Wound Care Program Builds IDT Passion

By Kayleigh Burns PT, DPT, DOR, The Villages of Dallas, TX
Dignifying long-term care in the eyes of the world through moments of truth is something I repeat to myself daily. I often think, how can I use my position of leadership to lead a movement that strives for this exact thought? As the new DOR in a very established team, I was faced with the task of not only providing a fresh perspective but also providing a revival of passion within this team. Very quickly, I started to notice that passion-driven treatments were not talked about or inspired/supported regularly. I quickly reached out to some other DORs who I knew could inspire this positive change within my team and began to set the tone of purpose-driven treatments. I wanted to change the mindset from just seeing a patient for the time scheduled, to letting us use each day as an opportunity to create an impact and inspire unique moments that make this incredible population’s life worth living.

One therapist began to passionately talk about wound care within our facility. The excitement I saw in his eyes when he talked about the past wound care programs was the exact same excitement I wanted to reignite within this team. Through the support of our local Resource and Keystone’s Resource, we were able to not only attend a wound care course but also establish our building as an Ultramist trial building. We have not only been able to successfully heal wounds in outpatient, which then helps to keep the autonomy of care for our patients, but we have also been able to assist with wound care for our long-term care residents. Wound care has created opportunities for us to not only better support our patients and provide opportunities for our therapist passions to be supported, but most importantly it has also helped to reconnect Therapy and Nursing in this building. By supporting the continuum of interdisciplinary care and helping carry the burden of our Nursing partners, our building is better when we work together. We are committed to bettering long-term care one wound at a time!

Capturing the Dimensions of Wellness

By Shelby Donahoo, Bandera Therapy Resource, Tucson, Arizona
Jordan Monson, ED at Park Avenue Health and Rehabilitation in Tucson, Arizona, attended a breakout session at the Arizona Health Care Association meeting on Wellness Programming. The training was modeled after the “Dimensions of Wellness” concept by the International Council on Active Aging.

The seven dimensions of holistic wellness include: Physical, Social, Spiritual, Vocational, Emotional, Environmental, and Intellectual. Jordan was inspired to expand opportunities for quality of life for those within his facility and quickly assembled a committee consisting of Leaders from Activities, Therapy, and Social Services. The team created a calendar of activities using the dimensions of wellness to ensure comprehensive programming.

Above is an example calendar of events at Park Avenue. Options include Yoga, Tai Chi, Gardening Club, Memory Joggers, Aromatherapy, Poker, Baking Club, Spiritual/Religious Services, Coffee Bar, Drumming, Artistic Expressions, and Seasonal Celebrations.

With Activities and Rehab leading the groups, skilled and long-term care residents participated. It was as though the facility woke up from a long sleep that was COVID. Patients were asking to get up, as they were able to find meaningful activities to motivate them. Residents began forming “friend groups.” People began to have fun nicknames for each other. Quoting therapy staff, “The residents love it. They are happier than they’ve been in a long time.”

As with all new endeavors, the facility had to stick with it, working out the kinks. For Therapy, it was another ”mindset change” on how to deliver services. This program allows Park Avenue to be ahead of the curve in terms of providing functional therapy to patients who have limited resources now and in the future.

Shout-out to Jacob Barnes, TPM, CTO, and Simone Nakfoor, OTR/TEACHA, for their continued contribution to the Wellness Program.

Therapy Recruiting Resources: The Future of Recruiting

Submitted by Carly Peevers, M.S, CCC-SLP: Therapy Recruiter for Summit; ID, NV, UT
Since COVID-19, therapy and the recruiting world have shifted significantly. With staffing shortages, uncertainty, and so many new challenges, recruiters have had to step up their game. From January 2020 through December 2022, it was reported that our Therapy Recruiters hired about 2,582 new therapists nationwide, which equates to about 73 new therapists a month. Although these have been trying times, these numbers are phenomenal. Potential candidates love to hear from actual treating therapists, so many markets have started to use our very own therapists as therapy recruiters. Brilliant, right? Who better to represent the CAPLICO experience than our very own therapists who have lived, breathed, and loved our unique culture?

