Category Archives: Companywide

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Transaction makes Signature HealthCARE the largest post-acute network in Kentucky

Louisville, Ky. (Dec. 2, 2015) – The 7th largest skilled nursing provider in the nation, Signature HealthCARE, LLC, has acquired the skilled nursing division of Elmcroft Senior Living, effective Dec. 1.

Elmcroft is a nationally recognized senior housing provider, which operates 82 independent, assisted, and dementia care communities with approximately 7,000 beds in 18 states. Additionally, Elmcroft owns and operates 18 skilled nursing and rehabilitation centers with approximately 1,700 beds that are the subject of this transaction.

Elmcroft’s skilled nursing division is known in Kentucky for consistently delivering quality care to its residents. Signature aggressively pursued this acquisition in its attempt to build the 1st statewide post-acute network fueled by Signature’s mission and vision to “revolutionize the healthcare industry through a culture of resident-centered services, personalized spirituality and real quality of life initiatives.”

Signature, based in Louisville, Ky., will now operate 133 post-acute centers in the U.S. with approximately 23,000 stakeholders (employees) in 11 states. Of the foregoing, Signature operates 41 post-acute centers in Kentucky, and employs 7,400 employees statewide. Signature was named “Best Places to Work in KY” in 2014 and 2015 by the Kentucky Chamber of Commerce, and was nationally awarded by Modern Healthcare in 2013 and 2015.

This purchase augments Signature’s strategic vision for the Signature Integrated Clinical Network launch in Kentucky, linked to its recent launch of the Signature Advantage Medicare insurance company, the first ever Institutional Special Needs Plan (I-SNP) in the state operated by a provider creating a statewide footprint to expand Signature’s acute care hospital partnerships for bundled payments, risk-sharing partnerships and clinical collaboration.

The real estate is owned by Care Capital Properties Inc., which spun off from Ventas, one of the five largest REITs, specializing in post-acute care. Signature will operate 49 centers nationwide under a master lease with CCP.

“Elmcroft has one of the best leadership teams, along with asset quality and successful heritage, that we have ever pursued,” said Signature President and CEO Joe Steier. “Despite many complicated headwinds and a mass exit by many national providers in the Commonwealth over the past decade, we believe this post-acute expansion will give us a bigger voice in the healthcare policy changes that are needed to enable Kentucky operators to provide our aging citizens with rural access and quality care and services.”

Pat Mulloy, Elmcroft Chief Executive Officer, said, “My partner, Tim Wesley, and I have spent most of our senior housing career focused on building high-quality assisted, independent, and dementia care communities. The divestiture of our skilled nursing division to Signature allows us to focus on our core strength. We are excited about the future and are looking for opportunities to grow in the senior housing business. Our goal has always been to build a great service company, which is grounded in being a great place to work and a brand associated with care. This transaction is a step forward in implementing that strategy.”

Signature HealthCARE is a skilled-nursing, rehabilitation and health care company with 133 skilled nursing locations in 11 states and approximately 24,000 employees. For more, visit www.ltcrevolution.com.

Elmcroft owns and operates 82 independent, assisted and dementia care communities in 18 states caring for nearly 6,000 residents. For more, visit www.elmcroft.com

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Signature gathers leaders from 100+ facilities for ‘CEO Forum’

Signature rallied the troops this week when leaders from more than 100 towns and cities in 10 states gathered in Louisville for the first 2015 CEO Forum.

During the forum, facility administrators dug deep into issues impacting nursing home residents and operators on a macro and micro scale, topics ranging from finance and staffing to personal growth and self-awareness. The forums, held twice annually, also give Signature leaders a rare moment to spend time together, share and learn from each other.

“I always appreciate the CEO meetings as they give everyone an opportunity, no matter what segment, to come together, learn and see where Signature stands and is heading in our Revolution,” said David Brown, CEO/Administrator at Signature of Spencer County, in Taylorsville, Ky.

During the three-day event, attendees spent time in a single group setting to hear about the Signature culture and Guiding Principles, health care policy and legislative change, and more. Facility CEOs also broke into smaller sessions, led by Signature senior team leaders, to explore topics in a way that facilitated open dialogue and sharing. During the small group meetings, teams discussed such topics as clinical excellence, financial strategy, data points (a combination of clinical and business metrics that intertwine), ‘wage justice,’ litigation and risk management, the ‘referral revolution’ and more.

