The Family & Nursing Care mission – to allow older adults to age with dignity – is one that extends to every facet of our brand, including the Family & Nursing Care Foundation, which since 2008 has awarded grants to organizations that help lower-income adults gain access to the home care services they need, while empowering the next-generation of Caregivers to earn their Certified Nursing Assistant (CNA) training.

This year, thanks to the continued contributions of our community and donors, the Family & Nursing Care Foundation, which operates as a fund of the Greater Washington Community Foundation, was proudly able to award $60,000 to the following organizations during the 2023 grant cycle:

• $20,000 to Home Care Partners
• $20,000 to Community Reach of Montgomery County
• $20,000 to the Jewish Social Service Agency (JSSA)

These funds provide more than 7,000 hours of comprehensive home care services each year, allowing for more low-income seniors to remain in their homes.

Additionally, the Family & Nursing Care Foundation has established a $50,000 scholarship fund to support students pursuing their CNA license. The fund, created in partnership with Montgomery College, awards $10,000 each year of a five-year period to select CNA candidates applying for financial assistance.

“The number of Americans ages 65 and older is projected to more than double to over 98 million by 2060, making the need for quality, accessible home care – and the demand for trained professionals to care for the aging population – greater than ever,” said Sandy Kursban, founder of Family & Nursing Care and founder and chair of the Family & Nursing Care Foundation. “The Family & Nursing Care Foundation was created to address this growing challenge head-on by providing lower-income seniors with devoted home care and deserving students with scholarships to build their future CNA careers. Now in its 15th year, we could not be prouder to continue helping organizations that share the Foundation’s commitment to advancing life-changing work in our communities.”

To read the stories of individuals who have been helped by the Family & Nursing Care Foundation or to make a donation to support next year’s grant cycle, please visit the Foundation webpage.

While the “most wonderful time of year” still seems far away, now is a great time to start thinking about your needs during the holiday season. Whether your plan is to host loved ones at home or to join the millions of Americans hitting the road during the holiday season, managing a care plan for yourself or a loved one shouldn’t be a source of added holiday stress. We’ve outlined several ways Family & Nursing Care can help clients ensure the smooth planning and execution of their care plan heading into the end of the year.

Planning Ahead 

It can be challenging for families to find caregivers during the holidays. Kelly Ann Sharp, Director of Client Services for Family & Nursing Care, explains that “industry-wide, the holiday season is typically when demand for quality caregivers is at its highest, as many families plan to travel and gather out of town, and as winter weather events increase, so do older adults’ risk of fall-related injuries.”

As a 24/7/365-days-a-year business, Family & Nursing Care prides itself on being ready to help older adults and their families whenever a sudden home care need arises. However, it’s never too early to begin evaluating and planning for holiday care needs. To better provide high-quality support, Sharp and fellow Director of Client Services, Natalie Blickman, recommend clients reach out to their Client Services Manager as soon as holiday travel and gathering plans are solidified.

Accommodating Clients’ Unique Needs

Home care is not a one-size-fits-all approach and, during the intake process, the company’s Client Services Managers will work one-on-one with clients and their families to determine what level of care and services best suit their holiday needs.

Clients may prefer to simply request the same services they regularly use throughout the year on a specified holiday; in other cases, clients and their families needing extra support during the busy season may request one-time services outside of their typical care plan. Examples of holiday-specific care clients may request include:

• Overnight support, while a primary family caregiver is out of town
• Mobility or companionship assistance during family gatherings
• Transportation to and from gatherings outside the home
• Assistance with packing for holiday travels
• Support/assistance for seasonal traditions, such as mailing holiday cards or preparing a special recipe
• Companionship, to ensure your loved one isn’t alone during this time

“The holidays can be a special opportunity to gather, celebrate and reconnect with loved ones near and far. It’s also a time when families may feel the most time and resource-starved,” said Sharp. “Our aim at Family & Nursing Care is simple: give clients and their families peace of mind when they need it most. This promise is one we uphold year-round, with compassionate, genuine support and Caregivers who feel like family, so older adults and their loved ones can spend less time stressing and more time enjoying life’s fullest moments.”

