fall 2012 senior guidebook
DESCRIPTION
Berks County's leading senior resource magazineTRANSCRIPT
Mexico for Seniors
Pg 6
Pg 10
Pg 22
Scratch Your Creative Itch and
Help Your MemoryPg 8
Is Long Term Care Insurance Right
For You?
Tech Therapy – Games
FALL 2012www.berksseniorguide.com
1Southeast Pennsylvania 1
2
FEATURES4 Senator Judy Schwank – Report to the People
6 Is Long Term Care Insurance Right For You?
7 “Bending the Age Curve” One Rep at a Time
8 Scratch Your Creative Itch and Help Your Memory – Amy Nelson
10 Mexico for Seniors – John U. Lord
11 Hot Flashes and How To Handle Them With Ease - Kris T. Smith
13 The Personal Care Home: 2012 - Anthony Camilli
14 Resource Directory 18 Adult Day Care Resource 19 “Aunt Tilly’s Kitchen” 21 The Story of Griswold Home Care - Gary Hawkins
22 Tech Therapy – Games – Stephanie Knarr
23The Advantages of Portable Oxygen Concentrators – Christopher Smith
24Extreme Makeover: The Highlands at Wyomissing - Jodi Gibble
IBC It’s a Family Affair at Mifflin Court Senior Living
LAYTON BARNARDPublisher - Senior Guidebook
For a free subscription,please send your mailing
information and email address (if applicable) to
the address below:
PO Box 49Wernersville PA
19565-0049
OFFICE610.670.2918
FAX610.927.0422
Photography by Jennifer Borror
For advertising information contact:
Copyright 2012 Barnard Publishing, LLC. All rights reserved.
Senior Guidebook to Southeast Pennsylvania Housing & Resources is published quarterly by Barnard Publishing, LLC. The opinions, advice or statements expressed by contributing writers don’t reflect those of the editor, the publisher or of Senior Guidebook to Southeast Pennsylvania Housing & Resources. No part of this magazine may be reproducedwithout prior consent of the publisher. It is your responsibility to evaluate the accuracy, completeness or usefulness of any information, opinion, advice or other content contained herein. Furthermore, Barnard Publishing, LLC makes no representations and, to the fullest extent allowed by law, disclaims all warranties, expressed or implied, including but not limited to, warranties of merchantability and fitness for particular purposes regarding the suitability of the information; the accuracy, reliability, completeness or timeliness of the content, services or products advertised herein. The content published herein may include inaccuracies or typographical errors.
FALL 2012
Berks County610-478-6500
www.berksaging.org Chester County
610-344-6350www.chesco.org/aging
Lancaster County717-299-7979
www.co.lancaster.pa.us/lanco_agingLebanon County
717-273-9262Lehigh County610-782-3200
www.lehighcounty.org (Select Human Services)
Montgomery County610-278-3601
www.montcopa.org/mcaas/
OFFICES OF AGING
STATE & COUNTY RESOURCES
Southeast Pennsylvania
OTHER SENIOR RESOURCES
AAA Reading-Berks800-373-4339
www.aaardgberks.com AARP PA State Office
717-238-2277 • www.aarp.orgBureau of Consumer Protection
717-787-9707National Council on the Aging
www.ncoa.orgPACENET Prescription Programs
800-225-PACE PA Department of Aging
717-783-1550PANPHA
www.panpha.orgSilver Sneakers Fitness Program
www.silversneakers.com
Local Resources& Websites
Pennsylvaniawww.state.pa.us
Berks Countywww.co.berks.pa.us
Berks Encorewww.BerksEncorePa.org
Chester Countywww.chesco.orgLancaster County
www.co.lancaster.pa.usLebanon County
www.pacounties.org/LebanonLehigh County
www.lehighcounty.orgMontgomery Countywww.montcopa.orgPA Senior Centers
www.paseniorcenters.orgPA State Senior Games
www.keystonegames.com
FALL, Leaves, PUMPKINS
Harvest, Family, Thankful
ADVERTISERSA Front Cover
Phoebe Ministries – Wernersville
B Back Cover The Highlands at Wyomissing – Wyomissing
C Inside Front Cover The Heritage of Green Hills - Shillington
D Inside Back Cover Mifflin Court Senior Living Community - Shillington
1 Phoebe Ministries – Wernersville
9 Alzheimer’s Association
12Hearthstone at Amity/Hearthstone at Maidencreek
19 The Highlands at Wyomissing – Wyomissing
21 Griswold Special Care – Wyomissing
23 Keystone Villa – Douglassville/Fleetwood
Berks
Lancaster
Lebanon
Lehigh
ChesterMontgomery
Reading
Topton
Lebanon
Hershey
Allentown
Pottstown
West ChesterHoney BrookGlenmoore
Lititz
Lancaster
A
West Grove
202
222
283
30 1
422
422
176
222
76
30
30
78
476
476
C D
23
2321B
12
12
4
Twenty years ago in 1992, Pennsylvania enacted its own Living Will statute. Under changes made to the state law in 2006, the types of Advance Health Care Directives recognized in Pennsylvania have been expanded. And since then, many citizens have taken the voluntary action to legally appoint a Health Care Power of Attorney and declare the extent to which extraordinary medical treatment should or should not be provided when death approaches and there is no chance for recovery. As in most states, Pennsylvania’s Living Will law is intended to permit those who are facing death the right to die with dignity. As stated in our law, however, living wills are not intended to “condone, authorize or approve mercy killing, euthanasia or aided suicide.”
When completed in advance a living will can spare grief stricken loved ones the anguish of difficult decisions in the absence of such a directive. If you do not have a living will, someone else will have to make decisions that can mean life or death for you. That is a terrible predicament to place others in. If your family has to make a decision to cease life-saving measures, the burden may be felt for many years. A living will takes this burden away.
To ensure that your medical treatment wishes will be carried out if you become unable to make or communicate them, you may appoint another person to make them for you through a Durable Health Care Power of Attorney. This is in addition to the recognition previously granted in your living will to direct the use of life support and other treatments in case of permanent unconsciousness or terminal illness.
A person who has a Durable Health Care Power of Attorney and Living Will may revoke those declarations at any time. If your wishes change, be sure to tell your doctor and prepare a new advance health care directive.
In deciding whether to appoint a Durable Health Care Power of Attorney and make a Living Will declaration, individuals should consider consulting with one or more of the following: your family, your doctor, clergy and/or attorney.
The decision of whether to appoint a Health Care Power of Attorney and make a Living Will is a very personal one. Pennsylvania’s law, however, ensures the rights of individuals of sound mind to make such decisions for themselves.
If you would like to request a copy of Pennsylvania’s Advance Health Care Directive Law that includes a form to appoint a Durable Health Care Power of Attorney and a Living Will declaration form, please contact my Reading District Office at 610.929.2151.
SAVING YOUR LOVED ONES A DIFFICULT CHOICE
State Senator Judith L. Schwank • 11th Senatorial District
Report To The People
As always, my office stands ready to assist you with any state-related matter. Please do not hesitate to contact me. You may call me
at the above number or email me [email protected].
Also visit my website or Facebook page for more news and information.
“
“
“
5Southeast Pennsylvania
Your Ultimate Resource... Senior Guidebook to Berks County
Providing seniors, baby boomers, and their families a complete resource for their housing, home care and aging needs.
• Complete Facility Directory
• Online Calendar of Events
• Local Resources
www.berksseniorguide.com
66
AAs the baby boomer generation ages, long-term care insurance has recently been receiving a lot of attention from the media. Of course, like many insurance products, it serves a particular market very well, but it is not necessarily for everyone.
Long-term care insurance is not just one service, but several services aimed at assisting individuals with serious prolonged physical illness, disability or cognitive impairment (such as Alzheimer’s disease). Services covered by this type of insurance may include, but are not limited to, help with daily activities at home, such as bathing and dressing, respite care, home health care, adult day care and care in a nursing home.
Who should be looking at purchasing this type of policy? Unfortunately, there is no simple answer. However, a good start is to evaluate your needs by taking your age, health status, overall retirement objectives and income into consideration.
Many people begin looking at these policies when they are already retired, but the cost for insurance is much less the younger you are. In addition, when you are younger, you most likely will not have the health concerns of an older person. If you already have potential long-term care health problems, you probably will not qualify for a policy because of the medical underwriting standards used to keep the cost of long-term care insurance affordable.
Long-term care insurance can be expensive. You should probably not purchase a policy if Social Security or Supplemental Security Income (SSI) is your only source of income. Nor should you do so if it will cause you to have trouble meeting other financial obligations, such as utilities, food or medicine.
The ideal candidate to purchase a long-term care policy would be an individual who can comfortably pay the insurance premiums. Even if this individual has substantial assets, they may feel their assets would be depleted if they had a prolonged stay at a nursing home; that is, their assets are not large enough so that the income produced will cover their expenses.
Although it is difficult to think about or even imagine, the fact is 60 percent of us will require long-term care at some point in our lives, and of that 60 percent, more than 40 percent will be over 65 years of age. In other words, the older you are, the greater the probability some form of long-term care will be required.
This realization is further compounded by statistics that show there is a 1 in 4 chance you will pay $100,000 or more in long-term care expenses in your lifetime. Compare this to a one in 1200 chance of a $100,000 loss from a fire or accident in your home; a one in 240 chance of a $100,000 or greater liability suit arising from an automobile accident; and a one in 15 chance of encountering major medical expenses of $100,000 or more.
