Meet Camryn Cupp, Our Newest SPARC Winner!

Camryn is an OT student at Northern Arizona University with an expected graduation date of May 13, 2023. Read her winning essay below:
I have chosen the occupational therapist career path because of the skill set I have gained through real-life experiences. I was a junior in high school when I recognized an injustice in my school that was seemingly being dismissed by faculty and staff. Students with disabilities had little to no interaction with the typical student body on a daily basis. I took the necessary steps to make a change through speaking with administration and by sharing my vision of providing students with disabilities more natural opportunities for friendships, socialization, and popular high school experiences. Eventually, I was able to found a nationally recognized club that supported the aforementioned vision. This experience brought to light my ability to lead as well as to identify problems, suggest a course of action, implement that action, and then follow up.

As an occupational therapist, I will need to follow a very similar thought process each day. I have witnessed how occupational therapy adds quality of life through enhancing activities of daily living. I chose this career path and course of study because I know that I have valuable insights, experiences, and drive to make an impact on the lives of those I will serve. When I consider the skills that I have acquired, I feel confident that occupational therapy is the career to best exude those skills each day. Ultimately, my degree relates to my immediate goal of being a practicing occupational therapist. But my degree also will bridge the gap between where I came from and who I am. I grew up in the small rural town of Corryton, Tennessee. In this town, only 11 percent of residents hold bachelor’s degrees and less than 6 percent hold a graduate-level degree. I recognize the privilege I have to be pursuing a degree from where I come from.

As a young female, my goal is to one day encourage young girls to pursue big dreams and open up my own clinic in an underserved area. I am passionate about occupational therapy and social justice and want to dedicate my life to advocating for a more equitable society. My ideas for sparking non-traditional, emerging practice areas of occupational therapy in rural communities are endless, but I do have one main theme and vision if I had freedom from corporate limitations. There is very limited research regarding the experiences of occupational therapy practitioners working in rural areas of the United States. There is even less research on the people needing occupational therapy services in rural communities. Individuals living in rural areas have difficulty accessing services due to a shortage of practitioners and a lack of education as to what an occupational therapist could do for them.

The dream that I plan to make a reality one day is to open up a space for adolescents ages 12-18 of all abilities and then utilize occupational therapy to promote meaningful living for an age group that is often neglected in small towns. My main objective with occupational therapy for adolescents is to help them live satisfyingly full lives with as much independence as possible. This means helping to develop the life skills and techniques necessary for everyday self-care, emotional regulation, home management, and appropriate educational pursuits. This would be a group-based clinic that promotes leadership skills and helps develop and inspire the next generation to become more self-reliant and make decisions that spark change and allow for new ideas and growth. This clinic wouldn’t prioritize finances or financial gain but would place patient growth and quality of services first. We would adopt a holistic model and use OT theories such as PEOP (person, environment, occupation, places) and help cultivate a space of research, evidence, and the whole person. Additionally, I will contribute to the lack of research within rural communities for practitioners and people being served by occupational therapy.

The continuation of my personal learning will benefit my patients’ well-being because it will ensure that I utilize current, research-based interventions and techniques. Lifelong learning will result in optimal occupational therapy services and premier care provided by myself as a practitioner. The patient will benefit because when a new difficulty or challenge occurs, my passion for learning will cause me to research methods to address the need in a timely and safe manner. Expanding my knowledge will expand and increase my competency as a practitioner.

I am passionate about one day owning my own practice in a rural community much like the one in which I grew up. I want to provide resources and opportunities to the community I work and serve in. I know that as I pursue a career in occupational therapy and eventually become a practitioner, I will be contributing through research, innovations, and propelling the field of occupational therapy forward by teaching the rising generations. As a future occupational therapist I will provide leadership, consistency, reliability, and positivity. I am eager to learn and poised to make a difference in the lives of those I come across. I have lived a life that has provided me with extremely valuable experiences. Those experiences have helped me recognize and expand my skill set. I am confident that the individual I have become will be an asset to my career in health care.