Our Therapy Recruiter Resources are elevating the recruiting field by increasing school/student and facility relationships, attending career fairs, attending therapy conferences, holding mixers, and increasing their social media presence. Their innovative ideas and styles are reaching therapists around the country and the world and helping increase our presence to help LEAD a therapy movement.

Listed below are the Therapy Recruiter Resources Ensign-affiliated facilities. Please reach out to them with any recruiting or marketing needs:
● Andy Cisneros PTA, CTO: Keystone Texas East and Keystone Enspire
● Angie Taylor COTA: Midwest: Kansas, Colorado, Nebraska, Iowa, Wisconsin
● Ashley Keenan, M.S, CCC-SLP: Keystone Texas West and North
● Carly Peevers, M.S, CCC-SLP: Summit; Idaho, Nevada, Utah
● Jay Jupillo COTA/L: Keystone North East Texas
● Lyda Latagliata, MOT, OTR/L: Bandera: Arizona, Pennant: Washington, Monument: South Carolina
● Paul Medvene: Flagstone: California
● Scott Hollander PT, DPT CEEAA, CTO: Theratroopers

Mark Woods Honored with the Natalie Blasczienski Award 2023

By: Jon Anderson, PT, Therapy Resource
It is with great pride and admiration that we announce the recipient of this year’s Natalie Blasczienski Award: Mark Woods. Mark was honored for this accomplishment at the Annual Therapy Leadership meeting and at a celebration held at his facility. This prestigious award, created in memory of the extraordinary Natalie Blasczienski, recognizes therapy leaders who exemplify the qualities that made Natalie such an incredible human being. Natalie’s unwavering dedication to helping others, her love for her family and friends, and her remarkable spirit continue to inspire us all.

Mark Woods, the Director of Rehabilitation (DOR) at Pleasant Valley Healthcare and Rehabilitation in Garland, Texas, has made a lasting impact on his team, the facility, and its residents. Through a rigorous nomination process, Therapy teams from across our affiliates shared countless stories of Mark’s unconditional love, unwavering dedication, and strong leadership, especially in times of adversity.

Mark’s morning inspirational texts, appreciation for his team’s growth, and weekend grilling sessions for PRN staff are just a few examples of how he consistently demonstrates his love and support for his team. His kind-hearted actions, such as providing a ride to a resident who would have otherwise missed church service, show his genuine compassion for the people he serves.

In his relatively short time as a DOR, Mark has already had a significant impact on his facility. By leading meetings focused on the question, “Would you send your loved one here?”, Mark has driven positive change and improvement in the resident experience. His commitment to education and professional development has resulted in the addition of 14 new full-time team members and the implementation of evidence-based programs that have improved quality measures.

Mark’s exceptional leadership was particularly evident during the Texas snow apocalypse, when he worked tirelessly at the facility, helping residents and cleaning up after multiple bursting pipes, or through his thoughtful support for a staff member facing the devastating loss of her child. These efforts further underscore his compassionate nature and unwavering dedication to his team.

We are thrilled to honor Mark Woods with the 2023 Natalie Blasczienski Award. His inspiring actions, devotion to his team, and embodiment of the qualities that made Natalie such a remarkable individual make him more than deserving of this prestigious recognition. Congratulations, Mark, and thank you for your continued dedication to enriching the lives of those around you.

May is Mental Health Awareness Month

By: Jon Anderson, PT, Therapy Resource
We had such an incredible video shared by some of our colleagues at the Annual Therapy Leadership Meeting as it relates to their journey/struggles/wins in facing mental health challenges. Let’s not lose momentum around the importance of understanding/recognizing mental health issues. Awareness has become an increasingly important topic in recent years, as people have started to recognize the impact that mental health can have on their overall well-being. Mental health is just as important as physical health, and taking care of your mental health is essential for leading a fulfilling life.

One of the most important things you can do for your mental health is to be aware of it. This means understanding the signs and symptoms of mental health issues and knowing when to seek help. It also means being aware of the stigma that is often associated with mental health and working to break down those barriers.

