How to Make Friends and Improve Your Quality of Life as You Age

You’re Never Too Old to Make New Friends

Remember how easy it was to make friends when you were a kid? Back then, it seemed like every social interaction ended with a new best friend. Then you go to college and/or into the workforce, and what seemed to come easy is now more difficult. Especially when you’re busy advancing your career, raising a family and maintaining your home. Who has time to focus on making new friends as an adult? But there’s a simple reason it seemed so easy to find fast friends when you were younger: time.

A recent study published in the Journal of Social and Personal Relationships found it takes roughly 50 hours for someone to move from mere acquaintance to casual friend, 90 hours to go to simple “friend” status, and more than 200 hours before you can consider someone your close friend.

After the kids move out and/or you’ve retired from a career, you have the time to make friends. What you may be missing is the opportunity and activities for seniors to help you meet people with similar interests and life experience.

The Health Benefits of a Healthy Social Life

Research shows that social isolation can actually harm the health of older adults, and more social interaction can provide a lot of benefits, including:

  • Longer life: People with more social support and relationships tend to live longer than those who are more isolated, and this is true regardless of your overall level of health.
  • Better physical health: Friendship is associated with a stronger immune system, so you’ll have a better chance of fighting off colds, the flu, and even some types of cancer. You could also have a reduced risk of cardiovascular problems, osteoporosis and rheumatoid arthritis as well lower blood pressure.
  • Better mental health: Interacting with others boosts feelings of well-being and decreases feelings of depression.
  • Lower risk of dementia: Social people generally perform better on tests of memory and other cognitive skills, and are less likely to develop dementia. However, socializing is most effective when coupled with an overall healthy lifestyle that includes a nutritious diet and physical activity.

Maintaining and Forming New Friendships

The easiest way to avoid isolation and stay social is to maintain the friendships you currently have. So try to talk with and visit friends and family on a regular basis.

  • Use Skype or Facetime to catch up with distant family and friends.
  • Walk through your neighborhood and make a point of stopping to say hello to people you meet.
  • Babysit your grandkids or help them with homework.
  • Visit a museum with a friend and chat about what you see.
  • Have a friend or family member over for coffee or tea.
  • Exercise with a friend by walking, swimming, or going to the gym together.

Here are some social activities for seniors to help you stay social and improve your quality of life:

  • Volunteer in your community or at your favorite charity organization.
  • Visit a senior citizen center and participate in social groups and other scheduled activities.
  • Join a group focused on a topic or activity you enjoy, such as card games or a book club.
  • Take a class. Many local universities offer discounts to seniors or allow them to audit classes for free. Your local recreation center or library may also have free classes.
  • Join a gym or fitness center to stay physically fit and engage with others.
  • Attend religious services at your church, synagogue or temple.
  • Participate in a neighborhood or community group.
  • Play a group sport like bocce ball, golf, bowling or croquet.

Making Friends at a Senior Living Community

Some of the biggest worries many seniors have before moving to a Life Plan Community – like Harrogate – is whether or not they’ll be able to make friends. How easy will it be to form new relationships? That’s why visiting a community to check the friendliness of the residents and staff is important. You should also see what kind of planned social activities they have and if they have a wellness program. At Harrogate, we have a whole-person wellness program called “Living the 8” to help you live a happier, more well-balanced life, complemented by a wide variety of thoughtful services and amenities.

Here are some tips to help you make friends at your community.

  • Go to group activities: Most senior living communities have a robust social life with plenty of activities for seniors to choose from: yoga or morning stretch activities, arts and crafts, happy hours, educational seminars, outings to museums and more. Even if it’s not something that interests you, give it a try. The opportunity to socialize is more important than the activity. As you make friends, you’ll be able to invite them to do things that interest you.
  • Find similar interests: For example, if you like to read, join the book club. If there isn’t a book club, see about starting one. It’s a great way to spend time with others who share your interests and begin forming friendships.
  • Bring a friend: If you don’t like doing group activities alone, ask your son or daughter to come with you. This will give you someone to talk to, and they can help you start a conversation with other people. Eventually you’ll make friends and feel more comfortable going on your own.
  • Make dining a social time: Going to the dining room is a perfect time to meet people. To ensure that no one sits alone, many senior living communities will assign residents to specific tables or seat them together in groups as they show up. As you talk with your dinner companions, you may find you have a lot in common.
  • Get out and about: Go for a walk down the hall. Sit in the lounge and read a book or work on a jigsaw puzzle. Ask someone to play cards or a board game. These are all great ways to get to know your neighbors.
  • Show a new resident the ropes: Chances are you won’t be the newest resident in your community for very long. New people will move in, giving you the chance to bond over your “newness.” You can help them adjust to their new home by offering tips and suggestions. You can also sit with them during group activities, ensuring that neither of you feels out of place.
  • Relax: It make a while to make new friends, but you have time. It may take a few days, weeks, or even months to adjust to your new lifestyle. Try to always greet people with a smile. Be willing to stop and chat, and pretty soon those chats may turn into longer conversations. People will get to know you and begin to like you, and you’ll begin to like them. And before you know it, you’ll have new friends and your new community will feel more like home.

