Frequently Asked Questions

What comes to mind when you think of a “nursing home building”? Long corridors, small double rooms, nurses’ station, crowded dining room, little activity space. Our new facility is different.

Former Facility

  1. How old was the facility?
    It was completed in 1970 and was operational for 41 years.
  2. How many beds were in the nursing home?
    79 beds
  3. How many of these were in semi-private rooms?
    54 beds
  4. Was the former facility paid for?
    Yes
  5. What happened to the former facility?
    The former facility was demolished and the space used for future expansion of the Brookings hospital.
  6. What was the square footage per resident in the former building?
    266 square feet
  7. What was the average resident occupancy of the former facility?
    74 residents

New Facility

  1. Where is the new building located?
    North of Yorkshire Drive and west of Sunrise Ridge Road
  2. When was the construction start date?
    Early 2012
  3. Are there resident rooms to accommodate specialized care?
    There are three bariatric rooms to accommodate larger patients.
  4. Was there a city or county tax assessment to help pay for the construction costs?
    No
  5. Were the old halls replaced by “neighborhoods”?
    Yes. There are three neighborhoods, each having two households.
  6. Does each neighborhood have a kitchen, dining and activity areas?
    Yes
  7. What are some of the unique features of the new building that enhance choices and quality of life for residents?
    The Town Center has a store, barber/beauty shop, park, lounge, library/internet area, and café. Also there is a chapel, large gathering room, sun rooms, therapy room, therapy gym, therapy garden, family dining, outdoor courtyards and a large lobby.

New Care Model

  1. Have you approached this project with a new care model?
    Yes
  2. Do you have a name for this model?
    It is called the social model.
  3. Is this a unique approach to providing services for residents?
    Yes, the social model creates a homelike setting. It grants autonomy and encourages seniors to make their own life decisions while emphasizing the caregiver-resident relationships. It also incorporates physical environment changes that support the natural patterns of home life.
  4. What are some of the primary components to your new care model?
    This model allows for the creation of an atmosphere where residents experience dignity, autonomy, comfort and expanded personal choices.
  5. Was there a change in the staffing to accommodate the new care model?
    We introduced the universal worker concept. Staff were trained beyond their past staff roles. Each caregiver works as a member of a self-directed team and is trained to identify and support residents’ individual care needs and personal choices. The self-directed teams improve residents’ care and communication while encouraging residents’ choices and staff cooperation and staff job satisfaction.

 Residents and Families

  1. Was your new plan shown to residents and their families?
    We visited with residents about the new nursing home plans. The resident council received an update monthly. We met with the families as the project progressed.
  2. Did you visit with residents and families about the new care model?
    We visited with residents about the new care model. The new care model is part of the new nursing home presentation.

Culture Change

  1. What is Culture Change?
    It is a transformation of older adult services based on person-directed values and practices where the voices of elders and those working with them are considered and respected.
  2. What are the five person-directed values?
    Choice
    Dignity
    Respect
    Self Determination
    Purposeful Living
  3. What are the Goals of Culture Change?
    Restore control to the residents of long-term care facilities. Encourage the residents to make their own decisions.

    Involve all levels of staff in the care process. Honor those who work the closest with the residents.

    Include families and friends in a comprehensive team building approach to care.

    Provide a familiar and hospitable environment. Have a supportive workplace that is responsive and has individualized care practices that focus on the needs and preferences of people rather than those of the facility.
  4. What are some of the benefits from Culture Change?
    Resident benefits: reduces loneliness, helplessness and boredom; improves physical and mental health (e.g. reduces depression and behavioral problems); reduces unanticipated weight loss, reduces mortality, etc.

    Staffing benefits: reduces employee turnover; eliminates temporary agency staffing and mandatory overtime; reduces workers’ compensation claims/costs, etc.

    Additional benefits:
    significantly improves employee, resident, and family satisfaction; increases involvement with the outside community, including children, students, clubs, and religious organizations, etc.
  5. What are some examples of Culture Change approaches?
    Care practices built around the preferences of the resident, including waking/sleeping, meals, bathing, etc.

    Encouraging residents to make decisions on all aspects of their care.

    Consistent assignments to care for residents. Having the same staff working with the same residents so they become familiar with their cares and needs.

    Actively engage families who are sought out for visits, family councils, care input, etc.
  6. How does Culture Change affect nursing home staff?
    Relationships between staff and residents become closer; they are more focused on person-centered care, rather than task completion.

    Consistent assignments - teams of staff work together with groups of residents on an on-going basis, rather than rotating assignments.

    Certified Nursing Assistants (CNAs) are encouraged to participate in care plan meetings and care conferences, giving them more buy-in and appreciation for their job.

Construction Time Line

  • February 2012: Bids for Phase Two, new skilled nursing facility, taken
  • April 2012: Groundbreaking on new skilled nursing facility
  • Summer 2012: Construction of new skilled nursing facility in process
  • June 2013: The Neighborhoods at Brookview opens; residents transferred to building

Nursing Home Residents Profile (National)

  • Half are 85 and older
  • Few are younger than 65
  • 72% are women, 60 % of whom are widowed
  • Length of Stay:
    • 25% stay three months or less and are admitted for rehabilitation or end of life.
    • 50% spend at least one year in a nursing home.
    • 25% live in a nursing home for two to five years. The average is closer five years.
    • Without treatment for dementia by 2020, it is estimated the number of people 65 and older living in nursing homes will double by that year.