Self-care is an essential component of mental health awareness. Self-care refers to the actions that you take to care for your physical, emotional, and mental well-being. Here are some ideas on things you can do to practice self-care:

  1. Practice mindfulness: Mindfulness is the practice of being present in the moment, without judgment. This can help reduce stress and anxiety and improve overall well-being. Try incorporating mindfulness into your daily routine by practicing meditation or deep breathing exercises.
  2. Get enough sleep: Sleep is crucial for mental health. Lack of sleep can lead to irritability, anxiety, and depression. Make sure you are getting enough sleep each night, and try to establish a regular sleep routine.
  3. Exercise: Exercise is not only good for your physical health, but it can also have a positive impact on your mental health. Exercise can help reduce stress and anxiety and improve your mood. Try to incorporate exercise into your daily routine, even if it’s just a short walk around the block.
  4. Connect with others: Connection with others is essential for mental health. Make time to connect with friends and family, and consider joining a support group or seeking out counseling if you are struggling.
  5. Take breaks: It’s important to take breaks throughout the day to recharge and rejuvenate. This can be as simple as taking a few deep breaths, going for a walk, or taking a short nap.
  6. Practice self-compassion: Be kind to yourself. Practice self-compassion by treating yourself with the same kindness and understanding you would offer a friend.
  7. Limit social media: social media can be overwhelming and contribute to feelings of anxiety and depression. Consider limiting your social media use or taking a break from it altogether.

Remember, mental health is just as important as physical health. Practicing self-care and being aware of your mental health can help you lead a happier, healthier life. If you or someone you know is struggling with mental health issues, don’t hesitate to seek help. There are so many resources available within the organization, and you don’t have to go through it alone. Check out all of our Wellness Resources available at: https://www.ensignbenefits.com/health-wellness/mentalhealth

Outpatient Success Story at Patriot Heights

By Deepa Basil, DOR, Patriot Heights, San Antonio, TX
In the outpatient therapy program here at Patriot Heights, our therapists see many people from all walks of life. Sadly, many of our patients come to us during some of the most difficult times in their lives, but there is a silver lining to this! Our favorite part is seeing the therapy transformations from start to finish! Making a difference in people’s lives is what we do, and our patients would certainly agree that we do it exceptionally well.

We would like you to meet Joe! Joe came to our therapy program in the form of a skilled nursing stay in January 2022 after a fall incident in which he sustained a femur fracture and underwent surgery. Joe was admitted to our skilled nursing facility for short-term rehabilitation. After his discharge from our skilled nursing, Joe was seeing such great results with our therapy team, he chose to continue with our Outpatient therapy program and contacted Jessy Garcia, our outpatient coordinator. By his side the whole way, he had his loving and devoted wife taking care of him while also getting a front-row seat to his amazing progress day by day! We would like to take the time to highlight some of the praises she has voiced for our therapy team and share a bit about Joe’s story with you as one of our most exceptional success stories!

“Dear therapy team, thanks for ALL the love and compassion you showed Joe! You all went far beyond the call of duty meeting him where he was… in his hour of need! You all treated him with such dignity and respect; we love and appreciate you! [He went] From bedridden to a walk down in the park, thanks to prayers and your therapy program!

He feels loved and accepted at the gym. He is rather quiet and/or shy but the community he feels there has brought out a new facet of his personality. It thrills me to see him so ready to get up at 6AM to get to therapy on time… 92 but Joe is in PERFECT Health. Thank you for your major role in providing this for him!

[Recently] Joe walked at home for 30 minutes Saturday, 20 Minutes Sunday, and then 45 minutes at the park. This was our first walk in the park. It has a slow incline and is asphalt. His legs got really tired. Upset? No! He said ‘We need to do this more often!’

Saturday I assisted Joe in the shower. He always clutches two safety bars, I use a washcloth with soap to wash him all over, and I hold the shower wand. He said, ‘May I have the washcloth, please?’ He took it, got it wet, and put soap on it. He used both hands and washed himself from head to toe. With perfect balance, and with me only helping by washing his back, he took the towel and completely dried himself — a first! He was so pleased!

