The Square
News and perspectives from Covia.

In January, Webster House welcomed Mehrad “Rod” Moshiri as its new executive director. He’s spent his first month getting to know the community, both staff and residents.

“The first thing that I think I noticed about Webster House is that people care,” he says. “From the line staff to upper management, everybody cares about the residents who live here, which is great. Everything else can be learned. People caring is something you either have it or you don’t.”

After emigrating to the Bay Area from Iran in 1988 at the age of 15, Rod attended San Jose State University, getting a Bachelor’s degree in Occupational Therapy. His first job was as an Occupational Therapist in a Skilled Nursing Facility in Alameda. After that, he moved to San Francisco where he worked first as a rehabilitation manager, then became a case manager and director of case management while at the same time earning his MBA. Meanwhile, he learned of an opportunity to enter an Administrator in Training program: “I applied, I got in, and got my Masters and became an Administrator at the same time.” After getting his Administrator’s license and MBA, Rod managed Skilled Nursing Facilities for about 16 years.

Because Rod’s prior experience has mostly been as the administrator of places like Webster House Health Center, one of his first goals is to get more exposure to the Independent Living side of the community. In his short time here so far, he’s visited the dining committee, the financial study group, and presented at his first Fireside Chat – an all-community update that happens monthly – as well as getting to know individual residents.

“We have the greatest residents,” he says. “They’re very welcoming. They’re very casual. They’re more than happy to converse with people that are interested and letting them know why they’re here,” such as the fact that they can walk half a block to get to downtown Palo Alto.

His first impression of Webster House Health Center, which provides rehabilitation services and skilled nursing, is that “for the size of the health center, it’s a smooth running operation. And that’s typically not achievable unless you have competent people in place. Room for improvement? Always. But looking at it from a global perspective, it’s a smooth-running operation.”

“Because I have the background and experience in the health center side, I would confidently tell people that the care they will receive here is by far much better than 85-90 percent of the skilled nursing facilities in the area,” he says.

Rod was drawn to the position because Webster House and Covia have a good reputation as an employer in the area of senior living. The Assistant Executive Director of St. Paul’s Towers, Maggie Youssef, and Rod had worked together previously and “she spoke very highly of the company,” Rod says. “I can tell you that everyone I have met so far has been great. And I do get emails saying, ‘Everything OK? Do you need anything?’ Knowing that I’m newer to the position, knowing that I may need something, they’re taking the first step to reach out to me before I reach out to them, which is wonderful.”

Being the Executive Director of a Life Plan Community is not an easy role to fill. “You need to be able to wear multiple hats. You need to be able to think on your feet. You need to be able to put out fires right away. And you need to be able to remember that you’re dealing with people’s lives,” Rod says. “It is a tough business. Different personalities, different challenges, different situations. That’s what’s tough about it.”

At the same time, “You can make a difference in people’s lives and well-being,” Rod notes. “What I like about it is that there are no two days that are the same. It never gets boring.”

Especially with so many interesting people around. “I love and welcome conversations. I live by the fact that I have an open-door policy. I invite people to come in and say hi to me in my office. I’m enjoying every day that I’m here and I’m learning a lot.”

This essay by Webster House resident Jim Lyons originally appeared in the December 2018 Webster House Newsletter.

It is money grubbing time again. Buy, buy, buy, and then buy more. For those of us who stress about what to buy, discombobulation can smash our frames of mind. Mettle is challenged. Yet it need not be that way. Here are some ways of giving that are guaranteed to please and leave your purse or wallet untouched. Rank and randy commercialism be damned! Embrace the wonders of giving simply. Curiously they are worth more than money could ever buy. They are fun for you too.

First. Make two phone calls per day to friends or family that you have not spoken with for a long time. This is personal and profound. It is not a mass-produced card. The personal touch is rarely practiced in this era of electronic babble. You too will be enveloped in the warmth and surprise of the call. If you don’t know the person’s phone number, it is easy to find and free. Ask me and I’ll teach you how to do it.

Second. Write three short hand-written notes daily for 30 days. The message need not be long. Just one sentence or phrase – just like on the $2 cards. Example: “I appreciate hearing your cheerful voice when I call. Thanks.” It’s the personal touch that does the trick. Such touches are scarce these days. A written note takes a minute or so to write. By the end of 30 days you will have brought some warmth into the lives of nearly 100 people! That’s a quiet antidote to the current climate where insults, blame saying, arrogance, and egotism seem to flourish unchallenged.

Third. Here’s some gifts for close friends and family. Write a simple story about an earlier experience, perhaps shared or perhaps not. Each of our apartments is full of things with stories. I’ve given some in my family treasured seasonal decorations along with stories about what our family was like when we used the decoration. I described some of the traditions and the circumstances of that earlier time. Scooter wrote a story about her family and the world during the year before each of her kids was born. Whew! What a treasure.

Think simple giving. That may just be our way to put the human spirit back into the holidays and to penetrate those thick bastions of religious traditions and beliefs.

This is a season when many faiths celebrate the good in us all. A leader of the Hasidic Jews observed: “Everyday life is hallowed, and each of us is responsible for the bit of existence that has been entrusted to our care.” Let’s keep the traditions of giving centered on people.

