Latest / A Place for Seniors / Senior Housing Is Changing: Jean Pederson on Residential Assisted Living
Transcript
- 0:00SPEAKER_01: Welcome to a place for seniors, where we share the real truth about what seniors need.
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- 0:36SPEAKER_01: Hi, I'm Allison Carmen, and this is A Place for Seniors podcast.
- 0:41SPEAKER_01: And today I have Jean Peterson with me, who is the owner of some of the best residential assisted living homes in the valley.
- 0:50SPEAKER_01: Um, I would actually say the best in some cases because Jean's been around 11 years.
- 0:57SPEAKER_01: Is that how long you've been doing this?
- 0:58SPEAKER_01: Yes.
- 0:58SPEAKER_01: Right.
- 0:59SPEAKER_01: So these homes are amazing.
- 1:00SPEAKER_01: So just to l level set this, there are assisted living uh homes in the valley.
- 1:07SPEAKER_01: There's over 3,300 in Maricopa County alone.
- 1:10SPEAKER_01: And the state licenses each one of those homes.
- 1:14SPEAKER_01: So you have to pass all the same state requirements that any big assisted living would have to pass.
- 1:20SPEAKER_01: And Jean, when did you start doing this?
- 1:24SPEAKER_00: So I got in the business in 2015.
- 1:27SPEAKER_00: Um I am a student of the Residential Assisted Living Academy, which was Jean Garino at the time.
- 1:34SPEAKER_00: Um I went through the academy because I I started in the business.
- 1:38SPEAKER_00: Um there was there was a reason.
- 1:42SPEAKER_00: There was like a reason for me to start in the business.
- 1:44SPEAKER_00: Okay.
- 1:44SPEAKER_00: And that was because when I was my kids went to college, I wanted another journey.
- 1:48SPEAKER_00: But in that journey, I wanted to make sure it was something that I already had some skill sets for.
- 1:53SPEAKER_00: Oh, okay.
- 1:54SPEAKER_00: Um so I did my own real estate for many years.
- 1:57SPEAKER_00: Now it's been 35.
- 1:59SPEAKER_00: Okay.
- 1:59SPEAKER_00: So I figure, okay, the the senior housing part wasn't intimidating.
- 2:04SPEAKER_00: And I'm a builder.
- 2:05SPEAKER_00: So the building part, I buy and I scrape and rebuild sewer and roads and working with permitting and plumbing and engineering.
- 2:15SPEAKER_01: I was wondering.
- 2:16SPEAKER_01: I was like, I've I mean, you have to see Jean's homes.
- 2:19SPEAKER_01: Like I was like, how are how do you have this knowledge to do these?
- 2:23SPEAKER_01: Because these are amazing.
- 2:25SPEAKER_00: That's a whole different aspect.
- 2:26SPEAKER_00: Okay.
- 2:26SPEAKER_00: So there's there's so many ways to get into this business.
- 2:28SPEAKER_00: Yeah.
- 2:29SPEAKER_00: Some investors can build.
- 2:30SPEAKER_00: Right.
- 2:31SPEAKER_00: Some investors purchase the building and then remodel.
- 2:34SPEAKER_00: Right.
- 2:34SPEAKER_00: We see a lot of those homes that are remodeled.
- 2:36SPEAKER_00: Right.
- 2:37SPEAKER_00: And then you've got the operators.
- 2:39SPEAKER_00: Right.
- 2:39SPEAKER_00: Um, and bless the operators because, you know, it takes us, we're very operationally heavy.
- 2:46SPEAKER_00: Oh, okay.
- 2:47SPEAKER_00: And um, investors that own the building need a sound operator.
- 2:52SPEAKER_01: Who really basically the operator is running.
- 2:55SPEAKER_01: They're running the business.
- 2:56SPEAKER_01: The business.
- 2:56SPEAKER_01: It's the care.
- 2:58SPEAKER_01: Yeah.
- 2:58SPEAKER_01: It's your caregivers, it's knowledge of how you're taking care of these people.
- 3:02SPEAKER_01: Absolutely.
- 3:03SPEAKER_01: What kind of person is coming in, what would fit in the rest because there are uh usually seven to ten bed homes, right?
- 3:10SPEAKER_00: I would say you have no more than ten.
- 3:13SPEAKER_00: So uh uh in Department of Health licensing, a home is defined as ten.
- 3:18SPEAKER_00: Okay.
- 3:18SPEAKER_00: And it's been defined for about 20 years now.
- 3:21SPEAKER_00: Okay.
- 3:22SPEAKER_00: Um we just went through something recent in Paradise Valley, and I had a vested interest since mine are at the base of Camelback Mountain.
- 3:29SPEAKER_00: Right.
- 3:29SPEAKER_00: So there's 12 of us and one permitted being built.
- 3:32SPEAKER_00: So Paradise Valley Council came back um October, November, December, and January with four public hearings, targeted us for some reason, and said it was parking and noise.
- 3:44SPEAKER_00: Oh, but the council had their minds made up.
- 3:48SPEAKER_00: I invited two over to the house and my nurse manager and I sat down with them and said, why?
- 3:54SPEAKER_00: There's no there's no noise.
- 3:56SPEAKER_00: Right.
- 3:56SPEAKER_00: So after the first council meeting, they're not having parties, big bands and parties in there.
- 4:00SPEAKER_00: We're not sober living.
- 4:01SPEAKER_00: Uh-uh.
- 4:02SPEAKER_00: No.
- 4:02SPEAKER_00: You know, we're not the no, you know, the misnomer of group homes in the definition is really, you know, DDD homes, developmentally disabled.
- 4:10SPEAKER_00: Yes.
- 4:11SPEAKER_00: So when I spoke to the community director and I said, Why six?
- 4:16SPEAKER_00: Why did you want to change us to six?
- 4:18SPEAKER_00: He says, Tempe's doing it.
- 4:20SPEAKER_00: There's a new rules and regulations.
- 4:22SPEAKER_00: And I said, I serve on the Arizona Assisted Living Homes Association for nine years.
- 4:26SPEAKER_00: Yeah.
- 4:26SPEAKER_00: We have a lobbyist.
