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Adrian Manor News and Update

Dear Citizens of Adrian, its surrounding communities and beyond. Over the next several months there will be a series of informative articles written by myself and other key management staff on the topic of Culture Change in Long-Term Care and in particular, how it positively affects the Skilled Nursing sector of our industry. The overall concept of this paradigm-shift in our industry is to move from a “Medical- Based Model” to a more “Social-Based Model” but if one were to distill this concept down to one phrase, it would simply be:  “Resident Choice”.  

Allow me to further define this idea by sharing with you Guiding Principle #1 from our organization’s Ten Guiding Principles. It is as follows:

1.      As a Community-Based/Family-Centered Organization who is dedicated to ushering in the ongoing practice of CULTURE CHANGE and as defined by our Mission Statement; our focus is to build relationships with the resident. Resident-Directed care is a setting wherein caregivers are assigned to smaller groups of residents and have the ability to develop relationships with such residents as individuals. Residents are treated more as family as opposed to random patients in an institution. The major fundamental difference between the “Medical Model” and the more desirable “Social Model” is that of Resident Choice. We enable and empower the Residents to decide to the best of their ability--what they are going to do and when they are going to do it. Using this Resident-Directed care, caregivers are able to become familiar with each resident and cater more to their specific needs, whether those needs are psycho-social, emotional, spiritual or clinical/medical.

Please be advised, this is not a fad or some fancy new marketing strategy, it is the way our ever-changing industry is unfolding. Our State Regulatory Entity, the Missouri Department of Health and Senior Services (DHSS) and their facility survey teams are being updated and re-trained with an emphasis and focus on Culture Change and Resident-Directed Care. Our Federal Regulatory Entity, the Centers for Medicare/Medicaid Services (CMS) are, and will continue to be driving this movement as well. One way they will accomplish this is through the use of the updated Minimum Data Set (MDS 3.0) effective October 1, 2010. In short, the MDS is primarily a tool used by providers to (among other things) determine a wide range of needs regarding the long-term care resident. It is used by CMS in determining/monitoring reimbursement and statistical data. It is used by DHSS to track and monitor facility performance and for Annual Licensure Survey Preparation. As a result of this updated MDS version, our MDS Coordinator and “Neighborhood Care Plan Team Members” will be addressing many new requirements based on (you guessed it); Resident Choice.

We are doing Culture Change not because of anything regulatory, but because it is “the right thing to do” and has outcomes far superior to even the best “Medical-Model” types of facilities.

Although we are only just beginning to implement and practice some of the various methodologies currently being utilized by some of the leading (and very successful) Long-Term Care Communities, we wanted to keep you informed and aware that we are very excited to be a part of something special that improves the quality of life of our residents in a very profound and positive way.

As previously stated, there will be much more good news and information over the next several months or so. In the meantime, use your favorite web-browser’s search engine to “Google-in” Culture Change in Nursing Homes or Culture Change in Long-Term Care; you will be inundated with a lot more on this subject.

To view our organization’s MISSION STATEMENT please see the homepage of this website. To view the 10 GUIDING PRINCIPLES that determine how our employees and our company operate please click the ‘About Us’ tab of this website.

The Customer Satisfaction Survey on this website can be accessed by clicking the ‘Contact Us’ tab. For your convenience, it is provided in a format enabling one to “complete it online” with just a click of your mouse. If you prefer, you can easily print a copy and drop it in the mail to us at:

ATTN: ADMINISTRATOR

Adrian Manor Health & Rehab

402 W 1st Street

Adrian MO 64720

You do not need to give your name or the resident’s name unless you wish to do so.

Thank you for caring enough to fill out this survey. As always, your opinions and satisfaction are of utmost importance to us. We appreciate being able to serve you.

Yours very truly,

Douglas G Fredrickson, LNHA, Administrator
Adrian Manor Health & Rehabilitation Center

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  • Adrian Manor welcomes long-time employee Lin Bartley RN as our new C.N.A instructor. She will begin teaching on Monday November 2, 2009 and classes will then continue on Monday's ongoing. Special THANK YOU to current instructor Melonie White RN who has elected to discontinue teaching the class. Your current and former students as well as Adrian Manor wish you the best. We look forward to seeing you here at Adrian Manor as you continue to serve our community as one of our finest contracted hospice RN's.
  • CPR classes successfully concluded near the end of October 2009. If you are an employee who was required to take the class or if you are interested in the CPR training, please contact Tracy Chamberlain LPN or Christy Buckley LPN at Adrian Manor for tentative offerings of future training dates.
  • Adrian Manor has been named the "Route 71" MC5 Cultural Change participating host facility. MC5 is a state-wide acronym that stands for Missouri Coalition Celebrating Care Continuum Change. This nationwide paradigm-shift in our industry collectively known as Cultural Change or Resident-Directed Care is far to broad to outline here in any detail. Contact Adrian Manor Administrator Doug Fredrickson LNHA for more details.
  • Adrian Manor now has Wheelchair Accessible Transportation to better serve the needs of our residents.
  • Check back soon for the latest Adrian Manor news and updates.