If you’d like to learn how our engaging lifestyle promotes healthier, happier, more social lives, call us at 866-606-0178. If you come in for a tour, we’ll even treat you to lunch.

The Importance of Lifelong Learning for Seniors

Lifelong Learning has lifelong benefits.

“Anyone who stops learning is old, whether at 20 or 80. Anyone who keeps learning stays young.”
– Henry Ford, business magnate

Being curious and wanting to learn about the world around us is an important part of being human. But does learning stop after you end your formal education or obtain your degree? While it may have been true at one time that graduating from high school or college signified the end of structured learning, times have changed. We’re now discovering being a lifelong learner has far-reaching health benefits. This blog will look at what lifelong learning is and how it can help benefit you.

Any age is a perfect time to try something new.

“We always may be what we might have been.”
– Adelaide Anne Procter, poet

Throughout life there are age-based milestones: At 16 we start to drive. At 18 we’re an adult. In our early 20s we start a career. 40 is often called the start of middle age. But to quote Major League Baseball hall of fame pitcher Satchel Paige: “How old would you be if you didn’t know how old you are?”

Today’s seniors are dismissing the idea of what being a certain age means and instead asking, “What do I want to be now?” There are lots of inspiring seniors trying something new after retirement age. Here are just a few of the more famous examples:

  • Laura Ingalls Wilder published her first “Little House on the Prairie” book at age 64.
  • Colonel Sanders started KFC at age 65.
  • Benjamin Franklin signed the Declaration of Independence at age 70.
  • Oscar Swahn won an Olympic silver medal at age 72.
  • Peter Mark Roget first published his classic Thesaurus at age 73.
  • Grandma Moses started painting at age 76.
  • John Glenn went to space at age 77.

There are several benefits of lifelong learning
“Aging is an issue of mind over matter. If you don’t mind, it doesn’t matter.”
– Anonymous

There’s an old adage – “Use it before you lose it” – that speaks to the idea of how staying physically and mentally active now helps you to be physically and mentally active later. Recent research shows there’s a lot of wisdom in that old saying.

Researchers have long explored different medical options to help older adults cope with aging, but staying active remains the best way to preserve health for as long as possible. However, along with physical exercise, it’s also important to remain mentally active. Being mentally active helps build up cognitive reserve, or the ability of the mind to resist damage. Whether the damage occurs due to normal aging, physical trauma or emotional trauma, how well we’re able to function often depends on how efficiently we’re able to compensate for lost brain function.

A January 2019 report by Neurology found that while cognitive activity can’t change the biology of Alzheimer’s, learning new activities can help delay symptoms, preserving people’s quality of life. A 2014 study by the International Journal of Alzheimer’s Disease indicates that learning to play a new instrument can also help offset cognitive decline. The Association for Psychological Science discovered learning a difficult new skill in older age is associated with improved memory.

Recognizing the potential value of lifelong learning in boosting seniors’ cognitive reserve, the Tasmanian Healthy Brains Project (THBP) was launched in 2011. A new article published in the journal Neuropsychology presents some of the most recent THBP findings. All participants completed a series of tests to measure cognitive reserve, dementia symptoms, general well-being and physical health.

Results showed that education does seem to have a positive effect on cognitive reserve over time. Participants who recently completed a minimum of 12 months of part-time or full-time education were compared to participants who weren’t involved in any formal education over the same time period. 92.5% of the education participants showed a significant increase in cognitive reserve, while the majority of the control group showed little real increase.

Lifelong learning happens every day.
“There is nothing more notable in Socrates than that he found time, when he was an old man, to learn music and dancing, and thought it time well spent.”
― Michel de Montaigne, philosopher

Although there is a strong genetic component to cognitive reserve, research has shown that lifestyle factors can also boost the brain’s natural resilience. This includes being exposed to an engaging lifestyle with a variety of physical, mental and social activities.

At Harrogate in Lakewood, NJ, we offer a full calendar of activities, social get togethers, educational outings across Ocean County, NJ, and lifelong learning opportunities like these:

  • Chorus: Learn how to work together to create beautiful, inspiring music.
  • Art class: Discover, or rediscover, how to paint, draw, or even learn a new craft.
  • Stained glass class: You’ll learn how stained glass windows are made, and even create one of your own.
  • Educational lectures: We feature guest speakers from across the country.
  • Music with the Maestro: Join us as we explore different types of music.
  • Armchair traveler: Residents highlight where they’ve traveled and offer unique information about each destination.
  • Tech classes: Take advantage of ongoing opportunities to learn how to get the most out of the new technology that’s all around us.

In addition to the lifelong learning options at Harrogate, Ocean County Community College in Toms River, NJ, has a special program called Silver Edge for Senior Citizens, which allows area seniors to take courses at a reduced tuition.

To learn more about Harrogate’s lifelong learning philosophy and how it can help you live a happier and healthier life, call one of our Life Care Consultants at 866-606-0178, or use our Contact Us form.