- 4:28SPEAKER_00: Right.
- 4:28SPEAKER_00: We have we have an attorney.
- 4:31SPEAKER_00: And I said, There's been no new regulation.
- 4:33SPEAKER_00: Right.
- 4:33SPEAKER_00: It's been defined at 10 at the state level for 20 years.
- 4:36SPEAKER_00: Right.
- 4:37SPEAKER_00: Oh, it doesn't matter.
- 4:38SPEAKER_00: Oh, other cities are doing it, so we're doing it.
- 4:40SPEAKER_00: I said, You're not other cities.
- 4:42SPEAKER_00: Yeah.
- 4:42SPEAKER_00: Paradise Valley is, you're very different.
- 4:44SPEAKER_00: Yeah.
- 4:45SPEAKER_00: Right.
- 4:45SPEAKER_00: Right.
- 4:45SPEAKER_00: Right.
- 4:46SPEAKER_00: So we go through and ultimately on January 22nd we lose.
- 4:49SPEAKER_00: We knew we were going to lose on the vote.
- 4:51SPEAKER_00: Uh.
- 4:51SPEAKER_00: So seven days later, with um the support of Alaha and with the support of, you know, just the Grand Association, by the way.
- 4:58SPEAKER_01: Thank you.
- 4:59SPEAKER_00: Yeah.
- 5:00SPEAKER_00: Um so with the support of the community, we had um Scott O'Connor that went to bat with us, and there were some public things going on in in the Paradise Valley Independent, you know, amongst the parties.
- 5:12SPEAKER_00: Oh fun.
- 5:13SPEAKER_00: Yeah.
- 5:14SPEAKER_00: I know.
- 5:14SPEAKER_00: They took it public.
- 5:15SPEAKER_00: Oh, wow.
- 5:16SPEAKER_00: Wow.
- 5:17SPEAKER_00: It was crazy.
- 5:18SPEAKER_00: But yeah.
- 5:19SPEAKER_00: Um, and then we got support of Senator Kavanaugh.
- 5:22SPEAKER_00: Oh, okay.
- 5:22SPEAKER_00: And so we pushed it across with um the lobbyist.
- 5:26SPEAKER_00: Uh-huh.
- 5:26SPEAKER_00: And um, we ended up so I testified in front of the Senate committee.
- 5:31SPEAKER_00: A month later, testified in front of the House Committee, and Governor Hobbes signed it into bill April 1st.
- 5:36SPEAKER_00: So you have 10 beds now.
- 5:38SPEAKER_00: We we are back to 10.
- 5:39SPEAKER_00: 10.
- 5:40SPEAKER_00: So what ultimately happened, which is great for the state, right, is that we saved senior housing.
- 5:46SPEAKER_00: Um now Chandler, Gilbert, Tempe, all those that were city said lower than 10.
- 5:54SPEAKER_00: Right.
- 5:55SPEAKER_00: We we are now set to 10 and they have to comply.
- 5:58SPEAKER_00: Wonderful.
- 5:59SPEAKER_00: Effective September 12th.
- 6:01SPEAKER_00: Wonderful So that's really good news for the state.
- 6:03SPEAKER_01: Because I know in Chandler, you could uh or Chandler or Gilbert, you could only have five.
- 6:08SPEAKER_00: Yes.
- 6:08SPEAKER_00: Yes, right.
- 6:09SPEAKER_00: So now we have we are he hearing as long as they follow the because there are different codes and regulations for 10 sprinkler systems and you know, zoning requirements.
- 6:18SPEAKER_00: So as long as they meet those state regulations, then they have the opportunity to scale.
- 6:22SPEAKER_00: Fantastic.
- 6:23SPEAKER_01: Then they don't have all these this um uh change by just at the whim of a city.
- 6:29SPEAKER_00: Right.
- 6:29SPEAKER_00: Yeah.
- 6:29SPEAKER_00: Yeah.
- 6:30SPEAKER_00: Yeah.
- 6:30SPEAKER_00: I mean, just currently, right now, with the 18 roughly 1,825 licensed homes and the 325 like big communities.
- 6:38SPEAKER_00: Right.
- 6:39SPEAKER_00: We still we don't baby boomers hit this year.
- 6:41SPEAKER_00: Yes, I know.
- 6:42SPEAKER_00: We don't have the capacity.
- 6:43SPEAKER_00: Right.
- 6:44SPEAKER_01: We don't have the capacity.
- 6:44SPEAKER_01: So where is everyone gonna go?
- 6:46SPEAKER_01: Where are they gonna go?
- 6:47SPEAKER_01: That's absolutely right.
- 6:48SPEAKER_01: That I've been saying baby boomers just sit just hit 80.
- 6:51SPEAKER_01: Right.
- 6:51SPEAKER_01: We're on the wave right now.
- 6:53SPEAKER_01: Right now.
- 6:54SPEAKER_01: And yeah, and I think that even more important, we need good homes.
- 7:00SPEAKER_01: Absolutely.
- 7:00SPEAKER_01: I just am a huge proponent for good homes, right?
- 7:04SPEAKER_01: And it's um, you know, we're starting an application process to even for us to contract with them.
- 7:11SPEAKER_01: They have to apply for me to contract with them.
- 7:14SPEAKER_01: See, you're vetting.
- 7:16SPEAKER_00: I'm vetting.
- 7:17SPEAKER_00: So um, yeah, we thought on the association, because you know, we have several hundred members, and we thought, is there a way to vet our homes?
- 7:24SPEAKER_00: But it's too difficult.
- 7:25SPEAKER_01: Well, a referral agent can vet a good referral agent, because I'll tell you, and I have had it happen.
- 7:32SPEAKER_01: I when I first started, you know, when we first started working together at when I was with a place for mom, which I should stop plugging them.
- 7:39SPEAKER_01: I don't know why.
- 7:41SPEAKER_01: Anyway, so um, but when I worked for them, I mean I worked for thousands of people, right?
- 7:45SPEAKER_01: Right.
- 7:45SPEAKER_01: But I uh started, you know, a couple of years into it, going to the homes and making sure that what I was selling was real.
- 7:55SPEAKER_00: Yes, was what I was I do remember you being boots on the ground.
