ADR Consulting & Support Services, LLC

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ADR Consulting & Support Services, LLC Offering a wide array of services and support systems allowing seniors opportunity to live stronger, while living longer at home.

Our services allow for independence as seniors remain in their home in a safe, secure environment versus institutional care.

02/24/2025

Recently while consulting with senior leadership of an organization who was struggling retaining Administrators. I was asked what creates turnover in a role that pays well and has freedom to manage independently on a day-to-day basis. Why is there constant churn creating tremendous cost and loss of facility leaders?

Being in this role for a while I can safely say the varying business models of organizations dictate the selection of an Administrator. In 19 years, I have seen those organizations that throw away administrators when at the 1st sign of a downward financial trend or a few regulatory challenges bubble up they go a different direction. I have also seen the opposite end of the spectrum where administration is retained well beyond their usefulness. Because they don't want to make a change due to the waves change makes, they stay the course and reap irreputable outcomes.

The foundation of a good administrator does not lie solely in the financial success year after year or the 5-star surveys attained. The foundation of an administrator is groomed, mentored and fully supported through various applications. The challenge in today’s facilities is the RDO/RVP attempts to hire the very best and then there is a hands-off approach to see if there is success or failure because there's a fire somewhere else that needs attention. The key is to spend time physically and virtually walking through the day, especially with a less seasoned administrator. Then over time there is separation, once trust, verifiable positive outcomes and financial accountability is attained.

In today’s marketplace, with the current regulatory mandates, it behooves organizations to invest and support the administrators by providing mentorship and support mechanisms which allow the administrators to remain successful in a very demanding environment. Not to add another layer but as a buffer between the regional team and the facility should be a seasoned senior administrator who has been there and done that, so the churn stops, and regulatory and financial outcomes become stable.

There is always work to be done, Special projects, filling in for RDO/ RVP when away, facility resets or transitions. As a consultant I have the luxury of looking in from the outside, seeing that which is blurred by years of doing it the same way and expecting a different result. If you want success, you have to set your organization up operationally for it.

We help seniors age in place, in the comfort of your own home, eliminating the need for institutional care. We offer ser...
02/07/2025

We help seniors age in place, in the comfort of your own home, eliminating the need for institutional care. We offer services to help you age where you are at (home, living with family, independent setting). We act as your Care Manager, providing coordinated care initiatives identified through a comprehensive assessment determining what interventions should be implemented. We facilitate and oversee approaches that allow you to remain in your home according to your decisions. We offer a plan, which you agree on and we implement, bringing you independence, safety, and peace of mind in your home setting.

The 4-step assessment process.

1. Identify your goals for Aging in Place.

2. Gather information and determine options, changes needed to remain in your home.

3. Consider the advantages and disadvantages based on reality and draft a successful plan of action.

4. Make your decision on implementation after review of all facts, moving forward with confidence.

As you plan for the future allow us to be part of your discovery journey. [email protected]

02/06/2025

If you have questions about care of an aging family member and need answers. Give us a call and let us walk you through a free 15 minute consultation that will guild your search on available services.

11/29/2022

Traveling as a LNHA , doing interim assignments has been a blessing. Meeting people all over the country with passion in their hearts caring for those in need. I have worked with all age groups from pediatrics to seniors during my assignments. From converting AL’s to independent living and turning around SNF’s in need of change. Now, I have secured another license in Oregon. That’s 5 states. NV,NM,VA,WA & OR. Having fun affecting change in a industry in need of change.

11/16/2022

Recently spent 3 months in Virginia with a great smaller organization. The care, compassion and genuine hospitality was outstanding. Beautiful area with warm and polite people.

Now, considering other options. Recently applied for Oregon license. That will be 5 states NV, NM, WA, VA & OR to be able to serve. Working out of and traveling in a RV is significantly better than hotels or extended stays.

Have met so many in the industry who travel for work. It’s fun and exciting picking up different assessments. Learning new areas and serving different regions of the country. It’s been a real blessing to work with so many different people and enjoy the country.

As opportunity’s are presented will consider. There are many openings in interim administration and companies need seasoned leaders to get them through challenging seasons between leaders. It’s part of our company mission to serve in ways that allow organizations opportunity to find the best next leader, knowing the business is being cared for with expertise and sound business sense.

