Town&Gown’s
Senior Living 2016
Modern-Day Grandparenting Kathy and Steve Lose of Howard take on an active role as grandparents to their grandkids, Miley and Owen
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2016 T&G Senior Living - 1
Thank You
Mary Lou!
– Steve & Linda Weaver
Proudly Serving Centre County since 1973 Mary Lou Bennett ABR, CRS, GRI, SRES, ‘At HomeWith Diversity’ REALTOR ® www.hellomarylou.com
1375 Martin Street State College, PA 16803
2 - T&G Senior Living 2016
800.860.6226 ext 315 814.880.0666
CONGRATULATIONS TO DON LEITZELL! J.W. Cole Financial, Inc. is proud to announce the selection of Mr. Donald Leitzell, CFP®, President of Diversified Asset Planners in State College, Pennsylvania as the honored recipient of the 2015 J.W. Cole Financial, Inc. “Advisor of the Year Insurance Division” award. The award goes beyond recognizing Mr. Leitzell for his successful business; it also signifies Mr. Leitzell’s commitment to ensuring that families and individuals have given the proper consideration to the use of insurance as a wealth transfer and estate planning tool in addition to the more traditional use as a protection for income. J.W. Cole continues to rely upon Mr. Leitzell’s leadership and forward looking ideas for improvement upon the delivery of financial services. Mr. Leitzell is a motivational influence throughout his own organization and ours and we are privileged to call him our partner.
Financial Wellness takes careful planning…We can help you get there! • 403b Planning • 401K Planning • Retirement Planning • Tax Planning • All Your Life Insurance Needs
Christopher D. Leitzell
Diversified Asset Planners
Donald E. Leitzell, CFP ®
1524 W. College Ave., State College • 814-234-2500 Securities offered through J.W. Cole Financial – Member FINRA/SIPC. Certified Financial Planner Board of Standards Inc. owns the certification AND in the U.S. Diversified Asset Planners and J.W. Cole Financial are independent firms. marks CFP®, CERTIFIED FINANCIAL PLANNER ™
•The Advisor did not pay a fee to be considered for the award. •The award is not indicative of the Advisor’s future performance. Working with the “Advisor of the Year” is not a guarantee as to future investment success, nor is there any guarantee the selected Advisor will be awarded this accomplishment by J.W. Cole Financial, Inc. in the future. •The inclusion of the Advisor in the nomination for the award should not be construed as an endorsement of the Advisor’s investment management skills by J.W. Cole Financial, Inc. or any of its affiliates. •The Advisor may or may not use discretion in their practice and therefore may or may not manage their client’s assets. •The award selection committee is not acting in the capacity of an Investment Adviser and therefore the reference to this award should not be considered financial advice. •J.W. Cole Financial, Inc. has approximately 374 Advisors eligible for consideration of the award and only one Advisor per year is selected. •For more information on the methodology behind the selection committee’s nominations, please contact the Chief Compliance Officer at J.W. Cole Financial, Inc. at (813) 935-6776.
Sepich Eye Care is now...
Do you have difficulty reading small print, or your smart phone, even with your glasses? Do headlights cause glare when you are driving? Do you find your eyes to be dry or irritated? These are some of the symptoms we experience as we grow older. The professionals at Restore Eye Care can diagnose and treat your vision problems and ocular health. Call us today to restore the vision and comfort you deserve.
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100 Oakwood Ave., State College, PA 16803 (814) 272-0262 • www.restoreeyecare.com 4 - T&G Senior Living 2016
Town&Gown’s SENIOR LIVING 2016
8 Not Your Parents’ Grandparents Today’s grandparents are healthier and more active than past generations — but they still carry the same excitement of seeing and loving their children’s children • by Jodi Morelli 12 Know the Signs Recognizing Alzheimer’s and other types of dementia • by Amy Dukes 14 Artistic Care Creative art programs help those with Alzheimer’s and other dementias • From Juniper Communities
16 Centre County Senior Living Options A list of communities and facilities that can be found in Happy Valley 23 Managing Pain Better Is physical therapy a safer option for pain? • by Ryan Cavanaugh, DPT 26 Humdrum Meatloaf No More Senior living communities transform dining • by Lori Iller
Cover photo: By Tiara Snare Published by Barash Media. Address inquiries to: Barash Media, 403 South Allen Street, State College, PA 16804-0077, (814) 238-5051 or 800-326-9584. © 2016 by Barash Media. All rights reserved. No part of this publication may be reproduced in any form except with written authorization from the publisher.
Stonebridge Senior Apartments Call today to set up your appointment!
• Affordable Housing for those 62 years and older • Income Limits Apply (Section 8 Vouchers Welcome) •2 Bedroom Apartments Available • All Utilities included except Cable, phone & internet
Please call
814-237-1004 for more information
1680 Bristol Avenue • State College, PA 16801 • Office Hours: M-W-F 9am-4pm, T-TH by appointment only 2016 T&G Senior Living - 5
Adult Transitional Care, LLC. Your Choice, Our Privilege
Town&Gown’s SENIOR LIVING Publisher Rob Schmidt Founder Mimi Barash Coppersmith
• • • • •
Senior Move Management
Developing an overall move or “age in place” plan Organizing, sorting, & downsizing Customize floor plan Interviewing, scheduling, and overseeing movers Unpacking and setting up the new home
• Senior Move Management • Residential Management/Handyman • Personal Care/Companion 906 West College Ave., State College, PA 16801 (814) 954-2821 info@adulttransitionalcare.com www.adulttransitionalcare.com
Editorial Director David Pencek Creative Director Tiara Snare Operations Manager/Assistant Editor Vilma Shu Danz Art Director/Photographer Darren Weimert Graphic Designers Cody Peachey, Laura Specht Account Executives Kathy George, Debbie Markel Business Manager Aimee Aiello
Retirement Condominiums
Administrative Assistant Lana Bernhard Intern Elizabeth Low (graphic designer) Distribution Handy Delivery
Enjoy Our... •
Home Ownership • Gated Security • Location • Health Services • Amenities • Lifestyle
Village Heights Condominium Association 305 Village Heights Drive, State College, PA 16801 info@villageheightspa.com • www.VillageHeightsPA.com
814-231-5507
6 - T&G Senior Living 2016
To contact us: Mail: 403 S. Allen St., State College, PA 16801 Phone: (814) 238-5051, (800) 326-9584 Fax: (814) 238-3415 dpenc@barashmedia.com (Editorial) rschmidt@barashmedia.com (Advertising) We welcome letters to the editor that include a phone number for verification. Back issues of Town&Gown are available on microfilm at Penn State’s Pattee Library.
