Ensigntherapy.com 29222 Rancho Viejo Rd, Ste 127 San Juan Capistrano, CA 92675 May 2020

Celebrating Our Nurses!

From Mary Spaeder, Therapy Director This May edition of our FlagPOST is dedicated to our extraordinary nurses! Watch this awesome video created by Dennis Baloy, PT/DOR at St. Elizabeth Healthcare in Fullerton, CA. The courage of our nurses in Ensign affiliated facilities is truly spectacular, as they do whatever it takes to ensure the safety of the residents and staff. Florence Nightingale, whose birthday is May 6th, once said,” How very little can be done under the spirit of fear.” Her wise observation is more appropriate today than ever in the face of the COVID-19 pandemic. Our nurses continue to march forward, calmly and earnestly, navigating rough and rapidly changing waters with great compassion and care. We love you, we revere you, and we are forever and always grateful for all you do!

Thank you Marivic Uychiat, Director of Clinical Services, for your courageous leadership through the pandemic! We are grateful for your passion and dedication as you humbly elevate others and demonstrate true servant leadership. We love you!

Nursing and Therapy Teamwork

From Left: Josie Gorman, PT/DOR; Paulina Kareko, DNS; Andrew Ford, PT

Wound Care During COVID-19 By Shelby Donahoo,M.S., OTR/L, Therapy Resource - Bandera

We all experience day-to-day (or minute-to-minute!) changes in staffing these days. Pueblo Springs in Tucson, Arizona, found themselves suddenly without a wound nurse for an indefinite time due to illness. With nursing managers working the floor, there was no one to cover this critical task. So, DOR Josie Gorman, PT, stepped up and volunteered physical therapy to take over most of the wound care program. DNS Paulina Kareko, Josie, and ED Neil Cullen all met to discuss this as a possibility. The team reached out to Therapy and Clinical Resources, who consulted together to determine if this was viable and considered all options, with the following questions and answers: Read On...

Celebrating Our Nurses at Rock Hill By Michelle Mitev, OT/DOR, Rock Hill Post Acute Care Center, Rock Hill, SC

I don’t think a single one of us can say that we have never needed a nurse. Last year, I needed quite a few nurses … I had a somewhat major surgical procedure, spending about 20 days in the hospital. I have a hard time even finding the words to describe entirely all that my nurses did for me. Truly, nurses do so much that we have turned them into a verb.  When I say these individuals “nursed” me back to health, I describe their duties (aka keeping me alive!). However, what I feel is the sense of comfort that I was given during an otherwise difficult time. I am overwhelmed by what these nurses did for me. But I was never surprised. This is because I know Mary, who teaches me every day what it is to be a nurse.  Mary Sweeney is our DON at Rock Hill Post-Acute Care. She is the epitome of a nurse. She is always on call for anybody in need. She takes care of our patients, our staff, her family, her friends … well, even our families and our friends as well! Mary is smart, experienced, strong-minded, all the things you would want in a nurse. But of all, she cares. She leads our facility with a big heart.  When I think of those moments of comfort that I was provided, I am reminded of a quote: “No one is more cherished in this world than someone who lightens the burden of another.” Thank you, Mary, and all the amazing nurses — specialists at lightening our burdens.

Tanya Agulto, PT from Victoria Care Center in Ventura, CA, sewed ear savers for the nursing staff and distributed them with a note of appreciation. It’s the Rehab team’s gift to them for all they do for us as we continue to provide excellent care to our residents during these unprecedented times. A little ear comfort goes a long way. 😁

The Hills Post Acute Nurses in Action By Paul Baloy, OT/DOR, The Hills Post Acute Care Center, Santa Ana, CA

The Hills Post Acute nurses working tirelessly in the care of our facility’s residents. They are a few of the facility heroes who passionately serve the most vulnerable of our population during this crisis. We salute and thank you for your continued selfless and dedicated service to our residents!

Celebrating Our Clinical Resources at Endura By Maryann Bowles, Therapy Resource - Colorado

When the going gets tough … the tough get going! That seems to be the motto for our Endura Clinical Resources! When we needed all hands on deck, our resources went to the nursing carts and filled in shifts and became the glue that held the quality care of residents together. Our Clinical resources have been filling in night shifts and day shifts, keeping the MDS demand up to date and accurate and supporting our building remotely … even when 40 weeks pregnant. We truly appreciate our nurses in the ENDURA market and our clinical resources that support them. Thanks for all you do — Kim, Appy, Susan, Melanie, Nicole, Rima and Hebba! Our Endura Clinical Resource Apolonia (Appy) Williams has been working night shifts at Julia Temple since the night shift RN tested positive. Thank you, Appy!