Sue Gallagher’s 16 Fun and Affordable Things to Do Around Ocean County

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If you’re Harrogate Community Life Services Director Sue Gallagher, you often get asked about interesting things to do, including when there’s a blog to be written about affordable senior-friendly activities in Lakewood, Toms River, and the surrounding Ocean County. Fortunately, Sue always has a long list of ideas. Here are her 16 suggestions:

Lakewood

  1. Strand Theater
    See live theater, enjoy a musical act or attend an educational talk at this historic Vaudeville-era theater in downtown Lakewood, New Jersey.
  2. Ocean County Park (Rockefeller Estate)
    This 323-acre park offers a wide variety of free activities, including tennis, pickleball, fishing, and even a driving range. There are also miles of biking and walking trails.
  3. Lakewood BlueClaws
    Watch the Phillies’ future stars at a BlueClaws minor league game. Seniors who are Silver Sluggers eat free on Thursdays, and the grandkids can run the bases after every Thursday, Friday, Saturday and Sunday home game.

Toms River

  1. Jay and Linda Grunin Center at Ocean County Community College
    Featuring acts from around the globe, venerated artists, hometown musicians and unique entertainers.
  2. Robert J. Novins Planetarium
    One of the largest and most active planetariums in New Jersey, they offer shows about the night sky, solar system and universe for audiences of all ages.
  3. Academy for Lifelong Learning
    Retired seniors receive a FREE membership to the Academy for Lifelong Learning, and enjoy discounts on campus activities as well as reduced course tuition.
  4. Ocean County Historical Society
    Focused on keeping the rich, proud history of Ocean County alive, it’s a great place to research your genealogy or review their wide range of local artifacts.
  5. River Lady
    Enjoy lunch or dinner on an 85-foot paddle wheel riverboat while cruising the Toms River and Barnegat Bay.
  6. Double Trouble Park
    Tour Double Trouble Village – a preserved company town, sawmill and cranberry sorting and packing house – built in the Pine Barrens.
  7. Farmers Market
    February – May: During the winter and early spring, the market is held indoors at The Downtown Shops @ 53 Main on the first Wednesday of every month. June – November: The Farmers Market moves outdoors and is held every Wednesday. See their website for specific dates and times.
  8. Cruisin’ Downtown – Second Wednesday June through September.
    Bring your pre-1993 car or motorcycle to show off, or check out the area’s vintage rides.

Downtown Festivals

Toms River, New Jersey, hosts a variety of festivals featuring local musicians, artists, food vendors, and activities and rides for the grandkids.

  1. Chili and Salsa Cook-Off – Third Saturday in May
  2. Summer in the Streets – Third Saturday in July
  3. Wooden Boat Festival – Third Saturday in July
  4. Harvest Arts Festival – Third Saturday in October
  5. Christmas Tree Lighting – First Friday in December

At Harrogate, socializing is a big part of Living the 8 – our program that brings together eight dimensions of wellness to help residents live happier, more balanced lives.

To see some of the interesting activities we have going on, check out our upcoming events.

The Benefits of Physical Therapy for Seniors

Physical therapy can help prevent physical decline

A natural part of the aging process is having decreased flexibility, strength and/or balance. Which is why returning to your normal level of activity after an injury, illness or surgery can get more difficult with each passing birthday. But working with a physical therapist after a fall, hip replacement or stroke can help get you back to what you love to do and improve your overall quality of life.

In fact, the benefits of physical therapy for seniors is even more far-reaching than previously thought. According to the National Institutes of Health, physical therapy can help improve strength, balance, mobility and overall fitness, which can help you maintain your independence longer.

That’s because physical therapists understand how the body works and know how to get it moving again. Geriatric physical therapy is a proven way for seniors of all levels of function to build confidence, improve balance and strength, and stay active.

Conditions that are helped by physical therapy

physical therapist caring for senior resident

Senior physical therapy services are almost always prescribed for hip fractures and joint replacements. Physical therapy can also help people regain their mobility and speech aftera stroke. But did you know physical therapy can also help with these conditions?

  • Arthritis: By retirement age, almost everyone has arthritis in their spine, but not everyone shows signs. Besides taking medication, there are many types of physical therapy — aquatic exercises, hot packs, electrical stimulation, ice to reduce swelling — arthritis sufferers can engage in to help relieve some of the symptoms. Osteoarthritis — which primarily occurs in the hips and knees due to bone deterioration as we age — is the main reason for physical therapy for older adults. That’s because a lack of mobility and flexibility can increase the risk of a fall.
  • Fall prevention: Having good balance is important in helping prevent falls. Senior physical therapy can work on all the important areas of the body for maintaining balance: blood oxygenation levels, muscle strength, awareness of joint position and movement, vision, and your inner ear. Also, gradual weakening of the leg muscles — quadriceps in the front of the thigh and gluteal muscles in the back and side of the buttock — is another major cause of increased fall risk. A fall leads to a high likelihood of prolonged injuries, such as head injury and/or fractures. Fear of falling can also cause seniors to live a more sedentary lifestyle, which is proven to raise the possibility of depression, anxiety and pneumonia while lowering feelings of confidence.
  • Parkinson’s: Early physical intervention — before stage 4 Parkinson’s when most people are unable to live alone because of significant decreases in movement and reaction times — can almost always prevent the most severe symptoms of stage 4.
  • Dementia: Avoiding falls is also important with Alzheimer’s and other forms of dementia. Physical therapy that uses the types of movement your loved one remembers from the past, such as dancing or gardening, is most effective at helping maintain balance and avoiding falls.

