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Nov. 16, 2021

Taking Nursing Home Design to a Whole New Level

What if you could throw the progression of a patient’s Alzheimer's with just a change in lighting, or increase their quality of life with a few added design elements to a room.

Jean Makesh, CEO of the Lantern Group, holds that there is a difference between surviving and thriving and has made it his mission to design programs and buildings that allow residents to truly thrive!


As an occupational therapist with an MBA who has, at one point, been responsible for 120 facilities at one time, Jean is an expert in both the care and business sides of senior care. 

With his groundbreaking new designs and programs conceived to influence the lives, thought processes and social engagement of residents, he has become recognized as an incredible innovator in the space. 

Jean’s buildings are structured to engage all five senses. 

Through natural lighting or LED-controlled “Sky Ceilings,” they allow those with memory-related conditions to tell the time. 

With a design based on the nineteen twenties, thirties, or forties, residents experiencing Retrogenesis and mentally reverting back to their youth can feel at-home in their surroundings. 

Jean is passionate about the vision of his buildings from a clinical perspective and also understands that this cannot be accomplished without adequate financial backing. 

He tells investors the true story, that by creating these spaces he is reducing clients’ pain and helping them to live longer and healthier lives and that this in-turn makes for significant cash flow. 

With his penchant for innovation, Jean has been planning and developing various new programs and ideas. 

Currently he is evolving his informational senior care, Alzheimer's, and dementia focused video platform Okrah.

Jean first had the idea for this concept after producing his own documentary on one woman’s experience of Alzheimer's and realizing how little media existed around that important topic.

FOLLOW JEAN, THE LANTERN GROUP, AND OKRAH

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Transcript

WEBVTT

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Another reason because of the pandemic, we are seeing

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a decline among our clients and also carry our

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staff. And also we as humans we are going through a lot of mental

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challenges, mental health issues is because no

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matter how how much we are on the device,

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we as humans, we like to control our movement,

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our thoughts and at the same time we breathe life into each other.

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And it's so important to have think of all those elements

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when you start designing the building.

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Welcome to the nursing home podcast. Your goto

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source for professional insights in the long term care industry.

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Hear from leaders and experts as they share current and practical insights

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to help make the most of your day. I'm a long term care financial specialist.

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What that means is I help people plan for the inevitable.

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Nobody wants to think about getting old, but it's possible that someday we might

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need a little bit of care. Here's your host. Nursing home Administrator Turnpodcaster

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Schmoel, Septimasptimas.

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Welcome to another live recording of the

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Nursing Home Podcast, the podcast that

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explores and shares with our listeners

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and viewers a very open and transparent

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authentic view of what is actually going on in the nursing

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home world. And we're trying to explain things in simple terms that everybody

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can understand, try to remove some of the fluff and get down to business.

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Today's episode actually started out from a LinkedIn post

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that I saw of a new design of

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nursing homes and I shared it on LinkedIn and the thing really blew up.

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And apparently it's something that was an enigma, something that really

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doesn't exist in this space. And I'm really glad that

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the CEO of the Lancer Group, Gene McKenzie, was kind

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enough to lend me some of his time to come on the show today to

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discuss it. So, Jean, welcome to the nursing home podcast. Thank you.

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Schmeil thanks for having me. Yes,

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it's really a pleasure seeing that article.

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I think you shared it on LinkedIn or someone shared it on LinkedIn and

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just the pictures are really breathtaking and

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it was really just an amazing thing to imagine

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that there's a way of living and designing

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nursing homes that can be really

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so beautiful and something that can really change our

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perception of what nursing homes really look like.

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And I'm just going to share here for a moment of

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what it actually does look like. So here you can see that we have the

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picture. It looks like you're outside. It looks like there's sunlight and

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shadows. The outside patios looks

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like the ceiling was made somehow to look like the natural sky. And again,

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I'm just looking through these pictures, I don't know the full intricacies

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of what went on here. If you don't mind, can you share with us

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firstly how you got into this industry to begin with

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and then onto this design project?

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Absolutely. I'm an occupational therapist by background,

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so that's how I got into the space.

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I worked in long term care for a while and was

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the compliance director for a very large nursing home chain.

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At one point, I had about 120 nursing homes over twelve states

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that I was responsible for during that time.

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I thought I knew a bit about elderly care.

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When I started working directly with my clients and families, that's when I realized

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I had no clue. And yes,

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I got an undergraduate degree,

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a double Masters, I also have an MBA. But when

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I started engaging with them, I realized that there's so much I need

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to learn from them. And I was in my twenty s.

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And at the time I began to kind

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of format and realize that the folks

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that I'm seeing, I'm caring, I'm treating, they remind me

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of my old age. This is where I want to be.

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When I'm 70,

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you think six years old. And so I

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thought maybe when I turned 60, 65, is this

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where I want to be? Or should I create a space that

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would enable me to just not live but thrive?

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So I started doing a lot of research, and I think

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that there's a difference between living, surviving and thriving.

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And I just felt that we as humans, no matter how old we are,

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we should never stop thriving.

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It's so important for us to move forward, both mentally, socially,

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emotionally, and physically. Also.

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One of the things I realized as I was beginning to

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learn from my clients, my 95

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year olds, I just felt that what

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they were looking for is companionship.

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Someone they can talk to, someone people

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would sit down, they want someone to listen to them.

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And I think that's a pretty basic need.

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And I just felt that as a therapist,

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I'm like going from patient to patient to patient. Getting things

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done. The 30 minutes or 45

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minutes or an hour I have with them was extremely valuable.

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How can I incorporate that during my therapy sessions with

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them to make sure that they're not

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really they're loved, but they're very valued?

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It's very important. I think there's a difference between one of the things I realized

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in life was what is very important to us. We always

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tend to say that I like to be loved, but based

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on my research, I found that there's more than love. It's actually

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being valued. It doesn't matter how old

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you are. So I started

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looking at different environments, and even in my own

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life, when I go on vacation, when I go

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down to Florida, when I'm down by the beach or by the pool, I'm much

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more relaxed. And I

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said, there has to be something that makes me

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feel that way. And I started really looking into

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the environment. When you walk into

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a spa, you feel a lot more relaxed. You walk into

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a room that's filled with a lot of noise,

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it kind of annoys you. So the

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more and more I started studying and researching,

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I realized that we as a human, our attitude,

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our posture, the way we engage, the way we perceive

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every one of it is directly influenced by our five

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senses. So what we see, what we hear,

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what we touch, what we smell,

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what we taste, determines our attitude towards

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ourselves, the way we feel about ourselves, our thought

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process, and also the way we would engage with people

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around us. So that was pretty much one

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of the main factors that kind of drove me to start

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looking into building designs where I felt

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that I could create opportunities for people to

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relate, engage, interact with the environment, and also remove

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also receive the stimulus from the environment to

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shape one's behavior. And added you okay.

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That's fantastic. On so many different levels.

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And I want to hear the next step in a moment, but just to a

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couple of points I used to tell my activities staff,

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which sometimes are viewed at as the bottom of

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maybe least important in the building. And you try to find,

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you know, a nurse, a nurse has a college age

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sibling friend or something, you know, come in to activity to see what nursing homes

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are all about. I just tell them that they are the most important and

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no offense to the therapy people sorry Jean.

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I would tell them that they are the most important people in the building.

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And I explained to them that everyone else's job is to make sure that

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the patients or the residents live. Your job is to

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give them a reason to live. You're giving them life itself.

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Which is kind of similar to what you said is that somebody is 85 years

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old, 90 years old, unfortunately sometimes 45 years old, whatever age

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they are. And they're living in a long term care setting

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or even post acute care setting,

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whatever it is, they're in the nursing home. They want to feel that there's

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a reason for them to exist and they want to be able,

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like you said, companionship is such a basic human need.

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That's something that is still missing. We have X number of

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nursing hours, x number of 8 hours, therapy hours per patient

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day, and all the numbers how we calculate this stuff.

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Therapy does provide a unique opportunity for oneonone time.

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Sometimes when you have a oneonone session which sometimes cannot be had almost with

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any other staff member, that's not what they're there for,

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the care that they provide, but that

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is a need that enables the residents to

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thrive, which unfortunately

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is not always being met. Your other point also is

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we know that when we're in different physical environments,

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we react completely differently. Your other

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centered thinking is not that's great for me, let me go

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on vacation. Forget about the residence of the nursing home, then come back

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and say, okay, listen, I'm young and healthy. This is what I could do.

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Maybe this is what you guys did, but now you guys got to pay the

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price of being old. You're like, no, just the opposite.