Halo-therapy may help relieve the symptoms of: Allergies • Arthritis • Asthma COPD • Emphysema • Sinusitus Cystic Fibrosis • Hypertension Sleeplessness • Acne/ Eczema Wealened Immune System and others...
Halo-therapy may help relieve the symptoms of: Allergies•Arthritis•Asthma COPD•Emphysema•Sinusitus Cystic Fibrosis•Hypertension Sleeplessness•Acne/Eczema Weakened Immune System and others...
Simply Health Health
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other accessories. Men, women & children Hours: Wed.-Fri. 11am-7pm • Sat. 9am-1pm • Mon. & Tues. by appt. welcome. Appointments every hour on the hour and every half hour. Detoxing footbaths, Call 814.954.7731 or 717.248.2000 or book online www.simplyhealth-calm.com FAR Infrared Sauna, 1760 S. Atherton St. • State College, PA (In the Creekside Plaza with Honey Baked Ham) Jade Massage Bed, and more...
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Hours: Mon. & Tues. 10am - 5pm | Wed. - Fri. 10am-7pm| Sat. 9am-1pm Call 814.954.7731 or 717.248.2000 or book online www.simplyhealth-calm.com 1760 S. Atherton St. • State College, PA (In the Creekside Plaza with Honey Baked Ham) 2016 T&G Senior Living - 7
Tiara Snare
Not Your Parents’ Grandparents
Today’s grandparents are healthier and more active than past generations — but they still carry the same excitement of seeing and loving their children’s children By Jodi Morelli Life is full of transitions. Throughout childhood and into adulthood, there are those important milestones that mark the end of one chapter and the start of another. Becoming a teenager. Learning to drive. Graduating from high school. Getting married. Having children. And when your children have their own children, a whole new role emerges — the transition from parenthood to grandparenthood. According to research on the developmental life cycle from the Legacy Project, an independent research and education group, becoming a grandparent is an important transition in the normal aging process. Generally, in today’s world, people are healthier and experiencing increased longevity, the research states. That means that many, if not most, parents are able to watch their own children grow up and become parents themselves. An added bonus is that grandparents 8 - T&G Senior Living 2016
Steve and Kathy Lose with their grandchildren, Miley Shope (5) and Owen Snare (1).
today are more likely now than ever to be healthy and active, thus changing the perception of the traditional grandparent role. The stereotypical image of a grandma or grandpa in a rocking chair is far different than the reality of today’s grandparents. Grandparents today might still have a busy career and work schedule, travel, and be engaged in many different activities, research states. In fact, the transition to becoming a grandparent in today’s world often overlaps with multiple roles a person has — employee, spouse, involved community member. Additionally, for some grandparents, they may be caught in the middle of having grandchildren while also caring for their own aging parents. From generation to generation, studies show that people nowadays are having fewer children. With fewer family members, intergenerational relationships can be even more impactful. In fact,
“We have become more patient with the grandchildren than we were with our children. As parents, we focused more on the child’s needs. Now that is their parents’ job, and we can enjoy the time spent with them.” — Steve Lose
Chris Morelli
when women and men become grandparents for the first time, it can sometimes be viewed as a “second chance” or a “fresh start.” Perhaps they feel that they weren’t able to spend as much time with their own children as they would have liked, or maybe they feel they they have learned from some mistakes they may have made. The grandparent-grandchild relationship is an important one and is a relationship that can offer a grandparent many of the joys and benefits of parenting without the day-to-day stressors and worries. Patrick and Annie McDermott of State College are expecting their first child in December. For Patrick’s mother, Betsey McDermott, this will be her first grandchild, and while she is excited about the transition from being a mom to being a grandma, she’s specifically looking forward to being more relaxed.
“As a parent, I worried that the most insignificant things may negatively affect my kids. Wisdom and experience are wonderful things,” she says. As with most parents of grown children, the experience, wisdom, and perspective she has gained over her years of raising two sons and a daughter have taught her not to stress over the things that often seem traumatic to new parents. “The baby won’t cry forever, the ‘terrible twos’ do come to an end, going to bed with dirty feet occasionally is OK. I know that we need to relax and enjoy every minute because it all goes by so fast,” she says. Kathy and Steve Lose of Howard say that they also believe that life experience has allowed them to be calmer and more relaxed as grandparents of two young grandchildren — Miley Shope (5) and Owen Snare (1). “We have become more patient with the grandchildren than we were with our children. As parents, we focused more on the child’s needs. Now that is their parents’ job, and we can enjoy the time spent with them,” Steve says. For all ages of grandchildren, their relationships with grandparents is an important one. While going to “Grammy’s house” for a young child often equates to special time and attention, and maybe a treat or two, an adolescent or teen might find in a grandparent someone who listens to them and maintains their trust. Even older grandchildren Betsey McDermott (middle), her son, Patrick (left), and daughter-inlaw, Annie.
2016 T&G Senior Living - 9
sometimes see their grandparents’ influence in their lives with regard to values and important life topics such as religion and politics, research says. Grandparents have the opportunity to directly influence their grandchildren on things such as transmitting family values, teaching specific skills, or even “substitute” parenting. Families are busier than ever these days, with an increase in single-parent families and many homes in which both parents work. In these situations, if grandparents live nearby, they may be even more involved in their grandchildren’s lives, helping to chauffeur to activities, providing last-minute child care, transporting to doctor’s appointments, etc. In addition to involvement grandparents have with their grandchildren’s daily routines, research shows that the top five activities that grandparents do with their grandchildren are eating together (either in or out), watching TV or playing on the computer, staying overnight, shopping for clothes, and engaging in exercise/sports. Steve and Kathy Lose say they see their grandchildren as often as they can. “We do family vacations together. As a family, we have gone to places such as the Pittsburgh Zoo
“Everyone says it’s so much better … as I have always heard, you get to enjoy them, then give them back to their parents.” — Annie McDermott and the Outer Banks, to name a few. This year we went to Disney World,” Kathy Lose says. “Miley and Owen love to swim, so we do a lot of swimming in the summer. They both love to have sleepovers at Grammy and Pappy’s house. They love playing and exploring, and we love watching them grow.” In most families, parents serve as a bridge between grandparents and grandchildren and often set the tone for the relationship that develops between their parents and their children. With the McDermott and Lose families, the family members live close to each other, which has and will allow for more closeness and contact between grandchildren and grandparents. In addition to geographical proximity, another important factor in the quality of the grandparentgrandchild relationship is how receptive the grandparent is to taking on this new role in life.