2 common questions and 1 misconception

According to Chris Sansom, director of operations for RehabCare (which partners with Harrogate to provide on-site physical therapy), here are a couple of questions he’s asked most often along with one misconception.

Q: Will I get back to my prior level of functioning?

A: The initial evaluation is critical in helping develop a complex intervention plan that includes short-term and long-term goals. Reviewing your prior history, including any diagnoses that are chronic, is important, as is the motivation needed to want to get better. One of the biggest determining factors in helping you reach your goals is a willingness to participate in therapy. While some of the recovery is based on medical deficits, motivation and attitude are also very important. If you have a positive attitude and outlook on physical therapy, the likelihood of you making a full recovery will greatly increase.

Q: Can I continue to live independently?

A: It depends on where they are on the journey of rehabilitation. We take a lot of things into consideration: Have they advanced beyond the stage of supervision level and are they able to completely function on their own? What does their mobility look like? What is their gait? Do they have any cognitive deficits? To make the determination if someone can live independently, we have to look at the whole person to see if the holistic view of their needs and living environment match. Consideration of cognition, social skills and family support is also a big part of making this determination.

skilled nursing at Harrogate retirement community

The biggest misconception of therapy is that it’s only hard work and a lot of exercise.

Physical therapists are good at helping with pain management and practice a lot of different therapies — electrical stimulation therapy and heat/cold therapies — to help you be as pain-free as possible. Once a therapist is able to reduce your pain, your chances of getting better could increase because all you have to do is focus on your physical therapy.

Questions about senior physical therapy at Harrogate?

If you have a surgery planned or want to learn how to better maintain your strength, balance and flexibility, you don’t have to be a Harrogate resident to receive physical therapy at our 5-Star-rated health center. To learn about our wide variety of rehabilitation therapies, call one of our Life Care Consultants at 866-606-0178, or use our Contact Us form.

CCRC Contracts Defined

Explaining CCRC Contract Types: A Guide to Get You Started

A Continuing Care Retirement Community, or CCRC, is the exact same thing as a Life Plan Community. (Harrogate uses the term Life Plan Community.) But not all CCRCs (or Life Plan Communities) are created equal. Confused? Here’s a guide with detailed information to help you keep it all straight.

Throughout this article, you’ll see the more commonly recognized term, CCRC, when referring to communities. And to help you make sense of all the CCRC options available to you, here’s some of what we’ll cover: CCRC contract types, specifically what a CCRC Life Care contract is, and the fee structure of a CCRC. We’ll also discuss one of the benefits of choosing a CCRC — the entrance fee tax deduction.

CCRC CONTRACT TYPES.

There are several types of CCRCs and CCRC contract types out there – let’s break it down.

Type A, also referred to as Life Care:
At a Life Care community, you pay a one-time fee before you move in, which can offer refundability to you or your estate. After you move in, you also pay a monthly service fee, which we’ll explain a bit later. Type A contracts often ensure a few things: No matter what level of living you choose when you move to the community, you’ll usually have a home providing you unlimited priority access to all levels of care the community offers at predictable rates, for life. And generally, you’ll pay less for any care you need than you would on the open market. If you or your spouse need different levels of care, you’ll often pay just one monthly fee plus a nominal increase in the fee for your spouse.

Type B, often called a modified Life Care:
These communities include housing and services and amenities. Just like at a Type A community, you’ll pay a one-time entrance fee and your monthly service fee. However, the care structure is vastly different.

As part of your entrance fee, you may receive care in one of two ways:

A limited number of free days of health care, with additional days billed at per diem market rates, or an ongoing, minimally discounted rate. However, if you and your spouse need different levels of care, you may end up paying two monthly service fees to cover those two different care levels.

Type C, also known as fee-for-service:
Housing and services are provided, and the entrance fee and monthly service fee tend to be lower than with the other two contract types. You may have access to care, but it will be charged at full market rates, which are typically significantly higher than a Type A or B contract. Also, if you live in independent living but need care on a short-term basis, you will be required to pay your monthly service fee for your independent living residence plus the costs of housing and the health care your spouse receives.

Rental:
Not all CCRCs require an entrance fee — rental communities operate more like a leasing agent, charging you rent by the month. Some rental communities may have year-long leases; others are literally month-to-month obligations. People who choose rentals may prefer both the flexibility and the fact their money isn’t tied up in an entrance fee. However, because they only collect one fee, fewer dollars are spent on services and more are spent on debt services and emergency capital improvements. The monthly service fee could also increase more quickly to produce additional revenue. And many rental contracts don’t provide you with priority access to health care services — so any available space on the health care side of the community can be given to someone outside the community, instead of to you when you need it most. And you’ll pay full market rates for that care just like a fee-for-service community. A rental community can be a CCRC or a stand-alone community with a single offering.