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I don't need to go to Florida to make that happen. Let me bring Florida

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to these residents, and it doesn't mean that they necessarily enjoyed Florida,

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but let me make changes to their five senses where they are

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so that their quality of living will skyrocket today without

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having to take them, because that's not practical and it's not the right thing to

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do. And they shouldn't be going around and traveling this thing. You know,

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once in a while, family member may arrange something, but for the most part,

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they're there because they need to be there. But why

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can't it smell like a pleasant place? Why can't it look differently?

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Why can we ensure that their dining experience is

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something that we would want ourselves? And I mean, that way of thinking

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propels people like yourself, who,

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again, before this episode, I really knew very little about you. But I

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love meeting people who started from the bottom,

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kind of the bottom, and worked their way up because they're not

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being handed a silver platter. You're making decisions based on the

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knowledge and information that you have. But getting back to the design

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process, how did you implement that? What exactly did you

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do? Well, the key thing is

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I'm not independently wealthy, so I have

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to put a package together for

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my investors. And I always say this. You always want to tell a story

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like the way they want to hear it's,

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not like the way you want to say it. Always tell a story

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the way they want to hear it. So when I speak to my investors,

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deep in me, I'm concerned about my focus is care.

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My focus is efficiency, staff efficiency. My focus

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is labor costs. My focus is construction cost.

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When you look at a product,

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the biggest cost is your mortgage. The buildings that I

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have that I own, the mortgage is anywhere

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between $70,000 a month, $210,000 a

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month. So that's my biggest cost. The second biggest cost is my

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labor. Right? So then you have other miscellaneous stuff.

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And the key thing is,

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when you engage with investors, you really want

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to present you go on a package in such

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a way that because, again, investors are not we need them. They are

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looking for a rate of return. And so you want to speak economics,

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and at the same time, you want to connect economics to care,

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to services and everything that you provide. Most importantly

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most importantly, I think, is labor culture extremely

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important. At the Lantern group,

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there are two things that are very important for us. We are

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labor centric, staff centric, and client centric.

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What I felt is that if I treat my staff very well,

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then I don't have to worry about teaching them how to treat my

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clients. They will know exactly how they treat them,

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how I treat them. How I talk to them, how I engage with them,

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creating value. Let me just jump

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in. There one quick thing that I want to hear what you said, but I

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once said by a staff meeting that our residents are the second most important

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people as a group of people in the facility. And everyone got all upset.

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What do you mean? We're in long term cares. The residents. The residents. I said,

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no, let's be real. They're number two. Number one is the staff and

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the employees. And we can't just pay lip service to that. We have to actually

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mean it and take action to show that if we treat our employees

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the way that they should be treated, then our residents will get the results that

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they get. Or put another way, if you

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go in the days when we used to fly on planes,

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it annoys me to know when the fake stewardess smile.

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Right. Again, that's their job. But at the

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end of the day, you can tell when it's forced. And I'd

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rather just be real with me. Like, here I am doing my job. I've been

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doing this for 36 hours straight at the end of my shift.

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Take your stupid pretzels. But the point is,

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you can train people to smile, and they will smile

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when they remember the training, or you can make them happy, and they'll smile naturally,

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genuinely, and sensitively all the time, provide exemplary service.

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You clearly sign up for the second message. That's clearly

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how you guys run it. Absolutely. Well, the thing

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is, there's a general belief that you build and they'll come.

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Right. I think one of the

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things I'm trying to do is kind of like, move away from that mindset,

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the mentality you build, and people will come.

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I don't want nursing homes, but I have assisted living and

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memory care, and I don't want to house

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people. I don't want to put them in

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locked units when you come into our communities.

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And I got some pushback in the beginning because the staff,

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they had very valid concerns. And I said that

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the clients that live on the memory care side,

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I want their units unlocked.

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The clients that live on the al side, I want the unit secure.

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So essentially, they have a swab that

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they can use to get in and out. But I wanted

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my clients, my elderly, on the memory care site,

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on the cognitive care site, to have free access to the

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building. So there was this fear about elopement,

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losing them and things like that, managing and

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directing and guiding them. But I felt that the most important

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thing is to have to keep my clients

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active, my elderly active. Yes, there is a cognitive decline.

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Just because there's a cognitive decline, it doesn't mean that they have to be secure

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and kind of a corner to a

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certain space. So when I started designing

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the building, I was looking at everything very closely.

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How far my caregivers have to walk, how many steps they

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have to take before they can be in a client's unit. So when I start

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designing, I got to create the efficiency because I don't want

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a caregiver running from one corner of the building all the way to another corner

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of the building. Because even from a design standpoint, you start taking

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care of your caregivers, you want them to walk less. And I learned

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the hard way I really messed up a design and

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where my caregivers have to walk quite a bit.

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Now, when you look at the design, the key

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thing is I did a lot of research and what I found was

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we as humans, we breathe life into

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each other. We are social animals.

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Another reason, because of the pandemic, we are seeing a

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decline among our clients and also carrying our staff.

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And also we as humans, we are going through a lot of mental

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challenges, mental health issues. It's because we

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as humans, no matter how much we are on the device,

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we as humans, we like to control our movement,

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our thoughts, and at the same time, we breathe life into each

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other. And it's so important to have think of all those

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elements when you start designing the building. So when you walk into

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my building and the space was very designed

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with purpose, okay? So one of

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the things I realized was as you get older, not necessarily

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when you have Alzheimer's disease, as you get older,

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more so when you have Alzheimer's or certain types of

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certain forms of dementia, your retrogenesis,

18:08.112 --> 18:11.647
which means that you revert back to your early childhood days.

18:11.830 --> 18:15.712
Dr. Barry Reinsberg has a history

18:15.775 --> 18:19.222
of theory of retrogenesis. You revert back.

18:19.405 --> 18:22.927
So when folks start reverting back,

18:23.020 --> 18:27.352
we all revert back. As I'm getting older, I'm saying that

18:27.520 --> 18:30.562
when I meet my friends from my

18:30.625 --> 18:34.147
childhood days, it's amazing when I just see

18:34.180 --> 18:38.152
them, they become a source of memory that I

18:38.170 --> 18:41.067
never ever thought or remembered.

18:41.202 --> 18:44.902
But when I see them, memories that were created when

18:44.920 --> 18:48.667
I was with them, it starts coming back to them.

18:48.865 --> 18:52.002
There's something called a trace back theory. May a memory trace back theory,

18:52.032 --> 18:55.737
you're able to trace back and able to put older memories

18:55.887 --> 18:59.542
back in. So I feel a lot more

18:59.590 --> 19:02.977
excited, happy, engaged. See, when you

19:02.995 --> 19:06.657
ask my children about me, they'll give you a certain description

19:06.672 --> 19:10.207
of who I am. But if you ask my childhood friends

19:10.285 --> 19:13.707
who I am, they'll give you a very, very different description.

19:13.872 --> 19:18.612
The reason being is as we continue to grow and evolve with responsibilities,

19:18.687 --> 19:22.482
with marriage, with getting married,

19:22.572 --> 19:26.317
having children, we change, our personalities change.

19:26.440 --> 19:29.472
However, as we start getting older,

19:29.517 --> 19:32.932
we slowly reverting back to the early childhood days.

19:33.085 --> 19:36.777
So I felt that why create an environment

19:36.957 --> 19:40.347
that they will not be able to relate

19:40.392 --> 19:45.037
to? Why don't I take them to 1920s? Why don't I take them to 1930s

19:45.175 --> 19:49.042
and where I build homes. I mean, it doesn't really cost much,

19:49.090 --> 19:52.192
to be very honest. The way you

19:52.240 --> 19:55.947
do a typical stick build or a structural

19:55.992 --> 20:00.125
build, and the way I did,

20:00.487 --> 20:02.832
when you look at my buildings, you go like, my gosh, you would have spent

20:02.847 --> 20:05.977
a lot of money. Not really. I'm very cost conscious because I got to keep

20:05.995 --> 20:09.362
my mortgage down so that I can continue to be affordable.

20:10.237 --> 20:14.687
But the key thing is new mentality, new mindset,

20:15.262 --> 20:18.802
new approach. Try to find a way to

20:18.820 --> 20:22.467
move away from the way we did things and the way we're comfortable

20:22.527 --> 20:25.747
with. So I just felt that, what if

20:25.780 --> 20:29.512
I bring natural elements inside, which is the

20:29.650 --> 20:33.262
sunlight? If I'm not able to bring the natural light inside,

20:33.325 --> 20:37.182
can I create a virtual sky ceiling? Can I tie the virtual sky ceiling

20:37.197 --> 20:40.527
to the weather cloth and figure a way to increase

20:40.557 --> 20:43.597
the brightness dimmet as we go through the day?

