By Meg LaPorte / Posted on July 10th, 2019
Following is a repost of a blog by Carol Silver Elliott as it appeared in the Times of Israel on July 8.
What if we viewed elders as individuals with value and purpose? What if we stopped, as a society, seeing older adults as “them,” as people who are “less than” and who have little to contribute? How would that change our perception of older adults and how would that change our view of our own lives as we all, inevitably, age?
That’s the underlying premise of The Green House Project, an organization that’s been in existence for more than 15 years and whose goal is to transform care of older adults. Green House was founded by Dr. Bill Thomas, a geriatrician, who realized early in his career that the care we provide for elders can be radically different and radically improved.
Dr. Thomas began the Eden Alternative, bringing plants and animals into long term care settings, based on a theory that having something to look after and care for would have a positive effect on the residents. It did. But that was not the full answer. Dr. Thomas developed the concept for Green House and today there are hundreds of Green House homes across the United States and internationally.
Green House homes are founded on three core values, real home, meaningful life and empowered staff. Each of these play a role in making the most critical element work—creating a non-institutional, normal environment for elders, an environment that is not “homelike,” rather, it is home.
Last week I had the opportunity to attend a five day educator program provided by Green House. It’s a program called “core training” and it is something that every staff person who works in our organization will receive. The program was held in a new Green House development in Arkansas so we had the gift of both spending the week in an actual home that has not yet opened and visiting elders who live in the homes on that campus that have already opened.
While there was a lot of learning during that week (and a nearly 700 page teacher guide that we will use as we teach it), what really resonated with me is the understanding that this philosophy is not an “add on” or a “tweak” to what we do and what we provide. It is full immersion, it is changing the way we interact, think and approach elders.
To really create normal life for those who live with us, we must always remember to focus on strengths rather than disabilities. When we focus on what someone can do rather than what they can no longer do, it changes the equation dramatically. And that applies in every area from activities to care to dining and so much more. Giving people the opportunity to make choices, express themselves and enabling independence as much as possible, that’s one key elements that creates real home.
This is not an “add water and stir” approach, it’s not easy and it will be a major change in behavior and mindset for many of us. But talking with the elders who live in Green House homes, as well as the staff who work with them, one thing is clear. The results are worth the effort. The elders who live in these settings and can articulate it, told us about quality of life. They told us about feeling comfortable and at home, about the staff who felt like extended family, about the choices they were able to make about every aspect of their lives, about the family members who came to visit and felt as welcome as if they were still visiting them at home in the community. The staff echoed similar sentiments, the satisfaction of deeply knowing the elders with whom they work, the joy of being able to see and treat people as individuals and not room numbers or diagnoses, the ability to create “normal” every day. And those elders who can no longer use language as they once could, shared their feedback through the peace in their faces and the comfort they clearly found in the soothing environments of their home.
Maya Angelou wrote “Do the best you can until you know better. Then when you know better, do better.” Those words have great meaning as we begin this transformational journey. They have great meaning as we think about the care we provide to elders and the possibilities. We can do better as caregivers, as families and as a society to remember that our elders are not “them,” rather that they are still an important part of “us.”
Here is a link to the original blog post: https://blogs.timesofisrael.com/transforming-the-experience/
By Gina LaGuardia / Posted on April 30th, 2018
The GREEN HOUSE Project was pleased to join the April 25 #ElderCareChat, with Director of Operations Debbie Wiegand serving as an expert panelist. Wiegand engaged participants in an informative Twitter conversation about innovations in senior care while also describing how The GREEN HOUSE Project has come to be recognized as the leader in creating high-quality, cost-effective, and sustainable, human-scale alternatives to the traditional nursing home.
The hour-long #ElderCareChat put the need for innovative solutions in context, with Wiegand explaining how an aging population is driving the need for more senior care options. The topic was inspired by a recent blog post that discussed how the Green House model has become a catalyst for change in the field of long-term care. The model’s emphasis on creating a “real home” environment, with a look and feel that is residential rather than institutional, has gained considerable attention in the skilled nursing care space.
The Twitter session, which generated more than 3.4 million impressions and nearly 400 tweets, gave the 25 participants the opportunity to share their thoughts on a variety of topics, including what they perceived to be the major trends in senior care. One participant identified a movement toward more person-centered care. Another mentioned the need for a social/cultural change with regard to how we look at aging. In addition, several participants cited technology as having an increasing impact on senior care solutions.