 

WHAT ARE ENTRANCE FEES?

An entrance fee is a one-time, upfront fee you pay to move into the independent living part of a senior living community. The amount of the entrance fee varies, depending on the size of the residence you choose, whether it will be just you or you and another person living in that residence, and the contract option you select. At a CCRC community requiring an entrance fee, you can expect multiple contract options offering varying levels of refundability to you or your estate. For example, at Harrogate, there are several contract options to select from that will guarantee you a refund.

Life Care entrance fee tax deduction:
The IRS recognizes that a Life Care contract is one where you’re prepaying medical expenses, meaning a good portion of your monthly fees are tax-deductible. And that’s true whether you receive health care services or not. Generally, regardless of which type of contract you choose, deductions are available. Because tax deductions change frequently, it’s best to talk with your tax professional for all the details.

WHAT ARE MONTHLY SERVICE FEES?
Monthly service fees are just what the name suggests: a fee you pay every month that covers the services and amenities package associated with living at the community. The amount you pay depends on the size of your residence, how many people live there, and the range of services and amenities available to you in your level of living: independent living, assisted living, memory care or skilled nursing.

Interestingly, according to this recent article from TheStreet.com, housing, not health care, was the number one expenditure for retirees over 65. Housing costs include mortgage (if you have one), property taxes, insurance, utility bills, maintenance and homeowner’s association fees – but at a senior living community, these are the types of expenses your monthly service fee pays for, along with so much more.

That “so much more” includes services such as:

  • All maintenance, both inside and outside your home
  • Regular housekeeping, which often includes flat linen service (at Harrogate, we provide this service weekly)
  • Utilities – usually all except for internet and telephone
  • Scheduled transportation to events, shopping, medical appointments
  • On-site 24/7 security
  • Emergency response system

As well as amenities, including:

  • A dining plan with a variety of dining choices and chef-prepared meals
  • Access to the community’s fitness offerings (Harrogate, for instance, has an indoor heated pool and fitness center with full-time instructor)
  • Use of all common spaces (at Harrogate, those include an auditorium with regularly scheduled performances, bocce ball courts, outdoor gazebos, walking trails, card rooms, woodworking shop, garden and dog park).
  • A full monthly calendar of outings, activities, events, etc.

The list of services and amenities goes on, but you only pay one bill each month.

HOW DOES THE ENTRANCE FEE REFUNDABILITY WORK?

At a CCRC, you don’t actually own your residence; however, most CCRC agreements stipulate that refunds will not be paid until your residence is “resold and reoccupied.” As with any big financial decision, read the contract thoroughly, and ask lots of questions to understand exactly what you’ll be getting back, and when.

 

COMMONLY ASKED QUESTIONS

Kevin Fletcher has answered countless questions during his tenure as Harrogate’s director of sales and marketing. Here are a few he hears most often, along with his answers:

Q: As a prospective resident, what should I look for when I visit a CCRC?
A: Look beyond what independent living offers you, and request a tour of the CCRC’s levels of care. Also, ask about the management and financial stability. Check out the activity calendars. When you can, stop to talk with actual residents. Be sure to ask about a community’s entrance fee options to get a clear picture of which one would best fit your needs and wants.

Q: Is now the right time to move into a community?
A: “All signs point to YES!” Ok, there’s no magic eight ball that tells you when it’s time to move. But many CCRC residents say they wish they’d moved five years sooner. That’s because they didn’t realize until they moved in that their quality of life would improve because of all the benefits their community offered — the remarkable dining, wellness opportunities, friendships, packed calendar of activities, amenities, resident-driven clubs, and on and on. Something else to consider: If you wait until you need health care, you may not qualify for a Life Care contract in independent living.

Q: How do I know which type CCRC is right for me?
A: That depends on your priorities. Do you prefer to pay a bit more so you’ve got a plan no matter what the future may bring? Then a Type A CCRC might be the best fit. Or maybe you’re comfortable with paying less upfront to accept more risk in the future. In that case, a Type C CCRC may be better.

Q: What are the differences between Fee For Service (FFS) and Life Care contracts?
A: Some CCRCs offer both FFS and Life Care contracts, while others may offer both Type A and Type B contracts. FFS entrance fees and monthly service fees tend to be lower because you are paying for fewer benefits, like advantageous health care rates. A CCRC that offers a Life Care contract helps protect your assets by controlling the cost of higher levels of care, if/when you need them. This allows you to better predict potential health care expenses. Life Care contracts are even more financially advantageous to couples. For the same basic monthly service fee, if one spouse needs nursing care, they can receive it for as long as needed in the community’s on-site health center while the other spouse stays in the apartment home. In a similar scenario at an FFS community, a couple will pay both the monthly service fee on their apartment home and the market rate for higher levels of care. This unplanned spike in monthly costs could empty a nest egg rapidly and unexpectedly. Plus, with a Life Care contract, you have an opportunity to take a tax deduction, which is something FFS contracts don’t offer.