20:43.780 --> 20:47.662
So essentially, by doing the inside, I'm able to

20:47.725 --> 20:51.072
reset one physiological or biological

20:51.117 --> 20:54.192
clock. When you go into a casino,

20:54.327 --> 20:57.352
you don't know what time it is because it's so dark, you have to look

20:57.370 --> 21:01.357
at the clock. But now, when I

21:01.360 --> 21:04.822
bring it outside, my clients are using the

21:04.855 --> 21:08.182
environment to figure out what time it could be. They are

21:08.185 --> 21:11.452
not walking down the hallway at

21:11.470 --> 21:14.872
seven in the evening asking for breakfast. Especially you see that with

21:14.905 --> 21:18.292
folks with dementia, certain forms of dementia. So can I use

21:18.340 --> 21:20.837
the environment to modify their behavior?

21:21.337 --> 21:25.132
We brought in water features. Two molecules of

21:25.135 --> 21:29.022
hydrogen and one molecule of oxygen. When the water hits the ground, it splits.

21:29.067 --> 21:32.772
It creates more negative ions and less positive ions.

21:32.892 --> 21:35.377
So we know, you and I know that negative ions are good for us.

21:35.395 --> 21:38.907
It helps us relax. So creating greens

21:38.922 --> 21:42.267
as water features, then using color combinations

21:42.327 --> 21:45.967
that are very natural. See, the colors that you and I go, no matter

21:46.015 --> 21:49.782
what, what part of the world we come from, we grow up with natural colors.

21:49.872 --> 21:53.397
You know, the sand, the water, the sky, the grass.

21:53.517 --> 21:57.237
You know, a different variant, the stone color, the pebble, the marble.

21:57.387 --> 22:01.122
So trying to stay very close to those natural colors.

22:01.167 --> 22:05.722
Colors will also help with us,

22:05.830 --> 22:09.247
help with in offering a sense of serenity or

22:09.280 --> 22:13.267
tranquility. So little,

22:13.315 --> 22:16.702
little things we pay attention to. There's something called as

22:16.795 --> 22:20.617
perception in action. Perception in action. So I

22:20.665 --> 22:23.752
always ask my staff, hey, when you see a

22:23.770 --> 22:27.737
gentleman who's very well dressed, beautifully in a groomed

22:28.312 --> 22:32.362
at a gas station, pumping gas, and if I asked you to guess who

22:32.425 --> 22:35.572
he is or what he does for a living, what would you say? And they

22:35.605 --> 22:39.417
said, well, he's a marketing executive or he's a lawyer.

22:39.552 --> 22:42.887
But that judgment.

22:43.537 --> 22:48.027
They're making a judgment based on a perception, past experiences.

22:48.207 --> 22:52.167
But in reality, the gentleman could be a car mechanic

22:52.227 --> 22:55.925
who actually is on his way to church or to a funeral home.

22:56.437 --> 22:59.667
So when we start creating environments

22:59.802 --> 23:03.962
that will create opportunities

23:04.462 --> 23:07.337
to bring past experiences and perceptions,

23:08.437 --> 23:12.500
in essence, humanizing the environment. That's the right word.

23:13.537 --> 23:16.767
Then you're able to I think we'll be able to modify

23:16.827 --> 23:20.872
the client's behaviors the way they engage, the way I

23:20.905 --> 23:24.627
always say functional behaviors. I call them functional

23:24.657 --> 23:27.927
behaviors and dysfunctional behaviors. So I felt

23:27.957 --> 23:31.475
that using environment, I'll be able to help

23:31.987 --> 23:35.097
our elderly live a life to their preference,

23:35.142 --> 23:38.312
to the desire. Mazing,

23:38.812 --> 23:42.522
I have some technical questions, but even before that so you're talking to investors.

23:42.567 --> 23:46.077
I know I jumped in before. You need to paint to them a story that's

23:46.107 --> 23:49.257
going to make sense for them, and they're going to see the return on investment.

23:49.422 --> 23:53.037
So to them, probably, if they were to see the pictures

23:53.187 --> 23:56.577
of what you want to build before it's built, which you probably showed

23:56.607 --> 23:59.572
them, they'll be like, oh, my gosh, how much is this going to cost?

23:59.680 --> 24:03.807
It's cool that maybe you'll get better patient care. And let's

24:03.822 --> 24:05.750
be honest, the investors, like you said,

24:07.387 --> 24:10.487
their job is to get a good ROI.

24:11.437 --> 24:14.917
How did you talk to them about cost? Two things.

24:14.965 --> 24:18.062
How do you talk to them about cost containment? And additionally,

24:18.412 --> 24:21.652
did you promise to them any increase in revenue, or did

24:21.670 --> 24:25.002
you tie it somehow the results that you might see to increase

24:25.032 --> 24:28.297
revenue so that you can speak the language? And again, I understand that

24:28.330 --> 24:31.707
your goal is not just the finances. Your goal

24:31.722 --> 24:34.927
is actually to provide that level of living which they

24:34.945 --> 24:39.072
deserve. But when you're talking strictly to money people, it's so convenient

24:39.117 --> 24:42.202
to have this hypothetical question, because now we don't have to be the

24:42.220 --> 24:45.792
bad ugly. Money people will make the investors the bad ugly.

24:45.852 --> 24:48.547
But were you able to tie revenue to this as well?

24:48.730 --> 24:53.047
Absolutely. Absolutely. I think the most important thing is we

24:53.080 --> 24:56.017
need investors. And some may see them as,

24:56.065 --> 25:00.622
okay, they're bad people. All they need

25:00.655 --> 25:04.527
is a return on their investment. But again, in today's

25:04.557 --> 25:07.462
world, you need money.

25:07.600 --> 25:11.092
You need money to get things done. Yes,

25:11.290 --> 25:15.207
you have a good objective. You have a vision, you have a mission.

25:15.372 --> 25:18.802
You want to make an impact. You want to impact the larger good,

25:18.895 --> 25:21.952
influence the greater good. To do all that,

25:22.045 --> 25:24.275
we need money. And I think that's important.

25:25.237 --> 25:28.752
So money is really not a bad thing. When you become greedy, I think that's

25:28.782 --> 25:31.867
when it turns into something else.

25:32.065 --> 25:35.527
So when I spoke to my investor, I'll tell you what

25:35.545 --> 25:38.632
I did. So essentially, this may sound

25:38.785 --> 25:42.667
very crude by me saying

25:42.715 --> 25:46.707
this, but see our cash flow

25:46.797 --> 25:50.307
as a business entity, right? What is our cash flow?

25:50.322 --> 25:53.997
Who is our cash flow? Our cash flow is our elderly

25:54.042 --> 25:57.397
clients, right? So our

25:57.430 --> 26:00.747
sales and marketing people, they are pretty much they run the revenue,

26:00.792 --> 26:04.407
they drive the revenue. They're all cost centers.

26:04.497 --> 26:07.357
I'm a cost center. I could be the CEO of the corporation, but I'm a

26:07.360 --> 26:10.627
cost center. I'm consuming but it's my sales and

26:10.645 --> 26:14.137
marketing staff. In a nursing home you've got sales and marketing and you

26:14.200 --> 26:17.837
also have your MDS nurse that maximizes

26:18.937 --> 26:22.147
reimbursement. So the key thing

26:22.180 --> 26:25.822
is I've always looked

26:25.855 --> 26:29.652
at okay, I've always felt that if you address people's Spain,

26:29.757 --> 26:33.622
you don't have to worry about the bottom line. You have to find

26:33.655 --> 26:36.402
a way to address people's Spain effectively,

26:36.507 --> 26:39.577
like the way they prefer, the way they desire and the

26:39.595 --> 26:42.487
way they would accept it and they would embrace it.

26:42.625 --> 26:46.327
So the key thing is when

26:46.345 --> 26:49.647
it comes to my business, what is their pain? Aging,

26:49.692 --> 26:53.572
fear of aging? What happens when I move into a building like this?

26:53.755 --> 26:57.072
Where am I going? What's going to happen to me? I give up my independence.

26:57.117 --> 27:00.952
I was living at 2400 square foot home. Now I'm confined to

27:01.045 --> 27:05.300
maybe a 200ft or maybe a 400 sq ft space.

27:05.662 --> 27:09.962
So the key thing is our cash flow is our clients.