In conjunction with an aging population, Wiegand sees an increasing demand for more innovative memory care solutions. “Correlated with the increasing number of elders is the prevalence of Alzheimer’s disease, and the need for high-quality models that focus on the whole person, rather than the traditional biomedical model that focuses primarily on decline and disease,” Wiegand tweeted, adding that a Green House program called “Best Life” was created to equipment caregivers with the knowledge and skills needed to help elders living with dementia thrive.
Wiegand also stressed the importance of frontline professionals building meaningful relationships with elders and their families. “Changing demographics exacerbate staffing challenges in nursing homes,” she observed. “Without the availability of quality jobs that offer expanded roles and opportunities for growth, the long-term care industry is at great risk for worker shortages.”
The chat also included a discussion of the advantages of smaller, more residential living spaces for elders. Wiegand explained that Green House homes are designed to create warmth and foster “intentional community.” “Smaller is better,” she tweeted, “meaning less square footage, which helps to support elder mobility, familiarity and access to all spaces of home, and reduce costs of construction.”
A chat participant observed that smaller, more intimate environments allow for better relationships with caregivers, tweeting, “The social, family atmosphere of residential living spaces eliminates the institutional stigma that is often associated with eldercare.”
Participants were highly receptive to innovative solutions being introduced to the long-term care space. As one senior care professional tweeted, “The day we stop innovating is the day we need to find a new job!”
“The GREEN HOUSE Project is all about relationships and deep knowing,” Wiegand concluded. “We embrace technology, but never at the expense of the human touch and connection.”
For those wanting to learn more, the GREEN HOUSE Project will host a webinar on workforce issues at 1 p.m. ET May 3. Register now.
In addition, The GREEN HOUSE Project is presenting opportunities to visit Green House homes and take a deep dive into the model at the following locations:
Feel free to peruse the transcript of the 4/25/18 #ElderCareChat session.
#ElderCareChat is presented by A Place for Mom‘s OurParents.com in conjunction with sister sites SeniorAdvisor.com and VeteranAid.org as a forum to share resources, experiences, and expertise in eldercare. Stay tuned to @OurParents Twitter handle for information regarding the next #ElderCareChat.
By Rachel Scher McLean / Posted on January 16th, 2018
Lori Gonzalez, is a researcher with Claude Pepper Center at Florida State University. She wrote an Op-ed for a Tampa Bay newspaper about the need for Green House homes in the state, and the national initiative reached out to discuss further collaboration. Recently, The Claude Pepper Center had the opportunity to capture interviews at The Woodlands in John Knox Village, and highlight the words of the people living this model everyday. Check them out here:
By Rachel Scher McLean / Posted on January 30th, 2017
There are 214 Green House homes, however there are 15,600 traditional nursing homes in our country. As we work to transform long term care, Beth Baker has been a critical voice in journalism, describing innovations in the field. She has spent the last decade telling the story of culture change to a wide audience and earlier this month, Beth Baker highlighted The Green House model as The Nursing Home of the Future, in Politico Magazine.
As a journalist and author, Beth Baker, writes about healthcare in outlets like The Washington Post and the AARP Bulletin, describing what is possible in long term care,”What [The Green House Project] does is to demonstrate that people can keep living and enjoying life until their last breath given the right environment and relationships.” This journey led her to Tupelo, the first Green House homes, and the transformative story of Mildred Adams:
Beth became intrigued by the rich human stories found throughout the culture change world, and eventually decided to write a book, Old Age in A New Age. Her work has expanded, in a second book, With A Little Help From Our Friends, that focuses on “the importance of community and social connection as we grow older.” Beth sees boundless opportunities to write about people who are,”looking at aging in our society and thinking about how to make it a richer and more respected time of life.”
When Politico approached Beth, they asked her to write a visionary piece about the nursing home of the future… when Beth pitched The Green House model, they were delighted to see the potential that exists today to create meaningful lives for those who live and work in long term care.
