Every client’s care needs are unique — starting with the amount of time per day or week they receive care. Care needs can range from a few short hours a day to 24/7, and Family & Nursing Care strives to provide access to the most affordable, consistent, and compassionate care for every client.

We often hear from clients and their loved ones that they appreciate having the fewest number of Caregivers providing care, but at the same time, clients often have home care needs that exceed 40 hours per week.

Caregivers who are Family & Nursing Care employees (Select) already typically earn on average $3 more per hour than what they would earn at other home care companies in our market. Even so Caregivers frequently tell us they’d like to work more than 40 hours a week at one job to have the opportunity to increase their income without having to work at multiple jobs. As a leader in the home care industry focused on attracting and retaining the very best Caregivers and exceeding client expectations for quality and continuity of care, we’ve found a way to meet the needs of both clients and Caregivers.

Family and Nursing Care Select does not limit Caregiver hours to 40 per week – and we don’t pass on overtime costs to clients. Instead, we absorb those costs internally.

With Family & Nursing Care Classic, because the Caregivers are independent contractors, we are able to refer Caregivers who typically earn a higher wage and will work longer hours for their clients without overtime rates being charged to the clients.

Whether working with Family & Nursing Care Classic or Family & Nursing Care Select, Caregivers are free to consistently work longer hours with the same clients, allowing caregivers to become experts in a particular client’s needs to provide them with superior care while at the same time earning more money. In addition, older adults benefit from having fewer Caregivers in and out of their home and more certainty in their days, which can improve their sleep schedule and reduce stress and anxiety.

Roderick and Sally French receive “Couple Care” from Family & Nursing Care Select. A Caregiver provides Roderick with meals and housekeeping during the day, while Sally receives 24/7 care.  Throughout the week, Sally’s round-the-clock needs are staffed by only three Caregivers. Roderick says that the continued affordability and consistency of care that Sally receives is an important aspect of her care that he doesn’t take for granted. “When an older person needs 24/7 care it’s critical to be comfortable with the Caregivers and have confidence in their abilities. Building that rapport with just a few trusted Caregivers becomes even more crucial over time as the care needs continue,” says Roderick. “We are grateful to Family & Nursing Care for being very cognizant of this need and for making a real effort to provide us with this affordable, consistent care.”

Family and Nursing Care is proud to help our clients age comfortably, and continuity of care is a big part of how we do it.

If you’re searching for a Caregiver who will treat your loved ones like one of their own, contact us today – we’d love to help ensure your family members receive the care they deserve, no matter how much care they need.

As families get ready to reconnect under sunny skies, it’s important to make sure older family members are protected from extreme heat. For older adults, warmer temperatures present additional challenges that can be detrimental to their health. Family & Nursing Care Caregivers can be on hand to help prevent and respond quickly to warm-weather health issues that arise – here are some of the things they can do to keep your loved ones safe during the heat of summer:

• Hydration: Hydration is key in the summer, especially for older adults. Caregivers can make it easier for clients to drink plenty of fluids during hot summer days by making sure there is plenty of cool water to drink both in the home and when they are outside, and by reminding them to drink.
• Proper attire: The best clothing for summer is light weight and made of natural materials like cotton or linen. These materials tend to be more comfortable and help our bodies stay cool. Before outings, Caregivers can help ensure their clients are wearing weather-appropriate clothes and have sunglasses and a hat with them to protect from sunburns, irritated eyes, glaucoma-related sensitivities, skin cancers, and more.
• Heatstroke: Older adults have a harder time regulating their body temperature, making them more prone to heat stroke, which can be very dangerous. In extreme heat, Caregivers can help their clients avoid serious issues by watching for changes in their condition which can be precursors to heatstroke. Common signs of heat stroke include a body temperature over 104 degrees, headaches, nausea, not sweating in spite of heat, dry or flushed skin, and fainting. If you notice anyone — especially older adults — with these symptoms, get them to a cooler indoor space, have them lie down, put ice packs on their body, and call 911.
• Mobility Issues: Even normal day-to-day activities require more energy in the summer heat, making it easier to get tired quickly. For older adults who have mobility issues, this problem is exacerbated. Caregivers can provide mobility support to your loved ones, ensuring they enjoy outdoor weather and don’t get too tired while out and about.

