Hogewey “Dementia Village” | The Future of Dementia Care?

Niederlande Heim/ Demenz
Hogewey, located in the Netherlands, is the only care facility of it’s kind in the world and is home to over 150 people with severe dementia.  Started by 2 nurses who feared having to put their own parents in a traditional nursing home, ‘Dementia Village’ is a place where residents live a seemingly normal life, but are actually being watched by caregivers at all times. There are almost twice as many caregivers as residents in the village and they staff everything from the grocery store to the hair salon. There is only one way out of the alternate reality of Dementia Village – a door that is locked and under 24 hr surveillance – an important safety measure for wandering residents.  If a resident of Hogewey approaches the door a caretaker will suggest that this door is locked and perhaps they could look for a different door. Residents are free to roam around, visiting shops, getting their hair done or being active in one of the 25 clubs available at Hogewey.  As well as the psychological benefits this provides, staying active also improves general physical health.  The residents here take fewer medications, eat better and live longer.  And although joy is a hard thing to measure, the staff at Hogewey think their residents are more content on a day to day to basis.

Is this the future of Dementia Care?

Alzheimers and dementia caregiversGermany and Switzerland have been studying the Hogewey life and might be next to create their own dementia care villages.  Can something like this work in the United States? Would you prefer to send your loved ones to a Dementia Village? Dr. Sanjay Gupta covered this story on CNN in 2013. Watch the CNN exclusive video of Hogeway’s Dementia Village here:  CNN’s World’s Untold Stories: Dementia Village.   Read the 5 things that Dr. Gupta learned on his visit to Hogeway’s Dementia Village. If you work in a facility that cares for Seniors, please take our quick survey.  This anonymous survey is about you, your job and the facility you work at – it shouldn’t take more than 2 minutes to fill out.  Results will be published on this blog and sent to people who may be able to make a difference in the quality of our senior care. Thank you so much!


    1. Gordon Rumbolt
      What a wonderful idea! I have worked in a home for special care for nineteen years and what staff we had were often too busy for much one on one care. More often than not our residents sat in their rooms till meal times. That I believe is how they gradually lose their mobility. I wish they had these kinds of facilities here in Nova Scotia however I won’t hold my breath waiting.
        • Ann
          I would love to see the idea of Hodgepodge villages throughout Canada. Unfortunately if it
          does happen I feel they will only be for the rich which leaves the majority of Canadians with dementia, exactly where they are right now.
            • Jason
              I agree, with the ratio of 2 caregivers to 1 patient as described in the article (including the hairstylists/ grocery staff) I can only imagine how expensive this might be, I love the concept though!
        • Belinda
          I wonder who funds this amazing place? This is a wonderful environment and would create jobs. I worked as a HCA for 12 years and would like to work in the field again, however there are no facilities that hire an employee to work with only clients with dementia. I remember working in a retirement residence and I would take care of 8 Alzheimer patients, who were in a locked environment, then go to the next floor and get two more clients ready for breakfast and they were heavy transfer clients. I would do this for one week then the following week I would work on the other floors with non-dementia patients. Is Hogewey hiring?
    1. Mira
      What an amazing concept and idea! It is wonderful that the residents can lead seemingly normal lives. I would love to live here if needed as I get older. It looks and sounds so happy!
    1. kelly
      amazing and refreshing to see innovative concepts being considered to better care for our senior population affected by dementia.I will follow this closely
    1. sm
      Sure wish we had that in our somewhat dememtia village…It would be great to have that,so much for our seniors to do and meet new people on their outthings..
    1. Gail
      I would love to have a place like this. My Mother has vascular dementia & is now living in care. She is SO bored & always desperate to get out for a walk & fresh air or do something besides being parked in front of a T.V. They do have activities but there are not enough staff or activities for stimulation or daily walks . Anyone mobile is forced into using walkers which helps them become bent over. This sounds like a fabulous place. My Mother is also very social & needs mental stimulation & small jobs or her beloved dog to add meaning to her life. Way to go Hogeway! You got it right! If I had the money I would open one myself.
    1. Mary
      My farther suffered with dimentia and unfortunately spent the last precious 3 years of his life in a home. Such a sad closure to his life as he was an intelligent lovely man who would have benefitted and thrived in such a place as Hogeway . I am sure he would have lived longer, and been happier.
