic planning, as well as all financing, acquisition, and divestiture activity. He has been instrumental in guiding Arbor’s real estate development projects and oversees accounting and investor relations.
“Aside from caring for my family, running a company that has the privilege of serving seniors, their families, and our fellow caregivers and staff, is one of the highest honors anyone could ever have,” says Thomas.
Herb Heflich, CEOLength of Service in Senior Care: 48 yrs
Communities: 16
Heflich previously oversaw management and coordina-tion of long-term care as
vice president of Mega Care Inc., a multi-institutional health-care organization. He also is a former executive director and owner of Greenbrook Manor Nursing Home, and was founder of the New Jersey Postacute Network and a principal in several nursing homes with subacute units throughout New Jersey. He served as president of the New Jersey Assisted Living Association.
“Top of mind for me right now is to foster a culture of excellence. If you do a good job, you have helped your residents live better,” says Heflich.
Tim Buchanan, CEOLength of Service in Senior Care: 23 yrs
Communities: 26
Buchanan co-founded Sterling House in 1990, pioneering assisted living in the United States by
designing, developing, and operating hundreds of new senior residences in 35 states across the nation, prior to leaving the company in 1999. In 2001, he helped found Legend Senior Living to continue that mission.
“[It is a privilege] to work with so many wonderful caring people every day, all working toward the same mission and goal of enhancing the lives of other people and seeing the results in the eyes and in the lives of our customers and associates,” says Buchanan.
Donald O. Thompson Jr., CEOLength of Service in Senior Care: 30 yrs
Communities: 9Thompson is the company founder and also serves as president of Maxwell Group
Inc., which develops and manages CCRCs and is the management company for Senior Living Communities. He also served as COO of Aaron Enterprises Inc., which developed and operated assisted living and retirement campuses, from 1996 to 2000, and has founded a number of other companies in his career.
“Leading people who serve older folks is a way to shape the future of both groups in a way that is positive and uplifting,” says Thompson.
32 Kisco Senior Living
35 Country Meadows Retirement Communities
42 Hearth Management LLC
45 Brandywine Senior Living
51 Era Living LLC
53 Silverado Senior Living
54 The Arbor Company
58 Chelsea Senior Living
60 Legend Senior Living
61 Senior Living Communities
28 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
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Todd Spittal, Co-Founder and PresidentLength of Service in Senior Care: 17 yrs
Communities: 22
Spittal co-founded Provision Living with David Weiss. Previ-
ously, he provided consulting services to senior housing property owners in need of property repositioning, acceler-ated fill-up strategies, and value enhancement programs. He also was COO for American Lifestyles Inc., where he was responsible for operations of a portfolio consisting of 35 properties in 20 states.
“It is a privilege for me to lead a company that is pas-sionate about creating a culture where our residents are loved, inspired, and thriving,” Spittal says.
Philip Scott, PresidentLength of Service in Senior Care: 20 yrs
Communities: 10
Scott joined Carlton Senior Living in June 2000 and was promoted to president in 2006.
Previously, he served with three of the nation’s largest public senior living providers and has leadership experience in physical rehabilitation services and home health.
The most important trend shaping senior living is “the rising acuity of residents moving in our communities,” Scott says.
James R. King, PresidentLength of Service in Senior Care: 23 yrs
Communities: 20
King has been with real estate development company HHHunt since 1968. He is president
of HHHunt Properties, which manages its multifamily, assisted living, and development/construction divisions. He also oversees off-site stick-built modular operations of HandCrafted Homes Co. and is an instructor and guest speaker at real estate development and senior living conferences, including the ALFA Conference & Expo.
According to King, the most important trend shaping senior living is “how the industry is going to change over the coming years with many new innovative alternatives to pro-vide care for seniors.” Another key question will be, “How as a developer/provider do we remain relevant to seniors with our efforts to proactively plan correctly for the future?”
Jerome E. Finis, Principal and CEOLength of Service in Senior Care: 15 yrsCommunities: 14Finis has more than 25 years of experience as a developer,
owner, and manager of multi-family and seniors’ housing throughout the Midwest and is a founding member of Pathway Senior Living. He is a founding member and cur-rent vice president of the Affordable Assisted Living Coali-tion. Top of mind for Finis right now is the question “How does the industry deal with the issue of ‘Affordability’ in seniors housing on a national basis for the soon-arriving large baby boomer senior population?”
Gurmale S. Grewal, CEOLength of Service in Senior Care: 25 yrs
Communities: 8Grewal is part of a second generation of Grewals, originally from Punjab, India,
whose family experience in U.S. real estate development goes back to the 1940s. He cofounded Singh Develop-ment LLP with his brothers, and now leads the company, which develops and builds a variety of residential real estate, including assisted living, in Michigan and the mid-Atlantic states.
“With the recent influx of new entrants in the senior living market given the relaxing of capital markets, ensuring excellence in service to seniors in our communities is of utmost importance to Singh,” says Grewal.
Ari Weinberger, PresidentLength of Service in Senior Care: 8 yrs
Communities: 15
Weinberger joined CRL in 2009. Prior to that, he served as senior vice president at
Shattuck Hammond Partners, a division of investment advisory and capital markets firm Morgan Keegan.
“[Top of mind for me right now] is creating a culture of best and innovative customer service and working to ensure all colleagues, not just managers, understand and believe in the culture,” says Weinberger. “As more and more communities are developed, it is imperative to differentiate yourself this way from the competition.”
64 Provision Living
65 Carlton Senior Living
66 HHHunt Senior Living
72 Pathway Senior Living
73 Singh Senior Living
74 CRL Senior Living Communities
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 29
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30 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
Someone has a problem with a senior living com-munity in Baltimore. At the online senior housing information site Caring.com, a reviewer vents in part that “the carpet on the first floor leading to the elevator was not clean, and the hand rail in the
same location was chipped in several spots.”The post is anonymous, as online reviews usually are, so
the community’s only avenue of redress is to respond on-line, which it has done. “Thank you for alerting us about the issues you ran across at our community…The carpet on the first floor, leading to the elevator, is in a high-traffic area and is in the process of getting cleaned. We’re also fixing the hand rail, as well. Our primary concern will always be the safety, happiness, and overall well-being of our residents.”
Another review of the same property is much warmer. “The residents were very friendly and sociable. By walking down a hallway, it was easy to see groups of people chatting
�Reviews can provide insight into what matters most to consum-ers, enhance credibility, and validate claims made in market-ing materials.
�Some providers are asking consumers to post their positive experiences with residences.
�Experts say that consumers who look for reviews want to see a broad sampling of opinions, to know that they are getting a representative variety of views.
Fast Forward
By Adam Stone
The
At sites like Caring.com, Yelp!, and others, consumers have an
open invitation to speak their piece, and they do
Are In!reviews
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 31
or playing games. There were numerous social activities, gatherings, and events for residents.”
These examples help show both the peril and the opportunity inherent in online consumer reviews. At sites like Caring.com, Yelp!, Google+, Yahoo! Local, and others, consumers have an open invitation to speak their piece, whether for good or ill. And they do: Yelp! alone boasts over 30 million reviews.
It’s a phenomenon senior living must reckon with.
“They can’t hide from it. Consumers are expecting to see reviews now. You can’t be in denial about these things,” says Caring.com CEO Andy Cohen.
Soliciting FeedbackReviews can do much to assist senior housing executives:
� Provide insight into what matters most to consumers. While consumers choose assisted living for a wide variety of reasons, reviews may give insight into the concerns that are at the top of mind.
� Enhance credibility. If multiple consumers care enough to review your communities, that can help to estab-lish your brand as being a significant player in the marketplace.
� Validate claims made in marketing materials. Consumers want to look beyond your website and brochure to get an outside view, a voice that can validate your claims. Reviews can provide that.At Country Meadows, Vice President of
Advertising and Communications Mandi Block has been making it a habit to periodi-cally check the big review sites. “If I go on Google or Yahoo! and I see a review, either positive or negative, I will pay attention to that. People truly are craving information, particularly in this industry where it is such an emotional buy. So these reviews can help to validate their feelings, or give them an excuse not to choose you.”
To ensure consumers are greeted with positive news when they visit these sites,
Country Meadows actively solicits online feedback from residents and families.
“We have so many families who have so many positive comments about us. What we are starting to do is to ask: How can we use that information?” Block says. “So we are trying to direct people to share with others. We give them instruc-tions specifically where to go, and with Google having at least two thirds of Internet searches, that’s the first place we send folks. Bing is another one.”
To land the positive review, Block has to be persuasive without being pushy. “The tone is: ‘Thank you so much for that compliment, we think that comment could really help a prospective family, just like you when you were looking for a commu-nity. Could you help another family?’”
This can be a tricky balancing act. No one wants to create the impression that the resident or family member is being pressured into writing a review. “We don’t want our families or our residents to feel that we are badgering in any way,” Block says. “I don’t want people to feel obligated.”
With that concern looming in the background, many find they just don’t have the skills at hand to drive their constituents online.
Some therefore opt for a hands-off approach, pre-printing cards with the ad-dresses of major review sites, then handing
“People truly are craving information, particularly in this industry where it is such an emotional buy. So these reviews can help to validate their feelings, or give them an excuse not to choose you.”
—Mandi BlockVice President of Advertising and Communications,
Country Meadows
Don’t Fake ItAvoid the temptation to “seed” a review site by having biased reviewers leave their glowing praise, or to buy reviews from services dedicated to such practices. Why?
1. It’s unethical.
2. Most consumers can see right through fake reviews.
3. Many review sites are pro-grammed to filter out any-thing that looks suspicious.
32 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
these out when compliments are paid, of-fering very little in the way of persuasion. Or they may distribute these little “sugges-tion” cards to those whose resident surveys come back especially positive.
Property management software and services firm G5 offers an alternate solution. Its product can send a scripted email, on demand, encouraging residents to post reviews. These might go out to residents or families any time there is a positive event. Being entirely hands off, it is a gentle form of outreach, something many in the field may find helpful.
“In senior housing, sometimes the executive directors feel a little funny about asking for reviews,” says G5 Vice President of Client Services Nancy Hall. “They just feel uncomfortable doing it.”
Neutral SourcesLike most of his peers in senior housing, Michael Levine is slowly learning how to navigate the complex swirls and eddies pre-sented by the rising tide of online reviews.
“The Internet has become a mainstay for assisted living and health care,” says Levine, vice president of sales and mar-keting at Chelsea Senior Living. It’s not just the vast volume of online informa-tion, but more specifically the seeming objectivity of online reviews that makes them tantalizing.
“It gives people outside informa-tion beyond our website. People want to know, ‘How did they take care of your father or grandfather?’ besides just hearing about it from our salespeople,” Levine says. “If someone is looking for information, and if they get on the Internet and see 210 reviews, that will influence their buying decision.”
Levine does not actively court reviews from among his residents, although he says it is an idea he will be exploring. In these early days, he is mostly watching to see how the content of reviews is evolving.
“If this was four or five years ago, people might have been talking about the social aspect. Now that people are coming in with higher needs, they talk more about the medical aspect. And then there’s just the environment, the kind of team members they meet within our communities,” he says.
Most reviews offer praise, and in the few cases where comments have been
Senior living executives face a rising tide of online consumer reviews. The new forum offers a chance to make the company’s name visible, and to garner positive comments. Not every online review is going to be glowing, however. In fact, those with a bone to pick may be especially eager to vent their concerns in public. Responding to negative feedback takes a delicate touch and forethought.