“Your Hometown Gym” For 25 years, our mission has been to provide the facilities and programs to enhance fitness, athletic performance, health and quality of life. Our Programs & Facilities include: • One-on-one training • Private and Semi-private Reformer Sessions • Wide Selection of Cardio, Selectorized Equipment and Free Weights • Nutrition Counseling • Massage Therapy • Child Care • Tanning • Silver Sneakers • Healthways Prime Group Fitness: Yoga, Pilates, HIIT, Spinning, Barre, Zumba and many more.
250 W. Hamilton Ave., State College, PA 16801 www.eastcoastfit.com • 234-9400
10 - T&G Senior Living 2016
Both Loses have embraced their role as grandparents, while McDermott is eagerly awaiting her transition to becoming a grandma — even though it’s hard for her to believe she has reached this particular stage of life. “It’s exciting but surprising,” she says. “Even though Pat and Annie have been married awhile, I don’t think it’s really ‘sunk in’ yet. I still haven’t wrapped my head around the fact that I’ve arrived at this point in my life. I still feel like so much of a mom still — how can I now become a grandma!?” For the Lose family, both Steve and Kathy were excited when they found out their two daughters were going to be moms. “We would talk about what kind of personality [the children] would have, who they would look like, how our daughters would be as parents,” Kathy says. Although going from mom and dad to grandma and grandpa is a major life transition, one of the biggest adjustments might be simply taking a step back from the parenting role. “These children are our daughters’ children, and we, as grandparents, need to respect their wishes on how they are raising them,” Kathy says. McDermott says that she will be “learning when
Pharmacist/Manager
Jodi Morelli is a freelance writer who lives in Pleasant Gap.
Neil Foster
Boalsburg
Pharmacist/Owner
3901 S. Atherton St., State College (In the Boalsburg Medical Office Building). (814) 466-7936 www.boalsburgapothecary.com
Boalsburg Medical Office Building Corner of Warner Blvd. and S. Atherton Street
Rt. 45 West
Mt. Nittany Middle School
Pine Grove Mills
Boalsburg Apothecary
PA Military Museum
Lemont
Wayne Foster
to keep quiet” as a grandma. As she anticipates the arrival of her first grandchild, she says she knows that her son and his wife might have different ideas about things than she does. As a parent, she says, a person becomes used to setting the rules and boundaries, which will not be her job as a grandparent. Now she will be getting used to taking on a supporting role, she says. “I need to keep my opinions to myself, as I’m sure my parents occasionally did,” she says. She adds that she thoroughly loves being a mom and finds it hard to imagine that she could enjoy anything more, but she can’t wait to experience grandparenthood for the first time. “Everyone says it’s so much better … as I have always heard, you get to enjoy them, then give them back to their parents,” she says. Kathy and Steve Lose can’t name just one thing that they enjoy most about the whole experience. They say “everything” is good about being a grandparent — especially the hugs and kisses from their grandchildren. T&G
State College
We are a modern pharmacy with old-fashioned service:
• Pharmacists you can talk to • Compounding specialists • Convenient Parking • No long wait times • Insurances Accepted • No automated phone systems
Transferring prescriptions is easy! Just Give Us A Call.
814.466.7936 2016 T&G Senior Living - 11
KNOW THE SIGNS
Recognizing Alzheimer’s and other types of dementia By Amy Dukes
Alzheimer’s Association staff and volunteers are in communities every day to provide support and education. We often hear people joking about dementia and Alzheimer’s disease when they forget someone’s name, misplace their keys, or forget an appointment. But under that joke of “hope it’s not dementia” is often the fear that it might be a sign of dementia. After all, more than 5 million Americans are living with the disease, and every 66 seconds someone in the US develops Alzheimer’s disease. So we worry and wonder: Could it be me? Should I worry because I forgot that appointment? Learning more about the disease, recognizing the signs of potential problems, and finding out how to pursue an accurate diagnosis can be helpful in assuaging fears. The first question people often ask is, “What is the difference between dementia and Alzheimer’s disease?” Dementia is not a specific disease but a term that describes a wide range of symptoms such as decline in memory and reasoning ability that is so severe it impacts daily life. Dementia itself is not a diagnosis, but there are many diseases that cause the dementia symptoms, some of which are reversible and some of which are not. Alzheimer’s disease accounts for 60 to 80 percent of dementia cases. It is a degenerative neurological disease that leads to the death of brain cells. It is a progressive disease, and we see the dementia symptoms steadily worsen over years. The disease impacts the entire brain, and the brain is what dictates how we perceive the world around us. The symptoms of Alzheimer’s disease go beyond memory loss and often include misperceptions that lead to hallucinations, delusions, and even increased falls. What are the signs and symptoms of Alzheimer’s disease? Many people occasionally display issues with memory and thinking, but we worry when these issues impact the ability to manage tasks in daily life and when we see multiple symptoms. 1. Memory Loss that Disrupts Daily Life. One of the most common signs of Alzheimer’s disease, especially in the early stages, is forgetting important 12 - T&G Senior Living 2016
Amy Dukes of the Alzheimer’s Association. dates or events, asking for the same information over and over, and increasingly needing to rely on memory aids (such as reminder notes or electronic devices) or family members for things they used to handle on their own. 2. Challenges in planning or solving problems. Some people may experience changes in their ability to develop and follow a plan or work with numbers. They may have trouble following a familiar recipe or keeping track of monthly bills 3. Difficulty completing familiar tasks at home, at work, or at leisure. People with Alzheimer’s disease often find it hard to complete daily tasks. They may have trouble driving to a familiar location, managing a budget at work, or remembering the rules of a favorite game. 4. Confusion with time or place. People with Alzheimer’s disease can lose track of dates, seasons, and the passage of time. They may have trouble understanding something if it is not happening immediately. Sometimes, they may forget where they are and how they got there. 5. Trouble understanding visual or spatial relations. For some people, having vision problems is a sign of Alzheimer’s disease. They may have difficulty reading, judging distance, and determining color or contrast, which may cause problems with driving.