      Too an expensive venture no doubt for our NHS here in England. A very big shame for sufferers and their families.
        • Speirto
          I miss my dad too. No matter how much I did, sometimes it still feels like there could have been more done to help him. I take solace and comfort in knowing that he loved us and was well loved in return, in the end that is the most precious gift.
    1. I would love to see something like this in the US. As an in home care giver, I have seen clients get to the point that there home was no longer safe for them and have to go to an Adult Family Home or a facility. AFH’s are a nicer choice, but in most facilities they don’t get the attention and activity that they need to stay active and physically and mentally healthy. Admission to these facilities is a death sentence…sometimes a long lingering one, where they do nothing and no longer know anyone. Very sad.
      There’s probably an empty super mall that could be repurposed and remodeled to create a place like this.
    1. Cindy
      What an amazing idea. I just lost my Mother in June to Dementia, while the group home she stayed in was amazing in itself, this would have been a much better environment. The nurses who are responsible for this Village should be commended and praised.
    1. Lisa M Hansen. LPN
      Wonderful, the key is it is so real.
      As a LPN in a resident care home l saw how quickly the residents got bored.
      A man would be given a tool box with a project to tap together with a small rubber mallet and pegs. When done it would be fussed over by the aides and taken apart for them or another to put together. You would literally see the sparkle disappear in there eyes.
      Dementia Village is so real.
      I commend the creaters and employees.
      Wish Canada would dare to expand on this wonderful place.
    1. Susan Hayward Resident Care Aide
      With so many of seniors losing their rights to drive,because of cognitive impairment, it affects every facet of a person’s life thereafter…this is a wonderful concept in order for seniors to feel that they are still somewhat independent
    1. Rodina Coldwell
      I think it is awesome, it is about time the seniors of our fine world are being treated, with respect, and like they are still important in society instead of being tucked away and basically forgot about. I know myself being the the middle sixties, and sound mind at the moment, makes a person feel that their is out there some compassion for the elders.
    1. Anme
      What a fantastic place. If it could be made affordable for all walks of life, it would be even better. I hope other countries will follow in their footsteps.
    1. Jan
      My dad has dementia and is in care for the last 3 years. There is not enough staff for the number of patients and therefore they do not get the exercise or therapy needed, he stopped walking after being in care for less than a year, he hardly uses his hands anymore and he always used his hands they were his living. Perhaps a place like this would have prolonged his capacity to do things for himself. It’s sad that our criminals get better facilities than the elders that built our country, it’s time the government opens their eyes to what’s important.
    1. Toni York
      As a healthcare provider here in B.C Canada this would be so wonderful, as dementia seems to becoming more apparent that the age of those affected are getting younger but the physical part part is needed too.
    1. T.perris
      With our aging population, we need creative solutions. This would likely SAVE tax payer dollars that are spread so thinly. It would offer seniors with dementia a vibrant, exciting way to live. I hope our Alberta government sees the wisdom and benefits of this and jumps on board right away. What a fantastic idea!
    1. Koo
      Sounds wonderful but how much do they pay for this awesome care? Remember most senior care is well below how prisoners in a jail are treated. Prisoners get handed everything free. I’ve seen some seniors not even be able to pay for a haircut or a toothbrush because the care sucks up all their money.My point here is, do you have to be rich for this?
        • Lisa
          Koo that is an exellent question and is one l was wondering myself.
          Your point is glaringly true on how ones
          “Golden Years” is less than a criminals.
          Maybe this is the point where ideas are put forward by us. As family, caregivers of patients with alzheimers.
    1. Doc
      Am I the ONLY one who thinks this is messed up? While the concept is intriguing, I have several ethical issues. One, regardless of the patients mental state, we as care givers should not LIE to them. I’ve worked in home health dementia facilities, Internal Med…you name it.
      I also worked at an aquarium in my town where we had a similar thing for our animals. We called them enclosures. While I understand the need for a safe facility that gives the patients reign to exercise and move about, creating a human terrarium is a little on the …Orwellian side. I would like to see more activism in the prevention of dementia as we do in its care.
      My two peso’s.