Honoring Emma Singbeil, DNS Submitted by Mira Waszak, Therapy Resource - Washington

No words can really describe Emma’s grit and heart leading the team at Redmond Care Center through the pandemic. It was early on in our nation’s understanding of COVID-19 when Redmond had to quickly learn and execute through uncharted waters. Since then, Redmond has turned an outbreak to a negative COVID building, but Emma is not letting her guard down as she knows this can change in an instant.  Per her administrator, Nate Holmes, she is willing to stay with her teams as long as it takes to get the job done, no matter how tired. She is willing to do any role in the building. She over-communicates consistently, not to help herself, but so others can learn. She leads by example! While she was managing this complex situation, she still had time to email/manage casemix, and now Redmond is at the top of their case mix category in WA. I think we can all agree, she is a great example of CAPLICO. Simply Amazing, Emma! Love, your Therapy friends.

Emanuel Alfred—A True Leader at Rowlett  By Dana Chatham, PT/DOR, Rowlett Health & Rehabilitation, Rowlett, TX

Thank you, Emmanuel Alfred, our DON at Rowlett. I barged into his office and told him I needed to take his picture! Then we laughed at another photo where he put his hand over his face. Manny is always welcoming when someone comes to him with a question or a concern. He has been a true leader as policies and procedures change due to COVID-19. It is a pleasure being on the leadership team with him. I expect Manny will shower attention on his staff during nurse's week, but he deserves a pat on the back, too! :)

Super Heroes at City Creek By Gary McGiven, Therapy Resource - Milestone

The employees at City Creek Post-Acute in Salt Lake City, Utah, truly are superheroes. City Creek has partnered with the state to become a COVID-only building. As part of this partnership, City Creek was required to temporarily place their residents in sister facilities throughout the Salt Lake valley. This was a huge undertaking in and of itself and was the beginning of building something very special at City Creek. In order to make this venture work, there needed to be some blurring of discipline lines with an “all hands on deck” approach. Those working in the facility needed to be on board with helping these residents in any way that was necessary. This meant therapy staff would spend time performing housekeeping, CNA and other duties in addition to treating patients for their therapy needs.  Read On...

Gateway's Awesome Wound Care Nurse  By Angela Anderson, PT/DOR, Gateway Transitional Care, Pocatello, ID

At Gateway Transitional Care Center in Pocatello, ID, our awesome wound care nurse, Sandra Willis, hands out gift bags for helping out!

L to R: Gateway nurses Andrew, Shiree and Diane

Our DON is a Superhero! By Leslie Taruc, OT/DOR, Claremont Care Center, Pomona, CA

Ianne is a really hard worker, very confident and knowledgeable. She helps us all be confident and be at peace with ourselves and our abilities during this time of pandemic. Every Thursday she takes time out of her very busy schedule to cook for her nurses and other departments.  We truly appreciate her leadership and her friendship. She is one to look up to. She is a leader!

Medallion's Nurses are Rock Stars! By Maryann Bowles, Therapy Resource - Colorado

The nurses at Medallion Post Acute Care in Colorado Springs go above and beyond every day in their dedication to their residents and staff. Thank you for all you do!

We Love Our Nurses at Cedar Health By Cathy Champlin, PT/DOR, Cedar Health and Rehabilitation, Cedar City, UT

Here at Cedar Health and Rehab, we have the best nurses in town (or I would argue all of Utah). Our nurses never hesitate to help any staff or resident, be it helping the CNAs with changing a resident, listening to a resident tell their story yet again for the first time ☺, or encouraging a resident in therapy. They are truly a team and often answer each other's radio calls for assistance, cover breaks, etc. They are the heartbeat of our facility!

Therapy/Nursing Partnership at Eastview By Paola DeLuna, Therapy Resource - Keystone

Hope Eaton (DON) and Sunny Chahal (DOR) at Eastview Healthcare in Houston, TX, have worked together for five years as a DOR/DON team. They both started working together while being new and have grown up by making mistakes together and finding solutions as a team. They call each other out on one another’s shortcomings and/or unproductive behaviors, but always make sure they genuinely apologize to one another when saying something inappropriate or something damaging to each other.  Having faith in each other, being honest with each other and building trust between them has allowed them to form a partnership where they can challenge each other. They admit their weaknesses and mistakes; they show “Love one another” by talking positively about each other; they are loyal and care about one another’s personal lives. They have created a partnership where they can push each other out of their comfort zone to initiate new programs that they both feel would benefit the facility and the residents.  Read On...