OTHER QUESTIONS? WE’RE HERE TO HELP.

Got more questions about CCRC contracts? We’re ready to answer them! We work with seniors and their families every day, helping them find the right fit for their lifestyle and finances. Call one of our Life Care Consultants at (732) 942-5272, or send us your question using the Contact Us form, and we’ll help you navigate your senior living search.

Understanding your senior living options.

Kevin Fletcher, Director of Sales and Marketing at Harrogate, can explain all the pros and cons of your senior living options in the Toms River, Lakewood and Ocean County area. His team of Life Care Consultants have helped hundreds of seniors just like you find the best option to fit their lifestyle and budget.

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Skilled Nursing Care: What Is It?

What Is Skilled Nursing Care, Assisted Living and a Nursing Home?

People typically use the words “skilled nursing, “assisted living” and “nursing home” interchangeably, but they’re actually all different terms.

Nursing home is a term used to describe the physical building where residents receive assisted living or skilled nursing care.

Assisted living is for seniors who don’t need around-the-clock nursing care but who could use help with activities of daily living (ADL). ADLs include assistance with eating, medication reminders, bathing, dressing and getting out of bed.

Skilled nursing care refers to a patient’s need for care or treatment that can only be performed by licensed nurses. This type of care is usually offered in hospitals, assisted living communities, Life Plan Communities, nursing homes and other certified locations. Skilled nursing is mostly regulated by the U.S. Department of Health and Centers for Medicare & Medicaid Services (CMS). To be certified by CMS, skilled nursing communities must meet strict criteria and are subject to periodic inspections to ensure quality standards are being met.

Types of skilled nursing care

If you or a loved one has had a stroke, surgery or extensive treatment for kidney, heart or respiratory conditions, they may still require rehabilitation at a skilled nursing community following their release from the hospital. Medicare will pay for skilled nursing services if a physician prescribes specialized therapies – physical and occupational therapy – medications, medical equipment and supplies, and social services, to help your loved one meet their health goals. However, to qualify, you must go to a Medicare-certified skilled nursing community.

Physical therapy: After an illness, surgery or hospitalization, a rehab care team will create a personalized plan for the most optimal outcome.

Occupational therapy: Help adapting to social and physical environments through specialized therapies for getting dressed, memory training and coordination exercises.

Speech therapy: Addresses communication issues and swallowing dysfunction. Speech and language pathologists design a treatment plan to help with language ability, provide alternate communication strategies and give appropriate diet recommendations.

Skilled nursing communities can offer a wide range of services and medical care: physical therapy, occupational therapy, speech-language pathology, wound care, intravenous (IV) therapy, injections and monitoring of vital signs and medical equipment.

Skilled nursing staff includes:

  • Registered nurses
  • Licensed practical nurses
  • Speech/Language pathologists
  • Licensed vocational nurses
  • Audiologists
  • Medical directors

They also must have a transfer agreement with a hospital in case a resident requires emergency care.

Helpful tips and question to ask

As you evaluate all the possible care options, here are some helpful tips to get you started and important questions to ask before you decide.

Getting started:

  • Reach out to people you trust to be unbiased – consultants, friends, family or a physicians – for their candid advice and recommendations.
  • Once you have a list of care options, the state of New Jersey Report Card for Health Facilities has been replaced by the CMS-Five Star Quality Rating System. To compare your options, visit Nursing Home Compare webpage at Medicare.gov
  • You can also check a community’s online reviews, but because personal reviews can be very objective, it’s important to weigh them with other information you’ve already collected.
  • Once you’ve narrow down your list, start scheduling visits to your top communities. As you’re doing this, consider other important details, such as how they answer the phone, the time it takes for them to return messages and their helpfulness.

Even if you know the differences among the types of care available, it can be hard to know which skilled nursing community is best for you or your loved one. To help seniors, their families and caregivers compare different skilled nursing communities more easily, CMS created a Five-Star Quality Rating System that gives each community a rating between 1 and 5 Stars. A 5-Star rating signifies “much above average quality” care. A 1-Star rating represents “much below average quality.”

Throughout Harrogate’s 30-year history, we’ve consistently achieved a 5-Star CMS rating.

Taking a tour? Note the following:

  1. What are your impressions of the place?
  2. Does it look and smell clean?
  3. Does the staff smile and greet residents by name?
  4. Do the residents seem well cared for and happy?
  5. Could you imagine your loved one living here?

Some important questions to ask:

  1. Is there an entrance fee? If so, how much is it?
  2. What’s the monthly fee?
  3. What’s covered by the monthly fee? What’s not covered? (i.e., phone, cable TV, housekeeping, meals, health care)
  4. How much input do residents, family members and your family doctor have regarding your loved one’s care?
  5. Is there a calendar of resident activities?
  6. What’s their schedule for a typical day?
  7. Try the food. How is it?
  8. What’s the dining arrangement? Do residents eat in a dining room or in their rooms? Is it cafeteria-style or sit-down?
  9. What’s the visitation policy? Are there set hours, or are visiting hours open?
  10. What security safeguards are in place?
  11. How much notice is given before discharge?
  12. What happens if a resident runs out of money?
  13. What’s the staff-to-resident-ratio?
  14. What forms of insurance does the community accept?