        • Christy Author
          I agree with you that we need to see more activism in the way of prevention. I’m not sure where you are from, but in the U.S., there is a ton of time and money put toward research for a cure (which is of course good), an okay amount of time and money spent on prevention but very little time and money spent on caring for the millions of people currently living with Alzheimer’s or dementia. Someone with Alzheimer’s obviously requires different things than someone who doesn’t have Alzheimer’s – all this facility is doing is allowing them to live as normal as a life as they can instead of being stuck in a facility sitting in a chair with little to no activity, which is sadly the case for more people with Alzheimer’s than not. More than the idea of this facility, the caregivers are trained specifically to communicate and interact with a person with dementia and that might be the best part – you can see the care philosophy in this video: http://alz-caregiver.com/cnns-worlds-untold-stories-dementia-village/
        • Lisa
          With respect to your position and excellent standards l will say this.
          I am Licenced Practical Nurse and have worked at MSP
          ( medical, surgical and pediatrics), intermediate care, extended care, psychiatry, ER, ICU and a place in an intermediate care called lets say the Bright Unit for severe alzheimer.
          Your first point – you never LIE to a patient. This is a good position. May l remind you that Severe Alzheimers patients Only remember the past. The 30′s, 40′s and 50′s. what lead up to the present is gone, like it NEVER happened. So insisting that man is this women’s husband is absurd to her and confusing. Saying a friend is here to visit
          you. Would be more likely to receive to the women. And is not your spouse your friend, lover5 and partner in life? Not and outward lie, but her husband is presented in a way that will not confuse and upset her.
          And such wording can help an alzeimer patient live in the present.
          Addressing your second point is coming up shortly, someone just came to visit.
          I’ll be right back.
          Respectfully Lisa
        • Lisa
          You would like to see more Activism in prevention of dementia as we do in care.
          Your second point is very much needed,
          And working towards a cure would be prevention.
          We still need to address the quality of living for those who suffer from dementia or alzheimers presently.
          I myself would prefer an ” Orwellian” lifestyle compared to being restrained in a chair with little to do because of budget cutbacks and a shortage of caregivers.
          Respectfully Lisa
        • Kelly
          I also work long term care I have worked in large centres were they keep the Dementia and alzimers resident in there own units ” locked units” I feel that a place like this would be so amazing they are allowed there freedom but yet are supervised and and nothing in this article says they are lowing they may simply be redirecting them redirecting a confused person is authoritative way to help the confused by simply saying sorry this door is locked maybe try another as appose to no you have dementia so you have to stay here …… Hmmm wich one is going to have the better outcome i loved working with the confused every day is a new day and to see something like this meats my heart there are wonderful staff and facility’s out there
        • Ella.
          Yes, I agree with you. Instead of providing care that makes people healthy and happy, we should constantly be telling these people the truth. Your husband is dead. Your family is dead. Over and over, because you know how the memory is, right? YOU HAVE DEMENTIA. That’ll work. Don’t deal with making people happy in the moment, or giving them what is clearly letting them lead a healthier life. Just give them the absolute truth even if it does nothing good for them, and makes absolutely no sense to them, and don’t forget to drug them when they can’t sleep at night.
    1. Leslie Newberger
      Great idea but i am sure here in the usa it would be so freaking expensive that only the rich people with Alzheimers would be able to afford
    1. Kathy
      I would love this for my mother, I’m not looking forward to the next step of putting her in a home. I would have her at my home, but can’t not work myself. I would like to know how to go about presenting this to someone and having it in Canada….
    1. Gail
      The facility my Mother lives in is locked & she is aware it is locked & would LOVE to be able to go outside in the fresh air & sunshine by herself! I don’t believe the caregivers “lie” to her , perhaps redirect her attention or other strategies including honesty. I believe the majority of the people working in these places are caring but there is always a shortage of staff to accompany them outside or do anything other than the running of the system! Hogeway is wonderful in the relative “freedom” that is offered to people who have lost it due to their dementia.
    1. nicole
      I love the idea but what happens when the residents get into to fight.Is the food in the store changed regularly(this would be costly) or do the residents actually buy it and eat it fresh.Someone could get sick if it isn’t.Also if someone wants their hair done but doesn’t understand waiting their turn they could get quite upset and get aggressive.Do they need actual money to pay for things or what would you tell them when they want to pay?I have also worked with dimentia patients for more than 20 yrs and although the concept is good I can see problems happening.
    1. nicole
      I actually think an outdoor area like a courtyard is better.They would get fresh air and someone to talk to as well as a little gardening if they wish.This could have a retractable roof for rainy days or winter days.
