Facility #1, Interview with Sabrina

August 4, 2025

Phone interview transcript with Sabrina

Facility #1


Well, right before the pandemic, my mom decided—and thankfully, she was very open and frank with her abilities and with us about what her abilities were—she felt that she was no longer able to live independently. My parents are divorced; they have been for quite some time. So she had been living on her own at least 15, probably 20-plus years.


We moved her into assisted living first, and that was in February of 2020, so right before everything shut down. Everything was marching along quite well. You know, we would have periodic visits with her when we were in town.


At some point, she started having more frequent falls where staff would find her on the ground, or she wouldn't necessarily report that she fell. I guess that was also what we were told—which I do believe might be the case. Once she had several falls like that, and those were happening more frequently, she was requiring more care. As a result, she wound up hospitalized.


And this is where it kind of gets interesting, because having some background in the medical field, I didn't really see exactly, medically, what was putting her in the hospital. But anyway, she was hospitalized, and I already saw it coming from afar. I knew that she was not going to be able to go back to assisted living. I could just feel it. That, again, is from some of my previous experience working in hospitals. I mean, I knew—I knew what was going to happen. I knew that the reason why they wanted to hospitalize her, or what I felt was the reason, was so that they could transition her to long-term care and no longer have her in assisted living.


And it's true—she really was probably ready to be in long-term care. She was certainly becoming more dependent, less mobile, and so forth.


Fast forward, I get a call: “She's going home on this Wednesday, and you need to figure out where she's going to go, because she can't come back here (to the assisted living facility).” I mean, it was rather abrupt. If I did not have the knowledge that I had, I would have been completely taken off guard. Like, “Wait, what are you talking about?” You didn't leave this conversation in a way that would let me feel that we were getting to this point. There were a couple of allusions to that, but nothing that I felt, in my eyes, was a direct type of communication—like, “Hey, you know the hospitalization was going to be the trigger to transition.”


That was very stressful, especially living afar. I quickly flew in, and I wound up selecting the nursing home that I did for a couple of reasons. A) She was already in the “system” (of facility #1), and so that sort of limited us. While I did feel that my mom did a lot to prepare financially for this time—taking out long-term care insurance when she was probably my age (I'm 53, so she maybe even started paying for it earlier)—she was definitely ready to be able to finance long-term care.


I selected facility #1 because I loved that it was smaller. That was one of my big things. When I toured it, the staff were quite receptive to talking to me, and the folks who were in charge then (and are no longer in charge now)—I mean, I don't even know how many times the leadership has changed in that regard, but I think it's been quite a few times. The nurses who were there are not necessarily the nurses that are there now. There's at least one I know of who is still there.


So that's pretty much how we arrived at facility #1. And I guess that was—I think—in 2022 or 2023.


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Two women sitting together
By Libby Hastings October 30, 2025
This is a special blog post provided by Jami Boone, Adult Care Homes Quality Program Manager, Kansas Department for Aging and Disability Services Moving into a nursing home is often seen as a loss—the loss of independence, familiar routines, and personal choice. But in Kansas, the PEAK program is changing that story. Through this pay-for-performance initiative, administered by Kansas State University and the Kansas Department for Aging and Disability Services (KDADS), nursing homes are putting residents at the center of every decision and creating communities where people feel truly at home. PEAK encourages nursing homes to adopt person-directed care, giving residents control over their daily lives. Participating homes can earn financial incentives—ranging from $0.50 to $3.00 per bed, per day—based on how deeply they implement these practices. But the true value of PEAK isn’t in the funding—it’s in transforming life inside the home, fostering dignity, choice, and joy for residents. Imagine moving into a new home where you can bring your favorite bedding, chair, and treasured belongings. You don’t have to give up who you are or what you love. Instead, you gain new opportunities, new friendships, and new family connections, along with access to activities you may have thought were out of reach. At the same time, you maintain your existing community roles, personal routines, and comforts, blending familiarity with new possibilities. Residents in PEAK homes have the freedom to decide how their living space looks and feels, what, where, and when they eat, when they wake up or go to bed, and even which risks they are willing to take. That sense of control and individuality is central to maintaining dignity, identity, and joy, making daily life meaningful and fulfilling. The benefits extend beyond residents. When staff are empowered to build deep, personal relationships with residents, they stop seeing their work as a job and start seeing it as an extension of home. Staff get to know the people they care for so well that they notice even the smallest changes—whether it’s a favorite meal left untouched or a subtle shift in mood. This heightened awareness allows potential issues to be addressed sooner, improving healing and raising the overall level of care. The bonds between staff and residents not only create a more home-like environment but also foster staff satisfaction, because when work feels like home, people show up fully, care deeply, and make every interaction meaningful. This mutual respect and compassion ripple outward, creating an atmosphere that families can feel the moment they walk through the door. PEAK homes offer families additional peace of mind, ensuring that when a loved one moves into care, they enter a place that honors their individuality, values their voice, and supports their physical, emotional, and spiritual well-being. Kansas continues to lead by example, showing that when dignity and choice are prioritized, everyone benefits. PEAK homes aren’t just places to live—they’re places to thrive. To find a PEAK participating nursing home in your area, visit: https://www.kdads.ks.gov/partners-providers/nursing-facilities-adult-care-home-program/peak-person-centered-care . For more information about the PEAK program, contact Jami Boone , Adult Care Homes Quality Program Manager, KDADS, at jami.boone@ks.gov or 785-296-0010 . Note from KABC : While KABC supports efforts that aim to improve quality of life and person-centered care in Kansas nursing homes, participation in the PEAK program does not necessarily indicate that a facility is consistently meeting those standards in practice. Financial incentives or program participation alone do not guarantee that residents are receiving the care, dignity, and respect they deserve. KABC encourages families and residents to review a variety of quality measures—including inspection reports, staffing levels, and complaint histories—when evaluating long-term care options.
Dan Goodman testifies before legislative committee
By Libby Hastings October 16, 2025
On Monday, October 13th, Dan Goodman, Executive Director of Kansas Advocates for Better Care (KABC), delivered testimony before the Robert G. Bethell Joint Committee on Home & Community Based Services & KanCare Oversight. His remarks focused on the urgent need to strengthen Kansas’ long-term care system through sustainable funding and workforce investments. Goodman urged legislators to provide additional funding for the Home and Community-Based Services (HCBS) Frail Elderly waiver , noting projected shortfalls of $27 million in FY26 and $70 million in FY27. Without intervention, hundreds of older Kansans could face placement on a waitlist as early as this fall—delaying access to critical in-home services and increasing the risk of premature institutionalization. He also highlighted the need to support and stabilize the state’s long-term care workforce by exploring innovative approaches used in other states. For example, New Mexico’s Competitive Pay for Professionals program has helped attract and retain workers by linking higher wages to improved reimbursement rates and accountability measures. Goodman suggested Kansas consider similar models to strengthen its caregiving workforce and ensure providers can offer competitive pay. KABC remains committed to advocating for policies that promote quality care, protect older adults, and sustain a strong, well-supported caregiving system across Kansas. Read KABC’s full testimony here: View Testimony (PDF) Watch a full recording of the committee here: YouTube Link