At online reputation management firm Reputation.com, VP Advanced Client Solutions Brent Franson suggests a strategy:
� Analyze the comment. Is this something that can be addressed, or is the reviewer too irate or unreasonable to be mollified?
� To address a comment directly, ask the reviewer to contact you, rather than respond on site. Now the conversation goes offline, so that further negative discussion is not visible to the public.
� Show earnest interest. When responding publicly on a site, express con-cern, ensure that this lapse is not normal practice, and promise to look into it and make changes if needed.
� Don’t necessarily apologize. Doing so could invite some legal liability. Be sympathetic but not “sorry.”
“There will always be people who have a negative experience and they are the ones who will go to the mountaintop,” says Mandi Block at Country Meadows. “We can’t cringe and shut our door when that happens. So we will address that, we will do what we can to give a fuller picture,” she says.
Block will also fight fire with fire. “Let’s find someone who had a positive experience and ask them to tell their side of the story. You can’t respond to every negative. You look paranoid, you look self-conscious. It’s better to find those families that can share their positive stories.”
And remember, a little bit of helpful criticism here or there is not neces-sarily a bad thing. “You are not striving to create an environment in which everything is 100 percent glowing. People are suspicious of reviews that are too positive,” Franson says.
Responding to Online Criticism
{ The Reviews Are In! }
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 33
negative, they have typically come from former employees, rather than residents or visitors. “We have had two or three instances where a former team member has posted something. It wasn’t a family story, it was something an outsider wouldn’t know, or it was a story that is completely fictional,” he says.
Like most in assisted living, Levine does not see a lot of reviews online. “It is miniscule, maybe one every couple of weeks,” he says. That is not atypical. Most consumer sites still lean toward restaurants and service professionals. Even at industry-specific sites like Caring.com, many properties have only one review, or none.
Nonetheless, Levine is keeping a close eye on things. He uses Google Alerts to get a notification any time Chelsea’s name appears online. He checks the big review sites personally every couple of weeks, and has a computer consultant who also watches for feedback.
With the number of reviews still small across the industry, this is the time for senior living executives to be laying plans, anticipating what a consumer review-driven marketplace might look like. And in that near future, the num-bers will matter.
Experts say that consumers who look for reviews want to see a broad sampling of opinions, to know that they are get-ting a representative variety of views. Of course, having more feedback also may mean having more bad feedback, but in the big picture, a large number of reviews (even with some bad ones) will help a
community more than having just two or three pieces of positive feedback. As an added plus, a high volume of reviews will likely boost the business higher in the search ratings.
But you’ve got to win those reviews fair and square. Some may feel a temp-tation to “seed” a review site by having staff and other biased reviewers leave their glowing praise. Others may buy reviews from services dedicated to such practices. Experts strongly advise against this. First, it’s simply unethical. Second, most consumers can see right through fake reviews. Third, many review sites are programmed to filter out anything that looks suspicious.
In any case, a community that is doing everything it ought to be doing should have no cause to worry about generating a satisfying volume of digital praise, as senior housing becomes ever more firmly established as a category on consumer sites.
“If you have good customer ser-vice and good community ties, I think ultimately those comments will go on the Internet, and word of mouth will be spread,” Levine says.
Adam Stone is a contributing writer to Senior Living Executive. Reach him at [email protected].
Who’s Who Mandi Block | [email protected]
Andy Cohen | [email protected]
Nancy Hall | [email protected]
Michael Levine | [email protected]
With the number of reviews still small across the industry, this is the time for senior living executives to be laying plans, anticipating what a consumer review-driven marketplace might look like.
Quality of Life Services ForGUARANTEED RESULTS
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34 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
T echnology may have advanced by leaps and bounds over the last few years, let alone the last decade, but that doesn’t mean that those running today’s se-
nior living communities are content with the devices and software that currently help them accomplish their work.
Case in point: When asked to share their top technology needs and wants, the numerous senior living executives—who cover the gamut from CFOs and CIOs to directors of dining services and HR—quoted on the next few pages happily rattled off lists that included everything from software applications, to iPads, to community-wide Wi-Fi.
Electronic RecordsThe technology-related solution most desired by today’s senior living providers appears to be EHR, EMR, and eMAR. Michelle Egerer, senior vice president of operations at Silverado Senior Living, is
most interested in the latter two offerings at the moment. She’s interested in eMAR solutions “for the purpose of streamlining the medication administration process, while improving quality assurance and re-ducing medication errors.”
EMR technology, on the other hand, has piqued her interest because it will benefit the provider as it positions itself to participate in accountable care organizations. Specifically, it will allow Egerer and her colleagues to commu-nicate and otherwise share information with hospital and physician networks to reduce hospital readmissions, while also improving the internal flow of informa-tion for each of Silverado’s residents.
Francine O’Neill RN, MBA, vice president of resident care at The Arbor Company, has high hopes for EMR technology, too. Arbor is already working on implementing an EMR solution that interfaces with its pharmacy and key health-care partners. “This has tremen-
�A robust EHR system, provid-ing access to information that otherwise wouldn’t be tracked or would take a significant effort to gather, is at the top of the list for many providers.
�Tablet computers make it easier for caregivers to enter information about residents and then pass it on to adminis-trative staff, who can then use the information in decision-making.
�Human resource informa-tion systems, point-of-sale systems, and employee skills tracking tools are also much desired by executives.
Fast Forward
Executives from throughout the industry share their top needs and wants By Bryan Ochalla
Custom Tech Solutions
WANTED:
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 35
dously reduced phone calls, faxes, and er-rors related to medication orders,” O’Neill says. “Our goal is to have this type of technology in use in all of our communi-ties by the end of 2013.”
Scott Ranson likely wishes he could say the same about Brookdale Senior Living (where he serves as vice presi-dent and CIO). The provider has been “working with software vendors for years to find solutions that fit our company. We have found some best-of-breed vendors but have been unsuccessful in finding a comprehensive EMR across all of these lines of business.”
In part, he suggests, that’s because “a best-of-breed solution is not sustain-able and scalable for a company the size of Brookdale.” Given that, “we need the technology vendors to step up and pro-vide solutions that will work across all of these lines of business,” Ranson adds. “In the age of health-care reform, account-able care, HIE, and hospital-readmission penalties, the post-acute-care business
Quantitative Meds Data A group of professionals in senior living discussed electronic Medication Administration Records (eMARs) at the 2012 ALFA Conference & Expo. During the session, one participant reported seeing annual medication errors drop by more than 90 percent after moving to eMARs.
Some health-care reform goals include reducing paperwork, administra-tive costs, and perhaps most importantly, hospital readmissions, and using eMARs can help, said Country Meadows Director of Clinical Services Caro-lyn Dibert RN, who participated in the session. From a nurse’s perspective, electronic recordkeeping can also reduce medical errors and improve quality of care, she added.
As assisted living providers begin partnering with hospitals and other care providers along the continuum, it will become more and more important to be able to provide data, or “actual, quantitative evidence” to prove they’re providing quality care. “Using electronic mediums to quantify and track what we do, and be able to share comprehensive and cohesive reporting, sets us up to be providers of choice,” said Dibert.
When Country Meadows executives began looking into implementing an eMAR system a couple of years ago, they wanted a solution that would decrease medication errors and improve both medication management and quality mea-sures monitoring. Eighteen months after implementation, Dibert says Country Meadows communities saw significant improvement in all three areas, with “100 percent positive feedback” from practitioners and users of the system.
In fact, after an approximate study of medication errors in six Country Meadows communities (located in Pennsylvania and Maryland), Dibert saw the number of errors decrease from about 212 in 2010, to just 20 in 2011.
Each company considering a transition into electronic recordkeeping needs to figure out what it is that they’re looking for as they begin shopping around, Dibert advised. Consider the following issues: � Using eMARs requires having computers on each medication cart—primary
and backup.� What are the community’s wireless capabilities, if choosing an Internet-
based (versus server-based) system? Are there “dead zones”?� Is it possible to customize a program to fit a particular community?� Who will provide both initial and ongoing training (for new hires or soft-
ware updates)?Dibert recommends establishing a checklist of questions to consider when
speaking with vendors. That’s a smart idea, agreed representatives from soft-ware company Yardi, which offers a web-based senior housing administrative platform with a resident management component. When choosing a platform, think about system reliability—how long has it been in use?—along with how quickly it can be implemented, the extent of its mobile access (for tablets or smartphones, for example) and its remote reporting capabilities, said J.R. Southerland, a regional sales executive at Yardi.
Once you choose a system, think about what you’ll need to do in the days, weeks, and months prior to implementation and roll-out, session participants advised. This can include notifying residents and their families of the new system; sending courtesy letters to physicians to inform them of the switch from paper records to eMARs, and meeting with the pharmaceutical partner to confirm the process for entering orders into the eMAR database.
Pharmacy involvement is crucial, Southerland said, and it’s important for com-munities to set expectations and policies with their pharmaceutical partners.
—Adapted and reprinted with permission of Senior Housing News
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 35
36 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
needs to step up to the plate and get into the 21st century with our technology.”
As for technology that enables EHR integration: count Michael Vick CPA, CFO at Pathway Senior Living LLC, as one of its many supporters within the senior living industry. In fact, Vick says that a robust EHR system is “the one technology that we want and need.” The reason: “The introduction of EHR would provide access to information that other-wise wouldn’t be tracked or would take a significant effort to gather.”
Info on the GoAnother technology tool the executives interviewed for this article are eager to integrate into their companies and com-munities: tablet computers.
Although caregivers and other staffers at Chelsea Senior Living don’t currently carry around or otherwise use these devices to do their jobs, President and COO Roger Bernier can see them doing so in the not-so-distant future. iPads and other such handhelds “are certainly the future in our industry,” he suggests, in large part due to the time savings afforded by tablets.
Abdulla Kagalwalla, CFO at Signa-ture Senior Living LLC, also envisions a bright future for these tiny touch-screen computers. They can make it easier for caregivers to enter information about their communities’ residents and then pass it on to administrative staff (who
can then use that information to make decisions).
“That’s where we want to go with this kind of technology, at least,” he says. “We want to use it to make it that much easier for staff to enter important information into our system.”
iPads and similar pieces of technology could be beneficial to senior living providers beyond the collection of data or the completion of resident assess-ments, though. Five Star Senior Living is looking to expand use of these devices to its clinical, operations, and rehab teams this year, says COO Scott Herzig.
Meanwhile, both The Arbor Company and Silverado Senior Living are con-templating how such technology could help bolster the efforts of their sales and
marketing teams. For instance, Silverado’s Kathy Greene would like to get iPads into the hands of “our people who are out in the field so they can [use them to] keep track of their sales calls and all their metrics and things like that.”
At Silverado, Egerer says her company will soon be putting iPads into the hands of certain residents, too—in particular, short-term rehab guests, who will use them to schedule therapy appointments, monitor progress toward goals and func-tional outcomes, and even access various entertainment and concierge services.
That’s not to suggest there aren’t any downsides to introducing iPads and other “pocket PCs” into senior environments. Greene, for instance, points out that doing so can be costly, while both Ana de
Resident-Focused ToolsAlthough most of the technology needs and wants discussed in this article would directly benefit a particular provider’s staff members, while indirectly benefiting its residents, a few of them are the opposite.
A good example: Marc Dunn, vice president of operations at Bickford Se-nior Living, would like to see “open Wi-Fi access” at all of Bickford’s communi-ties, and for several reasons. “First, our residents are starting to become more and more tech-savvy and utilize the Internet and Wi-Fi to check and send email, communicate with family and friends via Skype or [Apple’s] FaceTime, pay bills, and more,” he says. “This would be a great amenity for our ever-changing resident and their family.”