Surprised? Well, you are not alone. Most people do not even consider long-term care until they have a need for it. Even then, the assumption is that Medicare or Medicaid will pay the expenses, but this is not always the case. Medicare covers less than two percent of nursing home expenses. Medicare only covers skilled care. Medicare does not cover custodial care (95% of people in nursing homes are receiving care at the custodial level). Medicaid, on the other hand, will pay for nursing home expenses but only after an individual has exhausted his or her assets and needs financial assistance.
Currently, the cost of a year in a nursing home in the Washington area is approaching $60,000 a year, a figure not uncommon for large cities. Nationally, however, the average cost for nursing home care is $40,000 to $45,000 a year. Home or custodial care—the care you receive when you need help with day to day tasks—could be a little less but not much. So, as you can see, even with the help of Medicare and Medicaid, long-term care can quickly deplete your savings if you are not prepared.
For some, especially those who want to maintain their independence and have the most choice as to where, when, and how care is provided, long-term care insurance exists as an option. Long-term care insurance covers the costs of home health care, community-based care and nursing home care, and can work in conjunction with Medicare or private health insurance to help handle the cost of a lengthy illness.
Long-term care insurance can provide you or a loved one with the financial protection necessary during a period of serious prolonged physical illness, disability or cognitive impairment. It can also help you safeguard your assets and protect your financial stability.
Is Long-Term Care Insurance Right For You?
FACT: 60 percent of us will require long-term care at some point in our lives
7Southeast Pennsylvania
The Heritage of Green Hills is “Bending the Aging Curve” One Rep at a TimeResidents at the Cumru Township senior living community make fitness and good health a top priority
As many Americans observed National Physical Fitness Month earlier this summer, residents at The Heritage of Green Hills are proving that fitness can be a life-long pursuit. Roughly 80 percent of the senior community is involved in regular physical fitness activities.
Founded on the principles of a healthy mind, body and spirit, The Heritage believes in promoting the value of physical activity in the pursuit of happier, healthier, more productive lives. From state-of-the-art exercise equipment to an expansive fitness center and pool with a retractable roof, to a wide variety of group fitness classes, the opportunities to stay active at The Heritage are plentiful.
One program that has helped revolutionize the level of physical fitness participation among the residents is “Bending the Aging Curve,” a concept that Lindsay Hallman, certified fitness instructor at The Heritage, introduced to the community last October. Hallman developed an elaborate exercise program for residents interested in individual exercise regimens. Residents are first tested on their muscular strength and endurance, cardiovascular endurance, balance and flexibility. “The program’s primary goal is to prevent certain injuries that come with age. All four of those categories are areas you definitely want to touch upon in an exercise prescription for this age group,” said Hallman, referring to participants at The Heritage who range from 55-93 years of age. Based on their results, Hallman creates a tailored fitness program to address the individual’s fitness needs and personal fitness goals.
After their initial testing, residents are assessed again at three months and six months, working independently toward their goals in between each assessment. This repetitive testing model serves as a constant reminder to residents, motivating them to keep up their workouts in the interim and allowing them to more closely monitor personal progress. At each assessment they are given a score based on age group and gender, which helps them evaluate their level of physical fitness compared to the recommended level for a particular age group.
While personal training sessions are available, most residents carry out the workouts outlined in their prescription individually, and all of this is at no charge to residents of the community. Already, more than 70 residents are enrolled in the program since it began
ten months ago, an amount that makes up for 40% of The Heritage’s entire resident population.
Resident Bob Clark, 74, didn’t always recognize the importance of exercise. But almost immediately after moving in to The Heritage last November, he enrolled in the Bending the Aging Curve program and is now preparing for his three-month follow-up post-testing. He says that for the first time in his life, he feels comfortable working out.
“Bending the Aging Curve is just one of many reasons the fitness curriculum at The Heritage is so exceptional,” Clark said. The staff is
knowledgeable and patient, and the inviting atmosphere makes me feel right at home. I am no longer intimidated to step foot in the gym. Instead, I am eager to walk in and be greeted by familiar faces. Not only has my involvement in fitness activities made me feel better physically, but it has enabled me to develop wonderful personal relationships as well.”
Clark feels the individualized attention combined with the repetitive assessments gave him the motivation he needed to get to the gym. Since enrolling, he has lost more than ten pounds, much more than he ever anticipated losing. “He is now one of the most dedicated people we have here," said Hallman.
According to Hallman, residents like the fact that Bending the Aging Curve gives them tangible evidence of improvement, which in turn gives them the motivation to keep going. "It has been very positive," Hallman said of the response to the program she developed and executed. “Most of the residents want to learn and get stronger physically. I’m constantly impressed by their determination to improving their strength and physical abilities.”
In addition to individualized workout programs, The Heritage offers an abundance of group activities in which residents can participate, including tai chi, yoga, aerobics, dance classes, water sports, aquatic fitness classes, Pilates and more, in addition to fitness field trips involving kayaking and nature walks around Berks County. The variety of fitness activities has gone over well with the 170 residents who live in the independent living community, with a consistently growing number of residents participating. As for the Bending the Aging Curve program, it is approaching 60 participants.
"Water volleyball is huge, and we offer games three times a week," Hallman said. In fact, the sport drew so much interest among residents that The Heritage held an inaugural water volleyball tournament in February. After a successful first event,
plans for a second tournament are in the works.
“I think the water volleyball tournament really exemplifies life at The Heritage and defines the nature of the residents,” said Cheryl Anderson, Community Life Services Director. “The sport itself is very physically-demanding, and we have a lot of active residents who are up for that challenge. There is a lot of vivacity in our community and I think the tournament perpetuated this energy and hopefully sparked even more interest in our water fitness curriculum.” In addition to water volleyball, residents can partake in water polo, water basketball and water pong.
Most recently, residents competed for gold, silver and bronze during The Heritage Games,
the senior community’s Olympic-style games. The week-long festivities coincided with the 2012 Summer Olympics in London, and consisted of a series of friendly sporting events and other group activities, including a triathlon, bocce ball, ladder golf, horseshoes, softball throw, bridge and Sudoku tournaments, a whiffle ball tournament, equestrian races in the pool, Wii bowling, water balloon toss, corn hole and golfing.
After five days, the games concluded with a proper closing ceremony during which the winners from each event were announced and presented with awards. An Olympic Hall of Fame is now on display in the exercise studio, showcasing the names and photos of the winners.
“Our ultimate goal is to provide residents with a wide range of activities that engages them in fitness and arms them with the education and tools they need to stay in shape,” said Hallman. “Luckily for us, the residents’ make our job easy because they are so determined to maintain their good health.”
(from left to right): Fran Wenzel, Brandon LEsperance, Don Westley, Dave Morton, Vito Wenzel. Residents participate in a competitive balloon toss, one of many events hosted during The Heritage Games, which coincided with
the Summer Olympics in London.
Charlie Leslie does several repetitions of chest presses as
part of his customized fitness curriculum.
Front Row (left to right): Liz Hill, Jackie Shinn Row 2: Pat Kostenbader Row 3 (left to right): Carol Lauer, Bob
Kostenbader, Dick Walter, Elizabeth Pierce Row 4 (left to right): Lucille Stoudt, Ethan Smith, Kathy Maier, Healther Bittenbender,
Hal Bittenbender Row 5: Bob Clark Last Row: Vito Wenzel, Russ Pierce, Charlie Hill Spectators 1st row (left to right): Margie
Clark, Jeanine Walter, Gloria Naimoli, Janet Upton, Joan Diefenderfer, Dee Seitzinger, George Law, Ginny Freyling,
Genny DunkleSpectators Row 2 (left to right): Pat Lang, Fran Wenzel, Jean Smith
Residents volleyed for a win during The Heritage of Green Hill’s inaugural Water Volleyball
Tournament, which attracted a huge crowd of spectators cheering on their neighbors and
friends. The first tournament consisted of two teams playing the best of five 15-point games.
88
Let's face it—caring for a loved one can be taxing for caregivers with busy schedules. Sometimes even extraordinary effort by family members just isn't enough to give seniors the kind of care and support they need.
Yet home care and 24-hour personal care can become terribly expensive. The average home care agency charges $20-25 per hour for an aide to come into the home, and most agencies have a four-hour minimum—bringing the total cost of care for one day to at least $80, if not substantially more. In comparison, Phoebe's Adult Day Program costs just $40 for its half-day program, and $58 for a full day (up to 10.5 hours) of care. While aids from home care agencies are often skilled at providing assistance with personal care, they're seldom trained or skilled in engaging individuals in stimulating social activities.
That's just what some seniors need—socialization and stimulation to add to the quality of life for those who might otherwise be isolated: Either those who have no cognitive impairment, but are looking for socialization and interaction, or those with cognitive impairment who simply need a secure environment.
Phoebe's Adult Day Program provides Montessori-based programming tailored to meet the needs of all individuals that attend, freeing family caregivers to work, run errands, or pursue other interests while ensuring that their loved one is in a safe and secure setting. Seniors can obtain the care they need and the socialization they crave while still living at home.
Studies have shown the benefit of socialization in maintaining mental health and for slowing the progress of dementia. In fact, a study complete just a few years ago showed that individuals aged 50 and over who were most engaged in social activity had the slowest rate of memory decline. Compared to those who were the least socially integrated, those with the highest social integration had less than half the rate of memory loss!
Phoebe's Adult Day Program also provides specially trained nursing and activity staff experienced in serving those with dementia and Parkinson's Disease. Breakfast and lunch are prepared from home-style recipes. Necessary medications can be administered. Attendees also have access to all the wonderful benefits of Phoebe's campus, including physical, occupational, and speech therapies, assistance with bathing and personal care, beauty and barber services, a podiatrist, the Dakim Brain Fitness Computer, and Phoebe's Parkinson's Disease care through TeleHealth.