    1. Sherry
      I work in geriatric psychiatry and I think this is amazing…the elderly are getting shuffled around from place to place here in Ontario. They looked after us/were part of building our future for all these years I think it’s our turn to help them out! Would love to have facilities such as this in Ontario and would absolutely love to be part of designing/building such a facility! Too bad the government wouldn’t support it :(
    1. Bernie Sheren
      Has there been any issues with violence between the residents? I know many dementia patients can be violent and lash out at others.
    1. Bridget n. Kulesa
      I want to join your blog… about demetia and Alzheimer’s.. But your site does not give me a place to put my email? What is up with that? only down here.. and you have to have a question to do it.. Bridget Kulesa , Caretaker for my husband
        • Christy Author
          Hi Bridget, click on any post and in the top right corner there is a place to enter your email and subscribe. Sorry if it was confusing!
    1. shelley welsh
      I am so encouraged to hear of this compassionate,loving and respectful method of care. No nursing home I have ever visited here in the United States is even acceptable. I hope to visit the Netherlands in 2014 and if so would dearly love to tour this facility and find out more!
    1. Kelly
      While this certainly looks like an amazing place, I am wondering what happens as the dementia progresses? My mother has gone rapidly downhill and other patients in her ward are mobile, but most now, are not. They also don’t seem to grasp the concept of normal daily living. What happens to these patients when they are no longer mobile or able to participate in this type of village?
    1. Kitkat
      What is she going to do with all the groceries? Lol are they plastic stuff and empty boxes? Can’t figure that one out? Work in health care… People with dementia are unpredictable.. Could be some major fights in the grocery store over the carts etc? For extended care patients this doesn’t make a lot of sense? In a perfect world maybe.. Unfortunately people are living far to long… Over medicated and sad to see people that can’t speak or feed themselves. Confined to a wheelchair as we must feed them and look after all daily needs.. It’s awful to keep going on trying to get them to open their mouth of their contracted bodies don’t let them be able to even sit in a wheelchair…. And they lay in bed some for a few years! It’s not humane and hopefully one day we will have the right to make a decision on living that way!
    1. susan
      I work in a nursing facility on an alzheimers unit and people need to be treated with respect and love no matter there availability to communicate with you,. We have a lot of severe dementia where they become agitated and angry but I think a lot of this comes from not having anything to do we put them in a common area and that is where they stay all day unless there is an activity to go to and then some times they can go but we are doing other things like toileting and have not the manpower or time to spend with the residents, I love my job and wish that I can do more for them, I find it is hard to keep their attention for a long period of time. Having different sections with different activities would be great.
        • admin
          You have an important job Susan. I wish you the best in all that you do! If you ever have ideas that you would like to share with the community, please contact us!
    1. It kind of sounds better but it depends on the severity of the dementia. If more Caregivers could be hired in most of the nursing homes that would give more people jobs and better attention to the people. The Caregivers should not have to do food prep or dinning room set etc. I am sad my Dad had to be moved to the most locked area of the home he is in, but he wanders into other rooms too much. I am glad he doesn’t live in one of the really large places in the States. I saw a tv documentary on violence in Senior homes and it mentioned a place in Saskatoon, Sask. called Sherbrooke house. I liked this model.
    1. susan labelle
      Excellent idea a mall not in use there are lots in detroit I am acare giver yes a cure would be wonderful and you speak of the cost we have that now if you have3500 plus a month u get the pool tables the vaulted ceilings piped in music dinnersettings well you get the idea or for 1000 you get abed food and one caregiver for every 17 patients dont look down on anything that may help one senior they have lived worked and saved and should have what they can afford there is nooooodoubt that someone has been dealt a bad hand and cant afford it all and while u are thinking about that iam oneof them and do not begrudge them their happiness in the forever mall
        • Cindy
          Awesome idea……my Mom passed away June of 2013 from Dementia…..it’s a sad disease. Anything that we can do to make Dementia patients feel more productive is an amazing thing….wished my Mom had been able to participate.
    1. Wendy Hayes
      Absolutely fantastic. I doubt whether it would ever happen in the UK … our politicians just wouldn’t spend the money on the initial outlay sadly. My dad has dementia and he is so fit, he’s classed as a “wanderer” … he could do with alot more going on to stimulate his mind … his physical health is 100%, but sadly he needs 24 hour supervision.
