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    • I chose Lemoine Therapy after a total knee replacement in 2013. That decision has been one of the best decisions I have ever made. The staff at Lemoine Therapy are so professional and compassionate. They always greet you with a smile and work with you and an individual basis. The staff not only help you, […]

      —Connie B. Couvillon, Clerk of Court, Avoyelles Parish

    • I have been coming to wound therapy for several months. All of the staff have gone out of their way to make me feel comfortable during my treatments. They stay in contact with my doctor to make sure they are using the right treatment, and make all the changes he recommends. Happy to say I […]

      —Alice Roy

    • We could not be more pleased. Since placing [Therapy Center] in our facilities I have seen an improvement in resident satisfaction, family satisfaction, therapy utilization, as well as profitability due to increased utilization. This company makes going above and beyond an expectation of their employees. Therapy Center is one of the best business decisions I […]

      —Brian Hensgens, Administrator Acadia St. Landry Guest Home, Church Point, LA

    • Keep up what y’all are doing! You not only healed/stopped the pain, but made me stronger physically and mentally! Thank you so much!

      —April Sensat

    • Where do we begin? Each of you has been there for the Rogers family for a long time. From therapy, prayers, visits, the cookies; each of you has played an important part in our life.

    • Thank you for your professionalism and for your cheerfulness. God has blessed you with those gifts, and He has blessed me with you!

    • I would like to thank all the staff of the Therapy Center for being so kind and very professional when I was a patient. I am able to do more activities now. I would surely recommend the Therapy Center to anyone-and if I ever need again, I will return to the Therapy Center.  My respect […]

      —Father Charles McMillin

    • We started together in August 2002. I liked the way that the Therapy Center staff communicated with my residents – they had the same personal touch that I had. It was a hand-in-hand partnership, and we grew together. Now, almost a decade later, our future is very bright. Therapy Center has kept the small, hometown […]

      —Gerard Lacour, Administrator Tri-Community Nursing Home, Palmetto, LA and Bayou Chateau Nursing Center, Simmesport, LA

    • Your staff is top notch. Although the place was very busy, your staff works together and does excellent therapy. Because of them I was back to work just 4 weeks after surgery.

      —Wendel P. Bellon

    • Lemoine Therapy is a one in a million therapy center. When I first started, I couldn’t walk without pain. Now I enjoy walking in the stores and being able to go back to church. They gave me so much courage. It took a lot of hard work and patience and they never gave up on […]

      —Yolanda Johnson

    • Ronald had a hemorrhagic CVA and was in rehab for 4 months. When he began here at Lemoine Therapy, he was in a wheelchair. He faced many challenges but with the dedication and encouragement of the therapists, he steadily improved. Before long he was walking with a hemi walker while he gained strength and stamina. […]

      —Family of Ronald Juneau

    • Your facility and all who work there are professional, well-equipped, and very knowledgeable. I was so pleased with my recovery and so was the doctor. He was very impressed.

      —Linda Neal

    • Therapy Center is superior to any company we have ever worked with…and has been key in helping us to achieve our goals. Both quality and profitability have soared since Therapy Center joined our team. I could give no higher recommendation than I would to this company.

      —Bob Hensgens, Administrator Savoy Care Center, Mamou, LA

    • My family and I have been using the services of Lemoine Therapy since it opened in Marksville. We needed therapy following hip/ knee replacements and back/neck surgeries. We could not ask for more dedicated, compassionate and professional care near to home. The office staff as well as the therapy staff have been sensitive to our […]

      —Gail Guillot Moulard

    • Thank all of you for the physical therapy which was done to make this “old” body feel new again. I am very pleased with all the staff…Your friendship, your smiles and kind words. I will recommend your Therapy Center to my family and friends. 

      —Beverly Ardoin

    • “When I started with Therapy Center, we were a group of 9. We have grown over the years, but continually strive to keep a very close-knit work family, which leads me to the best thing about my job – being around such a great group of people on a daily basis.”

      —Elisha Neal Duhon

    • Thank You, Thank You. One more time Thank You for the caring help that your group gave me during my treatment at your clinic.

    • Therapy Center has been with us for the past 7½ years now. They are very involved and committed to providing education and training for our staff and holistic care for our residents. They help us keep up with current issues in the skilled nursing arena, and have assisted us tremendously during the transition period of […]

      —Pam Firmin, Administrator Colonial Nursing Home, Marksville, LA & Hessmer Nursing Home, Hessmer, LA

    • I truly feel that the Therapy Center is the best place that I have ever worked. Therapy Center is a company that is family oriented with team centered staff, flexible schedules and is a company that believes in the quality of care for their patients. I feel blessed to be a part of Therapy Center […]

      —Brooke Normand

Our Blog

We enjoy letting our clients and employees know about helpful tidbits, interesting articles, and topics that affect the way we work. Our blog is a home for Therapy Center information of all kinds, and we welcome topic suggestions and comments!

October 22, 2015

How To Nurture Your Creativity At Work: Part 2

Filed under: Therapy Careers,Uncategorized — Sarah Edwards @ 11:16 am

How To Nurture Your Creativity at Work: Part 2

Welcome back! If you joined us last month you know that we are working on improving our creativity at work. Our day to day tasks can become redundant, and we want to fight that off. Creativity is a major component for success. We are in the business of changing lives. It is incredibly important that we work on cultivating our creativity to better ourselves so we can provide the most superior service. Innovation will improve our happiness at work, in turn, improving the treatments and lives of our patients. We have got to shake things up! Here are 5 more tips for nurturing you creativity at work:
• Get Physical—Your mind will inevitably become more relaxed when you engage in some physical activity. Run, walk, jump, or swim— whatever physical activity it is that you love — do that. It will unlock your creative side. You may even find inspiration in mid stride, but I guarantee you will spark creativity with a fresh brain after some physical activity.

• Play to Your Strengths—Where do you shine? Each one of us has our own particular set of strengths. Whether you are a documentation wizard, an insanely organized/detail oriented worker, or the human who could talk to a mailbox and make it smile, use that! Don’t let your strengths get buried in the redundancy of our day to day tasks.

• Work Backward—Look at the goal 5-10 years down the road or even 5-10 days down the road. Start there and work back. Don’t focus on the how, focus on the what. You will be surprised at how your creativity will unfold itself.

• Go Outside—I am literally sitting outside typing this blog. I did not actually have “Go Outside” on my list of tips until I noticed how easily some of my thoughts were coming to me. There is a lot to be said for some sunshine and fresh air. Take a few minutes to enjoy beautiful weather. If it’s a 5 minute break on a bench or a walk around the parking lot—get outside and let the vitamin D do it’s magic.

• Use Your Team—Get your team together. Have each member write an idea on a piece of paper, and throw it in a hat. At random, have someone pull an idea out of the hat and build on it. You won’t believe the innovation that will explode during this game. If a team game can’t happen you can always reach out to someone and say “Hey, if you were me, how would you handle this?” Don’t be afraid to use your team. You will be surprised at how someone else’s creativity will spark your own.

You have talent. Your talent is what you use to work. These 10 tips are to help you find your genius. Genius is what you will use to create. There’s some beauty in nurturing your creativity. It will force you to see what everyone else can see, but think of what no one else has thought of. Einstein said something along those lines, and that man had all kinds of genius. Take the time to embrace your inner Einstein. We all have a little genius inside of us. Get it out, and use it! The more you use it, the more you have.

Are you looking for place to nurture your creativity? Visit our website for employment opportunities near you.

October 21, 2015

Physical Therapist Spotlights: Therapy Center of Carencro

Filed under: Blog,Physical Therapy,Team Member News — Kristi Fredieu @ 8:00 am

In celebration National Physical Therapy Month, we wanted to take the time to spotlight our team of physical therapists for the Carencro and Sunset outpatient clinics.


Margaret Rozas, PT

Margaret Rozas has been providing physical therapy care to the Carencro and Sunset communities for nearly 40 years. A graduate of LSU School of Allied Health, Margaret remains motivated in her work by the results that she achieves with her patients. “To help my patients return to their prior level of activity and have fun along the way is why I love what I do,” says Margaret.

Along with remaining dedicated to her patients, Ms. Margaret is heavily involved in the community through the Carencro Business Association, where she serves on the special events committee. She has a huge heart for both Carencro and Sunset and strives to plan events that will continue to bring the community together.


Jennifer Harris, DPT with patient Ms. Pat Perry.

Jennifer Harris, DPT

Jennifer Harris joined the Therapy Center team in July of 2015. She is a graduate of the University of St. Augustine for Health Sciences where she received her doctorate in physical therapy. She has joined the team with Margaret Rozas, PT and has seamlessly continued the compassionate care that is important to Therapy Center and the local communities of Carencro and Sunset.

“To help our patients return to the activities they love most and have fun along the way is what I love to do. The addition of Jennifer, with her skills and compassion, is a great benefit in continuing to provide high quality care to the communities closest to our hearts,” shared Margaret Rozas.


Visit Therapy Center’s outpatient clinics page to learn about the services we offer. For more team spotlights, visit the Team Member News section of our blog.

October 20, 2015

PT Month Highlight: LaSalle Nursing Home

Therapy Center prides itself on the high quality of care we give to our patients.  In order to ensure that our patients are getting that care, we make sure to hire outstanding therapists throughout the state.  During the month of October we are celebrating the wonderful physical therapists that work for our company.  We have received a note of gratification from one of our many satisfied patients that received therapeutic care at LaSalle Nursing Home.

“While in Physical Therapy at LaSalle Nursing Home, the staff and therapists were truly helpful and kind. Not a day went by that the therapists did not have a smiling face which helped push me along especially on the days I wanted to give up. I appreciate Physical therapy for helping me to get stronger and improving my balance so that I could keep from falling,” – Shirley Elliot.

October 13, 2015

Employee Spotlight: Peyton Splane


In celebration of National Physical Therapy Month, we want to recognize several of our team members and the outstanding care they provide to the local communities we serve.

Peyton Splane is a Physical Therapist Assistant at our outpatient clinic in Marksville, La, Lemoine Therapy Services.  Peyton has been with the company for ten years and is an outstanding employee at Lemoine Therapy.  This clinic prides itself on being a family-friendly atmosphere, and he is a great contributor to the clinic’s welcoming atmosphere.

Peyton says that the most rewarding part about his job is helping people return to their normal way of life, and in some instances achieve a greater level of ability than they were previously accustomed to.  “There is no better validation of our hard work than when patients share positive feedback about the care they have received at Lemoine Therapy,” shared Peyton.  There are many things he loves about working at the clinic, but what stands out the most is the co-worker relationships he has developed with the therapy team. 

If there is one piece of advice he could give to someone starting a new position with Therapy Center, Peyton says don’t hesitate to ask a fellow employee any questions you may have.  He says although his job is extremely rewarding, it can be difficult to keep up with documentation along with diligent patient care.  He has learned a good balance over the years, and is eager to pass along his knowledge of the therapy world.

For more information on our Marksville clinic, visit our clinic page, Lemoine Therapy Services. For a full list of Therapy Center’s outpatient clinics in the state, click here.


October 8, 2015

Tips for Lower Back Pain: National PT Month

Filed under: Blog,Physical Therapy — Tags: , , — Kristi Fredieu @ 8:24 am

As part of National PT Month, we are sharing a series of tips and educational information as it relates to physical therapy. Please stay tuned to our blog and Facebook page for updates throughout the month of October.

Enjoy this video from APTA on Tips for Lower Back Pain.



Therapy Center offers physical therapy services in all of our outpatient clinics. Suffering from lower back pain? Contact us for a free evaluation.


October 6, 2015

Patricia Perry: Therapy Center of Carencro Success Story

Filed under: Blog,Physical Therapy,Therapy Success Stories — Kristi Fredieu @ 8:30 pm

Jennifer Harris, DPT with patient Ms. Pat Perry.Pat Perry was experiencing pain in her right hip during the early morning hours and upon getting out of bed. Not only did she have problems turning over, but once she got up, it took several seconds for her to stabilize herself into an upright position. Ms. Pat’s pain was experienced all over again every time she sat down and tried to stand back up. After fighting her pain for too long, she visited her doctor and x-rays showed mildly degenerative joint disease. Physical therapy was recommended.

Ms. Pat working to strengthen her hips and core using weighted leg raises.

“My previous experience with physical therapy didn’t result in any relief. In 2003, I was experiencing back pain and discovered that I had a herniated disk resulting in Sciatica. I have to admit that this go round, I was a little skeptical but decided to give PT a try again”, explains Ms. Pat. This time I chose to receive therapy with the Therapy Center of Carencro.

“I went to the clinic to schedule my first appointment. The receptionist, Stephanie, was very friendly. When I arrived for my appointment, I learned that Jennifer Harris was to be my therapist. We discussed my history and she started me with my procedures. Although I was having problems with the hip, she treated my back and hip together. After a few sessions, I could already feel relief. I no longer have the early morning pain; I can sleep without any discomfort and can stand normally.”

I am thoroughly pleased with the Therapy Center and its staff. If you are in need of PT, I highly recommend them!”

~ Pat Perry

Stay tuned in to our blog for more Therapy Center Success Stories. Therapy Center offers physical therapy services in all four of our outpatient clinics in Louisiana. For your free evaluation, contact us today!

September 30, 2015

Post-Acute Care Transformation Taking Hold in SNFs

Filed under: Blog — Sarah Edwards @ 8:31 am

Nursing Home CareTherapy Center is proud to be a partner with skilled nursing facilities across the state improving quality of care and decreasing costs to patients with increasing patient outcomes. According to a recent article published by HealthLeaders Media, the perception you may have had about skilled nursing facilities is a thing of the past.

Christopher Cheney, for HealthLeaders Media , September 28, 2015


Payment reform, new regulations, and opportunities to boost quality of care for older patients with comorbidities are revolutionizing skilled nursing facilities.

Transformational change has reached a  critical mass in the post-acute sector in general and at skilled nursing  facilities in particular, a pair of experts in the field says.

“The skilled nursing facility  industry has migrated from an industry that was based on residential services  to an industry that is based on healthcare services,” says Philip Glassanos,  vice president for business development at Norwell, MA-based Welch Healthcare & Retirement  Group.

About 75% of patients at Welch’s  skilled nursing facilities (SNFs) have lengths of stay less than 20 days, he  says. “The industry has fundamentally changed.”

An ever-increasing number of SNFs  nationwide are embracing the shift from fee-for-service medicine to delivering  quality care at the lowest possible cost, says Kris Mastrangelo, MBA, president  and CEO of Harmony Healthcare International, a post-acute care consultancy  based in Topsfield, MA. Mastrangelo was recruited to work as an occupational  therapist at a post-acute care facility in the late 1990s, when quality was  problematic at many SNFs, she says. “They had such a tainted  reputation”

Now, payment reforms such as hospital  readmission penalties and bundled payment initiatives are spurring change in post-acute care, Mastrangelo says.  “The driving factor is reimbursement. No one is going to improve quality  unless there is reimbursement… This is the revolutionary change—Tying the  payments to the outcomes. It’s not the display of five stars or the display of  quality outcomes. It’s about the reimbursement. Everybody’s toes are going to be  held to the fire on outcomes and payment.”

The Centers for Medicare & Medicaid  Services is set to revamp regulations for SNFs and other post-acute settings,  she says. In July, the agency released a proposed rule that includes several new regulations, with the Final Rule expected in  November. In the Proposed Rule, CMS officials note that regulations for  post-acute care facilities have not been comprehensively reviewed and updated  since 1991.

The proposed regulations include  several significant changes:

  • New protections against resident abuse and  neglect such as specifying that “facilities cannot employ individuals who  have had a disciplinary action taken against their professional license by a  state licensure body as a result of a finding of abuse, neglect, mistreatment  of residents, or misappropriation of their property”
  • “Visitation  requirements to establish open visitation, similar to the hospital conditions  of participation”
  • Resident  rights revisions such as “addressing roommate choice”
  • A declaration that “quality of care and  quality of life are overarching principles in the delivery of care to residents  of nursing homes and should be applied to every service provided”

“This document is  fascinating,” Mastrangelo says. “The concepts are excellent, but the  cost implications are enormous.”

Click HERE to read more of this article.


For information about the Therapy Center and the services we provide, please visit our website.

September 29, 2015

The Road Home Therapy Center: Acadia St. Landry Guest Home

In April 2015, Acadia St. Landry Guest Home in Church Point, Louisiana opened a new addition to its facility, The Road Home Therapy Center.  This state-of-the-art building houses fourteen private patient rooms, dining room and a spacious therapy gym where our team of therapists are able to provide physical, occupational and speech therapy to residents. 

The Road Home Therapy Center is designed specifically for short-stay patients who have the goal of returning home upon completion of their  therapy program.  Therapy Center is proud to partner with Acadia St. Landry Guest Home and The Road Home Therapy Center in order to provide the care that the local community deserves.

September 23, 2015

Falls Prevention Awareness

Filed under: Blog,Outpatient Services,Physical Therapy — Sarah Edwards @ 7:20 am

Falls Prevention AwarenessTherapy Center is proud to hire many skilled therapists who not only stay at the forefront of leading industry trends for treatment, but also have a genuine care for their patients. Today, September 23rd, is Falls Prevention Awareness Day and we would like to take time to share simple steps you can do to help prevent a fall. As suggested by the National Council on Aging, those steps include:

1. Find a good balance and exercise program.

2. Talk to your health care provider.

3. Regularly review your medication with your doctor or pharmacist.

4. Get your vision and hearing checked annually and update your eyeglasses.

5. Keep your home safe.

6. Talk to your family members.

In addition to those items listed above, the Mayo Clinic has suggested wearing sensible shoes and use assistive devices where possible.

If you or a loved one has experienced a fall and experiencing pain, please contact one of our outpatient clinics to discuss how physical therapy may be used in treatment. Contact our Home Health group for assistance in Fall Risk Analysis and Prevention in your home.

September 22, 2015

Nurture Your Creativity at Work: Part 1

Filed under: Blog,Therapy Careers — Sarah Edwards @ 9:42 am

Innovation Inspiration Creativity Ideas Progress Innovate Concep

There is something indescribably rewarding about having a job that enables you to change a life. It’s powerful and humbling. The beauty of working for a company like Therapy Center is the endless opportunity to do just that. Whether you are a physical/occupational/speech therapist, a therapy tech, a marketer, a recruiter, an administrator or a manager—you are making a difference in someone’s life. At the end of the day our goal is the same, to provide superior therapy services with dedication and compassion unsurpassed by anyone in the industry. We cannot do that without each and every individual we employ. We wouldn’t have business without our marketing team, we wouldn’t have therapists and techs without our recruiting team. We wouldn’t get paid, enjoy the generous benefits, or function at all without our corporate office of administrators. We wouldn’t be able to provide the most amazing therapy without our world class therapists and the directors who guide them.

But just like any job, our day to day tasks can become redundant. That redundancy can consume you if you let it. We can sometimes find ourselves shuffling the same paperwork, using the same treatments over and over again, and slowly burying our imaginations. Inevitably, we will get bored, get burnt out, jaded, and eventually lose the enthusiasm and love we have for our jobs. We can’t have that! We must stay innovative to stay successful. It’s imperative to nurture our creativity. It will unlock our brains, make us better workers, and improve the way we change lives. In this 2 part series we will supply you with great ways to stay creative at work.

  • Get the Words Out—Say it out loud, or write it down (even if it is an incomplete or borderline nonsensical thought). Get it out! The biggest hurdle is getting the ball rolling.
  • Give Yourself a Jolt—Sometimes making small changes in your daily routine can spark creativity. Drink some coffee or tea. Sing in the shower. Start journaling. Take risks, and allow yourself to fail.
  • Goof Off—Plan for free time. Everyone needs a mental break. We work so hard sometimes we forget to have fun. Throw yourself a 30 second dance party (have your team join in). Put on some music and start grooving. Not only will the physical activity of  dancing release endorphins in your brain; the music will lower stress, put you in a more relaxed state, and improve intelligence.
  • Embrace your Weirdness—Some of the most successful people are the most eccentric. If you want to unlock your creativity you might need to get a little weird. Beethoven used to compose in the bathtub. Charles Dickens liked to solve morgue mysteries to train his brain. Embrace your bizarre habits and quirks. Inspire innovation.
  • Doodle—Get off of your computer and grab a pencil. Some of history’s greatest thinkers from John F. Kennedy to Steve Jobs have been avid doodlers. It’s an easy way to increase your productivity in any setting and incorporate creativity into your daily life.

Creativity takes courage, people! Imagination and creativity can change the world, and we are in the business of changing lives. Stay tuned next month for more tips on how to stay creative at work.

Looking to join a team and change lives? Visit our website for employment opportunities near you.

September 21, 2015

A Message to Techs from a Mentor

Filed under: Blog,Team Member News — Tags: , , , — Brittany Bodden @ 8:47 am

Colorful Thank youTherapy Center prides itself on hiring outstanding employees in the company.  This month we are celebrating our stand-out techs in all of our facilities.  Amber LaPrairie, occupational therapist and mentor with Therapy Center, shares to our heartfelt appreciation for all of the techs that work hard for their therapy teams in our CommCare facilities.

“We have many wonderful techs that are always willing to go the extra mile in making sure the therapists have everything they need to get their jobs done.  They are all very caring towards the residents and helping to make sure that nothing falls through the cracks.  Our techs are such a vital part of our everyday routines, and we are so grateful to work with such great people.  We want to thank our CommCare techs:

Ridgecrest Community Care Center:  Jerri “Paulette” Coon

Natchitoches Community Care Center:  LaQuita Preylo

Tioga Community Care Center:  Jessica Leach

The Columns Community Care Center:  Christine “Michelle” Hatcher

Oak Haven Community Care Center:  Melissa Juneau

Riviere De Solei Community Care Center:  Sherrie Luebbe

Baton Rouge Health Care Center:  Brittany Sledge

Bayou Vista Community Care Center:  Patrice St. Romain

Old Jefferson Community Care Center:  Megan Brown, Marie Simmons

Guest House of Slidell Community Care Center:  Colleen Mastascuso

Greenbriar Community Care Center:  Kelly Matthews

We are so appreciative of all of your hard work and help you bring to the teams!” – Amber LaPrairie, Occupational Therapist, Mentor

Visit our website for more information on how Therapy Center can be your rehabilitation partner.

September 17, 2015

Marlena Patin: Therapy Center of Carencro Success Story

Filed under: Blog,Physical Therapy,Therapy Success Stories — Kristi Fredieu @ 8:38 am

MarlenaPatinSS_CarencroMs. Marlena Patin recently underwent a total knee replacement and completed her therapy treatments with Margaret Rozas, PT at the Therapy Center of Carencro. She expressed her gratitude to the staff who cared for her and wanted to share her experience with others who may be looking for physical therapy care.

“I could not have received any better therapy than what I received with Ms. Margaret. I started therapy 2 weeks after surgery. Margaret was so understanding with me and told me she was looking for quality before quantity. The staff was so welcoming and pleasant to work with. It was a blessing to be assigned to Ms. Margaret for my physical therapy.”

“What I would say to others who are currently undergoing therapy treatments is that the only place to go would be the Therapy Center. Ms. Margaret and the Therapy Center staff are generally concerned about your recovery. Their bed side manner is the best! You couldn’t ask for better. They treat you like you were part of their family.”

 Stay tuned in to our blog for more Therapy Center Success Stories. Therapy Center offers physical therapy services in all 4 of our outpatient clinics in Louisiana. For your free evaluation, contact us today!


September 16, 2015

Tech Spotlight: Nadine Matte

Nadine-techOn behalf of tech month, we have another outstanding tech that deserves Therapy Center’s praise.  Nadine Matte is a tech at Acadia St. Landry Guest Home, and an extremely important member of the therapy team.  One of Nadine’s team members took time to share a few words about their teammate.

“Nadine Matte is a great and vital member of our team at Acadia St. Landry Guest Home.  She is reliable, self-motivated, responsible, and is a quick learner who we would definitely be lost without.  Her ability to see the “big picture” allows her to easily coordinate all of her duties while still assisting therapists with daily tasks.  She is always the first person to arrive and the last to leave which attests to her dedication to her job and desire to make sure it is always done to the best of her ability.  She has also been an essential asset to the therapy team during the recent opening of the new Road Home Therapy Center facility, and we would not have been able to make such a smooth transition without her.