Nakia Whitley, CEO/Administrator for Signature HealthCARE of Roanoke Rapids, in North Carolina, said she particularly benefited from the acuity-based staffing session, Chris Cox’s culture presentation and the ‘Engagement Game,’ as well as the talk on health care policy.

“It helped put things in perspective: are we doing what’s best to change not only LTC culture, but ultimately, the world? Our goal and mission are very important, and we need to live them both daily.”

Several facility leaders especially enjoyed a session discussing ‘The Hero’s Journey,’ a story structure, or pattern, seen throughout history in literature and religion that can also be applied to one’s own individual journey. ‘The Hero’s Journey’ outlines a series of steps, from a ‘call to adventure’ through challenges, transformation and other stages of spiritual and personal exploration, culminating in resurrection and a ‘return home’ with newfound knowledge and wisdom.

“A good leader takes others with us along this journey,” Signature President and CEO Joe Steier said during the session. “Another leader kind of gets the job done and goes home.”

Ryan Dulski, CEO/Administrator at Peninsula Care & Rehab Center, in Tarpon Springs, Fla., said “it is always great to spend time with such fascinating leaders” at the CEO meetings.

“I really enjoyed the theme of ‘The Hero’s Journey,’ ” she said. “I am so excited to bring this idea back to my facility team and use this to continue to build culture.”

Signature celebrates National Day of Prayer ‘In Defiance of Suffering’

On May 1, 2014, representatives from nearly a dozen, faiths, religions or traditions joined on stage for Signature’s fourth annual interfaith National Day of Prayer celebration. Residents and staff from SHC centers, along with other special guests,  participated in the event.

Signature facilities also hosted their own unique National Day of Prayer events and were able to watch the home office celebration in real time online via Livestream. To view this year’s NDOP celebration in its entirety, see below. To read the speech given by Signature VP of Spirituality Dianne Timmering, visit Dianne’s blog.

Westmoreland nurse wins first wound certification award

indexTammy Perry, a nurse at Westmoreland Care & Rehabilitation Center, in Westmoreland, Tenn., has been named the winner of Signature’s first Wound Care Certification Award, and has received a scholarship to earn a Wound Care Certification from the Wound Care Education Institute.

A nurse for 16 years, Perry has spent nearly all of that time in wound care. She has worked at Westmoreland Care & Rehab for the past eight years.

During her time at the facility, she has trained numerous other nurses to assist with wound care in her absence, said Shenna Minnix, Nursing Director at the facility. While Westmoreland Care & Rehab has a history of positive surveys, Minnix said the certification would help continue that streak and give the facility an added competitive edge.

“Tammy has a passion for wound care,” Minnix said. “She is very meticulous, owns her job and seeks out treatment options for each wound. She is a hands-on nurse, and the other nurses and CNAs respect her, and the assistance she provides to our elders.”

SHC nursing leaders began the award process by soliciting nominations regionally. A panel then evaluated the nominees and selected Perry as the scholarship recipient.

The recent award is also the first step in a broader effort to continue enhancing clinical expertise among the teams in Signature’s facilities. Deb Tenge, Special Projects Wound Nurse for SHC, said company leaders are working to finalize a contract with the Wound Care Education Institute that would allow SHC clinicians, and possibly members of the community, the opportunity to earn the certification at a reduced cost.

“Our goal for pressure ulcer prevention, and improved outcomes for residents who come to our centers with pressure ulcers, is to utilize interventions and team members with the skills to heal wounds,” Tenge said. “By having someone certified, it advances the clinical knowledge among team members and boosts the credibility of that building. So it’s really a win-win for residents and staff.”

Facility Administrator/CEO Connor McChurch agreed that such a certification can only enhance care, and he cited several other benefits to having a wound-certified nurse on staff, such as cost savings and marketing opportunities.

“Plus, it’s a morale booster among the stakeholders (staff),” he added. “They see that Signature is invested in the development of their people.”

Signature HealthCARE continues expansion in Tennessee, Indiana

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Four more nursing and rehabilitation centers today joined Signature HealthCARE, bringing Signature’s total number of locations to 110 in what has been a pivotal 18-month period bearing considerable growth for the company.