The program is available Monday through Friday, 7am to 5:30pm, with flexible full-day and half-day schedules and no minimum attendance required. If you qualify, funding may be available through Berks, Lebanon, and Lancaster County waiver and options programs or through Veteran's Affairs.
Learn more about Phoebe’s Adult Day program by visiting www.phoebe.org/Berks or by calling 610-927-8940.
Socialization and Important Benefits of an Adult Day CenterBy Amy Nelson, Administrator, Tranquility Place
9Southeast Pennsylvania
W
10
Mexico Travel For Seniors - Tips For
a Safe, Healthy, Worry-Free Vacation
By John U. Lord
Mexico Travel For Seniors - Tips For
a Safe, Healthy, Worry-Free Vacation
We are often asked by seniors or by those wishing to travel with an older relative whether or not it is wise to choose Mexico as a destination. The answer is an enthusiastic Yes!... with a little fine print.
Mexico is a delightful place for seniors to travel. The people in general are gracious and happy to welcome foreign visitors. The culture is vibrant and festive, and there are very few places on earth where one can see as much history and natural beauty. In fact, Mexico remains today the number one expatriate retirement choice for citizens of both the US and Canada, in spite of the much publicized recent troubles with Swine Flu and drug trade related violence.
For most senior travelers, the biggest concern with whether or not they are going to get sick. Fortunately, with a little advance preparation and a few precautions on the road, you can enjoy all the country has to offer without missing a beat.
The first and most important preventative measure is to see your doctor before leaving home. Just do it. Your physician knows your history and will also be up to date on latest medical news. Follow his or her advice. Make sure you receive the proper inoculations and vaccinations. This precaution is fundamental.
After your visit to the doctor's office, it's time to deal with more mundane issues. First among these is the universal concern with Montezuma's Revenge, aka the tourista, or "traveler's diarrhea" which results from consuming tainted food or water. Though usually not serious, the tourista is extremely unpleasant, and takes at least twenty-four hours to run its course, leaving its victims weak and gun-shy about experimenting with the local cuisine.
At the risk of sounding unsympathetic: anyone who comes down with the tourista in Mexico today is just not being careful. Just know the lay of the land. Mexico is not a third world country, but it is a country in development. Over the last twenty years, great strides have been made in improving hygiene, and this is especially true in the many tourist zones.
To avoid the tourista, follow these simple precautions:
• Give yourself a few days to allow your system to adjust. One of our favorite treats in Mexico is the delicious street food, but when you first arrive, stick to the restaurants that obviously cater to foreign guests.
• Be careful with unpeeled fruits and vegetables. Fortunately, it's longer necessary to eliminate them from your diet while traveling in Mexico, and what a shame that would be! Throughout the country there is an abundance of wonderful produce served in ways that tempt the palate, serve up healthy doses of vitamins and other nutrients, and help keep your system hydrated. But it is important to check to make sure that all unpeeled produce has been sterilized by washing in disinfected water. If you are ever in doubt, never hesitate to ask. Don't worry about offending your waiter...It's worth it, believe me!
• Pack appropriate medicines. Pick up an anti-diarrheal at your local pharmacy and bring along a bottle of analgesic. A good multi-vitamin will ensure that you're not missing essential nutrients while savoring an unfamiliar cuisine. If you forget to pack these items, don't worry: there's are pharmacies everywhere in Mexico and they are almost always first rate.
• Stay hydrated. This goes for everyone who travels to Mexico, regardless of age. It's a hot place, and it's very easy to dry out. Make sure you always have plenty of bottled water on hand at all times and take it easy with diuretic beverages such as alcohol, coffee, and cola.
Again, the best advice here is to talk to your doctor. Having said that, it is clear that the Swine Flu, while officially a pandemic, turns out to be no worse than the more common viruses that appear every year during flu season. The good news for senior travelers is that, statistically, we are less likely to catch the Swine Flu than those who are younger. As we age, our immune systems become more mature and develop a greater ability to resist infections such as the flu virus.
Montezuma's Revenge
Swine Flu
11Southeast Pennsylvania
Hot Flashes and How To Handle Them With EaseBy Kris T Smith
As a certified master Personal Trainer and Nutrition Specialist, I'm usually looked at funny when I begin to talk
about the subject of this article. Here's why for one I'm a male, and I don't look like your typical menopause fitness expert. My experience comes from personally coaching hundreds of menopausal women over the last thirteen years and I have learned to really understand the female body and how peri-menopause and hot flashes affects a women's life once it begins.
For women who are going through menopause, hot flashes are one of the most common symptoms. The majority of American women who are in the middle of menopause experience night sweats from time to time. Hot flushes can be a sudden feeling of warmth that comes over the body, accompanied by reddening of the face and sweating, which is then followed by a cooling sensation. What causes hot flashes is not yet known, and they tend to happen without warning. Some women also experience an increased heart rate and chills along with the hot flashes. Hot flashes that are accompanied by sweating and that occur during the nighttime are called night sweats. It is known that hot flashes are related to the circulation of the blood. Hot flashes, though uncomfortable are generally harmless otherwise. For some women, they only occur for a short period of time, while for others they continue even after menopause. Prevented and remedied for this symptom are fairly simple methods.
For most women who are in the midst of menopause, feeling warm and sweaty at random times of the day pretty much go hand in hand with this phase of their lives. It can even be said that flashes cannot be avoided during menopause. For quick relief, take simple measures once you begin to feel a body temperature change begins.
One obvious solution for is to stay cool and trying not to get yourself too worked when you feel a flash coming on. Staying cool can be accomplished by keeping the air conditioner on, wearing lighter clothing if possible, and staying away from sources of heat.
Most remedies aren't too complex and only take simple measures to provide relief. Another method is breathing exercises. When a flash begins to happens, simply take deep breathes for as long as necessary until the feeling passes. Try practicing breathing throughout the day to relieve stress levels and lower the chance of a random flare up.
Other remedies for hot flashes include exercising and paying careful attention to your diet. Exercises like biking, running, or walking are a great help. Certain foods are known to contribute to flare up, so watch your diet and avoid foods like spicy food, alcohol and caffeine. Hormone replacement therapy provides relief for menopause and many of the female symptom women experience during this period of their lives. Since hot flashes are a part of menopausal symptoms, getting hormone replacement therapy for menopause relief will reduce the occurrence of hot flashes. If these don't work for your relief, then you can try prescription or non-prescription drugs. Vitamins A and B complex as well as Ibuprofen are considered hot flash remedies. There are also other prescription drugs that can help relieve this severity of this symptom.
Otherwise, for hot flash relief and overall menopause relief, preventative measures should be taken as well as general daily care to lessen and prevent the symptoms. Experiencing body temperature changes are only a normal part of menopause. If the right steps are taken, the experiencing night sweats and warm sensations during random times a day can stop completely. Following a healthy active lifestyle will make this crazy symptom become much more bearable once it occurs. If you are unsure of what to do, always consult a doctor for the best advice on how to lessen or prevent your menopause symptoms.Kris T. Smith is the author of The 7 Day Menopause Diet Guide and founder of the My Menopause Fix Blog. If you liked this article then you can find more tips, and strategies on menopause fitness, menopause exercise, and weight loss http://www.mymenopausefix.com.
Article Source: http://EzineArticles.com/?expert=Kris_T_Smith
Editors Note: As with any medical related issue, please consult your doctor with questions about symptoms and before attempting any new treatment.
There are localized, sporadic outbreaks of more serious disease in Mexico, but they are rare and generally only occur in isolated areas. Your pre-departure inoculations should keep you safe, but if you're still concerned, just stay on the beaten track. There is a great deal to see in Mexico in places that the government has carefully developed to welcome foreign visitors. Expeditions to more remote locations, jungle or heavily forested areas prone to mosquito infestations, for example, do carry additional risks. We would never categorically exclude traveling to these areas, they are some of the best places of all, but they do require extra preparation and care. If this kind of travel is on your itinerary, tell your doctor.
Mexico is for most extranjeros a largely undiscovered, romantic, fascinating world of adventure. It's a country to fall in love with. With just a little foresight, you can be sure that your trip will be safe, healthy, and worry-free.
My name is John Lord. My wife Alma, a native of Puebla, Mexico, and I divide our time between the NY metro area and Mexico. Today, we specialize in cultural tourism, with a focus on the Yucatan. We also collect Mexican artesanias (hand crafts) and conduct cooking classes in Mexican regional cuisine.
We maintain a website dedicated to helping senior travelers enjoy the endless variety and delight of Mexico. Check us out at [http://www.yucatan-vacations.com].
Make Mexico your next travel destination and prepare yourself for an adventure you will cherish always.
Other serious disease.
Article Source: http://EzineArticles.com/?expert=John_U._Lord
12
13Southeast Pennsylvania
Due to recently changed legislation there is some confusion as to exactly what a personal care home is and what
services they perform. A Personal Care Home is defined as a premise in which food, shelter and personal assistance or supervision are provided for a period exceeding 24 hours, for 4 or more adults who are not the relatives of the operator, who do not require the services in or of a licensed long term care facility, but do require assistance or supervision in activities of daily living or instrumental activities of daily living. Personal care homes are inspected and licensed by the Department of Public Welfare.
