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Infection control at Homeland: Strict attention to safety without disrupting quality of life

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When a housekeeper suggested to Homeland’s Infection Preventionist Emile Shumbusho that the clock in Homeland Center’s Main Gathering Room would be a good, centralized place for a hand sanitizer station, he readily agreed.

“That’s a fantastic idea,” he told the housekeeper. “Let’s do it right away.”

Teamwork, agility, and communications have long been Homeland’s strength, and it has paid dividends as Shumbusho and the entire staff work to maintain sustained infection control during the COVID-19 pandemic.

Shumbusho, who joined Homeland in October 2020, was a physician in his native country Rwanda. It was a role that fulfilled a dream born in childhood when he wanted to help people in his war-torn country.

Emile, son and wife Diane

When he came to the U.S. to join his then-fiancée, an Army obstetrician-gynecologist who is now his wife, he shifted into infection control after finding it difficult to get into medical practice. He sees the field as fascinating for its power to combine medical knowledge with operational improvements designed to keep people safe.

“I’ve been impressed by the dedication of staff and the professionalism of leadership,’’ Shumbusho says of Homeland. “People are not just colleagues. They are trying to help and be good neighbors.”

From the beginning of the pandemic, Barry Ramper II, Homeland’s president and CEO, urged the team to do their best without worrying about monetary cost.

“That is a rare statement in health care – really rare,” says Shumbusho. “Putting the residents first, understanding the concerns for the residents, making sure that residents and staff are safe – it’s about adjusting to change.”

Having a dedicated role for infection control on staff ensures “undivided attention to complete that task,” he says. New federal and state infection prevention guidance mesh with Homeland’s existing precautions.

“You have to follow up and make sure every decision comes across,” says Shumbusho. “I feel like people comply when they understand the reason behind it. It’s just taking the extra step to make sure that people understand.“

“When we are in meetings or have a policy to implement, there are always two questions: Is this something we need to do, and how can we do it in a way that either improves or does not detract from the quality of life for our residents?’’ he says. “Making sure that every process centers on people’s quality of life is a lesson I carry with me.’’

Homeland Dietary Supervisor Jermaine Simmons: Serving up respect and passion

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For Dietary Supervisor Jermaine Simmons, working at Homeland Center is more than a fulfilling job – it’s a family tradition.

He heard great things about Homeland from his grandmother, Amelia Hope, who worked in the laundry, and his aunt, Melody Flemming, a receptionist. When longtime Assistant Director of Nutritional Services Carmella “BJ” Williams needed a dishwasher, she thought about her friend Melody’s nephew, Jermaine.

Jermaine rose steadily and landed his current role as a dietary supervisor. He oversees the kitchen’s critical work – developing menus, maintaining health and cleanliness standards, and ensuring residents receive meals prepared according to their nutritional needs.

Oh, and he helps residents when they have trouble with their computers and TVs.

“Word got around,” he says of his sideline as IT fixer. “I graduated with an associate degree in digital art. They found out I was good with computers. People say, ‘Just ask Jermaine. See if he can do it.’ It’s something simple, but they make you feel like a genius.”

Jermaine says he didn’t expect to stay for long, but his strong ties to Homeland and the great atmosphere kept him here.

“When you’re doing something rewarding, you just enjoy doing it,” says the Harrisburg native, who graduated with honors from Thompson Institute, now the Kaplan Career Institute. “You don’t care how much time you spent on it. You enjoy learning.”

Homeland gave him the power to grow professionally, he says. He has learned to manage, communicate and build relationships according to people’s strengths and needs. He is continuously looking for ways to improve how things are done.

“You have to develop a process when you’re washing dishes for 200 people,” he says with a laugh. “I pass that on to everybody who comes here to get them to succeed. Even though it’s the dish room, if you take pride in what you do, you will do it efficiently.”

When Jermaine isn’t at Homeland, he enjoys playing instruments and writing songs, primarily R&B, hip-hop, and gospel. At his home studio, he teams up with other musicians to record and, putting his graphic arts skills to use, also designs logos and menus.

Jermaine met his wife, Messias, through her sister, a Homeland colleague and friend. While Homeland ultimately brought them together, their families were close, and when his aunt visited Georgia, she would stay at Messias’ mother’s house.

“It’s like our lives were intertwined when we didn’t even know each other,” he says. Today, they have “two beautiful boys,” ages 12 and 6.

“Everything is cnnected, it seemed, with my life and hers,” he says. “It’s like we’d been on separate journeys, but there were always links, like God saying, ‘You don’t know it yet, but you guys are going to be together.’”

