December 23, 2011

Congratulations Charlene Kuhia and Edna Hedani!

The Nutrition Services team recognized Charlene Kuhia for 35 years of service, and Edna Hedani for 20 years of service! Congratulations ladies, and thank you for your dedication!

December 20, 2011

Marilyn Marcelino Recognized for 20 Yers of Service

Congratulations to Marilyn Marcelino who was recognized for an amazing 20 years of service! She's pictured above in the Santa hat with the Kahului Environmental Services team.

Congressional Gold Medal of Honor Received

Congratulations to Adult Day Health client, Harold Kishaba, who was presented with the Congressional Gold Medal of Honor for his service during World War II with the 100th Battalion/442nd Regimental Combat Team and the Military Intelligence Services!

December 16, 2011

Senior Winter Ball

On Friday, December 2nd St. Anthony’s high school students hosted the Winter Ball at Hale Makua Wailuku. The area under the umbrellas was all decked out for the Las Vegas theme. The ladies got their hair, make up and nails done by the students. Santa even made an appearance after the games were done, and passed out presents for all!

Charlotte Keegan ready for the ball!

The students did a wonderful job decorating our outdoor area!

Santa is pictured here with Henry Kaina.

December 15, 2011

Men at Work

Today the Men's Club at Hale Makua Kahului gathered to assemble and begin painting their woodcraft project - wooden trucks that double as a bank for coins. Stay tuned for more Mens' Club photos and painted trucks.



December 9, 2011

December 5, 2011

Resident Plant Expert

Hale Makua is fortunate to have an in-house plant expert. Bob Sanders used to own a nursery in Hana and has now brought his knowledge of plants and exquisite eye for plant composition to Hale Makua. He spends his time putting together elegant air plant arrangements that are later sold. These arrangements are so popular that even the ones that he is currently making are already accounted for. We're very fortunate to have Bob here where we can watch his talents at work creating something simply and naturally beautiful.

December 2, 2011

Hale Makua Wailuku Enhances Resident Dining Experience


In a continuing effort to improve the dining experience at Hale Makua Wailuku, residents who choose to eat in the dining room can now enjoy restaurant-style buffet dining. Meal orders are taken, and selections are served up hot from the buffet table. Residents are also offered alternative entrees just in case they prefer eating something that’s not on the buffet line. Meals are served just as they would be in a restaurant, which also means no more trays!

Here’s what some of the residents are saying about the food and the new dining style:

Dolores Villarimo (Aunty Dolly): I like it. I’d rather have that than when they bring in all the food. I’d rather they ask me so I can choose what I want to eat. Everybody’s different you know.  And I don’t like to eat so much food. I like my vegetables and my Jell-O. And I like all the workers, they’re all nice.

Eileen Kailihou: It’s good and I like the food there. It’s very tasty and I like the people there. They’re very nice.

Sarah Takatani: I think it’s better than the trays. They give me whatever I ask if they have it. I like that they take my order. I think it’s real good.

Alan Camara:  It’s nice now, the way the buffet is made, everything comes up hot. What we order comes to us fast. We can order hamburgers or hotdogs and dessert. And we can have things on the side if we want.

A FaBOOless Halloween


At Hale Makua Wailuku Lynsey and Peter Kaina (pictured above) dressed as bacon and eggs for the Halloween contest. Contest judge Asha Piekarz picked from a bunch of creative and spook-tacular costumes. Among the winners were Peter Kaina, Ricky Totoki, and Charlotte Keegan.

A Spook-tacular Costume Contest

Hale Makua Kahului residents, staff and children participated in a costume contest on Halloween. Clockwise from top, left: Gloria Destifano dressed up as a clown, Wally Oshiro was a gangster, Shigeko Nemoto donned a beautiful kimono as a geisha, costume contest winner, Marie Olsen, dressed up as a hunchback, masked Vilma Sanchez was a very scary werewolf, and Helen Olivera was a very convincing police officer.