27:10.387 --> 27:13.867
I have to create an environment. I have to create programs and

27:13.915 --> 27:17.872
services to help them live longer and

27:17.905 --> 27:22.002
live healthier, right? So when I go to my investor I'm

27:22.032 --> 27:26.017
saying, okay, this is what the Lantern program will

27:26.065 --> 27:30.322
help them live longer, will live healthier by

27:30.355 --> 27:33.652
me creating these spaces, by having a

27:33.670 --> 27:37.837
program called Jive, by having a program called Suez, by having

27:37.975 --> 27:41.842
other support services. It's going to prolong their

27:41.890 --> 27:45.887
life. So to them life is cash flow.

27:46.237 --> 27:49.852
So there's the consistency for them. So anything that

27:49.870 --> 27:53.452
I do, to me money is important to run my show.

27:53.620 --> 27:57.125
But as a caregiver, my focus is

27:57.562 --> 28:00.892
the service of the program. But at the same time I also have to speak

28:00.940 --> 28:04.702
to my investors who is going to be funding me. And so I got to

28:04.720 --> 28:08.900
speak the language. So to them I always tie the cash flow to

28:09.787 --> 28:12.812
able to help my clients live longer and healthy.

28:13.162 --> 28:16.647
Amazing. So I want to point out something. I think you're being too humble

28:16.692 --> 28:20.487
here. It's uncommon to have a CEO

28:20.562 --> 28:23.677
that genuinely can dance at both weddings, if you will,

28:23.695 --> 28:27.172
that generally can speak to both to

28:27.205 --> 28:31.027
both end users in a meaningful way. Meaning that

28:31.045 --> 28:34.867
you genuinely get the care aspect. You generally understand and

28:34.915 --> 28:38.272
really want the best. For the residents that almost if money

28:38.305 --> 28:42.412
was irrelevant you would still be doing all these things. You got paid like

28:42.475 --> 28:46.027
the therapist that you were, you would still be very happy walking up and

28:46.045 --> 28:49.747
down the halls and seeing smiling residents not

28:49.780 --> 28:53.462
asking for breakfast at 06:00 p.m. Because they see the lights are dimming.

28:54.337 --> 28:57.592
They're not confused about where they are because they're in some

28:57.640 --> 29:01.287
sort of outdoor area. They're not restricted. They don't feel like prisoners.

29:01.362 --> 29:05.077
They have engaging activities and you listen to a whole slew of programs that

29:05.095 --> 29:08.502
we could probably have a separate conversation, but each one of them we don't

29:08.532 --> 29:11.997
have the time today, but I can already tell from this conversation.

29:12.042 --> 29:15.912
I'm sure each one is as detail oriented, thought provoking,

29:15.987 --> 29:19.677
and not a marketing splash to fool

29:19.707 --> 29:22.852
the case managers that were actually different from

29:22.870 --> 29:26.182
the nursing home down the street so that we can make more money. I used

29:26.185 --> 29:30.027
to be frustrated with programs, quote, unquote, that were created

29:30.132 --> 29:34.072
solely for the purpose of differentiation. And the residents are

29:34.105 --> 29:37.417
maybe not always thought about when we have this problem, that problem,

29:37.465 --> 29:41.347
what does this program exactly mean? Without going down

29:41.455 --> 29:45.037
that road? But the point is that you genuinely understand the care

29:45.100 --> 29:48.502
aspect, and not just understand you're a

29:48.520 --> 29:52.175
part of the care aspect and not just a cost center.

29:52.612 --> 29:56.557
And at the same time, you generally understand the finances in the business center

29:56.635 --> 30:00.192
as well. And therefore you can have an intelligent conversation.

30:00.327 --> 30:03.517
And you're not going to tear your heart out when you say that living longer

30:03.565 --> 30:07.077
and healthier makes you more money. And you save on expenses

30:07.182 --> 30:10.572
of not having residents in the facility when they're out at the hospital.

30:10.692 --> 30:14.257
And all you get is a bedhold, if that much, and you may

30:14.335 --> 30:18.397
lose them completely. So having someone in

30:18.430 --> 30:21.427
that role that really understands both ends, a lot of times you'll have someone who

30:21.445 --> 30:25.522
just understands the finances, then there's the friction between them and

30:25.555 --> 30:28.850
the people who work for them, because all you care about is dirty money.

30:29.512 --> 30:32.797
But we're getting paid much less than you. We work harder than

30:32.830 --> 30:36.247
you. We actually care. So just because you want us to do this,

30:36.280 --> 30:39.427
we don't care about your new rules and your new regulations. You're going to make

30:39.445 --> 30:42.697
a beautiful facility with sunlight and all this. Yeah, that's probably

30:42.730 --> 30:45.892
because somehow you're making more money, you don't really care. And the other way around

30:45.940 --> 30:49.777
as well, investors will tune you out because you're the clinician in scrubs who,

30:49.870 --> 30:53.452
unfortunately, they don't really care about them that much. That's not

30:53.470 --> 30:57.297
their job. Their job is to finance business tools,

30:57.417 --> 31:00.847
business vehicles that can bring an ROI for their money or

31:00.880 --> 31:03.997
other people's money if they're managing other people's money. So really,

31:04.105 --> 31:08.012
getting both sides to understand this fully is critical.

31:08.587 --> 31:11.832
And this is I'm going to speak now as an administrator, for any administrator.

31:11.847 --> 31:14.097
I used to try to do this. I don't know if I was as successful

31:14.142 --> 31:17.622
as you are, but I'll tell the staff, our goal

31:17.667 --> 31:20.647
is to make money. We want to make a lot of money. We're a for

31:20.680 --> 31:23.977
profit facility. We want to make a lot of money. I should say the

31:23.995 --> 31:27.057
money. The word money a lot of times make everyone really uncomfortable,

31:27.147 --> 31:30.157
especially talking to clinicians. What do you mean,

31:30.235 --> 31:32.977
money? Who cares about money? It's all about the care, I said. Really? It's all

31:32.995 --> 31:36.577
about the care. Do you mind if we suspend your paycheck for

31:36.595 --> 31:39.502
the next six months? I need money. Who cares about money?

31:39.520 --> 31:42.772
It's all about the care. Oh, well, I need the money to pay my bill

31:42.805 --> 31:46.522
so that I provide the care. OK, we're in the. Same place. The more

31:46.555 --> 31:49.807
money we have, the more profitable we have, the better care we can provide.

31:49.960 --> 31:53.652
In order to make that money, we have to provide this good care. So it's

31:53.682 --> 31:58.377
okay. And I think it's critical and it's important for clinicians

31:58.482 --> 32:02.997
to understand that money is a real factor. And that's

32:03.042 --> 32:06.472
a challenge for anyone in any management role in

32:06.505 --> 32:10.072
healthcare, but specifically in nursing homes to do. And then

32:10.105 --> 32:13.567
the other side is, when you're on the CEO level and you're taking

32:13.615 --> 32:16.972
money from investors and you want to show them they

32:17.005 --> 32:20.300
should understand to some level that care is not zero.

32:20.737 --> 32:25.027
Care is a variable because it relates to bottom line the

32:25.045 --> 32:28.552
ROI they'll get on their investment. But also, maybe you can

32:28.570 --> 32:32.525
influence them a little bit, investing in making

32:32.887 --> 32:36.742
seniors lives better, more productive, giving them a reason to

32:36.790 --> 32:40.562
live, might be better than Bitcoin,

32:41.362 --> 32:44.997
even if the revenue was the same. I think it's probably a better financial investment

32:45.042 --> 32:48.397
anyway. But that's a different conversation. So I think that just

32:48.430 --> 32:51.275
the fact you can bridge that gap, just that point.

32:52.237 --> 32:55.925
I think it should be a fantastic example for others,

32:56.362 --> 32:59.842
if you don't mind. I see the time. We can do this all day,

32:59.890 --> 33:04.102
because this is really fascinating. But I

33:04.120 --> 33:07.522
want to know how this worked out. How many facilities actually have this

33:07.555 --> 33:11.075
type of design? From the article that I showed before,

33:11.512 --> 33:14.537
how is it working out for residents? How is it working for staff?

33:15.037 --> 33:18.792
Were there unforeseen challenges, unforeseen rewards

33:18.852 --> 33:22.192
that you didn't expect? How did it all pan

33:22.240 --> 33:26.197
out? Well, I think when we rolled out the design for

33:26.230 --> 33:29.362
the first time in 2011, we were way far ahead.

33:29.425 --> 33:33.072
And so we got some pushback,

33:33.117 --> 33:36.382
and which is fine. I enjoy that.

33:36.535 --> 33:40.100
To me, that motivates me to move, and I keep doing what I do.