Three cheers for Joe’s therapists!! Every one of you has contributed to this success story! THANK YOU, therapy team! God bless you for caring!”.

Yoga Clip Reflection - Leaning In

By Michelle Mitev, Therapy Resource, Monument, South Carolina
Well, this happened… (https://vimeo.com/822770838?share=copy) and was subsequently played in front of everyone at the Leadership Experience! After this clip was played (in front of hundreds!), I received high fives, compliments, and praise. Big “wows” and “How did you do that?!”

What folks probably saw was me! Almost an optical illusion. Up in the air, spinning, upside down. Major smiles. An undeniably cool thing.

There are a few things that I want my peers to know …

I was unprepared. I wasn’t stoked for the early wake-up but was determined not to let my new peer down. I didn’t know what “acro yoga” was until Tyrah laid down and told me to lean on her feet (omg!). It was freezing! I felt incapable. I felt unsure what would happen if I tried. I wasn’t even sure what was happening the majority of the time!

What folks might not have noticed: Tyrah, strong and steady, holding me up. What folks might not have heard: Tyrah, calm and confident, instructing me one step at a time.

I left the beach on a high. I felt SO proud (Did I really just do THAT?). I left the beach changed. I had tried something completely new and unknown to me. I literally and metaphorically leaned on my partner. She literally and metaphorically elevated me.

Growth comes from conquering uncomfortable moments. And we are the lucky ones and ought not to forget it! Within our organization our growth is exponential because of who we are as individuals and as peer groups. We are our best when we steadfastly pursue new opportunities while leaning on our relationships to help us through the journey. I am SO grateful to Tyrah.

I suppose my message is to recognize you, Tyrah; to lean into new and potentially uncomfortable experiences; and to let go. Then take pride in your effort. Practice gratefulness. (And repeat indefinitely.)

Welcome to our New Flagstone Facilities

Submitted by: Roxie Maceda, Lead MDS Resource of Flagstone
February 1, 2023 was a very special day for Flagstone. It was the day when 17 new facilities joined our growing bigger and happier family. Apart from celebrating with them, we made sure we did education activities. Even before 2/1, we already had some boot camp sessions with their ED’s, DON’s and Therapy. We also had 4 PDPM Basic Workshops last February 15, 16, 17 and 28. The workshops included the Facility IDT, and these were hosted by the Flagstone MDS, Clinical, Therapy, AR Resources and Compliance partners. Our topics included PDPM in a Nutshell, MSCA and CCA Audit preparedness, the different roles each IDT member plays in PDPM, To IPA or not IPA and Waiver updates. Since they joined us, we’ve introduced the many great and handy PDPM tools and Tips sheets with them. We also did some fun ice breakers in between topics. To make it a full circle, after the PDPM Workshops, they all then participated in the IDT Master Class.

One month has passed since our new facilities have joined us and looking at their metrics and performances, we are proud to say, despite the hiccups here and there, the overall transition was a very big success. This successful outcome is due in major part to the collaboration of all the Resources and openness of our 17 new members. There were many partners throughout the organization who travelled all the way to the Golden State and from the Flagstone family, we Thank each one of you!

Welcome to our Family!

  1. Grand Terrace Health Care Ctr in Grand Terrace, Ca. (59 beds)
  2. Palm Terrace Care Center in Riverside, Ca. (75 beds)
  3. Garden View Post-Acute Rehab in Baldwin Park, Ca. (97 beds)
  4. Ramona in El Monte, Ca. (148 beds)
  5. Lake Balboa Care Center in Van Nuys, Ca. (50 beds)
  6. Chatsworth Park Health Care in Chatsworth, Ca. (128 beds)
  7. Danville Post-Acute Rehab in Danville, Ca. (53 beds)
  8. Pacifica Nursing & Rehab Ctr in Pacifica, Ca. (68 beds)
  9. Fairfield Post-Acute Rehab in Fairfield, Ca. (99 beds)
  10. Fairmont Rehabilitation Hosp in Lodi, Ca. (59 beds)
  11. Beachside Nursing Center in Huntington Beach, Ca. (59 beds)
  12. Coventry Court Health Center in Anaheim, Ca. (97 beds)
  13. New Orange Hills (Orange Coast) in New Orange, Ca. (145 beds)
  14. Alamitos-Belmont Rehab Hosp in Long Beach, Ca. (94 beds)
  15. Broadway by the Sea in Long Beach, Ca. (98 beds)
  16. Edgewater Skilled Nursing Ctr in Long Beach, Ca. (81 beds)
  17. Lomita Post-Acute Care Center in Lomita, Ca. (71 beds)