For more information on how we can help your older loved ones stay safe in any weather, contact us!

By Lisa Shepet, Director of Nursing, Family & Nursing Care Select

It’s that time of year again: the days are getting longer and the weather is getting warmer. Spring has officially arrived and with it comes the time-honored tradition of spring cleaning.

Whether your plans consist of a full deep clean, some quick tidying up, or none of the above, chances are your medicine cabinet could use a good once-over. Here are some important safety tips to keep in mind as you extend spring cleaning to your medicine cabinet:

• Check the dates. Examine everything in your medicine cabinet, including ointments, supplements, and vitamins. Discard any item that is beyond the expiration date. Many medications lose their effectiveness after the expiration date and some become toxic.
• Follow the one-year rule. For all medications (prescription as well as over-the-counter), discard any medications that are more than one year old.
• Dispose of any items that have changed color, smell, or taste. This includes any colors that have faded because they may have been exposed to too much light.
• Discard unmarked containers. If something is no longer in its original container and cannot be identified, get rid of it. In the future, always keep medications in their original containers so that you can easily recognize every medication. This includes ointments, which can easily be mistaken for creams.
• Be careful about throwing out medication. Because of the potential harm to the environment, it is not recommended to simply throw out medications or flush them down the toilet. Properly dispose of medication by placing it in a sealable bag, adding kitty litter or coffee grinds to make the bag unappealing for children or animals to eat, and throwing it in the trash. Remember to remove any identifying information from pill bottles before recycling. Additionally, some pharmacies like CVS and Walgreens have safe medication disposal kiosks that provide a safe and convenient way to dispose of unwanted, unused, or expired medication at no cost.
• Consider relocating your medicine cabinet. Many people don’t realize that the bathroom cabinet is not the best place to store medication because of temperature and humidity changes that occur while showering. Medications should be kept in a cool, dry place, away from children. Consider a drawer in your dresser or a lock box in your closet.
• Do not give medications to friends. Doctors prescribe drugs based on a person’s specific symptoms and medical history. A drug that works for you could be dangerous for someone else.
• Lean on Family & Nursing Care for help. Family & Nursing Care offers several medication related services. For both Family & Nursing Care Classic and Select clients, Caregivers can remind you when it’s time to take medications. Family & Nursing Care Select clients can also benefit from services including pill box fills and medication administration.

Celebrating 50 Years in Home Care

Office move, service area expansion, leadership transition, and stakeholder events mark milestone anniversary

Silver Spring, MD – Family & Nursing Care, the premier resource for in-home care services for older adults, celebrates half a century in business in 2018 with an office move, service area expansion, leadership transition, and a series of events for key stakeholders. Family & Nursing Care recently moved from 962 Wayne Avenue in Silver Spring just down the street to a larger space at 1010 Wayne Avenue. In addition, the company is currently expanding its service area coverage to include Anne Arundel and Howard Counties. Neal Kursban, formerly President of Family & Nursing Care, is now Chief Executive Officer (CEO) and Jeff Zukerman, previously the company’s Chief Operating Officer (COO), has assumed the position of President. The company is celebrating throughout 2018 with current employees, caregivers, professional partners, and clients and their families.

“This is an exciting time for Family & Nursing Care,” said Neal Kursban, Family & Nursing Care’s CEO. “Our expansion will help us serve more families who can benefit from our unique approach to home care, and my transition to CEO will allow me to focus more on working directly with our professional partners to meet the evolving demands of the healthcare system.”

According to Kursban, strategic growth has been part of the company’s plan since his mother, Sandy Kursban, started Family & Nursing Care in 1968. He says now is the time because private duty home care has shifted from being considered a luxury to becoming a necessity. The number of Americans aged 85 and older is projected to more than triple from 5.8 million in 2010 to over 19 million by 2050, so manageable, strategic growth in private duty home care is imperative. Eventually, the company has plans to expand across the mid-Atlantic region.

“Family & Nursing Care is well-positioned for innovation and expansion because of our flexibility,” said Jeff Zukerman, the company’s new President. “We are proactive, while also maintaining a strong infrastructure and ensuring our partners’ expectations are exceeded and clients continue to receive top-tier care.”

