August 19, 2025 • 44 mins
Listen in as host Steve Kuker, President of Senior Care Consulting, visits with Ben Souchek, owner of Home Downsizing Solutions. Ben discusses how his company buys houses in “as is” condition from individuals because of the value of the services he offers and Ben shares a story of a client who was able to stay in the house several weeks after closing due to timing issues with the new home. Then, Steve visits with Zach Cram, DPT, PT and President of Rehab Strategies. Rehab Strategies is a physical, occupational, and speech therapy provider that contracts with skilled nursing, long term care, and assisted living communities to provide high quality, high volume therapy services that improve patient outcomes and improve facility quality measures. In 2018, the founders of Rehab Strategies created Care Strategies, a clinician-owned, family operated chain of skilled nursing facilities in Indiana with a strong emphasis on therapy services and rehabilitation due to the ownership background. #SeniorCare #SeniorCareLive #SeniorCareConsulting #SeniorLiving #KansasCitySeniorCare #SeniorCarePlacement #SeniorCareAdvisor #Franchise #SeniorCareFranchise (800) 331-6445
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:01):
Are you caring for an aging loved one? Are you
a senior searching for answers? Welcome to Senior Care Live,
a program dedicated to you, providing information, education and resources
for seniors and their caregivers. And now America's Senior care Consultant,
Steve Keecker.
Speaker 2 (00:23):
Hello and welcome to Senior Care Live. I'm Steve Keeker.
You're Senior Care Consultant, and I really appreciate you tuning
in today. We have a wonderful program on tap with
my friend and special guest in studio. He is mister
Ben Socheck. He's the owner of Home down Sizing Solutions
and Ben, Welcome back to Senior Care Live.
Speaker 3 (00:42):
Steve.
Speaker 4 (00:42):
Great to be here again and as always, hopefully I
can impart some great information for your listeners today.
Speaker 2 (00:49):
All right, you always do, Ben, and for our listeners,
write this phone number down. If you're thinking about moving,
you may need his services immediately and maybe down the
road you're going to want this phone number eight five
five two nine one five zero zero five. That's toll
free eight five five two nine one five zero zero five.
(01:11):
You could also visit his website. It is loaded with
great information Home Downsizing dot com just like it sounds
home downsizing dot Com and Ben, I understand that you've
recently worked well, you've you've worked with several individuals wanting
to sell their house, and you specialize in in purchasing
(01:32):
a house in an as is condition.
Speaker 4 (01:35):
That's correct, Steve. We do everything that we can to
make it as easy as possible for a person that
wants to sell a house and move to a new apartment,
new smaller home, senior community, whatever that is. We try
and make that process as smooth as possible, primarily with
the real estate, but if we can be a facilitator
(01:58):
to find other services, whether it be moving companies, junk
removal companies. Of course we remove jock or stuff that
people don't need anymore whenn't buy a house, but if
there are other services that a person needs, we try
and do everything that we can to be valuable so
that they don't have to go looking elsewhere for those
(02:18):
multiple types of services. For everybody. That's correct.
Speaker 2 (02:21):
Well, you almost turn into a you have to know
a lot of things about a lot of stuff, and
if someone is in a position where maybe they've lived
in the home for you know, several decades, twenty thirty
years plus. There's so much that you need to do,
and like you said, you have movers, you have people
who can pack your stuff up, you have estate sales.
(02:43):
You need to just get rid of stuff, and there's
just so much to do, and it's just really, really
a helpful and important service. So I understand that you've
worked recently with a couple of interesting clients.
Speaker 4 (02:57):
That's correct. One individual that we've worked with in the
last couple of months that I wanted to point out,
I'll step back a little bit here. I think the
perception is a company like mine that is a cash
home buying company only work with people that are desperate,
that are in financial distress or other deep distress that
(03:19):
is forcing them to sell a house at what a
lot of people perceive is probably below market value, what
other people would call market value. And this one individual
in particular, a professional actually in the psychology field, so
he definitely is probably smarter than I am, most definitely,
(03:40):
and probably thinks he's smarter than a lot of people.
Speaker 2 (03:42):
Yeah yeah, yeah, but in that field.
Speaker 4 (03:46):
And he had a house that he'd owned for a
while and it needed some cosmetic updating, but was in
a nice area of town not that bad a condition,
but he just did not want to be herbed by
people coming through his house since he met virtually with patients,
(04:08):
so he did not want to be showing his house
at inopportune times. He didn't want to do the work
to get the house into a more show ready condition,
and he was very private in general. Whenever he tried
to call me, his number would never show up on
the phone.
Speaker 2 (04:27):
Okay, right, So until he was.
Speaker 4 (04:29):
Ready to meet with me, I had no idea who
I was talking to or anything else, but met with
the gentleman, went through his house, made him an offer
while we were well, I was at the house, and
he said, well, I have a couple other companies coming,
so I'll let you know. And followed up with him
within the next day, and he said, well, can you
(04:51):
come up to why price versus the number that you
gave me? And I said, I really can't. I said
that is my best offer. And he said, well, okay,
that's too bad because I have another company that was
that's offering more. Okay, And I said, well, as long
as you know they're doing all the things that I
said that I would do, that you're comparing equal companies.
(05:11):
I said, if I were you, i'd probably go with
them too, and so that's what he initially did. And
a week later I got a call back from.
Speaker 2 (05:18):
Him, oh boy, saying, here comes saying.
Speaker 4 (05:21):
Are you still interested in buying the house? And I
said sure, and so we went ahead and bought the house.
And one of the things that he wanted is since
he was moving out of town and didn't know when
his new place was going to be ready, he wanted
at least four weeks potentially more, to stay in the house.
And I said that's fine, we can work out an
(05:41):
agreement that would do that.
Speaker 3 (05:42):
Yep.
Speaker 4 (05:43):
So after everything that was done, I said, or I
asked him, what was it that caused you to come
back to do business with me because you had chosen
a different company? M hm, And he said, you know,
and he pointed out again that he was in the
psychology field and that nobody's to pull one over on him.
Speaker 2 (06:01):
Right.
Speaker 4 (06:02):
The company had promised him a certain amount, and within
a few days they came back and said, you know,
we have some other things going on. We'd only be
able to pay you X instead of hyh.
Speaker 2 (06:14):
And so here come the Shenanigans.
Speaker 4 (06:16):
Correct or whatever they were doing. I don't know, yeah, yeah,
And apparently a couple of days later they came back
again and said, we can pay what we originally agreed
to pay you. And so this this person, with all
these things oddities happening around the transaction, he said, you know,
(06:37):
I don't want to have anything to do with you. Yep,
And so he came back to me.
Speaker 3 (06:41):
It's a good call. That's a good call.
Speaker 2 (06:42):
Yeah.
Speaker 4 (06:43):
And so he came back to me and said, how
soon can you close? And so he closed in a
few days. He had most of his proceeds a little
bit in escrow, and then he was able to make
that transition to his new home, and he ended up
staying at the house for six or seven weeks instead
of the original four. But we accommodate whatever he needed
to do. So that's one of those situations where I
(07:04):
feel pretty good about. We're not always the highest or
promise the most money, but I've always tried to do
what I said I was going to do.
Speaker 5 (07:12):
Well.
Speaker 2 (07:13):
You keep your word. You're an honest person, you are
a veteran, You're one of the most stand up individuals
that I have ever had the privilege to know and
meet and work with and you're such a good fit
on the show because this show is about integrity and
authenticity and doing the right thing. So he comes back
and he's trying to say, well, you know, will you
(07:34):
do this? Well, no, I gave you my best offer first.
And so you know how many times have have have
we all worked with someone and they said, well, we'll
sell it to you for that, and well, no, that's
not going to work for me. We walk away, Well no,
I can sell it to you for that. You're like,
why didn't you offer that to me the first time?
(07:55):
So that's and then there's a blow to your integrity
and it's for me that's important. Some people maybe it's
less important. For me, it's very important.
Speaker 4 (08:04):
Correct and I as well, But that talking to someone
like he is was a professional that didn't have to
do anything with a cash on buyer. He certainly could
have just moved and sold his house in a conventional manner,
but he chose to do business with me ultimately because
he trusted me, he liked the benefits, and it'd accomplished
(08:25):
what he wanted to accomplish well.
Speaker 2 (08:27):
And like you said, he's a private person and the
work that he does, he cannot be interrupted with a realtor.
Is nothing against realtors, but you know, sometimes you get
a five minute phone call, Hey, I've got I've got
a hot lead. Somebody needs to move. We're going to
be there in five minutes. They can't just bust into
his house because he's doing virtual meetings with people needing
psychological support, psychiatry or from a psychologist, whatever it was,
(08:51):
and so you can't do that. And he also valued
the privacy or the lack of an invasion of privacy
because when you sell your house in traditional means, and again,
sometimes that's the right call, for sure. But you know,
last time I did that, our kids were little, and
I swore to goodness I would never do it again
(09:11):
because we got a lot of those calls. And I
was appreciated that someone who was interested in the house,
but we had to round up all the kids. You
could never relax because someone could be coming over at
any time. That got on my nurse and then I
didn't like total strangers walking around my house. I did
not really care for.
Speaker 4 (09:30):
That, correct and that we've encountered that a number of times,
especially when a person's been in their home a long
time and I'm not saying this happens often, but I
know that it has happened in the past where a
person's meds medications will disappear.