Second, expanding wireless Internet access throughout the company’s communities would allow its marketing and sales staffers “to do virtual tours with family members who might not live close enough to visit or who are un-able to visit due to a variety of reasons,” he adds.
Third, it “would also allow for us to include other family members in care conferences or family meetings—with our RN coordinator, director, assistant director, etc.—who otherwise might not be able to attend.”
It’s not unusual for a Brookdale exec to carry “a laptop, a tablet, a smartphone, and, in some cases, a mobile hot spot to run them all,” says Scott Ranson, who would prefer an all-in-one device that could act as a desktop in a dock-ing station in the office and as a tablet outside the office.
{ Wanted: Custom Tech Solutions }
la Cerda, director of licensing and public policy at Emeritus Senior Living, and Bernier add that training can be an issue. “Many employees will have to be taught and re-taught how to use these devices,” Bernier warns. (De la Cerda, by the way, would like providers to consider desig-nating certain staffers who can show less proficient colleagues the ropes when it comes to this kind of gadgetry.)
Kagalwalla agrees and suggests that providers should “seriously consider the amount of training this will require” before filling their communities with tablets. An-other thing to consider, he adds: Will the applications used by these tablets seam-lessly integrate into your host application?
The Arbor Company’s O’Neill says the integration issue is what has kept Arbor from going ahead and using handheld devices for resident assessments. Budgie Amparo RN, MSN, executive vice presi-dent of quality services and risk manage-ment at Emeritus, says that, despite the fact that these devices are “really handy,” compatibility with Emeritus’ company-preferred software products “sometimes is a challenge.”
Brookdale executives are used to both the challenges and benefits associated with using tablets and other handhelds throughout the senior living space. More
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 37
Streamlining Care ManagementOne thing pretty much all of the “technology tools” mentioned here have in common: Each enables staff members to spend more time caring for residents.
That’s a big deal for Signature Senior Living, according to Abdulla Kagal-walla, who says that Signature has “always looked for technology solutions, whether it be in the software space or in the hardware space, that will allow the operators at our communities to automate processes so they and their col-
leagues can be less focused on administrative work and more focused on taking care of our residents.”
“The [main] pieces of technology that I would like to see are tools that would allow caregivers to spend
more time with residents and [less time] doing data entry,” agrees David Brickman, vice president and general counsel at Capital Senior Living Corp. He would also like to see some tools that residents could “use interactively with the community and their families, [which would] help them commu-nicate their needs more effectively. These tools
would create a more resident-centered environ-ment while also freeing up time for caregivers.”
than 12,000 devices—including iPads, iPhones, Android phones, and Android tablets—are being used by Brookdale staffers at the moment.
That said, despite the fact that Ranson approves of how iPads and their like-nesses aid the staff in his company’s home health business (every nurse carries a tablet or smartphone that is used to record and document their work for the purpose of payroll, billing, and clinical notes), for example, what he’d really like to do is replace them with some sort of all-in-one device.
It’s not unusual, he says, for a Brook-dale exec to carry “a laptop, a tablet, a smartphone, and, in some cases, a mobile hot spot to run them all.” He’d like for those associates to carry an all-in-one device that could act as a desktop in a docking station when they’re in the office but can be removed and act like a tablet when they’re traveling.
If and when such a device appears, “Brookdale will be taking advantage of this device consolidation,” Ranson assures.
HRIS and POSNot all of the solutions shared by senior living executives are as big or broad as those discussed so far. Guy Hemond, vice president of culinary and dining
experience at Benchmark Senior Living, says one of his top technology needs and wants at the moment is a point-of-sale (POS) system that’s custom-tailored to the senior dining space.
Such a device would allow Hemond and his colleagues to “capture ancillary revenue when necessary as well as gather historical data on meal preferences when running a cycle menu, which would allow us to maximize production and minimize costs.”
Steven Cochran SPHR, director of human resources at HHHunt, and Allen Nickerson, executive vice president at Carlton Senior Living, on the other hand, long for more HR-focused tech solutions.
Cochran wants a “robust and up-to-date” human resource information system (HRIS). “We currently use a variety of different platforms for payroll, benefits administration, and applicant tracking,” he explains, some of which are third-party solutions and some of which are “home-grown,” and an HRIS would allow HHHunt to consolidate those disparate solutions.
Says Nickerson: “The one thing that I see value in as we grow by another two or three communities would be skill-set tracking for high-potential and promot-able people.” At the moment, all he and his team are able to track are demo-graphics, compensation, and anniversaries using the statistical tools that come with Carlton’s payroll system.
Bryan Ochalla is a contributing writer to Senior Living Executive. Reach him at [email protected].
Who’s Who Budgie Amparo | [email protected]
Roger Bernier | [email protected]
Steven Cochran | [email protected]
Ana de la Cerda | [email protected]
Marc Dunn | [email protected]
Michelle Egerer | [email protected]
Kathy Greene | [email protected]
Guy Hemond | [email protected]
Scott Herzig | [email protected]
Abdulla Kagalwalla | [email protected]
Allen Nickerson | [email protected]
Francine O’Neill | [email protected]
Scott Ranson | [email protected]
Michael Vick | [email protected]
A Place for Mom, Seattle, WA www.senioradvisor.com
Senior Advisor Eric Seifert, 206.802.1534 [email protected]
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A Place for Mom, Seattle, WA www.youvegotleads.com
You’ve Got Leads Barry Mayer, 206.802.1512 [email protected]
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AgingCare.com, Naples, FL www.AgingCare.com
AgingCare.com National and Local Advertising
Richard Nix, 718.816.4287 [email protected]
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BlueStep Systems, LLC, Layton, UT www.bluestep.net
BlueStep Dave Donaldson, 801.796.BLUE (2583) [email protected]
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Eldermark, Minnetonka, MN www.eldermark.com
Market Minder, Service Minder EHR, Service Minder Billing, eMAR, Point of Care, and Risk Management
Travis Palmquist, 952.460.3848 [email protected]
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Enquire Solutions, Denver, CO www.enquiresolutions.com
EnquireLEADS Lucas Hayes, 800.212.7262 [email protected]
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Extended Care Professional, East Troy, WI www.Ecp123.com
Extended Care Professional Joel Moyer, 262.684.5600 [email protected]
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G5, Bend, OR www.getg5.com
Discovery, Reputation, Conversion, Retention, and Insight
Rob Day, 541.306.3393 [email protected]
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Lansdale Group, McLean, VA www.lansdalegroup.com
Lansdale Group Senior Living CRM Template for Salesforce.com
Doug Ricks, 703.288.0242 x 160 [email protected]
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LTC Solution, Minot, ND www.ltcsolution.net
Management Information Suite Ryan [email protected]
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LTCAdmissionsCoach.com, Pittsburgh, PA www.LTCAdmissionsCoach.com
FastTrac CRM and FastTrac Senior Care Marketing Training
Andrea Zabinski, 877.582.7483 [email protected]
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Marketing With Care, Seal Beach, CA www.MarketingWithCare.com
Assisted Living Marketing Services & Systems That Increase Move-Ins
Steve Schmidt, 888.213.5026 [email protected]
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Mature Market Sales Source, Phoenix, AZ www.MatureMarketSales.com
Mature Market Sales University, Sales & Marketing Training
Deena Neste, 888.608.6465 [email protected]
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Medtelligent Inc., Chicago, IL www.medtelligent.com
ALIS - Assisted Living Intelligent Solutions
Mina Arsala, 888.404.2547 x 101 [email protected]
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Move-N Software, Inc., Bedord, TX www.Move-N.com
Move-N Complete Jennifer Griffitts, 817.282.7300 [email protected]
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National Research Corporation, Lincoln, NE www.nationalresearch.com
Resident & Family Experience (My InnerView)
Jason Stevens, 800.388.4264 [email protected]
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New LifeStyles Media Solutions, Dallas, TX www.newlifestyles.com
New LifeStyles - Guide to Senior Living & Care
Jennifer Campbell, 800.975.9439 [email protected]
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PALs Software, Duluth, MN www.palssoftware.com
PALs Software Thomas Patten, 877.724.7257 [email protected]
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RealPage Inc., Carrollton, TX www.realpage.com
SeniorLiving.Net, LevelOne, OneSite, Lead2Lease, RentMineOnline
Tad Brown, [email protected]
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RetirementHomes.com, Toronto, Canada www.retirementhomes.com
RetirementHomes.com services Steven Fleischer, 888.544.9124 x 231 [email protected]
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Right Click Software, Irving, TX www.rightclicknow.com
Right Click Software Eric Silverman, 866.493.3597 [email protected]
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Sales Simplicity Software, Chandler, AZ www.SalesSimplicity.net
Sales Simplicity Software Barry Forbes, 480.892.2500 [email protected]
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Senior Care Software Inc., Edmonton, Alberta, Canada, www.seniorcaresoftware.com
SeniorCare Blair Grove, 855.552.2273 x 2 [email protected]
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SeniorCareHomes.Com, Mission Viejo, CA www.seniorcarehomes.com
Directory Listing & Placement Services
Erwin Allado, 877.523.6523 [email protected]
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SeniorHomes.com, Seattle, WA www.SeniorHomes.com
Senior Care Resource Jay Goldstein, 206.905.8774 [email protected]
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SeniorHousingNet, part of Move, Scottsdale, AZ, www.seniorhousingnet.com
Senior Living Online Directory Advertising
Brad Fuqua, 888.525.2546 [email protected]
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SeniorLiving.net, Inc., Vienna, VA www.seniorliving.net
SeniorLiving.net Anne Kempsell, 703.297.8943 [email protected]
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Seniors for Living, New York, NY www.SeniorsforLiving.com
Senior housing and care leads, Targeted Tours
Doug Johnson, 212.490.6290 x 227 [email protected]
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The Ehlers Group, Fort Lauderdale, FL www.theehlersgroup.com
Janis R. Ehlers, 954.726.9228 [email protected]
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Vitals Software, Des Moines, IA www.Vitalsware.com
Vitals Ken Jaye, 800.395.0132 x 245 [email protected]
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www.SeniorsResourceGuide.com, Littleton, CO www.SeniorsResourceGuide.com
Network of 28 Local Internet Directories & A National Directory
Karin Hall, 303.794.0799 [email protected]
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Yardi Systems, Santa Barbara, CA www.yardi.com/senior
Yardi Voyager Senior Housing Paul Stassforth, 800.866.1144 [email protected]
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Company Product Sales Contact Lead
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This list features companies that provide technology tools used in senior living sales and lead generation. This list doesn’t include software aimed at residents or care managmeent tools. Every effort was made to include all suppliers in the market. Companies that did not return requets for information have not been included here. Companies in blue are ALFA members.
Oth
er
Marketing and Lead Management Software As of February 1, 2013
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After rising through the ranks at Four Seasons, ALFA Conference Keynoter Jim FitzGibbon knows a thing or two about leadership and ambitionBy Adam Stone
The
J im FitzGibbon knows hospitality as well as just about any-one. He rose through the ranks at Four Seasons Hotels and Resorts, signing on as front office manager of a single prop-erty and retiring in December 2011 as president of World-wide Hotel Operations, with ultimate responsibility for 85
hotels in 35 countries. In advance of his appearance at the 2013 ALFA Conference
& Expo (May 6-9 in Charlotte, NC), we spoke with him about leadership, resident satisfaction, and personal ambition. Success, he says, starts and ends with an organization’s culture.