Knowing when our parents could benefit from a personal care home is not so easily defined. There is really not one single or special sign in determining this but rather a closer look at things in general. Are they struggling with cleanliness and upkeep of their home or self? Are there safety issues such as steps or bathtubs that pose a serious risk for falling? Are they able to manage their medications, taking them as prescribed? Are they still engaging in daily living or do they feel lonely and isolated due to a decrease in their ability to get around and interact with others? Any one or combination of these may be an indication that your parents could benefit from residing in a personal care community.
Finding the right community takes some time and preparation. Again, there is no easy answer here, but be sure they are not all created equal. The most deciding factor for most families is location. Is the home conveniently located for family and friends to visit? Does the community have quick access to medical facilities in the event of an emergency? Another consideration is the cost. Here is where you want to be sure to be comparing apples to apples. Be sure to know what your costs are going in. Be aware that the more room sizes that are offered, the more difficult it is to “compare apples to apples”. What is included, how much will you pay for increased levels of care, how often will resident be assessed? Please know that the Personal Care Regulations stipulate (*) that a resident is entitled to at least one hour of personal care services. You are paying for at least one hour of services. If you are told that there is an additional or new leveling charge because a resident needs help getting dressed, or bathing, ask what other ADL’s are you providing the other 45 minutes of the day that total at least 1 hour of services.
* [2600.57(b) - Direct care staff persons shall be available to provide at least 1 hour per day of personal care services to each mobile resident. ].
The Personal Care Home: 2012By Anthony Camilli
Is there a buy in fee? How often are the daily rates and/or ancillary charges increased and to what extent?
More than likely you will have researched the two areas of location and cost, and will now be ready to visit some communities. You will quickly see that each community is different in philosophy, personality, construction and design. What is the community’s approach in providing for the needs of their residents? Is it a “one size fits all” approach or a true resident centered approach derived from regularly scheduled resident council meetings, food committee meetings, individualized care plans and a commitment to enhancing the lives of each resident? This balance between offering personal assistance yet maintaining the resident’s dignity and independence should be of utmost importance within the community. This concept should be evident in all aspects of the community including the structure and design of the building. Is the community designed in such a way as to provide peace of mind to the residents as well as their families?
Many people feel that the ideal community should provide one floor living eliminating steps or elevators. Ideally a community will be equipped with a 24 hour emergency response system, state of the art fire, safety, security and carbon monoxide systems and back up electrical generators to ensure that the community is prepared and the residents receive continued care in the event of an emergency.
Pay attention to details as you tour each community. Observe both residents and staff and how they interact with each other. Do the residents look clean and well cared for? Do they seem happy? Is the community free of unpleasant odors? Do they have an activity program with a list of activities posted? Do they provide transportation, what destinations are included, and at what cost? What is the overall atmosphere of the community? Ultimately the question becomes what are the particular care needs that you are looking to be fulfilled and how well can this community meet those needs? A quality community should exceed your expectations, not just simply address the needs.
In summation most quality operated personal care communities can offer most of what the newly created “Assisted living” communities offer and usually at a lower cost. You may read both Personal Care Regulations as well as Assisted Living Regulations on their websites. You may also review a communities inspection results from their past surveys on the DPW website (http://www.dpw.state.pa.us/dpwassets/pchdirectory/index.htm.)
14
Keystone Villa at FleetwoodIND, PC • 484-637-8200501 Hoch Rd.Blandon, PA 19510www.keystonevilla.com
Kutztown ManorN • 610-683-6220Kutztown PA
Laurel Personal Care HomeN, PC • 610-562-2284Hamburg PA
Liberty SquarePC • 610-589-1679Stouchsburg PA
The Lutheran Home at ToptonCCRC, A/D • 800-322-9597 Topton PA
The Manor At Market SquareIND, PC • 610-373-0800Reading PA
Manor Care Health ServicesN, A/D • 610-374-5166West Reading PA
Manor Care Health ServicesN, A/D • 610-921-9292Laureldale PA
Manor Care Health ServicesN, A/D • 610-670-2100Sinking Spring PA
Manorcare PottstownN • 610-323-1837Pottstown PA
Mifflin CenterN • 610-777-7841Shillington PA
Mifflin CourtPC • 610-796-1600450 E. Philadelphia Ave. 19607 Shillington PAwww.genesishcc.com
Miller Personal Care HomePC • 610-374-9203Reading PA
Berkshire CommonsPC, A/D • 610-779-3993Reading PA
Berkshire CenterN • 610-779-0600Reading PA
Berkshire ManorN • 610-779-0600Reading, PA
Berks HeimN • 610-376-4841Leesport PA
Berks Leisure LivingPC • 610-916-8833Leesport PA
Bernet Golden Age Guest HomePC • 610-689-5360Birdsboro PA
Beverly Healthcare ReadingN • 610-779-8522Exeter PA
Buehrle Assisted LivingPC, A/D • 610-682-1360Topton PA
Chestnut KnollPC, A/D • 610-473-8066Boyertown PA
Colonial Manor Adult HomePC • 610-385-6175Douglassville PA
Columbia CottagePC • 610-927-0310Wyomissing PA
Country Meadows of WyomissingIND, PC, A/D • 610-374-3122Wyomissing, PA
Danken HousePC • 610-678-9282Wernersville PA
Elmcroft of ReadingPC • 610-370-2211Reading PA
Phoebe Berks Health Care CenterN, RHB • 610-678-40021 Heidelberg DriveWernersville PA 19565www.phoebe.org
Phoebe Berks VillageCCRC • 610-927-85501 Reading DriveWernersville PA 19565www.phoebe.org
Phoebe Berks Village CommonsPC • 610-927-8512 1 Reading DriveWernersville PA 19565www.phoebe.org
Providence HouseIND • 610-376-7787Reading PA
Rittenhouse Senior Livingof ReadingPC • 610-208-8890Reading PA
Sacred Heart VillaPC • 610-929-5751Reading PA
Spruce ManorN, A/D, RHB • 610-374-5175West Reading PA
Stabon Manor Personal Care HomePC • 610-373-2272Reading PA
Twin Spruce of MyerstownIND • 717-866-2938Myerstown PA
The Villa St. ElizabethPC • 610-478-1201Reading PA
Walnut Woods of BoyertownIND • 610-367-6616Boyertown PA
Wyomissing Nursing &Rehabilitation CenterN • 610-376-3991Wyomissing PA
Evans Retirement CenterPC • 610-944-7257Fleetwood PA
Golden Living Center of ReadingN • 610-779-8522Reading PA
Golden Ridge at Furnace KnollPC • 610-693-5850Robesonia PA
Grand View ManorPC• 610-944-1800Fleetwood PA
Green Hills ManorPC • 610-775-1451 10 Tranquility LaneReading PA 19607
Harmony Hill Assisted LivingPC • 610-589-5415Womelsdorf PA
The HawthornePC • 610-375-9696Reading PA
Hearthstone at AmityPC • 610-385-7600139 Old Swede RoadDouglassville PA 19518www.hearthstonehealthgroup.com
Hearthstone at MaidencreekPC • 610-926-7600105 Dries RoadReading PA 19605www.hearthstonehealthgroup.com
The Heritage of Green HillsCCRC • 484-269-5100200 Tranquility LaneReading PA 19607ww.heritageofgreenhills.com
The Highlands at WyomissingCCRC, A/D • 610-775-23002000 Cambridge AvenueWyomissing PA 19610www.TheHighlands.comKeystone Villa at DouglassvilleIND, PC, A/D • 610-385-50021152A Ben Franklin Highway EastDouglassvilla, PA 19518www.keystonevilla.com