33:41.287 --> 33:45.037
But I think a year,

33:45.100 --> 33:48.777
I think after, I fortunately

33:48.807 --> 33:51.952
felt that I was not going anywhere with the design,

33:52.045 --> 33:57.397
and we

33:57.430 --> 34:00.547
started having some challenges. And again, this was a new design and things

34:00.580 --> 34:04.147
like that. So we had a lot of people come in toward the building because

34:04.180 --> 34:07.467
it looked different. It's beautiful. It looks like Vegas.

34:07.602 --> 34:10.777
But we were not doing a good

34:10.795 --> 34:14.197
job. I always take responsibility. I was

34:14.230 --> 34:17.622
not doing a good job explaining to my staff

34:17.742 --> 34:21.202
what we built and how we built it and the

34:21.220 --> 34:24.037
purpose. The key thing is,

34:24.175 --> 34:27.937
one of the reasons why people live up to 100 years of age without

34:28.075 --> 34:30.887
diseases is they all have a sense of purpose.

34:32.587 --> 34:35.977
And so I have it's important for me to create a sense of

34:35.995 --> 34:39.442
purpose among my staff and

34:39.490 --> 34:42.727
also understand that I create a sense of purpose even for

34:42.745 --> 34:46.372
my clients. So we have some challenges in the beginning, for six,

34:46.405 --> 34:49.192
seven months later, I say, you know what? Let's not worry about the program.

34:49.240 --> 34:52.852
Let's not worry about the service. Let's just market the building.

34:52.945 --> 34:55.400
It's pretty beautiful. Let's keep filling it.

34:57.637 --> 35:00.212
I felt like I was not getting anywhere.

35:00.562 --> 35:04.452
And that's when my caregivers,

35:04.557 --> 35:07.852
they called me and said, we like to meet with you. And I

35:07.870 --> 35:11.225
said, sure. And they said that, we heard that you're thinking about

35:12.187 --> 35:15.967
changing the direction. I said, yeah, I was thinking about because I just felt that

35:16.015 --> 35:18.712
maybe a burden on you guys.

35:18.850 --> 35:22.492
And they said that gene, absolutely not. We have

35:22.540 --> 35:26.247
seen our clients, especially the clients with Alzheimer's disease,

35:26.442 --> 35:29.752
they do very well. We are able

35:29.770 --> 35:33.657
to get people to paint again. We are able to get people to wash

35:33.747 --> 35:37.177
their face again. And please do not

35:37.270 --> 35:40.227
walk away from this program. So I think that was very encouraging.

35:40.332 --> 35:43.332
And I really kind of like see, the thing is, as a CEO, sometimes you're

35:43.347 --> 35:46.617
in a very lonely place, and you need that motivation

35:46.677 --> 35:49.567
from your staff to tell you that, hey, Adam boy, are doing a good job.

35:49.615 --> 35:53.242
We are with you. Let's keep moving forward. Like anyone,

35:53.365 --> 35:56.512
we're also humans, and we need that level of support and help.

35:56.650 --> 36:00.007
And I think when I heard that,

36:00.085 --> 36:03.577
that's it, I said, there's no way. That really kind

36:03.595 --> 36:08.077
of propelled me forward. And they felt that we

36:08.095 --> 36:09.800
have a section in our building.

36:12.112 --> 36:15.127
This particular when we started in 2011, at the time,

36:15.295 --> 36:18.287
it was new, so it was a little bit more expensive,

36:19.612 --> 36:23.632
expensive, a little bit more than residing in

36:23.635 --> 36:26.682
another part of the building. And so when families

36:26.847 --> 36:31.487
move their loved ones and when they felt that they were not able to afford,

36:32.587 --> 36:35.647
they love the program, they love the design, they love everything.

36:35.830 --> 36:40.100
They made a conscious decision to move their loved one to another

36:41.512 --> 36:43.400
space, another section of the building.

36:45.187 --> 36:48.737
We saw that the clients started rapidly declined.

36:49.837 --> 36:54.007
When I said rapidly, I meant like in this particular

36:54.085 --> 36:57.927
space. We felt that special income came to Alzheimer's.

36:57.957 --> 37:01.372
We were able to slow the progression of the disease. Well,

37:01.555 --> 37:04.777
when we moved them away from this space, we call it the

37:04.795 --> 37:06.897
name of the program, or the design is called Swayz.

37:06.942 --> 37:10.302
S-V-A-Y-U-S. We felt

37:10.332 --> 37:14.307
that they were declining in spite of activities, in spite of exercises,

37:14.397 --> 37:18.397
in spite of other things. So I

37:18.430 --> 37:21.877
just felt that maybe this is something that

37:21.895 --> 37:24.972
I need to continue to build upon. So I started getting a lot of feedback

37:25.017 --> 37:28.327
from my families, my staff, letting me know what are the

37:28.420 --> 37:31.625
challenges that they had with that design in.

37:32.062 --> 37:35.332
And we made some changes as we continue to move forward.

37:35.410 --> 37:39.287
So we have three buildings in Cleveland, Ohio, east of Cleveland.

37:40.387 --> 37:43.837
And I'm getting ready to build a newer building now,

37:43.975 --> 37:47.782
but it's a different program. I developed a program

37:47.860 --> 37:51.522
called the Centenarian. The word centenary

37:51.567 --> 37:56.577
means 100. So I was really inspired

37:56.682 --> 38:00.672
by I was at a Nick conference a few years ago. I believe it's 2016

38:00.717 --> 38:04.327
or 2017. I heard Dan, the gentleman who

38:04.420 --> 38:07.777
created this concept of blue zone cannot concept, but who are

38:07.795 --> 38:11.092
really a research on blue zone. When I heard him speak and I said,

38:11.140 --> 38:14.517
wait a second. Can I create a virtual

38:14.577 --> 38:18.097
blue zone? Blue zones are about

38:18.130 --> 38:21.187
seven blue zones in the entire world. In our country.

38:21.250 --> 38:24.847
There's a blue zone in California loma Linda, California where

38:24.880 --> 38:27.852
people live up to 100 years of age without any diseases.

38:27.957 --> 38:31.567
And so he studied white people live up to hundred years of age.

38:31.690 --> 38:35.242
And I just felt that, can I create

38:35.290 --> 38:39.562
a program around the blue zone? So now the next design

38:39.700 --> 38:43.407
that I'm designing in fact, I'm meeting with my architect tomorrow. This is the fourth

38:43.497 --> 38:47.302
drawing that we are doing. Can I create a space where

38:47.395 --> 38:51.712
I can enable people to live up to 100? I also

38:51.775 --> 38:55.362
realized that how children, younger generations

38:55.437 --> 38:59.087
bring smile to the elderly. As I'm getting older,

39:00.112 --> 39:04.492
I like hanging out with my folks my age, but I

39:04.690 --> 39:08.687
enjoy hanging out with my younger staff, too, because they are full of ideas.

39:09.337 --> 39:13.302
And the key thing is, for me, I need to be radically open minded,

39:13.407 --> 39:16.775
not dismiss them because they're 20 years younger than me.

39:17.812 --> 39:21.742
They're a different generation. I'm a Gen X. We have a Gen Z.

39:21.790 --> 39:25.332
I'm getting ideas from Genesis, from the millennials,

39:25.422 --> 39:29.677
and I'm trying to expand the operation to

39:29.695 --> 39:33.127
create opportunities where people can live up to 100 years of age.

39:33.220 --> 39:36.952
You know what? I think maybe we

39:36.970 --> 39:39.997
should continue to have assisted living in memory care, but we

39:40.030 --> 39:43.432
also have to create designs and opportunities where people

39:43.510 --> 39:47.242
from different walks of life, different generations are

39:47.290 --> 39:51.322
able to come and live in a 20. Acre or 25

39:51.355 --> 39:55.122
acres or 15 acre space where if I can create a green zone,

39:55.167 --> 39:58.992
a smart zone, and bring in those plants that are responsible

39:59.052 --> 40:02.527
for enabling people to live up to 100, maybe one

40:02.545 --> 40:06.137
of the things I can do is prevent people from actually getting the disease.

40:06.487 --> 40:09.267
Diseases like Alzheimer's and other forms of dementia.

40:09.402 --> 40:13.102
So that is a new model. We hope to launch it break

40:13.270 --> 40:16.537
we broke ground. We hope to launch it in a year or so.

40:16.600 --> 40:19.325
I'm kind of excited about it. Yeah, I can tell.

40:20.137 --> 40:24.292
No, kind of excited about you. I'm super excited. But this is what makes you

40:24.490 --> 40:28.402
smile. This is what you can hear and see. It how

40:28.420 --> 40:30.800
important this is to you.

