A Message from Toni Lynn Davis, Executive Director

Seniors and Love

By Toni Lynn Davis, Executive Director Green Hill Inc.

Valentine’s Day is here and love is in the air. At every age and every stage of life we have had mixed feelings about this orchestration of the celebration of love. Remember being a child in school and putting your valentines in a box, hoping that when they are distributed you will receive an honorable share? The teenage years if you were a girl, praying there will be a boy in your life to give you a Valentine. If you were a boy, trying to figure out how to either navigate, or ignore the whole affair.

As a young adult, wondering and hoping your Valentine will be the one true love. When married, just hoping not to forget, or to be sure to get your spouse the right gift or have a special evening together.

For our elders Valentine’s Day can be just as momentous, and conflicted. Perhaps one’s spouse has passed on. You might live alone, or in a retirement or nursing community. Love in later years can seem illusive. But studies show that seniors who have an active love life are healthier physically and mentally.

“Data from the University of Chicago’s National Social Life, Health and Aging Project (NSHAP), presented in the August 23, 2007, issue of the New England Journal of Medicine, showed that many men and women have an active love life—well into their 70s and 80s. The survey also found that these relationships are closely tied to overall health, which was even more important than age.”

An active love life appears to be as normal a part of aging as retiring and having grandchildren for almost half of Americans age 60 and over, according to the NCOA survey.

Senior Journal.com

New to seniors is the modern venue for meeting other singles, the internet. Many new “Single Senior” sites have popped up such as www.maturesinglesonly.com and SeniorPeopleMeet.com. Some seniors are very comfortable with this new way of meeting people, and others reserve their dating experiences for more traditional venues such as community events, or friends and family introductions. For more information visit: http://www.sooperarticles.com/relationship-articles/dating-flirting-articles/older-singles-looking-relationships-love-internet-286158.html

Dating sites are popular and successful for developing senior relationships. Due to the highly personal nature, internet dating safety necessitates specific tips. To ensure you have an enjoyable and safe experience:

• Guard your identity. Remain anonymous until you feel safe and ready to explore other options. Don’t include your real name or city of residence within your email address or in your username.
• Go slow. Take your time getting comfortable talking online. When you are ready, move to phone conversations providing only your first name and cell phone number. Don’t let anyone rush you into meeting or giving out more information than you want to share.
• Don’t use a sexy name. It will get attention, but not the type you’d like.
• Trust your instincts. If something doesn’t feel right, or you feel threatened, immediately end all contact with the person.
• Block any member who behaves in a harassing or offensive manner and report the behavior to the dating site.
• Ask for a photograph.
• Use separate e-mail and IM accounts for online dating.

Building intimacy is an important step towards a romantic relationship for seniors. Talking, sharing activities and meals, exercising together, holding hands and dancing can contribute to enjoying healthy romantic relationships with a partner. It is important that seniors continue to form and maintain intimate relationships. Love does not discriminate by age, sex or ethnicity. So keep an open mind and an open heart, love can be a part of one’s life at any age.

A Message from Toni Lynn Davis, Executive Director

Pets Make Elders Healthier and Happier

By Toni Lynn Davis, Executive Director Green Hill Inc.

Green Hill is thrilled to announce the arrival of our newest resident, Poppy, a five month old Chihuahua who joins our growing pet family. Pets have been included in Green Hill programming since 1992 after finding that having animals at Green Hill resulted in happier residents. The relationship between our pets and elders eases loneliness and feelings of isolation, and helps to make Green Hill more like home.

As noted by the American Animal Hospital Association, a study published in the Journal of the American Geriatrics Society in May 1999, showed that independently living seniors that have pets tend to have better physical health and mental wellbeing than those that don’t. The study also showed that pets help seniors cope better with stressful situations. A 1997 study concluded that blood pressure rates were lower in seniors with pets.

If pets can support the good health of seniors living independently we believe pets also benefit our residents at Green Hill. Thus, living throughout the facility is a menagerie of birds and fish, cats, two cute furry rabbits Peter and Dumpling, and our puppy Poppy who visits residents on every floor, and in each Green House Home.

The Journal of American Geriatrics Society study also showed that people with pets were better able to remain emotionally stable during crises than those without. Pets can also work as a buffer against social and emotional isolation, which is especially effective for elders with light to moderate dementia, and the early to mid stages of Alzheimer’s disease.