In her reporting for the Politico article, Beth visited Lebanon Valley Brethren Home in Palmyra, PA. After a three hour drive on a cold, rainy day she shared how warm and welcoming it was to ring the doorbell and walk into the home, ” there was a fire in the hearth and one of the women was doing a jigsaw puzzle… it felt so familiar and was just a reminder of why [The Green House] is such a wonderful model”. Through interviews with elders and Lebanon Valley Brethren Home CEO, Jeff Shireman, Beth was able to convey the comprehensive nature of the model, and how the interplay of the environment, organizational redesign and philosophy work together to create positive clinical, financial and satisfaction outcomes, “Having a strong case for the finances and business outcomes of The Green House Project has been really important, ” remarks Baker.
Beth Baker’s credible voice shines light on the potential for aging to be different, and it is so important that we continue, because as Beth shares, we have a lot of work to do, ” … It is going to take a culture change beyond long term care… [we need] a change in how we view aging, to get people to accept that it doesn’t have to be the way that it has always been.”
‘The Program of All-Inclusive Care for the Elderly’ and The Green House model: An Innovative and Cost-Effective Partnership for Comprehensive Care
By Lori Gonzalez / Posted on January 23rd, 2017
Lori Gonzalez is a PhD researcher at the Claude Pepper Center of Florida State University who studies alternatives to traditional nursing care and social inequality.
The first Green House homes included in a Program of All-Inclusive Care for the Elderly (PACE) partnership will open in early February, joining together two of the nation’s most promising long-term care models. The Harry and Jeannette Weinberg Green House homes, located in the Thome Rivertown Neighborhood in Detroit, Michigan will serve approximately 21 lower-income older adults who are otherwise able to live safely in the community, but who are currently residing in skilled nursing facilities. According to Capital Impact Partners, serving these older adults in Green House homes with the support of PACE, compared to providing care in a traditional nursing facility, is expected to save the state’s Medicaid system about $130,000 per year.
PACE began in California in the 1970s as an alternative to institutional long-term care. A group of Chinese, Italian, Filipino, and other immigrants held cultural views about caring for their loved ones that departed from the larger culture of aging in nursing homes. They formed “On Lok” meaning peaceful, happy abode. By 1986, On Lok developed the nation’s first comprehensive model of coordinated care and by 1997, the program became a permanent provider under Medicare and a state option under Medicaid. Today, PACE operates 116 programs in 32 states and serves over 30,000 older adults, most of whom are dually eligible for Medicare and Medicaid. PACE operates with the belief that, “it is better for the well-being of seniors with chronic care needs and their families to be served in the community whenever possible.” With the assistance of the PACE program, 90% of participants who might otherwise enter a nursing home are able to live in the community.
PACE provides comprehensive care to those who are eligible for the program. PACE eligibility includes being 55 or older, certified by the state to need a nursing home level of care, residing near a PACE care center, and having the ability to live safely in the community. When an individual enrolls in PACE, they (and their family) meet with a team of care professionals including social workers, nurses, primary care physicians, and nutritionists to help craft a plan to serve an elder in the community. PACE participants visit a PACE care center routinely where they, depending on their plan of care, might receive a flu shot, dialysis, dental care, respite care, a hot meal, physical therapy, transportation, or participate in social activities. Family members who visit the center receive counseling or advice on how to care for their loved one.
Green House homes also provide quality care and quality of life, but in a residential setting. In Green House homes, “elders and others enjoy excellent quality of life and quality of care; where they, their families and the staff engage in meaningful relationships…” and when licensed as ALFs, they provide a community-residential setting for elders that is expected to exceed the quality provided by other ALF models. Green House homes are not just homelike, they are places where elders call home.
The goals and values supported by PACE and The Green House model are similar and their partnership will honor elders’ preferences to avoid a nursing home and to live in the least restrictive care setting possible. Green House homes provide high quality residential living and PACE provides the physical health, mental health, social health, and family support for both acute care needs and long-term care needs. Furthermore, PACE and Green House value the belief that all elders should have access to quality care and a good quality of life. PACE serves mostly dual eligible, frail elders and Green House homes are meant to be available to all, regardless of income or wealth. The Green Houses at Rivertown Neighborhood, along with PACE will support these values by serving 21 low-income elders.
Aging in place is highly desired by older adults, but sometimes financially out of reach. The Thome Rivertown model demonstrates that creating a Continuing Care Retirement Community for lower income individuals is possible and that when PACE and Green House are integrated into that community, high quality, cost-effective care is achievable.
