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MATURE ARKANSAS december, 2012 1

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2 december, 2012 MATURE ARKANSAS

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Subscriptions AvailableAnnual subscriptions to MATURE ARKANSAS are $15 per year, via the U.S. Postal Service. Send your check to: mature Arkansas, P.O. box 34010, Little rock, Ar 72203-4010. Allow three weeks for processing. expect mail delivery to take about a week.

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MATURE ARKANSAS is published monthly by Arkansas Times Limited Partnership, 201 e. markham St., P. O. box 34010, Little rock, Arkansas 72203, phone 501-375-2985. reproduction or use, in whole or in part, of the contents without the written consent of the publisher is prohibited. manu-scripts and artwork will not be returned unless sufficient return postage and a self-addressed stamped envelope are included. The publisher assumes no responsibility for care or safe return of unsolicited materials. All letters will be treated as intended for publication and are subject to Mature Arkansas’ unrestricted right to edit or to comment editorially. All contents copyrighted 2012 Mature Arkansas.

MATURE ARKANSASPublisher Alan Leveritteditor Anne WassonArt director Mike SpainPhotogrAPher Brian ChilsongrAPhic Artist Bryan Moatsdirector of sAles Katherine DanielsAccount executive Jeff Borg

circulAtion director Anitra HickmanAd coordinAtors Roland gladden

Kelly SchlachterProduction MAnAger Weldon WilsonProduction AssistAnt Tracy Whitakeroffice MAnAger Angie Fambroughbilling And collections Linda phillips

gUEST EDITORIAL

We Want To Hear From YOUMATURE ARKANSAS welcomes letters or emails from readers on any subject of interest to older Arkansans. Letters to columnists are also welcome. email your letters to [email protected] and include “letter” on the subject line.gUEST EDITORIALS, on issues of interest to Arkansans over age 50, are encouraged. This is a forum for readers’ opinions and comment. Views expressed are not necessarily those of the Publisher. contact the editor at 501-375-2985 to discuss topics or send 300-500 word editorials to [email protected] All editorials are subject to editing and space limitations

As policymakers debate ways to reduce the federal budget deficit, several proposals include a change in the way infla-

tion is calculated for Social Security. The cost-of-living adjustment (COLA) is not a “raise.” Rather, it is

an adjustment needed to make sure the purchasing power of a benefi-ciary’s Social Security benefit is not eroded over time by inflation.

Still fresh on the minds of many Social Security beneficiaries is the lack of COLAs for 2010 and 2011. Despite that, a proposed new cost-of-living measure would reduce spending on Social Security as well as other federally administered programs such as Supplemental Security Income and veterans’ pensions. It is called a “chained consumer price index” (CCPI) or “chained CPI” and would grow more slowly than the current COLA calculation.

Changing the COLA using a chained CPI would have a detri-mental impact on the economic wellbeing of older and disabled Americans and their family members who receive benefits from Social Security. Small reductions to the annual COLA will accumu-late over time so the oldest beneficiaries and long-term disabled would have the largest benefit reductions.

For example, 92-year-old beneficiaries, on the program for 30 years, would face an 8.4% cut in benefits. Disabled children could face even larger benefit cuts over their lifetimes. Oldest Americans are the least able to absorb cuts to their benefits as they are more reliant on Social Security for their income, have higher out-of-pocket medical costs, and a higher poverty rate than younger Americans.

Social Security is not the cause of our current large budget deficits. Social Security has not added a single dime to the federal deficit. In fact, Social Security assets grew from about $47 billion in 1986 to about $2.7 trillion by 2011.

Reducing Social Security benefits by moving to a chained CPI—estimated to take $112 billion dollars out of the pockets of current and future Social Security beneficiaries in the next 10 years alone—is inappropriate and unwarranted.

Mr. Sanderson is associate state director for advocacy for AARP Arkansas.

Inappropriate and UnwarrantedBy Herb Sanderson

* Offered by the Arkansas Department of Career Education/Arkansas Rehabilitation Services Division.©2012 Arkansas Relay. All rights reserved. CapTel is a registered trademark of Ultratec, Inc. Other marks are the property of their respective owners.

* Offered by the Arkansas Department of Career Education/Arkansas Rehabilitation Services Division. ©2012 Arkansas Relay. All rights reserved. CapTel is a registered trademark of Ultratec, Inc. Other marks are the property of their respective owners.

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ADvOCACy

In late July, 2011, a new resident was admitted to The Pines Nursing and Rehabilitation

Center in Hot Springs. She did not want to be there. On July 31, she decided to do something about it. Waiting until a group of visitors exited the front door, the resident, who was wearing a device designed to sound an alarm if the wearer left the premises, followed the visitors out to the parking lot. No alarm sounded.

She then proceeded to cross a four-lane interstate highway and began to walk on the highway access ramp, apparently attempting to go home. A relative called the facility and noti-fied a nurse, who managed, with some help, to retrieve the wandering resident.

The nursing home was cited for several violations relating to the incident by the U.S. Dept. of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS.)

“The facility failed to ensure that (the resident) received adequate supervi-sion to prevent elopement … (and) to ensure that the … wander guard bracelet was functioning. The failed prac-tice resulted in Immediate Jeopardy which likely caused or could have caused serious harm, injury or death (for the resident) and was likely to affect seven resi-dents at risk for elopement who had wander guard bracelets,” the CMS report said.

Pines staff noted, upon initially admitting her, that the woman was “at risk for elope-ment,” an industry term for escaping.

“Resident is very confused and continues to voice that she wants to go home … Resident does wander but does not intrude on the privacy of others.”

Before being admitted, the woman, according to the citation, had a history of “agitation (with) family, leaving home on foot, hitchhiking.” In addition, the alarm device did not work and was not properly checked or set up.

Buried among the bureaucratic language and charges is a sad woman and a worried family, neither of which was properly served that day. At least eight incidents have occurred in Arkansas nursing homes since April 2011

in which residents improperly left the facility or were endangered by a lack of controls to prevent such an occurrence.

INSpECTION RULESEvery nursing home receiving federal Medicare or Medicaid funds must submit to regular inspec-tions. CMS contracts with the Arkansas DHS’ Office of Long Term Care (OLTC) to perform the inspections. The results are public information, but until recently were difficult for consumers to find. Now, largely as a result of pressure from advocacy groups such as Arkansas Advocates

for Nursing Home Residents (AANHR), inspec-tion results are readily available online through several web sites. One of the best, because of its comprehensive search feature, is http://propublica.org/nursing-homes/, sponsored by journalism organization ProPublica.

In order to be certified initially, a nursing facility must have a survey (inspection) to verify compliance with all regulatory requirements.

States are then required to survey nursing facilities annually, no less often than every 15 months.

Surveys are required when substantial changes occur in a facility’s organization or management.

A survey may be conducted when a complaint alleges substandard care. Any deficiencies found are reviewed, and nursing homes may challenge and appeal decisions through administrative review. Facilities are required to make available, on the premises, a copy of the latest compliance review conducted

on the nursing home. However, neither state inspectors nor the

nursing facility are required by federal regula-tions to notify patients or their families that the patient’s care has been the subject of a survey violation. Notification is not even required following a finding of substandard care or actual harm.

Family members cannot be assured they will know about problems with the care given their relatives unless they proactively seek the truth. Family members should ask the nursing home administrator and the attending physi-

cian about their notification policy.

SHELL gAMES?Nursing facilities owned by corpo-rate chains are now engaging in “a dangerous trend” designed to shirk regulatory responsibility, some resident advocates charge. Recent regulations designed by the federal government to ensure safe, responsible operation of nursing homes targeted the licensees, at a time when licensees were gener-ally the operators and owners of facilities.

Many corporations have now split the licensee from the rest of the corporation, “splintering” the

companies that run nursing homes, according David Couch, a Little Rock attorney. Couch advises attorneys around the country on how to take action to protect nursing home residents.

“This realignment (of ownership) renders the regulatory framework virtually obsolete,” Couch says. “In this new model, the licensee does not provide the actual care. A different corpora-tion or series of corporations provides the care. Those duties are transferred to entities that are not directly answerable to regulatory authori-ties or to the courts (italics added)… further, the actual ownership of the nursing home is trans-ferred away from the licensee, thereby leaving it with few assets,” Couch explains. Presumably, an entity with few assets is a poor target for a lawsuit on behalf of residents.