Getting Started

To arrange home care services during the holidays, current clients and families simply need to contact their Client Services Manager, who will review clients’ unique care requests and answer any questions you may have before scheduling care.

The holidays may also be a time when older adults consider initiating first-time home care services.

“During holiday gatherings, people tend to spend more one-on-one time with older family members and may notice ways in which their loved one could benefit from additional support. Whether they’re interested in help with daily living or companionship services, our team is a resource for helping older adults access the quality care they need to maintain their independence at home,” said Blickman.

To get started, new clients may call Family & Nursing Care at 1-800-588-0517 to connect with one of the company’s Clients Services Managers. During the intake process, Client Services Managers will ask a series of demographic and lifestyle-oriented questions to help match clients with the best Caregiver for their unique needs.

To learn more about Family & Nursing Care and its holiday and 24/7/365 services, new clients can also visit the Home Care Services or Contact Us webpages.

Along a family’s care journey, circumstances can change, and clients and families may need to reassess their needs and consider whether it’s time for additional caregiver support, either on a short-term or long-term basis.

At Family & Nursing Care, Client Services Managers are here to engage with clients and families. They are with you every step of the way and can provide insight and assistance around all care decisions.

Kelly Salb, Vice President, Client Services, Kelly Ann Sharp and Natalie Blickman, Directors of Client Services, and Celina Quismorio, Director of Nursing, Family & Nursing Care Select, recently sat down to discuss their experiences in guiding clients and families through the process of arranging additional caregiver support.

Additional Support for Short-Term Needs
“It’s important for our clients and families to understand that we are flexible and able to provide support beyond what is originally scheduled when short-term needs arise,” says Salb. The team readily identified various situations which could trigger a need for additional short-term Caregiver support:

• Vacation/travel – Caregivers can travel with families to care for clients so that everyone can relax and enjoy their time together.
• Events – (weddings, reunions, graduations, etc.) – Caregivers can help clients get ready and assist them while at the event.
• Hospital/Rehab Stay – Many family caregivers dread leaving their loved ones alone in a hospital or rehab setting, even for a little while. A Caregiver can offer respite to the family members by staying with their loved one in the hospital, even overnight. Caregivers can also learn about and help clients digest information about continuing exercises, diet, and other changes needed to help the client successfully recuperate at home after discharge.
• Discharge/Recovery Support – Caregivers can accompany clients home from the hospital or rehab and/or continue to provide additional support while they recuperate at home. Caregivers can watch clients who may be a fall risk in a weakened state, remind them to take medications, and much more.
• Respite care – Caregivers can provide fill-in support while a family caregiver is away/on vacation or when they just need a break.
• Emergency/back-up care – Caregivers can provide fill-in support when a family caregiver has an emergency.
• Moving support – Moving can be a difficult adjustment for anyone. A Caregiver can offer support and assist a client in acclimating to their new home environment (especially when the move is to an assisted living community or memory care).

“I often ask family members, what would you do with your Mom or Dad if you could be here?” says Quismorio. “I explain that Caregivers can fill in for those needs – help to go up the stairs, keep them company, take them out to lunch or to the doctor. Really anything the family caregiver would like to do for their loved one but can’t because they are not available.”

Consistent Additional Support
Client Services Managers form strong relationships with their clients and keep close tabs on their changing needs. Even more importantly, they pay close attention to feedback from Caregivers on how their clients are progressing. If a Caregiver observes noticeable changes in a client’s condition, they are encouraged to share their concerns with Family & Nursing Care so that Client Services Managers can have a conversation with the client and/or family about the possibility of needing more Caregiver support. Some changes Caregivers have observed include:

• balance issues
• confusion
• depression
• poor sleep
• risk for wandering
• hygiene issues (soiled linens, household tasks not completed)
• worsening medical conditions
• forgetting to take medications

“We definitely rely on feedback from Caregivers to alert us to changes with a client’s condition. However, family members should know that if they observe changes or have concerns, we are here for them and can help talk through options for additional care,” says Sharp.