By Rachel Scher McLean / Posted on November 30th, 2016
The energy is always electric when Green House adopters are together. “As a national initiative, amazing things happen when so many changemakers are in the same room,” shares Senior Director, Susan Ryan, “The opportunity for rich discussion, relationship building and thoughtful questions is irreplaceable. ” That was certainly the case as over 250 Green House adopters gathered at The 2016 Green House Annual Meeting—Beyond Better.
Hosted in New Jersey, attendees were able to visit two open Green House homes, Morris Hall Meadows and Green Hill. Representing 30 states and over 200 open homes, the growing Peer Network is one of the greatest values of participating in this initiative. Green House stakeholder, John Grace, said, “It was nice to attend an intimate gathering where “practical application” is the theme of the day.”
Pre-Conference workshops provided role specific opportunities to explore areas that research proves are vital to the sustainability and success of the model, such as coaching and empowerment. Senior executives joined President of Center for Innovation, Inc., the sponsor of The Green House Project, Scott Townsley, to discuss the strategic trends impacting healthcare, and how The Green House model must continue to evolve in order to lead the way to a better tomorrow.
Marc Middleton, CEO of Growing Bolder, opened the meeting with an inspiring message that what the mind believes, the body embraces, and a call to believe in the potential of elders! This multimedia presentation thoroughly dismantled the myths of aging, and set a tone of possibility for the rest of the meeting.
With breakout sessions focused on key operational topics like convivium, spirituality, team building and hiring, adopters left the conference with a full ‘toolbox’ of new skills and ideas to enhance their homes and organizations. An original spoken word piece, called, “I Am Green House”, brought the crowd to their feet, as a shahbaz, a nurse, a family member and an elder shared what it really means to live this movement everyday.
This year, intensive sessions were offered as opportunities to take a deep dive in areas of dementia, coaching leadership and bringing Green House values into the legacy home. Hot topics, real discussion, and an impetus to keep growing, resonated throughout the conference. The “Inner Circle” was a unique networking space for attendees to meet their peers and help to co-create the future. Reciprocity of active learning and shared experience is making a difference and changing the world.
Sustainability is crucial in the work that we do, and a quality benchmarking resource was presented to attendees with a tangible charge to never stop improving. Exciting results are being discovered as the evidence-base for The Green House model grows.
The conference closed with Ashton Applewhite, anti-ageism advocate and author of This Chair Rocks, an Manifesto Against Ageism, sending a passionate appeal to fight ageism in all its forms. With humor and personal stories, Ashton served as the perfect way to end the conference feeling challenged and inspired.
“THE POWER OF THE MOVEMENT IS YOU!” says, Susan Ryan, to an empowered audience of Green House adopters. The national initiative is able to push the envelope of what is possible because of the innovative and excellent work of Green House adopters and those stakeholders who are changing what it means to age.
Next year marks the 10th Annual Green House Meeting. Held in Florida, with host site, John Knox Village, this meeting continues to grow in meaning and scope, as Green House adopters truly go, Beyond Better!
By Kathy Beamer / Posted on August 19th, 2016
Our family strives to to do meaningful things together and our decision to open Missouri’s first Green House homes, Cottages of Lake St Louis, has been the ultimate endeavor in camaraderie. These six, skilled nursing homes of 10 elders each, will be built on a beautiful site in suburban St Louis. When it came to naming the cottages, my husband, Al, and I hit upon an idea that we feel, really speaks to the ideals that we are trying to provide for our elders and our family.
We believe that it is important to build relationships across the generations, and to value the gifts within each of us. In this spirit, we chose to name each cottage after one of our five grandchildren and the 6th cottage to honor the late mother of our Director of Development, and long time team member. I brought paint samples to them and had each choose their favorite color and had signage made up for the cottage porches proclaiming the names. At the groundbreaking ceremony in July, we surprised the grandchildren as we unveiled the cottage names. They were thrilled, and to further include them, we will paint the front door of “their” cottage using the color that they chose! We expect them to be involved regularly in the activity of their cottage and will be well known to their elders and families.
Cottages of Lake St Louis is a place for OUR family and for ELDERS. We are so proud to have been able to move forward on such a wonderful project with:
- Ava’s Cottage
- Ella’s Cottage
- Grace’s Cottage
- Harper’s Cottage
- Kris’s Cottage
- Betty’s Cottage
By Rachel Scher McLean / Posted on August 9th, 2016
Over 200 Green House Homes Now Open in 30 States
BALTIMORE, MD (August 9, 2016)– THE GREEN HOUSE® PROJECT has spent over a decade creating a new vision for the future of elder care. In June, the organization reported an important milestone: more than 200 Green House homes are being operated by leading organizations in 30 states.
