THE SPURGEON MANOR TIMES

Caring with Respect and Dignity in a Loving Christian Community

June is wonderful time with early summer weather, crops growing and flowers blooming. It’s also a great time to enjoy walks, bike rides and picnics in the park – and at Spurgeon Manor, we have it all and more this month!

Staying physically active is critical. Spurgeon Manor is second to none, when it comes to providing residents with a myriad of activities from which to choose to stay active physically, mentally, socially and spiritually. That’s not just me saying we excel, but the Iowa Health Care Association, as Activity Director Diane Watts was honored for being the best in the state with the “Excellence in Activity Services” award at the IHCA conference.

This month, starting Tuesday mornings is “Walking and Wheeling”; a new weekly activity for residents (some needing volunteer help) to get outside for some fresh air, exercise and fun. With the summer weather, also come more opportunities for residents to go on rides with our all-ability bikes – or use the Spurgeon Manor bus. Two picnics are planned this month at the Dallas Center Parks - Mound Park and Memorial Park. Even a trip to Panora, for a Gospel sing, is planned for June.

Many studies support the fact that just being outside leads to significant health benefits, including improved blood pressure, lower stress and a boost in mental health. But that is something that I think we all know, without needing to have a study tell us, as most of us naturally feel more relaxed and at peace when outside – whether a walk in the park or watching the stars at night.

As great as this year is going to be, we are looking forward to next year with the completion of the new assisted living, on the southeastern part of our campus near the bike trail. In addition to the amenities inside the new facility, there will be the Bruce Kuehl Walking Trail around the exterior of the new building. The trail will provide an opportunity to enjoy the prairie grasses and the Mortimer Courtyard Flower Garden – and connect directly to the Raccoon River Valley Trail. This will allow family members, volunteers and staff to more easily access that beautiful wheelchair accessible path for walks and bike rides.

Outside or inside, we strive to stay on the cutting edge, to improve the quality of life for our residents, Two years ago, the addition of the It’s Never Too Late (IN2L) computer system (developed specifically for seniors to use), brings opportunity for mental exercise and social opportunities. Thanks to a grant from the Dallas County Foundation, this year we are excited to bring the Music & Memory system to Spurgeon Manor – in which special songs can unlock lost memories.

June is a wonderful month, and we are looking forward to enjoying each and every day. It takes a team to maximize all areas of our residents’ health, and I am grateful for our families, staff and volunteers who are part of our team. But there’s room for more, and I hope you will consider joining in on the fun! You will be glad you did!

"Beloved, I wish above all things that thou mayest prosper and be in health, even as thy soul prospereth." - 3 John 2

Prospering in All Areas of Health takes Teamwork! by: Maureen Cahill, Administrator

Spurgeon Manor, Dallas Center, IA Volume 14 Issue 6 June 2019

Amazing how our world can be turned upside down seemingly overnight. It was January when I first heard word of the new strain of coronavirus in China. Although its impact in our country was temporarily spared, once reaching our shores it has quickly spread. Tragically, initially the hardest hit was a senior living community in Washington state. Now commonly referred to as COVID-19, that one location quickly proved how infectious the virus is – and how vulnerable is our senior population. In just a matter of days, our nation went into

virtually a lockdown - with hospitals and senior care facilities coming first quickly, immediately followed by the rest of the nation. With millions following sports, cancellation of events – including the NCAA tournament – created an awareness that was truly a “March Madness” like no other. This is an unprecedented time in our nation's

history and the world. At Spurgeon Manor, we placed an indefinite moratorium with no visitors allowed beginning 4:00 PM on Wednesday, March 11 (except for end of life compassionate care). Every action imaginable has been taken for the safety of our residents and staff - some of which you can read elsewhere in this newsletter.I think all of us wished we never knew the term

“social distancing,” as our hearts go out to our residents. Not only have we had to take action to restrict visitors, but social interaction within Spurgeon Manor has been severely restricted and group activities temporarily stopped. If you have a family member or friend who is a resident, please consider extra phone calls, cards or letters to be an encouragement during this time that may be very lonely.

