Tuesday, September 15, 2009

Jewish Home: Not just zoning - also a failure of mission

Jewish Home’s plan to build a 22 story nursing home in a congested area of 100th Street is as bad for residents of the nursing home as it is for residents of Park West Village. JH has a poor track record in treating residents in all three of its nursing homes despite significant resources and clout and despite all that is known about how to improve. A move would delay the need to transform how it operates, administers and supervises, deferring substantial change in how it serves older New Yorkers. A new building, no matter how impressive, is not as important as transforming the institutional culture.


Jewish Home’s ratings are poor. Medicare.gov publishes evaluations of all nursing homes in the country on a scale from much above average, to above average, to average, to below average, to much below average. [Click on "Find and Compare nursing homes" and then enter the name of the nursing home and location. Then scroll down.]


  • As of June, 2009, the overall rating of JH on 106th Street was the lowest possible category: “much below average,” while the unrelated Amsterdam Nursing Home, six blocks to the north, achieved an overall rating of “much above average.”
  • JH’s Westchester Division, Sarah Neuman, despite amenities like serving fine wines was also accorded the lowest possible rating: “much below average.”
  • JH’s 816-bed nursing home in the Bronx received an overall rating of: “average.” But in the recent New York State survey, the Bronx Division narrowly averted the designation of: “immediate jeopardy.” To protect itself from fiscal calamity were that rating applied, the Bronx Division imposed more institutional policies. Its reputation for clinical excellence is eroding as it replaces RNs with LPNs despite multiple medical challenges residents face. As clinical competence decreases, the facility assumes more of an institutional culture.


JH’s downward trajectory on all three campuses shows deep systemic failure, while top management, flanked by high priced lawyers and lobbyists, pursues logos, PR and branding.


This poor performance is rewarded with lavish pay and perks for their top executives. It’s CEO, Audrey Weiner, in the latest available 990 tax form of 2007, earned $800,000 which is double the salary of the President of the United States. Judith Nicholson, Administrator, earned $410,500. Amy Horowitz, researcher, earned $334, 545. Thomas Gilmartin, Chief Administrative Officer was paid $462, 387 and Thomas Ruggiero, Senior Vice President of Finance, was paid $632,102. Below them sit multiple layers of overpaid executive staff. Lobbyist, Ethan Geto, received $280,000 so far over a 2 ½ year period for “targeting the Community Board and City Council” to promote JH’s accelerated corporate interests which compete with fulfilling its mission to residents.


Meanwhile, Certified Nursing Assistants, who provide most of the personal care to the residents earn in the $25,000 range, not a living wage in NYC. As of June 2009, the federal government, in its evaluation of JH rated its staffing: “below average.” Historic poor treatment of C.N.A.s leads to absenteeism, low morale and poor care. Yet hiring too few direct care staff and keeping their salaries low makes it possible for executive compensation to exceed that of any other nursing home in New York.


But our tax dollars are paying for this, In 2007, for example, Medicare and Medicaid reimbursed Jewish Home $85 million. Jewish Home’s total income from client services was $95 million in that year. Taxpayers expect that a greater percentage of public money would be applied to good care for elders and is becoming aware of inadequate transparency and oversight.


Although nursing homes think of themselves as private corporations, each nursing home is a public trust, a legal concept that predates the Magna Carta, and is as old as Deuteronomy urging “Justice, justice shall you pursue.” When a nursing home veers so far from its mission as JH has, as evidenced by its “much below average” ratings, the community must press it to improve.


The good news is that it is more expensive to operate a nursing home as poorly as JH does while it is cheaper and more humane to do it right. JH has convinced some folks that if only they could swap their 50 year old building for a modern one, they could render better care. What they really need to change is their 19th century institutional culture which is toxic to residents, families and staff. The human environment, JH’s legendary difficulty relating honestly not only to the community but to its own residents, staff and families is far more injurious to quality of life than the architecture.

JH must seriously address what’s wrong with how it administers and supervises and what’s wrong with how residents are regarded and treated. It needs to promote professional growth and competence throughout the organization, until bottom up and top down initiatives meet somewhere in the middle.


All over the United States, fresh winds are coursing through nursing homes, replacing an entrenched institutional culture with one where rampant normalcy prevails, where each resident becomes known and unconditionally affirmed, where professional growth, clinical competence and honest relationships are the coin of the realm.


JH needs to become an ethical, responsible steward of Americans’ generosity and spend money wisely to benefit residents and to pay staff a living wage. It needs to replace its military culture towards staff and its corrections culture towards residents with an unconditional commitment to growth, affirming the dignity and worth of each person. And they must prune the creeping corporate culture that has crowded out better judgment and convinced them to mistreat and disregard whole communities in the same way that they disregard the voices and common human needs of their own residents, families and staff.