6. New problems with words in speaking or writing. People with Alzheimer’s disease may have trouble following or joining a conversation. They may stop in the middle of a conversation and have no idea how to continue, or they may repeat themselves. They may struggle with vocabulary, have problems finding the right word, or call things by the wrong name. 7. Misplacing things and losing the ability to retrace steps. A person with Alzheimer’s disease may put things in unusual places. They may lose things and be unable to go back over their steps to find them. Sometimes, they may accuse others of stealing. 8. Decreased or poor judgment. People with Alzheimer’s disease may experiences changes in judgment or decision making. For example, they may use poor judgment when dealing with money, falling victim to scams. They may pay less attention to grooming or keeping themselves clean. 9. Withdrawal from work or social activities. A person with Alzheimer’s disease may start to remove themselves from hobbies, social activities, work projects, or sports. 10. Changes in mood and personality. People with Alzheimer’s disease may become confused, suspicious, depressed, fearful, or anxious. They may
become easily upset at home, work, with friends, or in places where they are out of their comfort zone. There are other diseases that cause dementia symptoms. Some of these conditions are treatable, so it is advisable to see a physician as soon as the symptoms of dementia are noticed. Conditions such as vitamin B deficiency, urinary-tract infections, dehydration, medication reactions, and thyroid disorders can cause dementia symptoms that are reversible with appropriate care. Other forms of dementia that are not reversible are vascular dementia, dementia with Lewy Bodies, frontotemporal dementia, normal pressure hydrocephalus, and many other diseases. T&G The Alzheimer’s Association offers a helpline that is answered by a trained staff member 24 hours a day/7 days a week. Call 1-800-272-3900 to receive information and support, or visit alz.org/pa. Join the association on October 29 at Medlar Field at Lubrano Park for the State College Walk to End Alzheimer’s. For more information, contact Lissa Wise at (814) 954-5990 or e-mail lwise@alz.org. Amy Dukes is senior outreach and education manager for Alzheimer’s Association Greater Pennsylvania Chapter.
Missing Something?
FREE HEARING SCREENINGS
NO RISK! 45 Day Trial
In photo: Front Lynn Shearer, Office Manager, Left to Right Robin Cooke, Licensed HA Fitter, Richard W. Foust, AuD Audiologist
252 Match Factory Place, Bellefonte www.centreaudiology.com Call 814.355.1600 for appointments
Dr. Richard W. Foust AuD Audiologist
Robin Cooke Licensed HA Fitter
Lynn Shearer Office Manager
Like Us On Facebook! 2016 T&G Senior Living - 13
ARTISTIC CARE
Creative arts programs help those with Alzheimer’s and other dementias From Juniper Communities “Art enables us to find ourselves and lose ourselves at the same time.” — Thomas Merton Recent studies show that the cost of caring for Americans with Alzheimer’s disease and other dementias has surpassed the cost of treatments for cancer and heart disease. With Alzheimer’s disease hitting our pocketbooks to the tune of $226 billion last year, this new reality is resulting in increased research and development of programs that seek to improve the lives of people living with Alzheimer’s and other dementias. Much of this new research focuses on the value of music, art, and social connections in the treatment of dementia. This ability to reconnect with a past memory is rooted in the physiology of the brain. Scientists have discovered that Alzheimer’s disease normally spares, to a very large extent, the parts of the brain related to emotions and creative expression. Because of this, neurologists now recognize the benefits of nonpharmacological therapies, such as art and music therapy, in treating people with dementia. Memories in the Making One of the greatest tragedies associated with Alzheimer’s disease is the loss of the ability to communicate. At a time when people are most in need of support and assurance, the disease robs them of their ability to express confusion, fears, hopes, and wishes. Memories in the Making is an innovative program that enables people who are experiencing losses in verbal communication to express themselves through art. With Memories in the Making, an Alzheimer’s patient is able to reach a place outside of their dementia and extract some part of who they once were and, more importantly, who they still are. The artwork offers a rare glimpse into their emotions and memories as they express a part of their spirit. The essence of who they are and what they care about shines through. Kaitlin Hoover, connections director at Juniper Village at Brookline Wellspring Memory Care 14 - T&G Senior Living 2016
in State College, has seen the benefits of this program firsthand. “The power of artistic expression in the residents of Wellspring is nothing short of remarkable, especially to see in action,” she says. “It seems to instill a sense of self-confidence, pride, and harmony in oneself by connecting the canvas to that individual’s creative energy as a positive outlet of expression. Then to have an incredible, one-of-a-kind piece of artwork to share with friends, family, and visitors keeps the joy alive well after the culmination of the creation process.” Music & Memory Music is profoundly linked to personal memories and emotions, and science shows that our brains are hardwired to connect music with long-term memory. Music & Memory is a program that seeks to create an artistic exploration that has far-reaching benefits for all participants. Founder Dan Cohen said when he created the Music & Memory program, which gives older people iPods loaded with personalized music, his goal was to provide each recipient with a selection that could bring recollections of happy occasions.
One Juniper Village family member said, “If you have ever gotten a lift when you unexpectedly heard a favorite song, you can begin to imagine the pleasure it brings to the residents to have an iPod full of their favorites.” She said the listeners are not only soothed and calmed, but that Music & Memory also provides a “great deal of comfort and mental stimulation.” The power of music can spark compelling outcomes even in the very late stages of the
disease. Research concludes that music can shift mood, manage stress-induced agitation, stimulate positive interactions, facilitate cognitive function, and coordinate motor movements. This is due to the fact that rhythmic and other well-rehearsed responses are influenced by the motor center of the brain and require little to no cognitive or mental processing. A person’s ability to engage in music remains intact late into the disease. Candice, a resident of Juniper Village, has frontal temporal dementia, which has impacted her speech. Her family observed that “with music playing, Candice can sometimes mouth a word in the song. When the music is playing you can see Candice tapping her foot to the beat and joy in her face.” T&G Juniper Communities is proud to be part of both the Memories in the Making program through the Alzheimer’s Association (alz.org) and the Music & Memory (musicandmemory.org) program started by Dan Cohen. To learn more about Juniper’s creative arts programming, which recognizes the need to look at the whole person to create a vibrant and healthy life, visit junipercommunities.com.