November 30, 2011

A Special Visit by the Japanese Consulate



























Mrs. Tamori was presented with a document from the Japanese Consulate, recognizing her 100th birthday. Also present to commemorate this significant milestone were Mrs. Tamori's son, daughter-in-law, and two grandchildren.

November 22, 2011

Veterans' Day Celebration

The ladies and girls of Hula Halau Na Pua O Kapiolani perform for the residents of Hale Makua Kahului in honor of Veterans' Day.

November 18, 2011

We LOVE Our Student Volunteers


We have some truly amazing volunteers. Many of our volunteers come from nearby schools. These students helped residents of the West Neighborhood make festive decorations for the holidays.

November 17, 2011

We've Started a Men's Club


Hale Makua Kahului now has a club just for the guys! The club meets once a month to get together to work on projects and talk about what kinds of things they'd like to do in the future. Initially the club started with the idea of giving male residents a place to get together and work with they hands on woodwork types of projects.

Maintenance & Engineering Director, Mark Souza, is currently heading up the Mean's Club. They're working on table top projects that could be sold at craft fairs. They've talked about having barbecues, watching sports events, and going fishing. But their dream would be to go to Vegas!
The Men's Club is open to anyone, and future meetings will be posted on the Hale Makua Kahului Activities Calendar.

Residents Help Sew Cart Covers

From left Nancy puts up a fabric panel; Vilma gets the fabric ready; and Juanita jokes around with Bety

Hale Makua Kahului residents help Activities Assistant Bety put on beautiful, handmade fabric covers for our continental breakfast carts. Lovely Hawaiian prints now adorn our carts as they roll out every morning for Continental breakfast in each neighborhood.

November 1, 2011

A Celebration of Aloha

Residents enjoyed song and dance during Hale Makua Kahului's Aloha Week program.

Reaffirming Our Commitment to Quality of Care and Life


We have recently renewed our membership on The Eden Alternative® Registry, reaffirming our commitment to improving the quality of care and quality of life for the people who live and work here. Our 50 Certified Eden Associates continue to educate those connected with their home about person-directed care, based on the Ten Principles of The Eden Alternative. As we deepen our understanding of these concepts, the residents and those closest to them are being honored, respected and are growing as individuals, thus transforming how care is provided for the over 300 people who live at Hale Makua.

As a member of the Registry, we joinThe Eden Alternative as a leader in the “culture change” movement in long-term care. "Culture change" is the common name for a global initiative focused on transforming care, as we know it, for residents and individuals living with disabilities. It advocates for a shift from institutional models of care to person-directed values and practices that put the person first. Weconsistently demonstrates the core person-directed values of choice, dignity, respect, self-determination and purposeful living.

"Here at Hale Makua Health Services, we have reaffirmed our status as an Eden Registered Home, and our team remains committed to creating a warm, loving home using the principles and practices of The Eden Alternative," said Connie Miller, Hale Makua Wailuku Administrator. Since becoming an Eden Registered Home in 2009, Hale Makua Health Services has made many changes to create a life worth living for our residents free from the three plagues of loneliness, helplessness, and boredom. “We are all benefitting from our partnership with The Eden Alternative as we transform Hale Makua Health Services into a resident-centered community, where the residents and the staff, who work with them as care partners, grow and thrive together. The well-being of the residents and their care partners continues to improve, as we move forward and put the Eden Philosophy to work."

Research shows that improving working conditions and the quality of work-life in long-term care environments is vital. When direct care providers are nurtured, cared for, and respected, they provide better quality of care for residents. Improving the way we, as a society, provide long-term care will have a significant impact on many millions of Americans as the population ages and begins to rely more on the support of others to meet basic daily needs.

Pumpkin Preparations

Residents create festive Halloween pumpkins to decorate our community.

October 21, 2011

Creating a Warm, Unique Living Environment



We were thrilled that Mrs. Tanaka’s family joined in on the fun of making her room unique to her by decorating her window with a tree that represents her at the center of the team, and flowers all around with the names of the staff who care for her. 

October 19, 2011

New Dining Practice Standards Finalized

10/18/2011 Provider Magazine
The Pioneer Network has finalized new Dining Practice Standards, agreed to by 12 national clinical standard-setting organizations, for supporting individualized care and self-directed living versus traditional diagnosis-focused treatment for people living in nursing facilities, the group said on Monday.