Additionally, Couch says, some companies are taking steps to hide the true nature of their setup and ownership. Publicly traded corpora-tions must file reports disclosing many details of

Is your Nursing Home Being Inspected?By Jack Whitsett

CONTINUED ON PAGE 20


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DEC. 8—WilDWooD’s AnnuAl HoliDAy Tour of HomEs, 10:00 Am-4:00 Pm, Little rock. New this year, Holiday breakfast at Wildwood Park with holiday decoration demonstrations by Little rock designers, 9:00-10:30 Am; $50 for breakfast and home tour; $25 tour only ($30 @ the door); call 501-821-7275 for tickets or visit https://tickets.wildwoodpark.org/

DEC. 13—“CAmErAs in THE CourTroom: THE WEsT mEmpHis 3 CAsE,” a panel discus-sion with Jason baldwin, documentary director Joe berlinger and devil’s Knot author mara Leveritt; Sturgis Hall, clinton School of Public Service; 6:00 Pm. Free, call 683-5239 for seat reservations.

noW THrougH DEC. 24—gifT WrApping funDrAisEr, benefits ScAT (Senior citizens Activities Today); mccain mall, North Little rock and barnes & Noble, 11500 Financial center Pkwy, Little rock (b & N on dec. 17-20 & 24 only). Open during business hours. Wrapped for a donation; discount for multiple packages; gifts do not have to be purchased at either location—bring them from home.

noW THrougH DEC. 31—“pAjAmA Tops” (PG), a romantic comedy; murray’s dinner Playhouse, 6323 col. Glenn rd,. Little rock. dinner 6:00 Pm; curtain 7:45 on Tues.-Sat.; Sun. matinees. call 562-3131 for reservations.

noW THrougH jAn. 12-- fri. & sAT. nigHTs—“A fErTlE HoliDAy,” family-friendly, original live comedy at The Joint; 301 main St., North Little rock; 8:00 Pm; $20, reservations at 372-0205. beverages, snacks at your table during the show.

DANCES

DEC. 1 & 8 & 15—frATErnAl orDEr of EAglEs DAnCE WiTH WArrEn CroW & THE ClAssiCs; 6200 Aerie St., Little rock; 7:00-11:00 Pm (line dancing at 6:00); FOe members $5; guests $6. Smoke-free ballroom. call 562-0876 or 837-6766.

DEC. 6—THE ArTs in moTion: TAngo HoliDAy TWisT; ArkAnsAs ArTs CEnTEr (AAC), 9th & commerce St., Little rock; 7:00 Pm; Free for AAc members, $10 non-members. For dance experts and people with no dance

experience; no partner required. Starts with Tango lessons; general dance at 8:00 Pm. call 372-4000.

DEC. 7—CounTry DAnCE soCiETy’s HoliDAy DAnCE; DEC. 14—EnglisH DAnCE; jAn. 4—ConTrA DAnCE; Park Hill Presbyterian, 3520 JFK blvd., North Little rock, 7:30-9:30 Pm. No experience needed, all ages welcome. $4 for society members, $5 nonmembers. call carolyn at 603-5305.

monDAys—sCoTTisH CounTry DAnCE soCiETy, Park Hill Presbyterian church, 3520 JFK blvd., North Little rock. beginner’s class 7:00-8:00 Pm; Intermediate class 8:00-9:00 Pm; no experience or partner required; $5. call 821-4746.

WEDnEsDAys—VillAgE A TEAm squArE DAnCErs, coronado community center, Hot Springs Village, 7:30 Pm; $5 for guests.

FriDAys--spA CiTy bop AnD sWing DAnCE Club, VFW, 2231 e. Grand Ave., Hot Springs, 7:00 Pm, 2nd, 4th 5th Fri., $2. Free lessons with $20 membership at 7:00 Pm Thurs. call 501-760-7375.

sATurDAys—mErry mixErs DAnCE Club; coronado center, Hot Springs Village; 1st Sat. 7:00-10:00 Pm; $10; 3rd Sat., 7:30-10:30 Pm, $10. call 501-922-1709.

THirD sAT.—burns pArk DAnCing; burns Park Hospitality House, North Little rock; polka, waltz and potluck supper; 7:00-10:00 Pm; $10. call 680-2994.

f i r s T & T H i r D f r i . — q u A pAW CommuniTy CEnTEr DAnCing includes ballroom lessons, Thurs. 7:00-8:00 Pm; clogging, Tues & Thurs, 8:30-11:00 Am; Line dancing, Tues.& Thurs. 11:00 Am-noon; and dance Party, 8:00-10:00 Pm Thurs.; 500 Quapaw Ave., Hot Springs. call 501-623-9922.

DEC.—DAnCEs AnD DAnCE lEssons at bess Stephens community center, 12th & cleveland Streets, Little rock:

CounTry DAnCErs; 6:00-9:00 Pm, Sundays (821-9353); $5;

bAllroom, lATin AnD sWing soCiAl DAnCE AssoC.; 7:00-11:00 Pm; 1st, 2nd, 4th Fri.; (664-4268); $10;

liTTlE roCk bop Club; 7:00-10:00 Pm, every Wed. (350-4712); $4.

squArE DAnCE; 2:00-4:00 Pm, every Thurs. (490-1197); $3.

MUSIC

DEC. 15—Top of THE roCk CHorus’ CHrisTmAs gAlA; Sherwood Forest, 1111 W. maryland Ave., Sherwood; cocktails at 6:00 Pm,

CALENDAR pICKS

Events Highlightthe Holiday MoodBy A.H. Wasson

noW-DEC. 31—gArVAn WooDl AnD gArDEns HoliDAy ligHTs DisplAy, Hot Springs; 5:00-9:00 Pm. This is the don’t miss display of the season with 2 million lights that transform 15 acres into fun for the whole family; $10 adults, $5 children 6-12, free under age 5. call 501-262-9300.


dinner at 7:00. enjoy the best in barbershop harmonies and The Hi-balls for dancing, plus a silent auction; $32.50, call 501-580-0855.

firsT THurs. of EACH monTH—bluEgrAss jAm; Garland co. Library, 1427 malvern Ave., Hot Springs; 5:30-7:30 Pm; all acoustic, all ages; Free. call 501-623-4161.

sEConD THurs. of EACH monTH—Ark. ACCorDion AssoCiATion; community room, Whole Foods market, I-430 & rodney Parham rd., Little rock; warm-up starts at 6:30 Pm. Free, call 228-7166.

THirD fri.—Ark. riVEr bluEs soCiETy; cornerstone Pub & Grill, 314 main St., North Little rock; 8:00 Pm; $3 members, $5 non-members. call 374-1782.

sATurDAys, “piCkin’ porCH;” Faulkner county Library, 1900 Tyler St., conway, Sat. 9:30 Am, Free. call 501-327-7482.

sEConD sAT.—Ark. DulCimEr soCiETy; Pulaski Heights baptist church, 2200 Kavanaugh blvd., Little rock; hammered and mountain dulcimers welcome; 2:00-4:00 Pm; Free. call 661-1129.

firsT AnD THirD sun.—TrADiTionAl irisH musiC; Hibernia Irish Tavern, 9700 rodney Parham rd., Little rock; 2:30- 5:00 Pm; Free. call 246-4340. Also on second and fourth mondays at 7:00-9:00 Pm.

firsT & THirD WED.—Ark. CElTiC musiC soCiETy sEssion; Something brewing, 1156 Front St., conway; 7:00-9:00 Pm; Free. call 501-602-5508. everyone welcome to sit in and jam.

TAKE THE gRANDKIDS

DEC. 7-9—THE nuTCrACkEr, performed by ballet Arkansas and the Arkansas Symphony Orchestra; robinson center music Hall, broadway & markham Streets, Little rock; 7:30 Pm (2:00 Pm on Sun.) Tickets $20-$45. call 666-1761.

noW THrougH DEC. 30—sHErWooD’s EnCHAnTED forEsT TrAil of HoliDAy ligHTs, a drive-thru trail over a mile long; Free but dona-tions welcome.

noW THrougH jAn. 6—riVEr mArkET on iCE (ice-skating), 400 Pres. clinton Ave., Little rock; $9 for everyone over age 5, free for under age 4, skate rental included; group discounts available. Weekdays 4:00-9:00 Pm; Sat. 10:00 Am-10:00 Pm; Sun. noon-8:00 Pm. call 375-2552.