Student Corner

By Angela Anderson, DOR, Gateway Transitional Care, Pocatello, Idaho
We had a unique opportunity a few weeks ago for three Pennant Idaho/Nevada DORs to present to Idaho State University PT and OT students as alumni of the very same program. Jason Balls, OT and DOR of Monte Vista Hills in Pocatello, Idaho, had the foresight to schedule a Lunch and Learn with ISU about a year ago. When the time came for this to happen, he was able to coordinate with Cory Robertson, Pennant Idaho/Nevada resource, and Jace Briggs, PT and DOR of Temple View Rehab in Rexburg, Idaho, as well as myself, Angela Anderson, PT and DOR of Gateway Transitional Care Center in Pocatello, Idaho. With the help of the recruiting resources — Scott Hollander and Stephanie Cole, who allowed us to use her PowerPoint she had put together for student presentations — we were able to pull together a Lunch and Learn at our Alma Mater.

Jason, Jace, and I all have in common that we graduated from the same program but we also all intended to work in different settings when we graduated. One by one, we found ourselves the happiest and most successful in the SNF/LTC setting at different Ensign-affiliated buildings. I received an email from the clinical coordinator a few days ago that had feedback from the students and it was mentioned a few times that they could all tell we were passionate about the setting. If one thing from our presentation to the students stuck with them, I am glad that it was this. We all love the elderly and the SNF/LTC setting.

Jason Balls and family

It was so fun to talk to a room full of therapy students about how we fell in love with geriatrics, how the myths of long-term care weren’t true. We talked about the opportunities for therapists there and how the need for talented and intelligent therapists and strong leaders was so great in the SNF/LTC space. We talked about how this setting is the ideal space to practice at the top of our license with the geriatric patient population and how we had the most opportunities to promote Physical and Occupational therapy as well as SLP in the Post-Acute Care space.

Jace Briggs and family

You could see the recognition sparking in many of their eyes when Jace talked about how he never intended to do anything but sports and orthopedic PT, and he even tried to leave an Ensign-affiliated building for a time to follow what he thought was his dream and why he went into this field. But he missed the culture, the teamwork, the complexity of the patients, and the IDT involvement. He realized he was meant for geriatrics and came back soon after becoming a DORiTO graduate and then the DOR of Temple View. The eyes of the PT/OT students followed that story word for word, seemingly incredulous, but each of our stories added to the one before. Jason relayed a similar story, only along the lines of Pediatric OT. The lifestyle and patient engagement in the SNF setting, the flexibility, and the work/life balance was highly preferable to the pediatric setting.

My own story began when I was pregnant during the physical therapy program. My focus through school was always women’s health, pre/post-natal, and pelvic health. I did not intend to work in LTC either. However, when my final clinical ended at the beginning of PPS, my CI, who was the current DOR, was just about to abandon his post and I was just about to graduate. He thought I had a gift for working with the elderly and recommended to the administrator that I replace him and stay at the building. I fell in love with the geriatric patient population at that building. I now have devoted a large portion of my life to leading SNF/LTC therapy teams. I am passionate about our residents and our setting. I know Jace and Jason and our DORs are as well. I am proud of us for conveying that passion to a class of students because hopefully they will seek out LTC/SNF settings in Ensign-affiliated buildings for student rotations and employment thereafter. If not, someday if they are at a job wondering whether they chose the right field because they don’t feel purpose or passion in their jobs, they will remember three other graduates of their program who found employment where they could be successful in their profession while finding joy and fulfillment in their day-to-day work. We had so much fun that we scheduled it for next year already!

Abilities Care Training Success for Milestone and Sunstone Markets

Submitted by Elyse Matson, MA CCC-SLP, Speech Resource
On a recent Saturday in Lehi, Utah, nearly 80 therapists gathered to fulfill our mission to “dignify long-term care in the eyes of the world.” Our amazing team of facilitators included Kelly Alvord, PT; Amanda Grace, OT,; Patty Fantauzzo, COTA/DOR, representing the IDT process; and Elyse Matson, SLP. Milestone and Sunstone leaders Gary Mcgiven and Asa Gardine did an amazing job gathering such a strong group on a Saturday and of course keeping everyone well-fed for the day.

Although the course trainers have taught this course many times, it was truly one of the most inspiring discussions about dementia care! Adding the IDT approach meant great questions and discussion from nursing partners about topics like care planning and the use of the Kardex as well as Quality Measures.
Patty Fantauzzo, who comes from an all-dementia facility, always has amazing examples of personalized dementia care, including cohorting of similar ACL leveled residents, training every member of the facility staff about Allen levels using a lanyard and card with ACL levels, and the use of a shadow box system for personalization of resident spaces.