Making it Fun at Draper Rehab! By Gary McGiven, Therapy Resource - Milestone

Pictured (L to R):Angel Stallings, DON, and Spencer Cozzens, ED Check out what Spencer Cozzens, ED, at Draper did when their nursing staff achieved a goal they set. What are we doing to keep the fun in our departments? Are our goals out in front of our therapy staff so they know what we are trying to achieve? What is the reward for achieving the goals? Let’s make it fun! We’re not suggesting coloring your hair, but to keep working and setting goals and finding ways to have fun and make progress in your building. Thanks, Spencer and Angel!

How Full is Your KUP? By Jack Rolfe, PT, MNA, CHC, RAC-CT, Senior Compliance Partner for Utah

Jack Rolfe is also the Founder and CEO of the School of Life Foundation (http://schooloflifefoundation.org/index.html). This 501(c)3 nonprofit organization has a mission to increase high school graduation rates. The following article was published in the Saint George Health & Wellness Magazine. The phrase “my cup runneth over” is a biblical reference to receiving an abundance of blessings in life. I believe one of the greatest blessings we can experience is peace. As my physical body grows older and my hair turns a little whiter, my mind seems to ponder more deeply on all that I have learned. Recently, I spent time pondering the following question: How can we obtain true, ongoing peace in our lives? I would say this has been on my mind due to all of the current commotion in the world. Things are unsettled politically and economically. We hear and read about natural disasters, diseases, failed family relationships, and much more. At no other time in human existence has the world been more advanced in technology, knowledge, and resources, yet we appear to be at a low level with the virtue of peace.  During my reflection on this subject, I determined that the way to spell peace is KUP. For me, this acronym is defined as follows:  K = Kindness  U = Understanding  P = Patience  Read On...

Sharing Gratitude

From Agatha Pedro, OT/DOR, Timberwood Nursing & Rehabilitation, Livingston, TX I have been listening to all of the therapy calls, and I just feel so lucky to be part of this organization because we have leaders like you! You inspire us to be better and to brave the unknown. In the past few weeks, there were days when I wondered if what I’m doing was worth it or if I’m making a difference. Yesterday, at the end of my day, I was reading my OT’s email about a new patient. She said that the patient has vascular dementia and he is slow to respond. He can answer simple commands, but you have to give him time to respond. He lives with his wife. I thought about his wife. She is probably worried not knowing how he is doing or if he is being taken care of. Because of his cognitive deficit, it is harder for her to talk to him over the phone, so that evening, I called her and updated her on how he did that day in therapy.    Read On...

By JB Chua, PT/DOR, Summerfield Healthcare, Santa Rosa, CA I would like to encourage everyone to start your week with gratitude. A great leader once told me, “It’s not happiness that brings us gratitude. It’s gratitude that brings us happiness.” Today I am grateful for so many things: For my activities director, who asked me to play guitar for our residents last Friday. This helped me feel that I can offer additional support during these times when showing appreciation to your coworkers and patients are limited because of social distancing. For my ops manager, who made me realize that I am not alone with my struggles and there is someone out there who is willing to be the first follower and follow the lone nut. For my coworkers, who show up every single day, not because they need to but because they want to. Read On...

What is Your WHY? By Carlos Pineda, DPT/DOR/CTO, Southland Care Center, Norwalk, CA

Bayanihan (buy-uh-nee-hun) “is a core essence of the Filipino culture. It is helping out one’s neighbor as a community and doing a task together, thus lessening the workload and making the job easier. It is also called the ‘Community Spirit.’ ”   St. Elizabeth Healthcare in Fullerton, CA, distributed tremendous amounts of cloth masks among Ensign-affiliated facilities in Los Angeles and Orange County. “Bayanihan” is one of St. Elizabeth’s “WHY.” This is the “WHY ” that guides them every time they make decisions. This is the “WHY” that they are giving to everyone. This is the “WHY” that gives them “SUCCESS” rather than just a sense of accomplishment. Success is the feeling when you fulfill your “WHY.” It’s the feeling of overwhelming happiness and joy; the feeling that gives you goosebumps and activates your lacrimal gland; the feeling that activates your unselfish hormones, your serotonin and oxytocin. I salute the entire “St. E” organization. Thank you for giving us your noble “WHY.” Thank you for giving us your “E”s- Excellence, Empathy, Extraordinary, Engaged, Empowered. What is your “WHY” ?