To those I have served I say thanks. To those I’ve yet to serve I look forward to our relationship. As we travel these ever changing healthcare systems we are excited in embracing change, while bringing sound operational principles and practices.

02/16/2022

The road ahead at times seems endless, and the destination is not always welcome. These are challenging and perplexing times we must navigate through. Today more than ever before seniors are faced with change and adaptation on a daily level. Those days of old are gone never to return. The day comes at us from the moment we rise till the time we rest and then when we wake we look to see what change while we slept. It never stops. The fact is aging in place is harder than ever before, both financially and emotionally. Over the last several months I have had numerous conversations with seniors who want to age in place, in their home and are frustrated because they can not find assistance "at a reasonable price." Today's costs versus pre Covid have risen drastically. Pre Covid home care rates were averaging $15 an hour. Today they are $21. In short It cost more today to age in place than ever before due to a shortage of care givers. Its a supply and demand issue. The road to aging needs planned for or the price is paid by not being able to afford to age in place. Plan for your tomorrow today.

Senior Services: These last few months have given me a deeper appreciation of senior services that are not available. A...
08/25/2021

Senior Services: These last few months have given me a deeper appreciation of senior services that are not available. As a nation, as a community we fail to meet the needs of supporting our seniors. In reaching out to state, county and volunteer services that advertise they can assist seniors. I have found most of those governmental entities incapable of assisting in that which they are chartered to do. The volunteer services have minimal funds to assist and therefore there really are few if any available services to assist those seniors who are incapable of fending for themselves.

As a country we pride ourselves in establishing massive social assistance programs which help, children, the impoverished, drug addicted, mentally challenged, and the list goes on, yet we cannot offer help to seniors who are no longer capable of caring for themselves. There is something wrong with that scenario. I’m not saying we need to give services away. I am saying we can do better and have services available at reduced costs. If we can fund free cheese and provide methadone, we can fund social service initiatives that impact seniors with a hands-on approach. If we were serious about driving down costs to Medicare, we would provide services on the front end that minimized hospital visits and emergency services responses. Those in the know are never asked by government officials how to better reach certain goals. For some reason officials, once elected, become the know-all-end-all to social and economic issues. That’s obviously not worked out very well no matter which side of the isle you reside.

As a nation we are spending the money anyway. Its’s not going away. We all know once a federal program is funded it never goes away. It is never eliminated. It is only “enhanced.” Which means a new infusion of dollars are allocated to be spent in a less than prudent manner. Let’s accept the fact that there is an element of society that are socially depressed and or without assistance will continue a downward spiral to anything other than being fully supported by government money. Society says let the government pay for it. We are the government. Let’s tell the government where we want our dollars to go versus us finding out after the fact, they are funding research on “What’s Up with Owls” Fact-Finding Commission at cost of millions of dollars or the study of ketchup viscosity at 1.5 million.

Our seniors deserve better than what is being offered. Our commitment to seniors needs to keep pace with our commitment to providing subsidies to foreign countries. It is time to look within ourselves or look in a mirror and ask if you like what you see? If you don’t like the view a change of direction is only a decision away.

08/10/2021

Since June I have had the opportunity to work with an outstanding organization here in Las Vegas, as a consultant. I have been on assignment to close a senior living community on the east side and turn it into a multi-generational complex. This community has 120 units that provided independent apartment living, dining services, life enrichment activities, housekeeping, and transportation services to seniors 65+. Since June we have been able to relocate those seniors who are no longer going to be able to care for themselves in this new independent living environment.

This assignment is a little different than my normal focus of helping seniors age in place or my profession of healthcare administration, but I find it most gratifying as I am still able to support the senior community and assist them in relocation as well as all the logistical challenges of closing a full-service restaurant, eliminating social activities, housekeeping, and transportation services.

This transition has been interesting. Like in any senior care environment as census is reduced, we must adjust staffing patterns, eliminate services, and restructure that which has always been the norm. Through it all, this group of team members have been outstanding and flexible. Early on communication was shared with all the team that structured a process where if they stayed till the end, they would receive progressive bonuses. Thus far all have stayed and have met the agreed-on expectations. Its great to work with a kind, caring and committed management team.

As we near the end of the transition and hand off the complex to new ownership I can say we have worked the process, maintained communication, and have attained the positive expected result of a smooth transition and able to hand off the property to new ownership.