Also, I want to acknowledge our local heroes during this challenging time – Spurgeon Manor’s staff. Nearly 130 strong, we have a great team with every person serving an important function to care for our residents. During this time in which many staff members have children home from school and many of their own personal challenges, their commitment to come and work long-hours with love and compassion inspires me.Preparing for this newsletter is a team effort

beginning about two weeks before it is received by you. This article you are reading was written March 22, and we try to have all information assembled, printed and delivered by the first of the month. My hope and prayer is that by the time you receive this newsletter, the coronavirus is “old news” that has been replaced with “good news”. No matter if the world’s news is good or not, this

is the time of the year in which first in our hearts and minds should be the Good News of Easter … knowing that God so loved the world that He sent His Son, Jesus Christ, as our Savior. He is the hope of the world. I am so thankful Spurgeon Manor is a Christian non-

profit and we can come together in Christian unity and prayer. Let’s continue to do that every day…

Grateful Every Day During Challenging Times by: Maureen Cahill, Administrator

Spurgeon Manor, Dallas Center, IA Volume 15 Issue 4 April 2020

Be anxious for nothing, but in everything by prayer and supplication, with thanksgiving, let your requests be made known to God; and the peace of God, which surpasses all understanding, will guard your hearts and minds through Christ Jesus. Philippians 4:6-(NKJV)

Spurgeon Manor, Dallas Center, IA Volume 16 Issue 10 October 2021

I really like keeping my kitchen counters as clear as possible. I tend to function better when there’s less clutter, and I find that is true in other parts of my life, too.

Many of us are concerned with clutter in our homes. There are businesses who sell storage solutions that will help you organize your things, so that it does not look like clutter, and even professionals who will help you organize.

Clutter often happens because we may pick up a bargain that was too good to pass by – even though we had no use for the item. Or we may have trouble throwing things away, even when the item is unquestionably trash, because of it being sentimental or feeling it still has value.

There are many benefits to simplifying and decluttering our lives. Not just the mental contentment and peace it brings, but there can be physical benefits as well.

Sarah Morrow, Right Dose Consultant Pharmacist, who has served Spurgeon Manor for the past year, has an article included in this month’s newsletter about the importance of periodic reviews of medications. Simplify by making sure that all prescriptions being taken are still necessary, and understanding the risks and side effects of each.

While we often think of clutter as having too many physical things, what about spiritual clutter? Sometimes our minds become so burdened that it affects our spiritual life – when worry so consumes our time and energy, that we may not do the things that would spiritually help us, such as prayer and reading the Bible.

Spiritual clutter includes the thoughts and worries that drain us of both time and energy. We have thousands of thoughts a day and many of them may be the same mental clutter that we’ve had for years. Take the time to recognize the beliefs you have about yourself that are holding you back. Declutter your thoughts by being conscious of these thoughts and throwing them away.

Although simplifying life may be a subject often at the forefront with regard to spring cleaning or a New Year’s resolution, I believe it is important year-round … especially for us at Spurgeon Manor and how it relates to the care we provide residents. At the minimum, clutter can affect our happiness, but an even greater concern is that it may become a hazard to our health.

Dealing with clutter, physical or spiritual, is a life-long endeavor; but simplifying our lives can be a step in the direction, that brings greater contentment and peace.

Cleaning Out Clutter, Simplifying Life by: Maureen Cahill, Administrator

“Not that I was ever in need, for I have learned how to be content with whatever I have. I know how to live on almost nothing or with everything. I have learned the secret of living in every situation, whether it is with a full stomach or empty, with plenty or little. For I can do everything through Christ, who gives me strength.” Phil 4:11-13

Page 2

Medication Review and Reduction Sara Marrow, Pharm D

Have you ever opened your pantry to look for an ingredient, shuffled past an item and asked, “why do I have that,” and then wonder if it is still any good? Or have you had a special event to attend, and while searching for the perfect outfit, noted a shirt you haven’t worn, and wonder if it still fits?

As a pharmacist reviewing a patient’s medications, we are often left questioning if a therapy continues to serve the person’s current therapy goals; if it is still needed, or potentially causing the patient side-effects leading to the addition of another medication. In the aging the population, there are several considerations factoring into the question of whether a therapy is still needed. The answer can be very apparent, such as, does the patient still need to take Calcium with vitamin? The provider can draw lab work, which tells us that a vitamin is low. If so, our natural inclination is to place the patient on a supplement. The alternative thought is, what do we gain with adding this supplement? Is the patient showing symptoms? Will the patient feel more vital? Is there the potential of a drug interaction? Is the patient really at risk for fractures if they no longer walk? Can we get the same benefit by providing a food alternative? For every unneeded pill or unnecessarily added med, we use our talented nursing staff as pill pushers, instead of valued care givers. Our nurses should be interacting with our loved ones, providing them with emotional support, helping them ambulate so they don’t fall, attending to their wound to avoid infection, monitoring their vital signs to inform medical doctors of changes in conditions. All of which, if not attended to, could lead to hospitalization, more medications and death. As a health care provider and a loved one who

cares for aging parents, one of the hardest things to reconcile and talk about is: if we don’t treat every ailment, are we imposing a shorter life sentence? The answer is “No.” Many therapies have a shelf life that no longer add quality of life. Many drugs come with side-effects and risks, which need periodical re-assessment – to determine if benefits continue to outweigh the risks. Medications I frequently ask providers to consider, besides vitamins noted above, are: • Memory medication such as Namenda

and Aricept, used to slow the progression of Alzheimer’s, dementia, and Lewy Body Syndrome. These medications may work in 30 to 40 % of the population, and with time, these diseases take their course making the medication obsolete. These medications can cause chronic runny noses, diarrhea, loss of appetite, dizziness, nervousness, and blurred vision.