- 7:59SPEAKER_00: That's what made you different.
- 8:00SPEAKER_00: Yep.
- 8:01SPEAKER_00: And I know me over the last 11 years, I've I worked with probably about seven placement agents.
- 8:06SPEAKER_00: There's thousands out there, right?
- 8:07SPEAKER_01: Thousands.
- 8:08SPEAKER_00: Right.
- 8:08SPEAKER_00: But um, in essence, you figure out who are the good ones.
- 8:11SPEAKER_00: Yeah.
- 8:12SPEAKER_00: Right.
- 8:13SPEAKER_00: And then you figure out who is honest and who is actually caring for the people that they place.
- 8:18SPEAKER_00: And then there's follow-up.
- 8:19SPEAKER_00: Like, you know, we just have a placement.
- 8:21SPEAKER_00: And there's there's follow-up that's needed.
- 8:23SPEAKER_00: Yep.
- 8:24SPEAKER_00: And once once you place and you vet, then it's our job.
- 8:27SPEAKER_00: Yeah.
- 8:27SPEAKER_00: You're passing the baton.
- 8:29SPEAKER_00: That's right.
- 8:29SPEAKER_00: And ours is every moment, every day.
- 8:32SPEAKER_01: Right.
- 8:32SPEAKER_01: And we are passing a baton.
- 8:34SPEAKER_01: And um, you know, that was a we we don't want to mention the name, but the that was a very, very hard placement because she was the wife was so frazzled after caring for him for four years by herself.
- 8:50SPEAKER_00: And that's typical.
- 8:51SPEAKER_01: Yeah.
- 8:52SPEAKER_00: I know it is.
- 8:52SPEAKER_00: You know, I know it is.
- 8:54SPEAKER_00: And um, they don't really know the journey.
- 8:56SPEAKER_00: No.
- 8:56SPEAKER_00: I just got off the phone with someone.
- 8:57SPEAKER_00: That's why I took a call outside.
- 8:59SPEAKER_00: Uh-huh.
- 9:00SPEAKER_00: I it runs in their family Alzheimer's.
- 9:02SPEAKER_00: So the markers are there.
- 9:04SPEAKER_00: Yep.
- 9:04SPEAKER_00: And so I explained, I will just sit down with you to explain just um our side of the journey.
- 9:10SPEAKER_00: So you know that part, the disease.
- 9:12SPEAKER_00: Right.
- 9:13SPEAKER_00: But the other part and what we want to help you with, what are the next steps?
- 9:18SPEAKER_00: Right.
- 9:18SPEAKER_01: So you do a lot of education and a lot of understanding and helping, and of course, meeting them where they are, but also helping them understand that at this juncture, we're gonna take over.
- 9:30SPEAKER_00: So if you think about the number of um number of times they go through this, which is not very often.
- 9:36SPEAKER_00: Yes.
- 9:36SPEAKER_00: They have a mom, dad, own, right, you know, maybe a brother, or maybe never.
- 9:40SPEAKER_00: Yeah.
- 9:40SPEAKER_00: Or maybe never.
- 9:41SPEAKER_00: Right.
- 9:41SPEAKER_00: So they're not, um, they're not very educated in the process.
- 9:44SPEAKER_00: Right.
- 9:45SPEAKER_00: So if more owners would just educate, right.
- 9:48SPEAKER_00: Not thinking about am I gonna get this tour, not thinking about the placement part of it.
- 9:52SPEAKER_00: Right.
- 9:53SPEAKER_00: But the more we can educate the ultimate consumer, right, then um they know that you're in it.
- 9:59SPEAKER_00: I mean, that's the start of the journey.
- 10:00SPEAKER_01: Absolutely.
- 10:01SPEAKER_01: And it is it absolutely, because it's absolutely how I start is with education.
- 10:06SPEAKER_01: So I start with if somebody calls me, I'll say, Well, tell me what's going on.
- 10:10SPEAKER_01: Just I'm gonna ask you to just tell me the situation.
- 10:13SPEAKER_01: And then inside of that, I'm gonna interrupt and maybe ask you a question or give, you know, give you some education throughout it.
- 10:20SPEAKER_01: But that's how we're gonna start.
- 10:21SPEAKER_01: And then they just feel comfortable and they can start telling you what's going on.
- 10:25SPEAKER_01: So many times, um, I just have this kind of thing where if I call a group home that I haven't or residential assisted living that I haven't talked to before and I'm looking for one in an area that I haven't placed before.
- 10:39SPEAKER_01: If I have them ask me what's the budget, like immediately, then I'm not gonna place with them.
- 10:46SPEAKER_01: Right.
- 10:46SPEAKER_01: Because I can't know.
- 10:48SPEAKER_01: And they're almost, you know, there's so many of them.
- 10:50SPEAKER_01: There's a lot of, especially in the summer months, you get desperate, you know, because life is finite and you have a trade.
- 10:57SPEAKER_01: Yes.
- 10:57SPEAKER_01: And and so all of a sudden I've got this person just frantically looking because it's a business and you need you need to have people in your home paying you for that home in order to keep the lights on, pay the caregivers, do the good food.
- 11:11SPEAKER_01: Right.
- 11:11SPEAKER_01: You know, and I remember my first week uh doing placement, I uh went to the residential home.
- 11:19SPEAKER_01: I I went out to a bunch of them and learned what they were.
- 11:22SPEAKER_01: And this uh homeowner said, I said, so what is your biggest challenge?
- 11:26SPEAKER_01: The families.
- 11:29SPEAKER_01: I said, the families.
- 11:30SPEAKER_01: She goes, Oh no, I can care for the people.
- 11:32SPEAKER_01: It's the families.
- 11:34SPEAKER_01: I was like, oh, and I didn't quite know what she meant.
- 11:37SPEAKER_01: Now I do.
- 11:38SPEAKER_01: I know.
- 11:39SPEAKER_01: I would say what she means.
- 11:40SPEAKER_01: Yeah.
- 11:41SPEAKER_00: I I would kind of switch that around.
- 11:43SPEAKER_00: Okay.
- 11:43SPEAKER_00: I would just say, um, and this is they're a critical component of your success.