In the Midst of a Storm... By Sonia West, DOR, Hunters Pond, San Antonio, TX

Julie Vargus, OTA, serenaded our residents on each hall at Hunter's Pond in San Antonio, TX, with a beautiful rendition of biblical hymns, classical music and folk songs. Staff prepared our residents at their doorways to listen, and as they waived to neighbors across the hallways, they shared their enjoyment of the beautiful violin music--tearing up on some of the sadder hymns, and laughing, clapping and even dancing to some of the upbeat songs. were singing, clapping and even dancing. Even in the midst of a storm, we found a ray of hope and joy with this old-fashioned hoedown!

Thankful and Blessed for Team Parkside By John Patrick Diaz, DPT/DOR, Parkside Post Acute Care, El Cajon, CA

Each color represents different meanings and emotions to the challenges we are confronting. But at the end of the day, a rainbow symbolizes the reassurance that we will find an abundance of satisfaction in overcoming the struggles that we are faced with.

Moments of Truth From Riverbend Post Acute Care, Kansas City, KS By Madeana Galler, Therapy Resource - Emerald

Riverbend nurses and therapists have united forces like never before. The two teams have joined together to ensure the safety of all their residents, and all the while gaining a deeper appreciation for one another through many Moments of Truth. Read On...

#StayingStrong

Victoria Care Center, Ventura, CA, stays ready so we don’t gotta get ready.   #covidready  #ourteamisonpoint #staystrong

Staying Strong at Veranda By Maricela Garcia, PT, MBA , Therapy Resource – Keystone South

At Veranda, we celebrated our OTs for OT Month! Our OT staff (Phil, OT; Hector, COTA; and Sergio, COTA PRN) are true HEROES! They have been teaming up with nursing to make sure all residents are meticuously cared for, all while keeping therapy programs strong to keep the residents thriving. Words can't fully express our gratitude for this extraordinary group of professionals, so devoted to their patients and fellow staff. It’s been a privilege to work with this fantastic team. A heartfelt thanks to all that have sent out prayers, positive vibes and food/goodies. All are greatly appreciated. Thank you!

Littleton Is Now COVID-Free!  By Jennifer Wintle, Acting DOR, Littleton Care & Rehabilitation, Littleton, CO

Despite a difficult start to April with unexpected staff sickness, we are all back and stronger than ever, and the department is humming with excitement and activity! We couldn't help but celebrate as we went out front to jump for joy for our #STAYstrong celebration!

#Staystrong Ridgeview Post Acute By Nicole King, MA, CCC-SLP/DOR, Ridgeview Post Acute Care, Commerce City, CO

We celebrated OT month today, but I want to give a shout-out to my entire team. We are a brand new acquisition building with a new team coming together during a colossally challenging time. You can’t see it because of the masks, but they’ve kept smiles on their faces and positive attitudes every step of the way! We are not quite out of the woods yet, but I am proud to be the leader of such a great team!

HCR of Colorado Springs-- Staying Strong!! Submitted by Greg Sanderson, PT/DOR, The Healthcare Resort of Colorado Springs, CO

A very heartfelt thank-you to Maryann Bowles, our Amazing Therapy Resource, for sending these shirts to us! We wanted to share some “love” to you all from the Therapy Team here at The Healthcare Resort. As most of you know, we have separated our staff – four of our amazing employees volunteered to work in our New Admissions Unit (affectionately, they are known as “The COVID Crew”).  L to R: Kimberlee Rich, PTA; Morgan Allen, COTA; Raquel Mahon, OT; Alyssa Alley, PT—Our Front Line Heroes .

Here’s a socially distanced heart-shaped snapshot of the rest of our Therapy Staff sending back some love to you all! Stay strong everyone — we will make it through this!

#Staystrong Arvada! By Carolyn Pluta, OT/DOR, Arvada Care and Rehabilitation, Arvada, CO

Arvada therapy is #stayingstrong ... and spry, apparently. ☺ Sending so much love to our sister facilities!