Directory of Residential Facilities inBERKS, CHESTER, LANCASTER, LEBANON, LEHIGH & MONTGOMERY COUNTIES
Properties in boldface are advertisers in The Senior GuidebookLists provided and updated by PA Dept of Health, PA Dept of Insurance, and the County Offices of Aging
Email changes/additions to: [email protected]
AA - Active Adult IND - Independent Living PC – Personal Care/Assisted Living N - Skilled Nursing
RHB – Rehabilitation A/D - Alzeimer’s & Dementia Care CCRC – Continuing Care Retirement Community (Assisted Living/Skilled Nursing/Independent Living)
BERKS
15Southeast Pennsylvania
Lancashire TerraceRetirement VillageIND • 717-569-3215Lancaster PA
Landis HomesRetirement CommunityCCRC, A/D • 717-569-3271Lititz PA
Laurel View Memory SupportAssisted LivingA/D • 717-355-6000New Holland PA
The Long CommunityPC • 717-381-4900Lancaster PA
The Long HomePC • 717-397-3926Lancaster PA
Longwood ManorPC • 717-426-0033Maytown PA
Luther AcresCCRC • 717-626-6884Lititz PA
Magnolias of LancasterA/D • 717-560-1100Lancaster PA
ManorCare Health ServicesPC, N • 717-367-1377Elizabethtown PA
ManorCare Health ServicesN • 717-397-4261Lancaster PA
Maple Farms Nursing CenterN • 717-859-1191Akron PA
Masonic Village at ElizabethtownCCRC • 717-367-1121Elizabethtown PA
Meadow RidgePC/AL • 717-490-8100Lancaster PA
Mennonite HomeCCRC, A/D • 717-393-1301Lancaster PA
Moravian ManorCCRC • 717-626-0214Lititz PA
Mountain View Assisted LivingPC • 717-355-6000New Holland PA
Moyer Personal Care HomePC • 717-721-6194Ephrata PA
Mt. Hope Nazarene Retirement CommunityN • 717-665-6365Manheim PA
The Muhlenberg LodgePC • 717-627-2335Lititz PA
Oak Leaf ManorPC • 717-872-9100Millersville PA
Oak Leaf Manor NorthPC, A/D • 717-898-4663Landisville PA
Personal Touch Assisted LivingPC • 717-733-3880Ephrata PA
Pleasant ViewRetirement CommunityCCRC • 717-665-2445Manheim PA
Quarryville PresbyterianRetirement CommunityCCRC, A/D • 717-786-7321Quarryville PA
Red Rose ManorPC • 717-394-8999Lancaster PA
Rheems Nursing CenterN • 717-367-1831Rheems PA
St. Anne’s Retirement CommunityN, PC, IND • 717-285-5443Columbia PA
St. John’s Herr EstateIND, PC • 717-684-0678Columbia PA
Sunny Crest HomePC • 610-286-5000Morgantown PA
Susquehanna Valley Reha-bilitation and Nursing FacilityN • 717-684-7555Columbia PA
United Zion HomeCCRC • 717-626-2071Lititz PA
Village Vista Skilled Nursing Facility N • 717-397-5583Lancaster PA
Vineyard of CentervillePC • 717-299-2919Lancaster PA
Evergreen EstatesRetirement CommunityPC • 717-394-2208Lancaster PA
Fairmount HomesCCRC • 717-354-4111Ephrata PA
Faith Friendship Villaof MountvillePC • 717-285-5596Mountville PA
Friendship CommunityPC • 717-656-2466Lititz PA
Garden Spot VillageCCRC, A/D • 717-355-6000New Holland PA
Golden Living Center N • 717-397-4281Lancaster PA
The GrovesPC • 717-733-2040Ephrata PA
Hamilton ArmsN • 717-393-0419Lancaster PA
Harrison House of ChristianaN • 610-593-6901Christiana PA
Harvest View Assisted LivingCCRC • 717-445-4551Narvon PA
Heatherbank Nursing andRehabilitation CenterN • 717-684-7555Columbia PA
Hershey Mill HomePC • 717-285-3358Mountville PA
Hearthstone Retirement VillaPC • 717-492-9692Mount Joy PA
Homestead VillageCCRC • 717-397-4831Lancaster PA
Hope HousePC • 717-293-9089Lancaster PA
Lancashire Hall Nursing andRehabilitation CenterN • 717-569-3211Lancaster PA
Akron HavenPC • 717-859-4141Akron PA
Audubon VillaN, PC • 717-626-0211Lititz PA
Brereton Manor Guest HomePC • 717-872-2403Washington Boro PA
Brethren VillageCCRC • 717-569-2657Lancaster PA
Calvary Fellowship HomesCCRC • 717-393-0711Lancaster PA
Cambridge LancasterPC • 717-397-3000Lancaster PA
Cherry Street HomePC • 717-684-7060Columbia PA
Cocalico Assisted LivingPC • 717-335-2244Denver PA
Cocalico Christian HomePC • 717-336-1788Denver PA
Colonial HallPC • 717-397-3000Lancaster PA
Colonial LodgePC • 717-336-5501Denver PA
Conestoga ViewN, RHB, A/D • 717-299-7850Lancaster PA
Country Meadows of LancasterPC, A/D • 717-392-4100Lancaster, PA
Country View ManorPC • 717-284-3350Quarryville PA
Denver Nursing HomeN, PC • 717-627-1123Stevens PA
Ephrata ManorIND, N, PC • 717-738-4940Ephrata PA
LANCASTER
16
Arden CourtsA/D • 610-366-9010Allentown PA
Atria BethlehemIND, PC, A/D • 610-317-0700Bethlehem PA
Blough Healthcare CenterN • 610-868-4982Bethlehem PA
Cedarbrook Nursing HomesN • 610-395-3727Cedarbrook Lehigh County Home Allentown PA
Country Meadows of AllentownPC, IND, A/D • 610-395-6521Allentown PA
David A Miller Assisted LivingPC • 610-794-53001925 Turner StreetAllentown PA 18104www.phoebe.org
Fellowship ManorN, PC, IND • 610-799-3000Whitehall PA
Good Shepherd Home BethlehemN • 610-807-5600Bethlehem PA
Good Shepherd HomeLongterm Care FacilityN • 610-776-3136Allentown PA
Green Meadows at AllentownPC • 610-434-7433Allentown PA
Holy Family ManorN • 610-865-5595Bethlehem PA
Kirkland VillageCCR • 610-691-4504Bethlehem PA
Lehigh Manor Nursing & Rehab Center N, A/D • 610-366-0500Macungie PA
Lehigh Valley Hospital TCU• 610-402-3300 Allentown PA
Liberty Nursing And Rehab CenterN • 610-432-4351Allentown PA
Luther Crest Retirement CommunityCCRC • 610-391-8220Allentown PA
Manorcare Health Svcs AllentownN, A/D • 610-776-7522Allentown PA
Manorcare Health Svcs-Bethlehem IN, A/D • 610-865-6077Bethlehem PA
Manorcare Health Svcs-Bethlehem IIN • 610-861-0100Bethlehem PA
Moravian Village of BethlehemCCRC • 610-954-7349Bethlehem PA
Mosser Nursing HomeN, A/D • 610-395-5661Trexlertown PA
New Seasons at MountainviewPC, RHB, A/D • 610-797-4651Allentown PA
New Seasons at AllentownPC, RHB • 610-433-9220Allentown PA
Phoebe ApartmentsIND • 610-794-62621901 West Linden StreetAllentown PA 18104www.phoebe.org
Phoebe HomeN, RHB • 610-435-90371925 Turner StreetAllentown PA 18104www.phoebe.orgPhoebe TerraceRetirement CommunityAA • 610-794-60001940 Turner StreetAllentown PA 18104www.phoebe.org
Sacred Heart Hospital TCFAllentown PA • 610-776-4500
St. Luke’s TCU• 610-954-4242Bethlehem PA
Traditions of HanoverIND • 610-882-0400Bethlehem, PA
Valley Manor Nursing And RehabN • 610-282-1919Coopersburg PA
Westminster VillageCCRC • 610-434-6245Allentown PA
Kar-Lyn HomesPC • 717-274-7525Lebanon PA
Kindred PlaceIND • 717-867-5572Annville PA
Lebanon Valley Brethren Home• 717-838-5406Palmyra PA
Lebanon Valley HomeN • 717-867-4467Annville PA
Linden VillagePC, A/D • 717-274-7400Lebanon PA
ManorCare Health ServicesN, A/D • 717-273-8595Lebanon PA
Palmyra Nursing HomeN • 717-838-3011Palmyra PA
Pleasant View RetirementCommunityCRC, A/D • 717-665-2445Manheim PA
Rothermel L Caplan TCU• 717-270-7729Lebanon PA
Spang Crest ManorPC, N, RHB, Daycare• 717-274-1495 Lebanon PA
StoneRidge Poplar RunCCRC • 717-866-3200Myerstown, PA
StoneRidge Towne CenterN RHB PC A/D 717-866-3200Myerstown, PA
The Traditions of HersheyIND • 717-838-2330Palmyra, PA
Twin Oaks Nursing HomePC, N • 717-838-2231Campbelltown PA
Twin Spruce of MyerstownPC • 717-866-2938Myerstown PA
United Christian Church HomeCCRC • 717-867-4636Annville PA
York StreetPC • 717-272-1124Lebanon PA
Welsh Mountain Samaritan HomePC • 717-355-9522New Holland PA
Westvue at Homestead VillagePC • 717-397-4831Lancaster PA
Willow ValleyRetirement CommunitiesCCRC • 717-464-6800Lancaster PA 800-770-5445
Willow Valley – The Glen N, PC • 717-464-6161Lancaster PA
Willow Valley – Meadow RidgePC • 717-490-8100Willow Street PA
Willow View HomePC • 717-786-5519Willow Street PA
Woodcrest VillaRetirement CommunityCCRC, A/D • 717-390-4100Lancaster PA
Woodland HeightsRetirement CommunityCCRC • 717-445-8741Narvon PA
Zerbe Sisters Nursing CenterN • 717-445-4551Narvon PA
Cedar HavenN, A/D • 717-274-0421Lebanon PA
Columbia Cottage-Palmyra• 717-832-2900Palmyra PA
Cornwall ManorCCRC • 717-273-2647Cornwall PA
Elmcroft of LebanonPC • 717-228-0909Labanon PA
Hearthstone Manor of LebanonPC, A/D • 717-272-8782Lebanon PA
Hill Farm EstatePC, IND • 717-867-5176Annville PA
LEBANON