- 11:48SPEAKER_01: Absolutely.
- 11:49SPEAKER_00: Is the staffing.
- 11:50SPEAKER_00: Yes.
- 11:51SPEAKER_00: If you find the staffing and they buy into your leadership and the culture of what you're looking for, and then you build the systems.
- 11:57SPEAKER_00: Right.
- 11:58SPEAKER_00: Um, but you have to find the compassion.
- 12:00SPEAKER_00: Right.
- 12:00SPEAKER_00: You you can't be the heart.
- 12:03SPEAKER_00: Right already.
- 12:03SPEAKER_00: It's gotta be the heart already there.
- 12:05SPEAKER_00: The skill sets the training that can all come later.
- 12:08SPEAKER_00: Right.
- 12:08SPEAKER_00: Right.
- 12:08SPEAKER_00: Right.
- 12:08SPEAKER_00: And if I'm gonna invest in that time in the interview, you really need to sense that they have that.
- 12:13SPEAKER_00: Right.
- 12:14SPEAKER_00: Right.
- 12:14SPEAKER_00: Right.
- 12:14SPEAKER_00: Right.
- 12:14SPEAKER_00: And then from there everything can blossom.
- 12:16SPEAKER_00: Right.
- 12:16SPEAKER_00: Everything falls in place.
- 12:17SPEAKER_00: Right.
- 12:17SPEAKER_01: I need the same thing for people that work with me.
- 12:21SPEAKER_01: Um, I need somebody that isn't, you know, there's so much.
- 12:24SPEAKER_01: Uh I hate that I I've always worked because I want to do a good job.
- 12:29SPEAKER_01: And then I always assume, you know, when I worked for people, I thought, well, you pay me well because I do such a good job, right?
- 12:35SPEAKER_01: Which doesn't always work.
- 12:36SPEAKER_01: Um, but if you do, if you do this business, it's very lucrative, but you have like I tell people, it took me years to learn this.
- 12:45SPEAKER_01: It took me years.
- 12:46SPEAKER_01: It's not something you can just jump in and and learn how to do.
- 12:49SPEAKER_01: And and it's not just like they're like, oh wow, you must make a lot of money.
- 12:53SPEAKER_01: Right.
- 12:53SPEAKER_01: But it's like, no, uh, it's years and years and being curious and being wanting to learn the right things and how to do it right.
- 13:00SPEAKER_01: And uh, you know, your heart goes into your stomach if it's the wrong place.
- 13:04SPEAKER_00: You're on the very front end.
- 13:05SPEAKER_00: So you've got to foster that the, you know, you can't harvest yet.
- 13:09SPEAKER_00: Yours is planting the seed and the education and building relationships and staying, make sure that you're relevant, right?
- 13:16SPEAKER_00: That you're still there and you know, stay in contact with them constantly so they know when the time comes.
- 13:21SPEAKER_00: Right Nicole Carmen.
- 13:22SPEAKER_00: Yeah, right.
- 13:23SPEAKER_01: Or if it's the la or if it's a crisis, right?
- 13:27SPEAKER_01: If it's a crisis and all of a sudden, like, oh my gosh, you've gotta, you've gotta be that person that is kind of steadfast in the crisis, not jump into the crisis or not not allow yourself to do that, but also be knowledgeable enough to know the options and then guide, you know, and then guide as well as you can to get them to the place that you know is one of the best.
- 13:51SPEAKER_00: Yeah, fostering that relationship though, it does take a lot.
- 13:54SPEAKER_00: Huge.
- 13:54SPEAKER_00: Yeah.
- 13:55SPEAKER_01: And I can do it pretty fast, actually.
- 13:57SPEAKER_01: Because I have people that will call me um from an ad or something like that.
- 14:02SPEAKER_01: But I always lead with education.
- 14:04SPEAKER_01: Because if you lead with education, then that's the trust right there.
- 14:09SPEAKER_01: Then they know you know what you're doing.
- 14:10SPEAKER_00: Right.
- 14:11SPEAKER_00: Right.
- 14:11SPEAKER_00: That I mean, that's the key for both of our both of us.
- 14:15SPEAKER_00: Yeah.
- 14:15SPEAKER_00: And I think if like owners, they're like, you know, what why have you been so successful?
- 14:21SPEAKER_00: And I said, well, don't think of it as sales.
- 14:24SPEAKER_00: Don't think of the money.
- 14:25SPEAKER_00: No.
- 14:25SPEAKER_00: Because that will all follow.
- 14:27SPEAKER_01: It will all follow.
- 14:28SPEAKER_00: Right.
- 14:28SPEAKER_00: Right.
- 14:29SPEAKER_00: But you need your um funnels for your leads, right?
- 14:32SPEAKER_00: You need your context in place.
- 14:33SPEAKER_00: You need to get your brand out there.
- 14:35SPEAKER_00: Right.
- 14:35SPEAKER_00: Right.
- 14:36SPEAKER_00: But in order to do that, you need to make sure you have a product that can substantiate somebody bringing.
- 14:43SPEAKER_00: Never oversell.
- 14:44SPEAKER_01: No, no.
- 14:44SPEAKER_00: You know, because then that's part of the growth of the brand and the referrals and the word of mouth.
- 14:49SPEAKER_01: And I think one of the key things that I'm really uh one of the the requirements I'm having the residential homeowners do now is I want them to go do an assessment.
- 15:00SPEAKER_01: You've always done that.
- 15:02SPEAKER_01: You've always done it.
- 15:03SPEAKER_01: I know uh your counterpart, Laura Cohen, always does it.
- 15:07SPEAKER_01: You know, and every, you know, I had several residential homes that do that.
- 15:11SPEAKER_01: You know, Hal Cramner does it, you know, everybody that provides really, really good care.
- 15:17SPEAKER_01: Why do you do that?
- 15:18SPEAKER_01: You do that to make sure that they will fit into the home, that you can care for them, that everything will work, right?
- 15:25SPEAKER_01: Everything you want to promise can actually be fulfilled on.
- 15:28SPEAKER_01: Because if you don't go do that assessment, if you don't like either have your nurse or uh the manager go do the assessment, you don't know what you're bringing into the house.