Couple Care
Salb says that clients who are already actively using Family & Nursing Care services have found a lot of value in adding couple care services. “Many clients don’t know that we offer couple care services at a much lower rate than we would charge for two individual clients,” she says. “For example, if a Caregiver is providing services for a client, and along the way the client’s spouse feels that they could use a Caregiver too – either for a short time while they recover from an illness or injury, or on a regular basis. In that case, we can set up a couple care plan.”

It should be noted that couple care is not only for spouses. Couple care plans and rates can be applied to care for any two individuals living in the same household – parent and child, siblings, friends, etc.

Family & Nursing Care in Action
A client named Pam is the primary caregiver for her husband Ron who suffers from dementia. She came to Family & Nursing Care to set up care for Ron that included a Caregiver coming to their home for four hours a day to give her some respite and time for self-care. Then one weekend, Pam fell and was admitted to the hospital. “This unexpected emergency left us panicked. Without someone reinforcing his usual routine, Ron would become confused and forget things like taking his medications, eating, and letting out the dogs,” she recalled. “Our Client Services Manager was able to quickly refer additional Caregivers to give Ron 24-hour support until I could resume my responsibilities.”

When Pam was discharged from the hospital several days later, she was still weak and tired, so the Caregivers began providing care for both Pam and her husband. When Pam regained her strength and health, they changed their schedule back to what it had been before the crisis hit.

“I was very impressed with how Family & Nursing Care’s client services helped us seamlessly change our care situation as our needs shifted. The unparalleled hands-on and emotional support from Family & Nursing Care and the exceptional care from the Caregivers made a world of difference,” said Pam.

Communication is Key
Blickman says that when it comes to working with your Client Services Manager, communication is key to a successful relationship. “We are in this together to try to provide the best outcomes for clients,” she says. “Whatever you might be thinking about, whatever questions you have, just reach out and ask. If we can’t provide the service or solution, we will offer suggestions for resources that can.” Family & Nursing Care maintains great relationships with area senior living communities, aging life care professionals, rehabilitation facilities and hospitals, and can help with guidance and resources for clients and families looking to take a next step.

From the responsiveness and flexibility of the Client Services team to the high-quality, sincere, and enthusiastic Caregivers, we offer the support, empathy and respect every family needs to navigate their care journey, through every twist and turn along the way.

CEO Neal Kursban, attended the Home Care Innovation Forum from June 4-6, 2023 in San Diego, CA, where he joined with other home care executives to connect and learn from each other, and explore new ideas, solutions, and technologies in the industry. Neal was a featured speaker at the conference where he presented on the topic of “How to Retain Your Culture While You Scale.”

At Family & Nursing Care, we don’t just talk about culture – we live it. Our staff abides by a set of 15 Guiding Values that emphasize respect, integrity, excellence, compassion, collaboration, and personalization. The Guiding Values serve as a compass for our staff, providing clear guidance on how to approach work and every interaction.

 

Re-emerging Gaps in Care
The first 48 hours after discharge from a hospital or rehab are critical to the safety and health of patients. This small window of time is when they are at their weakest, and at greatest risk for a fall or other adverse event, which can result in a return trip to the hospital. Preventing hospital readmissions following discharge greatly improves the quality of life for patients and saves our partner hospitals (and the healthcare system as a whole) a tremendous amount of money. Yet, there is often a gap in care from the time that a patient is released from the hospital until their rehabilitation or Medicare services begin.