Nadine interacts very well with the residents, patients, nurses, Certified Nursing Assistants, administration, and all other staff at our facility.  Anyone you ask will agree that she often goes above and beyond her duties on a daily basis.  She is someone that everyone in this facility can depend on and she has shown this by consistently doing things for others while expecting nothing in return.  

Nadine has become the backbone of our therapy team and, in the relatively short period of time she has been with us, has become an integral and indispensable part of this group and facility.  She has become the “momma bear” to many of us and a great friend to all of us. Happy tech month Nadine, we love and appreciate you!” – Brooke Duhon, Physical Therapist.

To find out more about becoming a vital member of our company visit the career opportunities tab at www.therapyctr.com.

September 11, 2015

Tech Spotlight: Haley Ortego

Filed under: Blog,Team Member News — Tags: , , , — Brittany Bodden @ 8:24 am

Haley Ortego--techDuring the month of September, Therapy Center would like to celebrate all of the wonderful therapy techs who work for our company. The responsibilities of being a tech at a skilled nursing facility are far from easy and we cannot thank our employees enough for their endless attention to detail and enthusiasm.  Haley Ortego--tech2

“To celebrate Therapy Tech month, we would like to show our appreciation for our favorite tech at Jeff Davis Living Center, Haley Ortego.  Haley is helpful in so many ways and is a joy to work with.  Not only does she assist with patient care for all disciplines, she also helps to keep us abreast of our paperwork deadlines to ensure it is finished in a timely manner.  She always does this with a smile on her face!  Haley is a true asset to the Jeff Davis therapy staff as we could not do it all without her.”, Kimberly Duplechien, PT.

For more employee spotlights visit the Team Member News section of our blog.

August 28, 2015

Looking Forward, Giving Back: Lemoine Therapy

food driveOur outpatient clinic in Marksville, Louisiana, Lemoine Therapy Services, recently participated in our company-wide Looking Forward, Giving Back campaign.  Therapy Center started this campaign; inspiring our teams across the state in giving back to the many communities we serve.  As a part of this effort, Lemoine Therapy Services partnered with the Food Bank of Central Louisiana to fight a rising challenge in Louisiana – food insecurity.  

Louisiana has one of the highest levels of food insecurity with increasing numbers of clients visiting emergency food program sites, according to the Food Bank of Central Louisiana. Research directly links family food hardships to health; learning; and behavioral outcomes in children.

Lemoine Therapy Food Drive

Lemoine Therapy became an official drop site for the Food Bank of Central Louisiana in May 2015.  As a result of their month-long drive, they collected nearly 110 pounds of non-perishable items which were dropped off to the Food Bank in Alexandria, Louisiana.

“We loved the food drive!  We really enjoyed working with our patients for the greater good of our community.  It made us close as a team, and even closer to our patients and their families,” says Diana Booty, office manager at Lemoine Therapy.

“I strongly encourage everyone to participate in a giving back project in their community.  It helps the team the team you work with come together as well as the patients you work with,”  says Peyton Splane, physical therapist assistant at Lemoine Therapy.

To read more stories on giving back projects our company has participated in, please visit our blog.


August 18, 2015

How To Be Happy At Work: Part 2

Filed under: Blog,Therapy Careers,Uncategorized — Tags: , — Sarah Edwards @ 3:18 pm

dealWelcome back! If you read our blog last month, “How to be Happy at Work: Part 1”, you may recall out of approximately 180 million employees surveyed worldwide, 87% of them are unhappy at work. We are working on making you a part of the other 13%. Here are some things I know for certain:

We are given a day. It is a gift, which I know most of us forget sometimes. But we are given a day—and it is up to us what we make of it.

We are lucky to have jobs. When putting in perspective how many people are under or unemployed, we are incredibly lucky to still have ours jobs.

We are in charge. We are in charge of our happiness throughout our day and how we let our daily circumstances impact our outlook.

I also know that choosing to be happy isn’t always easy, so here are 5 more tips for you! Use them to improve your happiness at work.

Give Yourself a Break. Sure it’s super easy to stay glued to your work until absolutely everything is complete, but it’s also dangerous. Take a breather. In between tasks, get up and walk around. If you take my advice in #5 from last month (hydrate), you’ll eventually need to hit the restroom. Take that time to stretch your legs and mingle. Studies show that taking breaks will make you more creative, competent, and cheerful. By not taking breaks you’ll find it harder to get along well with others, you won’t take criticism well, and you’ll find yourself with a higher level of stress. Use your PTO. Don’t be that person who never ever takes a day off. Some people think overworking themselves portrays them as a super human, fact is, a good recharge will make you more super than most humans.

Just Say No to Multitasking. Multitasking wastes more time than it saves. It isn’t effective, and it decreases concentration and creativity. One task at a time, y’all.

Accept People for Who They Are. You can’t change people. Before you let someone’s personalities or actions get the best of you—take a step back. Count to 10 before responding. Breathe. Maintain a professional attitude in all circumstances. Don’t let anyone walk all over you, but don’t be rude. Just be courageous and kind. I repeat—be courageous and kind.

Reflect and Reward. Take some time at the end of each day to reflect on your work. Find something positive about your day to recall. Reward yourself for a fruitful day. Prime yourself to be happy. Research has showed that doctors who prepared themselves with happiness were able to reach a diagnosis twice as fast as their colleagues. Interesting isn’t it? Happiness for the win!

Change. Brace yourselves, people. This is the most difficult of all of the advice I have for you. If you are unhappy with your situation—change it. If you cannot change your situation—change your perspective on the situation. If you are not willing to change you cannot complain.

Happiness is an inside job.. It’s a choice you have to make every day. Choose it. Really what’s the worst that will happen? You’ll miss being unhappy? That’s highly unlikely. Choose joy, spread it around the office. Be the change. Wouldn’t you much rather be a part of the 13% of people who are happy at work?  Remember folks, attitude is everything.

If you are looking to change your situation, please visit our careers page to find rewarding careers at a company that values each employee’s skills and abilities.

August 10, 2015

Employee Spotlight: Dodie Jones

Dodie Jones--employee spotlightTherapy Center recently received a letter of appreciation from a former patient of Valley View Health Care.  Mr. Rob Turner attributes his success and recovery to the therapy team at Valley View. 

Mr. Turner was admitted to Valley View on May 15, 2015 subsequent to successful L2-L3 spinal stenosis surgery by Dr. Ilyas Munshi at Lafayette General Hospital.  Post-surgery, he had no control or feeling in both legs.  When he began therapy at Valley View, he was confined to a wheel chair and had to make supervised wheel chair transfers on a board. 

After about eleven weeks of intense therapy by Therapy Center’s skilled and dedicated team, Mr. Turner is able to utilize a walker to get around and able to take steps without a walker for a short periods of time.  He wrote a special note about one particular therapist that helped him on the way to his recovery.

“There are some additional comments I would like to make regarding my therapy at Valley View Health Center.  I would be remiss if I did not include my interaction with the therapists and what I consider extra effort by Dodie Jones.

As time passed I feel like I became friends with all of the therapists.  We discussed various issues including therapy activities, family experiences, shared family photos, joked with each other, and other interpersonal issues.  Being in such a friendly atmosphere definitely contributed to me wanting to be in therapy and working towards everything I could do toward a recovery.

Just by nature of the therapy, I spent more one-on-one time with Dodie Jones.   My safety and recovery was obvious and ever present in her mind and behavior.  Ms. Jones improvised safe activities, like steps and leg squats, to simulate my home needs. Several times she commented that she had another idea during the night. She also introduced Electrical Muscle Stimulation therapy to first improve my thigh muscle tone and then to strengthen my left knee that was chronically “giving out” and folding when I was walking.  I do not know if the EMS therapy is a common treatment with most therapy activities, but it sure helped me.  Because of the results, I have purchased an EMS unit and am using it at home to continue the treatment.  Ms. Jones’ ideas and dedication certainly impacted my therapy.

Ms. Jones is definitely an asset to Therapy Center.”

If you would like to see more success stories from Therapy Center, please visit TheTherapyCenter‘s YouTube channel.

August 6, 2015

How to be Happy at Work: Part 1

Filed under: Blog,Therapy Careers,Uncategorized — Sarah Edwards @ 2:50 pm

JCO_8828 - Version 2Did you know that out of approximately 180 million employees surveyed worldwide, only 13% are happy at work? That means 87% are unhappy at work. You and only you are in charge of your happiness. This holds true for every aspect of your life—work being one of those important aspects. Work is where you spend the majority of your day, well at least it’s where you spend the majority of your day while awake. There are some lucky people in this world who are doing exactly what they want to do for a living; they are working their dream job, in their dream setting, in their dream city, working with a dream team. I’m one of them, and I’m about help you become one of them! Before I hit you with my brilliant list I have something extremely important for you to keep in mind. I want you to keep this in mind while you continue to read my blog and for every minute of every day for the rest of your life: Attitude is everything.

Smile. Seems simple enough right? Smiling tells your brain to be more happy thanks to the release of a little scientific something called neuropeptides. Also, smiling is contagious and will make your coworkers smile too. So just do it even if you don’t feel like. It works, people.

Say ‘Thank You’. If your mama raised you right, I don’t need to go into a whole lot of explanation here. Do unto others as you would have others do unto you. Be nice and polite and in return people should be nice and polite to you. Gratitude goes a long way.

Find your Sense of Meaning. It doesn’t matter what your title is at work. Whether you’re a doctor or a waitress, a therapist or a janitor—your work matters. Find the meaning for you in your work. Having a sense of meaning can contribute to happiness in the workplace. Figure out what yours is and perfect it.

Find a Work BFF. People who have friends at work perceive their job as more fun, worthwhile, and satisfying. Besides, having friends at work can create a support system and a sense of loyalty. Pick the human that you like best and make it a point to spend some good quality time together-both inside and outside of the office. You’ll find yourself more engaged at work. You’ll also find yourself a little happier having a friend around. After all, you’re likely spending more hours of your day with coworkers than any other humans. Don’t you want to enjoy having them around?

Be Healthy. To be happy throughout the day you need to be fueled properly. Don’t skip breakfast. Hungry people get cranky. Stay hydrated. Having a balanced diet and avoiding dehydration will increase your energy levels and mood.

Give these first 5 steps a shot. Really focus on them for 30 days. Tune in next month for more advice in the second part of the “How to Be Happier at Work” series. In the meantime-work hard and be happy. Remember the only difference between a good day and a bad day is your attitude.

Are you looking for your dream job? Contact Kayla Stansbury, Recruiter at 337-329-1057 or visit our website: www.therapyctr.com     Follow us on Facebook and Instagram

August 1, 2015

Join us in Saving Lives – August 4th – Carencro, LA

Filed under: Blog,Looking Forward Giving Back,Outpatient Services,Uncategorized — Sarah Edwards @ 12:00 pm

Carencro Blood drive flyerPlease join Therapy Center and United Blood Services on August 4th for an afternoon dedicated to saving lives. A whole blood donation can be separated into its different components and used for specific treatments for cancer or other illnesses, bleeding disorders or traumatic injury. In fact, since a single blood donation can be separated into components, your donation may help three different transfusion patients!

Medical advances and modern surgical techniques, (such as cancer treatments, organ transplants and open heart surgery), have increased the need for blood. In addition, the advancing age of the Baby Boomer generation has caused stress on the blood supply. Our national blood supply must be ready for everyday needs as well as the unexpected, such as accidents, natural or manmade disasters. Volunteer blood donors are needed year-round. We hope to see you there!


Visit our website for more information about our services and locations.

Approval of the ‘Steve Gleason Act’ will give more access to speech generating devices

Therapy Center is excited to share the following article posted by Bruce Alpert, of the Times Picayune. As a company who strives to provide the best care to very deserving patients, the Therapy Center believes the passing of the Steve Gleason Act is a win for the speech therapy profession, but most importantly for ALS community.

Article posted by the Time Picayune:

(Photo by Kathleen Flynn, Nola.com / The Times-Picayune)

(Photo by Kathleen Flynn, Nola.com / The Times-Picayune)

WASHINGTON – Speaker John Boehner Tuesday (July 21) formally sent legislation named for Steve Gleason to the White House for what he and sponsors hope will be a quick bill signing by President Barack Obama.

Boehner was joined by lead sponsor, Rep. Cathy McMorris Rodgers, R-Wash., and co-sponsor, House Majority Whip Steve Scalise, R-Jefferson.

The legislation would make speech generating devices, such as the one used by Gleason to communicate, more readily accessible for patients with ALS and other neurological disorders. It does this by making the devices eligible for reimbursement through Medicare and Medicaid/

Scalise said Gleason inspired an entire city back in 2006 at the first New Orleans Saints game at the Superdome after Hurricane Katrina when he blocked an Atlanta Falcons punt to give the Saints the first touchdown on the way to a 23-3 victory. Now, Scalise told his House colleagues last week, Gleason is inspiring an entire nation by leading a grass-roots effort to persuade Congress to ensure all Americans have access to the same speech generating device that helps him communicate.

As the bill passed by voice vote last week, McMorris-Rodgers said she was happy to sponsor the bill.

“Gail and Steve feared thousands of people would lose their ability to communicate with the world around them – to share their stories; order coffee; tell jokes; ask for help; or say ‘I love you,” McMorris Rodgers said. “Before eye tracking technology became available, once people lost their ability to type, they could no longer communicate, but that all changed with this revolutionary innovation.  Today, patients can continue communicating by typing with their eyes.”

ALS, also known as Lou Gehrig disease, is a progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord. According to the ALS Association, motor neurons reach from the brain to the spinal cord and from the spinal cord to the muscles throughout the body. The progressive degeneration of the motor neurons in ALS affects the ability of the brain to initiate and control muscle movement is lost.

David Vitter made this announcement on the passing of the Steve Gleason Act:

Dear Friend,

I’m proud to share some exciting news out of Congress. The House of Representatives passed my bipartisan legislation, the Steve Gleason Act of 2015!

This legislation was inspired by Steve Gleason. As you probably know, Steve is a former professional football player with the Saints, and he currently lives with Amyotrophic lateral sclerosis (ALS). While fighting the disease, he has led his foundation, Team Gleason, to grow public awareness towards finding a cure for ALS. Steve has been relentless in his advocacy, living up to the Team Gleason motto: No White Flags!

Passing this legislation is a huge victory for ALS patients across the country because it will make speech-generating devices more accessible and affordable.

These devices are truly amazing. For example, the device that Steve Gleason uses tracks the motion of his eyes and translates that motion into speech. Devices like this are critical for patients who have lost their ability to speak – they help them communicate with friends, family or doctors, or even call 911 in case of emergencies.

Now our legislation will bring this type of technology to patients across the country that cannot afford them on top of their other healthcare costs. Making this equipment more accessible and affordable will give them the ability to communicate with their family and friends – even literally giving them a voice and the ability to simply tell them “I love you.”

Passing this legislation has been more than a year in the works. I started working on this issue in 2014—and even participated in the ALS Ice Bucket Challenge with my son Jack—and first introduced this legislation in January. That was around the time I invited Steve to come to Washington D.C. as my guest to the State of the Union this year. We also met with the Secretary of Health and Human Services about getting her help to move our legislation forward.

Steve and the rest of Team Gleason have been an incredible inspiration. Just as Steve gave the city of New Orleans hope to rebuild after Hurricane Katrina, his “No White Flags” message is giving hope to the ALS community.

Thanks to Team Gleason’s tireless work, we can bring this hope to patients across the country.

No White Flags!

David Vitter
United States Senator

July 28, 2015

Employee Spotlight: Diana Booty

OLYMPUS DIGITAL CAMERADiana Booty is the office manager at Lemoine Therapy outpatient clinic in Marksville, Louisiana.  Her title as an office manager does her no justice; she wears many hats at the facility.  Along with managing the office, she is a Licensed Massage Therapist and handles marketing for Lemoine Therapy as well.  Diana has been with the company for almost eleven years now and is described as the glue that holds the clinic together. 

Diane says the most rewarding part about her job is impacting peoples lives for the better.  What does she love most about her job? “The team of people that I work with and the people that I work for are what I love most about my job. The flexibility Lemoine Therapy offers is a great part of working for this company.”

Lemoine Therapy Services was established in 2005 by Shannon Lemoine, PT, as Therapy Center expanded its outpatient clinic therapy services to the Marksville area. Lemoine Therapy offers comprehensive therapeutic services, provided by exceptional staff who work with each patient to design the best rehab plan to get them back to the activities they love.  Lemoine Therapy offers comprehensive physical and occupational therapy services.

For more employee spotlights, visit the Team Member News section of the Blog.




July 27, 2015

Therapy Center Partners with Community for School Physicals

 2015-07-17 Physicals 2015 002 revOn July 19, 2015, Therapy Center partnered with health care professionals to provide physicals for local junior high and high school student athletes. The day was a great success with over 200 students participating, representing nine parish schools (Jennings High, Elton High, Bethel Christian, O.L.I., Welsh High, Lake Arthur High, Lacassine High, Hathaway High, and Midland High). “Being a part of the local community is what it is all about,” stated Jake Duhon, Director of Sports Medicine for the Therapy Center.

Therapy Center believes that evaluation and screening during physicals lays the foundation for successful on-field performance. We would like to thank Dr. Christopher Achee, Dr. James McNally, Dr. Rick Edwards, Dr. Ryan Edwards and Dr.Johnny Segura for their assistance in screening as well as Nurse Practitioners Yvonne Krielow, Tina Molezun, Matt Vincent and John Lamb, RN with Jennings American Legion Hospital.  We also express our sincerest appreciation to the nearly 30 Therapy Center staff , volunteers and PT students that assisted in making this year’s event a success. 

Visit our website for more information on our Sports Medicine program as well as our Jennings Outpatient Clinic. 2015-07-17 Physicals 2015 004 rev

July 9, 2015

How Can Aquatic Therapy Help?

Filed under: Blog,Outpatient Services,Uncategorized — Sarah Edwards @ 3:30 pm

Therapy Center is proud to be the only rehabilitation facility in Jeff Davis Parish that offers aquatic therapy!

Aquatic Therapy is performed in the water, aiming to rehabilitate patients after injury or for those with chronic illness. It uses resistance of water instead of weights, taking excess pressure off joints for better outcomes.aquatic therapy benefits

Aquatic therapy is ideal for the following conditions:

  • Arthritis management/joint pain 
  • Athletic/cardiovascular training
  • Musculoskeletal disorders
  • Chronic back pain and lumbar stabilization
  • Foot, ankle or knee pain
  • Short-term therapy with transition to land-based rehabilitation 
  • Spinal cord injuries 
  • Amputees
  • Stroke 
  • Brain Injury

Therapy Center uses an indoor, heated pool for our treatment sessions specifically designed to meet each patient’s unique needs. Patients who have had difficulty with traditional therapy often show great improvement with aquatic therapy.

Visit our website to learn more about the services we provide.


June 8, 2015

Making a First Impression: Tips on Getting Hired

Filed under: Blog,Therapy Careers,Therapy Center Student News — Sarah Edwards @ 4:05 pm

How to Make a Great First Impression at an Interview

You got the job 

7 seconds. That’s how long it takes for someone to evaluate you when they first meet you. 7 seconds! I know it sounds crazy but in under 10 seconds another human has formed an opinion about you based on your appearance, posture, demeanor, body language, even your clothes. What’s even crazier is that the chances of them reversing that opinion of you is slim to none. First impressions are important, people!  Here are some tips on how to make an amazing first impression:

  •  Be on Time!  I’m sure you’ve heard it before—if you’re not early, you’re late. Show up a few minutes early for your interview especially if it’s an interview for your dream job. If you are running late call your interviewer as soon as you can. It’s always better to gives a heads up than to wait until you’re 30 minutes late to explain why you are late.
  • A Smile Goes a Long Way!  It’s true what they say about smiling, it is contagious. It’s a fact, folks. When you smile at someone-more often than not-they will smile back. You can utilize this to your advantage. Smile when you first see your interviewer. It will effectively break down any barriers by showing them that you are friendly, approachable, and excited to meet them. Be careful not overload with a constant cheesy beam. You don’t want to appear insincere, and you definitely don’t want to look like a creep. Keep it natural.
  • Body Language Speaks Much Louder than Words! Good posture is imperative, people! Stand tall to appear open and confident. Keep your shoulders back and relaxed, and your feet on the ground.  Absolutely NO slouching. Slouching will make you look insecure and unapproachable. Eye contact is crucial. Maintaining a healthy level of eye contact will let the interviewer know that you are paying attention, and that you are interested in what is being said.  Again, be careful not to appear creepy. Prolonged eye contact can feel uncomfortable, but multiple breaks in eye contact can also feel uncomfortable and make you seem distracted. Find a good medium.
  • Make the First Move!  Most people think the interviewer should or will make the first move. While this may be true in some instances, don’t be afraid to extend your hand first. Your handshake is important. You know that space between your thumb and your pointer finger? I call it a webby. Make sure when you a shaking hands with someone that your webby touches their webby. I know it sounds strange, but it’s what needs to happen to ensure a successful handshake. Be firm but not too firm, and do not shake fingers—touch webbies! Your handshake will exude confidence. 
  • Find a Connection! Solidify your stellar first impression by making a connection with your interviewer. Look around the office to notice if there is a commonality you share, or dig a little deep into conversation. It doesn’t have to be anything big, but it might help you get a foot in the door or at least ensure that you are remembered.

These tips may not guarantee you the job, but it will certainly get you a little closer. Starting off your interview on the right foot will help you rock through some of those tough questions. Remember to stay calm, confident, and kind.

Please visit our career opportunities page to see what positions we currently have available or contact Kayla Stansbury.

June 4, 2015

Looking Forward, Giving Back: A Look Back at our Accomplishments so far

In an effort to give back to the communities we serve, Therapy Center launched a company-wide giving back campaign at the beginning of 2015. We asked all of our employee teams to select a charity or non-profit organization and do something to benefit that organization. With teams all over the State, Therapy Center’s goal is to help as many communities and organizations as possible. We are proud to say that our employees have done a fantastic job so far, and are excited to see what the rest of the year has in store!

BC giving back 3Bayou Chateau

Our team at Bayou Chateau Nursing Center participated in a giving back activity they called “Knitting for the Kids”.  They chose to give back to St. Jude Children’s Research Hospital by knitting blankets and invited the residents to assist the team in giving back to children facing cancer and life-threatening disease. 



ttc blood driveAvoyelles Parish Nursing Homes

Our teams in Avoyelles parish worked together to put on an extremely successful blood drive in February.  By partnering with LifeShare Blood Center, Therapy Center teams were able to receive thirty-seven donations!  The blood drive was so successful that the teams plan on hosting a blood drive with LifeShare at least once a year.



giving back picValley View

In an effort to assist the residents at the Valley View Health Care facility, our team collected and donated clothes to those in need. The event was well received and the residents were extremely appreciative. The team at Valley View intends on continuing this donation process for years to come.




Final Lemoine Food driveLemoine Therapy Clinic

Our outpatient clinic in Marksville, Lemoine Therapy, decided to join in the “Giving Back Campaign” by becoming an official drop site for the Food Bank of Central Louisiana.  Our team put the donation box in their front lobby and collected non-perishable food items for the entire month of May.  The food drive was extremely successful, with a donation that overflowed the donation box.  The Food Bank of Central Louisiana was ecstatic when we drove up with a car full of food items.  Our team was very happy with the turnout, and rightfully so.  They plan to continue giving back in the future!


TTC carencro blood driveCarencro Clinic

In conjunction with an announcement of its new facility, the Carencro clinic put on a blood drive in partnership with United Blood Services.  This blood drive was also a tremendous success!  Therapy Center’s drive had an original goal of twelve donations.  The drive exceeded that goal with a total of twenty-one donations, saving a total of sixty-three lives!  Therapy Center is hosting another blood drive in August, and has high expectations about the turnout.



We are so proud of all of the teams that have participated so far this year.  Everyone has made a great difference in the community.

For more information about our company-wide Giving Back Campaign, visit our website www.therapyctr.com


May 29, 2015

A Message of Gratitude from a Speech Therapist

Filed under: Blog,Speech Therapy — Tags: , , — Kristi Fredieu @ 3:22 pm

Rachel Manuel, Speech Therapist

In an effort to shed a personal light on Better Speech and Hearing Month, speech therapist and mentor, Rachel Manuel, was led to reflect on and share her grandfather’s journey and treatment for Parkinson’s disease. After his diagnosis, speech therapy services were provided by a fellow Therapy Center speech language pathologist. 