Feeding, and petting pets is soothing for the elders – touching and being touched is so important to lowering stress and blood pressure, and reduces the feelings of depression. Pets, especially dogs, make seniors feel safe, and create a sense of family.

According to a study in the International Journal of Aging and Human Development, many elderly Americans think having a pet is more important than moving to a convenient place to live where pets aren’t allowed. At Green Hill we encourage elders who come to live with us to bring their pets with them. Patients who are with us for rehabilitation services, or shorter stays, may bring their pets to visit with proof of inoculation.

Choosing the right pet for elders is very important. Some people have allergies to cats or long haired animals that must be considered before introducing an animal into an elder community. If an elder is mobile and can care for a dog or cat, choose one with short hair or a breed that is a hypoallergenic. Look for a breed that is friendly, not high strung, doesn’t jump up on people, and doesn’t bark too much. Behavior training for a dog is helpful for living with elders. Rabbits are friendly and responsive animals, soothing to the touch, and other caged living animals are fun to watch and care for. Check with a veterinarian for advice on choosing the best pet for your elder.

The studies show that elders who have pets in their lives are happier and healthier. At Green Hill our pets enhance the quality of our elder’s lives, and that’s our goal every day with all that we do.

Activities Asst Samantha Uzzell Florence Rosenber Kringle

Activities Supervisor Karen Gyetvay Shirlie Decostanza Kringle

Barbara Morris and Jean Ellowitch with Poppy

Earl Walker Poppy

Elsie Zenneck

Esther Knee Leist Dumpling

Jopsephine Cela shares a smile with Poppy

Julien Kaplan Poppy

Liz stein Poppy

Muriel Rosenberg and Poppy

Onetta Wherry and Family

Robert Sohn Zee Dumpling

See Dumpling Blanche Diamontavich

Shirlie Deconstanza and Poppy

Shirlie Decostanza Peekaboo

Vincent Carlesimo Poppy

Yetta and Ruth visit with Poppy

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A Message from Toni Lynn Davis, Executive Director

Happy Holidays!

By Toni Lynn Davis, Executive Director Green Hill Inc.

At the end of the calendar year I am busy with annual staff evaluations, end of year reports for the community, and solidifying approaches and programs for the coming year. Each year at this time I am reminded how privileged I am to work with a staff that have worked closely together for many years making Green Hill Inc., the first choice elder community that it has become.

Often when a prospective elder’s family members visit Green Hill they anxiously ask questions about the continuity of the care for their elder. Specifically, loved ones want to know if their elder will be cared for by a series of strangers, or will have the opportunity to build relationships and be cared for by familiar faces.

I have spent the entirety of my personal and professional life as a part of elder care. First as the young daughter of a senior nursing care community director at Green Hill Inc Then, I volunteered at Green Hill as a youth, served as the Chief Financial Officer after receiving my undergraduate degree, and eventually earned a masters and appointment as the Executive Director of Green Hill. Forty plus years living and working around elders has afforded me the opportunity to build many valuable relationships with elders that have sustained us both in immeasurable ways.

The discussion of staff longevity’s affect on the health and well being of elders in nursing homes is an issue that has recently undergone some study by medical care research organizations. While I have not yet found a broad based statistical analysis that shows a distinct correlation between staff longevity and quality of elder health care, I have personally experienced the positive effects of staff retention on the emotional and physical health of residents at Green Hill.

In the Nicholas Castle study of 2007, as noted on the South Carolina Nursing Home Law web site, Castle found that ‘turnover of administrative leadership lead to increased pressure ulcers, resident catheters and psychoactive drugs use, and twice the number of staff turnover.’ He also found that when an administrator leaves so does staff, ‘RN turnover rises to 76%, LPN’s 78% and certified nursing assistants 107%.’

What I do know is that staff turnover is very costly and time consuming for administrators, and incredibly disruptive to a senior communities services, quality of programs, and the general wellbeing of its elders.

At Green Hill we have created a stable environment for employees and elders alike based on eliminating the top down format for administration and replacing it with a vertical stake holder style of management. I encourage teamwork, meet often with staff in open floor, circle sessions, to process issues and challenges, and provide opportunities for growth and advancement to those who desire it.

We have created a familial style environment for our elders and our staff that facilitates a sense of well being throughout the Green Hill community. The implementation of The Green House® Homes program has further enabled staff to engage in these practices, revitalizing their commitment and energy to our elders and to each other.