- 15:38SPEAKER_00: You don't know.
- 15:39SPEAKER_01: Yeah.
- 15:39SPEAKER_01: And and you know, we have all kinds of different levels of behavior with people, all different kinds of needs.
- 15:45SPEAKER_01: Your staffing is important for that, right?
- 15:48SPEAKER_01: I mean, that has to be considered it has to be a good match.
- 15:51SPEAKER_00: Yeah.
- 15:51SPEAKER_00: So um, depending on some owners actually, when they're hiring staffing, sometimes they can't afford that experience.
- 15:58SPEAKER_00: Right.
- 15:59SPEAKER_00: Because with that experience, the rates are higher.
- 16:01SPEAKER_00: Right.
- 16:02SPEAKER_00: Right?
- 16:02SPEAKER_00: Right.
- 16:02SPEAKER_00: Exactly.
- 16:03SPEAKER_00: Um, like with the boutique market that I chose to be in in Paradise Valley, there's no exception.
- 16:07SPEAKER_00: Right.
- 16:08SPEAKER_00: Like my nurse manager owns a caregiving school.
- 16:10SPEAKER_00: Right.
- 16:10SPEAKER_00: Yeah.
- 16:11SPEAKER_01: I tried Shannon.
- 16:13SPEAKER_00: Yeah.
- 16:13SPEAKER_00: Shannon.
- 16:14SPEAKER_00: Okay.
- 16:14SPEAKER_00: So I I tried some out of school, but that was not it wasn't your fit.
- 16:20SPEAKER_00: It wasn't a good fit.
- 16:21SPEAKER_00: Okay.
- 16:21SPEAKER_00: You know, so not to say experience means they're gonna be a good caregiver.
- 16:25SPEAKER_00: Right.
- 16:26SPEAKER_00: But at least you have the foundation of possibly running into the Hoyer lift and running into a proper two-person assist.
- 16:33SPEAKER_00: And you know, they have the experience and competence to at least know some of the fundamentals in the care.
- 16:39SPEAKER_00: Right.
- 16:39SPEAKER_00: Right.
- 16:40SPEAKER_00: And then you've got dementia.
- 16:41SPEAKER_00: And you've got all kinds of different dementia.
- 16:45SPEAKER_00: When Arizona passed that in just this July of last year, um, that whole memory care training and the annual training requirements, it's important.
- 16:55SPEAKER_00: So it's it's identifying what we've been doing, but now you're saying now you're required to do it.
- 17:01SPEAKER_00: So let's get you certified.
- 17:02SPEAKER_00: Right.
- 17:02SPEAKER_01: And let's make sure we're certified.
- 17:04SPEAKER_00: I'm certified.
- 17:05SPEAKER_00: The people that work with me are certified.
- 17:06SPEAKER_00: Yeah.
- 17:06SPEAKER_00: So I'll give a plug out to Hospice of the Valley.
- 17:09SPEAKER_00: Their dementia training program is fantastic.
- 17:12SPEAKER_00: Okay.
- 17:13SPEAKER_00: And um yeah, it's not, it's it's um basically a community service, so they don't charge.
- 17:20SPEAKER_01: Oh wow.
- 17:21SPEAKER_01: That's great.
- 17:22SPEAKER_01: It's fantastic.
- 17:23SPEAKER_01: I know.
- 17:24SPEAKER_01: Um Hospice of the Valley was with my dad and with my husband.
- 17:29SPEAKER_01: And both really, really great experiences.
- 17:32SPEAKER_01: What we find, though, a lot of people I've talked about this before, is that people don't realize hospice can be a long time.
- 17:40SPEAKER_01: You can have hospice for the end of life anymore.
- 17:43SPEAKER_01: It's not in the world.
- 17:44SPEAKER_00: But that's the perception.
- 17:45SPEAKER_00: Right.
- 17:45SPEAKER_00: It is the perception of care homes.
- 17:48SPEAKER_00: Right.
- 17:48SPEAKER_00: Right?
- 17:49SPEAKER_00: We're still not out there knowing they're thinking nursing homes back in the day, right?
- 17:53SPEAKER_00: Wheelchair, right?
- 17:54SPEAKER_00: Everyone's in the hallway outside, drooling.
- 17:57SPEAKER_00: You know, that's the image.
- 17:59SPEAKER_01: I think I always want to say, let's go put our toe in the water.
- 18:03SPEAKER_01: In fact, after this uh session, we're I'm gonna go with a daughter who's fairly young.
- 18:09SPEAKER_01: Her father's in his late 70s.
- 18:11SPEAKER_01: And she's like, and I've already done a whole presentation with her for her company and everything.
- 18:18SPEAKER_01: And yet she uh she said, You're not gonna put my dad in a home, are you?
- 18:23SPEAKER_01: I said, Oh my gosh, he wants to go live on the beach.
- 18:26SPEAKER_01: No, I so here's what I said.
- 18:29SPEAKER_01: I said, you know what?
- 18:30SPEAKER_01: Let's go together.
- 18:31SPEAKER_01: You and me go together so that you can go see, you know, it's Revel Scottsdale is where I'm gonna take her.
- 18:36SPEAKER_01: I mean, come on, you know, I mean, it's a resort, man.
- 18:40SPEAKER_01: You know, it's not what we what we think of anymore.
- 18:43SPEAKER_01: And a residential home, when you walk into one of your homes and you see, first of all, when I walk in a home, I know there's a kinetic energy or there's kind of this frenetic energy if it's not really well run.
- 18:57SPEAKER_01: And there's an unsettled feeling if it's not a well-run home.
- 19:01SPEAKER_01: When I walk into your home, it's everybody's happy.
- 19:04SPEAKER_01: They're like, you know, everybody's really well cared for.
- 19:08SPEAKER_00: But your training ongoing training, it's the ongoing leadership.
- 19:14SPEAKER_00: Respect.
- 19:14SPEAKER_00: The expectation of just of everyone on the front line knows.
- 19:20SPEAKER_00: Right.
- 19:21SPEAKER_00: Right.
- 19:21SPEAKER_00: And we're so transparent of you know, families in and out, like COVID, because we're so big.
