Jewish HomeCelebrating 110 Years

Chai Point

Sarah Chudnow

Annual Report2015 - 2016

ResearchıngPAST,

FUTURE

Honoringour

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To all of our friends and supporters,

Please join me in celebrating our 110th year of providing outstanding care and service to our older adults based on our Jewish faith and values. Since a group of Milwaukee Jewish women established the first Jewish Home in a duplex on Galena Street in 1906, we have grown to be a multi-campus, 500-plus employee, many-faceted organization. Because of your support we served over 1,000 residents and program participants last year alone, and we continue to look for ways to fulfill and enhance all lives regardless of one’s ability to afford the home or therapy and respite services sought. Our long-held mission based on the fifth commandment continues through your donations and thousands of volunteer hours; you truly honor our community’s Mothers and Fathers.

This year we Honor Our Past commitment to our community, while Researching For Our Future. Please read through the pages ahead and you will be reminded of our vast accomplishments and milestones over the last 110 years, and you will also learn about the breadth and quality of the research we are providing today to help our residents live a more healthy and full life. Our partnership with the University of Wisconsin-Milwaukee has established our first Research Professor in Aging, chaired by Dr. Christine Kovach, long-time friend to the Jewish Home. This first full year has created excitement as we research ways to enhance our resident’s lives, today and for future generations, in Milwaukee and beyond.Through your continued support we can keep the promise forged 110 years ago for today and for future generations.

On behalf of all of our boards of directors, thank you for your ongoing commitment to help us faithfully uphold the fifth commandment, and by enthusiastically and compassionately honoring all our Mothers and our Fathers.

From the President and CEO u u u u u u u u u

I am delighted to announce the launch of our first organization umbrella identity, OVATION COMMUNITIES. This past year we embarked on a branding discovery process to create one identity for all of our communities, while maintaining the traditions established by our forefathers and foremothers. We listened to you—our residents, families, donors, volunteers, community partners and staff—and clearly heard your expressions of love for and commitment to all of our communities.

This new look celebrates the vitality, joy and optimism that we heard in your voice. OVATION exemplifies that compassion, purpose and faith and honors our traditions. OVATION is a signal to all of our stakeholders that we are an innovative and meaningful catalyst in the senior living marketplace, true to our long-held beliefs and values, and enthusiastically celebrating life.

In the coming months you’ll be hearing and seeing more about our Ovation Communities. Our message will expand on our history and faith, and capture the enthusiasm that adds years to our residents’ lives. Watch for the launch of a new website in early 2017 and a change in the look and feel of our correspondence, advertising and resident and participant resources.

We want the entire community to know they are welcome to join us and find an active, secure, caring and kosher continuum of care to suit their lifestyle and interest. We want all prospective residents to know they’ll find an engaging staff and commitment to innovation and research that will help them find the peace of mind and purpose, and enrichment and spirituality they desire.

Please join me in celebrating OVATION COMMUNITIES!

Michael I. Sattell, President and Chief Executive Officer

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Intergenerational Programming

131 Programs

18 school and organization partnerships

1,142 Resident participants

918 Students participants

2,060 Total participants

Adult Day Center55 Individuals

3,930 Days of Service

ReCharge!91 Individuals

1,547 Days of Service

Spark Program25 Individuals

130 Days of Service

Memory Café20 Individuals

85 Days Service

191 Total Individuals 5,692 Total Days of

Service

Jewish Home 414 Residents,

outpatient therapy and rehab patients

Chai Point 101 Residents

Sarah Chudnow307 Residents,

outpatient therapy and rehab patients

822 Total residents, patients, participants

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Kosher Mobile Meals

26 Individuals at home 1,400 Total Meals

7 Hospitals served 700 Total Meals

2,100 All meals

Oasis13,367 Prepared Meals

Did You Know? u u u u u u u u u u u u u u u u u

The Volunteer Experience “I first started volunteering at the Jewish Home the summer of 1996 as a Caring Partner. From my first visit I was humbled by how great an impact those visits made. I met so many people who impressed me with their humor, dignity and courage. It changed my life.”