Speaker 3 (09:47):
Yep.
Speaker 4 (09:47):
Yeah, you just there's no way that an agent, I mean,
hopefully they are doing a good job in screening people
to make sure that they can actually buy the house
before they get in the house.
Speaker 3 (09:56):
Yep.
Speaker 4 (09:57):
But you know, if a person cares about that is
a value to some people.
Speaker 2 (10:01):
Absolutely. If this is resonating with you, you think that
you're selling your home as is for cash, you do
it quickly. You can stay in the home even after closing. Okay.
If that's your situation, reach out to Ben Socheck with
Home Downsizing Solutions at eight five five two nine one
five zero zero five or online at home Downsizing dot
(10:25):
com and now the Senior Care Live Question of the Week.
If you're selling your house and it needs a number
of updates and repairs, it's always best to do at
least something to improve the condition of the house. Is
that stay true or false? What do you think?
Speaker 1 (10:43):
You're listening to Senior Care Live on the Senior Care
Broadcasting Network. For more information, visit Seniorcare Live dot com.
We'll have more with Steve coming up next. A recent
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Speaker 2 (12:05):
Welcome back. You're listening to Senior Care Live on the
Senior Care Broadcasting Network. For more information, go to Seniorcare
Live dot Com. Now back to the Senior Care Live
Question of the week. If you're selling your house and
it needs a number of updates and repairs, it's always
best to do at least something to improve the condition
(12:27):
of the house. Is that statement true or false? And
the answer is false, the answer is false or Ben
said mostly false? So Ben, why is it stay a
bit false?
Speaker 4 (12:44):
Yes, Steve, It's one of those things. A question that
I get answered or asked a lot is should I
do some things of the house to improve some things
or just sell as is? And I've learned this lesson
myself recently. In that I mean tip. Obviously, if you
clean things up, take care of landscaping, and do some
(13:07):
nice things, it's not going to hurt anything. Sure, But
in general, if a person says, you know, I'm going
to paint, put new carbet floor coverings down, but not
do anything about the thirty or forty year old bathroom
or kitchen things like that, what my response is typically
is either do everything to make the house as nice
(13:28):
looking as you can, including new lighting, new electrical plates,
things like that, updated or plug ins, or do nothing
because what will typically happen that I found is if
you do some of the things. Then a retail buyer
is going to come into the house and their eyes
are automatically going to be drawn to the things you
(13:49):
haven't done.
Speaker 3 (13:50):
Yep.
Speaker 4 (13:51):
And depending on the market, they might put up with
that or they might just turn around and go to
the next house.
Speaker 2 (13:57):
I think the market is still definitely hot enough, even
though the interest rates are are higher than they were,
you know, a few years back, and they'll come down
just a tiny bit. But I think the market is
still hot enough to where they're going to see the
forty year old bathroom in the in the pink the
pink you know, water fixture in the pink toilet or
the yellow whatever it is, right, and they're gonna go No,
(14:20):
I don't think so, because they're either going to expect
a thing to be updated and kind of move in
ready or or not.
Speaker 3 (14:26):
Correct.
Speaker 4 (14:27):
Yeah, that's that is correct. So that's my answer to
mostly false for that.
Speaker 2 (14:32):
Don't don't waste your time and your money, do it
all or do none of it.
Speaker 4 (14:37):
And Steve yeah, start to interrupting you. No, No, if
I could, I've learned recently that the show is in
the Petsacola, Florida market.
Speaker 2 (14:45):
Yes, sir, we've run three different stations down in the
Pensacola area. That is great.
Speaker 4 (14:49):
It's it's some of my old stopping ground where I
went to my military schools at Okay. Yeah, and also
have some friends that are that are there. Yeah, And
so I'd like to give a little shout out to
Grace and Gary yeah, yeah, and their family and hope
they're doing well and hope they're listening this week.
Speaker 2 (15:05):
Hey, Grace and Gary, I hope you're having a great summer.
I'm jealous that you live in Florida, so how about that.
But yeah, shout out to Grace and Grace and Gary
and your family. And yeah, let's hope they're listening. So
give them a call, give them a heads up and
let them know they're they're famous. Now that's right, they
made the radio. This has been so check with Home
(15:25):
Downsizing Solutions at eight five five two nine one five
zero zero five or online at home Downsizing dot com.
And Ben, I don't want to just pass by too
quickly on something that is very routine for you. But
I don't think it's a routine thing having someone sell
(15:45):
their home this other house as is for cash. But
then with you with home downsizing solutions. If there's a
timing issue, like the last gentleman you talked about, you
allow them to stay in the home even after they
even after it's sold.
Speaker 6 (16:01):
That's correct.
Speaker 4 (16:01):
Well, that's one of the biggest benefits that we've offered
for for years. But I think is one of the
biggest benefits that people really appreciate is because it eliminates
that catch twenty two of especially if a person's moving
into a senior community that they may not know when
their apartment's going to be ready exactly or when you know,
(16:22):
move out occurs that they can then move in, and
so they want to sell the house. They know that
they want to move to the community, but they don't
want to sell the house because they don't want to
be kicked out of the house.
Speaker 2 (16:32):
Yeah yeah, and have.
Speaker 4 (16:33):
To go to somewhere interim before they can move to
their ultimate place that they're looking to move to. And
they also don't want to move out and leave and
be responsible for a vacant house just because they can
move into the community. So it's kind of to catch
twenty two that we can eliminate for them.
Speaker 2 (16:52):
If that's resonating with you, I guarantee that pricked up
a lot of ears out there eight five five two
nine zero zero five or online at home downsizing dot com.
And Ben understand that you worked with another client recently
and it sounds like a pretty interesting story.
Speaker 3 (17:09):
Correct.
Speaker 4 (17:10):
Again, it's a situation where I think people perceive that
a company like mine only work with someone that has
to sell, you know, the houses in disrepair, things like that,
and this other actually two instances of it of working
with people this past month or two where they had
(17:30):
nice houses they didn't have to sell to a cash
home buyer. But again they saw the benefits and value
the benefits that we offer in that they didn't want
to not know when their house was going to sell.
They didn't want to depend on a person qualifying and
closing on a loan, They didn't want people in the house.
The houses both needed some cosmetics, but especially in one situation,
(17:55):
not much. She just didn't want the unknowns and the
hassles of potential hassles of a traditional sale. And the
other thing is instead of just a cash offer, they
chose to take an offer from me where we're basically
turning their house into monthly payments, okay, into an income
stream for them. Okay, their houses were paid off, so
(18:19):
instead of taking a certain amount of money for cash,
we're able to pay more for the house overall if
it's easy for us to buy the house. So they're
getting a higher price for the house, and it's turning
that equity into a monthly income stream. And so that's
something else that we can do for people.
Speaker 2 (18:37):
That sounds amazing and I know that perked up smears
out there as well. Give Ben a call if you
have questions on you know, how does that work? Do
you think it would work with my home? And let's
get into some of the details. Give him a call.
He'll explain it to you. Eight five five two nine
one five zero zero five. That's eight five five two
nine one five zero zero five or online at home
(19:01):
Downsizing dot com and Ben, you still have your stress
free home Downsizing book. It's a senior's guide to selling
your house and simplifying your life. That's say, that's an
excellent book. Can where can folks find that book?
Speaker 4 (19:13):
People can just go to home Doownsizing dot com and
go under the resources tab. Okay, and otherwise, I think
the Home Downsizingworkbook dot com URL will get you to
the same place, and so all of that information is free.
I try and provide as much education as I can
for people. And also just as a reminder, my company
(19:34):
doesn't just buy houses in Kansas City and Lincoln and Omaha, Nebraska,
but we can offer home buying services elsewhere, even in Petzicola, Florida.
Speaker 2 (19:42):
There we go, there we go, and this program is heard,
you know, sixty seven different radio stations in twenty nine
different states. So don't be shy reach out to Ben
Sochick Home Downsizing Solutions eight five five two nine one
five zero zero five online at home doownsizing dot com.
That's correct, and Ben, thanks so much for being here
(20:04):
today and just always, it's amazing that you're breaking the mold.
You're breaking that stereotype of oh you have to be desperate,
it's just not true. You've been able to help recently
some quality situations where they wanted the convenience of that
and all the other issues that you had talked about.
(20:25):
So that's fantastic.
Speaker 3 (20:26):
That's correct.
Speaker 4 (20:27):
That we just like saying that we're the easy button.
If you're just looking for an easy way, press the
easy button, call us and we will do our best
to provide the greatest service that we can for you.
Speaker 2 (20:37):
Excellent, excellent. All right, Well, thank you, Ben, and we'll
have more coming right up.
Speaker 1 (20:43):
You're listening to Senior Care Live on the Senior Care
Broadcasting Network. Have a question, visit Seniorcare Live dot com.
Stick around. We'll have more with Steve coming up next.
Speaker 2 (21:02):
Hello, this is Steve Keeker, President of Senior Care Consulting.
I'm so excited to announce that we are expanding nationwide
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owning a senior care consulting franchise, call eight three three
seven two two three seven two six eight three three
seven two two three seven two six or visit Seniorcareconsulting
dot com. Welcome back. You're listening to Senior Care Live
(22:11):
on the Senior Care Broadcasting Network. For podcasts of the program,
visit Seniorcare Live dot com or wherever you get your podcasts.