ART

noW THrougH jAn. 12—souTHErn AbsTrACTion, a group exhibition at Greg Thompson Fine Art; 429 main St., North Little rock; 10:00 Am-5:00 Pm, Sat. 10:00 Am-2:00 Pm; Free. call 664-2787.

noW THrougH jAn. 7—“AnD THE bAnD plAys on,” and exhibit by Kevin cole; Hearne Fine Art, 1001 Wright Ave., Suite c, Little rock. Weekdays 10:00 Am-5:00 Pm, Sat. 10:00 Am-6:00 Pm. Free. call 372-6822. Also, dec. 1-Jan. 7., “Highlights of 2012.”

noW THrougH DEC. 14—”inDiAn ink: nATiVE prinTmAkErs,” in the J.W. Wiggins collection of Native American Art,” Sequoyah National research center, UALr’s University Plaza, University and col. Glenn, Little rock; weekdays 8:00 Am- 5:00 Pm; Free. call 501-569-8336.

noW THrougH jAn. 6—ArkAnsAs ArTs CEnTEr ExHibiTs, 9th & commerce St., Little rock; Free, call 372-4000 or visit arkarts.com “mulTipliCiTy,” an exhibit from the Smithsonian American Art museum’s permanent collection “THE VogEl CollECTion: fifTy Works for 50 sTATEs,” contempo-rary art exhibit includes Free drop-in tours on Saturdays 11:00 Am & 1:00 Pm and Sundays I:00 & 2:30 Pm.“Toys DEsignED by ArTisTs,” an international juried exhibition.DEC. 7—firsT friDAy gAllEry WAlk in historic downtown Hot Springs; Free; call 501-624-0550.DEC. 14—sEConD friDAy ArT nigHT, open house at downtown Little rock art galleries and museums includes art, entertainment from 5:00-8:00 Pm; FreeDEC. 21—ArgEnTA ArTWAlk, every third Friday, features galleries’ open house; 300-700 blocks of main St., North Little rock; 5:00-8:00 Pm; Free, call 993-1234.

noW THrougH DEC. 24—THE sTory TEllEr, an exhibit of new paint-

CALENDAR pICKS

• Active lifestyle


ings by John deering; cantrell Gallery, 8206 cantrell road, Little rock; call 224-1335.

MUSEUMS

noW THrougH jAn. 1—“THings you nEED To HEAr: mEmoriEs of groWing up in Ark.” tells the stories of regular Arkansans from 1890-1980; Old State House museum, 300 W. markham; Free; call 324-9685.

Also AT osHm, noW THrougH fEb. 1,“bATTlE Colors of ArkAnsAs,” exhibit includes 18 rare civil War flags.

noW THrougH jAn. 5—“A VoiCE THrougH THE ViEWfinDEr: imAgEs of ArkAnsAs’ blACk CommuniTy by rAlpH ArmsTrong;” mosaic Templars cultural center, 501 W. Ninth St., Little rock; call 683-3620.

noW THrougH jAn. 6—HisToriC ArkAnsAs musEum includes exhibits ranging from barbie to bowie Knives; Indians in Arkansas to puppet theatre; 200 e. Third St., Little rock; call 324-9351.

noW THrougH jAn.—buTlEr CEnTEr gAllEriEs fEATurE TWo ExHibiTs: “Works From the cALS Permanent collection” and “Ark. League of Artists juried competition exhibit;” 401 Pres. clinton Ave., Little rock; 9:00 Am-6:00 Pm mon.-Sat. Free; call 320-5700.

CLASSES

DEC.—frEE fiTnEss ClAssEs, open to the public, in North Little rock at community center, 2700 Willow St. (791-8541); Sherman Park rec. center, 624 beech St. (340-5373); Glenview rec. center, 4800 e. 19th St. (945-2921) and North Heights rec. center, 4801 Allen St. (791-8576). call for class schedules; NO registration or center membership required.

DEC.—yogA ClAssEs; Quapaw community center, 500 Quapaw Ave., Hot Springs; 5:30-6:30 Pm on Wed. & 10:00-11:30 Am on Sat. call 501-623-9922. Free for members; $5 non-members.

DEC.—ConVErsATionAl spAnisH lEssons; Oley rooker Library, 11 Otter creek ct., Little rock; meets every mon. 6:00-7:00 Pm. For beginners; lots of review. Free. call 907-5991.

DEC.—ZumbA golD ClAssEs modify for active older people the regular Zumba moves and pacing. call each location for class schedule. Sponsored by careLink.

in liTTlE roCk:• UAMS Institute on Aging Ottenheimer Fitness Center, call 526-5779. • Bess Chisum Stephens Community Center, call 664-4268.• Pulaski Heights United Methodist Church, call 664-3600.• LifeQuest of Arkansas, 2nd Presbyterian Church, call 225-6073.

in norTH liTTlE roCk:• Indian Hills Church, call 835-2838.• Lakewood United Methodist Church, call 753-6186.

nEW--TAi CHi ClAss: Quapaw Quarter United methodist church, Tues/Thurs @ 4:30; call 529-2140.

DEC.—sEniornET ClAssEs--in Little rock: Fundamentals for beginners, Intro. to computers, File management, excel. 4-week classes, reynolds Institute on Aging, UAmS campus, Little rock. $45 per class ($75 for couples), manuals are $15. call 603-1262.

in HoT springs: basics, Level 1& 2; Word; Print Artist; and The Internet/Windows Live mail. begins Jan. 14, meeting weekly for 1.5 hrs. for 8 wks.; 210 Woodbine, Hot Springs. $20 per class ($30 couples), plus an initial membership fee of $40 ($60 couples). call 501-624-5415. The Old State House Museum is a museum of the Department of Arkansas Heritage.

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Bill Franke, along with wife Carolyn and daughter Christen, takes pride in carrying out their family’s tradition and dedication to serving generations of Arkansans.

Bill’s grandfather, C.A. Franke, started what is now Franke’s Cafeteria in 1919 as a “hole in the wall” doughnut shop in downtown Little Rock,” he says. It progressed to a bakery delivery service by the early 1920s, called “wife saving.” Families wanting deliveries put post-cards in their windows.

In 1924, the original cafeteria opened on West Capitol Ave. with a second location on Louisiana Ave. Both operated as dining rooms with coffee shops. A shared kitchen prepared food for both restaurants. Eventually, they sold the bakery business to Safeway and concen-trated on cafeterias.

Family businessAs a teenager, Bill Franke started working in the family business, washing pots and pans and mopping floors during summers. He took over full time in the early 1980s. He originally partnered with his brother in the restaurant, but bought him out in 2006.

Like her dad, Christen Franke began working at the restaurant when she was 15. She says her dad even made her fill out a job application to push the drink cart, before she progressed to working the register.

While her children were growing up, Carolyn was a stay-at-home mom and part of the Franke’s board of directors. But she had always wanted to work at the restaurant and got her chance when the Rodney Parham loca-tion opened in 1995. Carolyn decorated that dining room and took over the financial aspects of the business, including payroll.

Being in the family business means spending a lot of time with family, which definitely has its ups and downs. “We both wanted to be the boss,” Carolyn says.

While stress can lead to the odd argument once in a while, Christen says it’s important to always remember to apologize. “At the end of the day, they love you no matter what,” she says. “You have to be good at communicating. Families talk to each other differently than to strangers.”

The best way to make it work is for each family member to stick to his or her specific role, Bill says. And, that’s part of what keeps

the business running smoothly. Today, Bill remains the decision-maker and

works a few days a week. Carolyn says she’s in and out during the week, but works on Sundays and handles the finances.

More and more, Bill is turning the reins over to Christen, 33, who manages the Rodney

Parham location. “She’s paid her dues,” Bill says proudly of his daughter, the fourth genera-tion at Franke’s Cafeterias.

The family’s sense of pride in their business is evident. Bill says he’s proud of his “forefa-thers,” and also proud that the next genera-

B y E r i C a S w E E n E yp h o t o S B y B r i a n C h i l S o n

Frankly,

Chicken and dumplings, eggplant casserole, mac and cheese, roast

beef, green beans and egg custard pie. Franke’s Cafeterias have been

serving up these classic Southern comfort foods for the past 93 years. n Always family owned

and operated, the Franke family has turned the restaurant into a central Arkansas institution by

combining simple ingredients: “Good food, good service, friendly folks. We’re proud of that,”

says Bill Franke, the third generation to own the business.