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Centre County SENIOR LIVING OPTIONS Whether you’re looking for a retirement community for yourself or for a relative, Centre County offers plenty of living options. Some communities are for active adults who want an independent lifestyle with fun amenities. Others deliver assistance with daily living activities, and still others provide round-the-clock skilled-nursing care, either temporarily or long-term. Some communities offer more than one level of care. We encourage you to read over this section, mark those communities or facilities that might work for your family, and then visit them to take a tour, ask questions, and make sure you understand all costs before signing a contract.
Independent Living Independent living communities do not provide medical care or assistance with medications, personal care, etc. Townships and boroughs across Centre County offer a wide variety of traditional neighborhoods and apartment complexes that are open to all ages. Listed here are communities that cater specifically to seniors. They usually require residents to meet minimum age requirements. Some offer organized community activities such as book clubs, potluck dinners, classes, or speakers. Some retirement communities are meant to provide affordable housing to seniors with fixed incomes, as noted in individual listings. Others offer upscale amenities such as swimming pools, tennis courts, and fitness centers. In some of the retirement communities listed here, residents pay monthly rent, while in others, they own their homes and pay monthly fees to cover snow removal, lawn care, and upkeep of common areas. Communities that offer independent living and personal care or nursing-home care, or both, are listed under the “Multilevel Care� section.
16 - T&G Senior Living 2016
w Arnold Addison Court
120 East Beaver Avenue, State College (814) 238-0400 calibreresidential.com This high-rise apartment building is in downtown State College, next door to Schlow Centre Region Library and a primary bus stop. Renters must be at least 55 years old or handicapped; income limits apply. The building includes 89 studio and one-bedroom apartments, with a laundry room on every floor, plus a community room and patio. Small dogs and cats are permitted.
w Bellaire Court
729-763 Bellaire Avenue, State College (814) 234-7109 Built by the Borough of State College in 1977-78, Bellaire Court consists of 18 onebedroom apartments, one of which is wheelchairaccessible. Each apartment has a washer and dryer. One small pet per apartment is permitted. Renters must be at least 60 years old, and income restrictions apply. State College residents and their parents receive priority if there is a waiting list for apartments.
w Brockerhoff House
105 South Allegheny Street, Bellefonte (814) 355-6750 Located in historic downtown Bellefonte, Brockerhoff House was built in 1866 as the Brockerhoff Hotel, with a fourth floor added in the 1890s. The gothic-revival building is listed on the National Register of Historic Places. Operated by the Housing Authority of Centre County, 33 studio and one-bedroom apartments are available for low-income renters who are at least 62 years old. The complex offers a community room, onsite laundry, on-site management, bus stop, and county van service.
w Crestside Terrace
602 East Howard Street, Bellefonte (814) 355-6750 Operated by the Housing Authority of Centre County, Crestside Terrace features 40 one-bedroom apartments for low-income renters who are at least 62 years old; income restrictions apply. The complex offers a community room, on-site laundry, on-site management, bus stop, and county van service.
w Fox Hill Senior Apartments
200 Wyndtree Court, Bellefonte (814) 355-4090 ndcrealestate.com With buildings completed in 2002 and 2008 by S&A Homes, Fox Hill Apartments features oneand two-bedroom apartments for renters at least 62 years old; income restrictions apply. Buildings include elevators, laundry facility, common areas for activities, and supportive services, with handicapped-accessible units available. Section 8 vouchers are accepted.
w Graystone Court Villas
100 Hawknest Way, Bellefonte (814) 353-3431 graystonecourt.com Opened in 2014, Graystone Court Villas offers one- and two-bedroom apartments for renters who are at least 55 years old. The smoke-free high-rise building includes a game room, library, indoor heated pool, fitness room, beauty salon, community rooms, security systems, and parking garage. Pets are permitted.
w Mount Nittany Residences
301 Rolling Ridge Drive, State College (814) 234-1323 improved-dwellings.org Located near the Hills Plaza shopping center, Mount Nittany Residences is a high-rise apartment building for renters at least 62 years old or who are mobility-impaired; income restrictions apply. The building includes 145 one-bedroom and six two-bedroom apartments, plus common areas where activities are held. Mount Nittany Residences is operated by the nonprofit Improved Dwellings for Altoona Inc.
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w Penns Manor
Penns Court, Centre Hall Contact your real estate agent Torron Group built this Centre Hall community for homeowners who are at least 55 years old. Detached condominiums include garages, and the monthly association fee covers lawn care, snow removal, and exterior maintenance. Homeowners have access to the community clubhouse, with fitness room, card room, gathering space, and more.
w Philipsburg Towers
300 North Front Street, Philipsburg (814) 342-6802 seniorhousingphilipsburg.com Located in downtown Philipsburg in western Centre County, Philipsburg Towers is a high-rise building with one- and two-bedroom apartments, each with a living room/dining room combination. The building includes a laundry facility and outdoor picnic area. Renters must be seniors; income restrictions apply.
w Stonebridge Senior Apartments
1680 Bristol Avenue, State College (814) 237-1004 Opened in 2016, Stonebridge Senior Apartments is a four-story building with 24 one-bedroom and 34 two-bedroom apartments, all with balconies or patios. The facility offers elevator access, visual intercom system, grab bars in bathrooms, secure keycard entry for tenants and guests, and a community area with gathering room, laundry, and management and supportive-services offices. Residents have access to the neighboring Stonebridge outdoor swimming pool, tennis court, and pavilion. Income restrictions apply.
w Traditions of America at Liberty Hill
102 Settlers Way, State College (814) 466-9490 traditionsofamerica.com Traditions of America community at Liberty Hill is an active-lifestyle community in the village of Boalsburg. Homebuyers can choose single-family or garden homes, all with lawn-care and snowremoval service. Home sizes range from 1,200 to more than 3,000 square feet. Amenities include tennis courts, outdoor heated pool, putting green, bocce court, community garden, paved walking paths, and more. The 18 - T&G Senior Living 2016
10,000-square-foot clubhouse features a whirlpool spa, sports bar, fitness room, business center, billiard room, card room, and great room, and is a satellite site for the Osher Lifelong Learning Institute at Penn State.
w Village Heights
305 Village Heights Drive, State College (814) 231-5507 villageheightspa.com Village Heights is a gated condominium community for residents age 55 and above, with management by the resident-run Village Heights Condo Association. Homebuyers can choose single-family homes or apartment-style units. Snow removal, lawn care, and exterior maintenance are included in the monthly maintenance fee. The Village Centre features a restaurant-style dining room (minimum monthly expenditure required), heated indoor pool and hot tub, and fitness center and locker rooms. Activities include exercise classes, water aerobics, Osher Lifelong Learning Institute at Penn State classes, book clubs, luncheons, bridge, bingo, and more.