The breakout sessions allowed therapists from each discipline to delve into the program from their perspective. For example, the SLPs discussed the use of communication support in this population as well as how simple communication tasks can greatly improve the interaction between residents with dementia and caregivers.

The course was made better by all who attended! Thank you so much for an amazing day.

Congratulations to NCI’s Newest CTO

Submitted by Aimee Bhatia, Therapy Resource, NCI, California
Wervonn “Vonn” Malabanan has been the Director of Rehab at Camarillo Healthcare Center since July 1, 2021. Prior to that, he had been a dedicated and influential member of the therapy team and had participated in the DORiTO program, which allowed him to actively engage in many leadership tasks prior to moving into this role. Vonn has a heart of gold. He leads with a gentle toughness. He is warm and easily approachable and truly cares about his team, yet he leads with a directness and firmness that leaves no gray area.

Throughout his short time at Camarillo, he has already made his mark. He has grown the LTC programming in-house in an admirable way with solid documentation training and with amazing outcomes for the residents. the Part B MSCA results show just how strong this programming is in the facility. Productivity, despite multiple COVID outbreaks in his first year, has been one of the strongest in the market, and his purposeful use of G & C to foster success has been noteworthy. Vonn has also been a leader in the market in better management of managed care. He teamed up with his ED to truly ensure they provide therapy to the contract terms and has come up with creative ways of providing additional opportunities for engagement and progress for the residents.

Leadership development is another strength Vonn possesses. He has uplifted many of his therapy team members by giving them opportunities to grow — anything from encouraging student mentorship and working with IDT for care plan meetings to empowering the team to engage in leadership tasks throughout the day and allowing his teams to engage in decision-making.

Vonn has done an amazing job fostering relationships with many therapy schools across the country. It is not rare for the team to host five or six students at a time year-round. It is one of the most robust student programs I have seen anywhere. Even Vonn takes on students in order to avoid saying “no” to schools. The hiring Vonn has done in his time there has been top-notch as well, with a thorough interview process, team involvement in hiring, and good mentorship to ensure an easy transition for new-hires.

Not only have Vonn’s metrics been extremely solid, but his dedication to the building has been remarkable, too. Vonn has a deep love for the entire facility. He works with DSD and Nursing to provide training to CNAs upon hire and as needed to ensure proper body mechanics, safety, and knowledge in caring for their residents. He steps in with other department heads to fill in and assist wherever needed. . He actively participates in facility celebrations and activities, helping to foster a greater relationship between Therapy and the rest of the facility. He is also an extremely valued partner to his DON and ED. The amount of pride they take in what he brings to the facility is amazing to see. It is not often I have EDs and DONs reaching out to me to nominate their therapy leaders for CTO, and certainly not this early in a leadership role. Vonn has made a tremendous impact and truly has a great future in the facility and the organization as a whole.

Vonn has great ideas, he has amazing clinical skills, and the solid leadership he brings to his team has made a remarkable impact on the facility.

Moment of Truth

From Cara Koepsel, Therapy Resource, Keystone – North, Texas
At the Healthcare Resort of Plano, something extraordinary happened this month. Our new DOR, Stephanie Wentworth, shared a moment of truth that was definitely worth sharing with others outside of their facility. These moments of truth are happening every day in our facilities but often don’t get shared, and they certainly should be!

One of the Healthcare Resort’s speech therapists, Andrew Royall, approached Stephanie to see if the facility could invest in a piano for their residents. Andrew and fellow therapist and outpatient coordinator Adam Krahl set out to find a piano at a low cost to the facility. They were able to find one that was going to be zero cost to the facility as long as they picked it up and transported it. Adam jumped on it and brought his trailer all the way to the pick-up site to transport this piano back to Plano!

The piano is now in the front area of the facility, and it looks amazing! The joys of music are now accessible to residents, a population that benefits greatly from the ability to connect and reminisce through song. The teamwork they showed to get the piano to the facility, all while yielding a zero-cost asset to the facility, will benefit residents, staff, visitors, and others well beyond just the therapy population! This shows the positive culture of the therapy team at Plano and what it looks like to have passion meet purpose. The culture of loving one another, our residents, and everyone in the whole facility was exemplified through Andrew and Adam and shows that our new leader, Stephanie, is already promoting this culture within her team and the facility!