- Jan-Marie Gendlin

Volunteers384 Total Volunteers

15,537 Total Hours

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Eugene BassLynne BomzerRoberta CarawayDaniel ChudnowNita Corré, President Emeritus

Josh GimbelLeonard GoldsteinDonald GrandeRachelle HartPhilip HimmelfarbWilliam Komisar

Rebecca MichelsRichard RakitaJaclyn SmallRichard StraitDavid Weber

Nathan BernsteinDaniel Chudnow Judy CoranRachelle HartSara HoffmanRobin IrwinKaren Peck-Katz

Bill Komisar Daniel Lee Judy MargolisWilliam Mayer Arleen Peltz Beth PetermanRichard Rakita

Steve RichmanMary Anne SelbyDavid SmulyanLeo SorokaKen SteinGlenn YamahiroYoni Zvi

Alan BorsukDaniel Chudnow Suzy Ettinger

Jay FrankRachel GimbelRebecca Michels

Gary SobelStan Wynn

Todd BrachmanDaniel Chudnow David CoranJames Deshur

Suzy EttingerDina IrwinMike JosephMichael Russek

Fred SaferDavid Smulyan Fred Wein

Jewish Home and Care Center Foundation Board of DirectorsChairwoman of the Board: Arleen Peltz

Jewish Home Board of DirectorsChairman of the Board: Joshua L. Gimbel

Chai Point Board of DirectorsChairman of the Board: Howard Loeb

Sarah Chudnow Board of DirectorsChairwoman of the Board: Lynne Bomzer

Mission stateMent: The mission of the Jewish Home and Care Center Foundation is to support the Jewish Home, Chai Point and Sarah Chudnow communities in providing our Jewish Community with those services that enable our seniors or infirm to be part of a quality Jewish environment with comfort, meaning, independence and dignity.

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Involvement is the Key

“I love the Jewish Home... its mission, its leadership, its staff, my fellow volunteers and, above all, I love its residents. I love that as an active volunteer I have been able to make a difference. Volunteering at the Jewish Home has enriched my life, has given me purpose, has given me a reason for getting up in the morning and given me an opportunity to improve the lives of truly wonderful residents.”

- Phil Himmelfarb

The Early Years

Building a Strong

Foundation

Expanding to Meet Growing Needs

Celebrating 110 Years! u u u u u u u u u u u u

1940s Plans drawn up to double the Home’s capacity to over

100 residents.

1950s Expansion to the building on 50th Street finished and growth on services offered to residents including medical and dental care, psychiatric consultation, podiatry services and social services took center stage.

1906 Inception of the Home for the Aged.

1930s Second Home for the Aged built. Name changes to the Jewish Home for the Aged. Physical Therapy Department is formed.

1960s Period of steady growth in the number

of residents. Over $2 million was raised under the direction of Bernard Soref, Philip Rubenstein,

Ben Marcus and Benjamin Saltztein to build the current

building on Prospect Avenue.

Years of Incredible Growth

Continuing to Meet the Needs of

Our Community

1989 Rubenstein Kosher Oasis Restaurant opens. Creation of the Jewish Home and Care Center Foundation to enable the organization to serve the community’s growing senior population.

1990s Groundbreaking for Chai Point Senior Living, the Helen Bader Center, and the Weinberg Jewish Terrace. The Jewish Home for the Aged merges with the Milwaukee Jewish Convalescent Center.

2005 Groundbreaking for the Sarah Chudnow Community in Mequon and renovation of the Jewish Home.

2013 Expansion of the Adult Day Services and the creation of ReCharge! and brain health focus.

2016 Established the first Reasearch Professor in Aging position.

1973 115 Residents move from North 50th Street to the new building overlooking Lake Michigan.

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A Year of Success u u u u u u u u u u u u u u u

Thank you for helping make 2016 a success. Here are ten of the many accomplishments and milestones reached throughout the year.

1 Organization Rebranding A major initiative to bring all of our communities,

programs, and services together under one name was undertaken and completed.