40:31.387 --> 40:34.702
These don't sound like, let's see,

40:34.795 --> 40:39.097
retrofitting it. Are any of these programs okay?

40:39.130 --> 40:42.667
I have too many questions at the same time. Cut question

40:42.715 --> 40:46.102
is like this. If I own a nursing home today or

40:46.120 --> 40:50.767
someone else owns a facility, or anyone, even someone has

40:50.890 --> 40:55.062
decision making abilities to make structural changes to their existing

40:55.137 --> 40:59.007
space, are there ways to dramatically

40:59.172 --> 41:02.687
change an existing typical

41:03.562 --> 41:07.357
dreary. Long hallway space,

41:07.510 --> 41:11.347
long grandfathered in hallway into

41:11.455 --> 41:14.797
something like this? Have you done that or all

41:14.830 --> 41:17.150
your projects so far? The three places that you did,

41:17.587 --> 41:20.977
was that all new construction? The last two

41:20.995 --> 41:25.187
were new construction. The first one was a renovation.

41:26.737 --> 41:30.050
And answering your question, yes, it can be done.

41:30.862 --> 41:34.362
Typically, you walk into our buildings.

41:34.437 --> 41:37.522
The building like this one particular building close

41:37.555 --> 41:40.337
to my corporate office has a 20 foot ceiling.

41:41.962 --> 41:46.852
Then a building in Sabro has a

41:46.870 --> 41:50.332
twelve foot ceiling. The building in Madison, I believe, has a

41:50.335 --> 41:54.487
ten foot ceiling on a very

41:54.550 --> 41:56.612
narrow corridor.

41:57.487 --> 42:00.577
Responding to your question, yes, it can be done. It doesn't matter how old the

42:00.595 --> 42:03.712
building is. The key thing is you want to make sure that anything,

42:03.775 --> 42:06.650
any addons you do that. You follow the fire code,

42:07.612 --> 42:11.137
the width and the inches and things like that. But it

42:11.200 --> 42:14.397
can be done. I've talked to many providers

42:14.442 --> 42:17.902
about getting it done. They were very excited and they

42:17.920 --> 42:21.402
want to do it. I think COVID kind of like slowed

42:21.432 --> 42:24.702
things down. But it can be done. Yes. Can you bring in natural

42:24.732 --> 42:28.377
light inside? Yes, absolutely. There are ways you can bring natural

42:28.407 --> 42:31.527
light if you are not able to bring astral light. You can take the ceiling

42:31.557 --> 42:37.392
tiles down and put the virtual sky ceiling, and you can put Led

42:37.452 --> 42:41.917
lights behind it. So, yes, there's so much you can do just

42:41.965 --> 42:45.427
as you're speaking. I'm remembering when I was an

42:45.445 --> 42:49.222
administrator for building here in Massachusetts, I think it was my very first building,

42:49.405 --> 42:53.472
we actually walked with Dr. Paul Rey.

42:53.517 --> 42:56.787
So Dr. Paul Rey wrote the regulations

42:56.937 --> 43:01.102
for what the definition of a dementia certified unit is.

43:01.195 --> 43:04.572
Again. Maybe just from Massachusetts. For sure, from Massachusetts.

43:04.617 --> 43:08.227
And we actually walked with him and he showed us this

43:08.245 --> 43:11.457
was not from a marketing standpoint, this was for regulatory compliance,

43:11.547 --> 43:14.632
that you cannot say that you have a dementia unit. You cannot put

43:14.635 --> 43:18.597
that on your marketing material. Again, it might not be just Massachusetts,

43:18.642 --> 43:22.625
but for sure here you cannot unless you fit certain

43:22.987 --> 43:26.577
criteria. And most of it is within construction.

43:26.682 --> 43:30.642
So he actually showed us what not to have on the floor.

43:30.777 --> 43:33.772
What you can have on the floor, you can't have a shiny floor, you can

43:33.805 --> 43:37.482
have black spaces because to them that appears to be like a hole,

43:37.572 --> 43:40.852
what the end of the hallway should look like, how much outdoor space do you

43:40.870 --> 43:43.777
have? What does outdoor space look like? And a lot of it has to do

43:43.795 --> 43:47.332
with lighting in the ceiling, how bright it has to be when it changes

43:47.485 --> 43:50.387
during different times of day. I don't remember all the regulations,

43:50.737 --> 43:55.187
but I think that the critical takeaway

43:55.912 --> 44:00.177
that I'm taking from here. And I really hope if there are other operators listening,

44:00.282 --> 44:03.662
or if anyone listening who can influence operators,

44:04.612 --> 44:08.347
we come from the wrong standpoint. We are just, I guess my

44:08.380 --> 44:12.277
personal experience and others that I've seen in the industry a

44:12.295 --> 44:15.652
lot of times we start from because census is such a

44:15.670 --> 44:18.587
pressure, specifically nursing homes,

44:19.912 --> 44:23.877
because staffing is such a challenge, because survival

44:23.982 --> 44:27.802
is such a challenge. And I think the average census is like 75% these days.

44:27.895 --> 44:32.052
In nursing homes. So Covet has really taken a terrible

44:32.082 --> 44:35.497
situation, made it almost unbearable. And many nursing homes have

44:35.530 --> 44:39.307
closed. So a

44:39.310 --> 44:42.502
lot of time, we start so close to the ground, right? So we

44:42.520 --> 44:45.922
want to have a dementia program. So the way we look at it is not

44:45.955 --> 44:49.482
how can we create the best possible experience for our residents?

44:49.647 --> 44:52.702
No one goes into this industry because they don't care about residents. They go there

44:52.720 --> 44:55.947
because they care, and that's why they choose to do this, as opposed to commercial

44:55.992 --> 44:59.502
real estate or something else. So of course they care. Otherwise they wouldn't

44:59.532 --> 45:02.525
do this. But at the same time, they start from,

45:02.962 --> 45:06.802
what's the cheapest way I can get a qualify this is

45:06.820 --> 45:09.727
why I did that walk through, right? This is what the company was trying to

45:09.745 --> 45:13.692
do. We wanted to mention the program. We had a very sophisticated

45:13.752 --> 45:17.422
dementia program. We had stage one, stage two, stage three. We had different

45:17.455 --> 45:21.397
units. We had different programs. Which one? We had

45:21.430 --> 45:24.727
a dementia I forgot what we called her, but someone in charge of the whole

45:24.745 --> 45:28.662
program. We had a lot of details worked out, and we had fantastic outcomes.

45:28.737 --> 45:31.917
But we said we wanted to be dementia certified. Maybe we even got into trouble

45:31.977 --> 45:35.075
for saying that was dimension certified. So we wanted to go through it.

45:35.812 --> 45:38.752
But then we saw the cost, and it's like, wait, how much money are we

45:38.770 --> 45:41.962
actually going to make? This is going to be significant enough,

45:42.025 --> 45:45.667
more than we thought. And should we do it? Or really any program

45:45.715 --> 45:48.952
that we create? Okay, so here's the short of what I'm trying to

45:48.970 --> 45:52.412
say is what I'm learning from you in this conversation,

45:55.237 --> 45:59.347
whether you're looking at from a care standpoint or finance standpoint and they

45:59.380 --> 46:02.087
must be married together in order to be successful.

46:03.337 --> 46:06.622
Instead of looking at the shortest path to the

46:06.655 --> 46:10.177
greatest ROI, we need to have a preliminary program.

46:10.270 --> 46:14.002
Okay? I want one pulmonologist overseas, seven facilities that come

46:14.020 --> 46:17.847
in every three months. And now we have a pulmonary program. Now let's

46:17.967 --> 46:21.232
announce that to the world and our marketers and salespeople doing that.

46:21.385 --> 46:25.272
Instead of looking at things that way, let's look at actually changing

46:25.317 --> 46:28.692
results. Let's look at making significant investment

46:28.752 --> 46:32.047
if necessary, not stupidly. We want to control our

46:32.080 --> 46:34.897
costs. We want to make sure that everything is done in the right way.

46:35.005 --> 46:39.050
But let's look at doing something maybe dramatically different,

46:39.487 --> 46:43.032
maybe even expensive. It doesn't have to be expensive to be successful,

46:43.122 --> 46:46.702
but let's not rule it out, because as you said before, let's look

46:46.720 --> 46:49.777
at dramatically changing the bottom line outcomes. Because if

46:49.795 --> 46:52.902
you could push an easy button and push a button and all of a sudden

46:53.007 --> 46:55.527
residents are living longer and healthier,

46:55.707 --> 46:58.792
everyone is going to be happy. The hustle is going to be happy.

46:58.840 --> 47:01.177
The regular is going to be happy. The investor is going to be happy.