Kursban and Zukerman are vocal about the moral imperative to grow the company because of the superior care they provide older adults. It is an opinion shared by the industry. In 2017 Family & Nursing Care was recognized as one of the top two best private duty home care agencies nationwide (out of 26,000+) by DecisionHealth™.

About Family & Nursing Care

Since 1968, Family & Nursing Care has been the premier provider of in-home care services for older adults, dedicated to and recognized for their passion and commitment to serve, help, and enhance the quality of life and well-being of others. The company refers and provides caregivers who assist with activities of daily life, companionship, and also skilled nursing care. As one of the oldest, largest, and most well-respected providers of home care services in the suburban MD and Washington, DC region, the company is dedicated to providing compassionate, progressive, and reliable home care services and continues to break barriers and set benchmarks for the home care industry. For more information, please visit www.www.familynursingcare.com.

Understanding Long-Term Care Insurance

Industry leaders predict that the use of Long-Term Care Insurance (LTCI) for home care will keep increasing as the nation’s older population continues to grow. Jesse Slome, director of the American Association for Long-Term Care Insurance (AALTCI), explains that “most long-term care insurance claims begin and end in the home, wherever home may be… and having a long-term care insurance policy can help pay for some or even the entire cost of home care services.”

While financial support helps offset all or some of the cost of home care services, the complex rules of LTCI plans can be difficult to understand and cause more headaches than relief. At Family & Nursing Care, we recognize this challenge and have made it a mission to simplify the reimbursement experience by having a department, led by our LTCI Manager, Karin Martinez, to handle all clients’ LTCI questions and concerns.

An in-house expert on everything LTCI, Martinez is a staunch client advocate. We spoke with her to find out exactly how she fights for proper coverage/reimbursement and strategically assesses each client’s LTCI policy to ensure that they are reaping their policy benefits to the fullest extent, allowing family members to concentrate on their loved ones.

What do you do in your role as Long-Term Care Insurance Manager?

“LTCI policies can be challenging to navigate successfully (it is insurance!). My goal is to make sure our clients know they have someone on their side to help them through every step of the process. One of the ways we help the most is by always facilitating a conference call with the client/family member and their LTCI company to help ensure they have a full understanding of their policy’s criteria, benefits, and policy holder responsibilities for a smooth experience with the reimbursement claims process. From that point on, I offer as much or as little support as they need.

In addition to educating families about various nuances in their LTCI policies and assisting with the complex paperwork, I often see myself as an interpreter. During calls with LTCI companies, the language being used is very much “insurance-speak” that not every lay person may understand. It’s my job to then translate what they say into understandable terms, or give real life examples, until I’m confident that the client’s concerns and questions have been answered fully.” 

In what way do you think you bring the most value to your clients?

“The more I help clients navigate the complicated LTCI system, the more I realize that they really needed an advocate—it’s more than just making one call to the LTCI company with the client/family to understand the policy benefits—it’s about seeing the whole process through so the families get their reimbursements to which they are entitled.

I’ve seen people get so frustrated and overwhelmed that they just want to give up dealing with all the paperwork, the requirements, and the inevitable waiting period of their LTCI claims reimbursement. I know our clients have paid much of their hard-earned money into their policies and this inspires me to support them and encourage them to stay the course. Another value is that, with my support, families have more time to focus on the most important thing—their loved one.”

What are some of the specific ways you go above and beyond for your clients?

“I am proactive in submitting records to LTCI companies. I also help clients identify other benefits outside of home care in their LTCI policies (e.g., care manager service, Assisted Living or Nursing Home, home modification, lifeline benefits, and more). I also provide support with appealing claim denials. And finally, we offer an Assignment of Benefits (AOB) arrangement for Family & Nursing Care Select clients, where we invoice and get payment directly from the LTCI company, which means Family & Nursing Care Select takes on the financial risk of receiving reimbursement, rather than the client.”

What’s one of your favorite stories about a client you have helped?

“Recently, we had a client who didn’t want to file a LTCI claim at all. He didn’t think his policy would qualify and he didn’t think he would meet the criteria for his elimination.  I convinced him that it may be worth a try…perhaps his days of care would count towards that elimination period so that he would be closer to getting his LTCI benefit in the future when he needed more care. On our conference call with the LTCI company, we ended up finding out that his elimination period would be waived for home care services. He did qualify and ended up getting $11,000 back for the 6 weeks of care. This is money he never expected to receive.”