The acquired centers are:

  • Signature HealthCARE of Bremen (formerly Kindred Nursing and Rehabilitation Center – Bremen), Bremen, Ind.
  • Signature HealthCARE of Bluffton (formerly Kindred Nursing & Rehabilitation – Meadowvale), Bluffton, Ind.
  • Signature HealthCARE of Putnam County (formerly Kindred Transitional Care and Rehabilitation Center – Masters), Cookeville, Tenn.
  • Nashville Community Care & Rehabilitation (formerly Bordeaux Long-Term Care), Nashville, Tenn.

This transaction follows a series of deals that added 16 facilities to Signature’s portfolio in 2013, and marked Signature’s entry into three new states: Indiana, Ohio and North Carolina. Six more nursing/rehab centers also joined Signature last month.

In addition, within the past year Signature acquired an Critical Access Hospital in Chipley, Fla. and a skilled-nursing hospital unit in Memphis, Tenn., moving toward the more integrated health care delivery model that is outlined in federal health care reform legislation.

Signature’s newly acquired centers may undergo aesthetic upgrades or renovations. Signature’s programming and culture will be integrated into each, including clinical, spirituality, learning and quality-of-life initiatives. Recent projects for Signature include its Spiritual and Emotional Intelligence training program, a TransitionalCARE program to reduce hospital readmissions and a companywide art gallery to showcase resident artwork (www.reflectnus.com).

“As we grow, we want to make sure we’re moving into communities where we feel we can have an impact, and that will embrace our culture and service model,” said Signature President and CEO Joe Steier. “We have already been warmly received by the teams at these centers and are eager to serve the residents in these communities.”

Signature HealthCARE to host National Day of Prayer event ‘in defiance of suffering’

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Signature HealthCARE will host its third annual National Day of Prayer celebration on Thursday, May 1.

This synchronized, interfaith event takes place company-wide, with Signature facilities hosting their own unique NDOP celebrations.

The National Day of Prayer is held each year on the first Thursday in May. A law was enacted in 1952 formalizing observance of the day, although its origins trace back to 1775, when the first Continental Congress called for a National Day of Prayer 000 - Signature Spirituality HI RES JPGand melding the relationship between government and the blessings of God.

This year’s theme for the SHC National Day of Prayer celebration is ‘In Defiance of Suffering.’ At Signature’s Louisville home office, representatives from 10 religions, faiths or traditions – including Muslim, Jewish, Christian, Roman Catholic, Unitarian, Buddhist, Hindu and others – will join to recite prayer together, signifying spiritual diversity and the importance of prayer in daily life.

“The act of unified prayer is important as a symbol of faith, but even more than that, we want this event to be actionable,” said Dianne Timmering, Vice President of Spirituality for Signature HealthCARE. “Each and every one of us suffers, in some way, maybe daily. Under this year’s theme, we want the National Day of Prayer to be a springboard for every day to be a day in defiance of suffering. We are a movement in defiance of suffering.”

The home office event begins at 10:30 a.m. EDT and will be simulcast live to all 96 Signature HealthCARE locations.

“As a faith-based company, we are proud to host an event that brings together so many spiritual groups,” said Signature President and CEO Joe Steier. “We hope many will join us to celebrate this historic day.”

Signature welcomes six new centers

SHC_OfficialLogo_FacilityMap_WEB_FINALSignature HealthCARE today assumed operations of six additional buildings, bringing Signature’s total number of locations to 96, with 28 in Kentucky, in what has been a pivotal 18-month period bearing considerable growth.

The new centers are:

  • Signature HealthCARE of Bowling Green (formerly Kindred Transitional Care and Rehabilitation – Rosewood), Bowling Green, Ky.
  • Riverside Care & Rehabilitation Center (Kindred Nursing and Rehabilitation – Riverside), Calhoun, Ky.
  • Danville Centre for Health & Rehabilitation (formerly Kindred Nursing and Rehabilitation – Danville), Danville, Ky.
  • Signature HealthCARE at Hillcrest (formerly Kindred Transitional Care and Rehabilitation – Hillcrest), Owensboro, Ky.
  • Signature HealthCARE of Elizabethtown (formerly Kindred Nursing and Rehabilitation – Woodland), Elizabethtown, Ky.
  • Harrodsburg Health & Rehabilitation Center (formerly Kindred Nursing and Rehabilitation – Harrodsburg), Harrodsburg, Ky.