“it’s a place where you can see a lot of your friends...we’ve served so many people for so long.”

Southern Comfort Food

the Best

Christen, Carolyn and Bill Franke pause during a short lull in the mid-afternoon cafeteria line at Franke’s Rodney Parham store.


tion wants to take over. While it’s always been important for the restaurant to remain in the family, Bill says he has never forced it upon his children, just like his father never forced it upon him or his siblings.

In fact, Bill says he actually tried to talk Christen out of it, largely due to the stress and

long hours involved. Being the boss full time, he says, involves working about 60 hours a week. “It’s go, go, go always, but there’s never a dull moment,” he says.

Christen admits it’s in her blood. She has a theater degree and wanted to be an actress

before realizing she couldn’t see herself anywhere else. “I’ve always enjoyed working here,” she says.

Christen says belonging to a family with such a rich history in the community always seemed normal. As she’s gotten more involved with the restaurant, she sees “how cool it is.”

“It’s a great privilege the people in Arkansas have given us,” she says. “You feel blessed. It’s a really cool thing to be part of local history.”

Having married into the family, Carolyn says she sees things a little differently. “I think I have a better understanding of the importance

of Franke’s in the community since I married into it,” she says. “I don’t know if Bill sees that, since he was born into it.”

“My daughters are my greatest accomplish-ment,” Carolyn says. “To have one take over makes me feel like we did a good job raising her since she realizes the importance of carrying it further.”

The Frankes’ other daughter, Kathryn, chose not to go into the family business. Instead, she is a stay-at-home mom with two children and is married to Kevin Kitchens.

The Frankes try to spend as much time with their grandchildren as possible. Bill says being with the grandchildren is “the most fun times.”

Bill and Carolyn, both 63, grew up about a block away from each other in Little Rock, but only knew each other casually. They attended the same kindergarten and, in the class photo, they are sitting next to each other. Neither realized it until they were adults, Carolyn says.

As a child, Carolyn says she remembers visiting the Franke’s location in the Heights neighborhood, and the “wonderful carousel horses” there.

Bill and Carolyn started dating when they were both freshmen at the University of Arkansas in 1969. Carolyn became a flight attendant for American Airlines and moved to New York City, but Bill says he convinced her to move back to Arkansas.

“He had to propose to me first,” Carolyn says. In October, they celebrated their 34th wedding anniversary.

Good old Southern comfort foodOver the years, Franke’s Cafeteria has had several locations in Little Rock, North Little Rock, Hot Springs and Fort Smith. Now, in addition to Rodney Parham, they have a branch in the Regions Center Building on Broadway in downtown Little Rock. They also have the “Sack-It” by Franke’s grill next door.

Carolyn says there is one simple reason why Franke’s has been so successful for nearly 100

years: “People love good old Southern comfort food.”

Many Franke’s menu items have been the same since the beginning. Eggplant casserole and egg custard pie have been served since day one and remain as popular as ever. Today, the

“it’s a place where you can see a lot of your friends...we’ve served so many people for so long.”


Lake Ouachita State Park is the perfect winter getaway for singles, couples and families. Open throughout the winter, the park offers

visitors accommodation options that include cabins, RV parking, plus hike-in and drive-in campsites. Arkansas State Parks offer winter discount rates on accommodations including cabins and campsites.

Popular park activities include hiking, bird watching (especially eagles in the winter), boating, scuba diving, fishing, camping and more. There are plenty of land and water activities for both the adventurous outdoor enthusiast and casual nature lover.

Named one of the cleanest lakes in America, Ouachita’s pristine waters cover 40,000 square acres, with 975 miles of shoreline. Boaters and anglers can enjoy a wide variety of scenery and peaceful coves to drop anchor. The expansive smooth water is also a favorite with water skiers. The park has a wide selection of watercraft including ski boats, kayaks and party barges for rent.

Hike on Land or Water at Lake Ouachita

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Fall is especially beautiful at Lake Ouachita State Park. Photo by Lee Hiller, LeeHiller.com

most popular item is the “slow-cooked roast beef,” Carolyn says. They serve about 225 pounds every day.

Everything at Franke’s is made fresh daily by their staff of cooks, each with their own specialty, Carolyn says. Over time, as customer tastes have changed, Franke’s has adapted its menu. Years ago, Bill says one of the best sellers was calf brains and eggs. While he swears it’s delicious, when it became less popular, Franke’s stopped serving it. Leg of lamb and turkey wings are other once-popular items that are no longer served. Whole halibut, which Franke’s used to filet to order, is simply not available anymore.

Over the years, Franke’s has won numerous Arkansas Times and the Arkansas Democrat-Gazette staff and reader’s choice awards. Bill says, “A lot of people say the food tastes like home.”

Serving the next generationChristen says part of Franke’s success is its “great family atmosphere. And, we consider everyone family.”

Several Franke’s staff members have been with the restaurant for more than 20 years. Recently, server Rufus Whitmore retired after being with the company for 68 years, Carolyn says. She says other staff members have met their future spouses while working at Franke’s and some of their children also work at the restaurants.

Bill says he enjoys watching regular customers’ children grow up. “It’s a place where you can see a lot of your friends,” Bill says. “You see

An early Franke’s on Capitol Ave. (far left).

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Lake Ouachita offers scuba divers access to the first water-based trail in the nation. The 16-mile Geo-Float Trail leads divers to many unique formations below the lake’s surface. Abundant bass, bream and catfish, swirling in schools, accompany divers as they examine

the numerous geological and manmade sites. Because the lake has depths up to 200 feet divers are encouraged bring appropriate cold water gear and a light for deeper dives along the rock face by the dam.

Hikers have a rare opportunity to see the aftermath of a large tornado that ripped across the park in April 2011. It uprooted trees all along the Caddo Bend Trail, a four-mile loop on a peninsula that reaches out into the lake. The tornado razed several sections of the forest on both the north and south side of the trail. It is a dramatic moment to step from dense woodland into an area devoid of trees. For a mile, hikers are cradled in leafy beauty then in a few steps further out in the bright sunlight surrounded by flattened or snapped-off trees.

Change is always present in nature’s plans. The tornado’s future reward will be a rebirth of

the trail’s plants and animals. The new open spaces on the trail will eventually be covered in wildflowers each spring and summer. The wildflowers will

bring butterflies, bees, dragonflies and other beautiful insects. Small mammals and reptiles will build their homes in the snags created by the fallen trees. The loss of forest has opened up many new lake views along the trail. Benches have been added for hikers to relax and admire the newly revealed beauty.

Seasoned hikers can traverse the entire rugged trail in a couple of hours. Beginners can use the many service paths and roads to enter and exit for several days of hiking enjoyment.

The beautiful woodland and water create an ever-changing vista making this a perfect nature vacation. Alone, with family or pets, Lake Ouachita State Park is a wonderful holiday destination.

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Eggplant Casserole Still a Secret

Eggplant casserole remains one of Franke’s cafeteria’s most popular

items. Though he’s often asked for the recipe, and has been offered large sums of money for it, bill Franke says it will stay a secret for now.

recipes “claiming to be” the real Franke’s eggplant casserole have been published in local newspapers over the years, he says. but, the true recipe was only published one time and the recipe was for 100 servings, Franke says.

Franke says there’s no one secret ingre-dient. rather it’s the combination of ingredients and the cooking method that brings out the eggplant’s flavor. The original recipe was developed for the restaurant in the 1920s by a mrs. Scott. And, it’s always been the same, he says.

“When the Frankes quit Franke’s, we’ll publish the eggplant casserole recipe,” he promises.

a lot of the same faces. Some knew my dad, they know us and know Christen. We’ve served so many people for so long.”

Christen says she enjoys seeing young fami-lies visit the restaurant because they are the next generation that will carry on the tradition. “When you enjoy it as much as they do, it’s a win-win,” she says. “In an era where both parents work, I don’t think mom and dad should come home and have to cook or do dishes.”

The Frankes are also dedicated to serving the community, and regularly donate food to churches and other organizations. Carolyn and Bill are also both active in their church, St. James United Methodist.

Carolyn is involved in the 20th Century

Club, a nonprofit that provides free temporary housing for cancer patients receiving outpatient treatment. Being a member is special for her because her mother was also a member.