On August 31st, this chapter in the life of a senior living community closes and a new story unfolds with the beginning of a new business model. My job here will be done, and I will move on to new and exciting opportunities in senior services. Moral of the story is don’t pigeonhole yourself into doing the same thing every day. Don’t think you can’t do something else. Around every corner is a new view, a new way of doing things. Opportunities are everywhere. Be responsible for your own destiny. In the end you will be a stronger, wiser, and able to adapt when challenging times happen…...because they will happen.

08/05/2021

I like mornings. I am a morning person. I enjoy early mornings those hours 5-6am. In retrospect probably due to my first early job of working in a fruit market and riding my bike across town to unload watermelon and cantaloupe trucks 2-3-4am before the sun even started to rise. Then as I grew and joined the military, I was required to be on post at 6am for the daily run, maneuver, road-march. Through this process there was a plan.

Today I still enjoy the early hours. That is when I am fresh. My mind is clear, and I see the days plan unfolding and work the process to ensure todays success. I take this time to also meditate. We all have various ways we do that. Mine is a look into biblical passages that I use and reflect on as I prepare and plan for the day ahead.

Though I have been working for 40+ years, I am still working. Actively pursuing that lifelong quest and on a journey to meet every day in a positive manner. Over the years I have done or been in many occupations. It has not been a cradle to grave professional journey for me. After many years of pursuit, I found where I am to be. That quest has taken multiple paths. From mowing yards and unloading trucks to working in retail and then the military. As I exited the military, I became a Deputy Sherriff and then worked construction starting my own business. Moved into private security and even worked in a steel mill. During this time frame there was a plan to go from one profession to another.

I attended college later in life. Night school and the school of hard knocks was my educator. As my education expanded my knowledge base increased, I became certified in healthcare administration. I was drawn to the senior community. I do not know why it was seniors. Maybe it was preparing me for my own aging process. Over the last four decades I have been successful on a variety of levels and now today I own my own company and help seniors age in place. A plan was carried out and came to fruition.

As a licensed Nursing Home Administrator in 4 different states who has operated Independent Livings, Assisted Livings, rehab facilities, as well as Long-term care, I am able to provide information and relate to families who need assistance in seeking out that next level of care for their parent. Seeking out opportunities to connect with the senior early in the planning process guides them through a very daunting and challenging decisionary process. Prior planning takes the guesswork out of preparing for the future.

Aging in place comes with a variety of challenges for the senior. It comes with a wide range of decisions for the family, and it comes at a cost emotionally and financially. Typically, we do not just get in a car and drive. There is normally a planned process on how the journey will happen. There is a road map that takes you from one destination to another. Planning, understanding, questioning the plan is normal and prudent. Not having a plan is planning to fail. As we age, we need a plan for the journey ahead is filled with unknows. Take the time now to plan for your tomorrow, today.

06/24/2021

It has been some time since I posted. A little thing called COVID got in the way and businesses suffered, my business suffered. In part because my core clientele are seniors and with seniors watching the news every day, hour by hour a fear factor was instilled, and many chose to huddle in their home, separated from society and therefore aged in place without proper support and assistance. Many suffered emotionally and physically during this time and now that restrictions are relaxed, and regulations have eased, business is back or at least trending in a positive direction.

During this past COVID season I was able to pivot and reverted to working around the nation on an interim basis as a Nursing Home Administrator. I am fortunate to be licensed in four different states, so I was able to stay gainfully employed. Still working in an environment, I enjoy, but in a different way.

Now that there is an element of normalcy in the business world and people are returning to the workplace, opening their homes, and coming back out to the light of day. I have opted to assist an organization that is walking through transitioning a 65+ senior living community into a multi-generational apartment complex. Finding homes for seniors who need additional support and ancillary services has allowed me to partner with some fine organizations here in the Vegas market.

There are plenty of opportunities if you look around. The senior care environment took a tremendous beating over the last year. Healthcare workers themselves have been put through the wringer on many different levels. The COVID fear factor created hesitancy to move our market forward. Yes, some benefited but many more were significantly hurt. As we go forward in this summer of 2021 lets look at how we can live life to its fullest, giving of ourselves and our talents to support the seniors in our community.

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Las Vegas, NV
89134

Telephone

+15059998420

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