This transaction follows a series of deals that added 16 facilities to Signature’s portfolio in 2013, and marked Signature’s entry into three new states: Indiana, Ohio and North Carolina.

Within the past year, Signature also acquired an Critical Access Hospital in Chipley, Fla. and a skilled-nursing hospital unit in Memphis, Tenn., moving toward the more integrated health care delivery model that is outlined in federal health care reform legislation.

Signature’s newly acquired centers will undergo aesthetic upgrades and renovations. Signature’s programming and culture will be integrated into each, including clinical, spirituality, learning and quality-of-life initiatives. Recent projects for Signature include its Spiritual and Emotional Intelligence training program, a TransitionalCARE program to promote sustained wellness and reduce hospital readmissions, and a companywide art gallery to showcase resident artwork (www.reflectnus.com).

“As we grow, we want to make sure we’re moving into communities where we feel we can have an impact, and that will embrace our culture and service model,” said Signature President and CEO Joe Steier. “We have already been warmly received by the teams at these centers and are eager to serve the residents in these communities.”

2014 Siggy Award winners announced!

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Today, Signature held the ‘Siggy Awards’, a ceremony to honor facility leaders and caregivers in several categories for their daily contributions to the Revolution. See the categories and winners below…

Most Innovative
Segment Winners

  • Post Acute – SHC of Cherokee Park
  • Rural – Mountain City Care & Rehab
  • Urban – SHC of East Louisville

Runner Up
SHC of Cherokee Park

Winner
SHC of East Louisville

5-Star Winner
Segment Winners

  • Post Acute – SHC of Pinellas Park
  • Rural – Pickett Care & Rehab
  • Urban – Golfview HealthCARE Center

Runner Up
Golfview HealthCARE Center

Winner
Pickett Care & Rehab

Best Quality of Life Program
Segment Winners

  • Post Acute – SHC of Waterford
  • Rural – SHC of Erin
  • Urban – SHC of Memphis

Runner Up
SHC of Memphis

Winner
SHC of Erin

Best in Culture
Segment Winners

  • Post Acute – SHC of Palm Beach
  • Rural – Prestonsburg Health Care Center
  • Urban – SHC of South Louisville

Runner Up
Prestonsburg Health Care Center

Winner
SHC of Palm Beach

Best Chaplain Program
Segment Winners

  • Post Acute – SHC of Buckhead
  • Rural – SHC at The Courtyard
  • Urban – Winter Park Care & Rehab

Runner Up
SHC at The Courtyard

Winner
Winter Park Care & Rehab

Best in Therapy
Segment Winners

  • Post Acute – SHC of Waterford
  • Rural – SHC of North Florida
  • Urban – SHC of Cleveland and Hermitage Care & Rehab

Winner
SHC of Waterford

Top Operating Potential
Segment Winners

  • Post Acute – Heritage Park Care & Rehab
  • Rural – Westmoreland Care & Rehab
  • Urban – SHC of Cleveland

Runner Up
Westmoreland Care & Rehab

Winner
SHC of Cleveland

Best in Digital Communications
Segment Winners

  • Post Acute – SHC of Buckhead
  • Rural – Washington Rehab & Nursing
  • Urban – SHC at St. Peter Villa

Runner Up
SHC at St. Peter Villa

Winner
Washington Rehab & Nursing

Most Compassion Fund Giving/Highest Dollar Raised
Segment Winners

  • Post Acute – SHC of Marietta
  • Rural – SHC of Erin
  • Urban – SHC of Jacksonville

Runner Up
SHC of Jacksonville

Winner
SHC of Erin

Most Compassion Fund Giving/Greatest Percent of Participation
Segment Winners

  • Post Acute – SHC of Cherokee Park
  • Rural – Pickett Care & Rehab
  • Urban – Golfcrest HealthCARE Center

Runner Up
Golfcrest HealthCARE Center

Winner
Pickett Care & Rehab

Most Compassion Fund Raising/Award Total
Segment Winners

  • Post Acute – SHC of Cherokee Park
  • Rural – Chautauqua Rehab & Nursing
  • Urban – SHC of Ormond

Runner Up
SHC of Cherokee Park

Winner
Chautauqua Rehab & Nursing

Most Compassion Fund Raising/Best Advocate Team
Segment Winners

  • Post Acute – Chaplain Craig Cantrall and HRD Jack Abrams
  • Rural – Chaplain Gina Bowden and HRD Lee Ann Wallace
  • Urban – Administrator Denise Crosby

