Copley at Stoughton

Skilled Nursing and Rehabilitation Center

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Who Will Be Your Health Care Proxy If You Can’t Make Health Decisions Yourself?

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One of the questions I get all the time is about health care proxies. At Copley at Stoughton, we encourage our residents to talk about serious medical issues and/or end-of-life issues with their family members. This can be difficult, but it’s necessary to ensure that your wishes are followed. Designating a legal health care proxy is an important part of that conversation.

But who should be your health care proxy and the alternate health care proxy? Side note: You should consider having your health care proxy and your power of attorney be the same person.

First, an explanation about what a health care proxy does: You can designate anyone you wish to be your health care proxy to make health care decisions for you in case you are not able to make decisions yourself. You will also need to designate an alternate if your health care proxy is unwilling or unable to make decisions for you. You’ll discuss with your health care proxy things like:

• Do you want to be resuscitated (CPR for example) if you have a heart attack or stop breathing?
• Do you want advanced life support systems if necessary to keep you alive?
• Will you want certain decisions made based on your religious beliefs?

As you can imagine, there are many practical, yet emotionally charged issues to consider.

I’ve learned it’s not always clear who in the family should be a health care proxy. A spouse may be the obvious choice, but not always. Some realize that their spouse may be too overwhelmed themselves to think clearly enough and make decisions. There are cases too when their spouse has passed on or is otherwise unavailable.

The next obvious choice is someone in the family. However, it can be difficult to identify one particular family member. Will the person you choose be willing – and able – to follow your wishes? And perhaps equally important, will a person you don’t choose be offended? It’s essential that everyone in the family gets on the same page to choose the right health care proxy.

You can also consider people outside the family if you wish. A long-term partner, a friend, or another loved one – you can name anyone you like to be your health care proxy. This document overrides all other relationships when it comes to making health care decisions for you.

In Massachusetts, it’s easy – and free – to register your health care proxy. You can find out information and fill in the state form here: http://www.massmed.org/Patient-Care/Health-Topics/Health-Care-Proxies-and-End-of-Life-Care/Health-Care-Proxy-Information-and-Forms/#.XYk6_lVKiHt

But the most important thing is to make it a family conversation – and let everyone know your wishes. It can be a difficult discussion, but it will make things easier for everyone in the long run. Feel free to call me if you have any other questions.

Tips for Moving Your Loved One to Long-Term Care

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One of the questions I get most often from people considering Copley at Stoughton is, “How easy will it be for my parent/grandparent/loved one to adjust to long-term care?” Personally, I understand the struggle as I’ve had my own family make this same transition. To be honest, my own mother-in-law was probably one of the most difficult transitions I’ve ever experienced.  I will say, after a few months she acclimated and loved calling Copley “home” I actually had to make an appointment to visit her.

Of course, every person is different. Some people adjust very well. For others, moving away from the home they have lived in for years – or decades – can be difficult. We do everything we can to make the move easier, but a lot of the emotional support has to come from the family. Be assured, we have never had a resident not adjust, some just take longer than others.

Here are a few general tips for helping your loved one move into long-term care:

Plan ahead. Take care of business. Don’t wait to the last minute. Tour as many places as possible. If you’re not comfortable, will your family member be? Meet the staff and administrator. Once you find a place that is a good fit and feels right, do not procrastinate.  It is often difficult to find a bed in the home you want if you wait until the day you need it.

Be Prepared. Everything will be wrong at first. Complaints are normal, as the person moving in is well aware that only you can be the one to take them back. Be strong and don’t allow them to take advantage of your soft spot, give it time.

Involve the whole family. It’s easier if everyone takes part, including your loved one, if possible. Talking about the move helps everyone adjust. It’s also a good idea for everyone to do a site visit ahead of moving day. In fact, we strongly encourage this.

Try to make it as homey as possible. Celebrate the move with flowers, family photos, a plant, bedding, or other housewarming gifts. Pre-paid cell phones or an iPad are also popular and help your loved ones contact family members when they need to. Make their space familiar.

Share a meal. It’s more fun and meaningful if the whole family is there to share a meal together after the move. Your loved one’s new home should be a comfortable space for everyone else too. At Copley, we always encourage family visits! The pub on the second floor is the perfect spot for a family dinner together.

Lastly, family members themselves may also have to adjust. Besides helping with the physical move and getting used to visiting their loved one in a new place, you can experience a range of feelings. Guilt, anger, relief, embarrassment – I’ve seen it all, and it’s natural. Be sure to reflect on your own feelings and know that you’re not alone. Our admissions staff and I will be happy to address any questions you may have. We have an open-door policy.