The voices of residents of Jewish Home join those of nursing home residents all over this country that “resound loud as the roaring sea”: “Do not forsake me when I am old.”


Catherine Unsino, LCSW

Psychotherapist

Consultant in Aging and Alzheimer’s

Advocate in Nursing Home Reform

September 8, 2009

Columbia Spectator

Manhattan Valley Residents Oppose Land Swap

A controversial development plan has some Manhattan Valley locals on the offensive.

By Sam Levin

Published Monday 14 September 2009 07:56pm EST.


The residents of Manhattan Valley are rising up against a potentially higher skyline.

For the past several weeks, residents of 106th Street have raised their voices against the construction of a condo giant after the local nursing home Jewish Home Lifecare and developer Joseph Chetrit announced a controversial land swap in August. Monday night, the battle gained momentum six blocks south, where Park West Village tenants and owners joined forces to oppose construction of the 22-story senior home facility on 100th Street—and all of the traffic, noise, and disruption they anticipate it will bring.

In an interview, Jewish Home Lifecare spokesperson Ethan Geto said that JHL had reached out to attend the meeting and that the offer was declined. But one of the organizers of the discussion, Paul Bunten from Westsiders for Public Participation, said he was not aware of such an invitation.

The basic land swap is a direct property switch that allows the nonprofit nursing home—which has claimed that a new, technologically advanced facility is a necessity—to build its new structure on a Chetrit-owned parking lot on 100th Street. In exchange, Chetrit would be permitted to develop a residential building on 106th Street, which is the current site of the JHL facility.

Preservationists fear that Chetrit will build a tower on 106th Street while and Chetrit and Jewish Home Lifecare are struggling to convince the community that an out-of-context monster is not their intention. Meanwhile, 100th Street has become the site of another land use war.

Tenants and condo owners said they feared extensive traffic on 100th Street between Amsterdam and Columbus avenues, where the local precinct and fire departments are located. Sue Brisk, who lives in 792 Columbus—whose backyard would be the site for the new 22-story building—said that multiple serious accidents have occurred very recently with the influx of foot and vehicle traffic from the new Columbus Square development.

“I look down every day and night,” Brisk said of her fears, adding that she could not even begin to imagine the traffic flow with an entire new facility in place.

Eighty-year-old Bill Gellerman asked the crowd if he thought JHL would someday be a good home for him. Neighborhood resident Catherine Unsino, an advocate in nursing home reform, responded by telling the increasingly angry crowd that Jewish Home Lifecare was a below-average institution, and for that reason, they could not welcome them into their home.

Ultimately, after a speech from Maggi Peyton of the Park West Village Tenants’ Association, the crowd agreed that they would form one umbrella group devoted to opposing the swap entirely.

Cheryl Strong, a disgruntled resident, said that she was already part of anoither anti-swap group, which has urged the New York attorney general to join the cause. Jean Jaworek from the Duke Ellington Boulevard Neighborhood Association on 106th Street urged the crowd to be realistic and think of favorable negotiations—a suggestion which was immediately met with firm opposition.

In response to growing opposition, Geto said that they plan to address the traffic concerns with a full investigation, and further, they intend to reach out to the community through an advisory board as well as a lengthy design planning process that would directly include Park West Village.

“Many people want to stop this,” Bunten said to the crowd last night. “The question is how.”

In response to the community members’ unwillingness to negotiate, Geto said, “We are a nonprofit with a mission. It is imperative that we build that building.”

Wednesday, September 9, 2009

Columbia Spectator article


Property dispute stirs up residents

A four-year land zoning war in the Manhattan Valley region was reignited at the end of August when developer Joseph Chetrit and the New York nursing home Jewish Home Lifecare announced a contentious land swap proposal that has many community organizations and elected officials feeling betrayed.

By Sam Levin

Published Tuesday 8 September 2009 07:15pm EST.

Community preservationist Glory Ann Kerstein says she wants 106th street downzoned immediately.

A four-year land zoning war in the Manhattan Valley region was reignited at the end of August when developer Joseph Chetrit and the New York nursing home Jewish Home Lifecare announced a contentious land swap proposal that has many community organizations and elected officials feeling betrayed.