Bill is past president of the Arkansas Hospitality Association’s Restaurant Association and a member of the organization’s Hall of Fame. He was also a member of Little Rock Advertising and Promotion Commission.

When they’re not working, Carolyn enjoys working in her rose garden. She brings fresh roses to the restaurant each day. Bill says he enjoys riding his motorcycle and flying radio-control airplanes.

Both say they wish they had more time to travel. Carolyn says her dream vacation is to visit Africa. Bill, who doesn’t like to fly, says he would love to take a road trip to the Grand Canyon with Carolyn. He has fond memories of visiting it as a child.

Neither have plans to retire any time soon. In fact, Carolyn says she never wants to retire. “I don’t know what I’d do with myself.”

Bill says he often thinks about “retiring part time.” When he does, he says he knows that Christen will be there to ensure that Franke’s keeps serving good Southern food for genera-tions to come.

Christen is definitely up to the task and wants future generations to enjoy what her family has built. “We’re just going to keep doing what we’ve been doing,” she says.


Talking about and seeking help for mental health issues is difficult at any age.

Mental illness has long been a taboo subject in many families, especially among older family members.

The Centers for Disease Control and Prevention report that 25% of Americans have had a mental illness. Across a lifetime, half of

all adults will develop mental illness. Among nursing home residents age 65-74, 19% are mentally ill; increasing to 24% at age 85+.

On balance, today's senior population can

more easily talk about and seek help for mental issues. They are a more informed and more educated generation and view most mental health issues as legitimate medical conditions.

However, experts caution that progress is being made slowly. Avoiding the subject can only delay diagnoses and treatment. More than just the patient's reluctance to admit to a

problem, a family's hesitance to address the issue with an aging parent or spouse deepens the silence that prevents help. Less than 10% of depressed individuals receive treatment. Women, on average, are more likely to have depression than men. “There is still a big stigma about mental illness,” says Jina “Bitsy” Lewellen, PhD, LCSW, and former clinical instructor at the

Thomas and Lyon Longevity Center at UAMS. “Some older adults may have a long history of mental illness, but have not been treated. This is not a rare occurrence,” she says. “This group

is Depression-era survivors and many feel that mental health is something one just deals with or gets over it, without calling attention to it or seeking help.”

DOUBLE-EDgED SWORDWhile health professionals agree that the presence of family members is an important component of mental health, these same family members are often too close to the situation to ask constructive or difficult questions about an elder’s behavior.

Lewellen explains that a family may have a member that has always been “different.” “She may have bipolar disorder, psychosis, any number of mental health concerns, but due to her age, she and her family may believe it’s ‘just her,’ that she is eccentric, ‘touched in the head,’ or downright ‘crazy.’ This means she has most likely never been assessed or diagnosed,” Lewellen explains.

Steps to good Mental Health

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LOSSES ACCUMULATEOne example of a changing attitude is the increased number of reported cases of depres-sion among people over 50. Studies place the number of older adults with depression as high as six million. However, far too many seniors and their families still write off the symptoms of depression as just a case of the “blues” or a

natural part of aging. Lewellen says those over 65 are perhaps

more susceptible to depression because of the frequency of personal loss is higher among this age group. The death of a spouse or friends, the end of a career, or physical ailments can cause feelings of being disconnected from all that used to provide meaning and context.

“Depression among older adults is one of the most under-reported mental health issues in Arkansas today,” she says.

DEMENTIA MORE ACCEpT-ABLE DIAgNOSISUnlike depression, dementia—the loss of cognitive abilities—is more often regarded as a bona fide medical condition. The Alzheimer’s Association reported in 2000 that 56,000 Arkansans had Alzheimer’s disease, the most common form of dementia. That number grew to 60,000 cases in 2012 and is

expected to hit 70,000 cases by 2025. The first symptoms of dementia are

frequently, but incorrectly, dismissed as just another part of normal aging. This delays diag-nosis and treatment in the critical early stages. Here again, family members play a pivotal role in either getting help or living in denial.

Far too many seniors

and their families

still write off

the symptoms of

depression as just a case of the “blues” or a natural part

of aging.

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HEALTH

ALCOHOL ABUSE RARELy TREATEDA U.S. Health and Human Services study estimated 17% of older adults abuse alcohol. The number of older adults in need of substance abuse treatment is expected to reach 4.4 million by 2020. However, 40% of those at risk do not self-identify or seek services for their problem, even though seniors see a physician more often than younger people.

Lewellen says that a trusted, non-family member’s perspective can serve both as affirmation that there is something wrong, as well as give permission to seek help.

“It’s not easy to disrupt your life, especially in this economy, on behalf of a loved one,” Lewellen says. “We have a whole genera-tion of people in their 40s and 50s who have suddenly become caregivers. It’s hard to talk to Mom and Dad about these issues but it’s necessary to provide proper care.”

As Baby Boomers age, they tow in their wake a generation of adult children who

find themselves tending to parental needs. Among those needs—the necessity of discussing mental health and treatment—can be especially problematic.

Mental health issues, particularly depres-sion and dementia, have reached epidemic levels among those 55+. About 20% of seniors suffer from some sort of mental condition. If left unchecked, the consequences are potentially dire. The suicide rate among males 80+, for

instance, is twice that of the general population.“It’s not easy to talk to a family member

about this,” says Kim Arnold, executive director for National Alliance for Mental Illness (NAMI) Arkansas. “I get calls all the time from people who want to know how do they have that conversation.” She says a lot of callers say, ‘I never thought I’d have to know anything about this stuff.’

ROAD BLOCKS TO DIAgNOSISFamily members may be reluctant to tackle

the subject because they don’t recognize the behavior as mental illness, rationalizing that their parents, spouse or other loved one has “always been that way.” They may want to preserve peace at any price, particularly in the case of a parent who has traditionally been the bedrock of the family.

Families often avoid tough or uncomfortable issues, failing to mention mental deterioration or behavior that suggests something is wrong.

In some cases, they may actually fear the repercussions of the family member getting help

because of the impact it could have on everyone’s daily life. They may think that addiction, unhealthy rela-tionships or depression will cast an unflattering and uncomfortable light on their own life.

“We often talk to people who say, ‘We always knew things weren’t right,’ or ‘Mom has been doing that forever,’ but no one ever suggested there be a diagnosis,” Arnold says.

“Everybody’s path is a little different, but the journey is about them getting there. That’s what is important,” Arnold says. “It’s impor-tant to remember this is a journey that a family takes together.”

3 STEpS TO HELpArnold’s advice for family members in this situation is three-fold:

The number of

older adults in

need of substance

abuse treatment

is expected to

reach 4.4 million by

2020.

Courage, Consistency Bring Mental Issues Into the Open Attitudes toward mental issues changingBy Dwain Hebda

Starting the conversation,

often the most

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may require some work in

other areas of the

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• Communicate. Starting the conversation, often the most over-looked step, may require some work in other areas of the rela-tionship, such as fitting the elder’s needs into the family member’s already full life or improving the way family members talk to each other.

• Be courteous but compas-sionate. This step, often consid-ered the hardest of the three, is when a family member recognizes and confronts another family member’s behaviors head on and moves the latter toward getting help. Getting help is complicated by the role-reversal in which grown children and parents often find themselves. The parent may resist or feel resentment because they don’t think the child is around enough to make more than a summary judgment about their behavior.

Arnold says while taking these steps is difficult, family members should remember the goal is to get the parent help. “Help” can mean just talking out some feelings, or getting a checkup to ensure recent forgetfulness isn’t the early stages of a more serious illness.

This step need not be a drama-filled knockdown. Some helpful strategies include enlisting the help of a trusted person such as a pastor or doctor who can speak with them on a level the family member cannot.

Keep the tone of the conversa-tion non-threatening. Don’t speak in terms of dire circumstances. Instead, make getting a diagnosis sound like a routine checkup, not a life and death analysis. Wherever the conversation leads, maintain a sense of compassion for what the person is going through.

“I’ve heard people, who are dealing with depression, say they can’t summon the will to get up and brush their teeth,” Arnold says. “It must take a lot for someone in that state to ask for help and it’s really brave when they do. Families members need to remember that.”

• Be consistent in message

Where to Find Help• National Suicide Prevention Lifeline, 800-273-8255; TTY users 800-799-4889.