This gap in care is at risk of being exacerbated by the May 2023 expiration of the Public Health Emergency (PHE) spurred by the COVID-19 pandemic. With the end of the PHE, the Centers for Medicare & Medicaid Services (CMS) has in turn expired their waiver of the “3-midnight rule” requiring Medicare beneficiaries to have a three-day hospitalization to be eligible for Medicare-covered skilled nursing facility (SNF) services without incurring high out-of-pocket costs.

A Changed Healthcare Landscape
During the PHE, hospitals came to rely on the “3-midnight rule” waiver to free up hospital beds and relieve overwhelmed acute care facilities during the pandemic.

Now, the Medicare rule has returned despite facing a changed healthcare landscape. Some hospitals continue to experience surges due to respiratory viruses, leading to a shortage of inpatient beds and cancellation of elective procedures. Additionally, the pandemic has led to critical shortages of healthcare workers including nursing staff and physical and occupational therapists. These workforce shortages often result in delays in starting Medicare services after hospital discharge.

One regional hospital reviewed its records for December 2022 and found that 160 patients were discharged to a SNF under Medicare who would have been sent home without the 3-midnight rule waiver in place. While advocates continue to push for the permanent establishment of the 3-midnight rule waiver, upon its expiration, hospitals will need to make sure they are complying with the reinstated rule to avoid any penalties or reimbursement issues from Medicare.

On the patient side, the reinstatement of the Medicare “3-midnight rule” impacts those who may have previously qualified for SNF coverage but may no longer meet the 3-midnight requirement. These patients may need to seek alternative care options or pay out-of-pocket for SNF care. This could be a financial burden for some patients and families, and hospitals will need to work closely with patients and their families to ensure they understand their options and can make informed decisions about their care post-discharge.

Enter Family & Nursing Care
Family & Nursing Care helps patients receive the crucial care they need as they transition home from the hospital. During the first 48 hours post discharge, when there is the most confusion and misunderstanding of needs and instructions and there are often delays in the start of Medicare or Medicaid services, there is a dramatic difference in successful transitioning between patients who utilize home care services and those who do not.

As a regional leader in providing access to compassionate and reliable home care services since 1968, Family & Nursing Care’s Hospital to Home program existed long before the COVID-19 pandemic, and continues to help ease the transition home for patients after a hospital stay.

• We can help provide a safe and comfortable environment for recovery at home with easy and quick access to home care provided by experienced and compassionate Caregivers.
• Family & Nursing Care liaisons are available to visit with patients and their families while the patient is still in the hospital or rehab facility to help them understand their options for coverage and care at home.
• Support can be on a short-term basis to help with the transition home or on a longer-term basis as needed.
• Family & Nursing Care requires no up-front deposits or long-term commitments from clients.

For instance, we partnered with Medstar Montgomery Hospital to identify patients in most need of care at home and to discuss options and set up a plan for receiving home care services upon their discharge.

In addition, a few years ago, we conducted a “Skilled Nursing Facility to Home” pilot program in conjunction with Nexus Montgomery, where we learned that even after a SNF stay, patients often experienced delays in getting home health care started following discharge due to the bureaucracy for home health agencies, including Medicare and Medicaid, in helping a new patient or client.

The Family & Nursing Care Difference
Getting a dedicated Caregiver on board to help with the transition home from the hospital or rehab can make a world of difference for patient outcomes. Caregivers not only help manage tasks of daily living such as errands, medication pick-up and reminders, groceries, meal preparation, bathing, dressing and support for those who may be at risk for a fall, but they can also help clients digest all the information given to them upon discharge.

Caregivers can also help effectively manage the patient’s specific needs by ensuring they adhere to a special diet, practice breathing techniques and required exercises, and more.

Many Caregivers have used their extensive background knowledge and training to recognize “red flag” symptoms for a client, so that post-discharge issues that can commonly lead to readmission can be treated at a lower level of care.

When hospital readmission statistics are lowered, everyone wins.

Home care company leaders are increasingly being challenged to find creative ways to solve some of the sector’s most persistent issues, while looking to thrive in a space that has more eyes on it than ever.