All right, so we have another guest on the program today.
I'm really excited to visit with this gentleman, Zach Cram.
He's a doctor of physical therapy, so he knows what
(22:33):
he's talking about. He's also the president of Rehab Strategies
and Zach, welcome to Senior Care Live.
Speaker 5 (22:40):
Thank you, Thank you guys for having me. I really
appreciate it.
Speaker 2 (22:43):
You bet you bet so. If you have questions for Zach,
here's the phone number. Write it down three one seven
four one two six zero five nine. That's three one
seven four one two six zero five nine. Could go
online at the strategy gs dot net the Strategies dot net.
(23:04):
And Zach, you're doctor of physical therapy, so I definitely
know what you're talking about. I've been wanting to talk
a lot more about rehab on the show, so I'm
really glad you're here today. Tell us about rehab strategies
and and what y'all do with with your company.
Speaker 5 (23:18):
Yeah, yeah, sure, so we have strategies is a family owned,
therapist owned provider of physical, occupational and therapy services and
we are niche is kind of partnering with skilled nursing,
assisted living and long term care settings to provide the
therapy services in those facilities. We offer contract management on opportunities,
(23:40):
but we are What we prefer to focus on is
doing the full management of the contract where we actually
hire the staff and supply that to your facility, and
we take all the headaches of therapy services away from
anything in the facility so that the people who run
the facility can focus on, you know, everything that they
have to do, and you guys bring us in to
(24:03):
kind of run therapy and just make sure that you
guys are getting the outcomes and the services that you
need in order to give your patients the highest quality
of life, get them back in the swing of things
that they were prior to whatever injury or deficit they're
dealing with, but also help your facility turn a better
profit and generate more revenue on therapy services.
Speaker 2 (24:24):
Well, it makes sense to bring in a specialist to
offer a specialized service. That's for sure. You don't have
to reinvent the wheel and figure it all out. So
that sounds really good. When did you start all of
this rehab strategy?
Speaker 5 (24:36):
Was actually started by my dad, Ron Kram, who's a
physical therapist as well, back in two thousand and six.
I mean he started it with just himself and a
partner and they were just a couple therapists that kind
of staffed themselves out to different nursing homes and skilled
nursing facilities and then it started growing, so were located
in Indianapolis, and it started here in Indianapolis, like I said,
(24:57):
with just like one or two contracts. I became a
therapis in twenty eighteen and have been kind of taking
the reins since then. And since two thousand and six
to now, we've actually expanded into Indiana and Ohio and
have gone from just one or two contracts and now
we have just under twenty skilled nursing facilities that we
partner with across the Midwest that we currently service in
(25:19):
present day.
Speaker 2 (25:20):
And you started with two therapists and now you're nearly
two hundred therapists. Yeah, that's awesome. Well that tells me
you're doing a great job. Otherwise you're not going to
be grown like that, So that's fantastic. What makes rehab
strategies different.
Speaker 5 (25:36):
Well, rehab strategy is a little bit different in the
fact that you know, with PDPM, when that came into
play a few years back, we knew as a therapy
provider that therapy, the landscape of therapy and skilled nursing
and long term care was gonna shift, and so we
had a little bit of forefront into you know, what
that would look like. And a lot of the large
(25:58):
chains and the national providers with PDPM have found ways
to cut corners, cut down the amount of minutes they're
supplying to their patients in these facilities, which leads to
worse outcomes and less reimbursement that the facilities are able
to get because they have lower quality measures and readmission
(26:19):
rates are going through the roof. What rehab strategies did
was we looked at what patients actually needed, what they
really needed under RUGS, and we came up with a
scheduling matrix for our short term rehab patients that we
actually supply at least the same amount of number of
minutes as we were doing on RUGS for these patients,
(26:41):
if not more. So we've done a case study where
we looked at a large national chain and they're providing
about thirty minutes of therapy per discipline, five days a week.
Speaker 3 (26:52):
What Rehab Strategies.
Speaker 5 (26:53):
Does with our scheduling matrix is it takes into account
these patients, diagnoses their pay, you know, everything like that,
and it gives us a scheduling matrix that pops out
a number. And what we found with that is we
schedule our patients anywhere from forty eight to seventy two
minutes per discipline per five days. So our big thing
(27:17):
is we're still providing RUGS level therapy, but not charging
the facilities a rug level price. We're we're doing it.
We're making it work with PDPM, but the patients are
getting a lot more therapy services in the facilities that
we partner with.
Speaker 2 (27:32):
So what is PDPM.
Speaker 5 (27:33):
PDPM is the new payment system essentially, what it is
for skilled nursing facilities. Rugs used to be a payment
system where therapy drove the payment, So the more therapy
you did per day, the more reimbursement your facility got.
In twenty eighteen, twenty nineteen is kind of during CODD
(27:54):
right before COVID started PDPM was inserted, and what this
did was put how nursing homes get reimbursed onto the
nursing side of things. So therapy was now just rolled
into that. So therapy doesn't necessarily drive the reimbursement of
(28:14):
skilled nursing facilities anymore.
Speaker 2 (28:16):
Okay, yep, And it all gets very complicated real fast.
So yeah, and I'm assuming that you have full time
staff that are consistent at each each of these communities,
so that, yeah, you kind of know what to expect.
Speaker 3 (28:31):
Yeah.
Speaker 5 (28:31):
So the other thing that we do a little bit
differently again, a lot of these large chains are just
kind of having spread out therapists that cover a bunch
of different facilities to get the bare minimum seen. Because
of pdpmy, there's really not a minimum that we have
to treat anymore. So these large companies are kind of
taking advantage of that and just running the same therapists
(28:51):
in six or seven different buildings a day to kind
of get that bare minimum and just see and say
that they saw patients.
Speaker 3 (28:59):
Well, we do a strategies.
Speaker 5 (29:00):
We actually craft a full team that's going to be
a part of your facility, it's going to be a
part of your culture, and it's going to be the
team members that you know are going to be there
day in and day out, all day long, so that
your facility, your staff, your patients and their family members
all know who to talk to about therapy services and
we're going to be on site there being the team
(29:22):
that you guys count on. So we don't. We pride
ourselves in not having to run staff over different buildings,
and part of that is we're we're allowed more minutes
to see so our staff has more time in the
building to kind of build up that caseload and make
a case for themselves being in one building.
Speaker 2 (29:42):
That makes sense and I understand that you're able to
offer high quality therapy and rural settings.
Speaker 5 (29:49):
Yeah, so that's kind of been our key, kind of
our niche that we've been working on really intently.
Speaker 3 (29:53):
Pretty much.
Speaker 5 (29:54):
Almost all twenty of our facilities that we partner with
are all on very rural settings, and almost all of
them brought us in when they did because they were
having staffing issues. What we do as a small therapy
owned company, therapists owned company, is we really work on
building therapists networks in all corners of the state in
(30:16):
Indiana and Ohio where we're at and what we do
is we talk to people that are actually in the
communities that we work with to get therapy.
Speaker 3 (30:25):
Staff on board. Even if we don't use them all
the time.
Speaker 5 (30:28):
We want to have those people in those areas where
we can call on them when we need help. A
lot of these national chains and the big company use
large national staffing agencies and things like that where they're
having people move in for a couple of weeks and
then they go to Hawaii for the next couple weeks
and they bounce around. Where we really focus on building
the relationship in the community with the therapists that actually
(30:51):
live and work around the facility that you have.
Speaker 2 (30:54):
Well, the quality there would outshine another situation where they're
moving people in and out and then using supplemental staffing themselves.
Zach tell us, just briefly, because we're coming up on
a break, explain when rehab therapy is paid for by Medicare.
Speaker 5 (31:12):
So, yeah, with rehab strategy, again, we partner with skilled
nursing and long term care facilities and typically in those
if you have traditional Medicare, we're either going to see you.
Speaker 3 (31:21):
Under Part A or Part D benefits.
Speaker 5 (31:25):
Part A is traditional skilled therapy with the goal of
going home. That's technically in patient therapy, so you're in
the facility to do therapy and get better and go
to a different level of care, whether that be home
or an assisted living. In order to get Part A therapy,
what you have to do is you have to have
a three night qualifying hospital stay and once you do,
(31:48):
then you come into the facility and everything therapy wise
is covered under Part A therapy Part A benefits. With
that being said, you have up to one hundred days
on that. However, with the current landscape of insurances, a
lot of times people don't get that full time, so
a lot of times people stay in the facility longer
than just their alloted allotment of Part A benefit. When
(32:11):
that happens, we can switch someone.
Speaker 3 (32:13):
To Part B therapy. Part B therapy is for.
Speaker 5 (32:16):
Outpatient settings, assisted livings, or long term care facilities where
someone either ran out of their Part A stay or
they're just a long term care patient that has Part
B benefits and they can get therapy services as a
long term care resident, not necessarily with the intensity of
going back home.
Speaker 2 (32:36):
That makes sense and Zach hold on and right after
the break, I want to continue that conversation. Don't go away,
We'll be right back.
Speaker 1 (32:43):
You're listening to Senior Care Live on the Senior Care
Broadcasting Network. To contact Steve or a guest on his show,
this is Seniorcare Live dot Com.
Speaker 3 (32:52):
We'll have more coming up.