The continuity provided by staff to our elders encourages relationship building, verbal engagement, increased participation in activities, and the family style dining in the Green House homes has shown to increase elder’s appetite and caloric consumption.

Green Hill administrative staff has an average of 18 years tenure. Nursing direct care staff has an average of over 14 years at Green Hill. Other support staff average over 12 years in length. My five longest serving staff members have 30+ years of service to Green Hill, Inc. I am proud to say that our staff is above the national average for longevity, providing our residents with an unparalleled continuity of care.

With a focus on retention of staff at Green Hill we are able to provide our elders with care providers who have intimate knowledge of their needs, and desires, better relationships with the elder’s family members, and a stable and safe environment, which provides a happier and more comfortable experience. The Green Hill focus on staff retention also provides for a more positive and fulfilling workplace for our employees which perpetuates a sustainable continuity of care for elders for years to come.

Happy Holidays!

Executive Assistant Barbara Heins and Executive Director Toni Lynn Davis

Marketing Director Stephanie Roselle, Assistant Marketing Director Rosanne Kinney

Dan Sales, Finance Department

Finance Director Karen Jung

Assistant Executive Director Judy Wittler

Aide Felicia Sodeke, Residents, Josephina Cela, Nina Platt, Mina Berson

Aide Christina Pedrzuela and Resident Kathryn Dowling

LPN Ethel Williams, RN Wellness Nurse Maria Sugaura

Food Service Director, Marcia Bailey, Carol Green Dietary

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A Message from Toni Lynn Davis, Executive Director

A Crisis in Senior Care

By Toni Lynn Davis, Executive Director Green Hill Inc.

The recent cuts to the Medicaid program in New Jersey will create a crisis in senior care and cause an epidemic of senior homelessness.

Nursing facilities for the aged are highly regulated by both State and Federal authorities. The current Medicaid reimbursement rates are already greatly reduced from past levels and nursing facilities have been stretched to the limit to balance their precarious budgets, all the while required to meet all State and Federal mandates.

At proposed reductions of $10 to $20 per day, per Medicaid recipient, one may wonder what the big deal this reduction is. It is important to understand how these dollars are appropriated to realize what results these reductions in Medicaid funding will unleash. Facilities, especially in the Counties who have 85% or more Medicaid residents, will be forced to make unimaginable cuts in services based on losses of well over a half a million dollars ($500,000.) per year, per facility. At this rate it is

not possible that these facilities can remain open. With our population aging at historic rates, what we will see thousands of senior citizens across the state with nowhere to live, and no facilities in which to be provided with end of life living care.

We continue to look for new solutions to balance the budget and not cut the care that our senior citizens need and deserve in their final years. The Green House® home model that we have implemented at Green Hill Inc., in West Orange, NJ provides the highest level of elder care services in a home environment. Several of the early Green House adopters in the US have reported lower operating costs in their Green House homes, with a more efficient use of direct care staff. Research has shown that the overall staffing and care costs are the same or slightly less in Green House homes compared to traditional nursing homes. In addition, in many Green House homes, the ratio of direct care staff to elders is higher than the institutional model.

As the need for elder care and health services grow with the aging population, we can’t work fast enough to find a workable solution. The CLASS Act, (Community Living Assistance Services and Supports) is a viable solution for our future. A recent bill introduced in the Senate would repeal the act and push us further backwards in our responsibilities to our aging nation.

Protect the elder that you love, and your own future as a senior citizen in this country. I urge all to contact your legislators today and tell them to stop the cuts to Medicaid.

A Message from Toni Lynn Davis, Executive Director

The Importance of ELDERS

By Toni Lynn Davis, Executive Director Green Hill Inc.

I was raised around the elder population as a child of an Executive Director at Green Hill Inc, in West Orange. My intimate relationship with these wise souls was a major and positive influence on my life, and influenced my life’s mission. Now I am Executive Director at Green Hill and I have the privilege to interact with seniors on a daily basis. I am especially grateful that I have the opportunity to provide my children with the experience of having elders in their daily lives as I had.

As society has changed in the last decades, our economy has become based on nation and world-wide employment instead of local manufacturing. Air, rail and automobile, transportation has enabled ease of movement between towns and States, and the encouragement of government for every person to own their own home, has affected the disappearance of the traditional intergenerational family dwelling. Multi-family homes where extended families reside together had become an anomaly in the American culture. In turn families have become fractured. Grandparents don’t live with or near their children and grandchildren, and children have limited interaction with elders in their communities.