The bottom line is that we all want what’s best for our loved ones. Copley will do everything possible to help them feel safe, secure, and right at home. The support you give will go a long way as well.

Summer at Copley

by Steven Tyer

Boating is a favorite summertime activity – particularly here in New England, where there is no shortage of beautiful waterways. You might be surprised to hear that boating is also a favorite activity for many Copley at Stoughton residents. Each summer, we reserve space on a charter boat for a Cape Cod Canal Cruise. It’s the perfect summer outing – all the fun and adventure of a sea cruise, but safely protected from the high winds and waves.

Is this a normal outing for a skilled nursing home? Perhaps not at other facilities, but it certainly is at Copley. One of the myths about skilled nursing facilities is that residents sit around inside all day playing Bingo. Don’t get us wrong, Bingo is popular at Copley, but in the summer months, we feel there is so much more to do.

Outdoor activities start with the facility itself. Our fully furnished outdoor patio is a great place to spend an afternoon with family or to sit and enjoy a book. Each summer season Copley hires a few additional staff for our activities department so our residents can enjoy our outdoor space as much as possible. Residents also enjoy gardening and walking the grounds. Cheryl Woodward, who plans all our activities, posts an upcoming schedule of events so that residents can plan accordingly. We’ve found that the excitement of an upcoming event is almost as important as the event itself! Besides the Cape Cod Canal cruises, there are shopping trips, restaurant outings, and other activities. Cheryl is always on the lookout for new adventures; feel free to call her if you have a suggestion.

These summer outings are important for our residents. Not only do they provide a great way to enjoy the nice weather, but these events also dramatically increase our residents’ quality of life – keeping them active and mentally engaged. As we always like to say, our residents don’t have time to sit around much! 

You can read more about the Copley lifestyle here: https://copleystoughton.com/lifestyle/ and of course, don’t hesitate to contact me personally if you have any questions or to book a tour.

Happy Summer!

Steve Tyer

World-Class Care Doesn’t Mean “Somewhere Else in the World”

by Steven Tyer

We always want the best for ourselves and our loved ones. Too often we’re conditioned that the “best” means something that can only be found in a big city. It’s true that we’re lucky to be in close proximity to Boston, which is home to some of the best hospitals in the country – perhaps the world. But when it comes to long-term care or short-term rehab for a loved one, the best care could very well be right around the corner.

Location plays a big part in selecting these services, but convenience shouldn’t be a priority over quality care and affordability. Luckily, Copley at Stoughton meets all these requirements. In fact, Copley was rated one of the Best Nursing Homes in the United States by U.S. News and World Report. It’s a designation we’re very proud of.

It’s that community connection that is so important in health care. As you know, I was born and raised in Stoughton. It’s not unusual for me to run into previous rehab guests while shopping at Stop and Shop or dining at the Town Spa, thanking me for the care they received and asking if I can help them again or help a loved one. “Of course,” I say. “I’d be happy to.”

Copley is part of the Stoughton culture. The fact that we are a Skilled Nursing Facility as well means that we are a temporary home for people of all ages here for rehabilitation and recovery. We touch the lives of so many of our residents, both directly and indirectly.

Copley’s close-knit feeling of family and community leads to world-class care. I know many people are comforted by the fact that they can get what they need without having to go far. Providing this comfort to our “neighbors” is something we are very proud of too.

MassHealth an Incredible Program for Many of Our Residents

by Steven Tyer

MassHealth is a safety net for many of our residents. The state agency oversees Medicaid, the federal program that provides health coverage for low-income individuals. That includes nursing homes, assisting individuals with the monthly cost of their care that they would not have otherwise been able to afford.

However, there has been an alarming trend in MassHealth funding lately. Perhaps you’ve heard that the rates paid to nursing homes are based on 2007 costs. That means despite rising costs, all nursing homes caring for MassHealth residents still receive payments calculated on costs that they’ve incurred over 12 years ago. Copley has the same cost increases in labor, utilities, and food that you have in your own home – just on a much larger scale.

Tara Gregorio, the president of the Massachusetts Senior Care Association, and Naomi Prendergast, president and CEO of D’Youville Life and Wellness Community in Lowell have “sounded the alarm” about rates being too low. “This is a severely underfunded system,” Gregorio told CommonWealth Magazine’s The Codcast. They are calling for a restructuring of the program and funding based on more current costs. You can listen to the whole podcast and read an article based on their conversation here.