Speaker 2 (33:02):
So you've been living independently at home, but now it's
not working out. It's time to begin searching for a
senior care community. But with hundreds of independent living, assisted living,
long term care, and memory care options, how are you
supposed to determine the best place for you? Hello? I'm
Steve Keeker, and this is exactly why I created my firm,
(33:23):
Senior Care Consulting. I help my own grandparents through this
difficult process, so I know how overwhelming this can be.
Our business model ensures credibility and objectivity. We work directly
for you and we never receive reimbursement from any provider.
We've helped hundreds of families since two thousand and two,
(33:43):
and we can help you and your family as well.
Call today for a free consultation at nine one three
nine four five twenty eight hundred nine one three nine
four five twenty eight hundred. A placement service with integrity
at Senior Care Consulting dot com. Welcome back. You're listening
(34:12):
to Senior Care Live on the Senior Care Broadcasting Network.
Have a question, visit Senior Care Live dot com. And
today we're visiting with Zach Cram. He's a doctor of
physical therapy and president of Rehab Strategies. And if any
of that got your attention, I know it did, it
probably resonated with many people. Here's his phone number. Give
(34:35):
him a call three one seven four one two six
zero five nine. We're online at the Strategies dot net.
The Strategies dot net. And if you are a skill
nursing facility, you have long term care and you're looking
for maybe a new rehab partner, reach out to Zach
(34:56):
and you never know that might work out to be
a great partnership. And Zach, we talked about part day benefits,
part B benefits for rehab therapy. What's the difference I
think I don't think very many people understand this. What's
the difference between acute rehab in rehab provided in the
long term care setting?
Speaker 3 (35:17):
Sure?
Speaker 5 (35:17):
Yeah, so most skilled nursing facilities that we partner with
have both both a skilled unit and a or you know,
an acute rehab unit and long term care residents that
call that facility home. The big difference is with the
acute rehab, we're typically it's a little more intense, we're
doing longer treatments, we're doing more days of the week,
(35:39):
and we're really working, you know, every aspect to get
this person back to a level that they can get.
Speaker 3 (35:44):
To where they were either previously, whether.
Speaker 5 (35:47):
It be an al or at home independently or living
with family. In the long term rehab, we're pretty much
looking at a trying to keep you know, keep these
people in so they're not having a functional decline where
they would have to go down a step of care,
but also be just keeping our current residence healthy, keeping
(36:10):
them out of the hospital, keeping tabs on them to
make sure they're as strong as they possibly can be,
so that staff doesn't have a huge burden of taking
care of them, and just keeping in as independent as
possible within our you know, within the facilities that we
partner with.
Speaker 2 (36:24):
Okay, excellent, mister Zach Kram, he's a doctor of physical
therapy and president of Rehab Strategies at three one seven
four one two six zero five nine. We're online at
the Strategies dot Net and Zach, it doesn't end with
rehab strategies.
Speaker 3 (36:43):
I think over the year.
Speaker 2 (36:44):
There's been an evolution and you would kind of referred
to it earlier that with your dad's efforts, and this
has led to ownership of some long term care communities,
and you call that care strategies. Is that correct?
Speaker 5 (36:57):
That's correct, yeah, rehab. So we did it a little
bit backwards than most than most people do. Most nursing
home owners or skilled nursing facility owners kind of start
in the skilled nursing world and then bring vendors in
house and try to do everything on their own with pharmacy, therapy,
things like that.
Speaker 3 (37:17):
What we did was we got.
Speaker 5 (37:19):
So comfortable with being in skilled nursing facilities as the
therapy provider, and we were in them all the time
and just doing all types of things, not just therapy
but partnerships and different events and things like that, that
we felt like we could really, you know, do a
good job and provide great care as clinicians owning a
skilled nursing facility or.
Speaker 3 (37:40):
Chain of facilities.
Speaker 5 (37:41):
So back in twenty twenty, rehab strategies sort of expanded
into buying and purchasing skilled nursing facilities. And so now
we have a chain of five facilities that we actually
own ourselves throughout Indiana, and we obviously provide the rehab
you know, the therapy services there with rehab strategies, but
(38:02):
we actually own and operate all five of these facilities
in every aspect that goes with them.
Speaker 2 (38:09):
So I love that Clinician owned. Anytime is clinician owned.
I think that's just a I just think it'd say
built in immediate competitive advantage, family operated. I love that.
I could not love that more. Yeah, and it's fantastic
so U and good timing, right, you did this right
(38:30):
before COVID, and then COVID happens You're like, oh man,
what did we do?
Speaker 5 (38:33):
Yep, absolutely, and yeah you touched on it Clinician owned.
You know, I'm a therapist. My wife's an occupational therapist
and she's very involved in in all of our companies.
My brother is an HFA and he also has his
NBA and he is our CFO of all the different companies.
And then, like I said, my dad is a pt
at trade and kind of started all this and it's
(38:55):
just kind of grown from, like like I said, two
therapists with with you have strategies up to owning and
operating five facilities and having twenty therapy contracts.
Speaker 2 (39:07):
Yep, and nearly two hundred therapists started off from two.
That's fantastic. So where are all of your skilled nursing
facilities located?
Speaker 5 (39:16):
Yeah, so we have Again they're pretty rural throughout Indiana. Again,
we have five of them. We have two facilities located
in Monthly, Indiana, one called Cardinal Care and one called
Brookside Care strategies. Brookside Care is a mental health and
behavioral heavy facility and Cardinal Care is long term care,
(39:38):
skilled nursing, short term rehab traditional traditional sniff facility.
Speaker 2 (39:44):
All right, so let's back up a minute. So you
have a mental health and behavioral health facility and you're
offering rehab therapy there. That's not the same approach as
you would use in a traditional geriatric care setting, is
that correct?
Speaker 3 (39:58):
Correct?
Speaker 5 (39:58):
Yes, it's quite a bit different. A lot of the
patients in that particular facility are younger and not and
you know a lot of them don't have a whole
lot of physical impairments. Now, they do have a lot
of safety impairments. So with a lot of training on
safety awareness and functional mobility and things like that and
taking care of themselves with with ot you know, daily
(40:19):
activities like showering, getting dressed. A lot more things like
that that at that facility that play into the cognitive
aspect of therapy.
Speaker 2 (40:26):
I would think you'd have to have a lot more
patients and I mean patience and as in being patient,
not a patient in a mental health type of facility,
because God bless them, you know, they've got these cognitive
issues and so you probably have to maybe take some
different approaches there. And I really appreciate the, uh, I
guess the flexibility and you're you're you're able to to
(40:48):
do you know, to offer your actual rehab services for
a completely different clientele. That's that's pretty talented. That that's fantastic.
Speaker 5 (40:56):
Absolutely absolutely. And then and then we do have three
facility in southern Indiana. Two in Legodie, which is kind
of close to French Lick, Indiana. If anyone's heard of
that before, and if.
Speaker 2 (41:08):
They're very rural but Larry Bird area, right, I think
I've heard of that guy somewhere. I don't know.
Speaker 5 (41:14):
Second, More Care Strategies is a long term care facility
that also has a skilled nursing and short term rehab,
but that facility also specializes in dementia where dementia certified
there so with a fully locked facility and we and
we specialize in that which is kind of unique for
the rural southern Indiana area.
Speaker 2 (41:34):
And there and that's poplar and that's a different lane
right there too. Now we have dementia dementia care with
your and that that's even a different approach, so that
that's great.
Speaker 5 (41:42):
And then Popular Care Strategies is a traditional sniff again
in Legodi, Indiana, and we have a huge therapy gym
there and it's really focused on short term rehab to
home patients, uh, plus our long term care and skilled
nursing folks there. And then the facility we have is
located in Vincenza, Indiana, and it's called Gentle Care Strategies
(42:05):
and it's a smaller facility that specializes in rehab to
home and long term care as well.
Speaker 2 (42:11):
That's excellent. Zach Kram, he's a doctor of physical therapy
and president of Rehab Strategies. If this is resonating with you,
if you want more information, maybe a partner up with
Rehab Strategies, give Zach a call at three one seven
four one two six zero five nine or online at
the Strategies dot net. And Zach thanks so much for
(42:32):
being on the program. Keep up the great work.
Speaker 5 (42:35):
Absolutely, thank you guys for having me. I appreciate it.
Speaker 2 (42:37):
You bet and I'm Steve Keeker and I wish you
grace and peace. May God bless you and your family
on this day and always join me next week. Right
here on Senior Care Lives.
Speaker 6 (42:52):
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(43:12):
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Speaker 2 (43:52):
Quid pro quo a Latin phrase that means an exchange
of goods or services where one transfer is contingent upon
the other. Here's an example. I'll recommend your senior care
community if you'll pay me a huge kickback from my referral.
The free referral services have a vested interest in you
choosing one of their business partners. That's how they make
(44:14):
their money. Does this paid recommendation sound objective or credible?
Of course not. I'm Steve Keeker with Senior Care Consulting.
I'm so proud to say we have never received a
single penny from any provider ever. We offer a placement
service with integrity for help finding the right senior care community,
without conflict of interest and without the quid pro quo.
(44:38):
Called nine one three nine four five twenty eight hundred
nine one three nine four five twenty eight hundred. Replacement
service with Integrity at Seniorcare consulting, dot com
Are you caring for an aging loved one? Are you
a senior searching for answers? Welcome to Senior Care Live,
a program dedicated to you, providing information, education and resources
for seniors and their caregivers. And now America's Senior care Consultant,
Steve Keecker.