The document includes the following new standards: Individualized Nutrition Approaches/Diet Liberalization; Individualized Diabetic/Calorie Controlled Diet; Individualized Low Sodium Diet; Individualized Cardiac Diet; Individualized Altered Consistency Diet; Individualized Tube Feeding; Individualized Real Food First; Individualized Honoring Choices; Shifting Traditional Professional Control to Individualized Support of Self Directed Living; and New Negative Outcome.

“The importance of these new agreed-upon clinical standards cannot be overstated as food and dining are an integral part of individualized care and self-directed living for people living in nursing homes,” the Pioneer Network said.

The organization will submit the new standards to the Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), Centers for Disease Control and Prevention (CDC), and the long term care community at large.

It is anticipated that CMS will refer to the new standards of practice within long term care interpretive guidance where they fit as the agency usually refers to the current standards of practice set by the clinicians who work within the long term care field. 

According to the Pioneer Network, food and dining are an integral part of individualized care and self-directed living for several reasons, including the complexity of food and dining requirements when advancing models of culture change, the importance of food and dining as a significant element of daily living, and because the most frequent questions and concerns CMS receives from regulators and providers consistently focus on dining and food policies in nursing homes.

“Therefore, we believe this area is one most in need of national dialogue if we are to improve quality of life for persons living in nursing homes while maintaining safety and quality of care,” the group said.

The recommendations were acted on in conjunction with funding from the Rothschild Foundation to the Pioneer Network in 2011, which allowed formation of the organization’s Food and Dining Clinical Standards Task Force. The task force is comprised of symposium experts, representatives from CMS’ Division of Nursing Homes, FDA, and CDC as well as national standard setting groups.

Download the new standards HERE.

Recreating a Simple Pleasure


The Nursing Office decided to recreate a simple pleasure for Marieta Yalon, who lives in the Lanai Neighborhood. She identified one of her pleasures in life to be making a favorite Filipino dessert called Tambo Tambo.  In this picture, Nana Yalon teaches Mona Ordono, UR Assistant, and Chris Casio, Nursing Supervisor, how to make the dessert. 

October 18, 2011

Unique Reisdent Room Sparks Conversation


Annie Quitan used to love to travel, so the Lanai Day Shift team decorated her window to reflect that.  Now others see the pictures and stop to ask her about her travels.  Annie and her son, Vic say they are really happy with the display. 

Hale Makua Wailuku Starts New Luana Project

At Hale Makua Wailuku, teams selected one of three Luana projects to implement. The projects are based on Eden principles and philosophies, and come from the Seed Packets book. 
  • One option was to create a spontaneous moment in the life of a resident, because boredom occurs when our lives lack variety and spontaneity.  
  • A second choice was to make a change in the resident’s room to make it unique to him or her, because humans weren’t meant to live in a cold, sterile environment.  
  • The third project was to recreate a simple pleasure from the resident’s life before Hale Makua, because the opportunity to do things we find meaningful is essential to human health.  
The next series of posts will feature care partners implementing these Luana projects.

October 4, 2011

George Rides in Style to the Maui Fair


One of our dedicated volunteers, Ron Rawson, approached Activities Director Teresa Lopes after he found out that resident George Ishii would be his partner at the fair. He said he would love to drive George to the fair in his sports car with the roof down. Teresa knew that George would get a kick out of that. The only glitch was that Ron could not fit Georges wheel chair into his car. Maintenance & Engineering Director Mark Souza graciously said he would follow Ron and George to the Fair with the wheelchair in a Hale Makua truck. George had a blast with the wind blowing through his hair!

October 3, 2011

Barbara Visits Her Home Garden

Above are pictures of Barbara Silva in her yard in Makawao. Barbara came to Hale Makua in November 2010, one day she was telling our Activities Director Teresa Lopes about the day she fell in her living room at home and was taken to MMMC and then to Hale Makua. She shared that since that day she has never gone home and more then anything she would love to just go to Makawao and be able to see her home. Well her wish came true Activities Assistant Jade and Teresa escorted her to her home. That day Barbara brought back four rose plants to put in the Pikake neighborhood garden that she tends to.    