In addition to his many other pursuits, Jermaine helps his wife run a daycare she opened two years ago. The center, named Growing Hope Child Care Center in honor of his grandmother, struggled during the pandemic, but he expects it to turn a corner soon.

For Jermaine, making sure that Homeland’s staff are cooperative, capable, and passionate about their work translates into a better quality of life for residents. At mealtime, every plate is healthy, delicious, and appealing. A dish, he says, that anyone would want to see served to their loved ones.

“How would you want someone treating your grandmother or grandfather? We make sure they are as comfortable as possible,’’ he says. “That’s how you treat the residents because this is their home. They deserve respect, just like you would want your grandmother or grandfather to receive.”

Long-time supporter Jackie Young experienced Homeland’s quality first-hand

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For Jackie Young, the six months she spent in Homeland Center rehabilitating from leg surgery was a time for healing, physical therapy, and reconnecting with old acquaintances.

“The people were very nice,” she says. “One aide worked evenings, and she also had taken care of my mother a few years ago at another nursing facility. She recognized me and was very caring.’’

Jackie has a long history with Homeland. For 12 years, she served diligently on the Board of Managers, the unique group charged with maintaining Homeland’s homelike feel. She also applied her expertise as a nurse and nursing manager in discussions about creating a hospice service. Homeland Hospice, which celebrated its 10th anniversary in 2019, has established itself as central Pennsylvania’s premier provider for end-of-life care.

Jackie says she knew as a child she wanted to be a nurse, following her mother and aunt’s footsteps.

She looked up to her mother, who shared her talents as a sort of neighborhood medical provider.

“I had three younger brothers, and with all the kids in the neighborhood, there was always somebody that needed to be fixed,” Jackie says.

Jackie grew up in Scranton, Pennsylvania, and studied nursing at the University of Pennsylvania Hospital. After working a year in the Penn operating room, she returned to northeast Pennsylvania to study nursing education at Wilkes College. She worked at the University of Colorado for a year and then returned to a hospital in Scranton.

Then fate intervened to bring her to central Pennsylvania.

“I had a day off, and a friend had an interview with the OR supervisor at Polyclinic Hospital in Harrisburg. She asked if I would drive down with her. I took the job, and she didn’t.”

That was in 1960. Jackie stayed at Polyclinic and the health care system it merged with — PinnacleHealth — for 40 years. She started in the nursing school and, by the time she retired in 2000, was director of utilization review for the system’s three hospitals.

Jackie liked Harrisburg. It was close to home, where her father was active in business and civic affairs.

“Harrisburg was just far enough away that I could be completely on my own,’’ she says. “Everybody in Scranton knew my father. Everywhere I went, people would say, ‘You’re John Young’s daughter.’”

Harrisburg also was close enough to New York City for regular trips with friends and travel clubs to see Broadway shows.

Jackie joined Homeland’s Board of Managers when a friend of her parents, the late Homeland resident Doris Coyne, and a member of the Board of Managers, suggested that it might be a good fit for her talents.

“I was impressed with Doris and what she told me,” Jackie says. “When I got there and saw the place, I realized that the atmosphere was totally different than other nursing homes. The people are very caring.”

Jackie served on the Board of Managers 2006 through 2018, during which she served on the House and Grounds Committee and a term as board chair. As the board worked to maintain a welcoming, comfortable feel throughout Homeland, members redecorated resident rooms and the Main Gathering Room.

In August 2020, Jackie had surgery on her leg and went to Homeland. An immobilizer initially meant to be on her leg for four or five weeks had to stay on for three months. As a resident in Homeland’s skilled care, she regained her strength and mobility with dedicated help from Homeland’s rehabilitation services.

After six months, Jackie returned to her Harrisburg-area home. Her ties to Homeland continue through services from Homeland HomeHealth, part of the Homeland at Home continuum, which includes Homeland HomeCare and Homeland Hospice. Together, Homeland at Home extends Homeland’s excellence in medical and independent living services to people in their homes.

“The people in physical therapy and occupational therapy were marvelous,” she says. “They really pushed and got me to the point where I could come home.”

Director of Social Services Daniqwa Buckner helps keep the ‘home’ in Homeland

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As a college senior majoring in social work, Daniqwa Buckner took an internship in a hospital geriatric unit. She didn’t think the work would appeal to her.

“When I got there, I loved it,” she says. “Working with the residents, hearing their life stories, and helping on a day-to-day basis – that was so rewarding.”

A few years later, she remembered that internship when she heard about an opening at Homeland. In October 2020, she became the Director of Social Services and Coordinator of the 24-bed Ellenberger Unit, which cares for residents with advancing memory impairment, Alzheimer’s disease, or other forms of dementia.