47:01.270 --> 47:04.402
And whatever your role is in all this, you'll be happy as well,

47:04.495 --> 47:07.897
because everybody wins when that happens. So instead of

47:07.930 --> 47:11.537
just taking like a short route and then cutting corners,

47:13.537 --> 47:17.152
here one more point here. Operators would dream to do

47:17.170 --> 47:19.777
what you're doing, but they're not doing it. Like everyone looks at it. I think

47:19.795 --> 47:23.002
that's one reason why that post. I think what I just wrote, like, when I

47:23.020 --> 47:26.002
say the word nursing home, I think this is what my post was. When I

47:26.020 --> 47:29.602
say the word nursing home, an image, you immediately conjure up an image in

47:29.620 --> 47:32.347
your mind. Then I think I just wrote, like, at bed, it didn't look like

47:32.380 --> 47:35.752
this. And I put a picture from the article, something like that, or linked to

47:35.770 --> 47:40.012
the article, and everyone had old whatever. It went crazy

47:40.150 --> 47:43.552
because that's not what people think. So I think to me,

47:43.570 --> 47:46.932
that is the key takeaway. And I just saw the time and I apologize

47:47.022 --> 47:50.452
way over time here. If you have another couple of

47:50.470 --> 47:51.050
minutes,

47:54.187 --> 47:57.952
you have all these new programs that we can talk about all day, but I

47:57.970 --> 48:01.732
know you mentioned before we went live about your latest project

48:01.810 --> 48:04.822
or one of your latest projects. Can you tell us a little bit about this

48:04.855 --> 48:07.862
new resource, which you've created,

48:08.587 --> 48:11.750
how that came to be and how people can take advantage of that?

48:12.787 --> 48:19.072
Thank you. Thanks for bringing that up. So I

48:19.105 --> 48:22.850
always felt that no matter what situation we are in,

48:23.512 --> 48:26.872
there's always an opportunity. And one of the things I teach my

48:26.905 --> 48:30.247
children and my staff is that when you look at a

48:30.280 --> 48:34.027
problem, see it as an opportunity. Don't look it

48:34.045 --> 48:37.552
as a problem. If you approach it as a

48:37.570 --> 48:41.092
problem, you'll never be able

48:41.140 --> 48:44.902
to be created. Step outside of the box and really

48:45.070 --> 48:48.382
address the problem. Because what happens is you become

48:48.460 --> 48:51.622
reactive to it because you feel like you need to take care

48:51.655 --> 48:56.572
of it. So when Cobbie hit us in

48:56.605 --> 49:00.477
March, and I'm

49:00.507 --> 49:03.082
trying to figure out, OK, where are we going to be at the end of

49:03.085 --> 49:03.800
the year?

49:07.312 --> 49:10.902
Is this going to be the new normal? From a sales and marketing

49:10.932 --> 49:14.427
standpoint, I felt like we can't

49:14.457 --> 49:18.662
go into the hospitals, we can't do any networking meetings,

49:19.237 --> 49:21.887
we cannot go into families homes,

49:22.762 --> 49:25.777
but we always have been. One of the things I always tell my sales and

49:25.795 --> 49:29.827
marketing staff is, don't sell. You know, create a

49:29.845 --> 49:32.750
relationship, form a relationship,

49:33.487 --> 49:36.137
have them see you as a resource.

49:38.512 --> 49:42.352
Because when you start selling things very hard, it may

49:42.370 --> 49:46.687
not work out, it may not pan out long term in a nice way.

49:46.825 --> 49:51.042
Always give them all the information that they need. What they need don't

49:51.102 --> 49:54.607
provide more than what they need, because sometimes we just can't process

49:54.685 --> 49:58.162
all the information, give them good information and allow

49:58.225 --> 50:02.462
them and encourage them and show them the way to make a good decision.

50:02.887 --> 50:06.125
So that's always been my sales and marketing model.

50:06.487 --> 50:10.787
And so I felt that, okay, we can go anywhere

50:11.662 --> 50:16.222
at this point. The only way we can market and sell, either we go on

50:16.255 --> 50:19.477
TV or we go online. Then I

50:19.495 --> 50:23.152
started listening to what was going on in the technology world. Things that

50:23.170 --> 50:25.775
were supposed to happen 20 years down the road,

50:26.137 --> 50:30.062
now we have to embrace it. It happened 20 years earlier.

50:30.487 --> 50:34.102
And I just felt that we need

50:34.120 --> 50:38.002
to be that we have to be the royal hope. We got to continue

50:38.095 --> 50:41.877
to hang on to the loudspeaker and keep informing

50:41.907 --> 50:45.477
them. And now, since myself, the marketing staff,

50:45.582 --> 50:48.727
they have some time, I said, why don't

50:48.745 --> 50:53.332
we start on our own platform where you

50:53.410 --> 50:57.052
go on Facebook, you don't have to be fancy, just I got them a

50:57.070 --> 51:01.842
nice ten pro IP iPad

51:01.977 --> 51:05.152
and got some lights and microphones and stuff like

51:05.170 --> 51:09.022
that. I said, you're not able to engage with

51:09.205 --> 51:12.817
your tours or people aren't coming in, but go on

51:12.940 --> 51:16.872
the super highway and start broadcasting.

51:16.917 --> 51:20.407
Start talking about the pain, how to manage it, how to

51:20.410 --> 51:23.600
help people start being that resource. So we started producing videos,

51:25.012 --> 51:28.747
one a week. So we started accumulating and we made

51:28.780 --> 51:32.525
videos. It's not professionally made at this point, but in a way it is

51:33.862 --> 51:36.727
my staff who really work hard on it.

51:36.895 --> 51:40.407
We started bringing people that can be a great resource

51:40.497 --> 51:44.002
to consumers. I'm talking about a 20 year old, a 30 year old,

51:44.020 --> 51:47.817
a 40 year old, or a 90 year old, talking to grandparents,

51:47.877 --> 51:51.137
talking to parents, talking to adult children, talking to grandkids,

51:51.487 --> 51:53.825
provide them with knowledge and information.

51:54.412 --> 51:57.922
So we kind of started with that. And so we called

51:57.955 --> 52:01.617
it Lanternracetv.com. Lanternraceraceofhope.

52:01.677 --> 52:06.125
Lanternracetv.com. So last year

52:06.637 --> 52:10.522
in 2019, a young

52:10.555 --> 52:14.092
woman, I want to say in her late 40s reached out to me and said

52:14.140 --> 52:18.852
that, reached out to my EA and said that, hey, we heard about Jean's

52:18.882 --> 52:22.852
work. We love to chat with him. Can you

52:22.870 --> 52:26.152
come down to Colorado Springs or even get

52:26.170 --> 52:29.722
on the phone and talk to me? I was like, okay,

52:29.755 --> 52:33.952
it's going to be another thing, because I get a lot of invitations from

52:33.970 --> 52:37.100
TV channels and reporters and journalists and stuff like that.

52:37.837 --> 52:40.582
Okay, this is people. I just curious, want to know who I am, what I

52:40.585 --> 52:43.747
do for a living. I told Heather, my assistant at the time, hey,

52:43.855 --> 52:46.897
I'll jump on a phone call. And I got

52:46.930 --> 52:49.942
on a call and I listened to her,

52:49.990 --> 52:53.532
and she was very encouraging. And she told me that she had Alzheimer's

52:53.622 --> 52:57.847
and she's a dean of a college and that went

52:57.880 --> 53:01.332
down in California, lives in Denver, Colorado Springs,

53:01.497 --> 53:04.562
and she was very encouraging.

53:05.212 --> 53:09.812
I thanked her. So we were thinking about expanding in Denver

53:10.312 --> 53:13.372
in a partnership. We were helping. The way you were asked

53:13.405 --> 53:17.047
me, can we convert an old building? So we were going into offer some

53:17.080 --> 53:20.227
design concepts and things like that. So it

53:20.245 --> 53:23.602
was me and Heather. So Heather said, hey, we're going to

53:23.620 --> 53:26.900
Denver. Colorado Springs. It's only about 90 minutes drive.

53:27.787 --> 53:31.562
Let's go say hello to Joanna.

53:32.287 --> 53:35.782
I was not very happy, because to me, I'll be very honest,

53:35.860 --> 53:39.792
and it was a very tight schedule. I was super busy. I had meetings

53:39.852 --> 53:42.922
back to back, and I said, no, I don't think I can. She goes like,

53:42.955 --> 53:46.507
Jean, it's worth your time. Trust me.