        • admin
          I’m sorry to hear that Wendy. And yes I agree, in the United States, an idea like this would probably need to be privately funded. Although we are getting some new facilities built around memory care, I’ve never seen anything of this caliber in the U.S. Although the more common dementia becomes and the more people it effects – the greater the need and *hopefully* the more traction ideas like this will get. If you are looking for activities for dementia try Best Alzheimer’s Products – 100s of games, activities, etc. for people with Alzheimer’s and dementia. I wish you and your dad the best.
    1. Heinz Ohme
      Folks, not everybody understands the process of Alzheimer’s. it’s basic understanding is being trapped in a body, You cant escape from, lived in it all Your Life. yet You can not remember. would it not be better,to wonder in a little town where You are safe, than been put in a chair so You cant run away?
    1. tessa
      There is no possible way that this could ever become a reality in nova Scotia. The senior care facilities we have now are already struggling. My fiance’s grandmother was on a waiting list for the first available room at whatever facility had a spot open for two years before she was placed. She now lives in a closed ward of a facility with not near enough staff to meet her needs *and* keep her active. If the poor soul still had her faculties she would be appalled at the state they leave her in all day. Not a day went by that she didn’t dress to the nines and she had her hair done every 3 weeks like clockwork. Now she sits in a bed in a nightgown with her teeth on the bedside table. Tell me, if we can’t afford enough staff for existing facilities who the heck is going to pay for 400 staff to run this eutopia? And what pensioner could afford it??? It’s certainly a dream, but that’s where it ends. Canada does not place our elderly very high on the priority list. Officials would rather pander to the youth, trying to keep them in the province to keep us afloat than take care of our rapidly aging population. A sad truth.
    1. Melissa Gillmore
      I work in a long term care facility near (Cleveland Ohio USA) This is so much better than the current program we have. It is a daily one on one 1/2 hour session that includes simple math, simple reading aloud and matching numbered chips to corresponding numbers on magnetic board. Naturally the residents are at different levels.The sad part is this is an extra service that the family’s pay for,so not everyone benefits from it. After their session they are just taken back to a common area or their room with no further social interaction until lunch or dinner The program we have is called SAIDO it was was developed in Japan.
        • This makes me so angry. These 1/2 hour sessions are completely inadequate. And then to ask the family to pay for it! They should be ashamed of themselves. Every facility, should have an Activity Director that provides daily activities for every resident at the resident’s level of ability. This is an expected part of providing care. Attention families! Be more demanding. Get in there and find out how the care community that your loved one is in is being cared for. Bring your own activities to do with your loved one when you visit. A CD player with favorite music, a stuffed animal for comfort, an easy puzzle that you can do together, a family photo album that will bring back memories and always, when weather permits, go outside. Caregivers have little time to spend one on one outdoors. We all need to be more proactive.
    1. I quit long term care after 21 years as I could no longer deal with the collapse of the health care system in Saskatchewan, Canada. We had 1 aide to 6 Residents and 1 Nurse to 35 Residents. I was that one Nurse, not safe at all! I quit because I could not provide quality care and could not take the guilt of not being the Nurse I trained to be. How can anyone nurse 35 Residents at one time and give good, consistent care, you can’t. I got out so I would cause no one harm. The health system is cutting staff so they will never see 2 to 1 nursing care. The elderly are the last on the list of priorities in Canada even though the politicians who control the money will need long term care sometime in their future. I would go back to nursing in a heart beat if we had the system that the above article talks about.
        • admin
          Thanks for sharing Jason, I hope that one day you will find yourself back in the profession you’re passionate about! I am sorry to hear things are so poorly managed in Canada, much like they are in the U.S. We all have to keep talking and making things like healthcare and our elders a matter of importance.
    1. Pam Hamilton
      Wow…. This is so what we need here in Nova Scotia for our residents with dementia!!!! It takes very special people to work with people with this illness as it does with any type of illness. This idea is so a home and normal life. I would so love to do this.
      Way to go ladies!!!!!!!
    1. Angel
      This sounds amazing but could something like this be implemented here in Canada and in what capacity could it become a reality!!!!
    1. Carrie Raylan
      I have read this once before and think the concept is wonderful. I have been a care nursing assistant for nearly 20 years specializing in dementia care. I have worked for 3 different company’s striving to make changes as the whole institution concept is sad and scary. I have seen it all and am appalled at the way we look after our seniors here in Canada. Our home are expensive and the folks do not receive even close to adequate care. Not that there is not some fantastic people working there, there is just no time nor are the companies interested in making things better for the elderly, for them it is only about the MONEY. I know I will never put my folks in a home. If I had the capita and a group of like minded people I would build my own home, but for now I must take time off for the sadness of it all can get to you.