2 Welcome Desk To improve customer service, a Welcome Desk was built

at the Jewish Home. The desk enhances building security by providing a staffed check-in desk and vestibule at the parking elevator doors.

3 Security Upgrades To further the security of our campus, we have

upgraded to high-definition security cameras with improved viewing angles and implemented a campus-wide emergency paging system to ensure the safety of residents and staff.

4 Expansion of Community Partnerships The Jewish Home and Care Center Foundation

continues to join with several nonprofit organizations to better our community and enrich the lives of residents, participants and staff. 2016 marks a big year for partnership expansion and includes new and ongoing partnerships with the Alzheimer’s Association of Southeastern Wisconsin, University of Wisconsin-Milwaukee, RUACH, Inc., Jewish Family Services, Catholic Home and more.

5 Rubenstein Family Kosher Oasis Renovation The Rubenstein Family Kosher Oasis underwent a

renovation that took it from a simple café to an art gallery. The featured artist and menus will change seasonally. Updated décor includes new lighting, flooring, wall-coverings and linens. The new format also allows for grab n’ go items.

6 Holocaust Remembrance Dinner The Sarah Chudnow held a Holocaust Remembrance

Day Dinner on January 27, featuring recipes from survivors, and hosted a sold-out crowd of over 100 people. We believe this to be the first event of its kind held anywhere, and we will make it an annual event.

7 Bringing Therapy In-House Since February, our therapy department was brought in-

house in an effort to enhance quality services and outcomes and to streamline processes and build efficiencies.

8 Alzheimer’s Training for Staff We initiated a company-wide commitment to dementia-

friendly training in partnership with the Alzheimer’s Association of S.E. Wisconsin for the provision of Alzheimer’s and dementia specialist training for all personnel. Since January, over 200 staff members have attended more than 30 sessions.

9 Expansion of Adult Day Services Our programs continue to expand to meet community

needs. The R+R Club: ReCharge! and Renew Club, is an innovative program offered to active individuals experiencing memory loss at an early age (generally under 65). This is the first such program in Southeastern Wisconsin.

10 Renovations at Sarah Chudnow Sarah Chudnow has redesigned its third floor dining

space to accommodate both meat and dairy, to allow assisted living residents to have all their meals near their apartments. Meanwhile, the dining space on the first floor has been converted to a restaurant/club room model. The Linda and Fred Wein Café in Posner Town Square has been redesigned and expanded, featuring additional dining options and hours.

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Research For Our Future u u u u u u u u u u u u

Dr. Christine Kovach’s ongoing, internationally recognized research studies are providing results that are improving the quality of life, human dignity, and healthcare outcomes for our residents, and older adults worldwide.

Completed Studies

1 Proton Pump Inhibitors And The Prescribing Cascade

Overview: We studied drugs commonly prescribed for indigestion, peptic ulcer disease, and gastro-esophageal reflux disease (GERD) in three nursing homes. People who were taking many oral drugs and vitamins were more likely to be taking these drugs. Many drugs have anticholinergic properties, but too many anticholinergics can be problematic. There were major differences in the prescribing of anticholinergics in the three nursing homes. The Jewish Home had the lowest anticholinergic use. Anticholinergics can open up the lower esophagus, allowing gastric acids up into the esophagus.

Results: This study found that residents with higher anticholinergic drug use were more likely to be taking a proton pump inhibitor drug.

2 Feasibility Testing Of A Protocol To Stop Ineffective Drug And Non-Drug Treatments

Overview: Ineffective treatments continue to be given to nursing home residents with dementia, and many more treatments are started than stopped. The Track and Trigger Treatment (T3) Protocol, developed by Dr. Kovach, assists nurses to track responses to new treatments and get ineffective treatments stopped or altered. Use of the T3 Protocol in this study was associated with significantly more treatments being stopped.

Results: Treatments were most commonly stopped because of ineffectiveness (33%), followed by the problem being resolved (29%), side effects (18%), and a change in goals of care (20%). The protocol developed by Dr. Kovach is a novel and innovative tool that improved care and decreased costs.