53:46.585 --> 53:49.897
Knowing you, what you do, how you look at things, she'll make your

53:49.930 --> 53:54.097
day. So after a lot of kicking and streaming and whining, she dragged me

53:54.205 --> 53:57.522
to the Colorado Springs. And when I just sat

53:57.567 --> 54:00.802
there and listened to her, I went with my expectation. My thing was I was

54:00.820 --> 54:04.550
going to say hello, hi to her, and then talk to her and leave.

54:05.212 --> 54:08.812
When I spoke to her, I have an individual

54:08.950 --> 54:12.432
sitting right in front of me that has Alzheimer's disease,

54:12.522 --> 54:16.112
that still is able to articulate the challenges,

54:16.987 --> 54:19.712
the wins that she has in life on a daily basis.

54:21.937 --> 54:24.875
The sorrow, the sadness. I said, My God,

54:25.612 --> 54:29.182
I need to tell Joanna's story to the entire world.

54:29.335 --> 54:32.767
It is so important because I felt that until then,

54:32.815 --> 54:37.077
people thought I was an expert on building design. I was an expert on Alzheimer's

54:37.107 --> 54:40.702
abolition. To Joanna, I was nothing. I mean,

54:40.720 --> 54:44.242
I knew Squad. I was like, my God. So we

54:44.290 --> 54:50.002
made a trip back two months later and we

54:50.020 --> 54:53.527
were not professional. So we videotaped, we interviewed her,

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and she takes her through her story.

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And it's a love story. It's a very romantic story,

55:00.637 --> 55:03.907
being a dean at a college, and all

55:03.910 --> 55:07.557
of a sudden you're working in Bed, Bath and beyond, our Walmart,

55:07.647 --> 55:10.897
trying to stock shelves, and you just can't even stock shelves because

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you're getting fired. And how she met her now

55:14.680 --> 55:17.632
husband, it was amazing. I just felt like,

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for designers, for realtor, for construction guys,

55:21.490 --> 55:25.102
for investors, for administrators, for caregivers, it's important to

55:25.195 --> 55:28.942
listen to Joanna's story because we can do so much

55:28.990 --> 55:33.577
and such simple things. And we know why. We have a client that

55:33.595 --> 55:37.657
is constantly moving things around. You have a TV on the wall and the

55:37.660 --> 55:41.312
client is very upset because she sees that black TV as a black hole.

55:41.737 --> 55:44.307
And they're taking down photographs.

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Families come in, and when they see the loved ones moving stuff around,

55:48.190 --> 55:51.847
they're so upset. And they're upset with this, how can you let my dad do

55:51.880 --> 55:55.642
this? You are supposed to be supervising and managing him.

55:55.765 --> 55:59.032
And when I listen to Joanna's stories, it made perfect

55:59.110 --> 56:02.932
sense why they do what they do. So I developed a

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document. I shot 18 episodes.

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So it's kind of funny story. So I went to Amazon and I

56:09.670 --> 56:13.147
presented it, and they liked it. They said, well, we'll publish it.

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And then what happened was, as we started going through COVID,

56:17.127 --> 56:20.922
they started delaying the publication, the publishing.

56:21.117 --> 56:24.517
At that time, I said, you know what? It's almost five, six months.

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I can't depend on others. One of

56:28.285 --> 56:32.150
the things with me is that this is my bad habit. My bad habit is

56:32.812 --> 56:36.397
if I feel I always felt like when I want to get

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things done, especially with something you're doing something crazy and something

56:39.790 --> 56:42.952
different, I have to have complete control over it.

56:42.970 --> 56:46.102
If I have others control and dictate and guide how I need

56:46.120 --> 56:49.447
to do it, it never comes to the way number one,

56:49.480 --> 56:53.422
never comes to fruition, never comes the way I want it. So when

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Amazon started delaying it, I said, I need to get this out. I need to

56:56.785 --> 57:00.057
get this out. I don't know how to do it. So I reached

57:00.072 --> 57:03.607
out to my CIO, who is my younger brother, who's almost ten years older than

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me. He's a millennial. And I said, we got to create a platform.

57:07.435 --> 57:11.307
And he said, well, let's create a platform. So that's how Okra

57:11.472 --> 57:15.472
came into play. It's like a vegetable, but with

57:15.505 --> 57:18.817
an hok r A h.com.

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And we said, okay. So Okra came into existence because

57:22.405 --> 57:25.737
we didn't want that platform to be just lantern focused.

57:25.887 --> 57:29.497
We felt that there's nothing out there for consumers. There are

57:29.530 --> 57:32.952
podcasts, video cast shows that you do or for professionals.

57:33.057 --> 57:36.817
But I didn't see any good information. I forget about

57:36.865 --> 57:40.527
good or bad, any information for consumers.

57:40.557 --> 57:44.472
And I said, can I create a platform? And we continue to bring guests

57:44.517 --> 57:48.147
in and really educate not just the county,

57:48.192 --> 57:51.822
the state, the entire country, the entire world, about elderly

57:51.867 --> 57:56.607
care, about dementia, Alzheimer's, bringing professionals, bringing attorneys.

57:56.772 --> 58:00.725
Really, this becomes a platform of information.

58:01.087 --> 58:05.137
And we have to give we don't want to be charging anyone anything.

58:05.275 --> 58:08.452
It becomes like a YouTube, like a content base

58:08.545 --> 58:11.932
for consumers. Can I create a platform that's a

58:11.935 --> 58:15.697
combination of YouTube and Amazon? So we came

58:15.730 --> 58:20.802
up with 100 videos. Now we are working on reaching

58:20.832 --> 58:23.977
out to different filmmakers. So we're going to have films that

58:23.995 --> 58:27.472
we will host that will be you have to pay

58:27.505 --> 58:31.492
a dollar or $2 to watch the movie. So really taking

58:31.540 --> 58:35.392
it to the next level where kind of use the technology.

58:35.590 --> 58:39.697
Everything was so forced upon us over the last 910 months.

58:39.880 --> 58:43.372
How do we take advantage of what we have?

58:43.405 --> 58:48.212
And that's how Volcano came into play. Wow, that's fantastic.

58:49.012 --> 58:53.032
You're not the only nursing home that had the same struggle, but you actually

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took your struggle and actually created something fantastic

58:56.442 --> 59:00.802
from it. I only had a chance to look at it when

59:00.820 --> 59:04.347
you showed it to me a few minutes ago. It definitely looks like a fantastic

59:04.392 --> 59:07.852
platform. I would encourage our viewers, or if you're listening to

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this later on the podcast, head on to Okra.com.

59:11.290 --> 59:15.125
That's Ocrah.com.

59:15.637 --> 59:19.552
Okay. I think it's oak. Okay, I'm sorry. Say that O

59:19.570 --> 59:22.242
Krah.com. Imagine if you go to OC.

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No. Okrah.com. Thank you for correcting me.

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And really to check out and watch some of the videos here and

59:31.300 --> 59:34.447
more importantly, to get this full perspective to have

59:34.480 --> 59:37.782
that AHA moment that you just explained to us, Jean,

59:37.872 --> 59:41.377
before, when you went down to Joanna's house and you had her tell

59:41.395 --> 59:44.502
you the story when you forgot about the 90 minutes

59:44.532 --> 59:49.177
drive. It was just like how

59:49.195 --> 59:52.062
could you not feel the pain of a successful,

59:52.212 --> 59:55.792
professional dean of a college that could barely keep

59:55.840 --> 59:59.472
an entry level position because of this illness?

59:59.592 --> 1:00:01.925
And if you can do things to help her out,

1:00:02.737 --> 1:00:06.097
to slow down the process or at least help her

1:00:06.130 --> 1:00:09.622
manage the symptoms, really changes things

1:00:09.655 --> 1:00:13.162
around. So, Jean, we went way over time and we could probably do this another

1:00:13.225 --> 1:00:17.022
4 hours. I don't think I've ever done such a long episode.

1:00:17.142 --> 1:00:19.207
But first of all, I want to thank you for your time. I want to

1:00:19.210 --> 1:00:22.562
thank you for coming on the Nursing Home podcast.

1:00:22.987 --> 1:00:26.532
To listen to this episode or past episodes

1:00:26.697 --> 1:00:30.067
and future episodes of the nursing home podcast, you can head on over

1:00:30.115 --> 1:00:34.282
to the nursing homepodcast.com and

1:00:34.360 --> 1:00:37.582
this will be there shortly. Thank you, Gene. Thank you so much for coming on

1:00:37.585 --> 1:00:38.527
the show. Thank you,

1:00:38.545 --> 1:00:48.642
Shirley.

1:00:48.702 --> 1:00:52.102
Now that you've enjoyed this episode of the Nursing home

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