A Personal Touch

After several months of mild memory issues, difficulty tasting his food, and some balance difficulty, my grandfather, Darrell Chaumont, was diagnosed with Parkinson’s disease in 2012.  As a speech language pathologist, I worked hard to be proactive in meeting his needs and in educating my loved ones on what was to come in regards to his physical and cognitive limitations.  Once my family was connected to the Therapy Center, and more specifically Candice Cooley, I was confident that my grandfather would be in great hands.


Candi Cooley, Speech Therapist

“Candi” grew up in my community and was a student of mine during speech language pathology school.  She joined the Therapy Center family in 2007 and took a vested interest in providing my grandfather with therapy both while actively on caseload and during periods of plateau when insurance would not pay for him to receive therapy.  Candi utilized a multitude of strategies to facilitate his speaking, comprehension, and swallowing.  She worked hard to keep him as independent as possible and always treated him like a man rather than like a patient.  Her personal touch always meant so much to my family… Candi often gave of her personal time to ensure that his needs were met. Because of her hard work and dedication to his progress, we were able to hear my grandfather’s voice and keep him on an oral diet much longer than the typical patient.   Papa Darrell looked forward to her visits as did my grandma and my aunts. 

The Therapy Center is fortunate to have Candi on our team and I am blessed to call her my friend. The care that she provided my grandfather, as well as the guidance she gave my family, is a great representation of the personal care and consideration that our therapists possess at the Therapy Center.

Watch the video below to see an example of exercises Candi used to treat my grandfather’s dysarthria.


ST Spotlight: Ashley Kidd

Filed under: Blog,Speech Therapy,Team Member News — Brittany Bodden @ 10:00 am

Ashley Kidd st at Maison TecheMaison Teche Nursing Center:  Ashley Kidd, SLP

Ashley Kidd has been a huge asset to the therapy team at Maison Teche Nursing Center. It’s hard to believe that she started working for the Therapy Center less than a year ago based on how quickly she caught on to things. She is a team player and is always coming up with creative ideas and activities to keep our patients engaged and excited about coming to therapy. Whether it’s helping a patient learn the sequencing of transfers to improve their safety with physical therapy and occupational therapy or managing bills and medicine, she makes sure our patients are well prepared and ready to return home.  She is the reason that the swallow bus makes frequent stops to our facility in order to ensure our patients are safe while eating and they are able to enjoy the best diet possible. She is very knowledgeable and is willing to teach other disciplines in order to help everyone succeed. Whenever the nursing home dog, Buddy, needs a babysitter for the weekend, she is the first one to volunteer.  We are so lucky to have such an enthusiastic, caring person like Ashley at Maison Teche. Thanks for all that you do, Ashley! Not only has she made such a positive impact on other therapists and nursing home staff, but she has made everlasting impressions on her patients as well–so much so that one patient wanted to write something special to express his gratitude….

The “Roast” of Ashley Kidd:  The Good, The Bad, & The Ugly

by Jackie Gibbons, patient at Maison Teche

My first impression—a pretty lil’ lady with a pony tail and a million dollar smile. I was going to enjoy this. Her first words said to me were “Bite your tongue, Jack”. I said “Do What?!” “Bite your tongue and swallow five times, it will help you to speak better.” My thoughts: She must be a wolf in sheep clothing. But she said it with a smile, so I went along.

Next, the dining room. I was having problems with choking. Ashley said “Stop. Slow down. Take smaller bites. Drink after every 3 bites of food.” It worked, and I stopped choking! Another plus for Ashley!

Back to the table to test my numbers, clocks, and grocery lists. I failed. This was heart breaking, and tears came. After 16 years of figuring out right triangles in math classes, I failed the numbers game. The stroke I had took away my numbers from me. This lil’ girl with the pony tail came put her arms around me and told me “You are being too hard on yourself. It’s not important for you to know numbers. You are 86 years old!”

This lil’ girl with a pony tail is number one in my book. I love her.

For more testimonials from patients of Therapy Center, visit our website at www.therapyctr.com.

May 28, 2015

Talk about Great People- Messages for TTC Speech Therapists

We areGreen Keedra ST LNH proud of all of the speech-language pathologists that work for Therapy Center.  Hiring the most talented and caring employees is a priority for the Therapy Center and the result is an amazing group of highly skilled individuals. We wanted to share a few of the messages we have received from patients and co-workers that have the privilege of working with our speech therapists.

Keedra Green, SLP:  LaSalle Nursing Home 

“I cannot say enough good things about you.  I feel that you really care about me as a person and are interested in my well-being.  I have always liked to take something when a person was teaching me, and that is exactly what you are doing in such a special way.  You have helped me to speak more clearly, and I feel that people understand what I say better than before.  Speech therapy is a very helpful thing.  Thank you for your time and help.” – Dorothy, patient at LaSalle Nursing Home.

Sylvia Daniel SLP!Sylvia Daniel, SLP:  Riviere De Soleil

“Sylvia has been a speech therapist with Therapy Center for seven months at Riviere De Soleil.  Sylvia has been a great team player, a knowledgeable speech therapist, and a great advocate for her profession.  Sylvia is well liked by her co-workers and has great relationships with her patients and staff.  Sylvia has shown daily her compassion for her profession and continues to be eager to further her education.  Although Sylvia has only been with Therapy Center for a short time, it truly feels as though she has been with us for years.  Sylvia is a great asset to our company.” – Brooke Normand, ST.

Nicole Baudier SLPNicole Baudier, SLP:  Guest House of Slidell Community Care Center

“Nicole Baudier joined our team at the Guest House of Slidell just a few short weeks ago.  While she hasn’t been here long, she has already made lasting impressions on our residents.  Nicole’s creative therapy ideas keep her patients intrigued and wanting to succeed in meeting their goals.  Her teamwork approach has made it a joy to work alongside.  The Therapy Center team at Guest House of Slidell wishes her all of the best as she welcomes a bouncing baby boy very soon!” – Therapy team at Guest House of Slidell Community Care Center


Rachel NormandRachel Normand, SLP:  Bayou Chateau Nursing Center

“There are so many great things to say about Rachel.  Rachel is an awesome team player, and plays more than just an ST role in her facilities.  Rachel helps me in assisting patients to the dining room for activities, assists them in participating in the activities, and is helpful with the CNAs with the morning hustle and bustle of getting the residents ready.  She is extremely knowledgeable in her ST profession as well as knowing characteristics/details of the patients.  Rachel is very compassionate with the patients and is always concerned with their well-being.  Rachel’s personality is always upbeat and approachable as though she’s never having a bad day with a constant smile on her face.  She’s the best dancer besides myself at Bayou Chateau.” – LaTanya Wright, Activities Director & Lori Longino, Social Services at Bayou Chateau Nursing Center

To find out more about the wonderful employees at Therapy Center, go to our website and click on the Why Us tab under Our Team.



May 22, 2015

ST Spotlight: Jessica Lemoine

st at valley viewTherapy Center would like to spotlight our amazing speech therapists as a part of Better Speech and Hearing Month. Their tireless efforts and dedication to recovery emphasizes our company’s culture of individualized treatment plans and personal care.

Jessica Lemoine, speech therapist at Valley View Health Care in Marksville, Louisiana is an outstanding example of the care and compassion expressed by the Therapy Center team.

When asked to share a few comments about Jessica, her mentor, Sherie Soileau, beamed with pride.

 “We are excited that Therapy Center is recognizing Jessica Lemoine for her hard work, dedication, commitment to her team, and most importantly commitment to her patients. She goes beyond her professional role as a speech pathologist and befriends the patients she treats.”

She has helped many patients throughout her career, but one of the most recent and most memorable experiences was with Mrs. Patricia, a three-year resident of Valley View Nursing Home.  Mrs. Patricia enjoyed the simple things in life such as visiting with friends and reading the newspaper.  Due to hospitalization at the end of last year, Mrs. Patricia returned to the facility with diagnosis of dysphagia, NPO with peg tube placement

Recognizing the importance of full recovery for Mrs. Patricia, Jessica immediately put her on a therapy program consisting of electrical stimulation, thermal stimulation and swallowing exercises to treat her dysphagia. The road was long and often frustrating, with Jessica constantly giving encouragement and being creative in her treatment approach. After two months of intense therapy, they both received great results from the Miller Behavioral Style Scale (MBSS). 

After initial therapy sessions, Mrs. Patricia was able to eat a puree diet with thin liquids and accomplished another diet upgrade in March 2015. With the goal of consuming a regular diet in mind, Jessica and Mrs. Patricia continued to work hard together. On April 24, 2015 their wish came true when Mrs. Patricia passed her MBSS, resulting in her ability to eat a regular diet with thin liquids.  Mrs. Patricia is happier than ever living at her prior level of function.

When asked what she would like to say to Jessica, Mrs. Patricia stated, “Thank you very much for all of your help, I really appreciate everything!”

Learn more about the speech therapy services we provide to our nursing home rehabilitation patients.

May 19, 2015

Let’s Talk – Speech Pathology

Filed under: Blog,Speech Therapy — Sarah Edwards @ 12:03 pm

Therapy Center is excited to celebrate Better Speech and Hearing Month as an opportunity to raise awareness about communication disorders. Did you know that roughly 40 Million older Americans experience challenges with speech and hearing? Early detection is key to treating many of these conditions. 














Visit our website to learn more about the speech therapy services we provide to our nursing home rehabilitation patients.

May 8, 2015

Looking Forward, Giving Back: Bayou Chateau’s Experience

BC giving back 3Therapy Center believes in being a strong partner in the communities that we serve both in the services we provide and through our Looking Forward, Giving Back campaign. With partner facilities and clinics all over the State, we encourage each facility to pick a cause they would like to support and share about their experience.

Making A Difference: St. Jude Children’s Research Hospital

Our team at Bayou Chateau Nursing Center decided to give back to St. Jude Children’s Research Hospital.  With the help of residents in therapy, the Therapy Center staff created numerous blankets for the children and shipped them off to Memphis. 

Bayou Chateau’s team stated, “It was a great experience to get everyone involved in the nursing home, from staff to the residents!  We know that our efforts will put a smile on the faces of many children that are diagnosed with cancer and other catastrophic diseases. In addition to helping a great cause, it has been uplifting to hear the residents share with their families and friends about their hard work and effort into making these blankets for the children at St. Jude.”


BC giving back!Continuing to Give

Our team members say one of the best parts about the experience was the support from Therapy Center staff and residents at Bayou Chateau in giving back to a worthy charity like St. Jude. In an effort to maximize the impact made for future projects, the team plans to share and partner with others in the community for donations.  Bayou Chateau plans to annually promote this project for the children and with a goal of making even more blankets!


If you would like to learn more about what Therapy Center is doing in your community to make a difference, contact Brittany Bodden at Brittanyb@therapyctr.com.

May 5, 2015

Getting Back to the Line of Duty

Filed under: Outpatient Services,Physical Therapy,Team Member News — Sarah Edwards @ 2:43 pm

Almost a year ago, Jennings police Sgt. Ricky Benoit was shot through the neck while responding to a call. The bullet shattered a vertebrae, leaving Benoit with limited physical function. Benoit survived and is now in rehab three times a week with Therapy Center, working his way back to full health one step at a time.

Click below to see the full story. We are honored to be a part of Sgt. Ricky Benoit’s road to recovery!

Jeff and Rick B - 2015


May 1, 2015

Therapy Center Student News: Sarah Kunath

As a part of Better Speech and Hearing Month, we would like to highlight a speech therapy student on rotation at one of our partner skilled nursing facilities, Courtyard Manor in Lafayette, Louisiana.  Sarah Kunath is pursuing a degree in speech-language pathology at the University of Louisiana at Lafayette.  Please watch her story, and find out what she has learned while on rotation with our company! We are excited to be a part of educating the future leaders in the field of speech therapy.


April 30, 2015

Words of gratification from our OT patients

The patients at our partner skilled nursing facilities are not shy about expressing their appreciation for the care they receive from their occupational therapy team members on their road to recovery. We wanted to share a few of the comments we have received over the last month from the individuals impacted the most…our patients.

LC PICS 2Lake Charles Care CenterLauren Green, OT & Jessica Cornner, COTA

“Jessica and Lauren have changed my life!  Not only when I get down with my therapy, but personally.  They both always smile and are always ready to get on with whatever task is ahead.  Therapy hurts and they pull no punches, but if there were any two people I could have on my side, it would be my therapy team!  Jessica and Lauren, I’ll never be able to repay you, but I can tell you I will never forget you.  I’ve got so much further to go, but with your help I will have memories to last the rest of my life!” – Love, Esther


OT Month2LaSalle Nursing HomeMelanie Lewellyan, OT & Lindsey Allen, COTA

“Just over a year ago I suffered a broken back.  Subsequent surgery and prolonged bed rest caused me to lose the strength in my legs and the dexterity of my fingers.  I was also attacked by arthritis in my hips and hands.  When I began PT and OT, I was so gratified that full use of my hands and fingers began to return, and I give full credit to the occupational therapists for the magnificent job they are accomplishing in working with me.  They are very dedicated and demonstrate a lot of compassion for the residents they associate with.” – Sincerely, Jack M. Willis


photo OF OTS AT CPAcadia St. Landry Guest HomeRebecca Curry, OT & Ashley Bertrand, COTA

“My OT helped me move my upper body easier.” – Mary Ella Thibodeaux

“My OT helped me feed myself on my own.” – Denise Rober


Visit the occupational therapy section of our blog to read more information on the field of OT and the amazing team we have working with us!


April 28, 2015

Occupational Therapy Month: A Message of Appreciation from an OT Mentor

OT meme 2

In recognition of Occupation Therapy month, I am excited to take advantage of this opportunity to help people better understand the role of an OT. In 10+ years that I have worked as an occupational therapist I often find myself having to explain what exactly I do. Most people seem to be familiar with physical therapy but occupational therapy….. I get a blank stare.

The role of an occupational therapist is to help patients achieve a more fulfilled and satisfied state in life through the recovery of function and performance in activities of daily living. Basically, we work with our patients to help them live their life to the fullest and to do the things they love in life more efficiently.

As a team leader with Therapy Center (we like to use the term Mentor), I have had the pleasure of working with an incredible group of OT’s and COTA’s (Certified Occupational Therapy Assistants). Although each of my team members has completely different personalities, they all have one thing in common: their undeniable passion for the work that we do in the field of occupational therapy.

The innovative methods that my amazing team of OT’s and COTA’s use to help our patients are as varied as the therapists themselves, which is what makes them so good at what they do. From self-care activities to providing a shoulder to cry on, and everything in-between, these ladies are always finding new ways to keep therapy sessions interesting, fun and most importantly, challenging. Watching patients progress and improve is what continues to motivate our team and when we see the smile on a patient’s face when they are able to do something that they haven’t been able to do before…that’s priceless!

To my team of OT’s and COTA’s and to all of the incredible OT’s and COTA’s at Therapy Center, Thank you for choosing the field of Occupational Therapy and Happy OT month!

lauren-mccraine-Lauren McCraine, Mentor and Occupational Therapist

Visit the occupational therapy section of our blog to read more information on the field of OT and the amazing team we have working with us!

April 27, 2015

OT Spotlight: Greta Bordelon

Greta BordelonIn honor of OT month, we wanted to share testimonials on one of the many occupational therapists who has made a special impact on the lives of her patients.

Greta Bordelon, who is an occupational therapist in our Marksville outpatient clinic, Lemoine Therapy Services, was recognized by two patients whom she treated.  She has been with Lemoine Therapy for five years and her compassion and love for her work has kept patients coming back to our outpatient clinic.  Greta is a great example of the outstanding employees we pride ourselves on having on our team.  Here is what her patients had to say regarding the care they received from Greta.

Pamela Tassin

“I had an injury at work last year.  My surgery was January 9, 2015.  I started occupational therapy with Greta seven weeks after my surgery.  I could not use my right side at all, and within two weeks I had so much improvement.  I was very shocked, I did not expect so much improvement so quickly.  Greta is professional in every way.  She is compassionate and patient with all of her patients.  I am a nurse so I have seen many health care workers as they take care of patients, but I have to say Greta is one of the best!” -Pamela Tassin

Janelle Smith

“I had surgery on March 26, 2015 and began occupational therapy with Lemoine Therapy.  Greta Bordelon has been an angel.  She has worked on and done OT on my elbow three times a week.  She does an EXCELLENT JOB!  Her caring and concern really makes me feel great even on days when my arm hurts.  She has a way of making every day a great day.  Thank y’all for having Greta on y’all’s staff.  She is the best!” -Janelle Smith

Thank you, Greta, for being such a great representation of Therapy Center and Lemoine Therapy Services.

To learn more about the impact our team has made on other patients, visit the testimonials section of our website.

April 17, 2015

Three wounded warriors explain what occupational therapy means to them

In light of Occupational Therapy month, here is another video celebrating the tremendous difference occupational therapists make in the lives of so many people.  This is the story of three wounded soldiers.

For more information on our staff, please go to http://therapyctr.com/why-choose-therapy-center/our-team.

April 13, 2015

Therapy Center: Sam Barker’s Success Story

sam barker pic to useAfter multiple falls and an extended hospital stay, Sam Barker’s family made the decision to send him to Lake Charles Care Center for rehabilitation.  When Sam began his therapy there, he was in a wheelchair, unable to even stand on his own.  Through intense physical therapy, occupational therapy, and speech therapy with Therapy Center’s team of dedicated therapists, Sam began fighting his way back to the independence he enjoyed before his hospital stay.  Here is the story of Sam Barker, told by Sam Barker himself.

The road to recovery can be difficult, but it doesn’t have to be travelled alone.  Therapy Center offers the best in rehabilitative services for long-term residents or patients needing short-term care after an illness or surgery.  To watch more stories like Sam Barker’s, visit the Therapy Center Success Story section of our blog.

March 31, 2015

SGR: Medicare Reforms Proposed as Funding Offset

Filed under: Blog,Compliance — Brittany Bodden @ 1:34 pm

Therapy Center strives to be the leader in industry news and resources. We found this article from Media Health Leaders to be of great interest to our audience with the impending expiration of the SGR patch coming on March 31st.

“The perennial problem in Congress over how Medicare reimburses physicians is providing an opportunity for the foes of fee-for-service medicine,” Christopher Cheney.

JCO_0935SGR: Medicare Reforms Proposed as Funding Offset

By:  Christopher Cheney, for HealthLeaders Media

January 27, 2015

Accelerating Medicare’s drive to value-based payment and delivery models would boost care quality and generate enough cost savings to pay for “doc fix” reform, advocates say.

Over the past dozen years, Congress  has repeatedly patched Medicare’s widely despised Sustainable Growth Rate formula for physician reimbursement. The temporary SGR fixes have featured a cast of usual suspects of Medicare budget offsets: cuts to provider  payments or offsets affecting Medicare beneficiaries such as cost-sharing  through deductibles.

A bipartisan and bicameral 10-year deal on a so-called “doc fix” for Medicare fell apart last winter over the politically daunting offset obstacle. Now the Congressional Budget Office estimates that the cost of implementing last  winter’s $128 billion SGR repeal-and-replace deal has risen to $144 billion.

The current SGR patch expires March  31.

The “pay-for” problem was on parade last week in Congress during a two-day hearing of the House Energy & Commerce Committee’s health panel. Republican members of the health  subcommittee appeared unified on the necessity to find budget offsets for any  long-term replacement of SGR.

For those members of Congress contemplating SGR legislation without offsets, the health subcommittee’s  chairman issued a warning rooted in realpolitik during the opening session of the hearing Wednesday: “Think of what your goals are. The danger is, and it’s a high risk, nothing is going to happen,” said Rep. Joe Pitts, (R-PA), evoking the specter of another SGR patch.

 A six-member panel of witnesses appeared  before the House lawmakers on Thursday, and unanimously opposed offsets drawn  from their constituencies.

Robert Umbdenstock, president and CEO of the Washington, DC-based American Hospital  Association, opened Thursday’s witness testimony with a flat-out rejection of any solution that requires offsets from healthcare providers. “The AHA cannot support any proposal to fix the physician payment problem at the expense of funding for services provided by other caregivers. Offsets should not come from other providers, including hospitals,” he testified.

Eric Schneidewind, president-elect of the DC-based American Association of Retired Persons, testified that seniors cannot shoulder any SGR repeal offset burden. “The typical Medicare beneficiary cannot afford to pay more out of pocket,” he said.

Umbdenstock and Schneidewind were the only witnesses to propose specific SGR repeal offsets during the health subcommittee hearing Thursday.  Offsetting SGR Repeal With Medicare Reform Windfall Accelerating value-based healthcare payment and delivery reforms could not only pay for replacing SGR but also improve quality of care and reduce long-term Medicare spending, according to reform advocates and some members of the E&C Committee’s health panel.

Alice Rivlin, PhD, director of the Engelberg Center for Health Reform at The Brookings Institution in DC, acknowledged during the hearing the political necessity of finding offsets, but urged lawmakers to launch a wave of value-based reforms in Medicare.

 ”Replacing the SGR can advance payment reform,” she testified. “It can move the healthcare delivery system away from fee-for-service, which is still very prevalent in Medicare, which rewards volume rather than value, and move it toward higher quality and less waste. And that’s good for everybody, especially beneficiaries of Medicare.”

While directing a question to Schneidewind, Rep. Doris Matsui, (D-CA),  called for Medicare reforms to be a prime component of any long-term SGR repeal deal. “New payment and delivery models incentivized in SGR repeal-and-replace policy can make Medicare services more effective and maybe even more efficient. This will save money, while improving care … and involve savings to the overall health system, not to mention the improvement in the quality of care that can have an invaluable effect on a patient’s life,” she said.

Matsui said improving Medicare’s healthcare services is the best solution to the SGR problem: “A more holistic approach to patient care, including strong preventive care, saves costs and lives.”

On Friday, a veteran of many SGR  battles in Congress who serves on the E&C Committee’s health panel said he was skeptical that value-based reforms in coming years can be the featured financing element for a doc fix now.

Rep. Michael Burgess, MD, (R-TX), said Medicare reforms will be accounted for in any long-term SGR repeal deal, but that more traditional offsets will be necessary. “[Reform] is going to be part of whatever group of offsets that’s decided upon but I don’t think there’s enough offset there. It’s a struggle to get that up to a number that’s enough for a complete offset given the way the budget folks look at such things.”

Burgess, who practiced medicine for nearly three decades in North Texas, said the CBO is unlikely to “score” the cost-savings from Medicare reforms high enough to pay for the doc fix. “If CBO would score things by what they save and not what they cost, we maybe could. That gets into the whole CBO scoring legislation that we have had for years,” he said.

The Texas Republican also said it is unclear whether a majority of lawmakers in both houses of Congress can shun the historical approach to SGR offsets and bank on reforms to finance a repeal-and-replace deal. “That is to be determined. I just don’t think there’s any way we can answer that right now,” he said.

Reformer Proposes Pain-Free Doc Fix

“The problem is, Congress has been led to believe the only way to deal with this is to cut something else,” Harold Miller, president and CEO of the Pittsburgh-based Center for Healthcare Quality and Payment Reform, said after the hearing. “The way to  get the offset is not by cutting someone else’s fee, it’s by redesigning care.”

In a report released this month, CHQPR calls for a long-term SGR replacement deal financed with cost savings generated from accelerated and widely adopted accountable payment models. The report, which Miller authored, says Medicare officials have not gone far enough or fast enough in developing accountable payment models.

Miller said the Medicare Shared Savings Program, the government’s most popular accountable care organization initiative, is “still fee-for-service” and does little to fundamentally shift providers from volume to value. He believes MSSP gain-sharing only offers an incentive to boost efficiency in fee-for-service operations,  with providers grabbing a slice of the cost savings.


The CHQPR report calls for the Centers for Medicare & Medicaid Services to rapidly deploy three accountable payment models that have demonstrated effectiveness:

Bundled payments: Allowing providers flexibility to redesign care at reduced cost.  “The CMS bundled payment initiative saved an enormous amount of money,” Miller said.  “The demonstration has already proved that it is going to work.”

Warrantied payments: “It’s the same idea as a warranty on anything else you buy. Now for infections and complications, we pay the doctors more to treat them, we don’t pay doctors anything for preventing them… Providers make much more profit if you have an infection or complication.”

Condition payments: “The orthopedists get paid a ton of money to perform a back surgery on you. But they get paid next to nothing to manage your pain or otherwise treat your condition.”