Jim FitzGibbon in person at the ALFA Conference & Expo, May 6-9, 2013, in Charlotte, NC. Register at www.alfa.org/conference. Register before April 1 for savings.
don’t miss
Overachiever
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 41
Senior Living Executive: You talk about culture as a “competitive advan-tage.” Can you explain?
Jim FitzGibbon: The senior living industry is all about service. So how do you make a difference in service? By building a service culture. Do you look at someone in the eye? Do you genuinely show caring when something happens to someone, be it a customer or an employee? That kind of culture starts at the top. The CEO or owner or founder has to truly believe in it. Then you can develop a rapport with the employees that is genuine, intuitive, and caring. If your CEO doesn’t really believe in it in a genuine way, you will not be suc-cessful at it. Culture it is not a program, it is not Six Sigma or any of these other programs. It is a way of life.
SL Exec: You rose through the ranks in your career. Why is it important to pro-mote from within?
FitzGibbon: For most assisted living companies, the secret to their financial success is going to be growth, and it’s that same growth that provides the opportunity for your people to grow along with the business. They want to see that opportunity and they need to believe in it, believe it is going to be there for them.
SL Exec: And if they do believe in it, how does that affect things?
FitzGibbon: Here’s an example. When we opened in Bora Bora we needed people to go to Tahiti for six or nine months, and this is a place in the middle of nowhere, where the average rate for a hotel room is $1,500 a night and the service is usually terrible. People go once and they never go back.
It is not difficult to find the people who will do that, but it goes back to having that group who believe in promotion from within. There has to be a level of trust, they have to believe that if they do this thing, if they go there for six or nine months, there will be some reward for them within the company somewhere down the line.
SL Exec: You’ve talked about “controlled ambition.” What does that mean, and how does it apply in senior living?
FitzGibbon: “Controlled” is not to say you should not be ambitious, but it has to fit in with the culture. I have seen many examples where you have people who care more about themselves than they do about the success of the company. That doesn’t work, because ambition can’t be driven just by what your boss thinks of what you do. It comes from what your peers think of you. Ambition is good, drive is good, but it has to be tempered by
how it fits in with the team.One thing I would suggest to senior
living executives is to use employee at-titude surveys. They can tell you how the employees feel about their direct supervi-sors and how they feel about their peers. Employees will tell you whether this person is blindly ambitious and really doesn’t care about us at all, or whether this is someone who does care and who does take a genuine interest.
These surveys can be incredibly useful but only if senior executives pay atten-tion to them in a deep way, not just in a statistical way.
SL Exec: Are the customers always right?
FitzGibbon: This is an overused expres-sion. What does it really mean? I think the key for the employee is to understand the customer’s point of view, whether it is right or wrong, because they do have their own points of views. When you are dealing with a resident population, you have to take the time to connect with them, to build a personal relationship, so that they will actually trust you. You can’t wait for an issue to show itself.
SL Exec: For senior living executives, what’s the secret to a successful operation?
FitzGibbon: You can’t create too many rules. You have to allow the employees to do what the individual wants. Employees cannot be conformists, because they are dealing with individual people who need to be treated individually.
It’s the little things—the pillow, the bed making. You don’t create a very conformist environment, because you are dealing with people who at this point in their lives have developed their own way of living, their own way of doing things. You want your people to be able to respect that as much as possible.
Adam Stone is a contributing writer to Senior Living Executive. Reach him at [email protected].
“Ambition can’t be driven just by what your boss thinks of what you do. It comes from what your peers think of you. Ambition is good, drive is good, but it has to be tempered by how it fits in with the team.”
EXPO PREVIEWmade easyALFA offers busy professionals a way to stay current on the latest trends and concerns in the management of senior living communities.
CONVENIENT. INTERACTIVE. INTERESTING.
UPCOMING WEBINAR SERIES | alfa.org/webinars
n MANAGING THE EMPLOYER MANDATE: A HEALTH CARE REFORM WEBINAR
Wednesday, April 3 | Noon ET/9:00 PT | One Hour
n THE ABCs of IBC: ALIGNING ASSISTED LIVING REGULATIONS & BUILDING CODES
Friday, April 12 | Noon ET/9:00 a.m. PT | One Hour
webinarsALFA BUSINESS
EXCELLENCEONLINE TRAINING
Health-care reform has begun. Are you, as an employer, informed about your obligations and ready to take action? ALFA’s risk management and insurance Business Service partner, Willis North America, will explore the timeline of deadlines and discuss key actions employers should consider to ensure compliance.
The disconnect between assisted living regulations and building codes is causing confusion and finger pointing, resulting in increased expense and, more important, frustration among residents who simply wish to remain in their assisted living home. Now is the time for senior living to find ways to educate state regulators, building inspectors, and fire marshals about the disconnect and align regulations and codes. Join Dan Purgiel of LRS Architects and Maribeth Bersani of ALFA to explore the source of disconnects and outline strategies and tactics to fix them both at a company and community level.
IN DEPTH, TOPIC-BASED RESOURCES: A variety of toolkits and reports from previous webinars are available in the ALFA Store for down-load. Visit www.alfa.org/store.
These and other hot topics will be explored at the ALFA 2013 Con-ference & Expo. Learn more and register at www.alfa.org/conference.
Register for these timely education webinars and earn CEUs (pending NAB approval). www.alfa.org/webinars.
• Managing Bed Bugs Tool kit
• Energy Efficiency & Going Green Tool kit
• Emergency Preparedness Tool kit
• 2012 Snapshot of State Regulations and Legislation
And much more...
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 43
♦ A Place for Momwww.aplaceformom.com
♦ A.G.E.-Insurancewww.age-insurance.com
Accutechwww.accutechsecurity.com
ACP - Accelerated Care Pluswww.acplus.com
♦ ACT Advance Catastrophe Technologieswww.actcat.com
Adolfson & Peterson Constructionwww.a-p.com
ADVANCE For Long-Term Care Managementwww.advanceweb.com
American Health Care Supplywww.americanhealthcaresupply.com
AmerisourceBergenwww.automed.com
AOD Softwarewww.AODsoftware.com
APi National Service Groupwww.apigroupinc.com
n Apollo Corporationwww.apollobath.com
Aqua Blox LLCwww.aquablox.com
ARCH Framing & Designwww.archframing.com
n ARKRAY USAwww.arkrayusa.com
Assisted Transition, LLCwww.assistedtransition.com
n BBL Campus Facilitieswww.bblcampusfacilities.com
Benchmark Senior Livingwww.benchmarkquality.com
n Best Healthcare Communicationswww.bestgroup.com
Black Box Network Serviceswww.blackbox.com
Brandywine Senior Livingwww.brandycare.comMt. Laurel, NJ Debbie Shane(856) 813-2000 [email protected]
Brandywine Senior Living is the region’s premier operator of residential communities for senior adults. The company currently operates twenty-five senior living communities in five states (PA, NJ, DE, NY and CT).
Briggs Healthcarewww.briggscorp.com
Brookdale Senior Livingwww.brookdaleliving.comMilwaukee, WIRenee Sandri(414) [email protected]
Brookdale is the nation’s largest owner and operator of senior living communities throughout the U.S., providing senior living solutions in a variety of settings for all the places life can go.
Bulk TV & Internetwww.bulktv.com
n Capital Investigatingwww.capitalinvestigating.com
♦ Care and Compliance Groupwww.careandcompliance.com
n Care Technology Systems, Inc.www.caretechsys.com
Care.Comwww.care.com
Care2Learn- Upstairswww.care2learnenterprise.com
CareConnect by Esco Technologies, LLCwww.careconnectbyesco.com
n CareLike LLCwww.carelike.com
CareWear Fashions, LLC.www.carewearfashions.com
CARF Internationalwww.carf.org
♦ Caring.comwww.caring.com
Cawleywww.cawleyco.com
Cerner Extended Carewww.cerner.com
CISCORwww.ciscor.com
Coastal Reconstruction Groupwww.coastalreconstruction.com
Connected Livingwww.connectedliving.com
♦ Cornell Communications, Inc.www.cornell.com
Covidienwww.coviden.com
Deep Blue Communicationswww.deepbluecommunications.com
Dementia Care Specialistswww.crisisprevention.com
♦ Direct Supply, Inc.www.directsupply.comMilwaukee, WIBeth Waters(414) [email protected]
Direct Supply is the leading provider of equipment, ecommerce, and services to senior living with unexcelled response to customer needs and leading industry advocacy.
EXPO PREVIEWExhibitor and sponsor listing as of 2/14/2013President’s Council listing as of 3/1/2013
♦ = ALFA President’s Council Member n = New to the ALFA Conference & Expo= Premier Sponsor
Here’s your first look at the exhibitors participating in the 2013 ALFA Conference and Expo, May 6-9 in Charlotte, NC. For more information about the Expo experience, visit www.alfa.org/conference.
44 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
EXPO PREVIEW
DISH Networkwww.commerical.dish.com/property
Dwyer Service Solutionswww.dwyergroup.com
ECP Senior Living Softwarewww.extendedcarepro.com
Elderlife Financial Services, LLCwww.elderlifefinancial.com
ELDERMARK Technology for Assisted Livingwww.eldermark.com
Emeritus Senior Livingwww.emeritus.comSeattle, WAMelissa Kalouner(206) [email protected]
As a national provider of assisted living and Alzheimer’s care we are passionately committed to making a difference in people’s lives by providing service of the highest quality and value in a supportive environment, promoting the health, independence, and social interaction of seniors.
n Employee and Family Resourceswww.efr.org
Enquire Solutionswww.enquiresolutions.com
n The Erickson School / UMBCwww.umbc.edu/erickson
Five Star Senior Livingwww.fivestarseniorliving.com Newton, MAMaryEllen Greenfield(617) [email protected]
The Five Star Senior Living division includes more than 260 Independent Living and Assisted Living facilities, Skilled Health Care facilities, and Continuing Care Retirement Communities. Through its Rehabilitation Services division, Five Star operates rehabilitation hospitals and outpatient health rehabilitation clinics. Five Star is headquartered in Newton, Massachusetts.