        • admin
          Thank you for sharing Carrie! I am shocked to hear all of these horror stories about elder care from Canadians. I thought healthcare in Canada was far better than the U.S., but it sounds very similar in all of these comments. All we can do is spread stories like these as much as possible in hopes that they eventually get into the right hands – whether it be government or people with a lot of money to spare. stay passionate and thank you for all that you do!
    1. Kitkat
      Don’t vote conservative or liberal!! Cutting all nurses!! Bringing in new model for care .. Whic,h means untrained lpns !! And yeah privatization as well ! 1 care aide for sometimes between 6-9 people and that’s what I do in extended care in BC!! Oh and let’s cut the wages!! You take your car to a mechanic and pay them upwards of close to 100 an hour!! I looked after humans.. Living people for 23 an hour! Ridiculous and people think we make to much!i love granny’s and grampas and couldn’t survive myself on less.. But wait.. Bringing in boat loads of foreigners will do it for a lot less to send money to their families abroad!
    1. Daryl
      Can’t imagine the cost of a facility/program this size and how much the residents pay. Most of the elderly cannot afford care facilities and I know for a fact our government can’t flip the bill were strapped as it is.
        • In the Netherlands, where Hogewey is, they take care of their elderly. Residents do not pay anything. It’s unfortunate that in other countries, the level of care depends on how much one can pay. On the other hand, residents who do pay for their care certainly deserve better than they are getting in most cases. When you think of how much a monthly fee is in many care communities, couldn’t we use that money to offer better quality of care?
    1. linda
      I would love this to happen in the us My dad is going through this now and I think this would be a great alternative to a home.
    1. anne
      Hi, I think its a fabulous idea and facility, and can be part of a variety of options for care, dependent upon the persons needs/dementia level. Years ago society was structured in families and close knit communities, where care of the elderly and infirm was shared. Then the pendulum swang completely from personal/family responsibility to collective/societal responsibility where we expect ‘the government’ to step in. Perhaps the pendulum can now come to a place of balance between the two, where families are supported to look after their elderly relatives at home. I moved my mother in with me last year after 8 years of supporting her to live independently in her own home. I am single, I have to work to support myself, I have carers coming in for 6hours a day so mum has 1on 1 care. She needs 24hr supervision. She gets direct payments from the local authority to pay for her care, so she is the ‘employer’ and we get to chose the carers and their rate/conditions of pay. You don’t have to put dementia sufferers into institutions, there are alternatives. X
    1. Chris Donohue
      I am a caregiver to my parents. My parents don’t have dementia but there are many in our local care home. Quality care is compromised all the time due to no ratios in Canada , short staffed, and burnt out workers. The whole system needs an overhaul. I love your approach.
    1. frank
        • John
          I know exactly how you feel, Frank. I worry sometimes about how I will manage if at some point I need extensive healthcare for any reason. We all really do need comprehensive healthcare no matter where we live. That’s not entitlement – that’s one of the perks of living in a modern society. Without it an argument can be made that that society is not modern.
    1. It sounds like a new and different way to care for dementia and alzheimers patients…I appreciate that the door getting out is locked and I hope that the door getting IN is always UNLOCKED.
      Did it say how large of an area this place covers?
      I cant say that i love this idea…dont hate it either though.
      I am reminded of when some people talk about prisoners, and prisons they often say something like just put them on an island somewhere, etc.
    1. Hanne Kellock
      I have had two parents with Alzheimer and have seen and experienced many levels of care…but can attest that the Eden philosophy is an amazing approach and can be found at many facilities in Canada and internationally! I was lucky enough to get my mother into Czorny Alzheimers Center in Surrey British Columbia for the last few years of her life and can only hope that I will be treated with such respect in my later years regardless of what state my mind is in! An amazing approach to a devastating disease!
    1. Kerri
      I have only dreamed of a facility where the client is the focus. Ultimately budget always takes precedent. We should all be so lucky to wind up in a facility such as this one.
    1. Pam
      My father had dementia. He occasionally became violent or inappropriately sexual. Are there safeguards in place for such eventualities?


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