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FROM THE PRESIDENT’S DESKSummer is about to come to an end and we are looking forward to the pleasant weather that fall brings.

Many of the facilities are looking at remodeling and expanding some of their rooms to give them more pri-vate rooms.

Wheatland, WY is underway with construction on their new nursing home.

Audubon, IA is completing their fund raising so they can begin construc-tion on their new Alzheimer wing.

Wilber, NE is finishing up their plans for new private rooms.

Sutton, NE just finished with their new flooring and window

coverings.

The Oglala Sioux Tribe is in the middle of construction on their new nursing home in White Clay, NE.

Humboldt, NE is enjoying their new dining room and addition.

Stromsburg, NE is looking at ex-panding their number of private rooms.

St. Joseph’s Villa in David City, NE will be celebrating 75 years of service to their community.

We are truly blessed as we continue to provide manage-ment services to 24 facilities in Wyoming, Iowa and Nebraska.

Best Regards,Ron Ross, President

We are getting ready for the colder weather and Husker Football. The residents enjoy the snacks, the involvement from the staff, and of course when Nebraska pulls off a WIN.

Assisted Living Week is com-

ing extra activities are planned for this week, we are having a carry-in and planning to at-tending a gathering with other facilities in the area.

We are ending the week with a “BIG “Bang, we will be attend-ing the United States Air Force

Heartland of America Band at the Historic Midwest Theater. We also will be kicking off Grandparents

Day with an Open House from 2-4.

VOLUME 3 ISSUE 4 OCTOBER 2014

JULY ISSUE:

Page 1• FromthePresident’sDesk

Page 2• SpotlightArticle:• TipsforHalloweenand

DementiaResidents

Page 3• RHDSummerRetreat

Photos

Page 4• OctoberNews&Updates

RURAL REPORTTHE

FALL 2014

PAGE 2

We have had an exciting year at Callaway Good Live Center. We have made some improvements to the facility.• New carpet• New interior and exterior paint• New wall coverings in hallways• New phone system• Newsoffitsonexteriorof building• New car port

A NEW VAN FOR CGLCCallaway Good Life Center employees gather around their new wheelchair assess-ableloweredfloorDodgemini-vanwhichwas obtained from a Nebraska Depart-ment of Roads grant. The facility received the van recently to meet the transportation needs of the residents they serve.

600 WEST KIMBALL STREETPO BOX 250CALAWAY, NE. 68825

RHD Spotlight: Callaway Good Life Center

By Roz PhillipsAutumn will soon be here and with autumn comes Halloween. Hallow-een is one of those holidays that can be challenging and preparation and thought should go into this holiday.Some concerns during this holiday are scary costumes, extra visits, can-dy concerns, Halloween decorations and Halloween sounds.If still at home and you feel the con-stant ringing of the doorbell is too much, just turn your lights off to dis-courage people from coming to your home. Or if you still want to partici-pate in the festivities, place a bowl of candy at the door with a note “Please take one”.Most facilities have extra guests, chil-dren from the community coming in costume and staff dressed for Hal-loween. Some residents will enjoy the events and others may shy away. Here are a few tips to consider for Halloween.

1. Be realistic about your expecta-tions for Halloween and individual stress.2. Discuss your plans with the in-dividual; just don’t go into a lot of detail.3. Be prepared to alter your plans. Go at a time when it is not as crowded.4.Avoidcandles,usenon-flamecan-dles or lights.5. Put pumpkins and mums up on tables to avoid tripping.6.If youfindtheindividualpickingat decorations, remove or take them down.7. Limit decorations. They may cause confusion and agitation.8. Try non-scary decorations like pumpkins and fall leaves vs. ghosts, goblins and witches.

Tips for Halloween and Dementia Residents

LocatedinCallaway,Nebraska

9. Consider not using scary sounds but instead try Halloween songs.10.Avoidfloormatsthatmakescarysounds, decorations that are voice activated.11. Avoid using tapes and CDs with creaking doors, ghost screaming and other scary sounds.12. Limit sugar intake, offer fruit.13. If the individual is not over whelmed encourage them to hand out the candy but supervise them to avoid elopement or other risky be-haviors.14. Create new memories by baking a pumpkin pie, decorating sugar cookies, painting a pumpkin with chil-dren or others.

PicturesfromtheSummerRHDretreat.

R H D S u m m e r R e t r e a t

RURAL REPORTTHE

RuralHealthDevelopment, Inc.

Health Care Consulting & Management

RuralHealthDevelopment, Inc.

Health Care Consulting & Management

Lincoln Office1919 S. 40th St., Suite 206Lincoln, NE 68506

RHD STAFF:President:RonRossVice President & Regional Manager:MattRossRegional Manager:WaltDyeDirector of Reimbursement:JanetLyttonOffice Management Con-sultant:JoFullerNursing Consultants:SueBooe&RozPhillipsOffice Manager:MargaretMessersmithMarketing Director:

EmilyPlagemanSpecial Projects:MikeHarrisGraphic Designer / Market-ing Assistant:ToryMoghadamAccountant:AnnaMcClain

Administrators:

MaryGross

KathyAnderson

MeganMapes

LaurieLierman

JaniceEdwards

AmyGrube

VirginiaClarke

VickyHendricks

StephanieHuffman

SandraPalmer

AustinGillard

AnnieAllen

MaryKent

MikeHarris

HeatherEagle

StephanieHahn

DonnaSchellenberger

WaltDye

DianeRoss

LucasKaup

HannahElliott

BrianVakoc

LisaKisinger

ShaneFilipi

BarbDreyer

Cambridge Office1115 Nasby, Box 487Cambridge, NE 69022

OCTOBER NEWS AND UPDATES

Janet Lytton, R.H.I.T., N.H.A.

Director ofReimbursement

Oh Boy, the month of October! The month that we prepare for all our ghosts, goblins and monsters. I would say that is statement is very appropriate as this is also the month that all the new Medicare rules and payments go into effect. As Manag-ers in each our Facilities, we need to be prepared with computer systems brought up-to-date as well as making sure our Staff has the most current information. The 2015 FY Medicare Part A reimbursement rates have been emailed to all our RHD fa-cilities. This shows a small increase over last year but not to the extent that our expenses have increased. Another monster that appears in October is the Medicare Part D drug

plan possible changes. It is strongly encouraged that each facility go through your residents and their plans to assure they are in the most appropriate plan. Your Medicaid residents can change throughout the year if needed as they are dual eligible. However, in seeing many of the pharmacy invoices/statements that Facilities receive, it is observed that perhaps some of the pharmacy costs, that the Facility pays for, for our Medicaid residents, may be due to the resident not being in the most appropriate plan. The Open Enroll-ment period is October 15 through December 7 of each year. Visit with your Residents’ Families to assure they are in the most appropriate

plan. Be prepared for the Medicare and Medicaid ghosts, goblins, and monsters and don’t let them scare you!

October 1st 2014