Personal-Care Homes Personal-care homes provide meals, assistance with medications and daily living needs (such as dressing and bathing), and 24-hour supervision. In many states, these facilities are known as assisted living facilities. Under Pennsylvania law, each unit in an assisted living facility must have its own kitchen and specific levels of medical care; Centre County does not have any assisted living facilities but does have several personal-care homes. Personal-care homes must be licensed by the state of Pennsylvania. Personal-care homes that accept low-income residents who receive Supplemental Security Income (SSI) are noted below. Communities that offer independent living and personal care or nursing-home care, or both, are listed under the “Multilevel Care� section.
w Eagle Valley Personal Care Home
500 Front Street, Milesburg (814) 355-3417 eaglevalleypersonalcarehome.com Eagle Valley offers private and double-occupancy rooms and accepts SSI. Three daily meals are
served in the dining area, while a separate living room is available for reading, working on puzzles, playing games, etc. Two covered porches and a patio extend the living area. Residents can participate in planned activities, visit the on-site beauty salon, and attend services in the on-site chapel. Benchmark Therapies provides physical, occupational, and speech therapy.
w Elmcroft of State College
150 Farmstead Lane, State College (814) 325-9760 elmcroftal.com Elmcroft provides residents with the freedom to choose their own agenda and activities, such as gardening, card games, and nature walks, along with the security of 24-hour personalized assistance. Residents live in shared or private studio apartments. Meals are served restaurant-style in the dining room, and common areas allow space for socializing and entertaining. The “Best Friends� memory-care program offers specialized assistance to seniors with Alzheimer’s or dementia who do not need full nursing care.
w Greenhills Village
301 Farmstead Lane, State College (814) 234-9898 greenhillsvillage.com All Greenhills Village bedrooms have private bathrooms and individually controlled thermostats. The one-level building features open living-room and dining-room space, with three meals served daily. Services include assistance with bathing and grooming, housekeeping, physical and occupational therapy, and monitoring of health-care needs by registered nurses. Activity programs are offered each month. Greenhills Village accepts SSI and also offers hospice service.
w Salem Hill Haven
424 Heckman Cemetery Road, Spring Mills (814) 422-8435 Salem Hill Haven is located in rural Penns Valley, just outside the small town of Spring Mills, and accepts SSI. With private and semiprivate rooms, the focus is on caring service in a small community.
2016 T&G Senior Living - 19
w Wynwood House of Nittany Valley
w Centre Crest
w Wynwood House of Penns Valley
w The Hearthside
294 Discovery Drive, Boalsburg (814) 808-6800 wynwoodhouse.com Wynwood House opened in 2016 next door to Calvary Baptist Church’s new Harvest Fields church. Private and shared suites will be available. The facility provides 24-hour security and assistance, all meals and snacks, housekeeping and laundry service, planned group outings, podiatrist, beauty shop, and therapy. 122 Wynwood Drive, Centre Hall (814) 364-9770 wynwoodhouse.com Wynwood House is located next door to the Penns Manor independent living community. Private and shared suites are available, and Wynwood House accepts limited SSI. The 40-bed facility provides 24-hour security and assistance, all meals and snacks, housekeeping and laundry service, planned group outings, podiatrist, beauty shop, and therapy.
Nursing Homes The state of Pennsylvania licenses nursing homes to provide care under the supervision of skilled medical personnel. Services may include rehabilitation therapy, IV therapy, care for pressure ulcers, tube feedings, dialysis, and other medical services, as well as assistance with activities of daily living. Communities that offer independent living and personal care or nursing-home care, or both, are listed under the “Multilevel Care” section. Many people enter a nursing home paying daily rates as private-pay patients and then apply for Medicaid when they have spent down their savings to the point that they are eligible for Medicaid. Both of the nursing homes listed here — Centre Crest and The Hearthside — accept Medicaid. In the “Multilevel Care” section, only Windy Hill Village accepts Medicaid for nursing-home care.
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502 East Howard Street, Bellefonte (814) 355-6777 centrecrest.org Operated by the Centre Care Inc. community nonprofit board, Centre Crest offers complex medical care, IV therapy, diabetic management, wound care, end-of-life care, oncological pain management, therapy, and a wide variety of other care. Centre Crest also provides respite care for emergency and short-term stays. 450 Waupelani Drive, State College (814) 237-0630 hearthsiderehabandnursing.com With private and semiprivate rooms, the Hearthside offers 24-hour skilled-nursing care, pain management, colostomy care, cardiac care, wound care, X-ray services, respiratory services, therapy, dementia and Alzheimer’s care, and other medical care. Short-term rehabilitation is provided to patients recovering from stroke, fractures, joint replacement, and other medical concerns. All patients are treated on-site by hospitalists an average of twice a week.
Multilevel Care Five Centre County retirement communities offer independent living plus personal care or skilled-nursing care, or both, and usually present a varied menu of amenities. Residents at some facilities pay monthly rent. At continuing-care retirement communities, residents typically pay a lump-sum entrance fee plus monthly fees in return for guaranteed access to higher levels of care, should it become necessary. CCRCs generally require new residents to begin with independent living housing.
w Foxdale Village
500 East Marylyn Avenue, State College (814) 272-2146 foxdalevillage.org Foxdale Village is a nonprofit, Quakerdirected continuing-care retirement community. Independent living for ages 65 and over is in one- and two-bedroom cottage homes and apartments, ranging from 845 to 1,450 square feet.
(For couples, one person must be at least 65 and the other at least 62.) Personal care is provided at Darlington House, and skilled nursing care at Anthony House. All residents pay an entrance fee plus a monthly fee. Independent living residents have an optional flexible meal plan available; meals are included for other residents. The community building features a dining room, café and bistro, woodworking shop, 185seat auditorium, library, art studio and gallery, full-service bank, computer lab, meeting rooms, and full wellness center with exercise room and new therapy pool.
w Juniper Village at Brookline
1950 Cliffside Drive, State College (814) 238-3193 junipercommunities.com Juniper Village at Brookline offers independent living in its one- and two-bedroom Windsong Apartments, personal care at The Inn and PineCastle, and nursing-home care and rehabilitation at Brookline Skilled Nursing and Rehabilitation (formerly The Fairways). On a
separate campus in State College, Wellspring Memory Care offers specialized care for people with Alzheimer’s or other forms of dementia. Regardless of the living choice, each resident has access to an on-duty nurse 24 hours a day. There is no entrance fee or ownership. All fees are per day or month, with no long-term commitment.
w The Oaks at Pleasant Gap
200 Rachel Drive, Pleasant Gap (814) 359-2782 alsm.org The Oaks at Pleasant Gap is a Lutheranrun community providing independent living in The Village Cottages (duplexes) and The Court Apartments, and personal care in private and semiprivate rooms at Schreffler Manor. Respite care also is available for short-term stays. In addition, seniors meeting low-income requirements can enjoy independent living in Lutheran Commons apartments. Amenities include group activities, access to on-site medical services, case-management services, fitness room, and weekly worship services. SSI is accepted for personal-care residents.