• Ark. Dept. of Human Services, Behavioral Health Div. 501-682-1001 or visit www.humanservices.arkansas.gov

• The National Alliance on Mental Illness (NAMI) Arkansas, 501-661-1548 or visit www.nami.org

• Centers for Disease Control and Prevention, visit www.cdc.gov/mental-health/ and look at General resources for “The basics” or “Publications.”

• The National Institute of Mental Health, visit www.nimh.nih.gov and look at “mental Health resources.”

and intent. Once you have committed to getting help, and once you both have agreed on treatment or behavioral parameters, do not waver from moment to moment.

“If you say it, mean it and do it,” Arnold advises. “Don’t get caught up in the emotion of the moment or get off on a tangent. Write down bullet points if you need to stay on subject.”

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For people younger than 65, the Patient Protection and Affordable Care Act of 2010 (ACA) will provide coverage for mental health diagnosis

and treatment. Insurance companies will no longer be able to drop a patient due to chronic mental health conditions. Beginning January 2014, insurance companies can no longer limit treatment amounts. The Medicare Part D coverage gap is being closed, making medications more affordable.

HEALTH

Who pays for Mental Health Services?

The Mental Health Parity and Addiction Equity Act of 2008 made it illegal for group health insurance plans, if they include mental health, to provide benefits in a more restrictive way than other medical condi-tions. This law establishes coverage for mental health and addiction on an equal footing with medical and surgical patients.

Medicare beneficiaries will pay these amounts for mental health treatment:

• Depression screening, available once a year from your primary care provider (PCP), is covered by Medicare Part B. There is no cost if the PCP accepts assignment.

• Inpatient hospital treatment, (Medicare Part A), includes hospitals and specialized psychiatric units. A deductible of $1,184 in 2013 will apply to each benefit period for the first 60 inpatient days. Days 61-90 will cost $296 in 2013 in coinsurance per day, for each benefit period. Days 91+ will cost $592 in 2013 in coinsurance for each lifetime reserve day over lifetime limit of 190 days. You will also pay 20% of Medicare-approved amount for services while a hospital inpatient. Beyond lifetime reserve days, patient pays all costs.

• Outpatient treatment covered by Part B, is 20% of Medicare-approved amount for diagnosis or to monitor prescriptions; 35% in 2013 for treatment.

• Partial hospitalization is covered by Part B if a doctor certifies you would otherwise need inpatient treatment. You pay 40% of a doctor’s services and 20% for each day in a hospital or mental health center.

Finding the perfect gift for the gardeners on your holiday list may be difficult because there are so many wonderful options. Try the soothing ambiance created by wind chimes to add dimension

to outdoor spaces. The gentle sound will provide a peaceful, calming atmosphere for many years.

Gardeners often forget the simple tools they need like a great pair of gardening gloves. consider giving natural bamboo gloves; they are durable, machine washable and breathable. Gardeners can never have too many pairs of good, easy-wearing gloves.

Felco-brand tools are extremely durable, adjustable and sharp. For pruners, loppers, shears and saws that last year after year and have replaceable blades, the Felcos cannot be beat. Plus, they are ergonomic so they are easy to use and good for gardeners with arthritis or other physical limitations.

Not sure what the gardeners in your life will want to plant this spring? Let them decide with a gift certificate to a local garden center. choose a garden center with a large selection of goods and services to surround your favorite gardener with options.

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Here are some common errors or myths that can prevent you from getting help for yourself or a loved one:

• “Mental illness is all in your head.” Many seniors think forget-fulness, erratic behavior or “getting the blues” is just part of the aging

process. This is not true. There is always something that can be done to help.

• “Time heals all wounds.” Like most illnesses, the success rate for treatment of mental conditions goes up exponentially when conditions

are caught early. Your symptoms may be nothing but only your doctor knows for sure.

• “Children should not interfere with their parents’ lives.” When families call local resources for help with their aging loved one, it’s often in response to a condition that has been worsening for a long time. They frequently admit they felt something was wrong for a long time but it wasn’t their place to say anything.

• “Older adults are eccentric, doddering oafs or shrill, batty old ladies.” Don’t believe these stereotypes distributed by the popular media. Amazingly, many seniors buy into these images of themselves. Don’t suffer in silence for fear of what the neighbors might think.

• “Mental illness is a death sentence.” Not only are many conditions highly treatable, but some can be controlled by adjusting medications or levels of certain nutrients. Thinking about having a mental illness is usually far worse than actually having the condition. Give yourself permission to have a problem, then go out and fix it.

Myths About Mental HealthWho pays for Mental Health Services?

Lawn and landscaping services include leaf removal and garden clean-up as well as installation of raised beds for a new vegetable garden. container gardens or large, beautiful planters for the deck or front entryway are always popular.

Give the gift of inspiration with gift certificates or memberships to one of Arkansas’ public gardens such as botanical Gardens of the Ozarks in Fayetteville or Garvan Woodland Gardens in Hot Springs.

Mr. Curtis owns The Good Earth Garden Center in Little Rock.

This is the time of year when many people will be planning donations to charities and nonprofits

they feel are worthy of a financial boost. Just as it makes sense to educate yourself about the organiza-tions to whom you give, it makes sense to brush up on your giving habits themselves. Here’s what you should put into practice before writing that check:• Turn a practical eye toward giving. Identify the cause that you feel is closest to home—one that specifically aims at changing what you want to see changed.• No phone calls, no middlemen. most telemarketers keep a large percentage of your donation for their expenses. If you are interested in the organization, look into other ways to donate. Look at their website and donate online or in person.• Sound-alike names aren’t always the same. Is the trusted cancer nonprofit called the American cancer

Society or the American cancer Foundation? While either one may be legitimate, it’s best to check it out before you commit.• Take your time. donors who are truly committed to helping make a difference know it takes time to study charities before giving to them. developing a relationship of sorts, through dialogue and discovery, is key to making informed donation decisions.

Any time of year you make donations, it’s essential to keep good records and receipts when giving to charities and nonprofits. If you follow the above steps when considering how to make a donation, your money is sure to follow your best intentions.

Mr. Garrison is president of Asset Protection Wealth Management and specializes in preparing for retirement.

MONEy n By gARy gARRISON

Be a Savvy Giver

Thinking about having a mental illness is usually

far worse than actually having the condition.

By Dwain Hebda

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HIKINg WITH LEE HILLER

their ownership and finances with the U.S. Securities and Exchange Commission. But as many facilities become privately-financed, they can hide such details.

“Private venture capital firms have taken them over,” Couch says. But he holds out hope that President Obama’s healthcare reforms will block some of the effects of such moves. “One of the sections of ‘Obamacare’ is called the Nursing Home Transparency Act,” Couch says. “It requires that all these companies that get money from the federal government … have to disclose the true ownership of the company.”

FINANCINg LIABILITyMartha Deaver, president of resident rights group Arkansas Advocates for Nursing Home Residents (AANHR), finds the system by which facilities protect themselves against profes-sional liability unfair as well. “We’re one of only a few states that allow nursing homes to include liability premiums on their cost reports for reimbursement,” Deaver says.

Facilities report their annual costs to the state. The amount they may charge per resi-dent is based on the total costs they report to the state. Allowing homes to include the cost of liability insurance in the reimbursement report requires the government to pay the nursing

homes’ cost of failing to care for residents, Deaver, a nationally-recog-nized patient advocate, contends.

The largest liability insurance reim-bursement claimed on a cost report for the fiscal year ending in June 2011 totaled $977,475, submitted by Searcy Healthcare Center. The next-highest reimbursement total claimed for liability insurance was $635,850 from Magnolia Health and Rehabilitation; followed by Broadway Healthcare Center in West Memphis with $540,473.

THE COST OF pOLITICSIf the deck seems stacked against the residents of nursing homes, or at least those residents who have expe-rienced less than stellar care, then the reason may lie in the traditional culprit: Money.

Any change in the political situation is unlikely to occur soon, Couch says. “The chances of getting any substantial reforms passed at the state level are not very good because people who live in nursing homes don’t have paid lobby-ists,” he says. “Anytime the state threatens to do something that (the industry) perceives is not good for nursing homes, they’ll call the nursing home operators to put pressure on politicians.”

The largest political campaign contrib-

utor in Arkansas so far this year is the trade association representing nursing homes, the Arkansas Health Care Association (AHCA). The AHCA political action committee has given $237,853 to candidates and parties, well ahead of the $192,524 contributed by the second-place Stephens Group. When direct contributions from people in the industry and from individual facilities are added, the 2012 state contribution figure balloons to $429,211.