The basic proposal is a direct property switch by which the Chetrit Group would take over land on 106th Street between Columbus and Amsterdam—where a branch of Jewish Home Lifecare is currently located—and, in exchange, Jewish Home Lifecare would be given the right to construct an entirely new senior home on 100th Street between Columbus and Amsterdam. However, the area designated for the new senior home is currently a parking lot owned by Chetrit and wedged in between the public library and a 17-story Park West Village residential building.

Community preservationist groups, Manhattan Borough President Scott Stringer, Community Board 7, and other elected politicians are saying that the proposed deal appears to be a selfish one that may benefit both parties at the expense of the community. But Jewish Home Lifecare states that it is undertaking a transparent, recession-proof swap that meets the needs of the community and is also the only hope to keep its nonprofit, 150-year-old nursing home alive in a time of financial struggle.

The original battle

The swap proposal is deeply tied to a dispute in 2007 in which Jewish Home Lifecare gained both a “carve-out” from new zoning laws and a lot of angry neighbors.

After two residential tower giants—Ariel East with 37 stories and Ariel West with 31 stories—were erected on Broadway between 100th and 101st streets in 2005, many became frustrated with lost sunlight and space. Community members banded together to downzone the Manhattan Valley neighborhood so that future developers could no longer penetrate the Upper West Side skyline.

In a two-year effort, organizations such as Westsiders for Responsible Development, the Duke Ellington Boulevard Neighborhood Association, and Community Board 7 applied for and gained R8A/8B zoning for the area, which essentially caps all new structures at no more than 12 to 15 stories.

“It was wonderful—it was democracy in action,” local activist Blanca Vasquez said of the successful two-year downzone process.


But Jewish Home Lifecare chimed in for the final month of the process, saying that it could not be restricted by the new downzoning laws, which would stifle its future development of a new, modernized facility.

In response, Vasquez co-chaired a group called the Manhattan Valley Preservation Coalition which, along with CB7 and other local organizations, opposed JHL’s request for an exemption. The activists viewed it as a last minute slap in the face to those who had fought for two years to eliminate tower developments.

Ethan Geto, a Jewish Home Lifecare spokesman, said that, at the time, the facility needed the carve-out because the new zoning would have made it virtually impossible to construct a modern nursing home. And, according to Geto, the construction of an entirely new facility was absolutely necessary due to the inefficient and technologically backward state of the existing nearly 50-year-old building on 106th Street. “We had to find a way to modernize the facility, or else were going to have to shut it down.”

Despite community resistance, elected officials granted JHL a carve-out, or exemption, with minor limitations from the 2007 zoning so that the organization could deconstruct its facility and rebuild under the neighborhood’s original R72 zoning. Simply put, they would be allowed to build a 22-story modern structure despite the downzone.

According to Geto, the plan had been for JHL to sell part of its property on 106th Street to a developer—which would have to abide by the new zoning limitations—and then JHL would use the money from that deal to help finance its new, unrestricted development on the same 106th Street site. “This was about preserving preexisting zoning for the purpose of building a new senior home,” he explained.

The nonprofit’s Manhattan location annually serves thousands of elderly patients seeking short-term rehab, along with hundreds of permanent residents. Around half of the clients are low-income minorities, and the operation employs many local residents, according to Geto.

Politicians thought it was a worthy exemption, but when they heard the news last month that JHL would be giving up virtually all of its land on 106th Street to a market-rate condominium developer, they were not so pleased.

Swap or shut down

In 2008, Jewish Home Lifecare sent out nearly 2,000 bids to national and international developers to purchase just a portion of their land to help them finance the construction of their bigger and more technologically advanced senior home. At first, 72 responded with serious interest. But after the recession hit, only three remained.

Of those three, one developer—Joseph Chetrit—remained standing in 2009, according to Geto. But the deal Chetrit proposed was a bit different.

Instead of spending money from his pocket, Chetrit offered a deal that would be much more promising than any large credit-dependent transaction: swap 100th Street for 106th Street. With development at a halt, this kind of exchange was much more sound than any direct purchase, Geto stated. Chetrit wanted to work on new Upper West Side developments, and Jewish Home Lifecare wanted a new facility.
For JHL, the deal meant staying in the same neighborhood without temporarily dislocating its residents and while also earning some extra cash.

“From our perspective, it is the best possible deal in a very uncertain economy,” Bruce Nathanson, senior vice president of marketing for JHL, told a crowd of disgruntled neighborhood residents at a recent CB7 meeting. “We have to look at the big picture of what we bring to the community.”

But when the deal was announced, surprised community groups immediately expected the worst: that Chetrit would take advantage of the 2007 carve-out and build a monster tower with an unbeatable view in the otherwise downzoned area.

