1. Sisters of the Precious Blood Dayton, OH
Anna Marie Tag, RSM, MBA, NHA
NRRO Elder Care Consultant
July 1, 2017

2. 2015 Assembly Directive END OF LIFE TRANISITIONS AND CARE
The Sisters of the Precious Blood value person-centered care in transitions of life and sustaining our sisters as long as possible in a homelike environment.
We commit to doing an assessment of all areas of care services for our Sisters at Salem Heights and Emma Hall. This assessment is a priority and should engage a gerontology expert and the Sisters with implementation as appropriate.

3. Committee Members Beverly Bodnar, C.PP.S. Maryann Bremke, C.PP.S.
Jeanette Buehle, C.PP.S.
Jean Rene Hoying, C.PP.S.
Judy Niday, C.PP.S.
Nancy Raley, C.PP.S.
Margo Young, C.PP.S.
Linda Pleiman, C.PP.S – Liaison to Committee

4. Goals of the Committee
To help the community to see what is already in place,
To point out what is missing from the continuum of service, and
To provide informed suggestions to improve the life and care services for members
Since 1999

5. Not Included in the Scope of Work
Evaluations of any religious or lay staff holding positions at Salem Heights or Maria Joseph Health Center

6. Community’s Strengths/Advantages
Caring Community
Commitment to respect the dignity of each member
Foresight to renovate living space for members who are independent or independent with services
Willingness to assess the continuum of care as it presently exists
Sufficiently funded for retirement needs of all members

7. Community’s Challenges/ Opportunities for Improvement
Declining membership (108)
Increasing age of membership (Median age: 79)
Differing opinions regarding the increase of clinical staff at Salem Heights
Frustration/anger/sense of loss related to having “influence” rather than “control” at MJC
Very limited health care experience (consumers)
Sufficiently funded for retirement needs of all members

8. Sisters of the Precious Blood

9. Membership Projections
Next Twenty Years
Equal To Or Above 80
members
members
members
members
members % % % % %

10. Levels of Care Independent Independent with Services Assisted Living
Skilled Nursing
Custodial

11. Skilled Nursing Care
Every Licensed Skilled Nursing Facility in the United States is under the jurisdiction of the Centers for Medicare and Medicaid Services(
Facilities are reviewed annually (within a nine to fifteen month window from the previous year)
Results are a matter of public record (CMS website) and are required to be posted in a public spot in the facility

12. Nursing Home Compare
Each Skilled Nursing Facility is rated by the CMS Five Star Rating System
Health Inspections: based on number, scope and severity of the three most recent surveys
Staffing: Registered nurse hours per resident day and total staffing hours per resident day
QMs: Quality Measures include 8 long-stay measures and 3 short-stay measures

13. Scope and Severity
No actual harm with potential for minimal harm (A-C)
No actual harm with potential for more than minimal harm that is not immediate jeopardy (D-F)
Actual harm that is not immediate jeopardy (G-I)
Immediate jeopardy to resident health or safety (J-L)

14. Nursing Home Compare (OHIO)
Maria Joseph Living Care Center
Diversicare of Siena Woods
Cypress Pointe Health Campus
Friendship Village
St. Leonard Health Care Center

15. Strengths-Weakness-Opportunities-Threats (SWOT)
Salem Heights
Maria Joseph Center

16. Recommendations Community Wide Recommendation
Health and Wellness Coordinator
Hire a Health and Wellness Coordinator as there is a need for a stronger professional standard for overall decision making and planning for members’ health and wellness

17. Recommendations Continued
Salem Heights
That Salem Heights be maintained as it was originally intended:
A facility for Independent Living and Independent Living with Services (Domestic: food, housekeeping and some minor assistance for health care)
That each of the ten Criteria be reworked to indicate measurable objectives indicating what can be accommodated and what requires a higher level of care
That an ad hoc committee be established to plan for a change in the Purpose of Salem Heights as the number of sister residents declines and the advent of lay residents

18. Recommendations Continued
Maria Joseph Center (MJC)
Re-evaluate the amount of rented space for sister staff. Suggest continuation of one office and chapel.
Re-evaluate the number of rooms kept on “reserve”. Prepare a two to three-year comparison of admissions compared to unused reserved “days”

19. General Recommendations
That the Retirement Plan of 1994 be updated to include the acceptance of any recommendation from the elder care services report
That the “Plan” is a life plan of wellness, transition, options for care and expectations of members through each phase of live until death
That the community plan for continued education on transition dealing with loss of independence, grief and acceptance of the aging process

20. Questions/Clarifications