Sending Smiles from Upland By Disha Desai, PT/DOR, Upland Rehabilitation and Care Center, Upland, CA

The hardest thing you can do is smile when you are ill, in pain or depressed. But this no-cost remedy is a necessary first half-step if you are to start on the road to recovery. — Allen Klein    Upland Rehab has made eff orts to bring smiles to the faces of staff and residents during this unprecedented time. Residents were so amused to see our therapists with smiley stickers on their masks. Some residents even asked for one. I also want to express my gratitude to lead the most amazing, talented, fun-loving group of therapists at Upland. We celebrated our Outstanding Therapy Award for four consecutive years. I am beyond amazed to see how our therapists pushed through their comfort zone and developed our long-term program! We made a collage instead of a group picture to maintain social distancing! Let’s smile, not because we don’t have problems but because we are stronger than the problems.

Staying Strong at Redmond By Mina Thekkethala, DOR, Redmond Care Center, Redmond, WA

Wherever you may be in this process, know that you can/will get through! Love from Team Redmond, Washington!

The Orchard Staying Strong!

Challenges are what make life interesting and overcoming them is what makes life meaningful. —Joshua J. Marine

The Villas at Sunny Acres in Thornton, CO #Staying Strong!

Socially distanced showing our strength! Stay safe and spread a little more love today!

Wonder Crew at Legend Oaks of Greenville, TX By Tiffany Bishop, DOR/Therapy Resource

All we need are capes!! We are feeling CAPLICO-strong!

Taking Care of Ourselves - Take 2! By Therapy Resources Brian Del Poso, OTR/L, CHC, RAC-CT and Jon Anderson, PT

I n our first article in April ( check it out here ), we talked about taking care of ourselves while we are adhering to Shelter in Place rules and fitness facilities are closed. Now I know we want to be optimistic about the beginning phases of re-opening businesses in our areas, but we, more than anyone else, are aware of the fight we still have ahead of us. So, let’s continue to stay active at home and be smart about social distancing with outdoor activity. Let’s face it, with the challenges working in today’s era of COVID-19 healthcare, the amount of heart, physicality and emotion you pour out during a work day can get downright exhausting! This is why more than ever, even if exercising isn’t your thing, we encourage you to start and take care of your bodies…so if and when the time comes, your body will take care of you! Read On...

Popping Bubbles at Sonterra By Lindsay Fry, PT/DOR, Sonterra Health Center, San Antonio, TX

Sharing what we did for all of the staff and residents recently (240 in total). It was inexpensive and pretty easy to make, and everyone loved it. We heard bubble wrap popping all day, and a couple of residents even asked for more. It was a big hit — the administrator even tried to take a giant handful.

Masking Around at Julia Temple By Patty Fantauzzo, COTA/TPM/CTO, Julia Temple Healthcare Center, Englewood, CO

I am so grateful for the outpouring of support from the community and our fearless leader, Eddy! We have had a total of 350 fabric masks sewn and donated for our residents/patients, and today they started warming up to wearing them! Some doubled as hats and headbands, too! We have been fed, given meals to take home to our families, and for the first time this week I heard the staff chuckling with the creative use of our masks by our residents. Everyone is busting their humps to provide care and keep our residents as healthy as possible. It’s noticed and appreciated!  I'm sharing a few pictures to show that as tough as this week has been, there have been some happy moments as well!

Skill in Place Considerations By Kelly Alvord, Therapy Resource - Sunstone

Goal of the Waiver:  To keep beds open at the hospitals for more critical patients Three things to consider to skill in place; however, please refer to our Ensign Affiliates Skill In Place Tool Kit that is available on the Portal for more detailed guidance:  Did the episode or change of condition occur after March 1, 2020, when the waiver went into effect? We are getting further away from this date, so this isn’t going to be as relevant.  Does the patient need Daily Skilled Services? 7x/week of Nursing Services and/or 5x/week of Therapy Services. This hasn’t changed for Medicare Daily Skilled Criteria. Therefore, keep in mind what is medically necessary to meet Medicare Part A criteria to assist you in determining if the resident is appropriate to be Skilled in Place. Qualified Hospital Stay Considerations impacted by the COVID Emergency (keeping the hospital beds open) Read On...