LEHIGH
17
Oakbridge Terrace Assisted Living ResidencePC • 215-542-8787At Fort WashingtonFort Washington, PA
Oakbridge Terrace Assisted Living Residence at Gwynedd EstatesPC • 215-628-8840Spring House, PA
Oakbridge Terrace Assisted Living Residence at NormandyPC • 215-699-8727Blue Bell, PA
Oakbridge Terrace Assisted Living Residence at Spring House PC • 215-628-8110Lower Gwynedd, PA
Park Avenue ManorPC • 215-679-4022Pennsburg, PA
Peter Becker CommunityPC • 215-256-9501Harleysville, PA
Rydal ParkCCRC • 215-885-6800Rydal, PA
Sanatoga CourtPC • 610-718-0900Pottstown, PA
Sanatoga Ridge CommunityIND • 888-539-0088Pottstown, PA
Sauders HouseN, A/D • 610-658-5100Wynnewood, PA
Senior SuitesPC • 610-272-6200Norristown, PA
Shannondell at Valley ForgeCCRC • 800-669-2318 Audubon, PA
Souderton Mennonite HomeCCRC, A/D • 215-723-9881Souderton, PA
Southampton EstatesCCRC • 888-311-2287Southampton, PA
Spring Mill Presbyterian VillageIND, PC • 610-828-4848Lafayette Hill, PA
Springfield ResidenceCCRC • 215-233-6300Wyndmoor, PA215-233-6300
Springhouse EstatesCCRC • 888-365-2287Lower Gwynedd, PA
St. Joseph’s ManorPC • 215-938-4000Meadowbrook, PA
St. Mary’s ManorPC • 215-368-0900Lansdale, PA
SummersgatePC • 215-572-8300Jenkintown, PA
Sunrise Assisted Living of AbingtonPC, IND • 215-576-8899Abington, PA
Sunrise Assisted Living of Blue BellPC • 215-619-2777Blue Bell, PA
Sunrise Assisted Living of HaverfordPC • 610-896-9777Haverford, PA
Sunrise Assisted Living of Lafayette HillPC • 610-940-3888Lafayette Hill, PA
The Birches at Arbour SquarePC, A/D • 215-541-3700Harleysville, PA
The Colonnade of SchwenksvillePC • 610-287-1822Schwenksville, PA
Waverly HeightsCCRC • 610-645-8600Gladwyne, PA
Whitemarsh HousePC • 215-233-1575Flourtown, PA
Willowbrooke Court at Normandy FarmsN, PC, IND • 215-699-8727Blue Bell, PA
Willow Crest ManorPC • 888-9WillowWillow Grove, PA
Willow LakePC • 215-830-0433Willow Grove, PA
Willow Ridge CenterN, A/D • 215-830-0400Hatboro, PA
Wyncote Church HomeCCRC, PC • 215-885-2620Wyncote, PA
Gwynedd Farms EstatesCCRC • 888-302-2287Ambler, PA
Harston Hall PC, N • 800-699-1520Flourtown, PA
Highway Home for the Aged Inc. PC • 215-855-2697Hatfield, PA
The Inn Madelyn & Leonard Abramson Center for Jewish Life PC • 215-371-2100North Wales, PA
Integrated Health Services at WhitemarshN, A/D • 610-825-6560Whitemarsh, PA
Keystone HospicePC • 215-836-2440Wyndmoor, PA
Luther Park Personal Care Home PC, N • 215-659-3900Hatboro, PA
Manor Care Health ServicesN, A/D • 215-938-7171Huntingdon Valley, PA
Manor Care Health Services King of PrussiaN, A/D • 610-337-1775King of Prussia, PA
Manor Care Health Services LansdaleN, A/D • 215-368-4350Montgomeryville, PA
Manor Care Health Services PottstownN, A/D • 610-323-1837Pottstown, PA
Maple VillagePC • 215-675-0103Hatboro, PA
Mary J. Drexel HomePC, N • 610-664-5967Bala Cynwyd, PA
Masonic Home of Pennsylvania IND, PC, N610-825-6100Lafayette Hill, PA
Meadowood CCRC – Lifecare CommunityCCRC • 610-584-1000Worcester, PA
New Seasons at SummersGatePC, RHB • 215-572-8300Jenkintown, PA
Normandy Farms EstatesCCRC • 800-756-2287Blue Bell, PA
Alterra – Clare Bridge of MontgomeryPC • 215-540-0520North Wales, PA
Alterra - Wynwood of Mont-gomery PC • 215-542-9670North Wales, PA
Arbour SquareIND • 215-513-4250Harleysville, PA
Beaumont at Bryn MawrCCRC • 610-526-7000Bryn Mawr, PA
Blue Bell PlacePC • 610-227-6443Blue Bell, PA
Brandywine Assisted Living at Dresher EstatesPC • 215-591-4000Dresher, PA
Brandywine Assisted Living at Senior SuitesPC • 610-272-6200Norristown, PA
Bright Field • PC215-855-1235 Lansdale, PA
Brittany Pointe EstatesCCRC • 215-855-4109Lansdale, PA
Colonnade of SchwenksvillePC • 610-287-1822Schwenksville, PA
Columbia CottagePC • 610-409-8910Collegeville, PA
Dock Woods CommunityA/D, PC, N • 215-368-4438Lansdale, PA
Elm Terrace GardensCCRC • 215-362-6087Lansdale, PA
Fort Washington EstatesCCRC • 215-542-8787Fort Washington, PA
Foulkeways at GwyneddCCRC • 215-643-2200Gwynedd, PA
Frederick Mennonite CommunityCCRC, A/D • 610-754-7878Frederick, PA
Friends Services for the Aging – Quaker CommunitiesCCRC • 215-619-7949Blue Bell, PA
Granite Farms EstatesCCRC • 888-499-2287Media, PA
MONTGOMERY
18
Adult Daycare Resource Directory
18
EldergardenLebanon PAPh. 717-274-3821Palmyr PAPh. 717-832-3854
Spang Crest ManorAdult Day ServicesLebanon PAPh. 717-272-1495
Concepts of Lehigh ValleyBethlehem PAPh. 610-866-7600
Lifepath, Older AdultDaily Living CenterBethlehem PAPh. 610-814-3141
Sarah Care Adult Day ServicesHrs: M-F 6:30 AM-6:00 PMSat. 8:00 AM-3:00 PMAllentown PAPh. 610-391-1576
Westminster VillageAllentown PAPh. 610-782-8390
Adult Day ServicesLansdale PAPh. 215-855-8296
Souderton PAPh. 215-703-0523
Advance Lane Training &Employment CorporationHrs: 8:30 AM-5:00 PMColmar PAPh. 215-822-6417
Applied Skills IndustriesHuntingdon Valley PAPh. 215-938-7767
Beelong Adult Day ServicesHatboro PAPh. 215-675-0103
Bon Homie Older AdultDaily Living CenterHrs: 7:00 AM-5:30 PMLimerick PAPh. 610-792-8820
Center Point Training CenterWorcester PAPh. 610-584-0550
Evergreen Adult Day ProgramWyndmoor PAPh. 215-233-6309
Frederick Mennonite Community Adult Day CareHrs: M-F 7:00 AM-5:30 PMFrederick, PAPh: 610-754-7878
Helen L. Weiss Senior Day ProgramNorth Wales PAPh. 215-371-2121
Helping HandsBechtelsville PAPh. 610-754-6491
Main Line Adult Day CenterBryn Mawr PAPh. 610-527-4220
Manatawny ManorAdult Day ServicesHrs: 7:00 AM-5:30 PMPottstown PA Ph. 610-705-3749
Montgomery AdultDaily Living CenterLansdale PAPh. 215-855-7997
Senior Adult Activities Center of Montgomery CountyNorristown PAPh. 610-275-1960
Senior Care of Blue BellBlue Bell PAPh. 610-828-4144
Senior Care of GibraltarHorsham PAPh. 215-443-5300
Adult Day Servicesat Garden Spot VillageHrs: 7:30 AM-5:30 PMNew Holland PAPh. 717-355-6226
Ephrata AreaRehabilitation ServicesEphrata PAPh. 717-733-0710
Lancaster GenerationsLancaster PAPh. 717-656-8783
Lancaster Regional Medical CenterLancaster PAPh. 717-295-8211
Landis Homes Adult Day ServicesLititz PAPh. 717-581-3920
Masonic VillageAdult Daily Living CenterElizabethtown PAPh. 717-361-5353
PAI Adult Day ServicesLancaster PAPh. 717-519-6740
Spanish AmericanCivic AssociationLancaster PAPh. 717-397-6267
The Senior Center Adult Daily CareM-F 7:30 AM-5:30 PMGap PAPh. 717-442-2496
Sarah Care of Great ValleyM-F 7:00 AM-6:00 PMMalvern PAPh. 610-251-0801
Ageless HarmonyAdult Senior Day CareHrs: 7:30 AM-5:00 PMLaureldale PA Ph. 610-929-1197Mt. Penn PA 610-898-0712 Sinking Spring PA Ph. 610-685-2382
Down on the Farm Adult DaycareHrs: 7:00 AM-5:30 PMDouglassville PA Ph. 610-385-6175
Fox Hunt MeadowSenior Day Respite FarmHrs: 8:00 AM-8:00 PMBirdsboro PA Ph. 610-582-9887
Phoebe BerksTranquility PlaceHrs: 7:00 AM-5:30 PM / M-FWernersville PA Ph. 610-927-8940
Prospectus Senior Day ServicesHrs: 7:30 AM-5:30 PMReading PAPh. 610-372-4637
St. Joseph Adult Day ServicesHrs: 7:30 AM-5:30 PMReading PAPh. 610-378-2267
Woodhaven Day Care for AdultsHrs: 7:30 AM-5:30 PM2405 New Holland RoadShillington, PA 19607Ph. 610-777-4579
Adult Care of Chester CountyHrs: 6:30 AM-6:30 PMExton PA Ph. 610-363-8044Kennett Square PAPh. 610-444-4413
Lynch Homes Adult Day CareMalvern PA Ph. 610-647-4309
Tel Hai Adult Day CareHrs: 6:00 AM-7:00 PMHoney Brook PA Ph. 610-273-9333
BERKS
LANCASTER
CHESTER
LEBANON
LEHIGH
MONTGOMERY
MONTGOMERY
19Southeast Pennsylvania
Breakfast Pie
2-3 large potatoes4 eggs1 onionCheese (whatever you like)Ham or bacon or sausage8 oz. mushrooms or other vegetables
Ingredients:
3 English Muffins, split and toasted16 thin slices of Canadian bacon8 eggs¼ cup margarine or butter¼ cup all purpose flour1 tsp Paprika1/8 tsp ground nutmeg
• In a medium saucepan, melt ¼ cup margarine or butter.• Stir in flour, paprika, nutmeg & 1/8 tsp pepper.• Add milk. • Cook and stir until thick and bubbly.• Stir in cheese until melted. • Stir in wine.