Homeland’s singular devotion to quality of life stands out among retirement facilities, says Daniqwa. Even as pandemic restrictions closed the doors to visitors, staff “planned and planned, and planned some more” to facilitate virtual, outdoor, and window visits.

She knew of Homeland’s “stellar reputation” and its status as a 5-Star Medicare Facility before she started. Stepping inside for the first time, she was impressed by the care provided and the staff commitment to “making sure that the residents know that it’s their home.”

Daniqwa was born and raised in Harrisburg. She has always planned each phase of her life, even amid twists and turns. As a Messiah College student, she was studying social work on the way to becoming a lawyer – her childhood dream. However, when she became pregnant with her first child, her son became her primary focus.

“As a mom, you realize there are certain sacrifices you have to make,” she says. “It was very important for me to finish all my schooling before my son started school.”

She went on to earn her master’s degree in social work from Temple University, finishing as planned before her son entered kindergarten. Daniqwa says she considers her mother, Danielle, a single parent and counsellor who sometimes worked a second job, her hero professionally and personally.
The two even supported and inspired each other while they pursued master’s degrees at the same time.

“She always made it a priority to put us first,” says Daniqwa. “Seeing her do that inspired me and is the reason I continued to push myself to work in social work.”

After finishing her master’s degree, Daniqwa was an intake worker for three years at Dauphin County Children & Youth — the first person to investigate referrals. The work could be challenging, but she managed by focusing on the positives.

In the next three years, Daniqwa continued in social work, first in a nursing home and then with children at a counseling facility. When the Homeland post opened up, she saw a career opportunity and the chance for a leadership position.

Daniqwa’s husband of two years, Adrian Buckner, is vice president of fundraising for Capital Way of the United Region. They met at church, and he surprised her by proposing at a family reunion. Their family consists of Adrian’s 12-year-old son, Daniqwa’s 10-year-old son, and – arriving amid a new job and a pandemic – a baby boy who’s now a year old.

In her work, Daniqwa feels honored by the confidence that Homeland leaders have shown, “letting me know that they believe in me.” In the future, she hopes to “demonstrate those same leadership abilities I see among our management team.”

Social workers assure that excellent medical care is supplemented with a healthy dose of humanity, accounting for the patient’s thoughts and feelings.

“It’s teamwork,” she says. “It’s a holistic approach. We all play a role in making sure residents have the best outcome at this stage in their life, with a focus on their individuality, independence, and dignity.”

Homeland Center’s Director of Skilled Admissions ensures a smooth transition for new residents

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Homeland Center Director of Skilled Admissions, Susan Horvath

Recently, Susan Horvath assisted a nurse with one of Homeland Center’s residents, watching as the caregiver handled her duties efficiently and compassionately.

“I’m really impressed with our nursing staff here and the wonderful care they take of the residents,” says Susan, Homeland’s new Director of Skilled Admissions. “They treat the residents like family. That’s a big part of why I wanted to work at Homeland.”

As Director of Skilled Admissions, she makes sure that new residents have a smooth transition.

“Our reputation very much speaks for itself,” she says. “With admissions, I get a lot of calls from families, saying ‘I’ve heard great things about Homeland. I want my loved one to come here.’ It’s very nice to hear that because a lot of places have to work very hard to get that reputation, and Homeland has it.”

Susan is an experienced social worker whose career followed a winding path. As a freshman at Shippensburg University, she initially set out to become a business education teacher but soon found the major wasn’t for her. Her roommate suggested that an introductory social work class might suit her temperament.

“It was a fit for me,” Susan says, especially since growing up, her parents were always service-oriented and volunteered at church and school. “It was where I wanted to be, where I needed to be.”

Susan went on to earn a master’s degree at Marywood University in Scranton and then worked in social work and admissions at Harrisburg-area nursing homes. Her experience led her to a position in the office of then-Pennsylvania Auditor General Bob Casey (now U.S. Senator), where she conducted nursing home performance audits.

After her daughter was born, Susan explored opportunities in other fields. Once her daughter was a little older, it was back to social work at local nursing homes and then to a sales and marketing position with an area hospice.

Her hospice work sometimes brought her to Homeland Center, where she encountered Barry Ramper II, Homeland’s president and CEO, for whom she worked at her first social work post. He asked her to come to Homeland.

“I thought highly of him and respected him,” Susan says. “When he offered me a job, it wasn’t an easy decision. I loved what I was doing, but when a former mentor seeks you out, I took that seriously.”

Returning to a continuing care retirement community during a pandemic is challenging, she readily admits.