If you’re unsure which type of skilled nursing care is best for you or your loved one, contact your doctor or physician to assess what services you’ll need now or in the future. Harrogate offers on-site independent living, rehabilitation and skilled nursing. If you’d like to learn more about Harrogate or discuss your care options, use our contact form or call (732) 942-5272.

Importance of eating well as you age

Well-Being Includes Eating Well

A MacArthur Foundation Study found that 70% of how we age is determined by our lifestyle. And because we all need to eat, eating healthy can make a big difference in your overall well-being. This blog will show you how to build a healthy menu, as well as which foods are packed with vital nutrients, like antioxidants, that could be key to living longer.

Tips for Picking Healthy Foods as You Get Older

The National Council on Aging (NCOA) offers these ideas to help you find the best foods for your body and your budget.

A healthy meal should include:

  • Lean protein (lean meats, seafood, eggs, beans)
  • Fruits and vegetables (think orange, red, green and purple)
  • Whole grains (brown rice, whole wheat pasta)
  • Low-fat dairy (milk and its alternatives)

Remember to choose foods that are high in fiber and low in sodium or salt. Also, look for foods high in Vitamin D like salmon, canned tuna, egg yolks, fortified dairy products and more.

Read the nutrition facts label: The healthiest foods are whole foods. These are often found on the perimeter of the grocery store in the produce, meat, and dairy sections. For packaged foods, read the labels to find items that are lower in fat, added sugars and sodium.

Use recommended servings: The American Heart Association provides recommended daily servings for adults age 60+.

Stay hydrated: Drink small amounts of fluids throughout the day. Tea, coffee, and water are the best choices. Keep fluids with sugar and salt to a minimum.

The ABCs of Superfoods for Seniors

A number of foods rich in antioxidants, vitamins and other minerals are considered to be beneficial to health and well-being. Called superfoods, they’re an important part of senior nutrition. Some appear vital to living a longer, healthier life and have anti-aging properties. There are even brain foods that could promote brain health.

Apples

red apple hanging on tree

The soluble fiber in apples may help lower cholesterol and maintain healthy blood sugar levels by slowing the uptake of glucose. They’re also a source of potassium, which helps lower blood pressure, and antioxidants like vitamin C. Apples may lower your risk of cancer, heart disease and asthma, while aiding lung function and weight loss.

Asparagus: The lycopene in asparagus has been found to protect the prostate and help reduce the risk of prostate cancer. Asparagus contains protein and iron along with vitamin A — which is important for the immune system and eye health. It has lots of fiber to help reduce cholesterol, control body weight, and encourage heart health. Asparagus also contains prebiotics, which promote healthy gut bacteria.

Blueberries

pile of blueberries

High in soluble fiber, blueberries can help lower cholesterol and slow glucose uptake, helping you maintain healthy blood sugar levels. Blueberries contain vitamins C and K, as well as antioxidants and manganese. They also appear to lower blood pressure and may promote brain health, aid memory and fight against age-related cognitive decline.

Broccoli: Antioxidants and vitamins such as A, C, B9 (folate) and K can help your eyes, red blood cells, immune system, bones and tissues, and are all found in broccoli. Broccoli may also aid in the fight against certain cancers, including liver, breast, prostate and colon cancers.

Butternut Squash

butternut squash slices on wooden board with heart cutout

The beta-carotene in butternut squash is important for eye health, and its vitamin C also benefits the heart. It has a high fiber content, which helps lower cholesterol and maintain good blood sugar levels. Butternut squash also boasts a healthy amount of potassium to help control blood pressure.

Coffee: The National Institutes of Health-AARP Diet and Health Study found that coffee drinkers (regular or decaf) were less likely to die from heart and respiratory diseases, stroke, injuries and accidents, diabetes and infections. Coffee may also help protect women from breast cancer and also protect against other cancers. Other research has found that those who drank two cups or less of coffee a day in their 40s and 50s had a 65% lower rate of developing Alzheimer’s than those who drank more than two cups a day.

Dark Chocolate

pieces of dark chocolate up close

Some studies indicate that regularly consuming small amounts of dark (at least 70% cacao) chocolate can lower blood pressure and decrease the rate of stroke in women by 20%. Dark chocolate may also protect brain health and boost memory. Antioxidants, including polyphenols like flavonoids, may help prevent heart attacks by protecting arteries from becoming clogged.

Eggs: The yolk contains nutrients that lower your risk of cataracts and age-related eye degeneration.

Fava Beans: Low-fat, no-cholesterol fava beans have plenty of fiber and B vitamins, including folate, thiamin and riboflavin. They’re also rich in nutrients like manganese, iron and potassium.

Garlic

two garlic cloves

Helps prevent heart disease and strokes by slowing the hardening of the arteries. The herb may also help fight inflammation and cartilage damage associated with arthritis.