3 Decreasing Infections: Testing A Protocol Utilizing Ultraviolet Irradiation To Decrease Nursing Home Infections

Overview: People residing in nursing homes are at increased risk for infection. We are the first in the world to test pulsed xenon ultraviolet light in addition to manual cleaning in nursing homes to reduce microbial burden, infection rates, and comorbid problems associated with infection. This study demonstrated that the pulsed-xenon ultraviolet disinfection device is superior to manual cleaning alone for decreasing microbes on environmental surfaces, as well as decreasing infection rates, and the rates of hospitalization for infection.

Results: Results suggest that placing a stronger emphasis on environmental surface disinfection in long-term care organizations may decrease facility acquired infections.

4 Patterns Of New Physical Problems Emerging In Long-Term Care Residents With Dementia

Overview: People receiving skilled nursing care have multiple physical conditions that can affect their comfort and quality of life. This study provides a more comprehensive view of the overall burden from new physical problems and symptoms occurring in older adults with dementia residing in long-term care.

Results: Findings suggest a higher intensity of physical needs than found in other studies. The differences in the patterns of how these problems emerged may have important implications for health care delivery.

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Current Studies

1 Preventing Muscle Loss: Vibration Therapy In Older Adults

Overview: Impaired physical function can cause dependency and reduce quality of life. Sarcopenia is the age-related loss of muscle function and mass. Approaches to improve function in older adults are sorely needed but no approved therapies currently exist to treat sarcopenia. Vibration exercise is a training approach that is time efficient, effective and safe in older adults. This study is evaluating whether a novel exercise approach, seated vibration therapy, can improve function in frail older adults. Among the first to use a highly innovative technology called computerized muscle mechanography, this study quantitatively measure muscle mass and function.

2 Testing a Mindfulness Based Intervention (MBI) for Older Adults

Overview: Mindfulness-based activities have the potential to benefit older adults and those with memory problems through a number of specific mechanisms of action. Multiple brain imaging studies have shown activation responses in regions of the brain that are potentially beneficial for older adults and people with memory problems. We are currently examining the effect of an adapted MBI on outcomes of stress, agitation, engagement, pain, ability to self-report pain, affect, inflammatory markers, and sleep quality. Both short and long-term outcomes will be examined. This study will also give us the opportunity to determine if a controlled mindfulness intervention effects people differentially based on their circadian rhythm regulation or their stress hormone levels.

Creating Important Partnerships

“We greatly value our partnership with the Jewish Home and Care Center Foundation as it has allowed for the advancement of nursing science that improves the health and health outcomes for Jewish Home residents, but ultimately influences care of seniors both nationally and internationally. The Jewish Home is a state of the art, highest quality Care Center, and Dr. Kovach, through her work, and the work of her students, is able to advance nursing science through her research and publications. It is a partnership that we remain very committed to continuing.”

- Dr. Kim Litwack, the Interim Dean for the UWM College of Nursing

n Resident Care - $503,359n Resident Services - $331,003n Spiritual Development - $753,744n Music and Art - $418,374n Resident Activities - $527,515n Residential Facilities - $6,297,259n Employee Education - $1,308,218n Employee Appreciation - $303,517n Greatest Needs Funds - $6,552,155

n Resident Servicesn Othern Foundation Support

n Nursing, Therapy and Social Services n Administration and Human Resources n Facilities and Operationsn Ritual, Activities and Diningn Debt Servicen All other expenses

Foundation 2015-2016 Support and Net Assets u u u u uJuly 1, 2015 through June 30, 2016 Unaudited

DONOR DESIGNATED FUNDS Total ($16,995,145)

2015 -2016 OPERATIONS: JEwISH HOME, CHAI POINT, SARAH CHUDNOw

NET ASSETS (unaudited) June 30, 2016 NET ASSETS

Unrestricted $ 78,763,319Board Designated 57,195,773Donor Designated 16,995,145

$152,954,237

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10,357,542

5,276,838

5,501,711

1,762,093

1,378,522

1,378,086

Expenses - $28,084,010

Revenue and Support - $27,234,628

21,142,052

3,807,740

4,714,054

10,357,542

5,276,838

5,501,711

1,762,093

1,378,522

1,378,086

Expenses - $28,084,010

Revenue and Support - $27,234,628

21,142,052

3,807,740

4,714,054

Greatest Needs Funds Specifically used to fund projects that the administration believes are of the greatest urgency.