September 2, 2011

Eden Alternative Tip of the Week: Things Great Leaders Do

Maintain your warmth and sense of humor, especially during a crisis. You can maintain your professionalism and still adopt a warm, lighter style of interaction with people.

Tell people when they are blowing it. Be genuine about what you see happening. This builds transparency and helps others to open their eyes and achieve a new perspective.

Be the leader AND conduct yourself like a care partner. The most admired leaders are those who are genuinely humble.

Let your guard down and really be yourself. To build a cohesive team, enjoy a meal with others, relax, let your guard down, and be a regular human being. With a little practice, relating to your team in this way will become second nature.

Make bets on people you believe in. Constantly challenge individuals and help them to think of new ideas to grow the organization and themselves. A leader that believes in their team is able to stand behind them, even when it’s not entirely clear what their goals are.

Balance your care partner’s weaknesses. If you have care partners that are more task-driven, push them to see the bigger picture. Eventually, they will appreciate that it will help them be more effective and be an even stronger asset to the team.

Compliment your care partner’s strengths. Take the time to point out your care partners’ strengths. If they are not aware of them, this may help them see themselves in a new light.

Share the toughest, most agonizing lessons you’ve ever learned. Being vulnerable not only builds trust, but helps others make wise choices along the way.

Do the right thing. Show – don’t tell. Trust others to do the right thing.

Do what has to be done, no matter what. A great leader will find success.

August 30, 2011

Award boost for ‘steersman’ trying to ride out storm

Hale Makua’s CEO: Going to take hard work to come back from financial cuts

Our CEO Tony Krieg (right) pictured with Board Chair Roy Sakamoto
August 30, 2011
By MELISSA TANJI - Staff Writer (mtanji@mauinews.com) , The Maui News
Before accepting a $10,000 leadership award Monday, the chief executive officer of Hale Makua Health Services described himself as the organization's "steersman" in "rough seas" generated by cuts to Medicare and Medicaid, the financial lifeblood of his nonprofit agency that provides nursing home care and other services on Maui.

"I would say this is the darkest and most challenging time I have ever seen in terms of funding and resources to care for an exploding frail and elderly population," said Tony Krieg, who has been at Hale Makua for three decades.

Because of the cuts, competition and other factors, Hale Makua has 60 empty beds at its nursing homes in Kahului and Wailuku. He said it's going to take hard work, extra direction and steering in the next three to five years to ride out this storm.

On Monday, Krieg received a boost as he tries to steer Hale Makua into better times. He was presented with a 2011 Ho'okele Award at a ceremony on Oahu. The award was established in 2002 by the Hawai'i Community Foundation and the Wallace Alexander Gerbode Foundation and aims to recognize and strengthen the leadership in the state's nonprofit sector.

Receiving awards with Krieg were Lea Hong, Hawaiian Islands program director for The Trust for Public Land; Robert G. Peters, head of school of Hanahau'oli School; and Leslie Wilcox, president and CEO of PBS Hawai'i.

Award recipients each receive $10,000 to be used for their professional development and personal renewal. Over the past 10 years, $420,000 has been presented to 42 recipients.
"We recognized that Hawaii was in danger of losing incredible executive talent in the nonprofit sector in part because many executives had little opportunity to renew themselves and marshal the stamina to continue their demanding work," said Kelvin Taketa, president and CEO of the Hawai'i Community Foundation. "The Ho'okele Award (which means navigator or steersman in Hawaiian) allows us to recognize, thank and reward our community's truly selfless leaders."
"I really appreciate and will take advantage of this award," Krieg said. "I'm not sure what exactly I'm going to do. Maybe take a trip with a friend and taking photographs in a couple of national parks for a couple of weeks to give me some space to reflect on the challenges ahead."

"I wish I could extend the same thing for our staff," he continued. "We work 24 hours, seven days a week for people, (that) otherwise their family can't take care of."