Forbo Flooring Systemswww.forboflooringNA.com
n Fulmedia Interactivewww.fulmediainteractive.com
♦ G5www.getg5.com
♦ Genesis Rehab Serviceswww.genesisrehab.com
Gordon Food Servicewww.gfs.com
n Guardian Pharmacywww.guardianpharmacy.net
GuideOne Insurancewww.guideone.com
Hamilton Captelwww.hamiltoncaptel.com
Hamilton Insurance Agencywww.hamiltoninsurance.com
HCareers | On Target Jobswww.hcareers.com
♦ HD Supplywww.hdsupplysolutions.com
♦ HealthCare REITwww.hcreit.com
n Healthcare Services Group, Inc.www.hcsgcorp.com
Healthcare Signs, Inc.www.healthcaresigns.com
n HealthcareSourcewww.healthcaresource.com
n Healthsensewww.healthsense.com
Hekman Contractwww.hekmancontract.com
Hill-Romwww.hill-rom.com
♦Holsag Canadawww.holsag.com
Home Technology Systems, Inc. (HTS)www.hometechsystems.com
HF Contract www.hfcontract.comMartinsville, VADave Williams(276) [email protected]
HF Contract, a Hooker Furniture company, offers stylish, upscale seating, occasional, and other key furnishings products tailored specifically to meet the unique requirements of senior living design.
n Horst Constructionwww.horstconstruction.com
♦ HPSI Purchasing Serviceswww.hpsionline.comIrvine, CATorri Pierce(954) [email protected]
HPSI, a Group Purchasing Organization with health-care membership over 10,000 and loyal vendors, provides members with substantial volume discounts and low prices on a wide range of products, services, technology, and equipment.
n IISES, LLCwww.iises.com
Illustratuswww.illustratus.com
Innovatix, LLCwww.innovatix.com
Insight Worldwide Inc.www.insightww.com
♦ Intel - GE Care Innovationswww.careinnovations.com
It’s Never 2 Latewww.IN2L.com
n J.Brasch Co.www.braschgroup.com
n Java Music Clubwww.javamusicclub.com
Joerns Healthcarewww.joerns.com
Kaba ADS Americaswww.kaba-adsamericas.com
Kronos Incorporatedwww.kronos.com
♦ Kwalu, LLCwww.kwalu.com
Lancaster Pollardwww.lancasterpollard.com
LeaderStatwww.leaderstat.com
LG Electronics USA, Inc.www.lgsolutions.com
Life Care Fundingwww.lifecarefunding.com
Linked Seniorwww.linkedsenior.com
n LiveWallwww.livewall.com
Long-Term Living Magazinewww.ltlmagazine.com
LTC Properties, Inc.www.ltcproperties.com
n Luke’s Wingswww.lukeswings.com
Masterpiece Living, LLCwww.mymasterpieceliving.com
McKesson Medical Surgicalwww.mckesson.com
McKnight’s Long Term Care Newswww.mcknights.com
MDI Achievewww.mdiachieve.com
MedBest Recruitingwww.medbest.com
Medicine-On-Timewww.medicine-on-time.com
Medtelligent, Inc.www.medtelligent.com
MicroFridgewww.microfridge.com
Model55www.model55.com
n Mohawk Groupwww.mohawkgroup.com
Move-N Software Inc.www.move-n.com
n Muno Summers & Associateswww.munosummers.com
n MW Builderswww.mwbuilders.com
Nascowww.enasco.com
♦ National Health Investors REITwww.ninvestors.com
♦ National Research Corporation (My InnerView)www.myinnerview.com
Nationwide Bus Sales/Midwest Transit Equipmentwww.midwesttransit.com
n Navigator Group Purchasing, Inc.www.navigatorgpo.com
♦ = ALFA President’s Council Member n = New to the ALFA Conference & Expo= Premier Sponsor
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 45
NCRI - National Catastrophe Restoration Inc.www.ncricat.com
New Lifestyles Media Solutionwww.newlifestyles.com
♦ Omnicare Pharmacy Serviceswww.omnicare.comCincinnati, OHJodi Dreyer(888) [email protected]
From comprehensive pharmacy services and electronic solutions that simplify medication management, to cost-saving programs designed to manage your drug spend, Omnicare Pharmacy delivers a wide range of practical, innovative solutions to meet your unique needs.
♦ OnShiftwww.onshift.com
n Oregon Freeze Dry, Incwww.ofd.comAlbany, ORLacey Robinson(541) [email protected]
Oregon Freeze Dry, Inc. is the world’s leader in freeze-dried meals. Our brands, Easy Meal® and Mountain House®, are market leaders in emergency preparedness and perfect for food storage supply of any facility or community.
Orkin, LLC dba Orkin Commerical Serviceswww.orkin.com
Osborn Visual Solutionswww.osbornvisual.com
♦ PalatiumCare, LLCwww.palatiumcare.com
Parental Health, LLCwww.parentalhealth.com
n Payless ShoeSourcewww.safeTstep.com
Penner Manufacturingwww.hamilton.net
PharMericawww.pharmerica.com
Philipswww.philipsseniorliving.com
PointClickCarewww.pointclickcare.com
Today’s modern care environment requires a pharmacy
partner who is there for you all the time - and in real time.
Omnicare delivers.
When someone’s in pain or has a critical medication need, time is of the essence. Omnicare helps expedite care delivery through real-time innovations like OmniviewDr, our e-prescribing technology for controlled substances, including C-IIs. Within minutes, prescriber orders are sent to the pharmacy, ensuring meds are delivered timely to those in need.
To learn more about our ability to provide real care in real time, visit www.omnicare.com/realtime for downloads and videos of how Omnicare’s comprehensive solutions deliver real results to your business.
©2013 Omnicare
Real Care. In Real Time.
46 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
Poly Concepts LLCwww.polyconcepts.com
Presidential Bank, FSBwww.presidential.com
Prime Care Technologies, Inc.www.primecaretech.com
Procter & Gamblewww.pgpro.com
Procurement Partners, LLCwww.procurementpartners.com
ProMatura Group LLCwww.promatura.com
ProTeamwww.pro-team.com
Protect-Alert Emergency Response Systemswww.wirelessemergencycallsystems.com
Quickmar By Med Management Technologywww.quickmar.com
♦ RealPage Senior Livingwww.realpage.com
RediLearning Corpwww.redilearning.com
n Rees Associateswww.rees.com
Response Care, Inc.www.rcareinc.com
RetirementHomes.comwww.retirementhomes.com
Retiring By Designwww.retiringbydesign.com
RF Technologies, Inc.www.rft.com
Right Click Software by Signature Solutionswww.rightclicknow.com
Robycross Retirement & Healthcare Renovationswww.andrewroby.com
Rx Care Assurancewww.RxCareAssurance.com
S&D Coffee Inc.www.sndcoffee.com
SafetyCare Technologieswww.avalontechnologies.net
Sage Age Strategieswww.sageagestrategies.com
n Sargent Artwww.sargentart.com
♦ SCA Americaswww.sca.com
ScentAirwww.scentair.com
ScheduleAnywherewww.nurseschedulingsoftware.com
Schindler Elevator Corporationwww.us.schindler.com
Seasons Hospice & Palliative Carewww.seasons.org
Select Rehabilitationwww.selectrehab.com
Senior Living Communitieswww.senior-living-communities.comCharlotte, NCDonald Thompson(704) 246-1620dthompson@Senior-Living- Communities.com
2013 will start the 25th year for Senior Living Communities, which develops, owns, and manages retirement communities containing assisted living, Alzheimer’s, skilled nursing, rehab, and independent living cottages and apartments.
Senior Risk, LLCwww.srrisk.com
Senior TVwww.seniortv.org
♦ SeniorHomes.comwww.seniorhomes.com
SeniorHousingNet, part of Move.com®www.seniorhousingnet.com
Seniority, Inc.www.seniorityinc.com
SeniorOutlook.Comwww.senioroutlook.com
Shannon Sales - Specialty Floorswww.floorsbyshannonsales.com
Shaw Contract Groupwww.shawcontracgroup.com
EXPO PREVIEW
♦ = ALFA President’s Council Member n = New to the ALFA Conference & Expo= Premier Sponsor
Make an Investment in Your Organization’s Future...
Encourage Your Assisted Living Administrator to Become
Professionally Certified
Advancing OPERATIONAL EXCELLENCE in assisted living through PROFESSIONAL CERTIFICATION
Professional Certification: ♦ Demonstrates knowledge,
skills, values and leadership experience consistent with high management standards
♦ Promotes quality services to residents, families and communities
♦ Provides visible and tangible evidence of public accountabil-ity for the delivery of quality healthcare
For more information Visit: www.achca.org Call: (202) 470-5672
American College of Health Care Administrators Promoting Excellence in Long Term Care Leadership
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 47
Sherwin-Williamswww.sherwin-williams.com
Silverchair Learning Systemswww.silverchairlearning.com
n Solaris Paper Inc.www.solarispaper.com
Southpawwww.sens-aura.com
♦ SouthWood Corporationwww.southwoodcorp.com
n Spartan Chemical Company, Inc.www.spartanchemical.com
Stanley Healthcare Solutionswww.stanleyhealthcare.com
Starcraft Bus Saleswww.starcraftbussales.com
♦ Status Solutionswww.statussolutions.com
n Strategic Diningwww.strategicdining.com
The Strauss Law Firmwww.thestrausslawfirm.com
SwimEx, Inc.www.swimex.com
♦ Sysco Corporationwww.sysco.com
Tektone Sound & Signalwww.tektone.com
n Terminix Commercialwww.terminixcommercial.com
THOMCO Insurancewww.thomcoins.com
n THW Designwww.thw.com
TIS Insurance Serviceswww.TISins.com
Touchtown Inc.www.touchtown.us
TrustHouse Services Groupwww.trusthouseservices.com
Turtle Topwww.turtletop.com
Unemployment Services Trust (UST)www.ChooseUST.org
Uniguest of Tennwww.uniguest.com
VCPIwww.vcpi.com
♦ Ventas, Inc.www.ventasreit.com
Vigil Health Solutions Incwww.vigil.com
♦ VingCard Elsafe (Timelox)www.timelox.com
Vitals Softwarewww.vitalsware.com
VITAS Innovative Hospice Carewww.vitas.com
WellAWARE Systemswww.wellawaresystems.com
♦ Williswww.willis.com
Windmill Softwarewww.theworxhub.com
♦ Yardi Systems, Inc.www.yardi.com
ZOLL Medical Corporationwww.zoll.com
Category Listing
Ancillary ServicesACP - Accelerated Care Plus
AmerisourceBergen
Briggs Healthcare
Genesis Rehab Services
Java Music Club
Omnicare Pharmacy Services
SCA Americas
Seasons Hospice & Palliative Care
Select Rehabilitation
Southpaw
Business ServicesAdolfson & Peterson Construction
ADVANCE For Long-Term Care Management
Assisted Transition, LLC
Black Box Network Services
Care and Compliance Group
Care2Learn- Upstairs
CARF International
Caring.com
Dementia Care Specialists
DISH Network
Employee and Family Resources
Enquire Solutions
HCareers | On Target Jobs
HF Contract
HPSI Purchasing Services
Innovatix, LLC.
Insight Worldwide Inc.
Life Care Funding Group
Masterpiece Living, LLC
MedBest Recruiting
Medtelligent, Inc.
Muno Summers & Associates
National Research Corporation (MyInnerView)
Navigator Group Purchasing, Inc.
New Lifestyles Media Solution
Omnicare Pharmacy Services
Oregon Freeze Dry, Inc.
Procurement Partners, LLC
Retiring By Design
Sage Age Strategies
ScentAir
ScheduleAnywhere
SeniorHomes.com
Seniority, Inc.
Unemployment Services Trust (UST)
VingCard Elsafe (Timelox)
Design / DevelopmentAdolfson & Peterson Construction
ARCH Framing & Design
BBL Campus Facilities
Coastal Reconstruction Group
Dementia Care Specialists
Healthcare Signs, Inc.
Hill-Rom
Horst Construction
MW Builders
ProMatura Group LLC
Rees Associates
Robycross Retirement & Healthcare Renovations
THW Design
DiningGordon Food Service
Healthcare Services Group, Inc.
S&D Coffee Inc.
Strategic Dining
Sysco Corporation
TrustHouse Services Group
Entertainment/LeisureBulk TV & Internet
DISH Network
It’s Never 2 Late
Java Music Club
Linked Senior
LiveWall
Sargent Art
Senior TV
Uniguest of Tenn
Equipment / AppliancesApollo Corporation
HD Supply
LG Electronics USA, Inc.
Medicine-On-Time
MicroFridge
Solaris Paper Inc.
SwimEx, Inc.
ZOLL Medical Corporation
Finance / Real Estate ServicesLancaster Pollard
LTC Properties, Inc.