Program for Spanish-Speaking Residents  By Sarah Scott, SLP, Pointe Meadows, Lehi, Utah

About six weeks ago, my DOR asked me if I had any suggestions for therapy interventions for one of our Spanish-speaking residents who was having significant behaviors, including medication refusal, exit seeking, aggression, falls and throwing himself onto the ground. His diagnoses included Parkinson’s disease, severe anxiety, and repeated falls. We truly wanted to identify a plan that would address his needs and reduce the behaviors and anxiety.   We created, among other things, new simple Spanish communication boards, visual aids to support medication administration, functional problem solving, and protocol to prevent escalation of behaviors. With our therapeutic interventions, the patient started to demonstrate a dramatic increase in cognitive linguistic potential and decrease in adverse behaviors. His test scores increased, and he and his family also reported feeling happier. The nursing notes reported pleasant and compliant behaviors.  Read On...

TEACHA in Action By Matt McCall, PT/DOR, Arroyo Vista, San Diego, CA

At Arroyo Vista, we have officially launched our Care Abilities program headed by Audrey Baynes, who is an official TEACHA. She has initiated training for the CNA staff, has in-serviced all of the department heads, and has the therapy staff identifying our long-term dementia patients for services. (If you have any interest regarding the Care Abilities program for your facility, please feel free to reach out.) Needless to say, we are very excited about this program, and we are approaching our long-term dementia residents with a whole new skill set. That's pretty exciting. Naturally, you will see our part B revenue pick up as this program goes into full swing. The therapy team would like to thank our ED for her full support of this program and seeing it come to fruition!    Overall, we are maintaining well during this pandemic; we are lucky to not have a drastic cut in hours. The team is prepped to FLEX off as needed on a rotating schedule to minimize one person's sacrifice for loss of PTO. I averaged the department’s productivity, excluding myself, and we are 88.7% productive. I have a 10% effect on the team's diligent effort to keep our productivity at a high standard. For the time being, I am covering all weekend PT evaluations to assist the team.

The pictures above are "Story Boards" for our patients that are currently being treated under the Care Abilities program.

Therapist Profile Nicole King, SLP/DOR   Submitted by Jamie Funk, Therapy Recruiting Resource

Introducing: Nicole King – one of our newest Directors of Rehabilitation at Ridgeview Post-Acute in Commerce City, Colorado.   Nicole King is an SLP with over 12 years of experience who joined the Ensign family in March to help us transition Ridgeview Post-Acute in Commerce City, Colorado. Nicole has had her work cut out for her with many significant challenges including a newly acquired facility that had been neglected and did not have a strong culture, building out her therapy team with several new hires, and almost immediately post-acquisition, dealing with the COVID-19 crisis. She has maintained a “let’s get this done” spirit and positive attitude in the face of these challenges and is already having an impact at Ridgeview. Read On...

Congratulations!

Congratulations to Our Newest SPARC Winner! Ashley Sells, an OT student at the University of Texas at Tyler, is our SPARC winner this quarter. She plans to graduate in December 2020 and already practices our Ensign culture. Read her awesome essay here.

Celebrating the Outstanding Rehab Award By Rebekah Anekwe, PT/DOR, Victoria Care Center, Ventura, CA I am so proud of this team! The last time they won this was in 2005! This is a group of some of the smartest people I know. They are amazing clinicians, and I’m so proud of how hard they all work for our residents.   Way to go team! And proof that even a large team can social distance. ☺

Congratulations Claremont! Submitted by Nelson Layos, Therapy Resource So proud of this rehab team, led by Leslie Taruc! They have earned their 10th consecutive Outstanding Therapy Award. Persistent and consistent. Congratulations, Team Claremont!  (Social distancing at its best!)

Touchstone Outstanding Award Winners  Submitted by Sacchin Bhatia, Therapy Resource Please join me in congratulating these facilities on earning the Outstanding Therapy Award! There are 16 different criteria in which a department needs to excel to earn this prestigious award!     Arbor Glen Care Center — Team led by Karen Ledesma, PT; this is their first award!  Brookside Care center — Team led by Ronald Layos, PT; this is their fourth consecutive award   Claremont Care Center — Team led by Leslie Taruc, OT; this is their 10th consecutive award!  Camarillo Healthcare Center — Team led by Julia Schmutz; this is their third consecutive award Glenwood Care Center — Team led by Aimee Bhatia; this is their sixth consecutive award Panorama Gardens — Team led by Danthea Oliveros; this is their fifth consecutive award Premier Care Center — Team led by Tim Middick; this is their first award Upland Rehabilitation — Team led by Disha Desai; this is their fourth consecutive award Victoria Care Center, Ventura — Team led by Rebekah Anekwe; this is their first award Welcome to the club, first timers!

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