Krieg joined Hale Makua Health Services in 1981 and was named CEO in 1986. He oversees more than 500 employees in four programs that provide nursing home care, social work, foster care management and rehabilitation services on Maui.

His work also extends to the state's long-term plan to research, create and execute goals for Hawaii's growing frail and disabled population as part of the Hawai'i Long Term Care Commission.

At Hale Makua, Krieg said that 85 percent of its clientele are covered by Medicare or Medicaid and that cuts to those programs really hurt his agency. Since August, there has been a 3 percent cut in Medicaid payments, and in October, there will be an 11 percent reduction in Medicare payments, he said.

He added that the state's decision to privatize the Medicaid program for the aged, blind and disabled also has hurt his agency. Managed care insurance companies look for other ways to keep people out of nursing homes like Hale Makua, which can cost more compared to other alternatives, he said.

This loss of revenue led to five layoffs at Hale Makua this past year. If more cuts come, there may be more who may lose their jobs - which Krieg does not want to happen.

Through these difficult times and all these years, Krieg has stayed with Hale Makua and been driven by a desire to help those for whom their families can no longer care. He recalled an elderly woman many years ago, his girlfriend's grandmother, whom he enjoyed seeing. The grandmother ended up in a nursing home, and "it was a real sad thing," he said.

As the director of a large nursing home, he remembers that grandmother and tries to do right by her.

Krieg said that although the award is "for the guy that is steering the ship," it's his staff, board, committee members and the community who have made Hale Makua successful.

"It's been a community effort, and with the community's help, we'll get through this," he said.

* Melissa Tanji can be reached at mtanji@mauinews.com.

August 25, 2011


Resident Dolly Villarimo (pictured above) loves gardening and takes pride in the work she does for our gardens at Hale Makua Wailuku. She shared with Activities Director Lynsey Capone, that years ago Tiger Woods stopped at her house on Maui to take pictures of her beautiful garden that she worked so hard on!

Making Hand Made Cards


This week neighbors and care partners gathered at Hale Makua Wailuku on the Lanai Neighborhood for a card making class. Activities Assistant Donna Gamurot showed residents how to use different kinds of stamps and colors to make beautiful greeting cards to give to their loved ones, friends, and care partners.  

Pictured above from left is Julita Kaiama, Sozima Medeiros, Donna Gamurot, Francis Kirby, Marieta Yalon, Rosalie Alcon, and Trisha Gonsalves

August 22, 2011

Eden Alternative Tip of the Week: LifeBio's Seven Tips for Intergenerational Experiences

It's back to school season, and it is important to create a clear strategy to ensure that youth and Elders come together more and that the  experience touches and transforms people's lives in a powerful way.

Here are seven tips for success: 

1. Keep the experience short & simple (at least at first).
2. Make interaction really meaningful for everyone.
3. See everyone as a volunteer.  
4. Use technology if possible.
5. Involve the parents of youth too.
6. Involve the families of older adults too.
7. Keep the momentum going and make it FUN!

August 19, 2011

Cooking with Dr. Laura Ellis

Dr. Ellis rolls out her pasta

Our doctor, Laura Ellis, volunteer to be a guest chef at Hale Makua Kahului and cooked up some homemade pasta with Alfredo sauce, and spinach raviolis for residents to enjoy. Yum!

Juanita hams it up for the camera

Gone Bowling


Residents at Hale Makua Kahului enjoy an afternoon of on-site bowling courtesy of the Activities team, who setup a "bowling alley" in the Aloha Cafe.

Making Pickled Mango


Adult Day Health client, Marion Watanabe, helps make pickled mango to raise funds for Hale Makua Health Services' participation in the Visitor Industry Charity Walk.