Miller says marrying value-based healthcare delivery with value-based healthcare payments would lower Medicare spending more than the 0.5% annual reduction required to finance a 10-year, $144  billion doc fix. He also says having value-based reforms at the heart of an SGR replacement plan is feasible politically and administratively.

“Either the CBO can give it a  score, or Congress can say that it will save money,” he said, adding federal officials can move quickly to enact accountable payment models.  “The [Diagnosis-Related Group codes] were implemented in 14 months starting in 1983. They can do it.”

Christopher Cheney is health plans editor at HealthLeaders Media.


If you want to learn more about how Therapy Center is working to help Medicare reform and serving as a post-acute resource for patients and referral sources, contact Brittany Bodden for more information on our programs and continue to follow our blog.

Brittany Bodden Pic

Brittany Bodden


Marketing Liaison

March 20, 2015

Therapy Center Student News: James CoCo

Filed under: Blog,Therapy Center Student News — Tags: , , — Brittany Bodden @ 8:41 am

James CoCo, a physical therapist assistant (PTA) student from Our Lady of the Lake, tells us what he learned during his rotation with Therapy Center.  James completed his rotation at our partner facility, Rehabilitation Hospital of Jennings, an inpatient facility in Jennings, LA.  Stay tuned for more student interviews and news updates!

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Therapy Center Student News: Jason Schexnayder

Filed under: Blog,Therapy Center Student News — Tags: , — Brittany Bodden @ 8:26 am

Jason Schexnayder, student from the University of St. Augustine, tells us about his experience during his rotation with Therapy Center.  Jason’s rotation was completed through the Therapy Center Clinic, our outpatient facility in Jennings, LA. 

Stay tuned for more student interviews and news updates!

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March 16, 2015

Falls: Assessing and Preventing with Culture Change

JCO_1557Assessing and Preventing Falls in the Nursing Home

According to a 2012 study by Centers for Disease Control and Prevention, between half and three-quarters of nursing home residents fall each year, accounting for nearly half of all Emergency Room visits by nursing home residents. As alarming as this statistic may seem, there is a bright side: most of these falls are preventable and proper training and education can help reduce the number of falls among nursing home residents.

As part of the comprehensive services we provide, Therapy Center works with the nursing and administrative staff in our partner facilities to continuously provide educational opportunities and up-to-date information on industry best practices. In working to reduce the number of falls in nursing home facilities, it is important to review each fall instance and understand why the fall occurred. Asking the right questions is the first step to understanding risks and keeping residents safe while still allowing them a sense of independence.

Begin at the Beginning

There are 10 important questions to ask at the time of a fall that will help provide insight into what went wrong:

1. Ask the resident: Are you ok?

2. Ask the resident: What were you trying to do?

3. Ask the resident or determine: What was different this time that may have contributed to the fall?

4. What was the position of resident?

    – Did the resident fall near a bed, toilet, or chair? How far away were they?

    – Was the resident on his/her back, front, left side or right side?

    – What was the position of the resident’s arms and legs?

5. What was the surrounding area like?

    – Was the area noisy, busy, or cluttered?

    – Was there poor lighting or low visibility?

    – What was the position of furniture and equipment in the area? Is the bed height correct?

6. What was the floor like?

    – Was the floor wet, uneven, or shiny?

    – Is the floor carpet or tile?

7.  What was the resident wearing?

    – Was the resident wearing shoes, socks, or slippers?

    – Was the resident wearing poorly-fitting clothes?

8.  Was the resident using an assistive device?

    – Was the resident using a walker, cane, wheelchair, merry walker, or other device?

9.  Was the resident wearing glasses and/or hearing aids?

10. Who was in the area when the fall occurred?

JCO_1654Teamwork Multiplies Success

Answering the 10 questions above will provide a good overview of the circumstances leading up to the fall. Armed with this knowledge, the resident’s team of healthcare providers can work together to conduct a root cause analysis, used to determine exactly what happened, why it happened, and what can be done to prevent it from happening again.

In conducting a root cause analysis, there are 3 areas to investigate:

Internal Evidence:

What does the place of the fall indicate?

At Bedside = likely orthostatic hypotension, can be incorrect bed placement
5 feet away = balance/gait deficits
15 feet away = strength/endurance deficits

What does the resident’s mood status and/or cognitive changes indicate?

Frequent napping may indicate sleep deprivation, which could be a risk factor for increased falls. To help eliminate this risk factor, health care workers can look for ways to minimize interruptions at night, thereby providing residents with the best opportunity for getting at least 8 hours of uninterrupted sleep.

What medications is the resident taking that could contribute to fall risks?

Medications can often have unintended side-effects which contribute to a resident’s potential for falls. In particular, antidepressants, antipsychotics, and diuretics have been found to cause an increased risk of falls in the elderly. It is important for residents’ medical team to determine that all medications are necessary, properly dosed, and being properly taken.

External Evidence:

Remembering that a nursing facility is not an overnight stay for residents, but rather their home – whether short-term or permanently – it is important to create a calming, comfortable environment at all times. Keeping noise levels low and busy activity to a minimum will create a more peaceful home for residents. Rooms that are free of clutter, have adequate lighting and properly placed furniture set residents up for success and eliminate many of the hazards that contribute to fall instances.

Systemic Evidence:

What additional factors could have contributed to a fall? Remember that understanding the details of WHY a fall occurred will help prevent it from ever happening again. Some additional details to investigate that may provide insight into what happened include:

  • What time of day did the fall occur?
  • Did the fall happen during a shift change or break time?
  • What day of week did the fall occur?
  • Where was the location of fall?

Therapy Center Can Help

Therapy Center’s therapists are highly-trained to evaluate situations and present skills to assist with identifying possible fall risks. Our therapists will make recommendations, based on their assessments, for environmental adaptations or changes that can help avoid situations where falls would be likely to occur.

Our therapists can make recommendations for proper footwear and correct bed heights based on a resident’s individual needs. In addition, our therapists can evaluate and address any visual deficits that may be causing the resident to fall.

Because we know that it is important that everyone in a nursing facility works together to create the best outcomes for the residents there, Therapy Center’s therapists work diligently to assist and train the staff in our partner facilities, creating a unified team of medical professionals all working toward the common goal of keeping residents safe and providing them with the quality of life that they deserve.

To learn more about Therapy Center’s services in skilled nursing facilities, contact Kristi Fredieu at 337-384-9791or kfredieu@therapyctr.com.

February 12, 2015

Helping Hands throughout Therapy Center!

Helping Hands

As a company Therapy Center prides itself on having the best of the best employees.  In order to recognize our staff, we have started a quarterly recognition program we call “Helping Hands.”  Helping Hands are Team Members we highlight who go above and beyond their job duties to set an example of leadership and team work for the entire company.  We want our employees to get the praise and accolades they deserve for making Therapy Center one of the best therapy providers around!

Baxter Deal

baxter dealMr. Deal has been with Therapy Center going on twelve years!  His dual OT/PT degree allows him to provide support in a number of situations in the Jennings area, and he is always willing to do just that!  His main responsibility is inpatient rehab; however, Bo has helped in any capacity Therapy Center needs including the hospital, nursing home and home health.  Bo is always willing to assist with coverage for therapists who are out, and he’s also willing to see home health patients before or after his normal routine if needed.  Therapy Center says THANK YOU for being such a great team player, Bo!

Blake Debusk

blake debuskBlake has been a team player with Therapy Center for a year and a half and has truly proven himself to be a reliable, hard-working asset to the company.  Blake has a great personality, getting along with all of his co-workers and winning the hearts of all of his patients!  Blake is a true team player and always has a smile on his face with an answer of “Okie Dokie!”  Thank you Blake for being such a great person and worker for Therapy Center.

Kimberly Lacombe

kimberly lacombeKim is known as the go-to person at our outpatient clinic, Lemoine Therapy, in Marksville.  She helps to keep the facility running smoothly on a daily basis!  Kim has been with us for four and a half years and has developed the skills and confidence that has made her an invaluable asset to our company.  We are proud of you Kim, keep up the great work!

Karen McGovern

karen mcgovernKaren is a PTA and has been with Therapy Center since 2003.  She has been a consistent model of quality therapy, dedication, good attitude and hard work!  She has worked in most regions of the company, and is currently splitting her time between home health and nursing home, which is no easy task.  Karen is a go-getter and is not afraid to work!  She is willing to go above and beyond, including offering help to other therapists whenever she has extra time.  Clients request her by name because of her accommodating style, her timeliness, and her solid reputation for thorough care.  Thank you, Karen, for being an amazing therapist for our company!

Rebecca Monteau

rebecca monteauRebecca joined our team at Therapy Center a little over a year ago, and in that time has proven herself a great asset to our company!  Rebecca has demonstrated impeccable clinical skills, is a patient advocate, and she regularly goes above and beyond her job duties for her patients.  Becky’s regular work schedule places her at Jeff Davis Living Center, Savoy Care Center, and Basile Care Center, where she contributes her expertise as an OTA.  She has also contributed to recruiting and education for Therapy Center, speaking with our Director of Education, Danielle Keyser, at LSUNO on the subject of Laws, Supervision, and Establishing an Effective OT/COTA relationship.  Becky is a classic representation of Therapy Center’s goals and standards.  She strives to give every patient superior care and is well-liked among all nursing home and therapy staff.  We thank you, Rebecca, for all that you do!

Brooke Normand

brooke normandBrooke has been a Speech Therapist for Therapy Center for several years and is wonderful therapist.  Brooke is often treating patients a multiple facilities and she does so with a smile on her face.  Brooke has been an integral part of the facilities that she works in, helping teach others and is often the glue holding things together.  She is so deserving of this award because she has proven time and time again to be such a huge asset to Therapy Center, always going above and beyond in her work.  Thank you, Brooke!

The Big Picture

These employees are among the many that make Therapy Center what it is, a premium therapy provider.  They are a testament to our company striving to hire the best of the best.  Therapy Center knows that our employees make us who we are, and we are proud to acknowledge their accomplishments throughout the year!


We’re Expanding! Clinics to Open March 1st

Filed under: Blog,Physical Therapy — Kristi Fredieu @ 6:30 am
Carencro Sunset Outpatient CLinic Therapy Center

Pictured left to right, Shannon Lemoine, PT/owner, Margaret Rozas, RPT, and Shane Castille, PT/owner.

Therapy Center is beyond excited to reveal our expansion into the communities of Carencro and Sunset! We welcome Ms. Margaret Rozas, RPT to the Therapy Center family with open arms. She joins our team with 35+ years experience and will be an asset as we join forces to bring the Therapy Center outpatient clinics to two communities that are close to our heart!



February 3, 2015

Tips from a Recruiter on How to Work with a Recruiter

Filed under: Blog,Therapy Careers — Tags: , , — recruiting @ 9:04 am

Job hunting can be frustrating for some.  The job market is not always great, employment agencies are not always reliable, and sending your resume out into the interwebs does not always lead to a promising career.  Many companies rely on a recruiter to fill their open positions.  That is where I come in.  It is my job to find qualified candidates to fill open positions within our company, move them through the interview process, and (hopefully) get them hired.  I know, for some job seekers, there may be a level of confusion as to how this process works.  I’m here to give you some advice on how to make working with a recruiter as effective as possible.5-Best-Questions-to-Answer-Before-You-Start-Recruiting-Employees


Improve your profiles

We live in a social media world now.  I rely heavily on LinkedIn, Facebook, etc. to find qualified candidates for our company.  I like to use these networking websites to identify applicants based on their backgrounds.  LinkedIn in particular is great for recruiters to get a good idea of where you have worked in the past as well as what professional qualifications you may possess.  With that being said, I suggest updating your LinkedIn profile with your proficient skills, any foreign languages your may speak and any specific expertise you have in a specific field.  This will ensure that you can be found with certain keyword searches.  I’d also advise you to set your privacy settings to allow the public to view your profile and be sure you are set up to receive Inmail.  As far as your FaceBook profile goes, it’s best to keep it clean and professional.  Yes!  We look at it.



We know you are likely not sitting by the phone waiting for us to call and that you are not likely to answer a phone number that you do not recognize.  However, you should get back to your recruiter in a timely manner.  We are searching for the most qualified candidates.  We want someone reliable and professional.  If I were to reach out via phone or email 2-3 times with no response I will move on to a candidate who shows more interest in the position.  In the same breath, I do not suggest you contact a recruiter several times a day or attempt to contact several other people in the company.  That may make you come off as more desperate than driven, and that is not a good thing!


Honesty and Trust

Let your recruiter know what type of position you are interested in.  If I pitch a possible position to you and it is not exactly what you are looking for..tell me.  I appreciate a candidate who is upfront with me about what it is he/she is looking for, it will prompt me to keep you in mind for any future openings we may have.

Trust me during this process.  One of the toughest parts of my job is letting someone know that they were not picked for the position.  I am much more likely to consider you for a position in the future when you accept this news gracefully.  I am working to make this a win-win situation for you and for our company.  I want to place you in a position where you will shine.  If one particular opening is not the right fit for you, it’s possibly because there is a better one in our future.   Respecting the process in a professional manner and trusting your recruiter will go a long way!


Use the Recruiter as a Resource

Pick my brain!  That’s what I’m here for.  Whether or not the perfect career opportunity for you is right in front of us at any particular moment—I’m here for you.  Use this opportunity to allow me to provide you with any valuable information I may have.  Interview advice, resume advice, questions regarding our company or the profession in general are all things your recruiter should be educated on.  Don’t be afraid to ask questions!


Interested in working with a recruiter?  Check out our job opportunities and contact me if you are interested in learning more about our company.

Kayla Stansbury

Kayla Stansbury2

January 29, 2015

Looking Forward, Giving Back: Making a Difference

Filed under: Blog,Looking Forward Giving Back — Tags: , , , — Brittany Bodden @ 9:30 am

Looking forward, giving back“The best way to find yourself is to lose yourself in the service of others,” M. Ghandi 

In the spirit of giving back, Therapy Center has officially launched a company-wide campaign called Looking Forward, Giving Back.  Because our therapy team has grown to extend throughout the state of Louisiana, this outreach is focused on giving back to the communities that we serve.                   

The Purpose

The reason for this campaign is to instill teamwork within our facilities and to recognize the continuous efforts our therapy staff are making in their communities.  We pride ourselves in our quality of work, the excellent therapy skills we provide, and making our facilities the best they can be.  We don’t want to stop there.  We want to go above and beyond for our patients, their families, and our communities.  We want people to think of Therapy Center as more than just a business, but a family.

How it WorksOLYMPUS DIGITAL CAMERA                                                                                            

Each facility can choose a charitable project to work on throughout the year, or better yet, they can let us know about an ongoing project they are already working on. “We’ve learned through the launch of this program that our therapy teams are already doing great things in the community. Because of this, our goal is to support them and serve as a resource in helping to extend their reach,” explains Shane Castille, Co-Founder of Therapy Center. We want them to choose projects that they can be passionate about and ones that will ultimately impact the people in their own communities. Once the facility chooses a project, Therapy Center’s marketing team will help in coordinating, communicating and publicizing the efforts on behalf of each facility.

The Impact for Therapy Center

We believe by starting this campaign company-wide, it will instill a sense of team work and team building in each facility.  We love what we do, and we strive for a positive work environment.  By working together to better the lives of those around us, it will enhance positivity in each facility.  A positive atmosphere can do so much for our therapists, and have a tremendous impact on the patients we treat.

The Big PictureTims Team Heart Walk

If we can impact at least one life, we believe as a company that we have made a difference. Our philosophy at Therapy Center is to hire the most caring, compassionate and skilled therapists. Going above and beyond is what out therapists do day in and day out.  Together we will work hard and give back as a family as well as a partner in our communities.

To see our therapists in action, keep up to date on our Facebook and Youtube pages! Interested in learning about  our current job opportunities? Click here.

January 20, 2015

Therapy Center’s Got Talent: Hayley Masters

Therapy Center prides itself on having the best employees around.  Not only do they provide excellent therapy skills to our patients, they are also extremely talented!  We decided to start a series of Therapy Center’s Got Talent.  Our first spotlight is on our Certified Occupational Therapist Assistant at Riviere De Soleil, Hayley Masters.  Hayley is a wonderful employee, and an amazing singer! 


November 21, 2014

Therapy Center thanks the Therapy Cap Coalition

THERAPY CAP LETTER BLOGTherapy Center strives to provide superior rehabilitation services for patients within the communities we serve.  Because of the current imposed Therapy Cap, our patients are limited to the amount of outpatient therapy they can receive under Medicare Part B. Spreading awareness of the Therapy Cap is extremely important because many deserving patients are being denied services that are integral to their recovery and most importantly, limiting their ability to remain independent in their local community.

According to the APTA, “Data show that patients who have had a stroke, hip fracture, or multiple disabilities are most to be impacted by the cap. The therapy cap reduces Medicare beneficiaries’ access to rehabilitation services by limiting their choice of providers, forcing them to bear 100% of the cost of care once they exceed it, or rationing their care to avoid exhausting their benefits. The harmful impact of the cap is worsened by coupling physical therapy and speech-language pathology services under one cap. Forcing patients to choose between 2 vital functions of daily living, movement and speech, only further exacerbates the impact of the cap.”

These factors, among others, is why the Medicare Access to Rehabilitation Services Act is so important.  This piece of legislation would permanently repeal the cap on outpatient rehabilitation services, allowing us and other rehabilitative providers to take care of our patients according to their needs.

Thank YOU

Therapy Center wants to thank the Therapy Cap Coalition for it’s continued support of HR 713/S 367.  With therapy providers throughout the country coming together to make our voice heard in Congress, we feel we can actually make a difference for the betterment of our local communities.  We believe now is the time to repeal the Therapy Cap permanently and to implement the reform provisions already negotiated by the House and Senate committees of jurisdiction.  “Completing this legislation this year or before the March 31, 2015 deadline provides an opportunity to end the pattern of yearly extensions that puts access to medically necessary therapy for 1 million Medicare beneficiaries at risk,” says the Therapy Cap Coalition in a letter to the Senate Finance Committee.

Again, we extend our thanks to these therapy providers throughout the country that join us in support of this important piece of legislation:

American Heart Association/American Stroke Association

American Health Care Association

American Occupational Therapy Association

American Physical Therapy Association

American Speech-Language Hearing Association

Arthritis Foundation

Easter Seals

Focus on Therapeutic Outcomes


National Association for the support of Long Term Care

National Association of Rehabilitation of Providers and Agencies

National Center for Assisted Living

National Multiple Sclerosis Society

National Stroke Association

Parkinson’s Action Network

Private Practice Section, American Physical Therapy Association

PTPN (formerly Physical Therapy Provider Network)

The ALS Association

United Spinal Association






November 10, 2014

The Transition: From Multimedia Journalist to Marketing Liaison

Filed under: Blog,Team Member News — Brittany Bodden @ 8:59 am

Brittany BoddenOver the past two years I’ve worked for a news station as a news reporter.  That might sound glamorous to some, but those in the industry know it is no easy feat.  I have nothing but the utmost respect for other reporters I see on television, going to and from different places and events throughout the day, and scrambling back to the station to get every story completed and done on time for the news to air.  The past two years seem like a blur, but it was the best thing that could have happened to me.  I have begun to find my way on the career path that I want for myself.

What I have learned so far

As for Therapy Center, this amazing opportunity could not have come to me at a better time.  I have only been working for the company for a month, but I am instantly so impressed by the continued growth of the company, the quality of care each and every one of the therapists provide, and most of all the people in the company.  I absolutely love the people I am working with!  I have spent some time with each mentor in the company, where they have showed me their facilities and our therapists hard at work.  It’s so inspiring to see people so passionate about what they do for a living.  These therapists have built relationships with every single one of their patients, they know them by a first name basis, and they build trust with the patients they’re working with.  I feel like that, among many, is what sets Therapy Center apart from the rest, they care.

Excited about my new journey in healthcare

So starting the company with no background in healthcare, besides the medical “feel good” story I would do with a hospital every once in a while, has had its challenges.  In the same breath, I have found similarities.  Both jobs center on dealing with the public, building relationships with people, and establishing a certain level of trust.  Also, while marketing for Therapy Center I will still be informing interested parties on certain topics, which will now be focused on the amazing therapy services provided by our company.  My mind is kind of blown by how much information needs to be absorbed and remembered, especially with it changing constantly.  Going with each mentor around their facilities and hearing them talk about the same things has helped me tremendously start to pick up on the really important information I will need to pass on.  As for the rest, I’ll leave that up to the experts!

Looking to the future with Therapy Center

I am extremely driven and eager to find my value in Therapy Center.  I can’t wait to get the ball rolling and start to meet with people out in the community to tell them about the amazing things Therapy Center has to offer!  I have goals for myself in this new venture.  I want to continue learning, add ideas to the creative marketing department, and most of all make a difference.  I want to make a difference to the patients and get them the best care out there, and I want to make a difference in Therapy Center. 


To learn more about our amazing team, visit our Team Member News section of our blog.


November 6, 2014

Congratulations Congressman Charles Boustany!

Boustany MeetingTherapy Center would like to congratulate Dr. Charles Boustany on his recent sweep for his long-standing seat in the U.S. House of Representatives!  Congressman Boustany understands how important our rehabilitative services here at Therapy Center are to the patients we serve.  We sincerely express our thanks to him for co-sponsoring the Therapy Cap Repeal bill, which will remove an imposed cap that limits the amount of therapy services patients are able to receive under Medicare Part B. 

“As a doctor, I firmly support the important role of rehabilitative providers like The Therapy Center as an important part of building an efficient, high-quality health care system that’s accessible and affordable to all Americans.  I thank representatives from The Therapy Center for their insight and look forward to working with them to help provide accessible and affordable care for South Louisiana,” Congressman Dr. Charles Boustany.

Congratulations Dr. Boustany!  We look forward to joining your efforts to better service our community.

October 30, 2014

CMS Update for FY 2015: SNF Payment

Filed under: Blog,Compliance — Kristi Fredieu @ 11:36 am

staff orange and blueChanges YOU need to know

On July 31, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule [CMS-1605-F] outlining Fiscal Year (FY) 2015 Medicare payment rates for skilled nursing facilities (SNFs). The FY 2015 SNF payment rates and other issues discussed in the final rule are summarized below.

  • Overall payment increase to SNF’s of 2% or $750 million from FY payments in 2014
  • The wage index has been updated which contained a number of significant changes which will be used to identify a providers urban or rural status.  To help diminish the potential negative wage index impacts  to certain providers there will be a one year transition with a blended rate.  This will consist of a 50% current and 50% revised FY 2015 wage index. 
  • CMS is revising the current COT OMRA policy which would permit providers to use the COT OMRA to reclassify a resident into a therapy RUG from a non-therapy RUG, but only in certain limited circumstances.

Article Digest

Here are a couple articles we thought you might find interesting…

Doctors flunk test on skilled nursing facilities, raising concerns about care transitions, UCLA researchers say

Early career physicians have extremely poor knowledge of skilled nursing facilities, showing that more robust training is needed to ensure that physicians can oversee effective transitions into SNFs, according to investigators at the University of California, Los Angeles.

The UCLA team created a 10-item, multiple choice pre-test that was given to 67 internal medicine residents prior to their mandatory SNF rotation. The mean number of correct answers was 4.9, the investigators found. Even after training, some residents still consistently answered certain questions incorrectly. The questions were about what a skilled nursing facility is, how it is staffed and what services it provides.

“Medical residents have insufficient knowledge about the type of care that can be provided at a SNF and efforts to improve this knowledge are needed to assure proper triage of patients and safe transitions to the SNF,” the authors wrote in the study abstract.

Full findings have been published online in JAMDA-The Journal of Post-Acute and Long-Term Care Medicine.


Medicare should pay skilled nursing facilities and rehab facilities equally for certain treatments, MedPAC tells Congress

Skilled nursing facilities and inpatient rehabilitation facilities should receive the same payments for treating certain conditions, the Medicare Payment Advisory Commission recommended in its latest report to Congress. The “site-neutral payment” proposal won praise from the nation’s largest long-term care association.

“A site-neutral payment system would focus on the patient and their needs, regardless of setting, and encourage all settings to provide efficient, high-quality care,” said Mark Parkinson, CEO and president of the American Health Care Association/National Center for Assisted Living.

MedPAC has long shown support for equalizing IRF and SNF payments, and the group provided an in-depth consideration of the potential policy in the report released Friday. While IRFs must meet more stringent guidelines than SNFs in areas such as staffing, the two settings treat similar patient populations and achieve similar outcomes, the analysis determined.