Presidential Bank, FSB
SeniorOutlook.com
Furnishings / InteriorsAmerican Health Care Supply
ARCH Framing & Design
Direct Supply, Inc.
Forbo Flooring Systems
Healthcare Signs, Inc.
Hekman Contract
Hill-Rom
Holsag Canada
48 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
HF Contract Networking Lounge
Joerns Healthcare
Kwalu, LLC
LiveWall
Model55
Mosaic Design Studio
Penner Manufacturing
Poly Concepts LLC
Rees Associates
Robycross Retirement & Healthcare Renovations
Rx Care Assurance
Shannon Sales - Specialty Floors
Shaw Contract Group
Sherwin-Williams
Southpaw
SouthWood Corporation
THW Design
Human ResourcesHealthcareSource
Muno Summers & Associates
Insurance / Risk ManagementA.G.E.-Insurance
ACT Advance Catastrophe Technologies
Capital Investigating
Coastal Reconstruction Group
Employee and Family Resources
GuideOne Insurance
Hamilton Insurance Agency
IISES, LLC
Insight Worldwide Inc.
J.Brasch Co.
Mohawk Group
Oregon Freeze Dry, Inc.
Senior Risk, LLC
THOMCO InsuranceTIS Insurance ServicesWillis
IT Hardware / Software / SystemsAOD Software
Black Box Network Services
Bulk TV & Internet
Care Technology Systems, Inc.
CareConnect by Esco Technologies, LLC
Cerner Extended Care
Connected Living
Deep Blue Communications
ECP Senior Living Software
ELDERMARK Technology for Assisted Living
Enquire Solutions
G5
Hamilton Captel
HealthcareSource
Healthsense
Home Technology Systems, Inc. (HTS)
It’s Never 2 Late
Kronos Incorporated
Linked Senior
MDI Achieve
Medtelligent, Inc.
Move-N Software Inc.
OnShift
Osborn Visual Solutions
Parental Health, LLC
Payless ShoeSource
PointClickCare
Prime Care Technologies, Inc.
Procurement Partners, LLC
Quickmar By Med Management Technology
RealPage Senior Living
Right Click Software by Signature Solutions
SafetyCare Technologies
ScheduleAnywhere
Senior Risk, LLC
Silverchair Learning Systems
Stanley Healthcare Solutions
Status Solutions
Sysco Corporation
Tektone Sound & Signal
Uniguest of Tenn
VCPI
Vitals Software
Windmill Software
Yardi Systems, Inc.
Maintenance / HousekeepingAmerican Health Care Supply
Dwyer Service Solutions
Gordon Food Service
HD Supply
Healthcare Services Group, Inc.
IISES, LLC
NCRI - National Catastrophe Restoration Inc.
Payless ShoeSource
Procter & Gamble
ProTeam
Sherwin-Williams
Solaris Paper Inc.
Spartan Chemical Company, Inc.
Terminix Commercial
Unemployment Services Trust (UST)
Marketing and Sales ServicesAssisted Transition, LLC
Care.Com
Fulmedia Interactive
Illustratus
Long-Term Living Magazine
MDI Achieve
Osborn Visual Solutions
ProMatura Group LLC
RetirementHomes.com
ScentAir
SeniorHousingNet, part of Move.com®
SeniorOutlook.com
Years Ahead
Mobility SystemsSchindler Elevator Corporation
OtherARKRAY USA
Cawley
Elderlife Financial Services, LLC
The Erickson School/UMBC
Guardian Pharmacy
Horst Construction
LeaderStat
Long-Term Living Magazine
McKesson Medical Surgical
McKnight’s Long Term Care News
MedBest Recruiting
MW Builders
NCRI - National Catastrophe Restoration Inc.
Orkin, LLC dba Orkin Commercial Services
PharMerica
Silverchair Learning Systems
SwimEx, Inc.
TIS Insurance Services
VITAS Innovative Hospice Care
Personal ProductsApollo Corporation
Briggs Healthcare
CareWear Fashions, LLC
Covidien
Masterpiece Living, LLC
McKesson Medical Surgical
Nasco
SCA Americas
Senior TV
ProvidersBrandywine Senior Living
Brookdale Senior Living
Emeritus Senior Living
Five Star Senior Living
Seasons Hospice & Palliative Care
Senior Living Communities
EXPO PREVIEW
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 49
Safety / SecurityAccutech
ACT Advance Catastrophe Technologies
APi National Services Group
Aqua Blox LLC
Best Healthcare Communications
CareConnect by Esco Technologies, LLC
Cawley
CISCOR
Connected Living
Cornell Communications, Inc.
Healthsense
Home Technology Systems, Inc. (HTS)
Intel - GE Care Innovations
J.Brasch Co.
Kaba ADS Americas
PalatiumCare, LLC
Philips
Protect-Alert Emergency Response Systems
Response Care, Inc.
RF Technologies, Inc.
SafetyCare Technologies
Stanley Healthcare Solutions
Status Solutions
Tektone Sound & Signal
Touchtown Inc.
Vigil Health Solutions Inc.
WellAWARE Systems
ZOLL Medical Corporation
TransportationLuke’s Wings
Nationwide Bus Sales/Midwest Transit Equipment
Starcraft Bus Sales
Turtle Top nhireit.com | 615.890.9100Lease-Back • Construction
Mezz • Joint Venture
We can makethings happen.
Fast.
Achieve Together–
Ask Us How.
NHI 4.625x10 Senior Living"Fast":Layout 2 2/15/13 10:10 AM Page 1
50 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
As ALFA rolls into the new year, accreditation issues at the state level are quickly rising to the fore as one of
the industry’s most immediate govern-mental priorities.
In a number of states, ALFA is working with regulators to bring a more sensible approach to accreditation, while also addressing such wide-ranging issues as dispute resolution and mental illness among older adults.
Consider Florida, where the law has never drawn a distinction between se-niors in assisted living and people with mental illness in assisted living. As a result, consumers often may be confused when they visit “assisted living,” only to find very different types of communities.
“Right now their licensure category for assisted living encompasses every-thing from residents with mental health diagnosis, to small assisted communities that provide a very low amount of care, to those communities that provide spe-cially licensed nursing services to care for frail seniors. So when you talk about an assisted living facility in Florida, it doesn’t tell you anything,” says Paul Williams, ALFA’s senior director of government relations.
To help rectify the situation, ALFA has put a lobbyist in place and is introducing legislation that would dif-ferentiate between the different forms of assisted living. In other states, ALFA is looking to pick up the slack where lean budgets have caused shortfalls in the number of state inspectors available to review assisted living communities.
While states are slowly recovering financially, we are still seeing a trend in the reduction of state licensing-agency staff available to conduct routine inspec-tions of assisted living communities.
ALFA supports inspections to ensure that providers are upholding the state regulations and providing quality care. However, with shrinking state work forces, formerly annual inspections now may occur every 15 months, 24 months, or longer.
ALFA state chapters in New York and Texas are looking at an innovative approach to help address this issue. The idea is to allow assisted living providers to use the Commission on Accredita-tion of Rehabilitation Facilities, better known as CARF, to survey assisted living communities, instead of the state
licensing agency.The CARF accreditation is state
specific, to ensure providers follow state laws and regulations. For providers who are willing to use CARF for accredita-tion, the burden is taken off state regula-tors for inspecting that community.
Of course, the state needs to have a law that allows “deemed status.” In other words, the state deems that the CARF survey can replace the state survey. Texas has a law on the books that has never been put into effect. In New York, legislation would need to be passed. But in both states, the regulatory agencies
PUBLIC POLICY BRIEF
Sensible Accreditation
ALFA works with state regulators on solutions for licensing issues, as well as dispute resolution and other areas
BY MARIBETH BERSANI
In Florida, the law has never drawn a distinction between seniors in assisted living and seniors with mental illness in assisted living. As a result, consumers often may be confused when they visit “assisted living,” only to find very different types of communities.
have been open to discussing this as a solution to their reduced work force.
In another area of pressing interest, legislation will be introduced in at least two states to address the Informal Dis-pute Resolution process. After provid-ers are surveyed by the state, everyone agrees there needs to be a fair and trans-parent process for a provider to chal-lenge a citation. There are times when a provider may feel a citation is not warranted, yet states do not always have in place a clear process for questioning citations. ALFA affiliates in Oklahoma and Texas will be introducing legislation to improve this process.
In the big picture, ALFA’s year-end report for 2012 paints a picture of a legislative landscape fairly abuzz with activity. Over 118,000 bills were intro-duced nationwide last year, of which ALFA tracked 586 that were of interest to its members, says Justin Worrell, as-sistant director for government relations. Of those, 169 were enacted, making it a highly productive year for assisted living.
Many states run on two-year budget cycles, and some like Texas only convene every other year. Since last year was an “off ” year for many, Worrell says, 2013 should show even more legislative activity, with as many as 130,000 bills expected to be introduced.
Within its own ranks, meanwhile, ALFA has launched an innovative program to recognize those among its members who take an active role in ensuring that these legislative and regu-latory priorities are addressed with vigor.
The ALFA Knight initiative asks members to engage their lawmakers on a number of fronts. To be designated a Knight, a member will:
� Attend the ALFA Advocacy Day or a State Advocacy Fly-In
� Coordinate or attend a district meet-ing or event with a federal or state elected official
� Write at least three advocacy let-ters using the ALFA Online Action CenterThose who complete all of the above
will be recognized and honored at the 2014 ALFA Annual Conference and Expo.
As diverse efforts unfold at the state
and federal levels in the coming months, ALFA will be singling out those who seek a higher level of engagement, giv-ing special acknowledgement to those who choose to play an exceptional role in advocating on behalf of their industry.
Maribeth Bersani is ALFA’s senior vice president, public policy. Reach her at [email protected].
WWW.ALFA.ORG | MARCH/APRIL 2013 | SENIOR LIVING EXECUTIVE 51
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PEOPLE & PLACES
NEWS, SALES & DEVELOPMENTS
St. Louis, Missouri-based Provision Living has opened an $18 million 80-unit assisted living community in Webster Groves, Missouri. The 95,000-square-foot, three-story building includes memory care and a variety of amenities such as a retail cafe, a wellness center, a bowling alley, and a theater.
Greenfield Senior Living, head-quartered in Falls Church, Virginia, has acquired a 48-unit assisted living and memory care community in Spotsylva-nia County, Virginia. The company plans to invest almost $500,000 in renova-tions and to rename it Greenfield of Spotsylvania.
Chicago-based CRL Senior Liv-ing Communities has opened Arbor Ridge Senior Living, an 88-bed assisted living and memory care community, in Highland Park, Illinois. The company also recently has introduced its own propri-etary mental stimulation program, Brain Boot Camp. The first of its kind, 60-day program engages residents by introduc-ing them to new technology, cultures, locations, languages, and more.
Integral Senior Living of Carlsbad, California, has acquired the manage-ment contract for Harmony Village Assisted Living and Memory Care, a $24 million community under devel-opment that will house more than 90 residents in Tulare, California. A second phase will include approximately 80
independent living apartments. The company also has acquired the man-agement contract of Monarch Place Piedmont, a 149-unit assisted living community in Oakland, California, which has been renamed The Point at Rockbridge and will undergo a $1.5 million renovation.
Columbus, Ohio-based Lancaster Pollard closed 16 HUD Section 232/223 senior living transactions in the Midwest for a total loan amount of $107.4 million in November. The financing provider had a record year in 2012, closing 98 HUD Lean loans total-ing $738.6 million.