When Grandparents live in a multigenerational home they have the opportunity to help raise their grandchildren imparting life lessons learned, a historical perspective of their times and family, a sense of continuity, and love. Living with elders enables children to learn valuable lessons of love, patience, family and responsibility. Interestingly, I have found that children who live with or spend a significant amount of time with grandparents tend to have better manners and an increased sense of respect toward others than those who have no experience or little interaction with older generations

While parents are our first teachers so are our Grandparents, when we are lucky enough to live in close contact with them or see them often. Many of our society’s ills can be addressed by a greater focus on bringing our youth and elders together and engaging them in activities, programs, and relationships.

Youth will learn more about their place in the world, and will have more people around them to love, support and care for them. Children will learn about compassion and respect while our elders can enjoy socialization, opportunities to share their knowledge and expertise, that will break down the barriers and stereotypes that create fear and isolation.

At Green Hill we have many intergenerational programs. Staff often bring their children to volunteer with our elders just as I did when I was a kid. We have an open invitation to family members to participate in activities and special family oriented programs like Grandparents Day, and outdoor family events. We also partner with our local school district on multigenerational education programs.

The Aging Initiative US Environmental Protection Agency states that multigenerational activities,

Strengthens Community: Intergenerational programs bring together diverse groups and networks and help to dispel inaccurate stereotypes. Sharing talents and resources help to create a unified group identity. Children, youth, and older adults are less alienated while the community recognizes that they are contributing members of society.

Enhances Social Skills in Youth: Interaction with older adults enhances communication skills, promotes self-esteem, develops problem-solving abilities, and fosters friendships across generations. Positive attitudes are developed regarding sense of purpose and community service.

Improves Academic Performance: Intergenerational programs increase school attendance and performance. Students tutored by older adults made significantly greater gains in achievement test scores than other students.

Enhances Socialization for Elders: Older adults remain productive, useful, and contributing members of society. They increase interaction with children and youth and engage more with one another to prevent isolation in later years.

Improves Health: Helping contributes to the maintenance of good health, and can diminish the effect of psychological and physical diseases and disorders.

We are quite familiar with the benefits of multigenerational experiences at Green Hill. I encourage you to spend more time with the elders in your life, encourage your children to volunteer at a senior center, spend more time with their grandparents, and if you are an elder, volunteer as a tutor or aide at your local school, or house of worship. It takes a village to raise a child. All generations are an important part of the village.

To learn more you can visit these web sites below.

http://www.epa.gov/aging/ia/examples.htm
http://www.gu.org/
http://www.facebook.com/pages/Kids-and-Seniors-Connect/165077660191758

A Message from Toni Lynn Davis, Executive Director

9/11 Depression

By Toni Lynn Davis, Executive Director Green Hill Inc.

With the anniversary of the terrorist attacks in NYC, and Washington DC, upon us, and remembering the loss of life at the World Trade Center, the Pentagon, and in the fields of Pennsylvania, it is normal to feel a sense of depression and vulnerability. After all many of us lost friends and loved one’s in 2001, and our sense of security as Americans has been eroded, leaving behind the threat of other terrorist attacks as a new normal to cope with in our everyday lives.

As an Elder depression can be chemical, a condition that may be carried through one’s lifetime, or can come on as situational, a result of a loss of control of one’s life, body, choices, home, and a sense of isolation brought on by a lack of mobility, and the loss friends and family members. It is a natural but unsettling process of life.

Elders are living much longer and healthier lives so in turn are spending many more years in the cycle of loss and change. These extra years can also provide an opportunity for many more moments of joy in an elder’s life.

Clinical depression may be addressed with a combination of medication and therapy. In addition, general or situational depression can be addressed this way on a temporary basis. In both cases, eating nutritionally, monitoring alcohol use, getting enough sleep, participating in activities with others, taking an interest in new subjects, volunteering, taking up a craft or art, and physical exercise can all help combat the feelings of depression.

At Green Hill we are extremely sensitive to the emotional lives of our elders. We provide elders with a plethora of opportunities to congregate, to participate with the surrounding community, to try new activities, to be stimulated by art and culture, to visit new places, learn new things, and to exercise both mind and body. Green Hill provides our elders, light and sound free bedrooms which create great environments for restful sleep habits. We provide elders with three delicious, varied and nutritious meals a day and 24 hour snack and beverage service, keeping their energy and spirits up and palates tantalized. Elders have access to the outdoors at their leisure. Sunshine provides needed doses of vitamin D which is known to help balance one’s mood.