This amount ranks nursing homes seventh among state industries. Removing categories for candidate self-finance, candi-

date and party committees and one labeled “retired,” leaves nursing homes behind only “lawyers and lobbyists” and “health profes-sionals” in 2012 Arkansas political contributions.

AHCA representatives, contacted several times by phone and email, elected not to comment on this article.

“It takes a well-intentioned and brave politi-cian to take this on,” Couch says. “The last time there were substantial reforms, David Pryor was behind it.” Senator Pryor, a Democrat, retired from the U.S. Senate in 1997.

The following is an abbreviated list of representative areas that state inspectors are required to check when surveying nursing facilities that

receive medicare and medicaid funds. The complete guidelines, along with a checklist of what to look for when considering a nursing home, are posted at www.aanhr.org, the website of Arkansas Advocates for Nursing Home residents, a non-profit, resident-rights advocacy organization.

These guidelines were created and are maintained by the U.S. department of Health and Human Services.

Are residents’ rights being protected? This can include the right to request records; to self-administer medication if this is determined to be safe; to be fully informed, in language that they can understand, of total health status; and to be fully informed in advance about care and treatment and of any changes that may affect the resident’s well-being.

Are residents being restrained through the use of physical restraints or sedative medication? These restraints should only be used when docu-mented medical necessity exists.

Evidence of abuse. The facility must not use verbal, mental, sexual, or physical abuse, corporal punishment, or involuntary seclusion. Are there any indications or staff/resident reports of such treatment?

Residents must be given access to their doctor, representatives of the state agency responsible for the protection of developmentally disabled individuals, the agency responsible for the protection of mentally ill indi-

viduals and, subject to the resident’s right to deny or withdraw consent at any time, immediate family or other relatives. Are there indications or staff/resident reports that this access is denied?

Review state-covered services and compare this with the list of items for which the facility charges, to determine if the facility is charging for covered services.

Warning devices working? Warning devices are used to protect residents from wandering off from the facility or from falling out of bed or wheelchairs. be sure manufacturer’s guidelines are being followed and the devices are being inspected.

Are staffing guidelines followed? check work schedules, time cards, pay records and interview staff and residents as well as observe present staffing.

Are stimulating, safe activities available to all residents as appro-priate? check records and interview staff/residents to determine this. be sure residents have the option of declining to participate if they choose.

Preadmission screening should be taking place to determine the appropriate treatment plan for each resident. check records and interview residents and staff to determine this.

Are pressure ulcers being diagnosed and treated properly? review records and interview medical staff along with residents. This is only one out of a large number of medical conditions that the survey team must review to determine that proper diagnosis and treatment is occurring regularly.

What Do Inspectors Look For? by Jack Whitsett

If the deck seems

stacked against the

residents of

nursing homes,

then the reason

may lie in the traditional culprit: Money.

ADvOCACy

CONTINUED FROM PAGE 4


HIKINg WITH LEE HILLER HERE'S LOOKINg AT yOU! n By RITA AND THE FASHIONISTAS

your Fashionistas share their rare psychic radar about presents for those impossible

gift-list folks. For twice the bliss of giving, we found a bountiful trove of charming choices with true give-back power. These treasures are lovely, help fund good causes, provide financial energy to the merchant, and a warm glow to our hearts. All are located in Little Rock.

• Beyond Cotton (10700 Rodney Parham; 221-9195) offers the Red Sari scarves, mini-totes and shawls. Sales benefit third-world workers while offering stunning colors and fabric blends. Beyond Cotton also sells the Broken China jewelry fashioned from shattered china, to benefit the Women's Shelter of Central Ark.

• Heifer International, a hunger relief charity headquartered in Little Rock, (1 World Ave.; 907-2600) lets you gift livestock, or shares of livestock, to an at-risk family or village along with training to sustain and expand the gift to others in need. Prices start at $15.

• Barbara Graves Intimate Fashions (10301 N. Rodney Parham; 227-5537) has the Humane

Society 2013 Planner Calendars for $25. Proceeds fund Pulaski County’s no-kill animal shelter.

• Market Place Pharmacy (11316 Huron; 225-5056) features Glory Haus tea towels, sewn by at-risk women for revenue and educa-tion. The towels are adorable, affordable gifts everyone needs.

• The Green Corner Store (1423 Main St.; 374-1111) offers kitschy local gift ideas geared to environmental re-purposing. Jewelry, picture frames, pottery, and darling decor treats will benefit our earth and local artisans.

• Ten Thousand Villages (305 Clinton Ave.; 374-2776) presents myriad global gifts of baskets, wall-motif and whimsical native accents that tell the villages’ story.

• River Market Books and Gifts (Cox Creative Center on the Main Library campus, 120 River Market Ave.; 918-3093) offers colorful totes crafted from plastic water bottles and feed sacks at crazy-low prices of $9 to $19. They offer a tee-shirt line that gives a book to the

African Literacy Project for every item sold. Sale proceeds benefit Friends of Central AR Library to enhance library programs.

• The Clinton Museum Store’s (610 Clinton Ave.; 748-0400) total profits benefit the world-acclaimed Clinton Foundation. Within the store are novel craft items created by single mothers to benefit at-risk New York barrios and schools. Bags of rice from Arkansas’ Riceland Corporation directly benefit Arkansas’ Rice Depot.

gifts that give Twice

Sari scarves from Red Sari, available at Beyond Cotton, give twice—to your loved one and income for third world artisans.

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The hustle and bustle of holiday festivities often present challenges even when our

lives are running smoothly. The twinkling lights and seasonal music, the traffic and hordes of shoppers, the expectations and needs of others are almost too much to contend with when you have lost a loved one.

During this season, you may be challenged to face togetherness and traditions that will never be the same as they were before your loss. You can manage the “holiday blues” if you plan ahead with family and friends. This is a time to honor your old memories as you seek and find creative ways to reduce stress. The following suggestions will help make the holidays more tolerable, and even enjoyable if you will give yourself permission to feel joy.

• Communicate clearly your needs and concerns to those around you. Tell them what you feel comfortable with and what you would rather avoid. Your friends and family truly wish to make your emotional load lighter, but frequently they’re not sure what to do. You have that information and they don’t. Good communication will help alleviate their discomfiture and enable you to reduce some of your fatigue and feelings of disorientation.

• Acknowledge your loss. Just because the person with whom you shared so many past holidays will be absent this year, it doesn’t mean that person’s significance and memory

cannot be celebrated. Find a way to honor and pay tribute to your loved one. Gather the family for a quiet, simple candle-lighting ceremony. Encourage each person to recall a favorite holiday memory about the honoree.

Make a charitable donation or give a special gift in that person’s name. Acknowledging the absence and honoring the memory is far healthier than trying to avoid mentioning the cause of your seasonal sadness.

• Reduce your activities. Grief is physically, mentally, and emotionally fatiguing. Gift shopping is particularly stressful. This year, shop online or give gift cards. Choose which events you truly want to attend and work your schedule around them, allowing time to rest between events. Give yourself permission to skip a sched-uled function if it just “doesn’t feel right.” Trust your instincts on this. While it is important to be around family and close friends, set realistic limits.

• Change routines and traditions. This may be the year that certain family traditions need some altera-tion to lessen the pain of loss. If you find yourself dreading a certain part of the holiday rituals, devise accept-able alternatives. Go out to eat if the thought of seeing that empty chair at the family table will bring too much sorrow. Open gifts at a different time or place. If religion is part of your ritual, try attending a different church this year. In communicating with your family about these changes, let there be an agreement that these are temporary measures and that tradi-tions can be resumed when healing has occurred.