Copley at Stoughton fully supports this initiative. We see the tremendous impact MassHealth has for our residents and their families. But many nursing homes in Massachusetts are on the verge of bankruptcy, which will have an impact on many more residents and the industry as a whole.

Thankfully, that’s not the case for Copley at Stoughton. I credit our staff 100% for the great job they do ensuring our residents receive the care they need. In a previous blog post, I talked about how our staff routinely goes above and beyond budgets to provide outstanding care. This is part of the reason why we are consistently ranked one of the “Best Nursing Homes in the United States.” 

We believe in a strong skilled nursing home industry. We are optimistic that MassHealth will adjust their payment structure soon, thanks to the hard work of people like Tara Gregorio and Naomi Prendergast. But no matter what the outcome, Copley will remain a strong community partner providing care that goes above and beyond.

You can find out more about applying for MassHealth for your skilled nursing care home needs HERE. 

The Meaning of “Loved One” at Copley

by Steven Tyer

End-of-life care is so difficult, especially when your loved ones are no longer able to make their own choices. My father, who recently passed, was a resident at Copley at Stoughton. Having him here at Copley helped me look at the facility from both sides: as an administrator and as a family member of a resident. These insights guide me and help make Copley the skilled nursing facility that it is today.

I was lucky that it was a short walk up the hall to stop by for a meal or just to talk. The staff members here were great with him too, and not just because he was my father. They take good care of every resident, providing them with all that they need whether it’s a helping hand or offering a hand to hold. Residents are never alone at Copley. I’m extremely pleased with the level of attention our staff gives residents from day-to-day activities or end-of-life care. That’s where a community-based facility really excels.

I trust that other family members feel that community spirit at Copley, too. I was struck with the realization about how many physicians choose Copley for their loved ones. Doctors have their ear to the ground, and they know which nursing homes are which. The fact they choose Copley tells me we’re on the right track – being part of a community is truly important to people.

Saying goodbye though is never easy. Obviously, that was especially true with my father – it was one of the toughest things I’ve had to do. But it made me realize how connected the staff and I are with all residents here. They are our friends, our neighbors, and our loved ones, too. They are never simply names on a file folder that get shuffled from one box to another.

Did I make all the right choices for my father? I’d like to believe I did. I do know that I was proud he could call Copley home. He was constantly surrounded by people who cared about him. Could we ask for anything better?

Caring for Older Adults Means Keeping Everyone Active and Engaged

by Steven Tyer

I asked our activities director, Cheryl Woodward, to assist me in writing the blog this month. Getting older doesn’t have to mean getting less active! In fact it’s quite the opposite. Older adults who are less physically and socially active are at higher risk of losing the ability to do everyday routines. That includes everything from walking and dressing to dialing a telephone.

Exercise affects the mental well-being of older adults, too. There is a lot of evidence to suggest that lack of physical activity can lead to a greater risk of dementia-related diseases such as Alzheimer’s. A good fitness program, on the other hand, can help delay or even avoid symptoms of these diseases. Yet at least one study found that older adults in long-term facilities spend up to 65% of their time alone in their rooms.

I can tell you, that is not the case at Copley at Stoughton!

We do everything possible to help our residents stay fit and active for their physical, mental, and social well-being. Our Activities team, led Ms. Woodward, developed the “Fitness Fun” program with activities designed to keep our residents active and engaged. These include group calisthenics, guided walks in and around Copley, gardening, dancing, and other activities. Even simple things like encouraging residents to walk to the cafeteria at mealtimes rather than take a wheelchair can go a long way to increasing quality of life.

Regular outings are big social events here which usually have some sort of physical element such as walking. Other activities at Copley include cooking, arts and crafts, and cognitive games and puzzles. These are great ways of keeping the mind active as well.

The most important thing is that we do these activities together. Copley is a little community, and we encourage everyone to participate and interact socially. I like to think of our community as that neighborly house we all envision retiring in, but with all the comfort and convenience Copley offers.

Activities are important for our short-stay residents, too. Getting rehab after surgery or an injury can be difficult physically, mentally, and emotionally. This is especially true when you are away from home. Our professional Activities staff at Copley helps the time pass a lot faster.

If you have any questions about our Fitness Fun program or any of our lifestyle programming, please feel free to contact me anytime. We can even arrange for a tour so you can see for yourself how Copley keeps residents active and engaged. 