Upon reaching this new milestone, Green House Senior Director, Susan Ryan says, “It is beyond exciting to see this initiative gaining momentum. It took us 10 years to reach the first 100 homes, and only five years to add the next 100. As our numbers continue to grow, it means that more people are able to live full and meaningful lives. Both the elders who live in Green House homes and those who work there, benefit from the elements of the model that returns value and autonomy to those who it matters to most.“
John Knox Village, a lifecare community in Pompano Beach, Fl represents the 200th Green House home to open. In May 2016, they opened 12 Green House homes. Says CEO, Gerry Stryker, of the momentous occasion, “Being the 200th Green House home is incredibly emotional and fulfilling for John Knox Village. We recognize that we are a part of a rapidly growing national movement to change the face of care and rehabilitation. Our elders deserve this.”
Cedar Sinai Park, in Portland, OR, opened the first of four Green House homes in July, representing the thirtieth state to include this lifestyle model. Sandra Simon, CEO said, “This is the future of aging services, and we are proud to create the first Green House home in Oregon.”
Research finds that comprehensive adoption of the model has the potential to impact re-hospitalization rates, end of life care, and the quality of decisions made in the homes. A strong evidence base makes this model an appealing option to consumers, policymakers and long-term care providers and increases potential for scaling.
The Green House concept has already spread nationwide, with Green House projects operating or in development in 34 states. The organization’s goal is to increase the pace of growth, and have at least 300 homes open by 2020.
About The Green House Project
Based in Baltimore, MD, The Green House Project promotes an alternative to the traditional institutional skilled nursing, replacing it with an innovative new model of care that balances quality of life with quality of care. In the Green House model, large nursing facilities are replaced with small, self-contained homes that include private bedrooms and baths, home-cooked meals and access to the outdoors, while meeting all skilled nursing regulatory and reimbursement criteria. Incorporating the core values of meaningful life, real home and empowered staff, the Green House model creates a higher quality of life, improved medical outcomes, and greater caregiver satisfaction. There are currently more than 200 Green House homes in 30 states. The Green House Project is an initiative within the newly formed Center for Innovation. Visit our website at www.thegreenhouseproject.org.
By Admin / Posted on July 5th, 2016
“Living the good life” is a blog series celebrating the lives of people living with dementia in Green House homes. In Green House homes across the country, elders are creative, resourceful and whole people who have a valuable story to share.
Dr. Lemuel Rogers
“Without connections to the world that nurtures our human spirit, we hasten decline” -Susan Ryan, Senior Director, The Green House Project
Our lives are a rich tapestry of interests and experiences, woven together across time. Sharing and celebrating our unique stories ensures that our personhood is preserved, even as our needs change. Dr. Lemuel Rogers, was the epitome of dignity; a dapper, intelligent man with a great smile and beautiful singing voice. He was well known in the community as a respected doctor, and leader of his church. Meaningful life is a core value of The Green House model. The means that a person must be deeply known, and have the power to maintain their identity through connections and engagement.
For Dr. Rogers, that meant being respected and acknowledged for the expertise and reputation that took a lifetime to build. In the home, he preferred to be called “Doctor”, and frequently perused medical journals with former St. John’s medical director, Al Power. Staying connected to the community that he loved, shahbazim (care staff) supported Dr. Rogers to attend the annual African-American Health Symposium, a church event dedicated to him and his wife, Gloria. Being honored for one’s gifts is essential to living the good life.
Work hard, play hard. Dr. Rogers was also an active member in his fraternity, Omega Psi Phi. His fraternity brothers were frequent visitors at The Green House homes, bringing joy and beautiful music. Dr Roger’s loved to sing and was able to share his talents with others in his home. See the below video of Dr. Rogers singing “Swing Low, Sweet Chariot”.