BMA Management Ltd. of Bradley,
Illinois, has opened Heritage Woods
of Gurnee, a $20.3 million affordable assisted living community with 105 apartments in Gurnee, Illinois.
Seattle-based Emeritus Corp. has
acquired Nurse on Call Inc., Florida’s larg-est Medicare-licensed home health-care provider with 28 offices throughout the state, for $102 million. The company also has recently expanded its Home Visit Program, increasing its ability to provide home health-care services.
Woodbriar Senior Living LLC, a subsidiary of Chicago-based REIT Ven-tas Inc., has announced plans to build a $30 million 125-apartment assisted living community in Falmouth, Massa-chusetts. Additionally, Ventas Inc. and its subsidiaries have acquired the remain-
Elmcroft Senior Living Program Brings Dreams to LifeLouisville, Kentucky-based Elmcroft Senior Living is rolling out a unique program de-veloped by Atlanta-based Second Wind Dreams to all 86 of its communities. According to studies conducted by researchers associated with the organization, granting seniors’ dreams has a wide range of benefits, including improved quality of life, enhanced rela-tionships with local community partners, and higher community staff retention rates.
Second Wind Dreams focuses on five categories of dreams—relationship-based dreams that reunite loved ones; need-based dreams that may be the gift of a simple item that improves an elder’s life; lifelong dreams of major accomplishments, such as partici-pating in a missed prom or visiting a special location; dreams for fun such as a trip to the zoo; and “relive past experiences dreams” that make a trip down memory lane possible.
Working with Second Wind Dreams, each Elmcroft community is coordinating a dream per month that will then be featured in the community’s Gallery of Dreams, which celebrates and showcases these experiences, enabling residents to see what others have experienced and engage in another key element of the program—additional dreaming.
Irving, Texas-based The LaSalle Group has announced plans to build Autumn Leaves of South Barrington (Illinois), a cutting-edge 29,000-square-foot, $11.1 million memory care community.
To ensure that every veteran is surrounded by loved ones at end of life, ALFA has teamed up with Luke’s Wings, which provides emergency flights for family members and loved ones of a veteran in hospice at the veteran’s request. This one-time benefit is for up to two family members of the resident.
connecting families when it’s needed most
How to apply:
❫ Any veteran who is a resident of an ALFA Member Senior Living Community and is in hospice care may apply for the benefit. The veteran may apply if a doctor’s best prognosis that the veteran has six months or less to live.
❫ The veteran must request transportation for his/her family members. In the event the veteran is unable to communicate his/her wishes, the veteran’s official representative may make the request.
❫ Flight requests must be made via the document-based Luke’s Wings application, which may be obtained from the ALFA member community’s executive director. All applications must be approved and signed by the senior living community executive director.
❫ A veteran ID card is required as part of the application process.
Contact: Jennifer Magerer, Executive Director of Family Communications and Logistics, Luke’s Wings, [email protected], 202.803.2041, 512.971.9848
54 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
ing private equity interests in Atria Inc., which, as of 2012 year-end, managed a 118-property portfolio.
Toledo, Ohio-based Health Care REIT has acquired an independent and assisted living community in Spotsylvania County, Virginia, for $16.3 million. Management will continue to be provided by Chica-go-based Senior Lifestyle Corp. Additionally, Health Care REIT closed its purchase of Sunrise Senior Living and its management business in early January 2013.
Oak Grove Capital of St. Paul, Minnesota, originated 12 loans total-ing $167.5 million for senior living communities in five states and the District of Columbia in late Novem-ber, 2012. The deals ranged from $1.4 million to $33.9 million.
Cambridge Realty Capital Cos. of Chicago has provided $72.1 mil-lion in FHA-insured HUD mortgage funding for six metro Chicago area senior living communities.
LTC Properties Inc. of Westlake Village, California, has acquired six properties in New Jersey, Colorado, and Pennsylvania for $94 million in a sale/leaseback transaction with Juniper Communities and has also provided two-year, $5.1 million debt financing on another senior living community located in Pennsylvania.
Detroit-based American House has acquired Sunnybank Assisted Living, including two assisted living communities with a total of 93 apart-ments in Petoskey and Charlevoix, Michigan, for $6.6 million.
Atlanta-based The Arbor Com-pany has assumed management of Alta Walk, with 95 independent living cottages and 20 assisted living apart-ments, and Alta Oakridge, with 124 independent living apartments. The
two communities, both located in metro Atlanta, are now called Arbor Walk and Arbor Oakridge.
Murfreesboro, Tennessee-based National Health Investors Inc. has acquired two assisted living com-munities in Ontario, Oregon, and Weiser, Idaho, with a total of 101 units for $9 million in a sale/lease-back transaction. The company also has acquired Charleston House, a 120-apartment assisted living and memory care community in Beaver Dam, Wisconsin.
Senior Living Investment Brokerage Inc. of Glen Ellyn, Il-linois, facilitated the sale of the Hampton Manor Portfolio, four Florida assisted living communities totaling 165 apartments, for $14.1 million, as well as a 131-apartment independent living community in Longview, Texas, for $13 million, and a 78-apartment/109-bed assisted living and memory care community in Las Vegas.
APPOINTMENTS & PROMOTIONS
New Dawn Memory Care has pro-moted Dearie Meraux to president and chief operating officer.
Health Sense Inc. has named A.R. Wailer president and CEO.
New Perspective Senior Living has named Daniel Schwartz COO and partner.
Silverado Senior Living has promoted Michelle Egerer to senior vice president of nationwide community operations.
RF Technologies has appointed Sean Daugh-erty as senior vice presi-dent and general manager
for solutions development and sales. Laura Kieslowski
has been named vice president of sales and marketing of Constant
Care Family Management, the prop-erty management company for Autumn Leaves memory care communities, an affiliate company of The LaSalle Group.
Oak Grove Capital has appointed Paul Barrett senior vice president to lead the company’s new Boston office. The firm also has named Brian Harris deputy chief underwriter, GSE lending, based in Birmingham, Alabama; Adam Roberts deputy chief underwriter, FHA lending, based in Columbus, Ohio; and Heath Coryell senior underwriter, seniors housing, based in Bethesda, Maryland.
The Urban Land Institute’s Senior Hous-ing Council has selected Margaret A. Wylde, president and CEO of
ProMatura Group LLC, as its new chair for 2013-2015.
Got News? Send ALFA member news to Senior Living Executive at [email protected].
PEOPLE & PLACES
Barrett Harris Coryell
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56 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
A Place for Mom . . . . . . . . . . . . . . . . 38AgingCare .com . . . . . . . . . . . . . . . . . 38Almo, Eli . . . . . . . . . . . . . . . . . . . . . . 29American House Senior Living
Communities . . . . . . . . . . . . .23, 54Amparo, Budgie, RN . . . . . . . . . . . . 37The Arbor Company . . . . . . .15, 34, 54Autumn Leaves Memory Care
Communities . . . . . . . . . . . . .18, 54Bacon, Brenda . . . . . . . . . . . . . . . . . 29Barrett, Paul . . . . . . . . . . . . . . . . . . . 54Benchmark Senior Living . . . . . .20, 37Bernier, Roger . . . . . . . . . . . . . . . . . . 36Bickford Senior Living . . . . . . . . . . . . 36Block, Mandi . . . . . . . . . . . . . . . . . . . 31BMA Management Ltd . . . . . . . . .23, 52Brandywine Senior Living . . . . . . . . . 24Brantley, Brenda . . . . . . . . . . . . . . . . 20Brightview Senior Living . . . . . . . . . . 22Brookdale Senior Living . . . . . . .13, 35Buchanan, Tim . . . . . . . . . . . . . . . . . 29Burkett, Rod . . . . . . . . . . . . . . . . . . . 27Callison, Jack R ., Jr . . . . . . . . . . . . . . 26Cambridge Realty Capital Cos . . . . . 54Caring .com . . . . . . . . . . . . . . . . . . . . 30Carlton Senior Living . . . . . . . . .24, 37Chelsea Senior Living . . . . .24, 32, 36Cobb, Granger . . . . . . . . . . . . . . . . . 26Cochran, Steven, SPHR . . . . . . . . . 37Cohen, Andy . . . . . . . . . . . . . . . . . . . 31Constant Care Family Management 54Coryell, Heath . . . . . . . . . . . . . . . . . . 54Country Meadows Retirement
Communities . . . . . . . . . .23, 31, 35CRL Senior Living Communities 25, 52Daugherty, Sean . . . . . . . . . . . . . . . . 54De la Cerda, Ana . . . . . . . . . . . . . . . 37DeLuca, Jon . . . . . . . . . . . . . . . . . . . 27Dibert, Carolyn, RN . . . . . . . . . . . . . 35Duker, Marilynn . . . . . . . . . . . . . . . . . 26Dunn, Marc . . . . . . . . . . . . . . . . . . . . 36Egerer, Michelle . . . . . . . . . . . . .34, 54Eldermark . . . . . . . . . . . . . . . . . . . . . 38Elmcroft Senior Living . . . . . . . . .16, 52Emeritus Corp . . . . . . . . . . . .13, 37, 52Era Living LLC . . . . . . . . . . . . . . . . . 24Farrow, Sue . . . . . . . . . . . . . . . . . . . . 27Five Star Quality Care . . . . . . . .16, 36Flornes, Brian J . . . . . . . . . . . . . . . . . 27
G5 32, 38Genesis HealthCare Corp . . . . . . . . . 13Grape, Thomas H . . . . . . . . . . . . . . . 20Greene, Kathy . . . . . . . . . . . . . . . . . . 36Greenfield Senior Living . . . . . . . . . . 52Grewal, Gurmale S . . . . . . . . . . . . . . 29Grust, Michael S . . . . . . . . . . . . . . . . 26Hager, George V ., Jr . . . . . . . . . . . . . 13Hall, Nancy . . . . . . . . . . . . . . . . . . . . 32Hargrave, Michael . . . . . . . . . . . . . . 16Harris, Brian . . . . . . . . . . . . . . . . . . . 54Health Care REIT . . . . . . . . . . . .13, 54Hearth Management . . . . . . . . . . . . . 23Heflich, Herb . . . . . . . . . . . . . . . . . . . 28Hemond, Guy . . . . . . . . . . . . . . . . . . 37Herman, Charles H ., Jr . . . . . . . . . . . 13Herzig, Scott . . . . . . . . . . . . . . . . . . . 36HHHunt Senior Living . . . . . . . . .24, 37Holiday Retirement . . . . . . . . . . . . . . 18Integral Senior Living . . . . . . . . .22, 52Kagalwalla, Abdullah . . . . . . . . . . . . 36Kang, P . Kacy . . . . . . . . . . . . . . . . . . 26Kauffman, Bill . . . . . . . . . . . . . . . . . . 16Kieslowski, Laura . . . . . . . . . . . . . . . 54King, James R . . . . . . . . . . . . . . . . . . 28Kisco Senior Living LLC . . . . . . . . . . 23Kohlberg, Andrew S . . . . . . . . . . . . . . 28Lancaster Pollard . . . . . . . . . . . . . . . 52The LaSalle Group . . . . . . . .20, 52, 54Leader, G . Michael . . . . . . . . . . . . . . 28Legend Senior Living . . . . . . . . . . . . 24Levine, Michael . . . . . . . . . . . . . . . . . 32LTC Properties Inc . . . . . . . . . . . . . . . 54LTC Solution . . . . . . . . . . . . . . . . . . . 38Mackey, Bruce J ., Jr . . . . . . . . . . . . . 27Medtelligent Inc . . . . . . . . . . . . . . . . . 38Meraux, Dearie . . . . . . . . . . . . . . . . . 54Meridian Senior Living . . . . . . . . . . . 22Move-N Software Inc . . . . . . . . . . . . . 38Mulloy, Pat . . . . . . . . . . . . . . . . . . . . . 26National Health Investors Inc . . . . . . 54National Investment Center MAP . . 16National Research Corp . . . . . . . . . . 38New Dawn Memory Care . . . . . . . . . 54New LifeStyles Media Solutions . . . . 38New Perspective Senior Living . . . . 54Nickerson, Allen . . . . . . . . . . . . . . . . 37O’Neill, Francine, RN . . . . . . . . . . . . 34