The panel examined the possible effects of site-neutral payments for three conditions: rehab after stroke, major joint replacement and hip/femur procedures (such as for hip fractures). Patient characteristics and outcomes were very similar for the orthopedic conditions, but more variable for stroke rehab. For instance, SNFs tend to treat stroke patients at risk for falls, while IRFs see more individuals with swallowing issues.

More study should be conducted on stroke-related conditions, but the orthopedic conditions are a “strong starting point for a site-neutral policy,” the report concluded.

Leveling these post-acute payments would potentially save the Medicare program money, because IRF reimbursements exceed SNF payments by as much as 50%, MedPAC has noted. Rehab facilities have protested the proposed changes, but they might not take a substantial hit to their bottom lines, according to Friday’s report. This is because the site-neutral policy would not affect “add-on payments,” such as monetary reimbursement around having a teaching program, which many IRFs receive.

IRFs also should have regulations loosened to increase their competitiveness with nursing facilities if the site-neutral payments are implemented, MedPAC recommended. For example, regulators could waive the requirement that IRFs treat only patients who can tolerate aggressive therapy.

Click here to access the complete report.


Therapy Center strives to stay ahead of the game when it comes to new regulations and changes in the healthcare industry. We consider ourselves to be more than just a therapy provider, we are a business partner who cares about educating our staff and our partners on issues that affect business and mostly importantly their patients. Contact Kristi Fredieu for more information on our comprehensive services, which include patient care, marketing, compliance, education and management.

kristi-fredieu Kristi LeLeux Fredieu



October 9, 2014

SNF’s, No Longer Last In Line

JCO_1658“We’re serving more patients than we’ve ever served, but the length of stay is much shorter than it’s ever been…” This is just one of the many great points about the article No Longer Last in Line, which was recently published on http://www.louisianamedicalnews.com.


No Longer Last in Line

The changing role of SNFs

Just as the notion of what’s considered ‘old’ has changed in today’s society … think ‘70 is the new 50’ … so too has the role and function of skilled nursing facilities.

Gerald Coggin, senior vice president of Corporate Relations for National HealthCare Corporation, has witnessed transformative change in the long-term care industry during his more than four decades with NHC. With operations in 10 states, the publicly traded company based in Murfreesboro, Tenn. owns and/or operates 73 skilled nursing centers with 9,410 beds. NHC affiliates also operate 37 homecare programs, five residential living centers, 18 assisted living communities, plus offer additional services including long-term care pharmacies, memory care units, hospice care, and rehabilitative therapy.

Coggin said the notion of a ‘nursing home’ as the last stop for seniors before they die is simply outdated. A little ironically, the industry has moved from being a residential model that looked like an old-fashioned, antiseptic medical facility … to a medical model that often looks like a well-appointed residence.

As the model has changed, one of the most striking differences is in length of stay. Coggin noted that less than a decade ago, NHC’s average length of stay was 210 days. Today, the median length of stay is 26 days. In a number of facilities, such as NHC Farragut in Knoxville, Tenn., that time frame is even shorter.

“We’re serving more patients than we’ve ever served, but the length of stay is much shorter than it’s ever been,” said Coggin. “Farragut is one of those facilities that is on the cusp of a new generation of long-term care. It’s all because of the emphasis on rehabilitation.”

There are a number of reasons behind this change, but Coggin said cost and reimbursement … along with a culture shift … are among the primary drivers. The Omnibus Budget Reconciliation Act of 1987 signed into law by President Ronald Reagan fundamentally changed the way nursing homes operated … and simultaneously transformed society’s expectations of them. For long-term care facilities to receive Medicare and Medicaid funding in the post-OBRA world, they must provide services so that each resident might “attain and maintain her highest practicable physical, mental and psycho-social well-being.”

“The emphasis was on making sure the right patient was at the right place. As a result, a new housing phenomena … assisted living … grew out of that,” Coggin explained.

That ‘right patient, right place’ idea endured and changed the concept of how a skilled nursing facility could align with hospitals in an evolving post-acute care role. “So much has been driven by reimbursement,” Coggin noted. He added hospitals could only keep patients, who were progressing as expected, for so long before Medicare would stop paying the inpatient rates associated with the higher acuity level of care. Yet, Coggin continued, these patients weren’t ready to go home, either.

“That’s when we saw a shift in our patients … from a few Medicare patients who needed rehab to a lot of patients needing rehab,” he said. A tiered-down system was born from these hospital reimbursement constraints.

At the same time, a cultural shift was happening. Longer lifespans and medical technology improvements meant more seniors could expect to live active lifestyles far beyond retirement age … and the senior segment of the population also began to increase dramatically. According to the Social Security Administration, there were approximately 9 million Americans age 65 and over in the year 1940. By 2000, that number had jumped to almost 35 million. By 2010, that number had grown yet again to just over 40 million.

Increasingly, Coggin said, skilled nursing facilities “are the recovery centers where you go to rehab.” He added with a chuckle, “It’s not unusual at all to have patients come to us for services and then get a note a month later saying, ‘Thanks for the rehab. I just finished a round of golf.”

He continued, “I’ve been in this business for 41 years, and we have clearly switched over in the last 15-20 years from a residential model to a patient care model … and it’s ramped up even greater over the last 3-5 years.”

Once again, he pointed to cost and reimbursement as drivers of the most recent jump in the rehab population. Not only do many SNFs like NHC provide a full range of occupational, speech and physical therapy services at a lower daily rate than hospitals, these post-acute facilities can also help hospitals avoid the monetary penalties associated with avoidable readmissions.

Similarly, just as NHC accepts patients downstream from hospitals, the rehab facilities also look to move patients to a more appropriate care setting once therapists have maximized their time with a patient … whether that is to assisted living or hospice or a return home. In fact, Coggin said, about 80 percent of NHC’s patients ultimately are discharged home.

“It’s clearly a focus on transitions of care to make sure the patient receives the appropriate level of care for the appropriate amount of time and avoids unnecessary readmissions,” Coggin concluded of the new role SNFs play in the care continuum.


If you want to learn more about how Therapy Center is working to help reduce readmissions and serving as a post-acute resource for patients and referral sources, contact Kristi Fredieu for more information on our programs and continue to follow our blog.


Kristi LeLeux Fredieu


October 1, 2014

Therapy Center Welcomes Athletic Trainer: Ashley Nichols

Filed under: Blog,Team Member News — Kristi Fredieu @ 2:21 pm

Ashley Nichols ATHAshley Nichols, MS, ATC, LAT, is from Madison, Alabama and attended the University of Alabama where she received a Bachelor’s degree in Athletic Training. From there Ashley attended McNeese State University where she pursued a Master’s degree in Exercise Physiology. Ashley began working as an Athletic Trainer for Therapy Center in July of 2014, covering the areas of Welsh, Lake Arthur and Lacassine.

Ashley chose the field of athletic training because she was once an injured athlete who went through surgery and rehabilitation. Because of that experience, she thinks its interesting to be the one behind the scenes of athletic care. The most rewarding part of her job is after an injury occurs, she is with them during recovery and can watch them return to play. Ashley says that her favorite part of working for Therapy Center is meeting new people and learning the “Cajun way” from her work peers.

Ashley is also giving back to students who choose the same career. She serves as a preceptor for the student athletic trainer program through McNeese State University.

For more information on Therapy Center’s Athletic Training program, call our outpatient clinic in Jennings at 337-824-4547.

September 17, 2014

HUGE milestone in therapy cap repeal

Filed under: Compliance,Occupational Therapy,Physical Therapy,Speech Therapy — Tags: — Kristi Fredieu @ 11:12 am

Therapy Cap Repeal

Therapy Center is excited to announce a HUGE milestone in the therapy cap repeal. Recently, 220 members of the House of Representatives signed on to support legislation to repeal the Medicare therapy cap, which limits the amount of rehabilitative services that patients are able to receive. This major milestone signals a bipartisan majority of House members now supporting the repeal!

We are asking all Therapy Center team members, patients and members of the community to please take a moment TODAY to visit and “like” Congressman Charles Boustany’s Facebook page (facebook.com/RepBoustany). Once you like his page, please post a brief comment on your personal facebook page and tag Congressman Boustany to let him know that Therapy Center appreciates his support of the therapy cap repeal!

July 28, 2014

Geared Up For Change: Is Your Therapy Provider Supporting Your Facility?

Filed under: Blog,Compliance — Kristi Fredieu @ 2:18 pm

rubyshaneAccording to SkilledNursingFacilities.org, Louisiana has 280 certified Medicare and Medicaid nursing homes. It is a growing trend for nursing facilities to serve as short stay rehab settings for patients recovering from illness, surgery, and/or hospitalization. What a wonderful opportunity to be able to provide this service to our communities! What many nursing home administrators underestimate is the key ingredient in this equation…their rehab team.


A good therapy company can significantly increase admits when word gets around that great results are being achieved. By the same token, the wrong rehab company can leave reimbursement on the table, have a poor presence in your home, and contribute to poor community perceptions. “Nursing home therapy” is not what it used to be. It is imperative for SNF facilities to be staffed with enough rehab professionals to be able to handle the needs of the entire facility.

The Therapy Center employs salaried therapists in all disciplines, PT, OT, and ST, who remain consistent within each home. We also have “floating” staff who are on hand to handle fluctuations in caseload, ensuring that there is never a need that cannot be met. With Therapy Center, our partner facilities also have access to our compliance and education teams, whom manage and fight denials, review and standardize documentation of therapists, and provide high quality education to therapists and nursing home staff. It is the expectation of the Therapy Center that our employees practice utilizing evidence based treatment techniques and provide the highest quality geriatric rehabilitation services. In addition, our partner facilities benefit from Therapy Center’s active marketing department. Our marketers and educators have teamed up to bring information, regarding the SNF role in reducing hospital readmissions, to hospitals and rehab facilities statewide. It is our goal to create networks of support to maximize delivery of services to the elderly population.

We are existing in a time of change; it is time for nursing home facilities to establish domain as critical care providers, and to maximize reimbursement allotted for the services we provide. Do you trust that your therapy provider is capable of stepping up to the challenge and helping your facility stand out amongst the rest?

Contact Therapy Center today to experience the difference we can make in your facility.


Danielle Keyser, LOTR
Director of Education

July 23, 2014

Accepting an Offer: Making a Decision

The time has finally come for you to accept a job! You’ve read our guidelines and followed our advice (hopefully) and now you’re well on your way to the career you’ve always hoped for. Receiving a job offer from a potential employer can be quite an exciting time! Embarking on the career path that you’ve been working towards for a long time can feel like quite an accomplishment. Just remember to take your time in choosing a job that is the best fit for you. Think things through and follow these simple guidelines to ensure that you feel confident about your decision!You got the job

Ask for the proposal & benefits package in writing. This is a very common request. It serves as a way for both parties to view and agree upon the position details, leaving little room for error. You may receive this on paper or over email. By having record of the proposal and details, you will always have something to fall back on if there is a discrepancy. If your potential employer refuses to give it to you in writing, that should raise a red flag.

Take some time to think it over. When you receive a job offer, weigh the Pros & Cons. Make sure to think it through and don’t act on impulse. Impulse could present itself in two ways: 1) anxiously accepting a position that you weren’t fully educated on, or 2) prematurely turning down an offer without giving it a second thought.  Also, have you gone on other interviews or possibly been given other offers?  Compare apples to apples. Make a list if you need to see the differences lined out in front of you.

Negotiate if necessary.  If you are not happy with the initial offer, negotiate! All they can do is say no. Don’t be afraid to negotiate your salary for fear that the offer will be taken away. You have nothing to lose. In the professional world, there is a large percentage of people who regret that they did not negotiate their initial salary offer. Once you accept, you cannot go back and un-do it. This is your chance to ask for what you deserve. And by “what you deserve” I don’t mean “what you think you’re worth”. Make sure to do your research… find out the going rate in your area, mix that with your knowledge, training, and years of experience (including clincal experience, for all you new graduates) to come up with a figure that is fair for both parties.  

Take a final tour of the facility. Again, this is another very common option for you to request prior to accepting a position. Spend a day in the facility where you may be working. This is a great time for you to meet your potential co-workers, get a vibe for the facility, the company, and the position in general.

Respond in a timely manner. As suggested above, definitely take your time and think things through. However, do not drag out this process. If several days go by and your recruiter is not hearing back from you, he/she may assume that you are not interested and may pursue other options.  Stay in touch with your recruiter. Ask all the questions you need to ask in order to get a clear understanding of the position being offered to you. If you need additional time to consider your options, be honest enough to let them know what you’re thinking. If you drag your feet, you may miss the opportunity to join a great team.  

We hope you will find these guidelines and all other recruiting guidelines as a credible resource on learning how to land yourself a great job!  Once you have landed that dream job, sit back and enjoy it. It won’t be long until you start thinking about taking the next step in your career. Whether that may be management, ownership, teaching, furthering your education or specialty… who knows! The sky is the limit. When the time comes, remember to rely on Therapy Center as a leading resource in the therapy industry. Congratulations & Good Luck!

Stay connected with Therapy Center through TEAM TEXT! Sign up now if you would like to learn about job openings at Therapy Center before they are advertised to the public.

For PT & PTA position notifications, text Therapy PT to 313131

For OT & OTA position notifications, text Therapy OT to 313131

For Speech position notifications, text Therapy ST to 313131



May 15, 2014

Why SNF Providers Need to be Concerned about Reducing Hospital Readmissions

Filed under: Blog,Compliance — Kristi Fredieu @ 2:40 pm

hospitalEffective October 1, 2012, CMS implemented a Hospital Readmission Reduction Program designed to provide incentives for hospitals to implement strategies to reduce the number of costly and unnecessary hospital readmissions. CMS defines a readmission in this context as “An admission to a hospital within 30 days of a discharge from the same or another hospital.” Hospitals include short term inpatient acute care hospitals excluding critical access, psychiatric, rehabilitation, long term care, children’s, and cancer hospitals.  This new program will provide an incentive for hospitals to decrease readmissions by coordinating transitions of care and increasing the quality of care provided to Medicare beneficiaries. The program is part of CMS’ goal to transition to value based purchasing; paying for care based on quality and not just quantity.

Currently the program focuses on 3 types of readmissions with plans to increase the number of diagnoses in FY2015 to include COPD and patients admitted for elective total hip arthroplasty (THA) and total knee arthroplasty (TKA).  Diagnoses subject to penalties currently include, Acute myocardial infarctions, Heart failure and Pneumonia.  For FY2013 the penalty is 1%, 2% in FY2014 and 3% in FY2015.

As a SNF provider you may ask yourself, how does this affect me? 

Proposed legislation has this same type of program extending to the LTC SNF setting in the very near future.  According to a MedPAC recommendation, FY 2017 would mark the beginning of reduced Medicare payment rates for SNFs failing to meet standards for lower readmission rates.  Falling short of these standards could cost a given nursing facility up to 3% of Medicare reimbursements.  This strategy is very much in line with what is currently aimed at hospitals.  Namely, the newly released recommendations call for skilled nursing facilities to work aggressively toward the lowering of readmission rates.  The aim is to improve care transitions by:job3

  • Ensuring patients are physically ready for discharge;
  • Providing patient families or support systems with education regarding medication management, advance directives, hospice care, etc., and;
  • Partnering with high-quality community services to ensure continuity of care

Many hospital systems are actively seeking to create partnerships with SNFs that agree to meet quality standards, share data, provide certain services and work with hospitals to reduce avoidable hospitalizations. Many are using criteria similar to what ACO’s have typically employed when choosing SNF partners.  These include:

  • Compliance with federal and state regulations
  • Meets or exceeds median for federal quality standards
  • 30-day hospital readmissions rate at or below national/state norms
  • Patient satisfaction ratings at or better than state median
  • Patient and family engagement: data and tools
  • Attending SNF physicians include primary care physicians and extenders that are part of health system’s physician network
  • RNs in the SNF 24/7
  • Appropriate nursing hours per patient day for sub-acute care (4.25)
  • Average length of stay for Medicare patients at or less than national average
  • Discharge at least 60 percent to the community following sub-acute care
  • Use of INTERACT II, a set of tools for SNFs to reduce re hospitalizations
  • Ability to share information electronically

Hospitals and skilled nursing facilities MUST recognize each other as partners and take tangible steps to become more coordinated.  Following hospitalization, many Medicare patients who require daily assistance and medical attention will be discharged to a long-term care facility.  It is estimated that 14% of these patients will return to the hospital with conditions that might have been prevented.

 Therapy Center has taken significant measures the past 4 years to develop relationships with post-acute care providers, particularly hospitals within the communities we serve . It is our goal to partner with those facilities to educate and implement programs that will create communities where patients receive the care they need and deserve. For more information on Therapy Center’s services offerings, please contact Kristi Fredieu, kfredieu@therapyctr.com, 337-384-9791, and visit our website www.therapyctr.com.

May 1, 2014

Clearing the Air…An Open Letter to the New York Times Editors

Filed under: Blog,Compliance,Physical Therapy — Kristi Fredieu @ 4:17 pm

The following article was posted to the Physical Therapy Business Alliance website and we wanted to share…

Since the release of Medicare 2012 payments to providers, authors/journalists have shared multiple perspectives in their interpretation of the data. Because the payments to providers are based on NPI numbers, physical therapists in private practice are included in the database.

open_LetterJeff Hathaway, President of Physical Therapy Business Alliance, has a response to Julie Creswell’s and Robert Gebeloff’s interpretation of the data. Below is the letter Hathaway shared with The New York Times.

RE: “One Therapist, $4 Million in 2012 Medicare Billing” article published 4/27/14

The Physical Therapy Business Alliance (PTBA) representing 700 private practice locations and a founding member of the Alliance For Physical Therapy Quality and Innovation (representing over 2,000 locations) strongly objects to the tone and implications of the article “One Therapist, $4 Million in 2012 Medicare Billing” that was published on Sunday 4/27/14.

As pointed out by numerous medical organizations including the American Medical Association, the raw data released by the Center for Medicare and Medicaid Services requires in depth analysis as to precisely what the numbers represent and as the article noted, may in fact be the result of multiple providers as opposed to one individual.

The purpose of this letter however is not to discuss a case in which no background has been provided, but more importantly, to express a strong objection to such blatantly irresponsible broad-brush statements such as, “procedures they never perform – something that is often easier to do in physical therapy than in fields like oncology and cardiology, ” and, “unscrupulous practitioners bill Medicare for unnecessary treatment.”  Such inflammatory, sensational, and unsubstantiated statements reflect not just poor journalism, but do a disservice to the thousands of physical therapists and the patients they serve.

Physical Therapy accounts for less than 2% of all Medicare payments – hardly a large slice of the pie and not nearly the “Medicare gold mine” that the author opined. That is not a misprint – “less than 2%”. For perspective it is important to note that 1% of doctors accounted for 14% of Medicare billings, an amount totaling $77 billion, which is 15 times greater than the complete rehab industry.

Fraud should never be tolerated, but the author of the article uses poorly analyzed data to suggest the Medicare program is on the verge of collapse as a result of payments to physical therapy. Contrary to the author’s opinion, we would suggest that the fact that physical therapy only represents a miniscule part of the payment total is actually a strong case for a complete revamping of the Medicare payment system owing to the growth of an aging population, and the substantial medical evidence that non-surgical management by a physical therapist of many conditions is far more cost effective than surgery and expensive lab tests.

Additionally, if we are really interested in improving quality of life, the allocation for physical therapy services should increase, not decrease.

The reality is that if the Medicare data were examined appropriately and the current research applied by our existing healthcare system by the vast majority of physical therapists who practice ethically, the articles written would be questioning why physical therapists are not more prominent in the daily lives of citizens across this country.


Jeffrey W. Hathaway, DPT


Physical Therapy Business Alliance

April 21, 2014

How Occupational Therapists Make A Difference

Filed under: Blog,Occupational Therapy — Kristi Fredieu @ 10:57 am

In celebration of Occupational Therapy Month, our blog with publish facts and information on the benefits of OT during the Month of April. Please enjoy!


April 15, 2014

Be Smart Volume 1: How will you get paid?

getting paidThe stickiest and trickiest part of any interview process is often the discussion of how much you will be paid. This part can be intimidating, even for the most experienced professional. Don’t be afraid to ask questions. Voice your concerns! If you don’t bring up your concerns for fear of being ridiculed or sounding inexperienced, you will regret it later on down the road.  There are several questions you can ask to protect yourself and make sure you’ve got a clear understanding of what you’re about to get into, all while landing yourself a fair deal.

Billable Hour –Billable hour is cut and dry. Therapists who are paid based on billable hour are only paid for time when they are actually billing Medicare/Insurance. Using this method, there is no time allotted for trainings, documentation, in-services, travel, etc… thus leaving new grads or therapists who are in a supervisory role at risk for being in the facility but off the clock in order to get the job done effectively.   Here are a few things to think about: Are you allowed overtime? And will someone provide support if you have more than 8 billable hours? Will you be required to work longer days?  In a billable hour scenario, your annual income is based solely on how much time you are billing for patient care. This can place the therapist in a dilemma if caseloads are low and the demands of the facility are high; time spent on screening and paperwork do not count toward your take home pay.  This model can cause friction between therapists and assistants if loads are not high and both a therapist and an assistant are assigned to a building.

Salary – This may be your best bet if caseloads tend to vary. Ask about caseloads in your potential facility. What is the average? If the load gets low, are you required to fill in somewhere else? If the load gets high, will you be given any help? Evaluate the salary carefully and ask several questions.  There are definitely pros and cons in any payment structure. The pros regarding salary would be consistent paychecks on a regular basis; therapists are not penalized for drops in caseloads that are beyond their control. These dips are typical during certain times of the year (summer months and around holidays in home health and outpatient settings).  Here are a few things to think about: What are regular work hours? And what other locations are available within a reasonable drive in the event that your caseload drops?  Salaried positions should afford the most flexibility and consistency, but here are the cons. Salaried positions may not offer the highest pay if compared to an hourly rate based on billable hour or productivity. Because the salary is guaranteed and your employer knows there will be inevitable dips in caseload, the salaried position is a safe bet and a happy medium for all parties involved.

Productivity Standard – Here are some things to think about: Does productivity play a part in how you will be paid? Is there a productivity standard and does it directly impact your salary? Find out. Most contract therapy providers, clinics, and hospitals pay their therapists based on productivity. Productivity looks at your billed time for a given day and divides that time by your total time in the facility.  Many companies expect 90% productivity. This may be difficult considering large volumes of evaluations and discharges, not to mention the meetings, trainings, possible traveling, and in-services that are expected of the employee. Pros: considering you have a great caseload all year long and you work a full 8 hour day, 5 days per week, 52 weeks per year, your income calculation will look very good on paper. Cons: remember those inevitable dips in caseloads that I mentioned above? It is unlikely that your caseload will remain that high all year long. While your productivity may remain at 90%, you may not have enough work to warrant your presence in the facility for a full 8 hours.  Which brings up a whole new set of concerns…deal

Will you ever be sent home early due to a low case load? What happens if so? Are you able to make up those hours at another facility or at another time? Can you use your paid time off? If this happens often, what will happen when you run out of PTO or want to take a vacation? Speaking of vacation, who will cover for you when you are sick or are on vacation? And who makes arrangements for that coverage, are you responsible for finding your own coverage?

You’re probably thinking that this sounds like a lot of questions. Please review my advice on asking questions HERE. Voicing your concerns will indicate that you mean business. This is a sensitive topic and you definitely want to have a crystal clear understanding of how you will be paid.  After all, that is what an interview is all about, right?

Interested in a career with Therapy Center? Take a look at Therapy Center Success Stories to see how our therapists are impacting the lives of their patients and making the road to recovery a success!

Did you find this blog topic to be helpful? If you have questions or comments please feel free to contact Therapy Center Recruiter, Ava Hebert at ahebert@therapyctrla.com.


April 9, 2014

How do Occupational Therapy Practitioners Promote Health and Well-Being?

Filed under: Blog,Occupational Therapy — Kristi Fredieu @ 2:08 pm

In celebration of Occupational Therapy Month, our blog with publish facts and information on the benefits of OT during the Month of April. Please enjoy!

What Is Occupational Therapy?

In its simplest terms, occupational therapists and occupational therapy assistants help people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities (occupations). Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, helping people recovering from injury to regain skills, and providing supports for older adults experiencing physical and cognitive changes. Occupational therapy services typically include:

  • an individualized evaluation, during which the client/family and occupational therapist determine the person’s goals, 
  • customized intervention to improve the person’s ability to perform daily activities and reach the goals, and
  • an outcomes evaluation to ensure that the goals are being met and/or make changes to the intervention plan.