Meet Camryn Cupp, Our Newest SPARC Winner!

Camryn is an OT student at Northern Arizona University with an expected graduation date of May 13, 2023. Read her winning essay below:
I have chosen the occupational therapist career path because of the skill set I have gained through real-life experiences. I was a junior in high school when I recognized an injustice in my school that was seemingly being dismissed by faculty and staff. Students with disabilities had little to no interaction with the typical student body on a daily basis. I took the necessary steps to make a change through speaking with administration and by sharing my vision of providing students with disabilities more natural opportunities for friendships, socialization, and popular high school experiences. Eventually, I was able to found a nationally recognized club that supported the aforementioned vision. This experience brought to light my ability to lead as well as to identify problems, suggest a course of action, implement that action, and then follow up.

As an occupational therapist, I will need to follow a very similar thought process each day. I have witnessed how occupational therapy adds quality of life through enhancing activities of daily living. I chose this career path and course of study because I know that I have valuable insights, experiences, and drive to make an impact on the lives of those I will serve. When I consider the skills that I have acquired, I feel confident that occupational therapy is the career to best exude those skills each day. Ultimately, my degree relates to my immediate goal of being a practicing occupational therapist. But my degree also will bridge the gap between where I came from and who I am. I grew up in the small rural town of Corryton, Tennessee. In this town, only 11 percent of residents hold bachelor’s degrees and less than 6 percent hold a graduate-level degree. I recognize the privilege I have to be pursuing a degree from where I come from.

As a young female, my goal is to one day encourage young girls to pursue big dreams and open up my own clinic in an underserved area. I am passionate about occupational therapy and social justice and want to dedicate my life to advocating for a more equitable society. My ideas for sparking non-traditional, emerging practice areas of occupational therapy in rural communities are endless, but I do have one main theme and vision if I had freedom from corporate limitations. There is very limited research regarding the experiences of occupational therapy practitioners working in rural areas of the United States. There is even less research on the people needing occupational therapy services in rural communities. Individuals living in rural areas have difficulty accessing services due to a shortage of practitioners and a lack of education as to what an occupational therapist could do for them.

The dream that I plan to make a reality one day is to open up a space for adolescents ages 12-18 of all abilities and then utilize occupational therapy to promote meaningful living for an age group that is often neglected in small towns. My main objective with occupational therapy for adolescents is to help them live satisfyingly full lives with as much independence as possible. This means helping to develop the life skills and techniques necessary for everyday self-care, emotional regulation, home management, and appropriate educational pursuits. This would be a group-based clinic that promotes leadership skills and helps develop and inspire the next generation to become more self-reliant and make decisions that spark change and allow for new ideas and growth. This clinic wouldn’t prioritize finances or financial gain but would place patient growth and quality of services first. We would adopt a holistic model and use OT theories such as PEOP (person, environment, occupation, places) and help cultivate a space of research, evidence, and the whole person. Additionally, I will contribute to the lack of research within rural communities for practitioners and people being served by occupational therapy.

The continuation of my personal learning will benefit my patients’ well-being because it will ensure that I utilize current, research-based interventions and techniques. Lifelong learning will result in optimal occupational therapy services and premier care provided by myself as a practitioner. The patient will benefit because when a new difficulty or challenge occurs, my passion for learning will cause me to research methods to address the need in a timely and safe manner. Expanding my knowledge will expand and increase my competency as a practitioner.