Facility-Wide Celebration at Mission Hills

By Maybelle Hui, OTR/L, PAM, DOR, Mission Hills Post Acute Care, San Diego, CA
I wanted to send some pictures over to show everyone how Mission Hills Post Acute Care has been celebrating! In the last year, we’ve had five “best months ever” for taking care of our long-term residents with our clinical programs.. For our last “best month ever” in October, we decided to share our celebrations with our whole facility. It actually started with one of my therapists suggesting we do some kind of celebration with the CNA staff, as they all work so hard. I wanted to share this celebration with the Nursing staff as well, since we are down to only three Nursing managers holding down the fort at Mission Hills and they are all working well beyond their job duties. One of my other therapists also wanted to include Maintenance and Housekeeping since they also are so integral in keeping our building running. So, with all this, we decided to ask our administrator if we could just make this a facility-wide celebration so everyone could celebrate with us and feel included. And of course, he said yes! 😊

We are so lucky to have this culture of recognition and celebration — one that we’re aware not all departments have — and we wanted to share our successes with our colleagues since they all play a role in the care of our long-term patients. We decided to have a “Boodle Fight,” a practice that originated in the Philippines military, where a big pile of food is served in the middle of a really long table in a mess hall; every hungry soldier eats with their hands, symbolizing camaraderie, brotherhood, and equality in the military. The “fight” in the name refers to the act of grabbing and eating as much as the soldier can before others grab them, otherwise you won’t have any. In retrospect, it is symbolic of what our Rehab department was trying to do with this celebration in the first place!

All That Jazz Brings Back Memories and Camaraderie

Submitted by Sarah Scott MS, CCC-SLP, Pointe Meadows Health and Rehabilitation, Lehi, UT
Micki Allred is a new addition to the ranks of Ensign Affiliate SLPs! She was a graduate student clinician at Pointe Meadows Health and Rehabilitation with a considerable aptitude for AAC and working with dementia patients. She accepted a position with Pointe Meadows and Provo Rehab and quickly became full time at Provo. Within her first month of full-time employment, Micki has been changing lives.

Pointe Meadows has a long-term resident, Jim, who has dementia and a history of CVA. Additionally, he has late-life loss of vision and became totally blind four years ago. Jim is a complex and dynamic personality with a lifetime of experiences. He raised five children as a single dad, ran his own business, played professionally as a jazz musician (drummer), and earned a black belt in martial arts.

Jim lived at an assisted living facility and declined in functional ability prior to admission to Pointe Meadows. At the time of admission, the patient spent the majority of his time in bed, resisted wheelchair and other activities, and stated, “I have no purpose.” He had a significantly reduced tolerance of ambient noise with hearing loss and demonstrated agitation in complex environments like the dining room.

Enter Micki. Micki earned a master’s degree in music prior to earning her master’s in communication disorders. She discovered through interview and personal history questions that JMicki’s husband, John (who is also a musician), and Jim have common connections. John’s friend Lars, who is a well-known bass player, played in a band with Jim in the 1960s. Micki went to work to create a meaningful group experience for Jim and many other residents and patients on speech therapy. John and Lars performed jazz music, demonstrating concepts Micki taught, including music dynamics (pianissimo, mezzo-forte, fortissimo), improvisation, melody, etc.

Notably, 30 residents and patients attended the group with rapt attention. Several “wanderers” engaged in the lesson/performance without loss of attention. The SLP team and graduate students circulated to facilitate participation and accuracy. Jim sat front and center for the 50-minute-long group, stayed to visit with other residents for an hour, and then ate lunch in the dining room. After lunch, he had plenty of energy and willingness to participate in OT.

Thank you, Micki, for bringing Jim and the Pointe Meadows crew “All That Jazz.”

Group Refinishing Project Brings Sense of Purpose

By Tess Hurley, DPT, Meadow View Nursing & Rehabilitation, Nampa, ID
In autumn 2022, the Meadow View Therapy Department teamed up with maintenance staff and residents to refinish the weathered, wooden outdoor furniture. This project consisted of refurbishing 12 tables and over 20 chairs.

Throughout the crisp and sunny weather, Therapy, maintenance staff, and residents worked together to sand, stain, and seal the wood. The much-used and appreciated outdoor furniture was given new life!