Occupational Therapy

Occupational therapy services may include comprehensive evaluations of the client’s home and other environments (e.g., workplace, school), recommendations for adaptive equipment and training in its use, and guidance and education for family members and caregivers. Occupational therapy practitioners have a holistic perspective, in which the focus is on adapting the environment to fit the person, and the person is an integral part of the therapy team.

See more at: http://www.aota.org/About-Occupational-Therapy.aspx#sthash.hM3vfMfc.dpuf


What do Occupational therapy practitioners do?

  • Perform assessments for health risks related to potential for falls, safety in independent living, and cognitive/memory screens in older adults
  • Evaluate children for gross and fine motor deficits, sensory processing or adaptive behavior differences which may result in developmental delays
  • Teach strategies to incorporate healthy habits and routines into daily activities for clients of all ages and abilities
  • Identify solutions to personal and environmental barriers limiting clients from engaging in healthy activities
  • Educate about the importance of relaxation and rest to achieve balance between work and leisure; teach relaxation techniques
  • Provide skills training in areas such as socialization, care giving, parenting, time management, stress management, etc.

    (excerpt from AOTA Fact Sheet)

Meet one of our Occupational Therapists!

Brittany Bureau

Brittany Bureau, OTR

“I’m excited to join the Therapy Center team and look forward to using my knowledge and clinical experience in a variety of settings to provide individualized and enjoyable rehabilitative programs that will enhance my patients’ function with everyday activities.”


 -Bachelors in Athletic Training
- Masters in Occupational Therapy
- Masters in Exercise Science
- Selected OUTSTANDING OT of her graduating class
- Former collegiate swimmer

For more information on OT services in our outpatient clinic, contact us:

Ph: 337-824-4547 Fax: 337-824-4548
Email: ineedtherapy@therapyctr.com



Success Story: Bernice Gary

Filed under: Blog,Therapy Success Stories — Kristi Fredieu @ 11:32 am

After suffering a major heart attack last year, Bernice Gary spent over a month in the hospital, where her family said their last good byes. Upon transferring to an LTAC facility, she lost her will to fight and was declared “Failure to Thrive”.

“I’m so thankful and overwhelmed with the Maison Teche facility and staff and the amazing Therapy Center therapy team.” says Ms. Bernice’s son who’s been with her every step of the way, “They’ve given me my mother back and she’s actually sharper now than before she got sick.”

Ms. Bernice’s road to recovery began when her family sent her to Maison Teche Nursing Center for therapy. Upon arriving at Maison Teche, Ms. Bernice was in severe pain and required total care. Her team of therapists knew that they had a lot of work to do to get Ms. Gary back to the independence she had before her hospital stay, and they were up for the challenge! Through the support of her family and intense physical, occupational, and speech therapy, she regained full function. In January 2014, Ms. Bernice proudly walked the halls of Maison Teche for her therapy graduation ceremony before returning home!

The road to recovery can be difficult, but it doesn’t have to be traveled alone. Therapy Center offers the best in rehabilitative services for long-term residents or patients needing short-term care after an illness or surgery. Contact Us today for more information.

April 7, 2014

Update in Medicare’s Policy Pays for Chronic Disease Therapy

Filed under: Blog,Compliance,Occupational Therapy,Physical Therapy,Speech Therapy — Kristi Fredieu @ 10:34 am

rubyshaneThe article, A Quiet ‘Sea Change’ in Medicare, made an exciting announcement that Medicare will now pay for therapy services for those patients who are diagnosed with chronic diseases such as multiple sclerosis, Parkinson’s or Alzheimer’s disease in order to “maintain their condition and prevent deterioration”. Previous to this modification, patients had to show improvement in order to continue to receive these therapy services.

This change in Medicare’s policy comes on the heels of a recent lawsuit filed in 2011 on behalf of four Medicare patients and five national organizations, including the National Multiple Sclerosis Society, Parkinson’s Action Network and the Alzheimer’s Association. “It allows people to remain a little healthier for a longer time and stay a little bit more independent,” said Margaret Murphy, associate director at the Center for Medicare Advocacy. And it eases the burden on families who “are scrambling to take care of their loved ones,” she said.

Don’t expect to hear this news being shouted out from the roof tops, however. Medicare is not required to notify beneficiaries of this change, so share this article with family and friends and on social media sites so that those who can benefit will understand their rights to continue to receive integral therapy services.

To read the full article, please click here.

April 1, 2014

Congress Passes 1 Year Fix for SGR and the Medicare Therapy Cap

Filed under: Blog,Compliance — Kristi Fredieu @ 10:19 am

The following was posted by the APTA.

Congress passed a 12-month patch for the sustainable growth rate (SGR) formula today, which avoids a scheduled 24.1% payment cut to Medicare providers, and provides for a 0.5% payment update through December 31, 2014.  January through March 31, 2015, providers will receive a 0% payment update.  This patch was approved by the Senate today, after passing the House of Representatives on March 27.  The Protecting Access to Medicare Act of 2014 (H.R. 4302), will now be sent to the President for his signature.

In addition to preventing the payment cut, H.R. 4302 also extends the therapy cap exceptions process for outpatient therapy services.  Providers will continue to use the KX modifier at the $1,920 level and manual medical review at $3,700.  This legislation also delays implementation of ICD-10 for one year.

While APTA is pleased that Congress took action and prevented steep payment cuts to providers and allowed Medicare patients to continue treatment, we believe that Congress must continue to work toward a permanent solution for SGR reform and the Medicare therapy cap.  Providers and patients can no longer endure this system of last minute extensions.

Take advantage of the upcoming Congressional recess, April 14-25, and meet with your members of Congress.  Stress the need for continued bipartisan, bicameral efforts to reform the SGR and repeal the Medicare therapy cap once and for all.

Call your legislator’s district scheduler this week and request a meeting.  You can find the phone number for each district office by entering your zip code here, clicking the “info” link, and then clicking the “Contact” tab.  You can also view upcoming town hall events on the “Grassroots Resources” tab of the Legislative Action Center.  After your meeting is scheduled, email APTA at lindsaystill@apta.org.  We will help you prepare for the meeting by providing talking points and tips before you meet with your legislator.

Senate Passes SGR Patch

Filed under: Blog,Compliance — Kristi Fredieu @ 1:19 am

The following was posted by NASL. Please visit their site for more information.

This evening the Senate approved the House-passed 12-month Sustainable Growth Rate (SGR) Patch bill by a 64-35 vote.  The proposal, H.R. 4302, Protecting Access to Medicare Act of 2014, prevents a 24% cut in reimbursements for physicians and Part B providers who treat Medicare patients that would have gone into effect on April 1, 2014 and replaces it with a 0.5% update through December 31, 2014 and a 0% update from January 1, 2015 until April 1, 2015. 

The legislation also extends the Part B outpatient therapy cap exceptions and manual medical review process until March 31, 2015; extends the CMS “probe and education” program for auditing hospitals discharges around CMS’ two-midnight policy for 6 months; makes technical corrections to the LTCH site neutral payment policy; delays the transition to ICD-10 until October 1, 2015;establishes a SNF Value-based Purchasing Program that includes an all-cause all-condition readmission measure for nursing facilities; and, increases a fee paid to labs that service patients in skilled nursing facilities. 

A summary of the provisions of interest to NASL members can be accessed here: http://nasl.mymemberfuse.com/resources2/view/profile/id/41026

H.R. 4302 was considered by the House under suspension on Thursday (March 27).  It will now be sent to the President for his signature. CMS announced Friday (March 28) that it plans to hold claims affected by the flawed Medicare physician payment formula for 10 business days if a patch or fix is not passed to avoid the Sustainable Growth Rate cuts by midnight Monday. The agency says it has instructed the Medicare Administrative Contractors to hold claims paid under the physician fee schedule through April 14.


Cynthia Morton

Executive Vice President





March 31, 2014


Filed under: Blog,Outpatient Services — Kristi Fredieu @ 5:35 am

March is National Athletic Training Awareness month. Therapy Center is providing several articles to increase awareness of the profession and to educate the public on common injuries that we see in our outpatient clinic. Enjoy!

Photo credit FreeDigitalPhotos.net

Photo credit FreeDigitalPhotos.net

The heat during the upcoming summer months can get pretty extreme. Recognizing the signs and symptoms of a heat related illness are important when it comes to athletes who are often participating in summer sports or practice.

Symptoms of a heat related illness include:

  • Chills
  • Dark colored urine
  • Dizziness
  • Dry mouth
  • Headaches
  • Thirst
  • Weakness

Athletes with respiratory, gastrointestinal, or other illnesses are at an increased risk for heat illness.  Drinking 16oz. of water is recommended one hour prior to exertion and throughout activity as long as exertion continues.  If bouts of exercise last more than one hour or if the athlete is engaged in multiple bouts throughout the same day, replacement fluid should contain carbohydrates, sodium, and potassium (all found in most sports drinks.)



  • Monitor weight prior to and after activity
  • Get to a shaded area
  • Cool the body rapidly using cold water (bath, spray, or cold towels placed all over the body)
  • Monitor body temperature
  • Provide cool beverages

If heat illness progresses, MORE SERIOUS SYMPTOMS can occur, these include:

  • Difficulty Breathing
  • Body temperature increasing to dangerous levels
  • Muscle cramps
  • Nausea
  • Tingling of the limbs

** The appearance of any of the above more serious symptoms may indicate that you have sustained a significant fluid loss and could require MEDICAL ATTENTION. For more information about our athletic training and outpatient services or to schedule an appointment, contact us today.

March 28, 2014

House Passes Temporary Fix for SGR and the Therapy Cap; Senate Action to Come

Filed under: Blog,Compliance — Kristi Fredieu @ 11:17 am

The APTA recently sent out this update that we wanted to share with you.

The House passed the Protecting Access to Medicare Act of 2014 (H.R. 4302) today, which would avoid the scheduled 24.1% payment cut to Medicare providers and extend the therapy cap exceptions process for 12 months.  The short-term fix provides a 0.5% payment update for providers through December 31, 2014, followed by a 0% update in the first quarter of 2015.  The legislation also delays implementation of ICD-10 for one year.

The House passed H.R. 4302 this morning by an unexpected voice vote on the floor, which angered some Representatives who wanted Congress to continue to focus on a permanent repeal package.  The Senate is expected to vote on the legislation by Monday.

The approximate $20 billion cost of the temporary fix approved in the House will be paid for through a combination of cuts and programmatic changes that include reductions to clinical labs, radiology services, a delay on oral-only drugs for end-stage renal disease bundles, the establishment of a new value-based purchasing program for skilled nursing facilities based on performance around hospital readmissions, and a tightening up of code valuation under the fee schedule. Additional funds are identified through the use of SGR “transitional fund” money and an extension of the Medicare sequester provisions.

Although members of both the House and Senate have recognized the need for permanent repeal, progress stalled when legislators were unable to agree on how to pay for the SGR reform package.  APTA continues to work with legislators for a permanent solution to the SGR formula and Medicare therapy cap. 

APTA members can stay up-to-date on the latest SGR reform and therapy cap news by joining the PTeam or downloading the APTA Action app.

LPTA Day at the Capitol: Thursday, April 3rd

Filed under: Blog,Compliance,Physical Therapy — Kristi Fredieu @ 2:20 am

capitolSetup at 8 am/Legislative session at 9 am

Please join us on the morning of Thursday, April 3, 2014 for the LPTA Day at the Capitol. This opportunity provides physical therapists a chance to introduce themselves to legislators and show and teach them what our profession consists of and how important it is. Setup will begin at 8 am. Legislative Session starts at 9 am. We should be finished around noon.

LPTA will be stationed in the Memorial Hall on the House side, where we will provide pedometers to legislators and teach them how to use them, take photographs with legislators and have a manual therapist present a demo and educate the legislators about their profession.

Dress attire is professional, as members of the legislature could introduce us at the Capitol. Please refrain from wearing running shoes, lab coats or scrubs. We request men wear a coat and tie and women wear dresses or slacks.

If you are interested in participating at the LPTA Day at the Capitol, please contact Älice at 504-338-6008 or coretouchtherapies@msn.com.


March 26, 2014

Gracefully Declining a Job

As a recruiter, it is my job to seek out qualified individuals who would work hard for our company. It’s easy to grow attached to these individuals; I get very involved in our conversations and before you know it I can tell you all about this person’s first pet, their grandmother’s most delicious pecan pie, and their significant others’ recent job promotion. Needless to say, I often feel like I’m making friends instead of “recruiting.” Everyone knows that when a job seeking individual is meeting with a recruiter, they are going to do and say everything necessary to appear as a desirable employee: appear professional, easy to talk to, and well rounded. The recruiter will then try to make the best pitch possible and showcase their company as the best choice. It is within this time frame that you will most likely determine whether or not the company’s vision will fulfill the career goals you have for yourself. If you’ve read previous posts, you’ll know that I encourage going on several interviews, gain interview experience, find out what is going on in the industry, and find out what is being offered. Review my advice HERE. I stand by this. With that being said, if after the initial interview or two you know that you’re not going to honestly consider a position with the company, it’s best to part ways and decline gracefully.

Don’t “string along” your recruiter. If you have met with a recruiter once or twice, chances are that you have learned more than you really wanted to know about their company. If at that point you aren’t feeling like the company is a good fit for you, “stringing along” your recruiter is not something that I would encourage. Recruiters feel connected to you as they have taken some time to learn all about you and know you as a friend. The worst thing you can do is to lead them to believe you are genuinely interested in working for their company when you know in your heart that you’d like to pursue a different option.

phone callsDon’t waste anyone’s time if you aren’t sincerely interested. When a recruiter believes that someone wants to work for their company, the recruiter will do their best to get this potential new employee on board. This means staying in touch regularly and giving informed updates on current opportunities within the company. This can go on for months before graduation until there is finally have a firm position to offer. With an exciting opportunity ready to be offered, the recruiter reaches out to the potential employee… but then you don’t answer your phone. You don’t return the calls. You don’t respond to emails, texts…  Ahhh, the old “Cold Shoulder Method.”  With no response, the recruiter is left to assume that you are no longer interested. After months of building what the recruiter viewed as a trusting relationship with you, all that’s left is a bunch of wasted time.

Honesty is the best policy. Giving your recruiter the cold shoulder can feel deceitful, insensitive, and disrespectful.  Just remember this; you don’t want to burn your bridges. What happens if you accept a different job and realize that you made the wrong decision? You want to be able to go back to any potential employer and know that you ended things on a good note. An easy way to decline an offer is to just be honest. Simply respond with a quick call back to say that you’ve decided to pursue other options (a voicemail, text, email would suffice too).  If you’re looking for something closer to home, just say that. If you’re looking for a position within a different setting, just say that. If you don’t feel confident enough to take on this position as a new grad, just say that. Trust me, the recruiter will understand and will certainly appreciate your honesty.

And finally, know that your recruiter really is on your side. Of course your recruiter will be disappointed if you don’t accept the position offered to you. But if you are following your career goals then your recruiter will be very understanding and very happy for you. Now, go enjoy your day…. after you call all of those recruiters to let them know where you stand!

Therapy Center has several positions available now!

If you would like to learn more about job openings at Therapy Center, join Team Text!

For PT & PTA position notifications, text Therapy PT to 313131

For OT & OTA position notifications, text Therapy OT to 313131

For Speech position notifications, text Therapy ST to 313131

Team Text members are the first to know about Therapy Center job openings, even before positions are advertised to the general public.  Enroll in Team Text today and be the first to know about Therapy Center positions as they become available.


March 24, 2014

Grassroots Support Needed for Senate Bill to End SGR, Therapy Cap

Filed under: Blog,Compliance,Physical Therapy — Kristi Fredieu @ 2:49 pm

The following update was sent from the APTA. Please take action to help end the Therapy Cap!

Though a House-approved bill to end the flawed sustainable growth rate (SGR) is almost certain to be a nonstarter in the Senate, a Senate bill that would end both the SGR and the therapy cap is now gaining momentum and is the focus of renewed grassroots advocacy efforts from APTA and other organizations. Physical therapists (PTs), physical therapist assistants (PTAs), physical therapy students, and supporters are being urged to contact legislators to push for passage.

On March 14, the House voted 238-181 to approve a bill that would pay for the cost of SGR repeal by delaying enforcement of the individual mandate in the Affordable Care Act (ACA). The political implications of the bill are widely viewed as unacceptable to the Democratic-controlled Senate, which so far has refused to take up the bill. The White House has threatened a veto of the bill if it should pass both houses.

As the House bill was being announced, Senate insiders described a new effort to draft a bill that would end not just the SGR, but the therapy cap as well—something not addressed in the House bill. The bill, S. 2110, is scheduled to go to the floor of the Senate during the week of March 24.

The coming days will be crucial ones for supporters of an end to the SGR and therapy cap, and APTA’s advocacy team has issued e-mail alerts highlighting the need for grassroots shows of support for the bill. Additionally, supporters are being asked to contact House members to reemphasize the importance of repeal. Current exceptions to the SGR and therapy cap will expire on March 31.

A permanent end to the therapy cap and SGR could be closer than ever. Now is the time for action to help legislators understand the importance of repeal for providers and their patients. APTA members can take action via the Legislative Action Center and nonmembers and the public can take action via the Patient Action Center. APTA members, nonmembers, and patients can also take action using the APTA Action app. Members interested in joining APTA’s advocacy efforts can also sign up for PTeam.


Filed under: Blog,Outpatient Services — Tags: , , — Kristi Fredieu @ 5:35 am

March is National Athletic Training Awareness month. Therapy Center is providing several articles to increase awareness of the profession and to educate the public on common injuries that we see in our outpatient clinic. Enjoy!

This is a medical follow-up sheet for your health and safety.  Signs of a chest or abdominal injury may not appear immediately following trauma but can develop hours after the injury.  The purpose of this fact sheet is to alert you to the signs and symptoms of significant chest or abdominal injuries, which may develop several hours after you go home. 

If you experience one or more of the following symptoms after sustaining a chest or abdominal injury, further medical help should be sought IMMEDIATELY.


  • Difficulty breathing
  • Shortness of breath/ inability to catch breath
  • Pain increasing in chest
  • Vomiting or coughing up blood


  • Pain or discomfort increasing in abdomen
  • Rigidity or spasm (hardness) in abdominal muscles
  • Inability to urinate
  • Blood in urine and/or stool
  • Painful urination
  • Increasing nausea
  • Vomiting and/or vomiting blood

The appearance of any of the above symptoms may indicate that you have sustained a significant chest or abdominal injury and REQUIRES IMMEDIATE MEDICAL ATTENTION.

It is essential that a physician assess any of the above symptoms. For more information about our athletic training and outpatient services or to schedule an appointment, contact us today.

March 20, 2014

Therapy Center’s Effect: SNF Contract Acquisition

Filed under: Blog — Kristi Fredieu @ 2:01 pm

rachel-manuelAs a speech therapist, recruiter, and advocate of the Therapy Center, it is often times difficult to explain to skilled nursing facility owners and administrators how we differ from our competitors.  The most common feedback I hear from administrators is that “it’s all about rates”.  While rates are certainly important, the bottom line can be increased by partnering with the right therapy provider, as a business partner. Improving the consistency of full time therapy staff and empowering that staff with education on compliance and geriatric treatment strategies insure that results are delivered. 

I was reminded of the impact Therapy Center can have on a facility in a recent contract acquisition.  Our competitor was able to supply only 2 full time employees with the remainder of their staff consisting of a montage of part-time therapists and after-hours PRN.  Sound familiar? (You might want to take this quiz to see if you should be receiving better care from your current provider.) Given a 30 day notice, we were able to provide 6 full time employees, including 2 therapists who have worked with the Therapy Center prior to this acquisition. Our mentoring therapists gave the new team of therapists insight into the education and training we provide to ALL staff.  The increased therapy presence of a PT, PTA, OT, COTA, ST, and therapy tech drew attention from residents who began requesting therapy from the first day we arrived in teh facility. Administration within the facility, as well as the facility Medical Director also noted the marked increase in therapy presence at the end of week one.  While Therapy Center had received reports from therapists previously in the facility that Part B numbers were exhausted, we found that less than 15% of available Part B funds had been utilized in the first 10 months of the year.  The caseload from one discipline increased from 5 patients to 22 patients in the first 2 weeks. A majority of patients came from the dietary manager and patients themselves, resulting in positive screens.

Like any change, the transition is not simple. New systems and protocols are required in regards to technology and internal communication.  I regularly hear administrators from nursing homes express that things are “going ok” in the therapy department.  For those who have not experienced the education, compliance assistance, and consistency of staff afforded by a GREAT therapy company, it may seem that “ok” is good enough.  The Therapy Center’s focus has never been on making the lowest bid.  As a therapist-owned and managed company, our foundation has always been about empowering therapists with quality training on SNF regulations and providing direction through a management team, which is comprised of therapists skilled specifically in geriatric care. These qualities have been key to providing a successful therapy program to our SNF customers. 

Check out our success for yourself!

infographic blue_orange

March 17, 2014


Filed under: Blog,Outpatient Services — Tags: , , , — Kristi Fredieu @ 10:25 am

March is National Athletic Training Awareness month. Therapy Center is providing several articles to increase awareness of the profession and to educate the public on common injuries that we see in our outpatient clinic. Enjoy!

It is not unusual to have a short period of nausea, occasional vomiting, and mild to moderate headache following a head injury. However, it is essential that the patient/athlete be assessed by a trained medical personal or a physician following any head injury.


photo credit http://sportsmedicine.about.com

For the first 24 hours following a head injury, the patient/athlete should:

  • Rest at home.
  • Avoid strenuous activities, including practice.
  • Avoid mentally stimulating activities such as video games, texting, watching TV, using computers, and reading.
  • Drink plenty of clear fluids and avoid spicy/seasoned foods.
  • Should not drink alcohol or ingest caffeine.
  • Should not take any medication not prescribed.

Report to a physician if any of the following occur:

  • Cannot be aroused.
  • Abnormally drowsy when awake.
  • Demonstrates a change in normal behavior.
  • Experiences blurred vision, seeing double, or crossed eyes.
  • Experiences unequal pupils.
  • Develops difficulty balancing, walking or unsteadiness of gait.
  • Develops persistent dizziness or light-headedness.
  • Develops convulsions or seizure-like activity.
  • Develops repeated or forceful vomiting (more than twice).
  • Has leakage of clear fluid or blood from ear or nose (do not blow nose or block drainage.)
  • Develops weakness, clumsiness, difficulty, or loss of feeling/numbness in arms or legs.
  • Experiences stiff neck or significant pain with moving neck.
  • Develops difficulty speaking or breathing.

It is essential that a physician assess any of the above symptoms. For more information about our athletic training and outpatient services or to schedule an appointment, contact us today.

February 12, 2014

Congress Strips Therapy Cap Repeal from Advancing Legislation

Filed under: Blog,Occupational Therapy,Physical Therapy,Speech Therapy — Kristi Fredieu @ 12:28 pm

capitolTake action TODAY before it’s too late.   We must not allow this legislation to move forward without addressing the therapy cap. Action in both the House and the Senate may be imminent and we must act quickly to mobilize against last week’s actions.

Recently, legislation that would have reformed Medicare’s provider payment system and fully repealed the therapy cap advanced in the Senate. On February 4th, however, efforts to work out differences between the Senate’s reform bill and the House’s version of the legislation left therapy cap repeal on the cutting room floor. Being left behind now could mean a swift return to a hard cap on outpatient therapy services in 2014 and beyond.

Follow this link to call your elected officials:  http://capwiz.com/aota/callalert/index.tt?alertid=63091591 and follow this link to write to them: http://capwiz.com/aota/issues/alert/?alertid=63091456.  Demand that the therapy cap be addressed ahead of final action in the House or Senate on the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 (HR 4015). As a trusted health professional and constituent your voice is critical to the debate.


This message was originally posted by Tim Casey Director of Federal Affairs, AOTA.

February 5, 2014

Acing an Interview Volume 4: Follow Up

phone callIf you play your cards just right by following the guidelines suggested in Acing an Interview Vol.1, Vol. 2, and Vol. 3, you may end up with a handful of legitimate interviews and job offers regarding your new career in the therapy industry. Now is your time to practice organization and persistence. Following through to the end of the whole interview process is a very important step that should not be overlooked as it is vital to achieving the best outcome.