• Incontinence medication – In the nursing home, a patient’s incontinence is assessed quarterly. Nurses typically document daily if a resident in unable to control their bladder. Once a patient is frequently incontinent, then medication benefits no longer outweigh the risks. Such medications are: Detrol, Ditropan, Sanctura, Enablex, and Vesicare. These medications can cause dry mouth, dry eyes, dizziness and falls.

• Cholesterol lowering medications such as: Zocor, Lipitor, Tricor, Crestor and Pravachol. Studies have shown that elderly patients with the lowest cholesterol have the highest mortality after adjusting other risk factors. In addition, a less favorable risk-benefit ratio may be seen for patients older than 85. In this population, benefits may be more diminished and risks from statin drugs more increased (cognitive impairment, falls, neuropathy and muscle damage)

—————————————————————————————

Sara Marrow, Pharm D, BCGP Certified, Right Dose Pharmacist, has served Spurgeon Manor for the past year.

Sara Marrow, Pharm D, from Right Dose Pharmacy.

Page 3

Carol Hackney Resident Spotlight

Carol was born August 7, 1936, at home in Faulkner County in Arkansas. She was the oldest of three girls born to Forun and Lois Powell Newberry. When Carol was eight her father passed away and she had to help with her sisters, while her mother worked in the cotton fields to make ends meet. They later moved to Conway, Arkansas and there her mother met and married Zane Lovidee Strickland; and a brother was born into their family.When Carol was in High School the family moved to Newton, Iowa, when her stepfather got a job with Maytag. Carol graduated from Newton High School and met her husband there. To this union three children were born: their daughter, Barb (Wicks) was born first, followed by two boys, Doug and Jeff. She stayed at home to raise the children and once they were little older, she went to work outside the home. She had several different jobs (dime store clerk, meat department, jewelry store clerk, dry cleaner clerk, grocery store clerk) but her favorite was being with her kids. One of her

last jobs was working the school lunch program.Carol enjoyed playing cards, games and bowling. She was a particularly good bowler, and many years bowled at the State Tournaments. Carol liked to listen to Blue Grass music and enjoyed several years of (going back to) the “OLDIES” at Winter Dance Party in Clear Lake. She enjoyed camping through the years, first in a tent and then in a camper; also, many fun times of boating. She liked to cross stitch and crochet while watching her favorite TV programs. She liked to travel, and spent a few winters in Hawaii, but she always liked to come back to home base too! She was a great cook and holidays were always filled with lots of good food!!! She liked a clean house and the joke was – you could eat off her floors!She lived in several areas around Iowa over the years (Newton, Des Moines, Ottumwa, Grinnell and Adel), eventually moving back to Conway, Arkansas to be closer to her mother, to help her in her later years. Carol enjoyed being back in her ‘old stomping grounds’ and stayed until she herself needed assistance. Carol moved to Spurgeon Manor in 2014. In addition to her 3 children, Carol has seven grandchildren to spoil and love; and nine great grandchildren, of who she is very proud.

Carol (pictured in the middle) enjoyed bowling and went to many tournaments.

Carol Hackney

OUTSTANDING MEDICAL DIRECTOR CARE… DR. RONALD MCHOSE

The care of senior residents at Spurgeon Manor is, and always will be, its top priority. That involves all areas of life, including spiritual, social, and of course, physical and medical care. From the beginning, the foundation of Spurgeon Manor’s medical care has been the wonderfully dedicated Medical Directors who have served residents over the past fifty years.

For the past 30 years of those years, that dedicated Medical Director has been, and continues to be, Dr. Ronald McHose. Not only has Dr. McHose served Spurgeon Manor as its Medical Director for more than 30 years, but he has served the community for 36 years through the Dallas Center Clinic.

Ron grew up in Nevada, Iowa to a family who emigrated from Scotland during Colonial times and brought the skills of making bricks and banking. His family settled in Iowa and built the Nevada Brick and Tile plant in the late 1800s that continued until 1977. The plant was run by his father, while Ron’s uncle ran the family-owned bank in town. Ron learned hard-labor and a strong work ethic from growing up in his family’s brick plant.

