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.”
On Thursday, October 18th, residents and staff throughout Covia participated in the Great ShakeOut, an earthquake safety drill. From Santa Rosa to Southern California, Covia took time to “Drop, Cover, and Hold On” and then gathered to review and reflect.
“An earthquake drill like the Great ShakeOut is an example of staff and residents increasing their safety awareness by practicing what they have learned,” says Grant Edelstone, Senior Director of Risk Management. “When a person drops, covers and holds on and then responds to a simulated fire or burst pipe or power outage, they increase their readiness for an actual earthquake.”
Even before the event, people were getting prepared. Covia’s Resident Service Coordinators working in Senior Affordable Housing communities throughout California assisted Housing Administrators with a pre-drill information meeting. Topics discussed included an explanation of the Great Shakeout and what was to be expected as well as evacuation options and routes. San Francisco Towers offered an Emergency Preparedness Department Update in advance of the drill and invited residents to prepare in advance by scouting out the safest place to be in their apartment in case of an earthquake.
San Francisco Towers, which was built after the 1989 Loma Prieta earthquake, has participated in the drill for years. Executive Director Christina Spence says, “We participate so residents and staff are prepared for the likely event of an earthquake that impacts our community.” The drill at the Towers involved more than Covia staff and residents, Spence reports. “Our California Department of Public Health Life Safety surveyor showed up right at 10:18. She ‘dropped, covered and held’ right along with us!”
Sadie Bracy, Housing Administrator at Jennings Court in Santa Rosa says, “We made noise with pots and pans and flickered the lights to simulate an earthquake. Two residents actually got on the floor under the table! Then we talked about the potential impacts of an earthquake afterword. We also talked about the safety of the building and installing the seismic gas shut off valve for more safety of Jennings Court.”
At Support Services, Covia’s administrative offices in Walnut Creek, an announcement over the PA alerted everyone in the building to the start of the drill. Afterwards, staff received a demo on go-bags and the locations of safety equipment and exits. “Last year during the fire [in Santa Rosa], I heard more than one resident say they’d been told to prepare a go-bag, but they didn’t think they’d actually need it,” says Laura Darling, a member of the Covia Safety Committee. “You don’t know you’ll need it until you do.”
Covia also prepared for the safety of seniors who would be unable to move themselves in the case of an emergency. At Webster House Health Center in Palo Alto, everyone participated in the drill. “All 3 floors participated along with vendors and home health agencies in the community during the drill. We had families and volunteers participating too,” says Assistant Executive Director Linda Hibbs. “I was stationed on 4th floor and the staff actively participated and moved the residents to a safe location.”
Hibbs continues, “After the drill was over we discussed why we have drills, what to do in a drill and how did the staff and residents think the drill had gone. The residents said thank you to the staff for practicing the drill and including them too. A few residents said they were happy that Webster House cared enough about them to practice if an earthquake happened and included residents in the drill.”
These drills are valuable preparation, Edelstone explains. “When there is a real earthquake, staff may react faster without thinking because of their practice. It can help them whether at home, work or traveling. Similarly, regular fire, disaster, active shooter and other drills increase safety readiness.”
And drills are just one part of building a culture of safety at Covia. “Covia has a commitment to safety in all levels of the organization,” says Edelstone. “Covia promotes a safety culture. This culture of safety’s goal is to achieve consistently safe operations that minimized adverse events. It represents a blame-free environment where everyone is able to report mistakes or errors or near misses or safety hazards, without fear of reprimand or punishment. A culture of safety encourages staff collaboration to solve safety problems. It strives to prevent or reduce errors and improve overall quality.”
Sadie Bracy at Jennings Court says, “A culture of safety means we anticipate that there will be an emergency at one point and we prepare ahead of time for it. That we take keeping our residents safe very seriously. And that we are constantly trying to improve our emergency responses.”
After graduating from high school in Vallejo, Jasphere “Phey” Abuan wanted to be a biochemist. “I was actually in a biochem program back in the day,” she says, “and then life happens.” In 2000, she left an abusive relationship, took her 8-month-old daughter and the $30 she had in her pocket and moved home to live with her mother. Now, with the support of Covia’s employee Educational Assistance program, she is preparing to enter a graduate program for a Master’s Degree in Physician’s Assistant Studies.
After returning to Vallejo, Phey joined a temp agency that assigned her to construction companies. “I did subcontracting, I did liens, I did accounts payable stuff. I picked it up really quick. And I picked up the 10 key really fast too. That’s when I decided, ‘I have this kid. I need to do something. And I can’t do anything without a degree.’” While working, she got her Bachelor’s Degree in Business Management and a minor in accounting in 2009. But she still hoped to work for a health-related organization.