Lytton Gardens in Palo Alto offers something almost unheard of in senior affordable housing: an Assisted Living option. Openings are currently available for seniors age 62 and older who meet certain financial eligibility requirements.

Housing Administrator Doris Lee says, “Affordable Housing usually only has independent living, so to have the assisted living and the nursing home on the same campus is truly unique.”

“Many people know about Lytton Gardens independent living and Webster House Healthcare Center. The assisted living is not as widely recognized. Our assisted living is more affordable than others in the area, and we want to spread the word out that we have affordable assisted living,” adds Lee.

Assisted Living allows residents to remain independent in many areas while provide support for activities of daily living, such as dressing or bathing, that may require additional support. A typical Assisted Living community can cost anywhere from $5,000 to $8,000 per month or more, far out of reach for many seniors.

At Lytton Gardens, however, the cost is far less. In fact, the maximum allowable income to qualify as determined by the Department of Housing and Urban Development (HUD) is currently set at $66,150 for a single person or $75,600 for a couple. Once income-qualified, residents at Lytton Gardens Assisted Living pay 30% or less of their monthly income for rent, a meal fee of $642.60, and a personal care fee of $1350. For this, residents receive three meals a day, housekeeping and laundry services, and 24-hour staff assistance. The rest of the resident’s rent is subsidized by HUD. 

Located only blocks away from downtown Palo Alto, Lytton Gardens offers not just a place to live, but a community, with many activities and special events as well as a weekly Market Day. “Having the different levels of care on one campus allows the resident to still live amongst the friends they have cultivated and in the place they have called home for so long,” says Lee. “Although the resident needs to move to a different apartment, they are still part of the Lytton Gardens community. Also having the nursing home on site has given some residents the extra motivation to be able to look out their window and see their apartment and work extra hard to be able to return to their apartment safely.”

One resident who has been living in Lytton’s Assisted Living for three years says, “I love the central location of the community, so close to all the shops and restaurants on University Ave. I love my apartment. Having maintenance crew on site is a plus. All the caregivers are great and they personalize the care.”

Lytton Gardens Assisted Living is currently accepting applications. Please contact Lytton Gardens to schedule a tour or call (650) 617-7338 to speak with the Assisted Living Manager, Anahi McKane.

When Pat Lau, Activities Coordinator for Webster House in Palo Alto, first created the Healthy Connections program in 2016, she had no idea the kind of impact it would eventually have.

“I thought, ‘Oh, I’ll just have a little volunteer program. They can work with the residents, meet them, talk to them,’” she says. “But it evolved into so much more.”

Now in its third year, Healthy Connections partners with Stanford University’s Office of Undergraduate Advising to provide pre-med students with a setting to gain clinical experience as well as giving residents in the Health Center the personal connections that studies continue to show are beneficial to people’s health and well-being.

Webster House and its affiliated Health Center are located just a mile away from Stanford University. With physicians from Stanford and the Palo Alto Medical Foundation making rounds at the Health Center daily, the program offers valuable experience for students interested in exploring the medical field.

In addition, the program exposes pre-med students to the need for, and importance of, geriatrics as a medical specialty. According to the American Geriatric Society, 20,000 geriatricians are required to keep up with the need right now, and that need will only grow as the population ages. There are currently fewer than 7,300 certified geriatricians practicing nationwide.

Volunteers for the Healthy Connection program must spend a minimum of three hours each week with the residents and at least 100 clinical hours at the Health Center. “Most of the students, though, work well beyond the hundred hours and some have gone on to two hundred hours,” according to Lau.

Students must be 18 years old, pass a criminal background check, be screened for tuberculosis, and attend an in-depth orientation. “There’s a number of regulations and things they need to know about if they’re going to be in a health care setting and working with a vulnerable population such as older adults,” Lau explains, including the Health Information Portability and Accountability Act (HIPAA), patient rights, elder abuse, infection control, and safety procedures.

So far, 12 students have participated in the program. Four of the 12 students who have been through the program have been accepted to medical school.

“Everyone seemed to benefit,” Lau says. “The student was exposed to a clinical environment, but most of all, there was a very strong, caring, and reliable relationship.”

Healthy Connections recently received a Sereno Group 1% For Good grant from the Palo Alto office. 1% for Good provides grants to local organizations that are active in improving our communities. Sereno Group Palo Alto will be supporting Healthy Connections from July through September 2018.

Brian Chancellor from the Sereno Group says, ““We were intrigued and touched by the inter-generational experience between the students and the residents. It’s exciting to support them all in their care and cultivation of such a relationship when it is so greatly needed and appreciated.”

As the new school year begins at Stanford, students can anticipate another benefit of participating in the Healthy Connections program: Dr. Peter Pompei, a professor at the Stanford Medical School, general internist and geriatrician with 20 years of clinical experience, will serve as the program’s medical director, providing mentorship and support for the students.

But it’s the relationships built between the residents and students that most impresses Lau. “These students really help support these older adults. They improve the quality of their lives. And for me, I can’t tell you what I feel when I see some of these individuals smile.”

For more information on the Healthy Connections program, please contact Pat Lau at plau@covia.org.