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BOA Minutes July 6, 2017 Pg #7 f fl Hopkins University to design a concept which created dementia units within our Nursing Homes: One of the components that we learned from Johns Hopkins in our own research and has been our experience since then is having outdoor areas for our residents to enjoy, far example an evening like today. Three fourths (3/) of the building we build is fenced, so this is a beautiful evening for residents to go outside, exercise, to enjoy the fresh air, the birds, and the sunshine. We found when we started the nursing homes back in the 80's, that that was widely successful. Our residents were less agitated because the goups were segregated based on their needs. Also, our families were much happier in terms of the quality of service and the quality of life for our residents. Mr. Fel4man concludes, according to the Alzheimer's Association, if you go on our website, today there's a new case of Alzheimer's every 66 seconds in the United States and it has accelerated. IYs accelerated because people are living longer and there's more of us that are aging. The Alzheimer's Association is projecting by the year 2050 there'11 be a new case every 33 seconds. It's astronomically increasing. I'll also say that there are over 30 different types of dementia, Alzbeimer's is the most prevalent. About 70% of the cases of dementia aze Alzheimer's but there are a number of different ones. Another thing because I think it's helpful to undersfand the need is there, is an element called `eazly onset dementia' for people under the age of SS - 65. The Alzheimer's Association doesn't have a good handle on that. We think that there's probably somewhere in the 200,000 to 400,000 of those people in the United States today. If you look at some of the European studies and some of the reseazchers that we deal with, there's a thought that a lot of it has to do with those of you that are like me that are baby boomers, when we were in our late teens and early 20's we did a lot of alcohol and drugs. There is a correlation, a belief that that destroyed our brain cells, that it helped cause early onset dementia. It's not conclusive, but what we do know is it's a fact that's inereasing. I use that information to tell my kids solely to scare them'in thinking about this. Unfortunately my Mother and Mother-N-Law both died from dementia. For me it's very personal. It's an -issue that's not going away unfortunately with the billions of research worldwide. All we've been able to do is slow the progression of the disease. There seems to be multiple cause of agents, even if we isolate one, which I pray, I'd love to tum our communities into boutique general assisted living communities, but I don't and the researchers don't see it happening. PEN DISCUSSIO • Piacement of a Loved One - Self Pay / Insurance Coverage Mr. Michalko said, at the last meeting you explained to us it's a for profit organization. The person coming in is assessed and if their money runs out they have to find another place. Mr. Feltman replied, it's not quite that simple, it may sound that way and there's an element of truth here but let me explain the big picture. When someone is looking to place a loved one in our community we work with them in helping establish what resources are available and for how long. We look at several years' worth of assets coupled iai with long term care insurance, Veterans benefit and tax deductibility. All of those things help extend the length of stay. Very rarely do we see somebody leave because they don't have any money left. One of the things we'll be doing here once we reach stabilization is establish a fund to help provide a cushion if