Post Rehab Program
Feel great, increase your energy, improve your over-all well-being and daily living. Call us today to set up your free fitness consultation with no obligation to join!
814.235.7676
178 Rolling Ridge Dr. Hills Plaza South www.victorynation.com
At Home at Hearthside •At Hearthside Rehab and Nursing we have implemented “The Rapid Recovery Program”. A Clinical Excellence Program designed by a team of professionals to get your loved one home. Quicker, Stronger and Healthier than ever while reducing hospital readmissions! •We offer a Sniffist group comprised of 6 Dr’s and 1 Psychiatrist On Staff to provide more Hands on Care to your loved one! •157 Bed Skilled Nursing Facility including 35 Bed Secured Memory Care Unit And 46 Bed Short Term State of the Art Rehab Unit.
814.237.0630
hearthsiderehabandnursing.com
450 Waupelani Drive State College, PA 16801 2016 T&G Senior Living - 21
w The Village at Penn State
260 Lions Hill Road, State College (814) 238-1949 retireatpennstate.org This Penn State University-affiliated continuing-care retirement community offers independent living in apartments ranging from 935 to 1,400 square feet and in two-bedroom cottages from 1,600 to 1,800 square feet. To move to The Village, a resident must be at least age 62 and able to live independently. Residents pay an entrance fee and a monthly service fee so they have lifetime priority access to personal and skilled nursing care when needed; several entrance-fee plans are offered. Amenities include housekeeping, restaurant-style dining room, wellness programs, fitness classes, concierge services, and special-event tickets, discounts, and access to Penn State facilities.
w Windy Hill Village
100 Dogwood Drive, Philipsburg (814) 342-8400 windyhillvillage.org Windy Hill Village is a Presbyterian-affiliated continuing-care retirement community for people age 55 and up. Independent living is offered in two-bedroom villas, personal-care residents have private suites with private baths, and the skilled nursing and rehabilitation center provides 24-hour care. Amenities include 24/7 security and emergency-response system, beauty salon and barber shop, exercise group, and outings. Most residents pay an entrance fee and then a monthly fee. Westminster Place at Windy Hill Village offers one- and two-bedroom independent living apartments that require no entrance fee. SSI is accepted for personal-care residents. T&G
a
Independent Living For An Active Senior Life
Exceptional Care, Affordable Rates
• Planned Activites • Community Room • Convenient Shopping • Laundry Facilities • Secured Entry System • Emergency Maintenance • Curbside Bus/Van Service
Call Today For A Personal Tour
Wonderfully affordable one-bedroom and studio apartments located in the heart of downtown State College, designed especially for active 55+ adults. Some Income Limits Apply www.calibreresidential.com • (814)238.0400 120 E. Beaver Ave., State College, PA 16801 22 - T&G Senior Living 2016
Wynwood House at Nittany Valley 294 Discovery Drive, Boalsburg, PA 16827
814.206.8000 Our second location: Wynwood House at Penns Valley
122 Wynwood Drive, Centre Hall, PA 16828
814.364.9770 To schedule a tour or more information on resident requirements Contact: Vincent Romanini, Director, 814.206.8000 www.wynwoodhouse.us
MANAGING PAIN BETTER Is physical therapy a safer option for pain? By Ryan Cavanaugh, DPT
There is currently a great deal of new information emerging from the Centers for Disease Control and Prevention (CDC) in regards to their recommendations on pain management. The article “CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016” discussed that statistics are showing an increase in the number of patients who are prescribed opioids to treat their chronic pain. The article reported that overuse of opioid medications is leading to addiction, depression, and increased deaths from overdose. The CDC suggested that chronic pain is better managed through treatments such as cognitive behavioral therapy, exercise therapy, or any approach of multimodal therapy. Physical therapists are experts in movement science and biomechanics and utilize many nonpharmacologic strategies to help relieve pain. These strategies, when prescribed appropriately, are very safe, with minimal risks and no long-term side effects. There are three main treatment strategies used to accomplish this — modalities, manual therapy, and exercise. The modalities group includes, but is not limited to: ice, heat, electrical stimulation (tens) unit, and ultrasound. The use of a tens unit is very effective for controlling pain through the gate-control theory. This theory states that by causing a low level
Ryan Cavanaugh, a physical therapist for Atlas Therapy, uses many nonpharmacologic techniques to relieve pain in patients.
(comfortable) pain-like sensation with electrical stimulation, the body releases endorphins that help decrease pain. Heat placed over the injured area improves blood flow, which enhances the body’s natural healing ability by getting oxygen to tissue so it can heal. Ultrasound works also by heating tissue, which gives the same effects as heat. Ice relieves pain by slowing down the body’s pain response, decreasing swelling. Modalities are utilized to help complement and enhance the effects of manual therapies and exercise. Manual therapy techniques include, but are not limited to: massage, myofascial release, and using tools such as Hawk Grips. Manual techniques allow physical therapists to manipulate soft tissue to promote healing. 2016 T&G Senior Living - 23
Cavanaugh cites a CDC article that suggests chronic pain is better managed through treatments such as cognitive behavioral therapy and exercise therapy.
When muscles are injured, the damage to the muscle cells causes the pain. The pain is often your body’s way of saying This place is injured. Injury triggers the body to start the inflammatory response to heal itself, which causes it to fill in the damaged muscle area with scar tissue. What the body is supposed to do later is to remove scar tissue and replace it with healthy muscle cells.