Visits Keep Loved Ones Young

by Steven Tyer

The families of our residents often ask me what they can do to help their loved ones. It’s one of the easiest questions because it’s simple: visit as much as possible.

We do our best to provide a family atmosphere here at Copley.  We offer engaging activities to encourage socialization among our residents. But nothing replaces family, and that’s why visits are so important. This is particularly important if your loved one has lost a spouse. The grieving process is intensified with the stress of life changes and particularly moving into a new “home.”  Visits from familiar faces help alleviate the feeling of loneliness.

Visits also keep residents engaged with the world around them. This includes emotionally engaged as well as mentally engaged – it’s all interconnected. Planning future visits gives them another activity to look forward to. Try to plan for outings if possible; not just visits at Copley. It may take some extra arranging depending on a medical condition, but I can tell you from personal experience that it is well worth it.

When you do visit, make a point to bring something to show: a grandchild’s artwork from school or pictures from a recent vacation. You can also bring family photos on visits from when they were younger, or old letters and cards to help them remember earlier days.

Bringing a pet is a great idea, especially if he or she used to have one themselves. You’ll often see dogs walking the grounds at Copley with residents, or simply sitting up on their bed. We are learning more and more about the therapeutic value of pets for long-term care residents and our short-term guests recovering at Copley.

Visits from family members – and pets – help keep loved ones young and the family bonds strong. If you have any questions about planned visits to Copley at Stoughton, ideas for activities, or our pet policies, please feel free to contact me directly. I’d be happy to discuss!

 

Making Copley Home for the Holidays

by Steven Tyer

You can always tell the holidays are coming at Copley. We’ve finished putting up the decorations, and nine of our talented artist residents have put together the finishing touches on our annual Winter Mural. The unveiling, which has become a Copley tradition, was held on December 12th this year.

December is a special time; the decorations, the festivities, the endless comings and goings of family. We go to extra lengths to recreate that holiday feeling for our residents and short-term rehab guests. Cheryl Woodward, our Activities Director, amazes us every year with her decorating and in addition, she spends an incredible amount of time making every holiday a unique celebration by arranging a variety of events. This month’s activities included a visit to the Enchanted Village, several sing-along events, Christmas socials, a gathering with Rabbi Foust, bilingual services, and other religious observances and festivities.

We know it is not easy being separated from family and loved ones during the holidays.  So we do what we can to ensure that Copley is our residents’ home away from home.

From all of us at Copley – Happy Holidays to you and yours, and our best wishes for a healthy, peaceful 2019.

What It Means to Be the “Best”

by By Steven Tyer

Last month, the U.S. News & World Report released its list of the “Best Nursing Homes in the United States” – and Copley at Stoughton is proud to make the list! In fact, we were one of just 736 facilities in the country to be rated “High Performing” in both Overall rating and Short-Stay Rehabilitation out of 15,000 facilities.

What I like most about these awards is that they are based on hard numbers. Many awards are subjective including awards based on a voting system. Don’t get me wrong – it is rewarding when your clients and their families vote you as number one! But what makes the U.S. News rating system different is that it uses existing and publicly available data from several official sources so that their rankings are much more objective. These sources include federal Nursing Home Compare, health inspections, quality star ratings, and nurse staffing figures, among others.

The U.S. News gives ratings in two categories: Overall rating and Short-Stay Rehabilitation. Copley at Stoughton is one of the less than 5% that received a “High Performing” rating in both categories.

Of course, the deeper story is how we do so well to score so highly in all those areas in the first place. It doesn’t happen by accident.  Contributing to our success is the fact that Copley is locally owned and operated, so we have a deeper connection to the community we serve. Additionally all our employees are in-house – we do not contract any services. Not only does this create a work environment where our staff is committed to our residents and rehab guests, it also allows us to manage more effectively. We also base our nurse staffing figures on what is best for our clients, not just what is best for our bottom line. Budget is always a concern, as it should be, and we certainly run our skilled nursing facility efficiently. But we won’t sacrifice patient care through staffing cuts or lower quality of care to meet our budget goals. Quite the opposite – we set our budget based on what we need to provide great care.

It’s these client-centered decisions that we make every day that help make the difference.

There are certain expectations from skilled nursing care facilities, and of course quality of care is at the top. Or at least that’s what we believe at Copley at Stoughton. We are honored to be recognized as High Performing in both categories – it feels like a validation for all the hard work we’ve done over the years. Shouldn’t every facility operate at the best level possible for their clients? That’s been our philosophy from the beginning.

Find out more about the U.S. News & World Report rating system.