Green Hill welcomes our elder’s pets known to give great comfort and keep sprits high. We also welcome pet visitors for those elders who don’t have their own pet friends. Clinical staff is on site to provide one-on-one and group counseling, and physicians provide and monitor pharmacological remedies for depression when necessary.

Perhaps our most successful program to improve the emotional and physical health of our elders, thereby reducing the feelings of depression, has been the facilitation of our Green House® program. Our four new Green House Homes has provided 40 of our elders with an elder centric style of living, in an intimate and supportive setting. The Green House Homes have drastically improved the emotional health of these elders As we apply the Green House practices to the care areas of our legacy building I have no doubt we will see marketed improvement and reduction in the rate of depression in those elders as well.
It is important that we stay on top of depression in our elders by closely monitoring their moods, food intake, and level of participation with others. As care providers, whether residential or family members we must make sure we talk with our elders everyday to keep the channels of communication open, and assess their daily and long term needs.
Elder depression has many vehicles for remedy but the most important is daily contact with others. For more information visit.

Help Guide
Symptoms Of Depression
Common Depression Signs
Depression
Princeton TMS Institute

A Message from Toni Lynn Davis, Executive Director

As we head into the home stretch of summer Green Hill and its staff and residents are also heading into the final stages of completing the opening of The Green House® Homes at Green Hill.

We opened house number two on July 26th 2011 and welcomed ten happy elders to their new home. Photos of the momentous occasion can be viewed on the Green Hill web site in the Press Room.

House number three, the 100th Green House Home in the nation, will open on by the end of August, and house number four will follow shortly thereafter around September 1st. Four Green House Homes in all on the Green Hill campus will be finally complete. It has been a long and arduous journey, changing the face of elder care here at Green Hill. This accomplishment would never have been possible without our dedicated staff and supportive board of trustees who have made it all possible. My goal is for our efforts to encourage others around the State and across the nation to explore a new paradigm for elder care and elder living. A paradigm that is focused on the elder as the center of the process and not merely an element to be managed within the care structure. One where an elder’s desires, needs and quality of life are the main concern of all involved.

We are not finished with our efforts for change at Green Hill. Our work has just begun as we work to transform our legacy building into a more home like care environment for our elders.

Exciting things are happening at Green Hill as we leave the summer of 2011 and welcome the cool and colorful days of fall. Stay tuned for more exciting news by utilizing our Green Hill E -news, the new Green Hill Newsletter (available at Green Hill or mailed on request), the web site at www.green-hill.com, and our Facebook page at Green Hill Inc.

A Message from Toni Lynn Davis, Executive Director

Enjoy Your Summer

By Toni Lynn Davis, Executive Director Green Hill Inc.

While across the nation people are planning their vacations and looking for ways to stay cool this summer, Green Hill is hard at work and continues to heat up with a myriad of activities, awards, programs and the Grand Opening of our Green House® Homes. We began the summer as recipients of the NJ Biz Healthcare Heroes of the Year Award for Assisted Living and Nursing Care Facilities, for the advent of our Green House Homes program. That very week we moved our first residents into the first Green House. It was a moving day for elders, family and staff. I am thrilled to report that our elders are incredibly happy and thriving in their new home. Each has made marked improvement in their quality of life, and cognitive and physical abilities. It is remarkable to watch the Green House theories of care in application, and prove that changing the way we care for our elders really does dramatically affect an elders health and life experience.

We held our Grand Opening event on-site in the Green House neighborhood, welcoming 150 guests, family, residents, and colleagues. We gave tours of our second house to come on-line, enjoyed the beautiful evening with music, food and cocktails under a big white tent, while strolling the block and the grounds.

That very day our Green House Homes Sponsor Gazebo was installed across from the rain garden. The Gazebo will be home to our sponsor plaques where the names of those families and firms who name a Green House Home or room therein will be engraved for all to see.

While the administration works to open the remaining Green House Homes and move our elders in, residents have been enjoying boardwalk trips, Jazz concerts, book clubs, seminars and a variety of activities in the Legacy building.

These are exciting times at Green Hill and I encourage you to come see for yourself, get involved, and join our community. Visit our web site and Press Room to learn more.