Oak Grove Capital . . . . . . . . . . .16, 54Pathway Senior Living . . . . . . . . . . . 36ProMatura Group LLC . . . . . . . . . . . 54Provision Living . . . . . . . . . . . . . .24, 52Ranson, Scott . . . . . . . . . . . . . . . . . . 35RealPage Inc . . . . . . . . . . . . . . . . . . . 38RF Technologies . . . . . . . . . . . . . . . . 54Right Click Software . . . . . . . . . . . . . 38Roberts, Adam . . . . . . . . . . . . . . . . . 54Schwartz, Daniel . . . . . . . . . . . . . . . . 54Scott, Philip . . . . . . . . . . . . . . . . . . . . 28Senior Lifestyle Corp . . . . . . . . . .18, 54Senior Living Communities . . . . . . . 15Senior Living Investment Brokerage
Inc . . . . . . . . . . . . . . . . . . . . . . . . . 54Senior Resource Group . . . . . . . . . . 23SeniorHomes .com . . . . . . . . . . . . . . 38SeniorHousingNet, part of Move . . . 38SeniorLiving .net Inc . . . . . . . . . . . . . . 38Seniors for Living . . . . . . . . . . . . . . . 38Shook, Loren B . . . . . . . . . . . . . . . . . 18Signature Senior Living . . . . . . . . . . 36Silverado Senior Living . . . . .18, 34, 54Singh Senior Living . . . . . . . . . . . . . . 25Smith, T . Andrew (Andy) . . . . . . . . . . 26Southerland, J .R . . . . . . . . . . . . . . . . 35Spittal, Todd . . . . . . . . . . . . . . . . . . . 28Stanchfield, Shawn . . . . . . . . . . . . . . . 6Suits, Dan . . . . . . . . . . . . . . . . . . . . . 28Thomas, Ellison . . . . . . . . . . . . . . . . 28Thompson, Donald O ., Jr . . . . . . . . . 29Ventas Inc . . . . . . . . . . . . . . . . . . . . . 52Vick, Michael, CPA . . . . . . . . . . . . . . 36Vintage Senior Living . . . . . . . . . .6, 23Vitals Software . . . . . . . . . . . . . . . . . 38Wailer, A .R . . . . . . . . . . . . . . . . . . . . . 54Watchowski, Dale . . . . . . . . . . . . . . . 26Weinberger, Ari . . . . . . . . . . . . . . . . . 29Woodbriar Senior Living LLC . . . . . . 52Wylde, Margaret A . . . . . . . . . . . . . . . 54Yardi . . . . . . . . . . . . . . . . . . . . . . . . . 35
ALFA MEMBERS IN THIS ISSUE
MEMBER INDEX2013 ALFA PRESIDENT’S COUNCILA Place for Mom | www .aplaceformom .com
Advance Catastrophe Technologies | www .actcat .com
Asset Guard Endorsement (A.G.E.) | www .assetguardendorsement .com
Cambridge Realty Capital | www .cambridgecap .com
Care and Compliance Group | www .careandcompliance .com
Caring.com | www .caring .com
Cornell Communications | www .cornell .com
Direct Supply Inc. | www .directsupply .net
Fox Rehabilitation | www .foxrehab .org
G5 Search Marketing Inc. | www .g5searchmarketing .com
Genesis Rehabilitation Services | www .genesisrehab .com
Hanson Bridgett LLP | www .hansonbridgett .com
HD Supply Facilities Maintenance | www .hdsupplysolutions .com
Health Care REIT Inc. | www .hcreit .com
Holsag Canada | www .holsag .com
HPSI | www .hpsionline .com
Kwalu | www .kwalu .com
MyInnerView | www .myinnerview .com
National Health Investors Inc. | www .nhinvestors .com
Omnicare Inc. | www .omnicare .com
OnShift | www .onshift .com
PalatiumCare LLC | palatiumcare .net
Real Page Senior Living | www .realpage .com
SeniorHomes.com | www .seniorhomes .com
Sodexo | www .sodexo .com
SouthWood Corp. | www .southwoodcorp .com
Status Solutions | www .statussolutions .com
SYSCO Corp. | www .sysco .com
Tel-Tron Technologies | www .tel-tron .com
The Kinetic Group Manufacturing Inc. | www .thekineticgroup .com
VCPI | www .vcpi .com
Ventas Healthcare Properties Inc. | www .ventasreit .com
VingCard Elsafe | www .vingcardelsafe .com
Willis | www .willis .com
Yardi Systems Inc. | www .yardi .com
ALFA BOARD OF DIRECTORSCHAIRMANMark Ohlendorf, Co-President & CFO Brookdale Senior Living
VICE CHAIRMANLoren Shook, President & CEOSilverado Senior Living
VICE CHAIRMANBrenda Bacon, President & CEO Brandywine Senior Living
SECRETARYPat Mulloy, President & CEO Elmcroft Senior Living
TREASURERBruce Mackey, President and CEO Five Star Senior Living
PUBLIC POLICY CHAIRMANGranger Cobb, President & CEOEmeritus Senior Living
Timothy Buchanan, CEO Legend Senior Living
Skip Comsia, President & COOSRC Retirement
Jon De Luca, President & CEO Senior Lifestyle Corp .
Sue Farrow, Chairman and CEOIntegral Senior Living
Stephanie Handelson, President & COO Benchmark Senior Living
Chuck Herman, Executive VP & CIO Health Care REIT
Dan Hirschfeld, Executive VP Genesis Healthcare
Brad Klitsch, SVP of Market DevelopmentDirect Supply
Blair Minton, Blair Minton and Associates
Todd Novacyzk, CEO New Perspective Senior Living
Richard P. Grimes, President & CEO Assisted Living Federation of America
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58 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
ADVERTISERS IN THIS ISSUEAmerican College of Health Care Administrators ............46 (202) 536-5120 www .achca .org
Best Bus Sales ..................................5 (847) 297-3177 www .bestbussales .com
Bild & Company ................................16 (800) 640-0688 www .tracibild .com
Bulk TV ...............................................7 (877) 285-5881 www .bulktv .com
Care and Compliance Group, Inc. ..1 (800) 321-1727 www .careandcompliance .com
Ciscor .................................................19 (800) 462-0191 www .ciscor .com
ComforTek Seating Inc ....................58 (888) 678-2060 www .comfortekseating .com
Direct Supply ..................................C4 (414) 760-8340 JMontemurro@directsupply .com
Hill-Rom .............................................39 (312) 819-7255 www .hill-rom .com
Intel GE Care Innovations ...............11 www .careinnovations .com
HPSI Purchasing Services ..............29 (800) 223-HPSI www .hpsionline .com
Kwalu..................................................51 (877) 695-9258 www .kwalu .com
Luke’s Wings .....................................53 (202) 735-5694 www .lukeswings .org
MDI Achieve, Inc ...............................17 (800)696-6407 www .mdiachieve .com
MicroFridge .......................................14 (800) 637-7567 www .Microfridge .com
Midwest Transit Equipment .............18 (800) 933-2412 www .midwesttransit .com
Model55 ..............................................27 (508) 405-0355 www .interimfurnishing .com
National Health Investors ................49 (615) 890-9100 www .nhinvestors .com
Omnicare Pharmacy Services ........45 (859) 851-3300 www .omnicare .com
PAL’s Software ..................................58 (218) 724-6067 www .PALsSoftware .com
RealPage, Inc. ...................................C3 (972) 820-3409 www .realpage .com
SCA/Tork ...........................................55 (920) 720-4671 www .sca .com
Schetky Bus and Van Sales ............14 (800) 255-8341 www .schetky .com
Silverchair Learning Systems.........21 (866) 805-7575 www .silverchairlearning .com
Sodexo ...............................................33 (719) 481-9269 www .sodexo .com
Vigil Health Solutions ......................59 (250) 383-6900 www .vigil .com
Yardi Systems, Inc. ..........................C2 (800) 866-1144 www .yardi .com
YARDI VOYAGER™
To learn more, contact Paul Stassforth at 1-800-866-1144 ext. 1131Visit us online at www.yardi.com/alfa89
Fully Integrated Solution for Senior Housing Community Operations
Marketing • Billing • Assessments • Care Plans Resident Care Task Scheduling
Accounting • Financials • Property ManagementMaintenance • Hosted Services
BUSINESS LINK
When your sales message appears in the print edition of Senior Living Executive, it’s also receiving visibility in the magazine’s digital edition! www.alfapublications.org
Contact Scott Narug for all of your ALFA advertising and sponsorship needs! Call 312.673.5974. Email [email protected].
Your CompanyIs Digital!
PALs Software Assisted Living Software“It’s brilliant! It does it all!”
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The Vitality Care SystemTM
vi·tal·i·ty ~ facilitating the continuation of a meaningful and purposeful existence.
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Technology for better living.
The Vitality Care System is available as Wireless, Wired or Hybrid and designed to appeal to residents and enhance their freedom and safety.
At Vigil we work with our clients to continuously improve our technology and increase the benefits it brings to your community.
60 SENIOR LIVING EXECUTIVE | MARCH/APRIL 2013 | WWW.ALFA.ORG
TALKING POINTS
“You are older at this moment than you’ve ever been before, and it’s the youngest you’re ever going to get.” —Author Tim Kreider, writing in The New York Times
Comments, data, and questions heard on the web
How is the Hospital Admission Reduction Act impacting your operations? “I am looking for input on how the Hospital Admission Reduction Act is impacting your operations,” asks Joyce Clark on ALFA’s LinkedIn Group. Log in and share your advice.
Bennie Matthews, 91, a resident of Elmcroft Assisted Living Center and World War II air corps veteran, enjoyed a flight day from McKellar-Sipes Regional Airport in Jackson, Tennessee, courtesy of Second Wind Dreams. The program allows residents to again do something they have done in the past, or something they have never done before. Source: www.wbbjtv.com
Send in the ClownsCircus Sarasota’s (FL) outreach program “Laughter Unlimited” brings specially trained clowns and other Circus Sarasota performers into nursing homes, assisted living resi-dences, and facilities that serve people with disabilities. Learn more: www.mysuncoast.com
RIP: Former New York Mayor Ed Koch “I’m coming to the end of my life. I do reflect on what I’ve done for the 85 years that I have been given so far. And I’m proud of what I’ve done.” —Mayor Koch to the New York Daily News three years before his death in February 2013
“On the part of rich countries, there is excessive zeal for protecting knowledge through an unduly rigid assertion of the right to intellectual property, especially in the field of health care.” —June 2009 quote from Pope Benedict XVI, who announced his resignation in February.
HULTON ARCHIVE/GETTY IMAGES
Explore appliances from the top brands your residents know and trust at directsupply.com or call 1-800-480-7250.
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© 2013 Direct Supply, Inc. All rights reserved.
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