Want to impress your potential new employer? Send a thank you note post interview. You have probably heard this idea more than once, but how many times have you actually followed through? This is a very simple step to take that will set you apart from other candidates. You will be remembered for your extra effort and it may help your chances of advancing to the next step in the interview process.

Follow up with a phone call if you haven’t heard back from the company within a week or two after the interview. This may sound intimidating, but it shouldn’t. It is perfectly normal and acceptable to follow up in this manner after an interview. If you’re having a hard time thinking of what to say, simply ask for an update on the position, say you just want to let them know that you’re still interested, or if this is the case – let them know that you are speaking with other companies but you were hoping for an update on this particular position since it would be your first choice.  

Don’t be afraid to call for clarification or ask additional questions after the interview. A good company will be easily accessible to you when you need to contact them. If you aren’t able to get in touch with anyone who can answer your questions, then this may be a red flag.  When you follow up with questions, you are doing two things. Number 1- showing the company that you are taking their offer into serious consideration and really looking into the specific details. And number 2- by making that additional point of contact with the recruiter to ask additional questions, you are making yourself present in the front of their minds and thereby being hard to forget. That is a good place to be when a recruiter is trying to determine which candidate to hire.  

Remember this, even if you don’t get hired for the job that you were really hoping for, by taking the initiative to send a thank you letter, follow up with a phone call, and/or asking additional questions, you have proven yourself as a responsible individual. You have made a great first impression which goes a long way.

Therapy Center has several positions available now!

If you would like to learn more about job openings at Therapy Center, join Team Text!

For PT & PTA position notifications, text Therapy PT to 313131

For OT & OTA position notifications, text Therapy OT to 313131

For Speech position notifications, text Therapy ST to 313131

Team Text members are the first to know about Therapy Center job openings, even before positions are advertised to the general public.  Enroll in Team Text today and be the first to know about Therapy Center positions as they become available.


October 29, 2013

Protect Your 30 Day Discharge Window: Knowing Discharge Options

Filed under: Blog,Compliance — Kristi Fredieu @ 2:00 am

“Nearly 2 million Medicare beneficiaries are readmitted within 30 days of release each year, costing Medicare $17.5 billion in additional hospital bills.” Kaiser Health

The Basics

The birth of the Affordable Care Act brought about the principle of penalizing hospitals for re-admission of patients with identified diagnoses within 30 days of discharge. Beginning in Fiscal year 2012, CMS finalized policies regarding readmission measures under the Hospital Readmissions Reduction Program. (CMS)

  • Hospital readmission would be defined as a 30 day window following discharge.
  • Initial readmission measures would apply to conditions of: Acute Myocardial Infarction, Heart Failure, and Pneumonia.
  • An algorithm was established to compute the payment adjustment amount based upon the percentage of readmissions.

In Fiscal year 2013, the penalty of 1% reduction rate was established and increases to a 2% reduction in hospital payments in Fiscal year 2014, which began October 1, 2013. In Fiscal year 2015, the program will be expanded to include diagnoses including: chronic obstructive pulmonary disease, elective total hip arthroplasty and elective total knee arthroplasty.  Proposed for Fiscal year 2015 is another penalty increase to 3%. (CMS)

Why home is not always the best option immediately following an acute hospitalization

It is not uncommon in the geriatric population for physical and mental declines to develop during an acute hospitalization. Because of these resulting conditions, many elderly patients need continued care after leaving the hospital. Returning home immediately following hospitalization is not always the safest option; for some it is not the most effective place to be cared for upon discharge. In many cases, a skilled nursing facility can provide a safe place for nursing and rehabilitation staff to care for and treat individuals who are still at risk for falls due to the following factors.


Delirium has been recognized as a common syndrome in the hospitalized elderly. It occurs in 20-38% of elderly patients. Symptoms of delirium are known to persist at the time of discharge in 95% of patients who develop it while hospitalized.

Drops in Blood Pressure

With decreased activity, as is common in hospitalization, the elderly may also experience muscle strength decreases by 5% per day. Bed rest in the supine position results in loss of plasma volume averaging about 600 mL, contributing to the susceptibility for postural hypotension and syncope, which is already associated with usual aging.

Bone Loss

When on bed rest, vertebral bone loss accelerates to 50 times the active rate in healthy men. In one study we reviewed, the loss of bone incurred within 10 days of bed rest required 4 months to restore. Frequent falls that occur with the hospitalized elderly have increased the likelihood of fractures, particularly hip fractures.(5)


About 40-50% of hospitalized persons over the age of 65 become incontinent, many within a day of hospitalization. The functional incontinence that occurs in the hospital explains the discrepancy between incontinence rates in community-dwelling and newly hospitalized patients. (5) Even though this decline is reversible, long periods of rehabilitation will be required because reconditioning time is longer than deconditioning time. (5)

What about medication compliance?

If the patient were to return to home, he/she would receive minimum exposure to skilled intervention with the burden of medication compliance falling on the patient or the caregiver. The majority of elderly patients experienced modifications in their medication regimen during the first month following hospital discharge. Skilled nursing services in a nursing home will provide guaranteed medication compliance upon discharge from the hospital, and therapy/nursing will be more acutely aware of any adverse drug reactions.

Why Therapy Center and our partner facilities are different

The level of services provided by the SNF setting, encompassing nursing care and rehab, will create a more solid network to prevent and/or decrease risk of rehospitalization, particularly within the 30 day window. Many of the Therapy Center’s patients are short stay, rehab clients.

So far in 2013, the Therapy Center’s return to home average is 54%. Having full-time therapists, in each of our partner skilled nursing facilities, allows us to address physical and cognitive dysfunction, and monitor medical condition while they are in our care. A fully staffed therapy department is needed in order to run an intense therapy program and we pride ourselves on making the return to home a priority. Our therapists are trained holistically, providing individualized treatment programs that prepare the patient for successful discharge to their desired location. The skilled nursing homes we partner with have long-term, consistent nursing staff, which also contributes to personal and individualized treatment.


Why we are your solution

Therapy Center’s goal is to play a positive part in adjusting to the evolving readmissions guidelines set forth by CMS. Our mission is to help educate hospital personnel on how we, along with our partner skilled nursing facilities, can help to reduce rehospitalizations and avoid costly penalties.  We believe that we can help to protect your 30 day window by achieving positive, long-term outcomes for the patients in the local communities we serve.



1.Burroughs, Jonathan H., “6 strategies hospitals should steal from the airline industry”, http://www.hospitalimpact.org/index.php/2013/09/17/p4354, September 17, 2013
2.“Readmissions Reduction Program”, http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Readmissions-Reduction-Program.html
3.Rau, Jordan, “Medicare to Penalize 2,211 Hospitals for Excess Readmissions”, http://www.kaiserhealthnews.org, August 13, 2012
4.Mansur, N, et. al, “Continuity and adherence to long-term drug treatment by geriatric patients after hospital discharge: a prospective cohort study”, http://www.ncbi.nlm.nih.gov/pubmed/18808210
5.Creditor, Morton C.,  “Hazards of Hospitalization of the Elderly”, Annals of the Internal Medicine. 1 February 1993, Volume 118 Issue 3, Pages 219-2223
6.Murray, Anne M., et. al, “Acute Delirium and Functional Decline in the Hospitalized Elderly Patient”, Journal of Gerontology: Medical Sciences, 1993, Vol 48, No 5, M81-M186


October 16, 2013

Success Story: Lucy Leger

Ms. Lucy Leger became a short-term resident at Amelia Manor nursing home in January 2013. Following a 4 week hospitalization for a ruptured appendix and double pneumonia, Ms. Lucy was extremely weak and exhibiting numerous deficits upon arrival to Amelia Manor. She decided that a skilled nursing facility would be the best place for her recovery due to her condition upon discharge from the hospital and the fact that she needed to return home quickly to take care of her husband. Ms. Lucy received intense physical, occupational and speech therapy so that she could return to her independent lifestyle.

Please watch her story of recovery while she was in our care.


October 7, 2013

Amelia Manor Nursing Home Opens Doors to the Deaf and Deaf/Blind

Filed under: Blog — Tags: , , — Kristi Fredieu @ 3:16 pm

Can you imagine wanting something for dinner and no one understanding what it is you are asking for?  What about someone writing a message on paper, but you did not attend school, so you do not understand what they are trying to tell you?  Can you imagine trying to communicate with “gestures” sort of like playing charades?  That is how many of the deaf elderly in Acadiana have lived out their last years for so long. However, that is changing, thanks to the owners of Amelia Manor Nursing home.

Through the persistence of two ladies, Ms. Paulette Guthrie and Glynis Kibodeaux, the lives of the senior deaf and deaf/blind community will be forever affected in a very positive way. While visiting deaf and deaf/blind people throughout Acadiana, Ms. Paulette Guthrie explains that their first signs to her were, “I am the only one here, the only deaf person, and no one here knows my language!!!!” After Ms. Paulette communicated with far too many deaf people in this situation, a great idea became an invaluable plan- bring them all together where they would have each other, their OWN community.

Willie Belle Sarver, Alberta Lyons, as well as nursing home Administrator, Greg Sarver, embraced this challenge, and are opening their doors and their hearts to the deaf and deaf/blind community.  The initial plan was to teach the nursing home staff some basic sign language, so they could serve this special population.  However, as the demand for these services became more and more evident, and the number of residents being admitted with these needs grew rapidly, it was determined that specialized staff needed to be provided. In September of 2012, Glynis Kibodeaux was hired by Amelia Manor to work specifically with the deaf-blind population. Now that the program has grown over the last year, the goal is to be able to have staff with sign language ability around the clock. As a step towards that goal, Amelia Manor has hired deaf CNA’s to communicate with the residents. “Now we have the young deaf taking care of the elderly deaf and it’s a beautiful thing,” says Ms. Paulette Guthrie.

The Therapy Center has also played a part in accepting these residents with open arms. The therapy team is currently learning how to sign in order to better communicate with these patients, as many of them need services to help them improve their independence and daily activities. “They really seem to enjoy the fact that we want to learn,” says Cassie Augustin, speech pathologist with The Therapy Center. Even though they can’t speak, some of them may have trouble with their memory that they need to address, and I want to be able to communicate better with them,” says Augustin.

“Being able to live in a senior community with other elderly deaf and deaf/blind is a first time experience for these residents.  For some of them, their final days will be spent in a community that will not only understand their needs, but will be better able to care for them”, explains Paulette Guthrie.

For more information on the deaf and deaf/blind wing, please contact Paulette at (337)344-7970 or Glynis at Amelia Manor nursing home (337) 234-7331.

Also please watch the interview they recently filmed with Fox-KADN.


September 17, 2013

Acing an Interview Volume 3: Ask Questions

To review Volume 2, please click HERE.

As the person conducting the interview, it is often very discouraging and a big red flag when a person shows up for an interview and has nothing to say. Remember, the purpose of an interview is so that the interviewer and the interviewee can get to know each other. Sure, you will want to take away as much about the company as you can, but don’t forget to also leave behind your best impression. As mentioned before, this is your chance to show that you are the best candidate and the best person for the job and nobody will ever get that impression of you if you sit in silence. Your part in the interview is to do more than just nod politely.

Ask Questions. Nothing shows your interest in the company more than when you ask questions and try to learn as much as you can. Take part in the conversation, hear each word that is said and comment appropriately. Ask questions! No question will be dumb, so don’t think of it that way. Think of this as your opportunity to learn as much about the company as you can while trying to determine if this is a place where you will fit in. The person conducting the interview is also trying to get to know you and what better way to express yourself and what’s important to you than by asking questions. Try to stick to relevant questions that deal with the heart of the position, not just surface questions (what time is lunch?). Although surface questions are important, wait to ask those once you get closer to accepting the position.

Plan questions in advance. Don’t be afraid to have a written list of questions for each interview. Showing up to an interview prepared with a list of questions shows that you mean business and you aren’t just there to waste time. You’ve thought about the position and you’re ready to make the best decision for yourself. Having a list of questions will prove to be very beneficial when you’re making your decision, as you can review the respective answers from each company and weigh the pros and cons. Here are some things to think about: What would a typical day look like? How many patients are on caseload and what type of pace should you be expecting in the facility? If you’re sick, who is responsible for finding a replacement?  Will your direct supervisor be present in the facility? Will you have a mentor? Is there opportunity for advancement? Will your performance be evaluated annually? Is a retirement plan offered?  How are the health benefits? Are there other perks or incentives? Are there opportunities for advanced training?

Keep an open mind and ask any additional questions that are relevant to you. Remember, it’s your time to shine! Impress them with your ability to show up to this interview with your A-game. Trust me, your preparation will be appreciated and will not go unnoticed.


Therapy Center has several positions available now!

If you would like to learn more about job openings at Therapy Center, join Team Text!

For PT & PTA position notifications, text Therapy PT to 313131

For OT & OTA position notifications, text Therapy OT to 313131

For Speech position notifications, text Therapy ST to 313131

Team Text members are the first to know about Therapy Center job openings, even before positions are posted on the website.  Enroll in Team Text today and be the first to know about Therapy Center positions as they become available.


September 11, 2013

Therapy Center Student News: Courtney Guidry, OT Student

Courtney Guidry, OT student from the University of St. Augustine, tells about her experience working in our partner facility in Church Point, LA. Stay tuned for more student interviews and news updates…


July 3, 2013

Therapy Center Student News: Stefan Norris

Filed under: Blog,Therapy Center Student News — Kristi Fredieu @ 1:55 pm


Stefan Norris is currently completing his clinical rotation with us at our partner facility, Maison Teche Nursing Center in Jeanerette. Learn more about Stefan and what he has gained during his time as a physical therapy student with our team.

Where is your hometown? New Iberia, LA

School/University are currently studying: LSU Health Sciences Center- New Orleans

Why did you choose the field you are studying in? I chose physical therapy because it is extremely rewarding, and I wanted to be able to help people. When I was growing up, my brother had a PT in the house working with him constantly. I was able to see first-hand just how much of an impact they can make, and since then that’s what I’ve wanted to do.

What is the biggest thing that you learned while on rotation with us? The biggest thing I’ve learned on this rotation is how to treat a patient who has just recently suffered a stroke. That is something that I have not had any experience with in school or any of my other clinical experiences, so it was a big learning experience for me.

Favorite part of working with Therapy Center staff: They make work fun. Everyone is friendly and cordial, so you do not dread going in to work every day.

Hobbies/other areas of interest: Coaching high school soccer, watching and playing sports including football, soccer, baseball, and basketball.

Anything interesting about yourself that you want others to know: I have a twin sister who attends ULL and is majoring in child and family studies.

July 2, 2013

Acing an Interview: Volume 2 Making a Great First Impression

Be presentable but not overdressed, sit comfortably but don’t slouch, smile and laugh but don’t smile and laugh too much, be complimentary but not overly friendly … Wow, making a good first impression sure can be overwhelming! Take it easy and just remember to be yourself. A great showcase of the real you will surely make a good first impression.

Dress appropriately. If you’re meeting the potential employer at a nursing home or a local casual restaurant, you probably do not want to show up in a suit and tie. You may be the only person there who is dressed so nicely, and you may stick out like a sore thumb. This likely will not be held against you, but it may make you feel uncomfortable and distracted during the interview. If you are unsure, just play it safe. Don’t go over the top. Look your best without looking like you’re trying too hard. 

Showcase good communication skills. It helps to start off with a little casual conversation. This shows the potential employer that you can carry a conversation and be likeable. Stay away from constant compliments as it may convey that you are trying too hard. Just be yourself.  Remember that you’re showcasing the reasons why you’d be an asset to their company, and being a great communicator is always a favorable personality trait. At the end, establish the next step for communication.

Stay on topic and answer questions fully and to the point. You don’t want to get sidetracked and wonder off onto other topics. Doing this could make you appear to be unfocused. Be direct and assertive. If you’re asked a question, do not give the answer that you think they want to hear. Give your honest answer. Employers appreciate honesty and being direct and assertive will save both of you time in the long run. The best way to be prepared in this area is to practice. Anticipate some of the questions you think you’ll be asked and practice your response. Showing that you have actively prepared for your interview will speak volumes and be very impressive.

Be honest about any concerns you may have; express your goals and where you’d like to see yourself in the future. If you’re asked a question, give your honest answer even if you don’t think it’s what they want to hear. For example, if you’re looking for a job within 10 minutes from home and are asked if you’re comfortable with a 45 mile drive to work, be upfront and let your preferences be known.  If the position offers no growth, yet you’d like to assume a management position, you may want to find out if there are other areas where your management skills can be put to good use. Make sure to ask. Now is the time, don’t be shy!

The main thing to remember is to be yourself. You will let yourself and others down if you pretend to be someone you are not. Don’t put too much pressure on yourself, yet make sure you have prepared for your interview to the best of your ability. All the other rules are just guidelines to ensure that you have covered all of the bases. Now, go get ‘em!


Therapy Center has several positions available now! If you would like to learn more about job openings at Therapy Center, join Team Text!

For PT & PTA position notifications, text Therapy PT to 313131

For OT & OTA position notifications, text Therapy OT to 313131

For Speech position notifications, text Therapy ST to 313131

Team Text members are the first to know about Therapy Center job openings, even before positions are posted on the website.  Enroll in Team Text today and be the first to know about Therapy Center positions as they become available.

June 28, 2013

A Step Closer to Home: Marketing Boosts Census

Filed under: Blog,Therapy Success Stories — Tags: , , , — Kristi Fredieu @ 1:00 pm

Increased scrutiny on inpatient rehabilitation and acute hospitals has left a large population of elderly patients with limited options for a successful and independent return to home. Therapy Center provides significant education and marketing to ensure that local physicians and hospitals are aware of the interim need that skilled nursing facilities can fulfill.

The secret to successful utilization of therapy in the SNF setting is obtaining a therapy census that will necessitate a full-time therapy team in your facility, including physical, occupational, and speech therapy.

At Therapy Center, we work with our partner facilities to determine top referring hospitals and physicians in order to tailor a marketing strategy that will help build and maintain a strong Part A census. Patients who possess the desire and potential to successfully return home are great candidates for a successful short-term rehab stay. There is no greater testament to the success of a SNF therapy program than a patient who has come into the facility unable to live independently and returned home to spread their success story to the community. These patients have a positive impact on RUG levels as well as facility morale and overall participation in therapy.

With the help of our partner facilities, Therapy Center has implemented private rooms, therapy gyms, the use of specialized equipment — including hydraulic standing frames, electrical stimulation, ultrasound, and a variety of other treatment approaches, to maximize progress with therapy. In addition, our full-time therapy team is readily available to your patients all day.

Thus far, we have achieved as high as an 83% success rate in returning patients with a goal of going home, back to their residence. Because of our dynamic approach to rehabilitating geriatric patients, Therapy Center has received positive feedback from physicians, hospitals, families and discharge planners. We remain committed to providing exceptional care to our patients and thorough communication of patient progress to the appropriate referral sources.

Take a few minutes to watch this short video of one of our many success stories and contact Therapy Center to learn how our therapy program can benefit your nursing home or even help one of your loved ones return home successfully after a recent hospitalization.

May 22, 2013

Acing an Interview Volume #1: Be Knowledgable

Think of an interview like an important exam at school. Would you just wing it? Probably not, and that’s no way to treat an interview either. If you want to be taken seriously and be honestly considered for a position, you should do you best to prove yourself as a viable candidate. Here a few tips on how to ace an interview.

Know about the company. First start with their website. (If they don’t have one, I’d venture to say that that is a red flag.) Where did the company begin, how long have they been in business, have they expanded in size and geographic area since they were founded? Also be prepared to express how you feel about the company. If the opportunity comes up for you to be able to express why you feel like you’d like to work for the company, be prepared with a response so that you’re not grasping for straws and fumbling over your words. Maybe you’re impressed with the way the company expanded quickly by word of mouth because you see that as a true example of their passion and expertise in the industry. Real world examples of how you can relate to the company will go a long way.

Know about yourself, your skills, your strengths and weaknesses. As much as you want to learn about the company, your potential employer will want to learn about you. Be prepared with this answer so you’re not caught like a deer in headlights. Save the, “I was born on a warm sunny day in South Louisiana…” speech for another time. Here, they want to know what about you makes you employable, what could you bring to the company that would make you an asset. Are you strong and creative with treatment plans, do you excel in patient care, are you very organized? Do you build good rapport with patients and convey a sense of comfort and ease? If you work best in a group setting or prefer to work individually, now might be a good time to say that and also explain why. If you really want this position, you’ve got to sell yourself now. If you haven’t had much on-the-job experience, don’t let it show. Apply your experience as a student observer and take what you’ve learned about yourself in that setting to show off your skills. If time allows, it won’t hurt to share a little about yourself regarding hobbies, family, or other areas of interest. It’s amazing how well you can get to know someone in such a short time frame.

Know your state board requirements regarding licensure and testing, if applicable. Students & new grads, be on the ball with this – it’s impressive. There aren’t too many other things that are more impressive than a therapist who is prepared  and organized with the licensure process and  state board requirements. This shows the potential employer that this candidate takes initiative and won’t depend on somebody else to get the job done for them.

Overall, the interview is your chance to shine. How bad do you really want this position? If you’re goal is to really land this position (and why wouldn’t it be!?), do your best to make it happen! Make sure you’re prepared to leave a lasting impression, even if it means studying for the interview as you would for an exam.

May 13, 2013

SLP Spotlight: Leslie Lemoine

Filed under: Blog,Speech Therapy,Team Member News,Therapy Careers — recruiting @ 1:13 pm

May is Better Hearing and Speech Month known to us as Speech Therapy Month! Speech language pathologists, or speech therapists, work within the full range of communication to evaluate and diagnose speech, language, cognitive-communication, and swallowing disorders and treat such disorders in individuals of all ages.  You can read more about speech therapy HERE.

Where are you from? I am from Bunkie, LA. But I have been living in Lafayette, LA for the last 10 years.

How long have you been with Therapy Center? I have been with the Therapy Center for 5 years.

Where did you receive your education? I received my Bachelors degree and Masters degree from the University of Louisiana at Lafayette.

Why did you choose to study to work in the therapy industry? I chose to work in the therapy industry because of the variety of populations that I could work with ranging from geriatric to pediatric patients.  Also, it allowed for me to closely interact and bond with patients and assist them in increasing their communication, independence, and quality of life.

What is the most rewarding part of your job? The most rewarding part of my job is when my patients achieve their goals and they are able to communicate with their families and friends.  It is so rewarding to see them smile and laugh!

What is the best thing about working for Therapy Center? The best thing about working for the Therapy Center is definitely my therapy team!  My co-workers are the best anyone could ask for and they are my family away from home.

Do you have any hobbies or any activities you enjoy doing most in your spare time? Currently my time has been spent wedding and honeymoon planning.  In my spare time I enjoy being outdoors, riding my bike, shopping, and walking my two sweet Beagles, Hank and Boots.

May 10, 2013

SLP Spotlight: Alyce Benoit

Filed under: Blog,Speech Therapy,Team Member News,Therapy Careers — recruiting @ 10:56 am


May is Better Hearing and Speech Month known to us as Speech Therapy Month! Speech language pathologists, or speech therapists, work within the full range of communication to evaluate and diagnose speech, language, cognitive-communication, and swallowing disorders and treat such disorders in individuals of all ages.  You can read more about speech therapy HERE.

Alyce Benoit is a speech therapist and has been working with Therapy Center for several years. Take a few minutes to read all about her and the reason why she became a speech therapist.

Where are you from? I was born and raised in Lafayette LA.

How long have you been with Therapy Center? I have been with TTC for 6 years

Where did you receive your education? I graduated high school in 1999 from Teurlings Catholic. I received my bachelors degree in Special Education and my masters degree in Speech Language Pathology both from UL Lafayette.

Why did you choose to study to work in the therapy industry? I always thought I would be a teacher because I love children. I took some courses in communicative disorders and fell in love with the field. I love to talk so figured  speech therapy would be a perfect fit for me and it has been. I also had speech therapy as a child and remember pretending to be my speech therapist doing my drills to my dolls.

What is the most rewarding part of your job? The most rewarding part of my job is having a patient on PEG tube who is unable to eat or drink  and progressing them to be able to safely swallow to enjoy their favorite foods and drinks again. It is also rewarding to help a person after an acute CVA with speech deficits who can not express there wants and needs and progressing them to be able to communicate with their loved ones. It is a wonderful feeling having a patient admitted to a nursing home with a decline in cognitive functioning unable to complete activities of daily living and progressing them to return home.