Enjoy your summer!

Toni Lynn Davis

A Message from Toni Lynn Davis, Executive Director

We’ve Done It!!

By Toni Lynn Davis, Executive Director Green Hill Inc.

We’ve done it! The first Green House® Home at Green Hill has opened. It’s been a long journey to this moment. I want to thank all of my staff for working tremendously hard, educating, organizing and facilitating the Green Hill transformation to the Green House model of care. We are thankful to our board of trustees who had faith, even in time of great struggles, that our goal was just. Your support has been invaluable. Our mission has always been to create a home environment for our elders and we are achieving that in a brand new and innovative way right here on the Green Hill campus.

The Green House® -Whitehall House is now filled with the sights, sounds and smells of a traditional home for ten wonderful elders, and their Shabbaz. On our very first day we baked a cake in celebration, which was iced by elder Onetta Wheary, and enjoyed at their very own dining table with family and friends.

One of the many really touching moments came as Belle Silverman watched as one of her care givers (called Shabbaz) poured her a glass of juice from their very own kitchen and served her. “It’s so cold” she exclaimed with a huge grin on her face. How we can forget the little pleasures one experiences in a home of one’s own. In traditional nursing homes by the time the food and beverages are served from the main kitchen it is very hard to keep things really hot or really cold. There are so many of these small moments and pleasures that are returned to the lives of elders in 24 hour nursing care, a result of the Green House Home model.

Time was spent enjoying the sun on the back patio while we watched our rain garden coming to completion, and putting the finishing touches on each of the elder’s private bedrooms.

It was a thrilling experience for all involved. I know there will be many treasured moments ahead as we fill our next three houses with elders who now really do have a place called home.

Enjoying the backyard” - Minette Leister’s son & daughter- Carol & Larry Leister Excited Family Members”- Nancy Virgilio’s daughter in law- Genevieve Virgilio, and Nancy’s daughter- Lucille Virgilio

Enjoying cake at the dining table with family and friends.

A Message from Toni Lynn Davis, Executive Director

Cash For Care will Improve Outcome for Seniors

By Toni Lynn Davis, Executive Director Green Hill Inc.

As reported by Reuters News service on April 29th, “government healthcare programs for seniors spent about $4.4 billion in 2009 to care for patients who were harmed in the hospital.”

In a news release from the Federal Department of Health and Human Services the Obama administration implemented the Affordable Care Act provision to improve health care and lower costs by rewarding hospitals with funding based on the quality of their care, and not the quantity of care. This altering of how Medicare payments are made to hospitals based on care quality is a much needed addition to the health care arsenal for protecting seniors and lowering costs to the program.

Medicare spending is expected to balloon over the next few decades as the 77 million-strong ‘baby boomer’ generation retires and draws on benefits.’ The care based program will work toward achieving not only improved quality, but also lower costs by reducing hospital errors, and improving follow-up with patients to make sure they are following treatment instructions. These steps should help sustain the Medicare program through the “boomer” impact.

“It’s a historic change,” CMS Administrator Donald Berwick told reporters, as noted in the Reuters report, “For the first time hospitals around the country are going to be paid for in-patient acute services based on healthcare quality not just on the quantity of services they provide.”
Medicare will cut payments to hospitals by 1% percent, and set aside that money in a fund to provide bonuses to hospitals that meet benchmarks and improvements in quality of care totaling $850 million in the first year.

This is a step toward addressing quality of care issues for seniors and controlling costs, and administering spending controls in the Medicare program. 77 million baby boomers are expected to retire and utilize their Medicare benefits in the next couple of decades. Innovative ideas for programming Medicare funds will continue to be necessary to address that economic challenge. At Green Hill we have initiated many programs that provide quality of care for our elders and lower expenses, including preventative healthcare, proactive resident involvement in their own care, and the Green House® Homes project that provides our elders with a home environment with 24hr nursing care, in a setting proven to raise quality of life and health standards, while stabilizing overall resident costs.

Toni Lynn Davis

For more information on the Green House® Homes at Green Hill, visit www.green-hill.com, or call 973-731-2300.

For more information on the Healthcare Act log on to www.healthcare.gov. For information on the Value Based purchasing program visit www.healthcare.gov

Sources:
_{Wvseniors.org
Healthcare.gov
Reuters News Service – Reporting by Donna Smith; Editing Laura MacInnis}

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