Speaker 2 (00:23):
Hello and welcome to Senior Care Live. I'm Steve Keeker.
You're Senior Care Consultant, and I really appreciate you tuning
in today. We have a wonderful program on tap with
my friend and special guest in studio. He is mister
Ben Socheck. He's the owner of Home down Sizing Solutions
and Ben, Welcome back to Senior Care Live.
Speaker 3 (00:42):
Steve.
Speaker 4 (00:42):
Great to be here again and as always, hopefully I
can impart some great information for your listeners today.
Speaker 2 (00:49):
All right, you always do, Ben, and for our listeners,
write this phone number down. If you're thinking about moving,
you may need his services immediately and maybe down the
road you're going to want this phone number eight five
five two nine one five zero zero five. That's toll
free eight five five two nine one five zero zero five.
(01:11):
You could also visit his website. It is loaded with
great information Home Downsizing dot com just like it sounds
home downsizing dot Com and Ben, I understand that you've
recently worked well, you've you've worked with several individuals wanting
to sell their house, and you specialize in in purchasing
(01:32):
a house in an as is condition.
Speaker 4 (01:35):
That's correct, Steve. We do everything that we can to
make it as easy as possible for a person that
wants to sell a house and move to a new apartment,
new smaller home, senior community, whatever that is. We try
and make that process as smooth as possible, primarily with
the real estate, but if we can be a facilitator
(01:58):
to find other services, whether it be moving companies, junk
removal companies. Of course we remove jock or stuff that
people don't need anymore whenn't buy a house, but if
there are other services that a person needs, we try
and do everything that we can to be valuable so
that they don't have to go looking elsewhere for those
(02:18):
multiple types of services. For everybody. That's correct.
Speaker 2 (02:21):
Well, you almost turn into a you have to know
a lot of things about a lot of stuff, and
if someone is in a position where maybe they've lived
in the home for you know, several decades, twenty thirty
years plus. There's so much that you need to do,
and like you said, you have movers, you have people
who can pack your stuff up, you have estate sales.
(02:43):
You need to just get rid of stuff, and there's
just so much to do, and it's just really, really
a helpful and important service. So I understand that you've
worked recently with a couple of interesting clients.
Speaker 4 (02:57):
That's correct. One individual that we've worked with in the
last couple of months that I wanted to point out,
I'll step back a little bit here. I think the
perception is a company like mine that is a cash
home buying company only work with people that are desperate,
that are in financial distress or other deep distress that
(03:19):
is forcing them to sell a house at what a
lot of people perceive is probably below market value, what
other people would call market value. And this one individual
in particular, a professional actually in the psychology field, so
he definitely is probably smarter than I am, most definitely,
(03:40):
and probably thinks he's smarter than a lot of people.
Speaker 2 (03:42):
Yeah yeah, yeah, but in that field.
Speaker 4 (03:46):
And he had a house that he'd owned for a
while and it needed some cosmetic updating, but was in
a nice area of town not that bad a condition,
but he just did not want to be herbed by
people coming through his house since he met virtually with patients,
(04:08):
so he did not want to be showing his house
at inopportune times. He didn't want to do the work
to get the house into a more show ready condition,
and he was very private in general. Whenever he tried
to call me, his number would never show up on
the phone.
Speaker 2 (04:27):
Okay, right, So until he was.
Speaker 4 (04:29):
Ready to meet with me, I had no idea who
I was talking to or anything else, but met with
the gentleman, went through his house, made him an offer
while we were well, I was at the house, and
he said, well, I have a couple other companies coming,
so I'll let you know. And followed up with him
within the next day, and he said, well, can you
(04:51):
come up to why price versus the number that you
gave me? And I said, I really can't. I said
that is my best offer. And he said, well, okay,
that's too bad because I have another company that was
that's offering more. Okay, And I said, well, as long
as you know they're doing all the things that I
said that I would do, that you're comparing equal companies.
(05:11):
I said, if I were you, i'd probably go with
them too, and so that's what he initially did. And
a week later I got a call back from.
Speaker 2 (05:18):
Him, oh boy, saying, here comes saying.
Speaker 4 (05:21):
Are you still interested in buying the house? And I
said sure, and so we went ahead and bought the house.
And one of the things that he wanted is since
he was moving out of town and didn't know when
his new place was going to be ready, he wanted
at least four weeks potentially more, to stay in the house.
And I said that's fine, we can work out an
(05:41):
agreement that would do that.
Speaker 3 (05:42):
Yep.
Speaker 4 (05:43):
So after everything that was done, I said, or I
asked him, what was it that caused you to come
back to do business with me because you had chosen
a different company? M hm, And he said, you know,
and he pointed out again that he was in the
psychology field and that nobody's to pull one over on him.
Speaker 2 (06:01):
Right.
Speaker 4 (06:02):
The company had promised him a certain amount, and within
a few days they came back and said, you know,
we have some other things going on. We'd only be
able to pay you X instead of hyh.
Speaker 2 (06:14):
And so here come the Shenanigans.
Speaker 4 (06:16):
Correct or whatever they were doing. I don't know, yeah, yeah,
And apparently a couple of days later they came back
again and said, we can pay what we originally agreed
to pay you. And so this this person, with all
these things oddities happening around the transaction, he said, you know,
(06:37):
I don't want to have anything to do with you. Yep,
And so he came back to me.
Speaker 3 (06:41):
It's a good call. That's a good call.
Speaker 2 (06:42):
Yeah.
Speaker 4 (06:43):
And so he came back to me and said, how
soon can you close? And so he closed in a
few days. He had most of his proceeds a little
bit in escrow, and then he was able to make
that transition to his new home, and he ended up
staying at the house for six or seven weeks instead
of the original four. But we accommodate whatever he needed
to do. So that's one of those situations where I
(07:04):
feel pretty good about. We're not always the highest or
promise the most money, but I've always tried to do
what I said I was going to do.
Speaker 5 (07:12):
Well.
Speaker 2 (07:13):
You keep your word. You're an honest person, you are
a veteran, You're one of the most stand up individuals
that I have ever had the privilege to know and
meet and work with and you're such a good fit
on the show because this show is about integrity and
authenticity and doing the right thing. So he comes back
and he's trying to say, well, you know, will you
(07:34):
do this? Well, no, I gave you my best offer first.
And so you know how many times have have have
we all worked with someone and they said, well, we'll
sell it to you for that, and well, no, that's
not going to work for me. We walk away, Well no,
I can sell it to you for that. You're like,
why didn't you offer that to me the first time?
(07:55):
So that's and then there's a blow to your integrity
and it's for me that's important. Some people maybe it's
less important. For me, it's very important.
Speaker 4 (08:04):
Correct and I as well, But that talking to someone
like he is was a professional that didn't have to
do anything with a cash on buyer. He certainly could
have just moved and sold his house in a conventional manner,
but he chose to do business with me ultimately because
he trusted me, he liked the benefits, and it'd accomplished
(08:25):
what he wanted to accomplish well.
Speaker 2 (08:27):
And like you said, he's a private person and the
work that he does, he cannot be interrupted with a realtor.
Is nothing against realtors, but you know, sometimes you get
a five minute phone call, Hey, I've got I've got
a hot lead. Somebody needs to move. We're going to
be there in five minutes. They can't just bust into
his house because he's doing virtual meetings with people needing
psychological support, psychiatry or from a psychologist, whatever it was,
(08:51):
and so you can't do that. And he also valued
the privacy or the lack of an invasion of privacy
because when you sell your house in traditional means, and again,
sometimes that's the right call, for sure. But you know,
last time I did that, our kids were little, and
I swore to goodness I would never do it again
(09:11):
because we got a lot of those calls. And I
was appreciated that someone who was interested in the house,
but we had to round up all the kids. You
could never relax because someone could be coming over at
any time. That got on my nurse and then I
didn't like total strangers walking around my house. I did
not really care for.
Speaker 4 (09:30):
That, correct and that we've encountered that a number of times,
especially when a person's been in their home a long
time and I'm not saying this happens often, but I
know that it has happened in the past where a
person's meds medications will disappear.
Speaker 3 (09:47):
Yep.
Speaker 4 (09:47):
Yeah, you just there's no way that an agent, I mean,
hopefully they are doing a good job in screening people
to make sure that they can actually buy the house
before they get in the house.
Speaker 3 (09:56):
Yep.
Speaker 4 (09:57):
But you know, if a person cares about that is
a value to some people.
Speaker 2 (10:01):
Absolutely. If this is resonating with you, you think that
you're selling your home as is for cash, you do
it quickly. You can stay in the home even after closing. Okay.
If that's your situation, reach out to Ben Socheck with
Home Downsizing Solutions at eight five five two nine one
five zero zero five or online at home Downsizing dot
(10:25):
com and now the Senior Care Live Question of the Week.
If you're selling your house and it needs a number
of updates and repairs, it's always best to do at
least something to improve the condition of the house. Is
that stay true or false? What do you think?
Speaker 1 (10:43):
You're listening to Senior Care Live on the Senior Care
Broadcasting Network. For more information, visit Seniorcare Live dot com.
