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Love is in full bloom for couple at Hillcrest Home
On Saturday, June 19, the dining room at Hillcrest
Home was transformed into a wedding reception hall thanks to the help of
Mary Begren and her many dedicated staff members. According to Bergren,
everyone at the home including the residents wanted to share in Randy
and Julie (Sibley) Lindstrom’s special day. “It has been quite awhile
since we played host to a wedding reception and it was just lovely,”
stated Bergren.
The wedding actually took place earlier in the day
along the Hennepin Canal at the Danny Martins Memorial Site. This
location was selected because it was a place that Julie enjoyed walking
at before she and Randy met; a place she found solace. The couple
agreed it was a beautiful setting and wanted to share it with others
close to her heart.
Residents wanted to attend the wedding and were
more than welcome, but the couple felt it wasn’t safe for the residents
to be walking at the canal. So, they inquired about having the
reception at Hillcrest where all their new friends and family could
share in their extraordinary day. They also wanted the music to be
enjoyed by all so they asked Jack Ness from Sheffield to play for them
since he was one of the residents’ favorite performers. Once approved,
the plans were set into motion.

The day before the wedding Julie learned that the cake person had a
family emergency and would be unable to provide the wedding cake as
planned. She and Randy spent that evening baking and decorating a three
tiered cake and two sheet cakes for their reception. The cakes were
beautifully decorated with fresh flowers from Julie’s garden, which
adorned each cake. They were absolutely beautiful according to
Bergren. In fact, when they brought the cakes out that evening, the
residents cheered for over 60 seconds for the newlyweds. “This is just
an example of how well the two work together,” added Bergren.
When Julie and Randy met several years ago at
Hillcrest, it was perfect timing for the couple. Randy had just started
working at the home in the maintenance department and Julie was doing
private in-home care. She too was fast becoming a familiar face in the
hallways as she would bring one of her clients to the home to visit a
family member several times a week. They both love their jobs and their
new family at the home. They both believe it was a match made in
heaven.
The couple admits that at first, they were just
good friends, but soon their love blossomed into more than a
friendship. “We instantly got along very well when we met,” said
Julie. “I enjoy watching my husband because he brings a smile to
anyone’s face and he is such a hard worker with so much energy. God has
something he wants us to do for him and wanted our talents combined.”
They began dating about a year later and started
taking ballroom dance lessons at Black Hawk College. The two of them
would often stop by Hillcrest dressed in their ballroom attire to show
the residents their progress and what they had been learning. “The
residents enjoyed watching us dance together,” stated Julie. “We love
to joke around with them and have become very close to many of the
residents and appreciate their support.”
They have received so much love from their
immediate family as well as their new family at the home. Julie’s son,
Matt Lloyd, served as best man at the wedding and Randy’s brother, Jason
Lindstrom performed the ceremony. “We are amazed at the love here and
feel blessed to have our “Hillcrest family” in our lives,” said Julie.
“These people have touched our hearts and we love them so much.”
Julie and Randy are especially thankful to Rebecca
Gradert for all her exceptional work and planning and John Hunt for the
lovely reception announcements he wrote in the May and June Hillcrest
Hummers newsletter. A special thank you also to Sawyer, Glenda, Bev and
Traci for the help and for making the day so absolutely PERFECT!
HILLCREST
HOME RIDES THE NEW WAVE IN ELECTRONIC HEALTH RECORDS
Hillcrest Home has recently taken
patient charting to a new level. Funding received from the Department
of Public Health last year has provided the means for streamlining the
tedious task of documenting patient care. The newly installed
“PointClickCare” software is an innovative program that allows the user
capability to save time on paperwork and focus more on direct patient
care by automating Electronic Health Records.
According to Hillcrest Home’s
Administrator, Mary Bergren, it was the ease of the software that sold
the product to her and Julie Kaufman, director of accounting. “One of
our main concerns when we were shopping around for a new program was
training some of our seasoned employees, but everyone has adjusted very
well to using the new software, stated Bergren. “In fact, the overall
experience by employees of the home has been very favorable.”
She explains that this software is
similar to the programs currently being used in hospitals, but the
PointClickCare model is tailored specifically for healthcare in regards
to nursing homes. It was designed to reduce the burden of time spent on
record keeping for both the clinical and financial areas. Bergren is
also pleased with the functionality of the program because it allows her
to check the communication board from home on the weekends and lets her
know if there are any concerns she may need to address when she returns
on Monday. “It’s a great way to stay in touch when I’m away from the
office,” remarked Bergren.