Greek Yogurt: A serving of low-fat or nonfat Greek yogurt may have twice the protein and half the sugar of its non-Greek counterpart. It also has more digestive-friendly probiotics than American-style yogurt.

Green Kale: Contains important omega-3 fatty acids and vitamin K, which promotes blood clotting to stop bleeding, but be cautious with kale if you take a blood thinner. High in fiber and a rich source of calcium for bone health, it also provides lutein, which is important for eye health. Kale may help slow cognitive decline, protect your arteries and lower cholesterol.

Milk: The protein and calcium in milk help counteract bone and muscle loss.

Mixed Nuts

variety of nuts on serving board peanuts cashews walnuts

In one study, regular nut intake was connected with a lower risk of dying from cancer, heart disease and respiratory disease.

Oatmeal: A compound in oatmeal helps scrub the arteries and may protect against colon cancer. Oatmeal is low-fat, high in protein and loaded with iron and other minerals.

Olive Oil: The monounsaturated fat in olive oil helps lower cholesterol levels, thus decreasing the risk of heart disease. It may also help prevent diabetes by regulating insulin levels and improving blood sugar control. Olive oil also contains vitamin K, which aids blood clotting, and vitamin E, an antioxidant important in the creation of red blood cells.
It appears to reduce arthritis inflammation as well.

Pomegranates

pink red pomegranates

The nutrient punicalagin in pomegranates might help fight against the breakdown of collagen, helping to preserve joint health. A half cup of pomegranate seeds contains 15% of the daily recommended allowance of vitamin C, an antioxidant that may fend off skin damage and premature aging.

Tomatoes: Lycopene, the pigment that gives tomatoes their rich red color, may ward off UV-induced damage like wrinkles. In fact, studies show that our bodies absorb lycopene more easily from tomato paste than from fresh tomatoes.

Turmeric

oranger turmeric in while bowl on table with spoon

A main spice in curry, turmeric contains curcumin. Early research shows that curcumin may bind with the plaque that can build up in the brains of Alzheimer’s patients to prevent the disease from developing.

Quinoa: The South American grain quinoa is a complete protein, filled with antioxidants, vitamins and minerals such as B2, magnesium, copper, iron and phosphorus. It is one of the healthiest and most nutritious foods to eat.

Salmon: High in omega-3 fatty acids, salmon can reduce the risk of heart attack and irregular heartbeats. Salmon can also help lower blood pressure and build brain cell membranes.

Strawberries: The flavonoids — healthy chemicals that give fruits and vegetables their vivid color — contain antioxidants that could keep your heart young.

Our Chef Joe Serves up a Healthier Lifestyle

For Joe Alonzo, Harrogate’s executive chef/director of dining services, providing a healthy diet is more than his job. It’s his way of life. “Four years ago, I had a sudden cardiac arrest. I died for eight minutes and was in a coma for three days. Plus, my middle daughter is diabetic. So I try to use my situation to talk with residents about the importance of eating healthier.”

Chef Joe, as the residents call him, believes eating better is integral to a happier, healthier lifestyle. “On BBQ Wednesday, we’ll give residents an option with less fat, like a veggie burger, salmon burger or turkey burger. In fact, we always have a well-balanced option on our menu.

“We make our own stocks and bases, so residents aren’t getting extra sodium,” Joe says. “Our mozzarella and gnocchi are homemade. We use fresh herbs whenever possible. On our salad bar, we have a spring mix and fresh spinach along with healthy carbs — beans and fresh carrots. Sprouted seven-grain bread is always available too. I can make things healthier without residents even tasting the difference.”

Harrogate’s food philosophy includes buying local produce, or as Chef Joe calls it, Jersey Fresh. “I recently started a Farm to Fork club where we visit area farms. As a part of our club, we started an herb and vegetable garden. Eventually we should be able to harvest six months out of the year. You can’t get any fresher than out of your own garden.”

Enhancing the Quality of Life

At Harrogate, Leslie Schwartz, our onsite Registered Dietitian works with all of our residents in focusing on achieving their positive nutritional goals. She is proactively available for individual as well as group consultation to meet and coach on healthy food choices. In addition, Leslie works with our Dining Services team to promote optimal nutrition for all health ranges from Independent Living to Skilled Nursing.

Leslie has several tips that she recommends that are simple tips to healthy eating:

  • Make sure you don’t skip meals. Even if you have small meals throughout the day, frequent eating will maintain energy levels and ensure you’re getting the nutrition and sustenance you need.
  • Moderation is the key. Food can be both enjoyable and healthy. All food can fit into a healthy diet, but it’s important to balance higher calorie, less nutrient dense foods with others that are more nutrient-rich.
  • Stay hydrated. Water and other fluids keep the body running efficiently. Drink beverages with each meal and a couple glasses of water in between meals.
  • Eat the colors of the rainbow. Eating varied foods can ensure your diet has variety and is nutrient-rich.
  • Try something new. You may like it and it could have nutrients you aren’t getting from other foods.