Golden Alliance Friends of the Jewish Home and Care Center Nita Corré Dor l’Dor Corridor Fund Chai Point Fund Sarah Chudnow Community Fund Jewish Home and Care Center Fund

Resident Care These funds are geared toward the medical related quality of life for residents.

Helen Bader Center Fund Hans Schapira Fund Kastrul Family Jewish Home and Care Center Medical Equipment Fund Lillian Garner Fund Sarah Chudnow “Bikkur Cholim” Award Fund Minnie K. Friedman Rehabilitation Center Fund

Resident Services For day-to-day enhancements including personal care items that residents may need including haircuts.

Sanford J. Ettinger Chai Point Library Fund Minow Family Library Fund Beatrice Miller Beauty Shop Fund

Spiritual Development These funds provide funds for pastoral care, religious programming, and our Synagogues.

Hyman Kastrul Synagogue Fund Sam and Dora Levinsky Shabbat Fund Burton Minow “Oneg Shabbat” Fund

Avrum and Anita Chudnow Shabbat Fund Kahn Fund

Music and Art Provides for cultural programming for residents.

Yaker and Sarah Rakita Fund Harry and Celia Perlstein Afternoon of Music Fund Gilbert Meisel Music Fund Frisch Family Music Fund Dr. Myron and Phyllis Shuster Fund Irving and Clarissa Lore Fund RUACH Fund

Resident Activities Funds under resident activities exist to keep our residents engaged in a variety of enriching activities.

Frances and Ezra Berman Activity Fund Edith Jacobson Ice Cream Social Fund Ida Soref Ice Cream Social Fund Martin F. Stein Intergenerational Fund Posner Chair for Intergenerational Programming Adult Day Center Herschel Gellerman Memorial Fund William Komisar Fund

Residential Facilities Residential Facilities funds keep our campuses beautiful for residents and visitors to enjoy, and keeps us prepared for future needs in health care.

Lee and Lilly Lerner Fund Monya’s Garden Fund Esther and Lester Heiny Beautification Fund Celia and Jacob Schnell Fund

Donor Designated Funds u u u u u u u u u u u

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Foundation 2015-2016823 Donors

1,253 Gifts

$1,870,400 Donated

Education Education funds support classes and training to further the education of our staff so our residents always get the best of care with the most current methods.

Ruth Coleman Educational Fund Elizabeth Laskin Educational Fund Nita Corré Educational Fund Nina Noemi and Sidney Zelik Widell Fund Education Fund

Employee Appreciation Gives residents, families, and staff a chance to thank employees for going above and beyond.

Kruglak National Nursing Home Week Fund Lore and Martin Lewin Employee Excellence Award Fund Stella Plous Caring Award Fund Maurice Surlow Award Fund

The Generosity of Donors “Seventy five percent of our residents receive some form of government subsidy for care. To fulfill our mission we spend $115 per day, per resident above the cost of subsidy, almost $4,000,000 last year. Without donations through the Foundation, we would not be able to operate the way we currently do. The generosity from our donors over our 110 year history has allowed us to offer a staffing pattern that is a third higher than other nursing homes in the area and provide a higher level of activities and options for our residents. Also, I know that without the generosity of donors, they would not be able to live in such a beautiful setting and be provided such outstanding care.”

- Elaine Dyer, Jewish Home Administrator

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Photographers include Paul Ruffolo, Ryan Hainey and Gary Heller

Non Profit OrgUS Postage

PAIDMilwaukee WI

Permit 3120

1414 North Prospect AvenueMilwaukee, WI 53202

414-721-9260

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