The introduction to the
software reads, “If you’ve ever booked a flight, ordered a book, or
compared quotes for auto insurance online, you can use PointClickCare.”
Bergren acknowledges that this statement is, in fact, true and to the
point. “Our nursing staff is now able to spend more time seeing to the
needs of residents,” added Bergren. This extra time allows her staff to
interact more with the residents and less at the computer.
Kaufman recalls that in
the beginning it was difficult to get everyone in agreement on which
software to purchase, but this program sold them because of the
versatility and efficiency. “We place something new on the
communication board each day. When the nursing staff begins their shift
there is something posted on the board to get them used to the program,”
Kaufman added. She also believes that the integration of the program
has improved communication between staff at all levels.
Retired nurse, Diane
Fowler, has embraced the new technology and looks forward to its
challenges. “I am O.K. now and can do what I need to do with my daily
tasks. I enjoy working with the computer and I have learned a great
deal from the experience,” said Fowler. Through training sessions at
the home others like Fowler are able to maneuver the screens and find
the process straightforward.
At this time, Hillcrest
is functional using both the clinical and financial systems of the
consumer web software model. Only nurses and certified nursing
assistants utilize the clinical portion of the program. All four
hallways now have Kiosk stations with a computer attached to one of the
walls for the convenience of the CNAs. The computer touch screen
provides a complete list of residents for their area and is available
for the nursing staff to complete their progress notes and dietary
reporting as well as other documentation in a fraction of the time.
Kaufman explains that the color
coding highlighted on the screen indicates the completion of tasks and
assists the nursing staff with additional follow-up when deemed
necessary. The color green means that something is completed and red
means it is past due. “This is a flag for the nursing staff and has
been very helpful so far. The system automatically alerts you and gives
you an update to go back to if something may have been missed,” added
Kaufman. Additionally, new laptop computers now reside at each of the
nurses stations where it is more convenient for the nurses to complete
their charting.
Serving as the director of
accounting, Kaufman has found the financial system helpful in her daily
accounting responsibilities. “It has freed up time and allowed me to
focus on other duties that require my attention,” said Kaufman. The
financial system promises the opportunity for more accuracy in relation
to accounts receivable and billing.
“I feel we have a head
start on the new wave of Clinical Electronic Health Records as we are
one of the first nursing homes in the area to use this type of system
application,” stated Bergren. Initially, the Home purchased the
financial module or bookkeeping software in 2008. Last year, the
clinical system was added also.
There are additional modules that
are available such as the Electronic Medication Administration Record (eMAR)
and the Pharmacy Integration, but the current network business system is
only hooked up to one tower at present. If there is a problem with the
server, it requires a delay in retrieving the needed information. When
it becomes a fail-safe system Hillcrest Home will integrate these into
the overall system. Pharmacists like the idea of having this program
available and feel it will make the process of instantly sending orders
versus faxing them a time saving experience for all.
Families’ who are
considering placing a loved one in a long-term care facility, are fond
of the fact that patients receive more attention and care as a result of
the electronic clinical software. Director of Nursing, Nona Diericx,
agrees that the program has made a significant improvement to the days’
routine. “We are now able to do reports instantly and verify the
information with just a few clicks. There is no more copy cat charting
and we can track reports easier by just doing a simple search,” added
Diericx. She feels that this is especially important for risk
management when you are tracking falls in hallways.
Of the many positive
things that Bergren has experienced since the integration of the
program, she especially finds the communication board extremely helpful
as it serves as a way to notify and remind staff of important matters.
“It is like a little sticky note, like a small post it,” said Bergren.
For example, if a resident misplaces a pair of glasses or a hearing aid,
all you need to do is track the progress of the resident throughout the
day to locate the missing item. “That fact alone has been very
helpful,” added Bergren. “It continues to save us a great deal of
time.”
HILLCREST HOME RECEIVES A 5-STAR RATING
Hillcrest
Home in Geneseo, recently received notification that it has again been
rated a 5-Star Nursing Home. The Centers for Medicare and Medicaid
Services (CMS) created the Five-Star Quality Rating System to help
consumers and their families compare homes based on specific standards.