Ron graduated from high school a year early, and began attending Drake University in 1973 where he received his bachelor’s degree. He was accepted by the then University of Osteopathic Medicine (now known as Des Moines University) where Ron attended from 1978 to 1981. He finished his residency in 1984 through the University of Iowa.

Ron and his wife, Lynn, met in biochemistry class at Drake University, and were married in 1978. She was originally from Des Moines and worked in the lab at the VA for the first few years of their marriage. After they began having children, she began working with her husband in the Dallas Center clinic and they built a home on an acreage near Highway 169 Ron and Lynn have three adult children – Sean, Brandon (Amber) and Katie (Noah) – and are blessed with two grandchildren, Preston (6) and Connor (3).

Although he had the opportunity to stay and work in Des Moines clinics, his interest was a smaller community similar to his Nevada roots. Dr. McHose started at Spurgeon Manor in 1990, but actually began serving the Dallas Center community in January 1985. In the beginning, Dr. Lister and Dr. Gustafson were Medical Directors at Spurgeon Manor – and Floyd & Olive Haldeman were the Administrators. Dr. McHose said, “Dr. Lister was a wonderful mentor, very fine man and taught me so much.”

The decision to build the new Dallas Center clinic in 1987 was made during very challenging times of high interest rates and uncertainty in our nation’s economy. Thanks to land donated by the Brenton family, and a loan from Iowa Lutheran Hospital, a new facility was able to be

Page 4

Ron & Lynn enjoying a vacation day

Page 5

Dr. Ron McHose & his bride Lynn on their wedding day.

Whether snowmobiling in the winter or soaking in the sun while boating, Ron loves the outdoors!

Ron & Lynn have fun going out and supporting live music

built that continues to serve the community today. In addition to Lynn who has worked part-time at the clinic, other clinic staff have also served the community for many years.

Outside of being a physician, Ron likes to work-out, hike, travel, enjoys music and cars and is an avid snowmobiling enthusiast.

When asked about serving Spurgeon Manor and the Dallas Center community, Ron said that knowing the families he has served has been the most meaningful, with some now being fourth generation (of some 350,000 patient visits over the years!). He also shared that end of life care, of which he has been part of hundreds of times, “Is such a special time to be with patients and their families who you have taken care of 20 or 30 years. Although amazingly challenging and sometimes draining, the rewards and accomplishments in helping people is why I do it – and it has never gotten old.”

As Medical Director at Spurgeon Manor, Dr. McHose said, “I have walked the hallways so many times… and have seen all of the changes from the original building to what it is today. I share with friends unfamiliar with Spurgeon Manor that it is the nicest diamond in the rough you will ever find. The staff is so friendly, facilities are outstanding, and location by the bike trail near the edge of town is second to none. Spurgeon Manor is inspiring, and I hope it is able to always maintain that feeling.”

Words can never express the thanks we have for Dr. McHose, as he himself is inspiring because of his heart for families in the community and residents at Spurgeon Manor.

Recognized for his work, here Dr. McHose accepts an award

Page 6

Activity Happenings by: Diane Watts, A.D.

September was a beautiful month to get outdoors and enjoy the weather! We spent many warm, sunny, breezy days in the courtyards, just sitting and visiting. We watched the birds in the courtyard and could often hear the children talking and laughing next door at Kids Korner; which brought back memories of our own childhood. Sing-alongs, painting and playing cornhole on the patio were really fun! I knew we had good singers and cornhole players, but now I also know we have some good artists. Bus outings have gone well. We’ve been checking-out the countryside – from Minburn to Perry, to Adel and Van Meter, in addition to here in Dallas Center. The Farmers Market at Mounds Park, was also a fun place to visit. We’ve enjoyed several entertainers this month. Thanks to Jerry Michael, Marilyn Jerome, Pat Lydon, Brenda Anderson, Lennie Hudson and Kevin Anderson, for sharing their talents.For our Teachers Party, we had residents tell of their teaching days in country schools. We visited about the rules and regulations at that time, and the special educational programs that made an impression on their minds.Both staff and residents wore their favorite team shirts for the Tailgate Party Day. We discovered that we were pretty evenly split on the Hawkeye/Cyclone football game. The Hawkeyes have bragging rights … until basketball season! The guys at Spurgeon even enjoyed a game of throwing footballs at the touchdown target.Patriot Day (the day set aside for remembering the 911 attacks on the twin towers in New York) was very solemn day; and everyone seemed to know where they were when they first heard. We watched some special television programs and reminisced.Citizenship Day – or Constitution Day, as it is now called – was a day meant to celebrate immigrants, and reaffirm citizens’ responsibilities under the U.S. Constitution. The U.S. Constitution provides the framework for leading