FINAL TRANSITIONS n By KAyE RISSER

Holiday grief relief

ACROSS 1, 4 & 9 Sports

news of 191914 Part of E.N.T.15 Stand for a

sitting16 Part of a waste

reduction strategy

17, 18 & 19 Toys “R” Us department

20 Figure in Raphael’s “The School of Athens”

22 Painter’s aid24 Drawer at a

doctor’s office?26 Not moved from

the original location

30 Lib ___ (U.K. party member)

31 Times or Century

33 Some French?34, 37 & 39 Fredric

March’s last film41 ___ Gallimard,

protagonist of “M. Butterfly”

42 Something to contemplate

44 Tributary of the High Rhine

45, 47 & 48 Like some student activities

49 Third of November?

50 Like bright red cardinals

52 Egyptian headdress feature

54 Children of ___ (descendants of Jacob)

56 Goldsmith, for one

60 Like “Wedding Crashers” or “Bridesmaids”

63 A current flows into it

64, 67 & 69 Role that garnered 12 consecutive unsuccessful Emmy nominations, 1985-96

70 Brother of Moses

71 Beauty pageant judging criterion

72 Iraq war danger, for short

73, 74 & 75 “Invisible” part of a distribution list … or a hint to this puzzle’s theme

DOWN 1 Urban

cacophony 2 ___ column

(construction piece)

3 Toward the back 4 Organic

compound with a double-bonded oxygen

5 Isl. south of Corsica

6 “___ mio” 7 Princess known

as the Defender of the Elijans

8 Declined, as stocks

9 Composer Dominick whose name means “silver” in Italian

10 Almost reaches11 Musical syllable

before and after “da”

12 Enzyme suffix13 “___ Miz”21 Comparatively

neat23 Racket25 Feds27 Model28 Aquarium fish29 Program

presenter31 N.F.L. record-

holder for consecutive starts

32 Embarassing spelling mistake?

34 Fountain name35 Spells36 Sign with an

arrow38 Mangle40 “Tales of the

City” novelist43 Make-up

person?

46 Ute or Cree51 What’s put

before the carte?

53 New York’s ___ Island

55 “Backdraft” crime56 Wing it57 Bygone gas

brand58 “Take ___

breath”

59 Uncool61 Spanish

appetizer62 Get an ___

effort64 Get one’s point

across?65 Suffix with arbor

or ether66 ___ Lanka68 “___ Beso”

Puzzle by George Barany and Victor Barocas

For answers, call 1-900-285-5656, $1.49 a minute; or, with a credit card, 1-800-814-5554.Annual subscriptions are available for the best of Sunday crosswords from the last 50 years: 1-888-7-ACROSS.AT&T users: Text NYTX to 386 to download puzzles, or visit nytimes.com/mobilexword for more information.Online subscriptions: Today’s puzzle and more than 2,000 past puzzles, nytimes.com/crosswords ($39.95 a year).Share tips: nytimes.com/wordplay. Crosswords for young solvers: nytimes.com/learning/xwords.

ANSWER TO PREVIOUS PUZZLE

1 2 3 4 5 6 7 8 9 10 11 12 13

14 15 16

17 18 19

20 21 22 23

24 25 26 27 28 29

30 31 32 33

34 35 36 37 38 39 40

41 42 43 44

45 46 47 48

49 50 51 52 53

54 55 56 57 58 59

60 61 62 63

64 65 66 67 68 69

70 71 72

73 74 75

E S P R I T Z A N E T A OA T R I S K O D I N A D ZT O O T H O F W O L F N R AS A B U S L I P S O F Y E W

O A R Y E T L L A M AE N S L E R A D OL U C E A S E U P A B O UB L I N D W O R M S S T I N GA L S O L O O S E N S E L

R D S S A S H A YO B A M A A A H G T OL I Z A R D S L E G A P B SI T T W I T C H E S B R E WV E E I D E O L O L I T AE S C N O R A B R E C H T

The New York Times Syndication Sales Corporation620 Eighth Avenue, New York, N.Y. 10018

For Information Call: 1-800-972-3550For Thursday, December 06, 2012

Edited by Will Shortz No. 1101

ACROSS 1 Menlo Park

middle name 5 Musical with the

song “Bui Doi”

15 Receives, as a visitor

16 What cosmologists wonder

17 Word for quitters

18 Got through

19 Heat

21 Gorge

22 Aquí, across the Pyrénées

23 Dovetail part

24 Be feeble-minded

25 Like some mus. notes

26 Judge in 1990s news

27 Neverland resident

29 Maker of a special-delivery flight

30 What shows its ribs?

32 Things that are shot or fought

33 One way to resign

35 St. ___ (English boys’ school founded in 948)

38 Stadium ear piercer

42 Chicken’s yellow part?

43 Swing a thurible around

44 Texas hoopster

45 Phishing lure?

46 Arabian parent

47 Eclipse alternative

49 Like chestnuts

50 It may follow a cut

51 Milk curdler

52 Classic Robert Burns poem, with “A”

55 Certain something

56 Be disengaging?57 Grow tiresome58 People person59 Some brackets

DOWN 1 Mahatma

Gandhi, for one 2 Provide for

tenancy 3 Atlantic follower,

in Monopoly 4 Turf leader? 5 Hikers’ helpers 6 Madness 7 Potential

downside of the information age

8 Hyperhidrotic 9 Otto goes after

it10 Swiss banks

may be affiliated with it

11 Pier grp.12 Began brawling13 Draw for an

inside straight, say

14 Old fast-food chain whose mascot’s head was an orange

20 Bombing at a comedy club

24 ___ Homme (perfume brand)

25 Blackhawk carmaker

28 MoMA’s “Two Heads” and “Birds in an Aquarium”

29 “Yeah, I did it … oh well!”

31 Directive for murder?

32 Quick spins?

34 Whistler’s production

35 Rivets

36 Tank named after a French W.W. II general

37 Inflatable lining

39 Daley’s successor as mayor of Chicago

40 Pass out on the field?

41 Some self-images

43 John who wrote the textbook “How Does a Poem Mean?”

46 Many a cab

48 Knocked out

50 Fool on the ice

51 Cousin of a jig

53 Singer Carly ___

Jepsen

54 Pou ___ (basis

of operations)

Puzzle by Ed Sessa

For answers, call 1-900-285-5656, $1.49 a minute; or, with a credit card, 1-800-814-5554.Annual subscriptions are available for the best of Sunday crosswords from the last 50 years: 1-888-7-ACROSS.AT&T users: Text NYTX to 386 to download puzzles, or visit nytimes.com/mobilexword for more information.Online subscriptions: Today’s puzzle and more than 2,000 past puzzles, nytimes.com/crosswords ($39.95 a year).Share tips: nytimes.com/wordplay. Crosswords for young solvers: nytimes.com/learning/xwords.

ANSWER TO PREVIOUS PUZZLE

1 2 3 4 5 6 7 8 9 10 11 12 13 14

15 16

17 18

19 20 21 22

23 24 25

26 27 28 29

30 31 32

33 34

35 36 37 38 39 40 41

42 43 44

45 46 47 48

49 50 51

52 53 54 55

56 57

58 59

J O B I S L A C H R O M AU N A N O E L A M O R A LG P S F R O F F T O N I C E

A S P O T A R Y O R AE R S E O U T I E S L O SG O O N O F F A T A N G E N TA L L A H C H O R A LL E O N I D S P A S M S

C O A T E D A C C R AO N Y E A R E L E C T I O F FC O O N E B U L A E T R ET O Y I O S N O R S EO N O F F S W I T C H M E WP A M E L A V I E S A Z OI N A W A Y E E R O N E W

The New York Times Syndication Sales Corporation620 Eighth Avenue, New York, N.Y. 10018

For Information Call: 1-800-972-3550For Friday, November 02, 2012

Edited by Will Shortz No. 0928

You may be challenged to face togetherness

and traditions that will never be the same as they were before your loss.

pho

toS.

coM

, co

MSt

ock

iMa

geS


Holiday grief relief

Maturearkansas

contact us if your organization relies on volunteers or donations.

Katherine Daniels, 501-375-2985or [email protected]

DO GOOD,GIVE BACK

Pets are the newest residents at Parkway Village.

Now, in addition to 24-hour security, carefree

amenities, and some of the best neighbors you’ll ever

have, your pet can join you for retirement living at its

liveliest. For a tour, call Mark Hamby at 501.202.1626

or visit online at ParkwayVillageAR.com.

Join us at Parkway Village.And bring a best friend.

RICK LONDON

www.ltcartoons.com

©2012 londons times cartoons

We can help. Call SHIIP toll free at

1-800-224-6330Do you have questions about:• Medicare Advantage Plans• Medicare Drug Plans• Medigap/Supplement Plans• Long-Term Care Insurance• Medicare Savings Programs

SHIIP is a program of the Arkansas Insurance Department funded by the federal agency Centers for Medicare & Medicaid Services.

MedicareQuestions?


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