What is the best thing about working for Therapy Center? My great team of therapists at River Oaks Oaks Retirement Manor.  I love working for TTC because the owners are very caring and  hard working and allow for me to balance work and family.

Do you have any hobbies or any activities you enjoy doing most in your spare time? What spare time?!  I dont have much spare time because I am always chasing around my 4 year old little boy, Hudson, and 2 year old little girl, Bella. I am an avid UL fan and spend time at many games.

May 2, 2013

Therapy Success Story: Mary Fontenot

Ms. Mary Fontenot became a short-term resident in Acadia St. Landry Guest Home to receive therapy services after several stays in acute care hospitals and long term acute care (LTAC) facilities. Arriving at the nursing home weak, unable to walk and ineffectively managing normal daily activities, Ms. Mary has now progressed to modified independent and can now return home to live with her husband.

Therapy services are available for long-term residents, as well as for patients in need of short-term care after an illness or surgery. All of our partner facilities are equipped with a skilled nursing unit to allow for more focused rehabilitation.



April 9, 2013

Landing a Great Job Volume #4: Choosing a Company That is Up With the Times

The use of electronic devices has become an every day part of life for nearly everyone these days. With the click of a button, we can send instant messages directly to one another and receive an immediate response. Through the smart phone revolution, use of tablets, social media, and other various internet services, we are now able to snap pictures and post to the web in real time, research any given topic and receive a wealth of information, and video chat with people hundreds of miles away. Utilizing these tools is easier said than done for some individuals and some companies. With that being said, take some time to evaluate yourself and your potential new employer and your respective levels of competency when it comes to technology in the work force.

Utilizing the internet. How are you required to do your charting? If your potential employer requires notes by  hand, don’t panic. There are many companies out there who are still using hand written notes. But, the question is… how flexible are they? If they aren’t ever willing to evolve, maybe they are resistant to change. Could this be a problem for you? If the potential employer uses electronic, paperless notes, will this be a challenge for you? Ask yourself, are you able to adapt? Are you willing to learn how to use technology in this ever-evolving day & age? If electronic notes are used, here is an important question: are you able to do your notes after work, outside of facility grounds? If flexibility is one of those benefits that was important to you, then you may want to consider this.

Does the company have an intranet? Intranets are different from the internet. An intranet is an inner network within the company that allows the employees to log in and see the most important internal updates. It is an additional means of communication that is not open to the public. Does the company use internal email? If so, can you access your company email from anywhere or only from a company facility? Also, are you required to use your personal email address, or will a company email address be given to you? If none of these options are used, then how does your company communicate important messages to their staff?

Does the company utilize text messages as an acceptable form of communication? If so, what type of messages are they communicating? Will they use this system to tell you that you’ve been given a promotion or been laid off? Yikes! Or do they only use this system for informal topics, such as reminders and birthday messages? If text messages are being used, how often?

Skype. Chances are, if the company doesn’t know what Skype is, then they aren’t up with the times.  If your potential employer is a relatively large company, or spans across a large geographic area, are they going to expect you to drive several hours or several miles to attend a quick meeting? Will they offer Skype as an option? These are things to consider as a therapist. You don’t want to spend your valuable time driving to a meeting while losing time that could be spent treating your patients.

Determining the answers to these questions may help you to get a good idea of what technology era your potential employer is living in. If you are more comfortable with hand written notes and the old fashioned phone call for communication, then don’t bite off more than you can chew by accepting a job with a technologically advanced company. But if you’re willing to learn, adapt, and evolve in this tech savvy day & age, then look for a company that is also willing to do the same.


If you would like to learn more about job openings at Therapy Center, join Team Text!

For PT & PTA position notifications, text Therapy PT to 313131

For OT & OTA position notifications, text Therapy OT to 313131

For Speech position notifications, text Therapy ST to 313131

Team Text members are the first to know about Therapy Center job openings, even before positions are posted on the website.  Enroll in Team Text today and be the first to know about Therapy Center positions as they become available.

April 1, 2013

OT Spotlight: Greta Gremillion Bordelon

April is National Occupational Therapy Month! Occupational Therapy is an important profession that helps people across their lifespan participate in the things they want and need to do through the therapeutic use of everyday activities. You can read more about Occupational Therapy HERE.

In honor of OT month, Therapy Center would like to spotlight a special therapist, Greta Gremillion Bordelon.

Where are you from?

Plaucheville, La

How long have you been with Therapy Center?

I’ve been with TTC for 3 years.

Where did you receive your education?

I graduated from Louisiana State Univerity Health Sciences Center – New Orleans

Why did you choose to study to work in the therapy industry?

I’ve always wanted to help the geriatric population maintain their independence and pride. I’ve also found anatomy and rehabilitation so interesting and love challenging myself with outpatient diagnoses and rehabilitative techniques.


What is the most rewarding part of your job?

The most rewarding part of my job would be the times when my patient’s thank me for what I have done for them, or to witness a patient improve and become more independent or hurt less. I also treasure my co-workers that have become true friends and confidantes. We truly have a great work environment.

What is the best thing about working for Therapy Center?

The best part about working for this company is the availability of our superiors. I know that if I have an issue, I can call any of the owners and be truly heard and cared about. I also like the flexibility that we have with our schedules.

Do you have any hobbies or any activities you enjoy doing most in your spare time?

I love to read and work in the yard. I also love to cook.


Greta, thank you for your time and commitment to Therapy Center!

March 7, 2013

Landing a Great Job Volume #3: Decide What’s Most Important to You

You’ve followed the steps: Apply, Inquire, and Repeat! Click HERE for a quick review. Now you’ve got even more to do for the next part of your job search: consider what is most important to you in a new job. In the therapy industry, here are a few things that should be considered: money, flexibility, environment, benefits, and opportunity for advancement. Ranking these factors as they pertain to your lifestyle may be a helpful tool to ensure that you land a great job that will make you happy for years to come.

Money. Money is great, sure, but we’ve all heard the old phrase, “Money cannot buy happiness.” The job offer that sounds the best to you might come with the highest salary, but could it also come with a hidden, hefty price tag? If it meant more money, would you be willing to make sacrifices such as working all day, late nights, and every weekend? Are you willing to drive miles and miles every day relentlessly just to ensure that golden salary? Some salaries offered in the initial stages actually are too good to be true. Those salaries can only be obtained if you get the exact number of visits or hours that are needed every day of each week of the year to ensure that big figure that you were promised. Is it possible? Yes… well maybe, if all the stars align. But know that there will be days when obstacles beyond your control get in the way, making it very difficult to achieve that golden salary. Perhaps a better fit for you would be to consider a position with a little more flexibility, maybe a true salaried position, or if you’ve got other major commitments in your life, maybe even something part time, or PRN.

Flexibility. Are you a creature of habit? Are you able to leave your house each day at 7:05 am faithfully with nothing stopping you? More power to you! Some folks have kids, pets, dependents, or other factors in their lives which require a little flexibility in a job. Make sure to consider this when thinking of a potential position. If you aren’t able to make a commitment to a position that will not allow some flexibility, be sure to remember this and weigh your options before over committing yourself.

Team Environment. Do you work best alone or in a group environment? This is helpful to know when asking your potential employer about your day-to-day routine. Will you be treating in a room with other therapists, or will you be a lone ranger? Will you be on the road treating patients independently? No matter what environment, make sure you will have access to somebody who you can call with questions or problems when the need arises.

Benefits. How important is health insurance to you? You may have a parent or spouse who covers you on their health insurance plan, so it’s not the most important factor in your job decision making.  Perhaps you’re a planner and you really like to save money, invest, and plan for your retirement. How great is your potential employer’s retirement plan? Maybe you’re a female trying to start a family, you know you’d like to have kids and you need a short term disability plan; is this something that is available to you? Think of all of these things and give them some good consideration as they may make your decision a little clearer.

Ability to advance. You’ve spent most of your time studying and observing others in your profession because you know this is what you were meant to do. You’re good at it and you have certain qualities that you want to share with the world. Maybe management and mentoring is the area for you! Does your potential employer offer opportunities for advancement? If this is a goal of yours, make sure you understand the management structure and the opportunities that may or may not be extended to you. If you’re the type of person who is looking for growth opportunities, don’t get stuck in a position that will not allow you to prosper.

The items listed above are just a few of the things that you should consider before deciding on your top pick of employers. The important thing to remember is to take your time and think things through. Make a list of pros & cons and give each some time and thought. Use the ranking system to see how various employers compare to one another. Don’t make a decision that causes you to sacrifice something that is really important; there are lots of jobs out there and you can find something that suits your ideals and makes you happy.

If you would like to learn more about job openings at Therapy Center, join Team Text!

For PT & PTA position notifications, text Therapy PT to 313131

For OT & OTA position notifications, text Therapy OT to 313131

For Speech position notifications, text Therapy ST to 313131

Team Text members are the first to know about Therapy Center job openings, even before positions are posted on the website.  Enroll in Team Text today and be the first to know about Therapy Center positions as they become available.

March 1, 2013

Athletic Trainer Spotlight: Kevin Hargrave

Filed under: Blog,Team Member News — Tags: , — recruiting @ 10:12 am

Did you know that March is National Athletic Training Month? An athletic trainer is a certified health care professional who practices in the field of sports medicine.  In honor of National Athletic Training Month, we would like to recognize one of our very own. Please take a minute to learn a little about Kevin Hargrave.

Where are you from?

Crowley, Louisiana

How long have you been with Therapy Center?

About 9 months

Where did you receive your education?

McNeese State University

Why did you choose to study to work in the therapy industry?

During my junior year of high school, I suffered a severe injury that ended my chance of continuing with athletics. Initially, athletic training was a way to stay around the sports I had participated in, however, as I learned more about the profession from the athletic trainer at my school, I became more and more interested in making it my career. Working as a student athletic trainer during college really cemented my choice, as I realized that it didn’t feel like work to go to the training room, games, or practices.  Rather, I enjoyed it and athletic training was quickly becoming a passion and a big part of my life.

What is the most rewarding part of your job?

This job often gives me the chance to guide a patient from the point of initial injury, through rehabilitation, to return to activity, and on to continued maintenance and prevention of future injuries.

What is the best thing about working for Therapy Center?

The feeling of family and the atmosphere of respect between the many professions that make up the therapy center staff, allowing us to give our patients the most comprehensive care possible.

Do you have any hobbies or any activities you enjoy doing most in your spare time?

Art, drawing mostly, and reading anything and every thing I can get ahold of.


February 14, 2013

Landing a Great Job Volume 2: Apply, Inquire, Repeat!

You’ve taken the first step by doing your research and then just going for it… You’ve applied for your first job. Now what? Don’t just sit around waiting for the phone to ring. Keep searching for a job and then Apply, Inquire, and Repeat!!

1. You have narrowed down your search and you know what positions are most appealing to you. You’ve applied for the job you’ve been dreaming of ever since your first day of class. Don’t stop there. Keep reading about various companies and the differences between them all. What makes the company unique? What might one company offer that another does not? How do these companies compare to each other? Keep applying.

2. Now you’ve landed an interview! Congrats! Have a list of questions ready to go – How does the company pay their employees; salary, per hour, or other? Are you required to work weekends? What benefits are offered? Are you responsible for finding your replacement if you need a day off? How many facilities will you be required to cover? Are you required to sign a contract or a non-compete clause? Is there opportunity for advancement? This is also your opportunity to sell yourself to the employer and prove yourself as the best applicant for the position. Asking questions and taking a real interest in the company will show that you are looking for a position that will be a great fit and that you’re prepared to make a well informed decision.

3. And finally, repeat! When you are asked to go on another interview, go for it! Ask the same questions. Compare the companies. Go on as many interviews as you’re offered. Don’t pass up a chance to learn more about a potential employer. Keep your list of questions handy and review the answers that you were given from each company. Using this system will provide you with an easy way to determine which companies would be at the top of your list. You will quickly learn what benefits and perks are most important to you when it comes to your new job.

Don’t rush and accept the first job offered to you. Although the application and interview processes can be stressful and tedious, it is well worth your time to investigate multiple jobs. Applying for opportunities with different companies and attending multiple interviews will arm you with very valuable assessment information. You might say, “Oh, this job would be perfect for me!” about every job you apply for, but you won’t really know which position is your perfect match until you have similar information from each company.


Therapy Center currently has Occupational Therapy job opportunities in central Louisiana.

Email Ava Hebert, recruiting@therapyctr.com, to inquire today!

Therapy Center Recruiting

January 24, 2013

Therapy 2013: What is CERTAIN in Uncertain Times

Filed under: Blog,Compliance — Tags: , , , , , , , — Kristi Fredieu @ 3:14 pm

“The SNF 2013 final rule alters reimbursement rates, changes some procedure codes, penalizes providers who do don’t participate in one quality reporting system, and refuses payment for claims that fail to include other quality measures.” (12/18/12 ASHA Leader)

Outcome Reporting:

While the SNF 2013 final rule requires reporting to begin on January 1, 2013, the first six months of 2013 is being considered a transition period. Beginning July 1, 2013, in order to receive payment, CMS mandates that Part B therapy providers document G-codes on admission, discharge, and every 10th visit in the medical record.

While G-codes may not be difficult to report, they will require the coordination of your therapy team and billing department to ensure that these measures are correctly coded. These claims will not be denied nor will they be paid in the event that G-codes are not included. It is critical that your therapy team and biller work together closely to ensure that all therapy provided is coded correctly and reimbursement is received. Click Here to learn more

Therapy CAPS:

CMS has increased therapy caps to $1900 for Physical and Speech Therapy combined and $1900 for Occupational Therapy, a $20 increase from 2012.

Continued use of the KX modifier with an authorized exception for claims beyond $1900 is required until the patient reaches the $3700 threshold. Once the threshold has been met, manual medical review is required to continue reimbursable therapy services.

This process requires immense collaboration in the SNF between Social Workers, Admission Coordinators, Billers, and Therapists to accurately track what services have been received and billed in order to determine at what point modifier use and submission of manual exception paperwork is required. Ongoing collaboration is necessary as significant delays and conflicting information has been received by facilities since implementation of this process 10/1/2012. For more information visit the Novitas website

Additionally, both ZPIC Audits and the OIG pledge increased scrutiny on Skilled Nursing Facilities. During these uncertain times, it is critical to have a dependable therapy team coupled with up-to-date compliance knowledge to ensure that you are being reimbursed for care provided in your facility.

Therapy Center’s dedicated Compliance Department stays up-to-the-minute on the ever-changing and often-confusing rules and regulations. We provide on-going education to staff — our own as well as the staff in our partner facilities — to give you the peace of mind in knowing that new regulations are being met, and arming you with the tools you need to fight denials if necessary.

In these uncertain times, you cannot just continue with the status quo and hope for the best. Take a proactive step to help secure the future of your facility.


Contact Therapy Center today to receive a complimentary, customized review of your facility and a one-on-one consultation to discuss how we can help you continue your success.

Kristi Fredieu
Business Development & Marketing Manager

January 7, 2013

Landing a Great Job Vol. 1: Do Your Research

Finding the perfect job is easier said than done. But there are things you can do to ensure that you’ll make a good decision and you won’t find yourself in an unpleasant situation.

1. First things first…determine what setting is the best fit for you.

Pediatrics, hospital, home health, skilled nursing facility, inpatient rehab, outpatient clinic, traveling therapy, or something else? Each setting has certain characteristics that may or may not fit your lifestyle and personality. For example, do you prefer to work in a single facility and know that you will work the same schedule every single day? If so then an outpatient position might be the place for you. Perhaps you enjoy a constant change of scenery and you like to work independently; then you may consider a position in home health. If you enjoy daily interaction with other therapists and those of different disciplines, a job in skilled nursing or inpatient rehab may best suit your needs. Whatever the case, you should determine this before you go out on your quest for the perfect position.

2. Next, narrow down your choices and do your research on the top picks.

What type of atmosphere does the company have as a whole? Who runs the company and makes all the major decisions? Will you ever interact with these decision makers? Does the company have a website, and is it functional and up-to-date? Does the company participate in social media? If so, visiting the company profiles on those sites can really help you to learn what the company is doing internally and within the community. Arrange an on-site tour. Nothing will give you a better feel for the company than spending a few hours or a day in the facility shadowing a therapist. See for yourself how working for that company would make you feel.

3. And finally, ask around.

Do you know anyone who works for the company? Ask them for their opinion. Get the inside scoop… What is it really like to work for this company?

Job hunting can be a tedious process and it’s easy to make a quick decision. Know this ahead of time and try not to act impulsively. Take time to do your research so that you can make an educated decision that you are happy with at the end of the day.


Did you know that Therapy Center was named as “One of Acadiana’s “11 Great Places to Work”? Read the article here.

For more information on Therapy Center careers, contact:
Ava Hebert

July 12, 2012

Is Your Therapy Team Maximizing Reimbursement?

Filed under: Blog — Tags: , , , , — Kristi Fredieu @ 2:34 pm

A complete therapy team– including Physical, Occupational, and Speech Therapy– is vital to the success of your therapy program as well as the success of your reimbursement under Part A, Part B, and Medicaid.

With regards to quality patient care, providing all disciplines of therapy provides a more thorough assessment and intervention program for your patients. From fall prevention to pain management, dysphagia monitoring to ADL’s, each discipline of therapy provides a unique set of offerings to benefit patients.

Physical, Occupational, and Speech therapists should not only be present in your facility daily, but should be available to your staff and patient families for in-services and training to ensure individualized patient care. Timely screens should be conducted by all disciplines prior to Case Mix assessments to determine if there have been changes in function that would warrant therapy, thus increasing CMI regardless of payor source.

Part A reimbursement is greatly impacted by availability of therapists as treatment minutes provided over the 7 day window are most easily maximized when all warranted disciplines are involved. Absence of one or more discipline can leave patient needs unaddressed and Part A money on the table.

Part B revenue can best be increased by having a full team actively participating to improve early identification of patient issues and reduce risk of falls, wounds, contractures, aspiration pneumonia, and the like.

Therapists who sporadically fly in and out of facilities are not able to detect mild changes in patient function in order  to proactively address patient needs — often costing facilities revenue due to recurrent hospitalization, need for equipment, increased dependence on staff and the potential of other illness related to regression.

Knowledgeable, available, and involved therapists are critical to maximizing your Part A RUG rate reimbursement and Part B revenue and Case Mix Indices. Therapy Center provides geriatric-focused therapists of all disciplines to its partner facilities ALL day, EVERY business day. Does your therapy provider?

For more information on Therapy Center’s programs, contact us today!

Kristi LeLeux FredieuKristi Fredieu

June 19, 2012

Are Administration and Therapy on the Same Team?

Filed under: Blog,Compliance — Tags: , , , , , — Kristi Fredieu @ 8:58 am

2012 regulations have brought about changes to standard assessment reference windows, coupled with new changes regarding requirements for End of Therapy OMRA’s, making communication between administration and therapy essential to ensuring the best possible RUG date is selected for maximal reimbursement. Add to this the creation of Change of Therapy assessments by CMS, and the potential for Medicare Coordinator exodus has increased exponentially.

Therapy Center is always available – not only to provide the best quality care to our patients but also to provide valuable guidance on RUG planning to our partner facilities. Our Compliance Director maintains open communication with MDS Coordinators to ensure that the best decisions are made in those tricky cases where a variety of options are possible. Administrators should arm themselves with information regarding the number of “extra” assessments being done and the potential financial impact of those assessments on their facility.

Everyone knows the challenge of finding and keeping a good MDS nurse. Is your therapy provider working with you to make sure that additional work is not being added to your MDS nurse’s role due to under-staffing, poor planning, or mismanagement on the part of your therapy department?


Let the Therapy Center team assist your facility in establishing its place in the continuum of care and provide the therapy required to utilize short-term Part A stays. Your patients will benefit — and your revenue will too!

kristi-fredieuKristi Fredieu
Business Development & Marketing Manager

June 12, 2012

Preparing Patients for the Return to Home

Filed under: Blog — Tags: , , , — Kristi Fredieu @ 1:26 pm

Embracing Our Role as a Stepping Stone from Hospital to Home

It is vital, in the face of ongoing healthcare reform and cuts to Medicare and Medicaid funding, that Skilled Nursing Facilities clearly define their place in the continuum of care in local communities.

Increased scrutiny on length of stay for acute hospitalizations and rehab placements has forced early discharge on patients with a variety of medical events. When faced with discharge options, families and caregivers often opt for discharge to home with home health or outpatient services, even though reduced mobility, frequency of treatment, and convenience all pose risk to returning to prior level of function.

Why would a family member choose an option that will likely not produce the best possible outcome for their loved one? Simple: fear.

There is a long-standing and commonly-held perception that nursing homes are only for long-term and low-function with little to no promise of returning home. This could not be further from the truth and Therapy Center is committed to providing the education and services to change that image.

- All of the homes that Therapy Center partners with benefit from full-time Physical, Occupational, and Speech therapists with specialized training in geriatric medical issues. Our therapists are available 5 days-a-week and as needed on the other 2 days, to provide the necessary intensity of therapy to allow for functional return to home.

- Therapy Center’s marketing team works tirelessly to communicate with and help educate discharge planners, physicians, families, and patients on the importance of intense treatment in the early aftermath of illness or injury and the vital role that nursing home facilities play in the patient’s continuum of care.

- We work closely with in-patient rehabs, home health agencies, and health care providers to guarantee that patients are given every possible opportunity for independent or aided living in their own homes with length of stay varying from one week to a full 100 days of skilled care, depending on diagnosis and progress. Short-stay residents frequently return for visits and if their skilled nursing experience is a successful one, there is no better way to get the word out to the local community than through the words of a former patient!

Let the Therapy Center team assist your facility in establishing its place in the continuum of care and provide the therapy required to utilize short-term Part A stays. Your patients will benefit — and your revenue will too!

kristi-fredieuKristi Fredieu
Business Development & Marketing Manager

June 5, 2012

Therapy Center Student News: Walker Gardner, PT Student

Walker Gardner, who is pursuing his degree in physical therapy at the University of St. Augustine, recently sat down with us to talk about his experience while doing a clinical rotation at our partner in-patient facility, Rehabilitation Hospital of Jennings…He’s got some interesting things to say, check it out…

Watch and read more student interviews here….

May 28, 2012

Speech Language Pathology Spotlight: Katy Brennan

Filed under: Blog,Speech Therapy,Team Member News — Tags: , — Kristi Fredieu @ 1:03 pm

In celebration of Better Speech and Hearing Month in May, we are highlighting some of our longest tenured therapists…

Katy Brennan, originally from Broussard, Louisiana, received her Master of Science Degree in Speech/Language Pathology from the University of Louisiana @ Lafayette. She began working for Therapy Center in 2009 and is currently a full-time SLP at Tri Community Nursing Center in Palmetto, Louisiana. Katy has been a true asset to our team and here is what she had to say about her life and career as an SLP.

Why did you choose the field you work in? I honestly thought that I wanted to be a nurse.  A lot of my family members are nurses, including my mom, so I thought that was what I wanted to do until I realized that the sight of blood and seeing people in pain wasn’t my cup of tea.  I chose this field my first semester in college knowing that I could change to another major if it wasn’t for me but I realized that it was exactly what I wanted to do.   I love to talk and I love to eat so what better job for me than to help people communicate while improving their ability to enjoy all the foods of our culture.

What is the most rewarding part of your job? The most rewarding part of my job is helping my residents reach their personal goals, whether it’s improving their swallow so that they can eat the foods that they love, communicate with their family/peers, or safely return home after a stroke/fall.   Sometimes the most rewarding part is helping caregivers/family understand the progression of a specific disease process , cope with the loss of the person they remember, and helping them to find ways to continue to communicate and emotionally connect.

Favorite part of working at Therapy Center? The best part of  the Therapy Center is the people that I work with.  It’s another family to me.  I’m very grateful for all of the relationships I have with my coworkers company wide.  We laugh together, cry together, sometimes have drinks together.   I work for good people and I work with good people who are good therapists.

Hobbies/areas of interest: I’m the mom of the cutest little boy I know.   His name is Briggs and he’s 18 months old.  He keeps me incredibly busy and is relentless with his love for playing outside and making sure that every toy he owns is pulled out several times a day, every day.   I don’t know if my hobbies have changed or if I’ve just learned to better appreciate long uninterrupted baths, 20 extra minutes of sleep, small efforts of friends and family to help in any way, and a good glass of wine.

Learn more about Therapy Center’s team members here…

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