Often, those living with dementia become known solely by their diagnosis. The beautiful tapestry gets lost amidst the behaviors and medications. In a Green House home, however, the value is placed on WHO that person is, and WHAT will support them in living the good life. Dr. Rogers was serious, but had a great sense of humor. You really felt like you’d done something special when you made him laugh. When children would come to visit, he would shake their hands very formally when he met them and they loved it. His dementia was pretty advanced by the time he moved to The Green House home, but when a doctor talked with him, or his church or fraternity visited, he always sat up a little straighter, shone a little brighter, and rose to the occasion in conversation. The man just…exuded dignity.
By Rachel Klumpp / Posted on January 29th, 2016
What Does it Mean to Lead Meaningful and Sustainable Change
The “Portrait of a Green House Leader” webinar series continues by highlighting the talents of Joyce Ebmeier, Senior Vice President of Strategic Planning for Tabitha Health Care Services in Lincoln, NE. Tabitha offers a continuum of services to elders, including the first Green House homes in Nebraska and the second built nationally. Joyce attributes her desire to work in elder care to her deep relationship with her grandmother and the wisdom she shared with her growing up. After graduating from the University of Nebraska with a bachelor’s degree in Education, she pursued a career in teaching before beginning her career with Tabitha in 1981, where she served as the administrator of their nursing and rehabilitation center for fourteen years. Currently, as the Senior Vice President of Strategic Planning, she is responsible for directing the overall planning, monitoring, communication, and progress of Tabitha’s business and strategic plan.
Joyce was inspired to champion the development of Tabitha’s four Green House homes after listening to Dr. Thomas speak about The Green House vision in 2001. As an administrator of a traditional facility, she knew the opportunity to imagine a blank page, and create more of what she knew elder care could be through The Green House model was the next step in writing Tabitha’s future chapters. After sharing the vision, the board approved the development of one Green House home after half the initial funds were raised. Joyce identifies that engaging with a grant writer to help locate available funding sources and network with organizational leaders was a crucial strategy to raise the initial funds for the Martin house, their first Green House home to nine elders. After they demonstrated the success of the model through the Martin house, three more homes were built, with plans to purchase property and build four additional homes in the future.
From a cost perspective, Joyce states that their Green House homes are major contributors to the success of the
entire company. Specifically, adding Green House homes for long term care into Tabitha’s continuum of services provided an opportunity to expand their capacity for post acute short term rehabilitation in their legacy building. This balance of costs and revenues combined aids in the growth of Tabitha’s entire organization. Further, Joyce describes that the quality of care associated with their Green House homes has become a hallmark within the community that is a “magnet” for people seeking long term care. This high demand results in a reliable, sustainable census that is crucial for overall operational success.
However, Joyce notes that the true success or “magic” of The Green House model comes from the incredible people who live and work in the homes and the culture created to foster deep knowing relationships. “It’s the most important part of getting The Green House model correct. If you don’t have the right people and you don’t provide an environment which empowers them to do their work with the elders… if that doesn’t happen the most beautiful and perfectly designed houses are really a waste of time and money.” At Tabitha, recruiting extremely creative, great people has resulted in
unique teams in each home where people feel empowered to bring who they are into their work. This results in extraordinary events and celebrations, such as their annual Green House carnival, and quiet everyday moments of compassion, love, and joy in the homes that couldn’t occur in a traditional setting. For Joyce, when talking about her accomplishments in her career, she identifies working with The Green House Project as the one she’s most proud of, yet is continuously striving for success in providing the highest quality of care for elders. When thinking about her Green House legacy in the future, she hopes it reads “But as remarkable as the Green House model became, what came next from these pioneers in elder care was even better.”
By Jeff Shireman / Posted on January 6th, 2016
At Lebanon Valley Brethren Home we believe in empowering our elders and providing innovative ways to care for their needs both in mind, body and spirit. This video is the story about our Green House homes, which are designed to serve those who need the highest level of nursing care.
We decided to tell our story by video for a few different reasons. First and foremost, we wanted to create a clear and visual way to describe The Green House model to prospective elders and their families. Because we limit outside visits to preserve the value of ‘real home’,video is another way to create that “seeing is believing” experience.
Additionally, this video is a great way to educate our team, community and stakeholders about The Green House model. By ensuring that our network understands the value of this model and the life that we are creating at Lebanon Valley Brethren Home, we are looking forward to their support in building more Green House homes in the future.
Thank you for taking the time to watch our video, and if you would like to learn more about our community, please visit our website.
Jeff Shireman is the President and CEO of Lebanon Valley Brethren Home