We'll have more with Steve coming up next. A recent
Internet search for nursing homes in Kansas City provided thirty
(11:05):
two million results. It's daunting to think that there are
over three hundred and fifty senior care communities to choose
from in the Kansas City metro and on average, you'll
spend fifty to one hundred hours trying to find a
place for your loved one. If this sounds overwhelming, that's
because it is. I invite you to reach out to
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(11:27):
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the work for you. You'll spend just a few hours
of your time finding the best place available, and you
can trust us to be objective because we don't receive
reimbursement from any provider. We work for you. To learn more,
call Senior Care Consulting at nine three nine four five
(11:49):
twenty eight hundred three nine four five twenty eight hundred,
a placement service with integrity at Seniorcareconsulting dot com.
Speaker 2 (12:05):
Welcome back. You're listening to Senior Care Live on the
Senior Care Broadcasting Network. For more information, go to Seniorcare
Live dot Com. Now back to the Senior Care Live
Question of the week. If you're selling your house and
it needs a number of updates and repairs, it's always
best to do at least something to improve the condition
(12:27):
of the house. Is that statement true or false? And
the answer is false, the answer is false or Ben
said mostly false? So Ben, why is it stay a
bit false?
Speaker 4 (12:44):
Yes, Steve, It's one of those things. A question that
I get answered or asked a lot is should I
do some things of the house to improve some things
or just sell as is? And I've learned this lesson
myself recently. In that I mean tip. Obviously, if you
clean things up, take care of landscaping, and do some
(13:07):
nice things, it's not going to hurt anything. Sure, But
in general, if a person says, you know, I'm going
to paint, put new carbet floor coverings down, but not
do anything about the thirty or forty year old bathroom
or kitchen things like that, what my response is typically
is either do everything to make the house as nice
(13:28):
looking as you can, including new lighting, new electrical plates,
things like that, updated or plug ins, or do nothing
because what will typically happen that I found is if
you do some of the things. Then a retail buyer
is going to come into the house and their eyes
are automatically going to be drawn to the things you
(13:49):
haven't done.
Speaker 3 (13:50):
Yep.
Speaker 4 (13:51):
And depending on the market, they might put up with
that or they might just turn around and go to
the next house.
Speaker 2 (13:57):
I think the market is still definitely hot enough, even
though the interest rates are are higher than they were,
you know, a few years back, and they'll come down
just a tiny bit. But I think the market is
still hot enough to where they're going to see the
forty year old bathroom in the in the pink the
pink you know, water fixture in the pink toilet or
the yellow whatever it is, right, and they're gonna go No,
(14:20):
I don't think so, because they're either going to expect
a thing to be updated and kind of move in
ready or or not.
Speaker 3 (14:26):
Correct.
Speaker 4 (14:27):
Yeah, that's that is correct. So that's my answer to
mostly false for that.
Speaker 2 (14:32):
Don't don't waste your time and your money, do it
all or do none of it.
Speaker 4 (14:37):
And Steve yeah, start to interrupting you. No, No, if
I could, I've learned recently that the show is in
the Petsacola, Florida market.
Speaker 2 (14:45):
Yes, sir, we've run three different stations down in the
Pensacola area. That is great.
Speaker 4 (14:49):
It's it's some of my old stopping ground where I
went to my military schools at Okay. Yeah, and also
have some friends that are that are there. Yeah, And
so I'd like to give a little shout out to
Grace and Gary yeah, yeah, and their family and hope
they're doing well and hope they're listening this week.
Speaker 2 (15:05):
Hey, Grace and Gary, I hope you're having a great summer.
I'm jealous that you live in Florida, so how about that.
But yeah, shout out to Grace and Grace and Gary
and your family. And yeah, let's hope they're listening. So
give them a call, give them a heads up and
let them know they're they're famous. Now that's right, they
made the radio. This has been so check with Home
(15:25):
Downsizing Solutions at eight five five two nine one five
zero zero five or online at home Downsizing dot com.
And Ben, I don't want to just pass by too
quickly on something that is very routine for you. But
I don't think it's a routine thing having someone sell
(15:45):
their home this other house as is for cash. But
then with you with home downsizing solutions. If there's a
timing issue, like the last gentleman you talked about, you
allow them to stay in the home even after they
even after it's sold.
Speaker 6 (16:01):
That's correct.
Speaker 4 (16:01):
Well, that's one of the biggest benefits that we've offered
for for years. But I think is one of the
biggest benefits that people really appreciate is because it eliminates
that catch twenty two of especially if a person's moving
into a senior community that they may not know when
their apartment's going to be ready exactly or when you know,
(16:22):
move out occurs that they can then move in, and
so they want to sell the house. They know that
they want to move to the community, but they don't
want to sell the house because they don't want to
be kicked out of the house.
Speaker 2 (16:32):
Yeah yeah, and have.
Speaker 4 (16:33):
To go to somewhere interim before they can move to
their ultimate place that they're looking to move to. And
they also don't want to move out and leave and
be responsible for a vacant house just because they can
move into the community. So it's kind of to catch
twenty two that we can eliminate for them.
Speaker 2 (16:52):
If that's resonating with you, I guarantee that pricked up
a lot of ears out there eight five five two
nine zero zero five or online at home downsizing dot com.
And Ben understand that you worked with another client recently
and it sounds like a pretty interesting story.
Speaker 3 (17:09):
Correct.
Speaker 4 (17:10):
Again, it's a situation where I think people perceive that
a company like mine only work with someone that has
to sell, you know, the houses in disrepair, things like that,
and this other actually two instances of it of working
with people this past month or two where they had
(17:30):
nice houses they didn't have to sell to a cash
home buyer. But again they saw the benefits and value
the benefits that we offer in that they didn't want
to not know when their house was going to sell.
They didn't want to depend on a person qualifying and
closing on a loan, They didn't want people in the house.
The houses both needed some cosmetics, but especially in one situation,
(17:55):
not much. She just didn't want the unknowns and the
hassles of potential hassles of a traditional sale. And the
other thing is instead of just a cash offer, they
chose to take an offer from me where we're basically
turning their house into monthly payments, okay, into an income
stream for them. Okay, their houses were paid off, so
(18:19):
instead of taking a certain amount of money for cash,
we're able to pay more for the house overall if
it's easy for us to buy the house. So they're
getting a higher price for the house, and it's turning
that equity into a monthly income stream. And so that's
something else that we can do for people.
Speaker 2 (18:37):
That sounds amazing and I know that perked up smears
out there as well. Give Ben a call if you
have questions on you know, how does that work? Do
you think it would work with my home? And let's
get into some of the details. Give him a call.
He'll explain it to you. Eight five five two nine
one five zero zero five. That's eight five five two
nine one five zero zero five or online at home
(19:01):
Downsizing dot com and Ben, you still have your stress
free home Downsizing book. It's a senior's guide to selling
your house and simplifying your life. That's say, that's an
excellent book. Can where can folks find that book?
Speaker 4 (19:13):
People can just go to home Doownsizing dot com and
go under the resources tab. Okay, and otherwise, I think
the Home Downsizingworkbook dot com URL will get you to
the same place, and so all of that information is free.
I try and provide as much education as I can
for people. And also just as a reminder, my company
(19:34):
doesn't just buy houses in Kansas City and Lincoln and Omaha, Nebraska,
but we can offer home buying services elsewhere, even in Petzicola, Florida.
Speaker 2 (19:42):
There we go, there we go, and this program is heard,
you know, sixty seven different radio stations in twenty nine
different states. So don't be shy reach out to Ben
Sochick Home Downsizing Solutions eight five five two nine one
five zero zero five online at home doownsizing dot com.
That's correct, and Ben, thanks so much for being here
(20:04):
today and just always, it's amazing that you're breaking the mold.
You're breaking that stereotype of oh you have to be desperate,
it's just not true. You've been able to help recently
some quality situations where they wanted the convenience of that
and all the other issues that you had talked about.
(20:25):
So that's fantastic.
Speaker 3 (20:26):
That's correct.
Speaker 4 (20:27):
That we just like saying that we're the easy button.
If you're just looking for an easy way, press the
easy button, call us and we will do our best
to provide the greatest service that we can for you.
Speaker 2 (20:37):
Excellent, excellent. All right, Well, thank you, Ben, and we'll
have more coming right up.
Speaker 1 (20:43):
You're listening to Senior Care Live on the Senior Care
Broadcasting Network. Have a question, visit Seniorcare Live dot com.
Stick around. We'll have more with Steve coming up next.
Speaker 2 (21:02):
Hello, this is Steve Keeker, President of Senior Care Consulting.
I'm so excited to announce that we are expanding nationwide
by awarding Senior Care Consulting franchises. We help our clients
find the right senior care community, including assistant living, memory care,
long term care, and continuing care retirement communities. We are
(21:22):
not another run of the mill, free referral service. We're
very different. We offer replacement service with integrity. Owning a
senior care consulting franchise offers many benefits. Our market is
not affected by the economy. Operate from your home office
and enjoy work life balance. Pour your passion into a
business you can be proud of. For more information about
(21:45):
owning a senior care consulting franchise, call eight three three
seven two two three seven two six eight three three
seven two two three seven two six or visit Seniorcareconsulting
dot com. Welcome back. You're listening to Senior Care Live
(22:11):
on the Senior Care Broadcasting Network. For podcasts of the program,
visit Seniorcare Live dot com or wherever you get your podcasts.
All right, so we have another guest on the program today.