The rating system also helps to identify targeted areas that a caregiver
or family member may wish to ask questions when considering a home for a
loved one.
According to Hillcrest Home
Administrator, Mary Bergren, “the CMS rates each home quarterly based on
the same three sources of data including health inspections, staffing
and quality measures (QMs). These areas of criteria provide a means to
measure the quality of care for each certified nursing home. A 5-Star
rating means that a facility ranks “much above average.” A 1-Star
rating is the lowest and means a facility ranks “much below average.”
The health inspection rating was
designed to protect nursing home residents and ensure the best possible
care available. Each certified nursing home must meet over 180
regulatory standards, which include proper management of medications,
safe food preparation and storage and protection from physical or mental
abuse. A trained team of objective inspectors visit onsite to review
these and many other topics when checking the quality of care. They
inspect medical records and talk individually with residents about the
care they are receiving.
The overall staffing rating is the
number of staff compared to the number of residents based on the needs
and care required by the residents. CMS looks at the trained nursing
staff and their roles as registered nurse, licensed practical nurse,
licensed vocational nurse to certified nursing assistant. These
positions are adjusted to the population of the home and their needed
expertise. “The staffing level at Hillcrest Home is stable and is
always where it needs to be and this is important for the program,”
stated Bergren. Each nursing home is required to report its staffing
hours to its state survey agency. CMS gets nursing home staffing data
from the states. There is strong evidence that low nurse staffing
levels seriously compromise quality of care for residents.
The quality measures’ rating is
important as it provides an in-depth look at how well the nursing home
is caring for all its residents. This includes their physical and
clinical needs. These measures might show how the nursing home helps
people keep their ability to dress and eat, changes to a resident’s
mobility or if they have received their flu shot. People considering a
nursing home for themselves or a family member may find these quality
measures helpful in determining which home provides the best overall
care.
When comparing nursing homes the Five
Star Quality Rating System is helpful, but a personal visit is the best
way to make a final decision. “I always recommend people make an onsite
visit to meet the care givers at Hillcrest Home and to experience the
comfort level and atmosphere of the home. They should tour the facility
and see for themselves the care we provide to each and every resident,”
said Bergren.
Minnaert glad she’s at Hillcrest
Looking
back to when she began to lose her strength, Martha “Mert” Minnaert remembers it
was her son who recommended she receive some temporary assistance from the staff
at Hillcrest Home in rural Geneseo.
“My son knew I was growing weaker and my diabetes was
causing me problems also,” said Mert. “We agreed that I needed some help
with my eating and diet and I couldn’t stay in my home in this condition,” she
added.
In describing her weakened state the 81-year-old explains.
“The care here means a lot to me and my son Michael, and not having to run her
back and forth to the doctor can also make a difference as it can get very
expensive.” She was glad when he suggested she come to Hillcrest for some
care and to regain her strength. “Eating my meals in the cafeteria has
helped me eat better and healthy again and I have learned to select only the
foods I am allowed with my diabetes,” she said.
Minnaert has been monitored very closely by the physical
therapists at Hillcrest. Upon her arrival, she was reported weak and
unsteady, but now she has her balance back and can even go up and down stairs
again. Physical therapy assistant, Jason Burton, has seen many changes in
Mert over the last few weeks. “She is now able to walk about 500 feet or
more a day,” said Burton. He is delighted that she has exceeded her goals
and their expectations so quickly. “Mert has come a long way in a short
amount of time and is getting close to her previous level,” states Burton.
Each day, Minnaert goes to physical therapy where she has
learned new exercises that she will be able to follow when she returns home very
soon. “They really get your blood flowing,” she adds. The physical therapists
teach the residents about safety in the home and how to organize rooms
throughout the house, especially the kitchen area. “We hope to equip them with
the ability to recognize possible problem areas such as throw rugs and the
placement of items in the kitchen cabinets,” said Burton.
He also explains that many times they will do a home
evaluation prior to a resident returning home and residents may call anytime for
pointers. “We want them to be prepared and remain independent and able to
function with limited assistance,” he added. “Residents are encouraged to walk
to meals, walk the hallways and remain as functional as possible.”