- 19:27SPEAKER_00: I I built my homes.
- 19:28SPEAKER_00: Yeah, the spacing was there.
- 19:30SPEAKER_00: Yeah.
- 19:30SPEAKER_00: You know, state said 15-minute visits, but outside on a patio because most of these homes are smaller.
- 19:35SPEAKER_00: Right.
- 19:35SPEAKER_00: I'm like, no.
- 19:37SPEAKER_00: 45 minutes, and then we'll disinfect right at our front door.
- 19:40SPEAKER_00: Right.
- 19:40SPEAKER_00: Right?
- 19:40SPEAKER_00: The pens, the handles, the doorbells.
- 19:42SPEAKER_00: Right.
- 19:43SPEAKER_00: And then we let the next family in.
- 19:44SPEAKER_00: But I was playing secretary for two and a half years.
- 19:48SPEAKER_00: Oh my gosh.
- 19:49SPEAKER_00: Yeah.
- 19:49SPEAKER_00: But no one, no one passed alone ever.
- 19:52SPEAKER_01: Right.
- 19:52SPEAKER_01: That see, isn't that wonderful?
- 19:54SPEAKER_01: It's it's how you make them feel at the end of the day.
- 19:56SPEAKER_01: Make them feel.
- 19:57SPEAKER_01: Right.
- 19:58SPEAKER_01: Exactly.
- 19:58SPEAKER_01: Exactly.
- 19:59SPEAKER_01: And and um, yeah, and I think that I don't know that we'll ever do that again with the way we handled COVID.
- 20:07SPEAKER_01: I it was just so devastating.
- 20:09SPEAKER_01: The the isolation.
- 20:10SPEAKER_01: I was stuff for those in the communities.
- 20:12SPEAKER_01: Oh horrible.
- 20:14SPEAKER_00: Just hearing the stories of well, you know.
- 20:16SPEAKER_01: Most of the people that were cared for were by the caregivers that make the least amount of money.
- 20:21SPEAKER_00: Yeah.
- 20:21SPEAKER_01: And they were there.
- 20:22SPEAKER_01: They were there with those people with their with their FaceTimes and making sure they could see their family.
- 20:28SPEAKER_00: See so special, right?
- 20:30SPEAKER_01: Just caregivers are just caregivers are a special breed.
- 20:33SPEAKER_01: Yeah.
- 20:34SPEAKER_01: Yeah.
- 20:34SPEAKER_01: For sure.
- 20:35SPEAKER_01: Yeah.
- 20:35SPEAKER_01: For sure.
- 20:36SPEAKER_01: Yeah.
- 20:36SPEAKER_01: They really are.
- 20:37SPEAKER_01: And just the you know, I I remember being in your home with uh with a lady we were transitioning out.
- 20:45SPEAKER_01: Uh, but I was there late at night.
- 20:47SPEAKER_01: I was there in the, you know, during the day.
- 20:49SPEAKER_01: Uh that was a week.
- 20:51SPEAKER_01: That was a tough one.
- 20:53SPEAKER_01: That was a tough one.
- 20:54SPEAKER_01: But I really observed how well your home run ran, you know, and how respectful they were of everybody.
- 21:02SPEAKER_00: You know, and it's it's a serious job, too.
- 21:04SPEAKER_00: Oh, very serious.
- 21:05SPEAKER_00: So that's why it's it's part, you know, finding that compassion uh in a staff, but f having them follow the expectations of the culture, being respectful, right?
- 21:16SPEAKER_00: Um, knowing our policy at the door, right?
- 21:19SPEAKER_00: You know, not just anyone can drop in.
- 21:20SPEAKER_00: Right.
- 21:21SPEAKER_00: Um people drop in at the homes all the time, you know, the hospices and the home health.
- 21:25SPEAKER_00: Right.
- 21:26SPEAKER_00: Right.
- 21:26SPEAKER_00: They want to drop off their business card and they're welcome to bring it in, drop it off at the office desk, but no tours.
- 21:32SPEAKER_00: Right.
- 21:33SPEAKER_00: You know, one the privacy of the residence.
- 21:34SPEAKER_00: No, right.
- 21:35SPEAKER_00: Right.
- 21:35SPEAKER_00: Yeah.
- 21:36SPEAKER_00: Um, so we had that that's very common.
- 21:38SPEAKER_00: People just want to walk through.
- 21:39SPEAKER_00: Really?
- 21:40SPEAKER_00: Interesting.
- 21:40SPEAKER_00: Oh, yeah.
- 21:41SPEAKER_01: Interesting.
- 21:41SPEAKER_01: Yeah.
- 21:42SPEAKER_01: Wow.
- 21:42SPEAKER_01: Wow.
- 21:42SPEAKER_01: I didn't even know that.
- 21:44SPEAKER_01: I I don't know.
- 21:44SPEAKER_01: I never did that kind of marketing stuff.
- 21:47SPEAKER_01: I I was I'm always like, you know, bring me your crisis and let me help you f solve it, you know.
- 21:54SPEAKER_01: So, you know, and I I would do that.
- 21:56SPEAKER_01: But um, but I really do love the extra education.
- 22:00SPEAKER_01: So once you got into this, you are on the board of the Alaha.
- 22:06SPEAKER_00: So we so we meet.
- 22:08SPEAKER_00: Um, we're approximately a 15-member board.
- 22:11SPEAKER_00: Okay.
- 22:12SPEAKER_00: Um, not not self-serving.
- 22:14SPEAKER_00: Uh-huh.
- 22:14SPEAKER_00: The organization has been in in existence.
- 22:16SPEAKER_00: We're a nonprofit.
- 22:17SPEAKER_00: Uh-huh.
- 22:18SPEAKER_00: So we all volunteer a time.
- 22:19SPEAKER_00: Okay.
- 22:19SPEAKER_00: Since 2004.
- 22:21SPEAKER_00: So Jeanette Zarelli, who's still in business at Red Mountain, give her a plug.
- 22:25SPEAKER_00: Okay.
- 22:25SPEAKER_00: But her and two others.
- 22:26SPEAKER_00: Red Mountain.