I'm really excited to visit with this gentleman, Zach Cram.
He's a doctor of physical therapy, so he knows what
(22:33):
he's talking about. He's also the president of Rehab Strategies
and Zach, welcome to Senior Care Live.
Speaker 5 (22:40):
Thank you, Thank you guys for having me. I really
appreciate it.
Speaker 2 (22:43):
You bet you bet so. If you have questions for Zach,
here's the phone number. Write it down three one seven
four one two six zero five nine. That's three one
seven four one two six zero five nine. Could go
online at the strategy gs dot net the Strategies dot net.
(23:04):
And Zach, you're doctor of physical therapy, so I definitely
know what you're talking about. I've been wanting to talk
a lot more about rehab on the show, so I'm
really glad you're here today. Tell us about rehab strategies
and and what y'all do with with your company.
Speaker 5 (23:18):
Yeah, yeah, sure, so we have strategies is a family owned,
therapist owned provider of physical, occupational and therapy services and
we are niche is kind of partnering with skilled nursing,
assisted living and long term care settings to provide the
therapy services in those facilities. We offer contract management on opportunities,
(23:40):
but we are What we prefer to focus on is
doing the full management of the contract where we actually
hire the staff and supply that to your facility, and
we take all the headaches of therapy services away from
anything in the facility so that the people who run
the facility can focus on, you know, everything that they
have to do, and you guys bring us in to
(24:03):
kind of run therapy and just make sure that you
guys are getting the outcomes and the services that you
need in order to give your patients the highest quality
of life, get them back in the swing of things
that they were prior to whatever injury or deficit they're
dealing with, but also help your facility turn a better
profit and generate more revenue on therapy services.
Speaker 2 (24:24):
Well, it makes sense to bring in a specialist to
offer a specialized service. That's for sure. You don't have
to reinvent the wheel and figure it all out. So
that sounds really good. When did you start all of
this rehab strategy?
Speaker 5 (24:36):
Was actually started by my dad, Ron Kram, who's a
physical therapist as well, back in two thousand and six.
I mean he started it with just himself and a
partner and they were just a couple therapists that kind
of staffed themselves out to different nursing homes and skilled
nursing facilities and then it started growing, so were located
in Indianapolis, and it started here in Indianapolis, like I said,
(24:57):
with just like one or two contracts. I became a
therapis in twenty eighteen and have been kind of taking
the reins since then. And since two thousand and six
to now, we've actually expanded into Indiana and Ohio and
have gone from just one or two contracts and now
we have just under twenty skilled nursing facilities that we
partner with across the Midwest that we currently service in
(25:19):
present day.
Speaker 2 (25:20):
And you started with two therapists and now you're nearly
two hundred therapists. Yeah, that's awesome. Well that tells me
you're doing a great job. Otherwise you're not going to
be grown like that, So that's fantastic. What makes rehab
strategies different.
Speaker 5 (25:36):
Well, rehab strategy is a little bit different in the
fact that you know, with PDPM, when that came into
play a few years back, we knew as a therapy
provider that therapy, the landscape of therapy and skilled nursing
and long term care was gonna shift, and so we
had a little bit of forefront into you know, what
that would look like. And a lot of the large
(25:58):
chains and the national providers with PDPM have found ways
to cut corners, cut down the amount of minutes they're
supplying to their patients in these facilities, which leads to
worse outcomes and less reimbursement that the facilities are able
to get because they have lower quality measures and readmission
(26:19):
rates are going through the roof. What rehab strategies did
was we looked at what patients actually needed, what they
really needed under RUGS, and we came up with a
scheduling matrix for our short term rehab patients that we
actually supply at least the same amount of number of
minutes as we were doing on RUGS for these patients,
(26:41):
if not more. So we've done a case study where
we looked at a large national chain and they're providing
about thirty minutes of therapy per discipline, five days a week.
Speaker 3 (26:52):
What Rehab Strategies.
Speaker 5 (26:53):
Does with our scheduling matrix is it takes into account
these patients, diagnoses their pay, you know, everything like that,
and it gives us a scheduling matrix that pops out
a number. And what we found with that is we
schedule our patients anywhere from forty eight to seventy two
minutes per discipline per five days. So our big thing
(27:17):
is we're still providing RUGS level therapy, but not charging
the facilities a rug level price. We're we're doing it.
We're making it work with PDPM, but the patients are
getting a lot more therapy services in the facilities that
we partner with.
Speaker 2 (27:32):
So what is PDPM.
Speaker 5 (27:33):
PDPM is the new payment system essentially, what it is
for skilled nursing facilities. Rugs used to be a payment
system where therapy drove the payment, So the more therapy
you did per day, the more reimbursement your facility got.
In twenty eighteen, twenty nineteen is kind of during CODD
(27:54):
right before COVID started PDPM was inserted, and what this
did was put how nursing homes get reimbursed onto the
nursing side of things. So therapy was now just rolled
into that. So therapy doesn't necessarily drive the reimbursement of
(28:14):
skilled nursing facilities anymore.
Speaker 2 (28:16):
Okay, yep, And it all gets very complicated real fast.
So yeah, and I'm assuming that you have full time
staff that are consistent at each each of these communities,
so that, yeah, you kind of know what to expect.
Speaker 3 (28:31):
Yeah.
Speaker 5 (28:31):
So the other thing that we do a little bit
differently again, a lot of these large chains are just
kind of having spread out therapists that cover a bunch
of different facilities to get the bare minimum seen. Because
of pdpmy, there's really not a minimum that we have
to treat anymore. So these large companies are kind of
taking advantage of that and just running the same therapists
(28:51):
in six or seven different buildings a day to kind
of get that bare minimum and just see and say
that they saw patients.
Speaker 3 (28:59):
Well, we do a strategies.
Speaker 5 (29:00):
We actually craft a full team that's going to be
a part of your facility, it's going to be a
part of your culture, and it's going to be the
team members that you know are going to be there
day in and day out, all day long, so that
your facility, your staff, your patients and their family members
all know who to talk to about therapy services and
we're going to be on site there being the team
(29:22):
that you guys count on. So we don't. We pride
ourselves in not having to run staff over different buildings,
and part of that is we're we're allowed more minutes
to see so our staff has more time in the
building to kind of build up that caseload and make
a case for themselves being in one building.
Speaker 2 (29:42):
That makes sense and I understand that you're able to
offer high quality therapy and rural settings.
Speaker 5 (29:49):
Yeah, so that's kind of been our key, kind of
our niche that we've been working on really intently.
Speaker 3 (29:53):
Pretty much.
Speaker 5 (29:54):
Almost all twenty of our facilities that we partner with
are all on very rural settings, and almost all of
them brought us in when they did because they were
having staffing issues. What we do as a small therapy
owned company, therapists owned company, is we really work on
building therapists networks in all corners of the state in
(30:16):
Indiana and Ohio where we're at and what we do
is we talk to people that are actually in the
communities that we work with to get therapy.
Speaker 3 (30:25):
Staff on board. Even if we don't use them all
the time.
Speaker 5 (30:28):
We want to have those people in those areas where
we can call on them when we need help. A
lot of these national chains and the big company use
large national staffing agencies and things like that where they're
having people move in for a couple of weeks and
then they go to Hawaii for the next couple weeks
and they bounce around. Where we really focus on building
the relationship in the community with the therapists that actually
(30:51):
live and work around the facility that you have.
Speaker 2 (30:54):
Well, the quality there would outshine another situation where they're
moving people in and out and then using supplemental staffing themselves.
Zach tell us, just briefly, because we're coming up on
a break, explain when rehab therapy is paid for by Medicare.
Speaker 5 (31:12):
So, yeah, with rehab strategy, again, we partner with skilled
nursing and long term care facilities and typically in those
if you have traditional Medicare, we're either going to see you.
Speaker 3 (31:21):
Under Part A or Part D benefits.
Speaker 5 (31:25):
Part A is traditional skilled therapy with the goal of
going home. That's technically in patient therapy, so you're in
the facility to do therapy and get better and go
to a different level of care, whether that be home
or an assisted living. In order to get Part A therapy,
what you have to do is you have to have
a three night qualifying hospital stay and once you do,
(31:48):
then you come into the facility and everything therapy wise
is covered under Part A therapy Part A benefits. With
that being said, you have up to one hundred days
on that. However, with the current landscape of insurances, a
lot of times people don't get that full time, so
a lot of times people stay in the facility longer
than just their alloted allotment of Part A benefit. When
(32:11):
that happens, we can switch someone.
Speaker 3 (32:13):
To Part B therapy. Part B therapy is for.
Speaker 5 (32:16):
Outpatient settings, assisted livings, or long term care facilities where
someone either ran out of their Part A stay or
they're just a long term care patient that has Part
B benefits and they can get therapy services as a
long term care resident, not necessarily with the intensity of
going back home.
Speaker 2 (32:36):
That makes sense and Zach hold on and right after
the break, I want to continue that conversation. Don't go away,
We'll be right back.
Speaker 1 (32:43):
You're listening to Senior Care Live on the Senior Care
Broadcasting Network. To contact Steve or a guest on his show,
this is Seniorcare Live dot Com.
Speaker 3 (32:52):
We'll have more coming up.