Married and with a second child, Phey got laid off from her job with the construction company in 2010. “I got into another temp job I didn’t like so much. It was still construction but more, like, pipes. It paid the bills. I was still looking for something and then [in 2012] I got an opportunity for another temp to hire job here. They told me it’s a senior living community management type company and I’m like, ‘Yes! This is what I want.’ So I finally got in here, got my foot in the door.”
Her work with Covia took her to visit Webster House Health Center. “I would go there and I would see the facility and it intrigued me.” Observing the Certified Nursing Assistants (CNAs), nurses, and others made Phey revisit her dream to enter the medical field – a dream that was also part of her family history. Her father had studied to be a doctor in the Philippines, but the death of his father had interrupted his studies. Instead, after immigrating to the US with Phey and her two siblings, he had had to work two or three jobs just to make ends meet for his family.
At Covia, “my manager pushed us to look into the Educational Assistance program at every finance meeting we had,” Phey says. However, she didn’t think she qualified since the program is for training directly related to a person’s job or career path at Covia. “I thought, it can’t be applied to me, because I want to be a PA [Physician’s Assistant] and I don’t think there’s a lot of PAs employed directly here. So I talked to Prab [Brinton, VP of HR] and Prab said, ‘It’s still a medical line. You can totally do that.’”
Phey began her studies in 2016. “Every new fiscal year, I applied to complete one grueling class. In 2016, I completed my Chemistry class. In 2017, I completed my Anatomy & Physiology class, and in 2018, I have completed my Biochemistry class using the Educational Assistance program here at Covia. I coordinated the most expensive courses first and paid out of pocket with my other courses. I also took advantage in borrowing from my Covia 403b to pay for other classes.” Her final class this semester is Human Biology at Diablo Valley College. “We get to dissect a pig. I’m so excited!”
In January, Phey plans to get her certificate to be a CNA. While continuing in her full-time position as Payroll Specialist at Support Services, she will also work on getting at least 2,000 direct care hours as a CNA at Covia Communities before applying for Physician’s Assistant programs.
“One thing led to another for me and it was kind of – I don’t know, it was just magical. If you asked me when I was hired here, I had no clue. But one question I had that I actually asked opened up doors for other opportunities that can advance my career. And that I did not expect,” Phey says.
Her biggest advice for Covia employees who wonder if this benefit applies to them is simply to ask. “There’s so much opportunity that we as Covia Communities give our employees. If you’re interested, get the information. There are so many benefits out there – not just medical benefits. Our HR group has a lot of information that can guide you through these things. So if you’re interested in any – even if you don’t know if there are benefits out there, ask. It doesn’t hurt to ask.”
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 firstname.lastname@example.org.
January 21-27 is Activity Professionals week. But what is an activity professional? And what do they do?
“From an outsider’s perspective, one assumes that we play bingo every day. This is not the case,” says Connie Yuen, Program Coordinator for St. Paul’s Towers in Oakland. “Our activities aim to stimulate the mind and body, awaken your senses, enrich lives and make an impact to the culture of our community.”
Executive Director Mary Linde agrees. “What is amazing about activities/life enrichment at St. Paul’s is that it truly is Life Enrichment. The kinds of activities are broad and so engaging. We bring residents across all levels of care together so no one feels marginalized.”
The activities at each community vary depending on the interest of the residents. Megan Sullivan from San Francisco Towers says, “The majority of programs provided at SFT are based on resident input; they help support the unique culture here. As Life Enrichment Director, I work directly with the [Resident] Program Committee to schedule all special concerts and lectures. I also add my own programming, based on resident interests, such as online talks from the Harvard Institute of Politics.”
Activities are also designed with the eight aspects of wellness in mind: Emotional, Environmental, Financial, Intellectual, Occupational, Physical, Social and Spiritual.
“Activity professionals create programs to be beneficial and therapeutic to increase overall well-being and quality of life in individuals, by determining their interests and finding what activities provided can best suit them,” says Alexis Kendrix, Director of Activities at Webster House Health Center in Palo Alto.
“I wish that people knew more about the benefits of participating in wellness activities. People should want to participate in activities because of the enjoyment and fulfillment, instead of just to keep busy. Providing activities that are of people’s leisure interests is meaningful to their overall well-being,” Kendrix adds.
Mary Lou Kelpe, Director of Wellness for Canterbury Woods in Pacific Grove, explains, “When we go to Point Lobos State Reserve with multiple docents and have a picnic, it’s much more than a walk and lunch. It’s Emotional, Environmental, Intellectual, Physical, Social and Spiritual Wellness. I believe that’s why we feel so great, after spending time engaging in nature.”
“The active imaginations and energy of our professionals working in tandem with the residents lead to extraordinary events and activities,” says Norma Brambilla, Executive Director of Canterbury Woods. “Truly the trick is finding some one thing to entice each person. Variation is key. The challenge to these professionals is never-ending and their caring and ideas are boundless. It would be so boring without them!”