Ingredients:
Preparation:
For Sauce:
• In a 13x9x2 baking dish, arrange muffins, cut side up.• Place 2 bacon slices on each muffin half.• Half fill 10-inch skillet with water; bring just to a boil.• Break one egg at a time into a dish and carefully slide each egg into the
water. (4 in the pan at a time)• Simmer uncovered for 3 minutes or just set.• Remove eggs with slotted spoon.• Repeat with the remaining eggs.• Place one egg on top of each muffin stack. Set aside.• Make sauce (see below). • Carefully spoon sauce over muffin stacks.• Combine cornflakes with the 1 TBL of melted margarine or butter.• Sprinkle over muffin stacks. • Cover and chill overnight.• To serve, bake, uncovered, at 375 for 20-25 minutes
or until heated through.
Enjoy the season with these five-star Fall recipes.(Great for bunch too) Make-Ahead Eggs Benedict
Makes 8 servingsBell peppers for colorCooking spray or oilSalt, pepper and spices to taste
1/8 tsp pepper2 cups milk2 cups shredded swiss cheese½ cup dry white wine½ cup crushed cornflakes1 Tbl melted margarine or butter
This dish allows you to be creative. Use the ingredients and amounts
that taste great to you.
Preparation: Preheat oven to 350.
• Grate potatoes like hash browns.• Spray a pie pan with cooking spray or a little oil.• Cover bottom of pan with grated potatoes,
salt and pepper to taste.• Layer in some of your favorite cheese.• Whip your eggs like scrambled eggs and then cover the
cheese with SOME of the eggs.• Layer in your meat, cheese, and vegetables (If you like softer
vegetables, you should cook them slightly beforehand).• Cover with more of the egg mixture.• Add spices to taste, as you layer in ingredients.• Carry on like that, layering your ingredients and eggs.• Sautee mushrooms and onions together for a layer.• Finish with a layer of egg, cheese and bell peppers for color.• Bake for 20 minutes or until eggs are cooked through.
Pie should rise slightly and be firm.
20
What is Home Health Care?Home health care is a wide range of health care services that can be given in your home. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility. The goal of home health care is to treat an illness or injury. Home health care helps you get better, regain your independence, and become as self-sufficient as possible.
In general, home health care includes part-time or intermittent skilled nursing care, and other skilled care services like physical therapy, occupational therapy, and speech-language pathology (therapy) services. Services may also include medical social services or assistance from a home health aide. Usually, a home health care agency coordinates the services your doctor orders for you.
• Wound care for pressure sores or a surgical wound• Physical and occupational therapy• Speech-language therapy• Patient and caregiver education• Intravenous or nutrition therapy• Injections• Monitoring serious illness and unstable health status
• Help with basic daily activities like getting in and out of bed, dressing, bathing, eating, and using the bathroom
• Help with light housekeeping, laundry, shopping, and cooking for the patient
NOTE: In order to cover home health care, Medicare and other health insurance plans have certain requirements. For example, Medicare requires you to be “ homebound. ” Read more about how Medicare covers home health care, or call your plan for more information.
If your doctor or referring health care provider decides you need home health care, they should give you a list of agencies that serve your area. If they suggest an agency or give you a list, they must tell you whether their organization has a financial interest in that agency.Use Home Health Compare to find out more about each agency and talk to your doctor or other health care provider about the information you find here. Keep these things in mind:
• There are differences in how home health agencies operate and the services they provide. Look closely at each agency and the services they offer, discuss your options with your doctor or other health care provider, and choose the agency that best meets your needs. Your choice should be honored by your doctor, hospital discharge planner, or other referring agency.
• Your choices may be limited by agency availability, or by your insurance coverage. Medicare Advantage Plans, Medicare health plans, or other health insurance plans may require that you get home health services from agencies they contract with. Call your plan for more information.
Once your doctor refers you for home health services, the home health agency will schedule an appointment and come to your home to talk to you about your needs and ask you some questions about your health. The home health agency staff will also talk to your doctor about your care and keep your doctor updated about your progress. Doctor’s orders are needed to start care. It is important that home health staff see you as often as the doctor ordered.Here are some examples of what the home health staff should do:
• Check what you are eating and drinking. • Check your blood pressure, temperature, heart rate, and breathing. • Check that you are taking your prescription and other drugs and any
treatments correctly. • Ask if you’re having pain. • Check your safety in the home. • Teach you about your care so you can take care of yourself. • Coordinate your care. This means they must communicate regularly with
you, your doctor, and anyone else who provides care to you.
As a patient of a Medicare-approved home health agency, you have several rights and the home health agency must provide you with a written copy of them. They include rights such as the following:
• The right to choose your home health agency. (For members of managed care plans, the choices will depend upon which home health agencies your plan works with.)
• The right to have your property treated with respect • The right to be given a copy of your plan of care, and participate in
decisions about your care • The right to have your family or guardian act for you if you are unable • The right to make complaints to the agency or the State Survey Agency
about your treatment, care that’s not provided, or staff shows disrespect for you or your property
For more information go to www.medicare.gov, and select Home Health Compare.
Examples of skilled home health services include:
Examples of home health aide services include:
Getting Started
Home Health Patient RightsWhat to Expect
Home Care Agency Contact Number
American Red Cross 3 610-861-5105Assured Assistance 3 3 3 3 610-796-4737
Bayada Nurses 3 3 3 3 3 3 3 610-406-9000Chestnut Knoll 3 3 3 3 610-473-3328
Comfort Keepers 3 3 3 3 3 610-678-8000Griswold Special Care 3 3 3 3 3 610-372-9940
Home Instead Senior Care 3 3 3 610-372-2500Maxim Healthcare Services 3 3 3 3 3 3 3 610-678-1594
PatientCare 3 3 3 610-373-0300The Birches at Home 3 3 3 267-933-6800
United Disabilities Services 3 3 3 888-837-4235Visiting Angels 3 3 3 610-898-7880
Home Care Directory
Live
In C
are
Non-M
edica
l Hom
e Car
e
Skilled
Car
eHom
e Hea
lth A
ide
Med
icare
Acc
epte
d
Med
icaid
Acc
epte
d
Tech
nolo
gy S
olut
ions
Hospice
- Non
-med
ical
Pediat
ric C
are
21Southeast Pennsylvania
G
21
The Story of Griswold Home careGriswold Home Care was first conceived in response to a
tragedy that befell a member of the church where the Rev. Dr. Lincoln Griswold (our founder's husband) was the pastor. An aging, widowed parishioner could not find anyone to help her after her primary caregiver fell and broke her hip. Although her family lived nearby, the woman was left alone and did not drink enough fluids. As a result, she passed away from kidney failure.
Inspired by this apparent growing need in her community, Jean Griswold started Griswold Home Care at her Erdenheim, Pa home in 1982. As the company’s reputation for affordable respite, overnight, live-in care and companionship services grew, requests for care started to come from beyond the local community. Additional home care centers were opened to meet the growing needs of each community; creating work opportunities for local professional caregivers who knew the area and who could better service neighboring clients, even in bad weather conditions.
What began as a grassroots organization of competent, compassionate individuals has since grown into the world’s oldest non-medical home care organization and one of the first home care companies to offer affordable 24-hour service to older, disabled and at-risk individuals.
In 1989, Gary Hawkins opened the Berks County office of Griswold Home Care with a initial caseload of three clients and five caregivers. Twenty three years later, his office has served thousands of Berks County seniors with non-medical home care allowing them to stay at home receving care while maintaining as much independence as possible.
In the three decades since the company's inception, Griswold Home Care has helped more than 100,000 individuals and families throughout the United States, referring more than 19,000 caregivers in any given year.
As part of our dedication to providing quality in-home care services worldwide, only franchise Care Directors who share Jean Griswold's philosophy of providing outstanding, compassionate service at an affordable rate are welcomed into the Griswold Home Care network.
In recognition of this continuing service commitment, Griswold Home Care has been profiled in Forbes, Success and Entrepreneur magazines as well as on NBC's Today Show. Jean Griswold has personally received numerous regional and national awards and honors for her outstanding service and remarkable achievements.
22
WT
Welcome back to our continued series on Tech Therapy. Our last article touched upon how the Internet can assist us when we need to obtain medical information. We also walked through the process of how to access a website using the Google search engine; the topic we used as an example was Brain Injury. Within this article we will discuss how to use the Internet to assist us in having fun during our recovery through the use of online free games. Games can help us with cognitive recovery as well as improving self-esteem. Some gaming sites also provide the option to chat with other gamers which can help us feel less alone.
There are many sites for online gaming. Some sites require a monthly payment, but there are many sites, which are free. One such free site is Pogo.com. To go to the Pogo site, we will access the Google search by typing in www.Google.com on the address page at the top of our web browser and hitting the enter key on our keyboard. When into the Google page we will type “free games” and left click on the search button. There are many choices within the Google results, which can be selected. By clicking on any of the provided links we can preview a gaming site. To return to the original gaming link choices just place the cursor on the upper left arrow on the toolbar and click. For our purpose, we will click on the option to go to www.pogo.com.