Minnaert feels grateful for all the support and care that
has been bestowed upon her during her stay at Hillcrest. “I have received a lot
of help from the staff in the cafeteria in selecting the right foods and
everybody here has been great and so nice. They will do anything for you, even
if it isn’t their job and everyone knows you by your name and makes you feel at
home,” she commented. “They treat you like a friend and are always pleasant and
nice.”
At Hillcrest she was able to reach her goals so quickly and
is now able to return home after only six short weeks of residency. Minnaert is
a believer in Hillcrest and would not hesitate to return to the facility if she
needed assistance again.
Minnaert is looking forward to returning home to work in
her flower gardens. “I know everyone will be expecting me to have beautiful
flowers once again this year and I don’t want to let anyone down,” she said.
She also plans to start walking at night with her son again. “The walking
makes you feel solid and altogether,” said Minnaert.
It’s
all about keeping time at Hillcrest Home
No matter if it’s the dietary staff in the kitchen or the
resident kitchen band rehearsing, they’re all in sync at Hillcrest home. Each
day the meals are prepared to perfection and no one misses a beat in time. When
the call goes out over the intercom that ‘dinner is served’, workers are in
position ready to dish up some great food.

Even yet today in our busy world, the kitchen remains the
heart of the family. This is also true for the dietary team. Showing our loved
ones that we care deeply for them by the healthy foods we serve each day, is the
same motivation shared by this workforce.
According to Donya Price, assistant head cook, serving the three meals per day
buffet style has offered more food options and better choices for the
residents. “Each resident has a card on file here and we are able to assist
them with foods they may have especially if they are diabetic or have
specialized dietary needs,” said Price. “The residents receive help through the
line, but are encouraged to make their own meal choices.”
Lunch is the biggest meal of the day and includes larger servings and several
desserts. Residents may select from two or three salads, two entries, two
vegetables, and fresh fruit and there is always jello available as well as daily
soups or sandwiches.
The menus are printed every six months and are on a four-week rotation with
seasonal items included. “There’s always something good cooking in our
kitchen,” adds Linda Jagers, dietary manager. Jagers is in charge of scheduling
the 11 dietary staff members and working with the care plans.
“Almost everything here is homemade,” stated Jagers. “We serve up some of the
best homemade noodles, soup, pies and bread thanks to Barb Wolf.”
As head cook at the home, Wolf enjoys the convenience of the new walk-in
freezer. Both Price and Wolf agree that the walk-in coolers have allowed for
better organization and convenience in the kitchen area. They also like the
fact that they no longer have to set-up carts for the old building. “With the
other building gone, the aides are now available to help out here,” said Price.
There is over 51 years of experience when you combine the total years of service
from Price, Jagers and Wolf. That is a lot of cooking experience and residents
at Hillcrest are extremely grateful for their effort. They also like the fact
that the administrator, Mary Bergren, finds time to cook for them from time to
time. She loves to help with the breakfast buffet line and is always eager to
serve up some of her popular Belgian waffles.
For residents not able to go through the line, a cart is prepared for them and
nurses aides assist with the meal. “We will prepare the food to best meet the
needs of the resident,” said Price. “That means pureeing or processing the food
with a grinder if a resident has a problem swallowing.” Residents are also
often treated with Mary’s delicious ice cream root beer floats or her specialty
cream puffs.
Following any meal, the dining room area can quickly be transformed into a
gathering place for almost any program including rehearsal for the newly formed
Hillcrest Home kitchen band. “We are excited about reviving the band last fall
and have been practicing once a week this spring,” stated Rebecca Gradert,
assistant activity director.
"Music is a universal language,” added Gradert. “It brings out the best in many
of our residents.” She explains that the residents are excited about performing
at the upcoming July 7, ice cream social fund raiser event to be held in Geneseo
Park at 7:00 p.m. The Hillcrest Home band members will make their debut that
evening followed by the Maple City Band at 8:00 p.m.
The kitchen band consists of 9 members including Verna Jones, Doris Tieken, Mary
Lou Chrisop, Darlene Nelson, Everett Miller, Hugh Hall, Joyce Briggs, Evelyn
Hutchinson and Irene VanDusen. “Even though some of the members of the band
have walkers, short-term memory loss and varying degrees of cognitive levels,
they all can keep time,” said Gradert. According to her, “just singing old
hymns or favorite music from the past, can allow them to cross all lines.”
Although many of these people have some music background, all the residents at
the home are encouraged to participate in any music program offered including
the kitchen band.
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