- 22:27SPEAKER_01: I know Red Mountain.
- 22:28SPEAKER_01: Yeah.
- 22:28SPEAKER_00: They started this organization because there was no voice for the homes.
- 22:33SPEAKER_00: Right.
- 22:33SPEAKER_00: So she thought, okay, well, you have all these Accas and Alphas, and right, you have everyone at the the center level.
- 22:39SPEAKER_00: Right.
- 22:39SPEAKER_00: Right.
- 22:40SPEAKER_00: Right.
- 22:40SPEAKER_00: And they represent 325 buildings.
- 22:42SPEAKER_00: Right.
- 22:43SPEAKER_00: So, and now we're at 1825.
- 22:46SPEAKER_00: Well, back then maybe a thousand, but who was representing us?
- 22:49SPEAKER_00: Yes.
- 22:49SPEAKER_00: Right.
- 22:49SPEAKER_00: So it we're grateful that we were they were the pioneers and we continued the process.
- 22:55SPEAKER_00: Great.
- 22:55SPEAKER_00: Great.
- 22:56SPEAKER_00: It's an organization that we've been growing.
- 22:58SPEAKER_00: Like we're changing our platform.
- 23:00SPEAKER_00: We have several hundred members every year.
- 23:02SPEAKER_00: Oh, great.
- 23:02SPEAKER_00: Um, we now have a lobbyist.
- 23:05SPEAKER_00: We have an um basically on our advisory.
- 23:08SPEAKER_00: Um, I'll just say your name because she's been wonderful, Jen Westerman with Davis Smiles.
- 23:12SPEAKER_00: Oh, okay.
- 23:13SPEAKER_00: She's been very involved in our industry.
- 23:15SPEAKER_00: So not only is she a realtor to help that part, but she's an attorney.
- 23:20SPEAKER_00: So she represents the homes when it comes to DHS licensing.
- 23:24SPEAKER_00: Yes.
- 23:25SPEAKER_00: NCIA board managers.
- 23:26SPEAKER_00: Yes.
- 23:27SPEAKER_00: You know, there's a lot of things in our industry that it's unfortunate where these managers think by getting a certificate and they want to, you know, put it on the wall for a thousand dollars a month and they don't realize what that really means.
- 23:40SPEAKER_01: No, it's like an executive director.
- 23:42unknown: Yeah.
- 23:42SPEAKER_01: You know, you don't know what you couldn't pay me a million bucks to be an executive director.
- 23:47SPEAKER_01: You really couldn't because you're getting calls at two in the morning, you're all day long.
- 23:52SPEAKER_01: You're fielding families constantly.
- 23:55SPEAKER_01: I mean, and in a big assisted living, that's an incredible job.
- 23:58SPEAKER_01: There's only a few that can do it really well and love it.
- 24:02SPEAKER_01: And they love it.
- 24:03SPEAKER_00: That's their so my nurse manager, Shannon, has that background as an executive director.
- 24:07SPEAKER_00: Ah, yeah.
- 24:09SPEAKER_00: Yeah.
- 24:10SPEAKER_00: He saw the difference in the care level needs.
- 24:12SPEAKER_00: Yeah.
- 24:12SPEAKER_00: You know, there's there's a point, there's someone always, you know, there's some place for anyone.
- 24:16SPEAKER_00: Right.
- 24:16SPEAKER_00: You know, if you're more independent and if you're looking, you're you're very social and you're looking for those structured activities.
- 24:23SPEAKER_00: Or memory care.
- 24:24SPEAKER_00: Right.
- 24:24SPEAKER_01: Yeah, go to a big community.
- 24:25SPEAKER_01: Right, right, right.
- 24:26SPEAKER_01: Exactly.
- 24:27SPEAKER_00: Once you step into needing a little bit more care.
- 24:30SPEAKER_00: That one-on-one.
- 24:31SPEAKER_00: That more one-on-one, because you can leverage the staff.
- 24:34SPEAKER_00: Right.
- 24:35SPEAKER_00: So most of the 10 beds have two on days.
- 24:37SPEAKER_00: Yep.
- 24:38SPEAKER_00: And then a night staff, whether they're awake or asleep or, you know.
- 24:40SPEAKER_00: Right.
- 24:41SPEAKER_00: And then you have the um I carry three on days.
- 24:45SPEAKER_00: But you have a general level of care.
- 24:47SPEAKER_00: Right.
- 24:47SPEAKER_00: So and the demands in Paradise Valley.
- 24:49SPEAKER_00: You know, I just want to make sure that there's a certain level of care that they're expecting.
- 24:55SPEAKER_00: Yeah.
- 24:55SPEAKER_00: So we want to meet that by having additional staff.
- 24:58SPEAKER_00: Right.
- 24:58SPEAKER_00: Right.
- 24:58SPEAKER_00: Um, but the staffing, uh, once you separate a home from a community, huge difference.
- 25:04SPEAKER_00: Right.
- 25:05SPEAKER_00: The ratios is amazing.
- 25:06SPEAKER_00: Yeah.
- 25:07SPEAKER_00: Because you're leveraging instead of like the in-home care.
- 25:10SPEAKER_00: Right.
- 25:10SPEAKER_00: Right.
- 25:10SPEAKER_00: Yeah.
- 25:11SPEAKER_00: So and that's what I expressed to when I went to the Capitol.
- 25:14SPEAKER_00: I said there's there's a place for communities for people to go into big community centers, but then there's a place for homes.
- 25:20SPEAKER_00: There are absolutely a lot of people.
- 25:21SPEAKER_00: And by scaling it down from 10 to six of what you know the the city did, you're taking away not just um the ability for the community to have more to stay in their homes.
- 25:32SPEAKER_00: Right.
- 25:33SPEAKER_00: Basically, they're staying near the mountain where they grew up or where they want to stay.
- 25:37SPEAKER_00: Right.
- 25:37SPEAKER_00: Um, you're limiting the housing for seniors.
- 25:39SPEAKER_00: Right.
- 25:40SPEAKER_00: And then that that just it started to roll with other cities.
- 25:43SPEAKER_00: Right.
- 25:43SPEAKER_00: And we needed we knew that we needed to stop that.