Tech Therapy By Stephanie Knarr
Once on the Pogo site we can see there are also 83,814 players online; this number of players is conducive to chatting if we wanted to do so.
When on the Pogo site we will want to register so we have all the options available to us from the site. Click on the Register word above and you will be directed to the screen pictured below.
After we complete the registration information, click on Accept and we can now play any of the over 100 free games within the Pogo site.
Just some of the recommended games are pictured below; from Clue to Monopoly and beyond. Everyone is sure to find a game of interest as well as one, which assists in esteem and cognitive therapy.
As we are beginning to see from our Tech Therapy series, the options for website information is endless as well as fun. Please stay tuned to The Senior Guidebook to Berks County and our upcoming articles regarding computer assistive services.
Stephanie Knarr is a partner with AdvantageIT: Technology Support for Senior Living. AdvantageIT is a company that provides a dedicated
Help Desk and computer support services to the residents of retirement communities, active adult developments, personal care and skilled care
facilities. We also provide business consulting for those who serve seniors. AdvantageIT is based in Wyomissing, PA. Please contact Stephanie with
any questions of comments at [email protected], or visit us online at www.advantageitco.com or Facebook.com/AdvantageITco.
23Southeast Pennsylvania
T
The Advantages of Portable Oxygen Concentrators
By Christopher Joseph Smith
Christopher Joseph Smith is writing on behalf of Pure O2, specialists in portable oxygen
Article Source:
http://EzineArticles.com/?expert=Christopher_Joseph_Smith
Treatment for respiratory conditions can vary greatly depending on the severity of the condition. While most asthma sufferers will get by just fine on an inhaler, more severe cases of that condition and other diseases such as Chronic Obstructive Pulmonary Disease (COPD) often call for more intensive treatment such as oxygen therapy.
Oxygen therapy is a term usually used to refer to the administration of concentrated oxygen to patients suffering from low oxygen levels caused by their condition. The treatment usually consists of a concentrator and equipment used to attach the patient to the machine.
While the treatment is proven to improve the condition and wellbeing of patients, the size of the equipment involved often means that patients are restricted in their movements. This can affect a patient's social life and can have adverse side effects including social isolation and depression.
Luckily, there is a solution to these undesirable effects - portable oxygen concentrators. Taking the technology commonly employed by static concentrators, these pieces of equipment offer most of the advantages of a standard machine with the added benefit of mobility.
Before listing the advantages of using a POC, it should be noted that this treatment option isn't available to all sufferers. Before considering a POC, you should first consult your doctor to discuss your oxygen needs.
It may be the case that a POC simply doesn't fit your requirements, while POC's aren't recommended for people with a history of heart conditions. Generally, you will need a doctor's referral to purchase or rent a POC.
The main advantage of a portable oxygen concentrator is obviously its mobility. But surely capacity is sacrificed in order to allow for this mobility? Well, unfortunately, that is true. However, POC manufacturers' have built a range of machines in all sorts of capacities - while the mobility of a device decreases with the more oxygen capacity it is capable of holding (and vice versa), there should be a portable solution for most oxygen patients.
This is also the case when it comes to delivery options. Almost all POC's will offer a pulse dose delivery option, while continuous delivery is also a common feature in larger POCs. In fact, that isn't strictly true; the size of devices capable of
delivering continuous oxygen is decreasing all the time. Some POC's even offer a sleep mode, which detects when you take a breath as you sleep and delivers oxygen accordingly.
Given the vital importance of the function they carry out, manufacturers' have worked hard at ensuring that their portable oxygen concentrators are extremely durable, meaning that users can leave the house without worrying that the slightest jolt may affect their oxygen supply. Most concentrators are subjected to rigorous durability testing and can take quite a lot - although it's not recommended you test this out yourself!
Opting for a portable oxygen concentrator also opens up a world of possibilities when it comes to travel. You should be able to take most concentrators on the road with you without having to worry about the power running out; most batteries will last a couple of hours when fully charged, and a lot of POC's come bundled with multiple batteries too. Air travel can prove a bit of a problem when it comes to traveling with a POC, so consult with the airline before flying.
24
It's not your grandmother's retirement home. Actually, it may be your grandmother's retirement community, even if looks and
feels more like a resort or country club.
Ambience and individual choice and options are strong themes emerging from the next generation of people moving to retirement communities. Individuals from the Silent Generation (born between 1929 and 1945) are hardworking, independent, adaptive, well-traveled, expect good service and are more affluent than their previous generations.
They are health-minded and defy aging. 81% report that they are in good or excellent health. They are interested in exercising at the gym, swimming or taking a fitness class like yoga or Tai Chi.
They enjoy fine dining but prefer less formal dining. They enjoy cafes and coffee over conversation. They have a focus on health and more natural foods. They have diverse dining choices because their tastes were influenced by travel.
When is comes to a lifestyle of retirement they are looking for meaningful and purposeful programs and activities. They look for volunteer opportunities. They enjoy the cultural arts and want to continue to learn. They are likely to take a computer course, learn to paint or sculpt, and engage in life long learning.
With this information in mind, The Highlands at Wyomissing broke ground on a major renovation, expansion and reposition of the community/core area of its main building.
The renovation and additional square footage to the main section of the 20+ year-old building has been planned by administration, Board members and community residents for more than three years.
The physical plant of The Highlands has served the community for more than two decades. A primary goal of this project is to preserve the integrity of the existing building, yet enhance and update its appearance. It is The Highlands intention to improve residents’ access to services and amenities while incorporating innovative features.
The design concept includes the addition of a one-story structure to the front of the main building, an expansion to support service functions, infrastructure improvements, and a significant remodel of the existing core of the building with added and expanded services and amenities, including additional parking.
The key resident enhancements for expansion/renovation include a new, enlarged multipurpose room to accommodate large group events. This space will be divisible for smaller group events and educational programs. It will also be used for worship space. The current library will expand to include additional space for books, comfortable seating for reading and computers for research.
The bank will relocate and offer more space for transactions and safety deposit boxes. The salon/spa will be enlarged and add space to introduce new spa services, including massage, pedicures, and facials. The Gift Shop, operated by the residents, will provide space for additional merchandise for residents and visitors. There will be an enhanced health and wellness space for wellness services including blood pressure and weight clinics.
The most significant enhancement will be to dining services providing options with an expanded Cafe’ for causal dining, a Club Room, including a bar, with wait staff service casual dining and an update to the formal Terrace Room. Additional meeting rooms will be added for a variety of events and programs. An update to the fitness center is also planned.
The project is expected to be complete in 2013 and the organization looks forward to serving the needs of a new generation of active senior adults moving to The Highlands.
Extreme makeover: The Highlands at Wyomissing announces renovation and expansion
Extreme makeover: The Highlands at Wyomissing announces renovation and expansion
The Highlands at Wyomissing, a member of The Reading Hospital health system, is a Continuing Care Retirement Community in Wyomissing Pa, offering residential, personal care and nursing and rehabilitation services. For more information on The Highlands at Wyomissing call (610) 288-3405.
IT’S A FAMILY AFFAIR AT MIFFLIN COURT SENIOR LIVING COMMUNITYWhen considering a senior living community for your loved one, there are many important factors to consider. A key question to ask is how that community supports family involvement in the lives of their residents. Studies show that family visits and emotional support of the elderly can improve life expectancy by several years and create a more positive and optimistic environment. No one understands this more than Mifflin Court Senior Living Community in Shillington. At Mifflin Court, they recognize how important family is. That is why Mifflin Court offers family events such as the Old Fashioned
Summer Barbeque; an Easter buffet complete with an egg hunt for the visiting children; or the elegant annual Holiday Brunch. Most recently they hosted an Italian Dinner buffet, an enjoyable evening with live entertainment. The menu featured various pastas and sauces, meatballs and sausages, garlic bread, wine and homemade desserts. These are events that the residents, the families and the staff look forward to! Everyone enjoys themselves and gets to spend quality time with their family.
Mifflin Court also offers their resident’s family use of their private dining room for special events such as birthdays and anniversaries. The birthday meals even come with a complimentary birthday cake. Not only does Mifflin Court have family joining them, they have family members that call Mifflin Court home. They have not one but two sets of sisters, and also three married couples. One of their sets of sisters came to Mifflin Court at different times and was
reunited after losing touch over the years. Their niece tells Mifflin Court that they were together all the time when they were younger, spending at least every Sunday together for meals. Now they get to hang out together again after all these years. Their niece goes to see them regularly, just like she saw them at dinner every Sunday growing up. She says she has fond memories of that time and it’s great that they are finally together again.Another of the sister acts shared a home before going to live at Mifflin Court and now live together in a shared apartment. They do everything together. One family member says she likes to come and spend time with them here but also likes the fact that she doesn’t feel that she needs to be here every day because she knows whether she is here or not, her family is being well taken care of. She says it feels very warm and cozy here.In addition to the sisters, there are married couples too. One of the married couples has been with the community for a few years now. They still like to spend all their time together, even after all these years; they are still in love and in love with their home. Their daughter tells Mifflin Court they have been married over 60 years and she is glad to know that as they age, she doesn’t have to worry about them because she knows they are being well taken care of.Ask anyone that lives at or knows someone who lives at Mifflin Court Senior Living Community. Recently renovated, now more than ever, it’s a beautiful place to call home! For more information about Mifflin Court Senior Living Community or to schedule a complimentary lunch and tour for yourself or a loved one, please call 610.796.1600 or visit their website at www.Genesishcc.com/MifflinCourt.
Sisters Anna Lubas & Helen Szepanek Married couple Bob & Joyce Smith