“If there were three negative things, then I had to find three positive things about the situation,” she says. “I wouldn’t say I’m a religious person, but I have a strong faith and belief that there is a higher power looking out for us. We’re going through all this craziness for a reason, and we just have to keep looking forward and hope for the best.”

Homeland’s most powerful positives are the “amazing people here who do outstanding work,” she says. “It’s been great just being around my coworkers and working together to solve problems and knowing that everything you’re doing is for the good of our residents, to keep them safe and happy and healthy.”

Susan remarried recently to her high school sweetheart, with whom she reconnected at marching band reunions. She has a 16-year-old daughter, and he has three children, ages 10 to 26.

“My daughter never had siblings, so it’s nice for her to now say ‘my sister,’” Susan says.

The family enjoys camping, especially at Indian River Inlet in Delaware, where they watch the sunrise over the beach and the sunset over the bay. Susan, her husband, and her daughter live in the home where Susan grew up, which they are gradually renovating.

Much like returning to her parents’ home to live feels natural, coming to Homeland, she says, takes her back to the feelings she had when she enrolled in her first social work course.

“Homeland felt like a fit from the beginning,” Susan says.

Homeland Center Activities Department: Going ‘above and beyond’ to make residents smile

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Dee, Emma, Kristin, Diomaris, Tyra, Aleisha, Martha, Tyanna

When Pennsylvania Farm Show milkshakes suddenly became available mid-year, Homeland Center’s Activities Department didn’t waste any time buying them as a special treat for residents.

Activities coordinators Emma Lengyel and Diomaris Pumarol worked on decorating a cart they could use to distribute the milkshakes, complete with carnival music playing and banners.

“We made it into a fun presentation,’’ Lengyel said. “The residents loved it.’’

That kind of teamwork and creativity are hallmarks of Homeland Center’s Activities Department — in the spotlight more than ever with COVID-19 limiting contact and the usual programs and entertainment. Activities staffers have forged themselves into a cohesive, supportive team focused on keeping residents engaged and connected.

“They all go above and beyond,” says Activities Director Aleisha Connors. “They don’t do something just to do it. They always do it to make an impact, and for a reason.”

Even when the Homeland doors are closed to visitors, residents have enjoyed luaus, coloring contests, and hallway bingo. In a department of veterans and newbies, there are no egos, says Pumarol. Colleagues share ideas and adapt to the interests of the residents they serve in Personal Care, Skilled Care, and the Ellenberger Unit, the home of those with Alzheimer’s or other forms of dementia.

When the activity coordinators joined a Zoom call to discuss their work, they showered praise on each other.

“They were very welcoming to me when I first came, and being a new grad out of college, everyone was very helpful in helping me figure out how to be an adult,” says Kristin Oliver, one of the coordinators.

“This is an overwhelmingly kind group,” agrees Lengyel. “Everyone listens very well.”

Homeland’s pandemic-year Halloween demonstrated how the team builds upon each other in the ideas department. To cheer up the residents after the cancellation of the annual trick-or-treat night, someone had the idea to hold a parade. Someone else thought of M&M costumes. Oliver said, “Let’s wear tutus,” so Activities Coordinator Dee Smith made the tutus.

“In the end, we had a beautiful parade, bringing joy and music to the residents,” says Pumarol. “It was teamwork. Everybody did something to make it work.”

The team also includes part-timers Lateefah Battle, Tyanna Jennings, Malani Tate-Defreitas, and Tyra Bell.

As the department pulls together, teamwork translates into smiles for the residents, says Activities Coordinator Martha Morgan.

“Working with the residents has been a great treasure for myself,” she says. “A lot of times, they miss their family. When you go in and talk with them, build up their spirits and tell them that everything is going to be all right, you see a big difference.”

It’s a matter of warding off isolation, Lengyel says. “I love making them smile and laugh and just get them happy for a couple of minutes.”
Activities Coordinator Becky Devan loves sharing one-on-one time with the residents she calls “my little ladies on the first floor.”

“They just enjoy being able to sit there and talk about whatever they want to talk about,” Devan says. “And if you’ve got a snack, that’s even better.”
Teamwork gets the group through hectic days. Morning meetings turn into daily pep talks.

“We couldn’t get as far as we are now without supporting each other and helping each other,” Morgan says.

The group has received flowers and text messages from residents’ family members thanking them for paying extra attention to their loved ones during this stressful time.

Coming to work feels like spending time with friends and making them happy.

“A simple back scratch. A hug. A pat on the back. It doesn’t matter. It’s just that affection and empathy they’re all kind of starved for now,’’ Smith says. “You can see it in their face. They tell you as you leave the room, ‘I love you.’ That makes it all worthwhile to me and all of my coworkers.”