One of our patients stated, “I am so excited that I can hardly sleep!” This project gave residents the opportunity to feel a sense of purpose, achievement, and pride in their work. The group activity doubled as a therapeutic activity, as the residents were able to work on improving their strength and cardiovascular endurance.

The residents also enjoyed getting out of their rooms and having time to socialize with others while working. Each day for over a week, our Therapy staff assisted each patient for an hour. The patients would listen to their favorite tunes, provide valuable sequential advice in regard to the proper steps, and actively participate in the physical task of woodworking — all with smiles on their faces. Our residents enjoyed refinishing the tables, as it gave them an opportunity to contribute to their homes and community by improving an outdoor socializing space. Also, the residents are of a generation in which disposal of useful items is unheard of. Thus, the fact that they helped refurbish existing, functional wood furniture was not only beneficial for their psyches, but it saved Meadow View an estimated $3,500 to replace those items.

Now when our therapists take residents outside to ambulate and exercise, they can use the tables as a way to motivate the residents and remind them of their hard work. The patients responded very positively and stated that it helped them feel more excited about going outside and that they felt more at home. One patient stated, “It felt good to contribute to my home, and it reminded me of my good ol’ days.”

Therapy Recruiting with Our Leaders

By Scott Hollander, Therapy Recruiting Resource
The therapy recruiting resource team wants to express how much we appreciate each of you who contributed and participated in therapy recruiting in 2022. This past year, we had the privilege of getting back in-person with students and veteran therapists in career fair and convention settings and professional healthcare networking mixers. Leaders being present at these events has been the best part of this return to in-person events. Many of you have had a career fair suitcase mailed to you and have been the sole representative in these efforts. Thank you!

Significant impact was made at ASHA and AOTA. At ASHA, we had three of our SLP master clinicians present, and it was great to see the therapy recruiting resources step back and watch Sarah Scott, Melissa Alexander, and Hannah Allen take the spotlight and share who we are as an organization and the impact that we are having on long-term care and post-acute rehab in the eyes of the world. At AOTA, it was great to have so many of our OTs and COTAs come to our booth and share with others how special it is to be a part of our organization. Stephanie Cole, Patty Fantauzzo, Joe Pergamo, Mira Waszak, TJ Petty, Sarah Boone, Martin Monarrez, Denny Davis, Jenny Farley and Lito Ortiz’s team have all helped with guest lectures at universities across the country. We have held healthcare professional networking events in Rhode Island, New York, Tennessee, Texas (Stephanie Winkler is the highlight of all of these in Texas), California, Washington, Utah, Arizona, and Nebraska and appreciate everyone who has contributed to these events.

We are privileged to work with so many great leaders and with such a unique and strong organization. We love and appreciate every one of you. We wish you Happy Holidays and a Happy New Year!

Change of Condition Strategy Pays Off

By Todd Burgener PT, DPT, CBIS, DOR, Mount Ogden Health and Rehabilitation, Ogden, UT
Mount Ogden has traditionally been very proud of their low readmission rates, high employee retention rates, and 0% agency utilization. As Mount Ogden has emerged from the COVID-19 era within the last year, the situation has changed. As with the rest of the industry, Mount Ogden found itself dealing with a staffing crisis, including with CNAs and nurses. While experiencing ever-increasing turnover rates in all departments and increased agency usage, the resulting readmission rates began to soar. It became very apparent that certain systems such as change of condition reporting needed an overhaul. The Mount Ogden Therapy department recognized that we had an opportunity to support our nursing partners and play a more active role in this effort.

After several strategy sessions, operation “Change of Condition” was born. The Therapy department made a few critical strategic changes, which included moving therapists’ weekly schedules to four 10-hour shifts to allow them to attend morning and afternoon nursing huddles. During those huddles, high-risk change of condition patients were identified. These patients would be a focus during therapy sessions, where detailed vitals would be taken and reported back to Nursing. Therapists would have more supervision and monitoring of these individuals to be able to prevent any changes of condition or at least be able to intervene more quickly if a change of condition occurred.

Since these changes have gone into effect, we have seen significant changes in our readmission rates, from 28% in July of 2022 to 8.3% in October. Our staffing has stabilized, as we have been able to focus on recruiting and retaining nurses and CNAs.