Safest Place to Work
Segment Winners

  • Post Acute – SHC at Saint Francis
  • Rural – Chautauqua Rehab & Nursing
  • Urban – Golfview HealthCARE Center

Runner Up
Golfview HealthCARE Center

Winner
Chautauqua Rehab & Nursing

Most Improved AR
Segment Winners

  • Post Acute – SHC of Cherokee Park
  • Rural – SHC of Greeneville
  • Urban – Donelson Place Care & Rehab

Runner Up
Donelson Place Care & Rehab

Winner
SHC of Greeneville

Best AR
Segment Winners

  • Post Acute – Heritage Park Care & Rehab
  • Rural – Prestonsburg Health Care Center
  • Urban – SHC of Spencer County

Runner Up
SHC of Spencer County

Winner
Prestonsburg Health Care Center

Most Improved Red to Black
Segment Winners

  • Post Acute – SHC of Buckhead
  • Urban – SHC at College Park

Runner Up
SHC at College Park

Winner
SHC of Buckhead

Best Customer Satisfaction Score
Segment Winners

  • Post Acute – SHC of Cherokee Park
  • Rural – Pine Ridge Care & Rehab
  • Urban – SHC of Cleveland

Runner Up
SHC of Cleveland

Winner
Pine Ridge Care & Rehab

Best EBITDAR %
Segment Winners

  • Post Acute – Heritage Park Care & Rehab
  • Rural – Sunrise Manor Nursing Home and SHC of North Florida
  • Urban – Peninsula Care & Rehab

Runner Up
Peninsula Care & Rehab

Winner
Heritage Park Care & Rehab

Lowest Turnover
Segment Winners

  • Post Acute – SHC of Waterford
  • Rural – SHC of Rogersville
  • Urban – SHC at College Park

Runner Up
SHC of Waterford

Winner
SHC of Rogersville

Best Labor Retention
Segment Winners

  • Post Acute – SHC of Waterford
  • Rural – SHC of Rogersville
  • Urban – Golfcrest HealthCARE Center

Runner Up
Golfcrest HealthCARE Center

Winner
SHC of Waterford

Highest Discharge to Home %
Segment Winners

  • Post Acute – Heritage Park Care & Rehab
  • Rural – SHC of Fentress County
  • Urban – SHC at Methodist and SHC of Ormond

Runner Up
Heritage Park Care & Rehab

Winner
SHC at Methodist and SHC of Ormond

Best Nursing Stability
Segment Winners

  • Post Acute – SHC of Waterford
  • Rural – Chautauqua Rehab & Nursing
  • Urban – Golfcrest HealthCARE Center

Runner Up
SHC of Waterford

Winner
Golfcrest HealthCARE Center

Most Improvement on Unnecessary Re-hospitalized Patients Under 30 Days
Segment Winners

  • Post Acute – SHC of Palm Beach
  • Rural – SHC of Rogersville
  • Urban – SHC of Clarksville and Peninsula Care & Rehab

Runner Up
SHC of Clarksville and Peninsula Care & Rehab

Winner
SHC of Palm Beach

Learning Leadership
Segment Winners

  • Post Acute – SHC of Waterford
  • Rural – SHC of Rogersville
  • Urban – SHC of Columbia

Runner Up
SHC of Columbia

Winner
SHC of Rogersville

Signature facilities celebrate Valentine’s Day

Elvis - Claire ElwinValentine’s Day was last weekend, and many Signature facilities found fun ways to celebrate. Take a look at the festivities hosted by the facilities below, including a local TV station’s coverage of the party at Signature HealthCARE of Galion.

Signature’s Kathy Gallin named to Health Facilities Association of Maryland (HFAM) Board of Directors

Signature’s Kathy Gallin, Director of Legislative Affairs, was recently elected to the Board of Directors for the Health Facilities Association of Maryland, an advocacy group for long-term care providers across the state with over 150 providers.

Signature operates three facilities in Maryland: Laurelwood Care Center at Elkton, Signature HealthCARE at Mallard Bay and Chesapeake Shores.

Read more on Kathy’s accomplishment below…

Check out Kathy’s blog, ‘The Legislative Lady,’ HERE.