the country. Everyone recited the Pledge of Allegiance at mealtime that day.We continue to hold church on Sunday afternoons at three o’clock in our RCF area. We have some very supportive churches and ministers, who take turns leading worship. In addition, our Wednesday afternoon Hymns & Worship programs are attended and enjoyed by many of the residents. Our Mystery Trip this month took a group of ladies to Ben’s Five and Dime in Panora. Bus bingo and Iowa trivia occupied our time getting there. The ladies enjoyed reminiscing about the items in the store. We saw some items from the past and enjoyed looking at some new things. We stopped to see “Snickers” and have a brownie, as we concluded our trip and headed back to Dallas Center. Everyone received a gift bag before exiting the bus.Birthdays celebrated in September were Jim Nelson, Patty Van Gundy, Mick Tiernan, Gilbert VanMaanen and Eugene Armstrong.

Activity Assistant Judy Erickson, with assistance from Lauren and Becca Conway, making decorations for fall festival parade.

Page 7

Residents enjoyed an afternoon outdoors, and enjoyed the tractor show provided by area farmers.

(Left to right) Pat VanGundy, Janet Sparks, Trudy Devine, Eleanor Mickelson and Dena McGlothin enjoying a beautiful day in the courtyard.

Staff and friends are ready for the Fall Festival Parade. Left to right: Crystal and Kamryn Scroggin, Morgan Kumm, Sally Wacht; Lauren, Danni and Becca Conway; and Maureen Cahill.

Spurgeon staff pose for a picture, to be submitted to Iowa Health Care Association.

Department Heads Maureen Cahill, Administrator Dena Goepferich, Environmental Services SupervisorDiane Watts, Activity DirectorKyle Ballenger, Dietary ManagerAlana Marean, Assistant Director of NursingBridget Huegerich, Business Office ManagerCrystal Scroggin, Assistant AdministratorRon Hyde, Maintenance SupervisorRhonda Robbins, Director of Nursing

Spurgeon Manor 1204 Linden Street Dallas Center, IA 50063 Return Service Requested

1204 Linden Street Dallas Center, IA 50063

515.992.3735 mcahill@spurgeonmanor.com

Spurgeon ManorContinue the journey

Non-Profit Org.

US Postage

PAID

Dallas Center, IA

Permit No. 9

Spur g eon Man or 1204 Linden Street

Dallas Center, IA 50063

Return Service Requested

2018 issue 5 The Spurgeon Manor Times

Department Heads Maureen Cahill, Administrator

Brenda Waters, Director of Nursing

Dena Goepferich, Environmental

Services Supervisor

Lynette Krambeer-Morney, Social

Services

Merle Anne Steensen, Business

Office Manager

Diane Watts, Activity Director

Kyle Ballenger, Dietary Manager

1204 Linden Street

Dallas Center, IA 50063

515-992-3735

mcahill@spurgeonmanor.com

Board of Directors Ben Rouse, President

Cynthia Eby, Vice President Chloe Bennett Bircher, Secretary/

Treasurer

Susan Mack Overla Judy Barrett

Roger Emmert Harley Wise

Dee Reynolds Michelle Leonard

Jackie Deaver Alex MacConnell, Past President

I pray that from his glorious,

unlimited resources he will

empower you with inner strength

through his Spirit. -Ephesians 3:16

Enfocus Software - Customer Support

Board of DirectorsCynthia Eby, PresidentDan Heefner, Vice PresidentChloe Bennett Bircher, Secretary/TreasurerSusan Mack OverlaDonna EmmertMichelle LeonardCatherine SheetsSam WiseSally MeyersMatt Simpson

Spurgeon Manor, Dallas Center , IA Volume 16 Issue 10 October 2021

Assisted LivingLynette Krambeer-Morney, Executive DirectorBrenda Fooken, Director of Nursing Services

“Not that I was ever in “Not that I was ever in need, for I have learned need, for I have learned

how to be content how to be content with whatever I have. I with whatever I have. I

know how to live on know how to live on almost nothing or with almost nothing or with

everything. I have everything. I have learned the secret of learned the secret of

living in every situation, living in every situation, whether it is with a full whether it is with a full stomach or empty, with stomach or empty, with plenty or little. For I can plenty or little. For I can do everything through do everything through Christ, who gives me Christ, who gives me

strength.” Phil 4:11-13strength.” Phil 4:11-13