Speaker 2 (33:02):
So you've been living independently at home, but now it's
not working out. It's time to begin searching for a
senior care community. But with hundreds of independent living, assisted living,
long term care, and memory care options, how are you
supposed to determine the best place for you? Hello? I'm
Steve Keeker, and this is exactly why I created my firm,
(33:23):
Senior Care Consulting. I help my own grandparents through this
difficult process, so I know how overwhelming this can be.
Our business model ensures credibility and objectivity. We work directly
for you and we never receive reimbursement from any provider.
We've helped hundreds of families since two thousand and two,
(33:43):
and we can help you and your family as well.
Call today for a free consultation at nine one three
nine four five twenty eight hundred nine one three nine
four five twenty eight hundred. A placement service with integrity
at Senior Care Consulting dot com. Welcome back. You're listening
(34:12):
to Senior Care Live on the Senior Care Broadcasting Network.
Have a question, visit Senior Care Live dot com. And
today we're visiting with Zach Cram. He's a doctor of
physical therapy and president of Rehab Strategies. And if any
of that got your attention, I know it did, it
probably resonated with many people. Here's his phone number. Give
(34:35):
him a call three one seven four one two six
zero five nine. We're online at the Strategies dot net.
The Strategies dot net. And if you are a skill
nursing facility, you have long term care and you're looking
for maybe a new rehab partner, reach out to Zach
(34:56):
and you never know that might work out to be
a great partnership. And Zach, we talked about part day benefits,
part B benefits for rehab therapy. What's the difference I
think I don't think very many people understand this. What's
the difference between acute rehab in rehab provided in the
long term care setting?
Speaker 3 (35:17):
Sure?
Speaker 5 (35:17):
Yeah, so most skilled nursing facilities that we partner with
have both both a skilled unit and a or you know,
an acute rehab unit and long term care residents that
call that facility home. The big difference is with the
acute rehab, we're typically it's a little more intense, we're
doing longer treatments, we're doing more days of the week,
(35:39):
and we're really working, you know, every aspect to get
this person back to a level that they can get.
Speaker 3 (35:44):
To where they were either previously, whether.
Speaker 5 (35:47):
It be an al or at home independently or living
with family. In the long term rehab, we're pretty much
looking at a trying to keep you know, keep these
people in so they're not having a functional decline where
they would have to go down a step of care,
but also be just keeping our current residence healthy, keeping
(36:10):
them out of the hospital, keeping tabs on them to
make sure they're as strong as they possibly can be,
so that staff doesn't have a huge burden of taking
care of them, and just keeping in as independent as
possible within our you know, within the facilities that we
partner with.
Speaker 2 (36:24):
Okay, excellent, mister Zach Kram, he's a doctor of physical
therapy and president of Rehab Strategies at three one seven
four one two six zero five nine. We're online at
the Strategies dot Net and Zach, it doesn't end with
rehab strategies.
Speaker 3 (36:43):
I think over the year.
Speaker 2 (36:44):
There's been an evolution and you would kind of referred
to it earlier that with your dad's efforts, and this
has led to ownership of some long term care communities,
and you call that care strategies. Is that correct?
Speaker 5 (36:57):
That's correct, yeah, rehab. So we did it a little
bit backwards than most than most people do. Most nursing
home owners or skilled nursing facility owners kind of start
in the skilled nursing world and then bring vendors in
house and try to do everything on their own with pharmacy, therapy,
things like that.
Speaker 3 (37:17):
What we did was we got.
Speaker 5 (37:19):
So comfortable with being in skilled nursing facilities as the
therapy provider, and we were in them all the time
and just doing all types of things, not just therapy
but partnerships and different events and things like that, that
we felt like we could really, you know, do a
good job and provide great care as clinicians owning a
skilled nursing facility or.
Speaker 3 (37:40):
Chain of facilities.
Speaker 5 (37:41):
So back in twenty twenty, rehab strategies sort of expanded
into buying and purchasing skilled nursing facilities. And so now
we have a chain of five facilities that we actually
own ourselves throughout Indiana, and we obviously provide the rehab
you know, the therapy services there with rehab strategies, but
(38:02):
we actually own and operate all five of these facilities
in every aspect that goes with them.
Speaker 2 (38:09):
So I love that Clinician owned. Anytime is clinician owned.
I think that's just a I just think it'd say
built in immediate competitive advantage, family operated. I love that.
I could not love that more. Yeah, and it's fantastic
so U and good timing, right, you did this right
(38:30):
before COVID, and then COVID happens You're like, oh man,
what did we do?
Speaker 5 (38:33):
Yep, absolutely, and yeah you touched on it Clinician owned.
You know, I'm a therapist. My wife's an occupational therapist
and she's very involved in in all of our companies.
My brother is an HFA and he also has his
NBA and he is our CFO of all the different companies.
And then, like I said, my dad is a pt
at trade and kind of started all this and it's
(38:55):
just kind of grown from, like like I said, two
therapists with with you have strategies up to owning and
operating five facilities and having twenty therapy contracts.
Speaker 2 (39:07):
Yep, and nearly two hundred therapists started off from two.
That's fantastic. So where are all of your skilled nursing
facilities located?
Speaker 5 (39:16):
Yeah, so we have Again they're pretty rural throughout Indiana. Again,
we have five of them. We have two facilities located
in Monthly, Indiana, one called Cardinal Care and one called
Brookside Care strategies. Brookside Care is a mental health and
behavioral heavy facility and Cardinal Care is long term care,
(39:38):
skilled nursing, short term rehab traditional traditional sniff facility.
Speaker 2 (39:44):
All right, so let's back up a minute. So you
have a mental health and behavioral health facility and you're
offering rehab therapy there. That's not the same approach as
you would use in a traditional geriatric care setting, is
that correct?
Speaker 3 (39:58):
Correct?
Speaker 5 (39:58):
Yes, it's quite a bit different. A lot of the
patients in that particular facility are younger and not and
you know a lot of them don't have a whole
lot of physical impairments. Now, they do have a lot
of safety impairments. So with a lot of training on
safety awareness and functional mobility and things like that and
taking care of themselves with with ot you know, daily
(40:19):
activities like showering, getting dressed. A lot more things like
that that at that facility that play into the cognitive
aspect of therapy.
Speaker 2 (40:26):
I would think you'd have to have a lot more
patients and I mean patience and as in being patient,
not a patient in a mental health type of facility,
because God bless them, you know, they've got these cognitive
issues and so you probably have to maybe take some
different approaches there. And I really appreciate the, uh, I
guess the flexibility and you're you're you're able to to
(40:48):
do you know, to offer your actual rehab services for
a completely different clientele. That's that's pretty talented. That that's fantastic.
Speaker 5 (40:56):
Absolutely absolutely. And then and then we do have three
facility in southern Indiana. Two in Legodie, which is kind
of close to French Lick, Indiana. If anyone's heard of
that before, and if.
Speaker 2 (41:08):
They're very rural but Larry Bird area, right, I think
I've heard of that guy somewhere. I don't know.
Speaker 5 (41:14):
Second, More Care Strategies is a long term care facility
that also has a skilled nursing and short term rehab,
but that facility also specializes in dementia where dementia certified
there so with a fully locked facility and we and
we specialize in that which is kind of unique for
the rural southern Indiana area.
Speaker 2 (41:34):
And there and that's poplar and that's a different lane
right there too. Now we have dementia dementia care with
your and that that's even a different approach, so that
that's great.
Speaker 5 (41:42):
And then Popular Care Strategies is a traditional sniff again
in Legodi, Indiana, and we have a huge therapy gym
there and it's really focused on short term rehab to
home patients, uh, plus our long term care and skilled
nursing folks there. And then the facility we have is
located in Vincenza, Indiana, and it's called Gentle Care Strategies
(42:05):
and it's a smaller facility that specializes in rehab to
home and long term care as well.
Speaker 2 (42:11):
That's excellent. Zach Kram, he's a doctor of physical therapy
and president of Rehab Strategies. If this is resonating with you,
if you want more information, maybe a partner up with
Rehab Strategies, give Zach a call at three one seven
four one two six zero five nine or online at
the Strategies dot net. And Zach thanks so much for
(42:32):
being on the program. Keep up the great work.
Speaker 5 (42:35):
Absolutely, thank you guys for having me. I appreciate it.
Speaker 2 (42:37):
You bet and I'm Steve Keeker and I wish you
grace and peace. May God bless you and your family
on this day and always join me next week. Right
here on Senior Care Lives.
Speaker 6 (42:52):
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our area? There are hundreds of thousands of people either
receiving or providing senior care and they need to know
about you. A unique and successful radio program called Senior
Care Live is the perfect opportunity to let your target
audience know about your amazing products and services. Senior Care
(43:12):
Live is currently adding a limited number of partner sponsors,
and if you're aligned with their mission, they want to
talk to you. They're interested in partnering with hospital organizations,
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Speaker 2 (43:52):
Quid pro quo a Latin phrase that means an exchange
of goods or services where one transfer is contingent upon
the other. Here's an example. I'll recommend your senior care
community if you'll pay me a huge kickback from my referral.
The free referral services have a vested interest in you
choosing one of their business partners. That's how they make
(44:14):
their money. Does this paid recommendation sound objective or credible?
Of course not. I'm Steve Keeker with Senior Care Consulting.
I'm so proud to say we have never received a
single penny from any provider ever. We offer a placement
service with integrity for help finding the right senior care community,
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(44:38):
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