When this doesn’t occur, the scar tissue will turn into a trigger point, or “knot.” Manual techniques work to help promote healing and pain relief by restarting or enhancing the body’s inflammatory response by breaking up the scar tissue, which allows the body to begin healing again. Exercise also is a very effective pain mediator as it causes the body to release endorphins. The feeling of “good” after a workout is often due to the release of endorphins throughout the body. Exercise is excellent for building good posture and promoting good body mechanics and peak efficiency to move better without pain. The American Physical Therapy Association (APTA) publishes a monthly research journal PT Journal (PTJ), which provides continuous updates on effectiveness and safety of these various techniques. For more information, visit apta.org or MoveForwardPT.com/ChoosePT. T&G Ryan Cavanaugh, DPT, is a physical therapist for Atlas Therapy in State College.
Many of life’s most special moments are small ones - hearing a child’s first word, sharing a laugh with a friend. Maintaining your ability to hear will help you experience all of them.
12/30/16 • Noise Reduction - hear speech more clearly,even in noisy environments • Wireless technology - connect to TVs,phones,and other media devices • Extreme comfort - firs you comfortably and discreetly
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For pain management, and all your physical therapy needs... Come see how Atlas Therapy is different!
ATLAS THERAPY Specialized Physical Therapy for Head, Neck, Jawand everything else from Shoulder to Toe!
• • • • •
Headaches and Migraines Fall Prevention Vestibular Rehab Concussions TMJ Dysfunction
• Neck and Back Pain • Orthopedic, Sport and Post-Operative Rehab for the entire body!
STATE COLLEGE OFFICE 3075 Enterprise Dr. Suite 200 State College, PA 16801 Phone: (814)-308-8482
ALTOONA OFFICE 613 Valley View Boulevard Altoona, PA 16602 Phone: (814) 889-0310
HUMDRUM MEATLOAF NO MORE Senior living communities transform dining By Lori Iller Craig Hamilton
Locally sourced ingredients. Modernist cuisine. Chef’s table specials. These sound like the fixtures of a fine dining establishment. Except they’re not. They are elements of a major dining trend taking place in senior living communities across the United States, where the notion of humdrum, unexciting food is once and for all being laid to rest. The growing number of aging baby boomers and their demands for improved meal quality and choices have led operations, dining, and culinary chiefs in the senior living world to reimagine the entire dining experience. A recent finding by the Nutrition and Foodservice Education Foundation (NFEF) gives even more credence to the importance of satisfying the nuanced tastes of today’s senior living residents. According to a study commissioned by NFEF, foodservice is one of the most important factors that residents and their families consider when choosing a senior living community. The NFEF study also 26 - T&G Senior Living 2016
discovered that senior living residents desire more snack, fresh food, and grab-and-go items, as well as more flexible dining hours. Speculating on future foodservice trends within senior living communities, members of both NFEF and the Association of Nutrition and Foodservice Professionals indicated in a report, “Emerging Dining Trends in LongTerm Care,” that they expect residents to find more and more innovative food offerings, authentic ethnic foods, and food derived from organic or local producers. In our own region, there’s compelling evidence of these rapidly growing trends. Craig Hamilton, executive chef at the State College senior living community the Village at Penn State, says he enjoys featuring modernist
cuisine — a culinary style, also thought of as an art form, that transforms ingredients into new, interesting, and artistic creations. With more than a decade of experience and a formal education in culinary arts, he expertly constructs dishes such as duo of beef, truffle potato cannoli, and foie gras butter. And for dessert, he has made dishes
such as compressed watermelon, coconut foam, and drunken watermelon rind. “I’m a firm believer that creative expression drives chefs. In addition to modernist cuisine, my team and I like to present dishes from varied regions of the world, as well as wild game dinners and even ‘deconstructed’ classic kids’ favorites,” he says. But how does this really resonate with residents? Extremely well, according to Hamilton. “These special dishes are presented at monthly chef’s table events that fill up every time,” he says. A peek at a recent chef’s table menu includes a first course of chicken lollipop, avocado vichyssoise, cheddar grits, and tomato jam, followed by second, third, fourth, and fifth courses that sound as if they are coming out of a
Salem Hill Haven A Personal Care Home
Salem Hill Haven is a quality Personal Care Home located in a typically rural quiet country Penns Valley setting. • Residents are provided with access for a personal phone or a common resident phone • Television outlets are provided • Insulated rooms for increased privacy • Room temperature is individually controlled • Volunteer and group visitations are planned regularly to provide entertainment • Transportation can be arranged with the Centre County Agency on Aging
RESIDENT ROOMS NOW AVAILABLE • CALL FOR A TOUR 424 Heckman Cemetery Road • Spring Mills, PA 16875 • (814)
422-8435
2016 T&G Senior Living - 27
“A tradition of caring and a legacy of service.”
Seasons change, life changes. How do you
move on?
Crematory on Premises
Funeral Directors
F. Glenn Fleming-Supervisor John H. Jay Herrington Breanne Radin Yeckley
814.237.2712 2401 S. Atherton St., State College, PA 16801 www.kochfuneralhome.com A branch of John B. Brown Funeral Home, Inc., Douglas A. Hallinan, Supervisor 417 Washington Street • Huntingdon, PA 16652 • 814.643.1256
28 - T&G Senior Living 2016
kitchen with Michelin-star status. Hamilton also stresses that fresh ingredients are all the rage, concurring with the NFEF and ANFP report that a “green” approach to dining is paramount. “I’ve found that residents desire farm-totable selections. Locally sourced, seasonal food is a really hot topic. At the Village we use the freshest local ingredients because residents want to know where their food comes from,” he says. Ron Coder, who has lived at the Village at Penn State for more than a decade, says, “What we’re getting is some of the best [food] around — from taste, to selection, to how it’s presented on our plate.” The senior living dining experience is becoming unrecognizable — in the best sort of way. In Coder’s estimation, it’s “better than a restaurant.” T&G Lori Iller is director of communications for the Liberty Lutheran family of senior living communities, including the Village at Penn State.
ce Experiexnury the Lu erve! you Des
1&2 Bedroom Apartments for those aged 55 and over. Rent includes all utilities, even cable television! Tenant responsible only for telephone/internet.
Opening soon! Graystone Court Villas Clearfield 650 Leonard Street (814) 768-7235
Relax and enjoy our: • Game Room • Library • Heated Indoor Pool • Fitness Room • Beauty Salon • Spacious Community Rooms & Parking Garages
100 Hawknest Way, Bellefonte, PA 16823 (814) 353-3431 w ww. graystonecourt.com