- 25:45SPEAKER_01: Absolutely.
- 25:46SPEAKER_01: And uh it's imperative.
- 25:48SPEAKER_01: And one of the things I always say is, you know, I kind of describe it.
- 25:52SPEAKER_01: If you're gonna have your parent or your spouse in an assisted living community, in a large assisted living, you have to re-be, you have to understand that they're in an apartment.
- 26:03unknown: Yes.
- 26:03SPEAKER_01: They're in an apartment with which closes a door, which has really scheduled care, not, you know, and if that person isn't aware enough to push the button when they need it.
- 26:14SPEAKER_01: Which we see a lot with anyone with dementia.
- 26:17SPEAKER_01: Right.
- 26:17SPEAKER_01: The growing always going into a dementia uh standalone dementia care place or a dementia unit, um, you don't get that one-on-one care.
- 26:30SPEAKER_01: And so a lot of things I would see would be that the person may not be able to get up out of their chair very well.
- 26:38SPEAKER_01: And the caregiver comes in and puts the tray on in their kitchen and then walks out.
- 26:42SPEAKER_01: They don't even say hi to that.
- 26:43SPEAKER_01: And then they pay for that service.
- 26:44SPEAKER_01: And they pay for that service.
- 26:45SPEAKER_01: Right.
- 26:45SPEAKER_01: They're paying for the food to be delivered.
- 26:47SPEAKER_01: Oh, good.
- 26:47SPEAKER_01: Sorry.
- 26:48SPEAKER_01: Yeah.
- 26:48SPEAKER_01: They're paying for the food to be delivered, but then they're just putting it on a tray uh in their kitchen.
- 26:54SPEAKER_01: And then that person is like hungry, and they're, you know, maybe they don't even know how to, you know, or they can't use all of their uh their hands or whatever to eat well.
- 27:06SPEAKER_01: Absolutely.
- 27:06SPEAKER_01: And it's it's uh it's not, you know, it's not one size fits all.
- 27:11SPEAKER_01: You have to understand, you know, and that's what I describe.
- 27:14SPEAKER_01: Now your parents gonna be in an apartment by themselves with, you know, and if they're not able to m ambulate or they're not able to, it's not, you know, you would want one-on-one care in you would want to hire a caregiver to be in that assisted living if that's what you want for them, which they do.
- 27:32SPEAKER_01: There's people that do that.
- 27:33SPEAKER_01: If you want, if you're at a very high-level care, a very specialized care, say frontal temporal or something like that, then you want to be in a home that specializes in that.
- 27:44SPEAKER_01: That person needs that dignity and respect and that ability to be taken care of at the level they need to be taken care of.
- 27:51SPEAKER_01: Absolutely.
- 27:52SPEAKER_00: Homes in general, though.
- 27:53SPEAKER_00: I mean, we just have the ability to customize.
- 27:56SPEAKER_00: Yes.
- 27:56SPEAKER_01: That's what I mean.
- 27:57SPEAKER_01: Yeah, exactly.
- 27:58SPEAKER_00: Um everything's inclusive.
- 28:00SPEAKER_00: Right.
- 28:00SPEAKER_00: It's all inclusive.
- 28:01SPEAKER_00: Yep.
- 28:02SPEAKER_00: So they're not paying for a la carte.
- 28:03SPEAKER_00: Right, right, right.
- 28:04SPEAKER_00: You know, it's just one there, we're there to encourage, we're the we become the trusting extended family.
- 28:10SPEAKER_00: Right.
- 28:10SPEAKER_00: Um, economies of scale is there, the financial burden, say if they want to stay at home.
- 28:15SPEAKER_00: I get a lot of those.
- 28:16SPEAKER_00: Yeah.
- 28:16SPEAKER_00: Those that are coming from 24-7 care.
- 28:18SPEAKER_00: Yeah.
- 28:19SPEAKER_00: And that's$30,000 a month.
- 28:20SPEAKER_00: It's$35,000.
- 28:22SPEAKER_00: Oh,$35 now.
- 28:23SPEAKER_01: Oh, excuse me.
- 28:24SPEAKER_01: Yeah, I'm sure it's higher though, but uh that was a couple of years ago.
- 28:27SPEAKER_01: But it's 35.
- 28:28SPEAKER_01: If you add it up, yeah, it's about$35,000.
- 28:30SPEAKER_01: And how long you can't do that.
- 28:33SPEAKER_01: It's not really good.
- 28:35SPEAKER_01: No, from a social standpoint.
- 28:36SPEAKER_01: From a social standpoint.
- 28:37SPEAKER_01: Where is the community?
- 28:38SPEAKER_01: Right, right.
- 28:39SPEAKER_01: They don't have any of that.
- 28:40SPEAKER_01: No.
- 28:40SPEAKER_01: And it's imperative to have socialization.
- 28:43SPEAKER_01: Imperative.
- 28:44SPEAKER_01: Well, Gene, it flew by.
- 28:46SPEAKER_01: Oh, I did.
- 28:46SPEAKER_01: We're done.
- 28:47SPEAKER_01: I could.
- 28:48SPEAKER_00: That's great.
- 28:49SPEAKER_00: I'm glad we could help all those that are, you know, watching.
- 28:51SPEAKER_01: Yeah.
- 28:52SPEAKER_01: I do too.
- 28:52SPEAKER_01: And I think the education piece is what you and I are both about.
- 28:55SPEAKER_01: And this is why I do this.
- 28:57SPEAKER_01: This is why I pay for this and make sure that it gets out there.
- 28:59SPEAKER_01: Absolutely and have wonderful guests like you.
- 29:01SPEAKER_01: So thank you so much.
- 29:02SPEAKER_01: Well, thank you.
- 29:02SPEAKER_01: Thank you for having me.
- 29:03SPEAKER_01: You're welcome.
- 29:04SPEAKER_01: So thank you for joining me today.
- 29:06SPEAKER_01: You can go to my website if you have any questions.
- 29:08SPEAKER_01: You can always contact me uh direct, or our our phone number is at aplaceforseniors.org.
- 29:15SPEAKER_01: Thank you so much, and we'll see you next time.