I am passionate about one day owning my own practice in a rural community much like the one in which I grew up. I want to provide resources and opportunities to the community I work and serve in. I know that as I pursue a career in occupational therapy and eventually become a practitioner, I will be contributing through research, innovations, and propelling the field of occupational therapy forward by teaching the rising generations. As a future occupational therapist I will provide leadership, consistency, reliability, and positivity. I am eager to learn and poised to make a difference in the lives of those I come across. I have lived a life that has provided me with extremely valuable experiences. Those experiences have helped me recognize and expand my skill set. I am confident that the individual I have become will be an asset to my career in health care.

Student Corner

By Angela Anderson, DOR, Gateway Transitional Care, Pocatello, Idaho
We had a unique opportunity a few weeks ago for three Pennant Idaho/Nevada DORs to present to Idaho State University PT and OT students as alumni of the very same program. Jason Balls, OT and DOR of Monte Vista Hills in Pocatello, Idaho, had the foresight to schedule a Lunch and Learn with ISU about a year ago. When the time came for this to happen, he was able to coordinate with Cory Robertson, Pennant Idaho/Nevada resource, and Jace Briggs, PT and DOR of Temple View Rehab in Rexburg, Idaho, as well as myself, Angela Anderson, PT and DOR of Gateway Transitional Care Center in Pocatello, Idaho. With the help of the recruiting resources — Scott Hollander and Stephanie Cole, who allowed us to use her PowerPoint she had put together for student presentations — we were able to pull together a Lunch and Learn at our Alma Mater.

Jason, Jace, and I all have in common that we graduated from the same program but we also all intended to work in different settings when we graduated. One by one, we found ourselves the happiest and most successful in the SNF/LTC setting at different Ensign-affiliated buildings. I received an email from the clinical coordinator a few days ago that had feedback from the students and it was mentioned a few times that they could all tell we were passionate about the setting. If one thing from our presentation to the students stuck with them, I am glad that it was this. We all love the elderly and the SNF/LTC setting.

Jason Balls and family

It was so fun to talk to a room full of therapy students about how we fell in love with geriatrics, how the myths of long-term care weren’t true. We talked about the opportunities for therapists there and how the need for talented and intelligent therapists and strong leaders was so great in the SNF/LTC space. We talked about how this setting is the ideal space to practice at the top of our license with the geriatric patient population and how we had the most opportunities to promote Physical and Occupational therapy as well as SLP in the Post-Acute Care space.

Jace Briggs and family

You could see the recognition sparking in many of their eyes when Jace talked about how he never intended to do anything but sports and orthopedic PT, and he even tried to leave an Ensign-affiliated building for a time to follow what he thought was his dream and why he went into this field. But he missed the culture, the teamwork, the complexity of the patients, and the IDT involvement. He realized he was meant for geriatrics and came back soon after becoming a DORiTO graduate and then the DOR of Temple View. The eyes of the PT/OT students followed that story word for word, seemingly incredulous, but each of our stories added to the one before. Jason relayed a similar story, only along the lines of Pediatric OT. The lifestyle and patient engagement in the SNF setting, the flexibility, and the work/life balance was highly preferable to the pediatric setting.

My own story began when I was pregnant during the physical therapy program. My focus through school was always women’s health, pre/post-natal, and pelvic health. I did not intend to work in LTC either. However, when my final clinical ended at the beginning of PPS, my CI, who was the current DOR, was just about to abandon his post and I was just about to graduate. He thought I had a gift for working with the elderly and recommended to the administrator that I replace him and stay at the building. I fell in love with the geriatric patient population at that building. I now have devoted a large portion of my life to leading SNF/LTC therapy teams. I am passionate about our residents and our setting. I know Jace and Jason and our DORs are as well. I am proud of us for conveying that passion to a class of students because hopefully they will seek out LTC/SNF settings in Ensign-affiliated buildings for student rotations and employment thereafter. If not, someday if they are at a job wondering whether they chose the right field because they don’t feel purpose or passion in their jobs, they will remember three other graduates of their program who found employment where they could be successful in their profession while finding joy and fulfillment in their day-to-day work. We had so much fun that we scheduled it for next year already!