Highlights from Our Eden Alternative Reregistration Interview

In order to retain our status as an Eden Alternative Registered Home, we had to submit several letters from residents, family members and care partners in support of our Luana Journey, and take part in an interview with Eden Alternative Community Builder, Denise Hyde, and Eden Registry & Community Liaison, Suzette Molina. Several care partners from Hale Makua Kahului and Wailuku participated in the interview, in addition to two residents: Alan Camora and Laura Waiohu. One of the questions that we were asked was "What are you excited about?". There were so many wonderful things that we're currently doing that I wanted to share them here:
  •  At Hale Makua Wailuku's Eden Alternative Path to Mastery Milestone 1 celebration, a vote was taken to see what  types of things residents, families and care partners would like to focus on in the future, and the one with the most votes was memorializing residents. A team of residents and care partners came together to brainstorm, and what the residents came up with was that they would like to know when one of their neighbors has passed and the way that they would like to be informed was by an overhead paging announcement to be made, asking for a moment of silence in remembrance of the person who passed. The residents also wanted to create a Memorial Bulletin Board where letters, photos, etc. could be posted in memory of residents.
  • Hale Makua Wailuku's Dining Committee, consisting of residents and care partners, is currently creating a new buffet-like dining process where food temperatures are better maintained, since all meals must be transported from Hale Makua Kahului.
  • A gardening club has started at Hale Makua Wailuku, where residents are growing a wide array of vegetables, including cauliflower, broccoli, beans, beats, lettuce, tomatoes, onions, and herbs. The residents choose whether they want to eat the vegetables or sell them so that they can buy more seeds for their garden.
  • At Hale Makua Kahului a resident who used to grow roses at home now grows her own roses in her Pikake Neighborhood and shares them with her neighbors.
  • Another resident from the East Neighborhood is growing eggplant in the neighborhood garden and shares them with the care partners, who in turn sometimes make a dish with the eggplant and bring it in to share with him.
  • There's a Mens' Club starting at Hale Makua Kahului where Mark Souza, our Director of Maintenance & Engineering, is working with interested male residents to work with tools on projects of their choice.
  • On the Ilima Neighborhood, a resident's family member has brought in a bird and is caring for it. Residents in this Neighborhood have also asked for a two person swing to be hung outside so that they can sit and talk story with family members or care partners while enjoying being outside.
  • The Resident Council at Hale Makua Kahului has met with a veterinarian to talk about how a dog might potentially be trained to live at Hale Makua. They are interested in having a dog around permanently, but have reservations about how it would work and who would care for the pet.
  • Hale Makua Kahului celebrated achieving the Path to Mastery Milestone 1 by hosting a Luana Carnival for residents, families and care partners. Each neighborhood and department team highlighted one of the Ten Eden Alternative Principles and featured a fun game. Residents selected the type of games that would be played at the Carnival and mailed out the invitations to their family members.
  • Both homes are working toward shared dining and creating opportunities for care partners and residents to dine together. So far learning circles have been held to gather feedback and input.
  • The Nursing team in Wailuku has begun including the Eden Alternative concepts in interview questions for new nursing care partners, and has also included a resident in the new hire interview process.
  • One care partner at Hale Makua Wailuku asked the residents in her neighborhood who they would like to replace her while she was on extended leave.
  • Administrator, Connie Miller, and Activities Director, Lynsey Capone, are going to become Certified Eden Associate trainers this Fall so that they can come back and begin training additional care partners.
  • Connie is also taking ideas from the book "Seed Packets" and putting them into action.
  • A resident a Hale Makua Kahului has volunteered to take over feeding the koi and fishes in the community fish pond.
  • Residents in Wailuku are starting up a music group again.
  • The care partners in Kahului Activities have each selected one resident that they are getting to know better outside of their regular work duties.
  • Residents have often complained about how loud the gas powered lawn mower can be, so now we use a battery powered one.

August 11, 2011

Residents Help with Luau Preparations

Residents cutting the fabric and pinning together the pieces to form a bag

Some of the residents at Hale Makua Kahului helped us prepare for our annual Ohana Luau fundraiser by sewing beautiful fabric bags for sponsor table gifts. This reflects Eden Alternative Principle #4 - a community with opportunities to give as well as receive care. This is the antidote to helplessness.

Jerry strings a ribbon through the top of a bag
Vilma shows off her work in progress

Mitsue cuts the fabric to form the bag