“We feel thwarted to say the least,” Vasquez said. “They are asking us to trust them, and they have not earned that.”

Geto said he has continually tried to convince skeptical neighbors that this swap was something they had never planned and was now a necessity. “This is literally the only viable option,” he said.

In addition, both Geto and Chetrit spokesperson Kathy Cudahy said in interviews that they had no intentions of betraying the community and taking advantage of the 2007 zoning exemption.
But they have not yet proven this by actually applying for R8A/8B zoning to match the rest of the neighborhood. And Geto said they probably wouldn’t do so for another four or five years.

“This deal is far from being signed,” Geto explained. “If we rezone now and Chetrit walks away, we are stuck at 106th Street.” As a result, at the behest of the downzone laws, “We would have to shut down,” he said. “That is not a scare tactic.” He said that JHL plans to construct the new facility on 100th Street in full. Once it is completely finished, 106th Street will be downzoned, and the land will be transferred officially to the developer.

“We want to build something that is contextual with the area,” Cudahy, the Chetrit spokesperson, said, adding that the firm will not build a large tower.

Legally, anyone can apply for rezoning, and many upset residents have said they want CB7 or another political body to rezone 106th Street now, despite the delay that JHL has sought. “If they did that, that would be a very hostile action and it could mean the end to Jewish Home,” Geto said. In that case, he said, “It would be war.”

Deep distrust

Locals who fought Jewish Home Lifecare back in 2007 said they are not convinced that the neighborhood is safe.

“This is such a disappointment to the community,” State Senator Bill Perkins (D-West Harlem) said recently in interview. “Providing Chetrit with that kind of opportunity to build out of context was clearly not our expectation.”

Perkins said that multiple constituents have come to him asking him to urge the New York State Department of Health to drop its funding for JHL, which would be a virtual death sentence for the nonprofit. “That is a dramatic demand—no one wants to do that, but I am hearing the community’s outrage.”

Vasquez said she would not stand to see the community fooled twice. “What they are really asking is for the community to bear the insecurity,” she said. “We are the only ones who can protect this neighborhood, and the only way is through rezoning,” she said.

“They cannot use their nonprofit status to give a gift to profit developers,” Glory Ann Kerstein, president of the Duke Ellington Boulevard Neighborhood Association, said. “We had no trust in them. And guess what, we turned out to be right,” she added.

Kerstein also contested Geto’s threat that immediate rezoning could be fatal to the nursing home. “They could simply apply for a zoning variance if they were in fact forced to develop on 106th Street,” she argued.

Kerstein stated that the community is putting its foot down. “No more zoning games with us—they had their chance.”

A shaky compromise

Jewish Home Lifecare is in the process of drafting what is called a “restrictive declaration.” To avoid the potentially destructive scenario that Geto outlined should they rezone immediately, he declared that this new document would legally force them to rezone once the deal is secure and the new facility is built.

This rezoning would effectively be carried out in full by JHL in an application process to the city, through which they would request the downzone on 106th Street.

Jewish Home Lifecare is also paying for an outside attorney to review the document on CB7’s behalf.

“It has been a tremendous battle trying to prove to them that what we want is what they want,” he said. As a result, JHL is attempting to do so with a legal document.

“We are contemplating moving forward,” CB7 Chair Helen Rosenthal said of this new document. “But CB7 is obviously skeptical.”

Vasquez and Kerstein both agreed that the only protection that will allow them to be fully invulnerable to out-of-context development is an immediate rezoning as opposed to any ambiguously binding document drafted by JHL and possibly bearing loopholes.

Clare Dockery, a 76-year old resident of 792 Columbus Ave., which would ultimately be in the shadow of the new senior home on 100th Street, said that no compromise is acceptable in her eyes. “For me, this is very, very personal,” she explained. Dockery said that she fears the disruptive construction, the influx of traffic on her street, and the lost view from her window. “I can’t even talk about it, I get so angry,” she said. “I would like to see the land swap stopped.”

From the perspective of Alison Currie, a JHL senior social worker who has worked with longtime residents and families for many years, this compromise is in fact essential for her 514 permanent residents. “This building is inadequate,” she said. The new structure, Currie added, will feel so much more like a comfortable home and a lot less like a claustrophobic hospital, with windows in every room, more privacy, a superior dining room, and significantly easier internal transportation.

Sheldon Fine, a CB7 member who was chair of the board during the 2007 carve-out, said that, though he understands the community’s skepticism, the path of a restrictive declaration is the only realistic way for all parties involved to move forward.

While he agreed that the proposed solution seems less secure than an immediate rezoning, Fine said that, in the end, CB7 would not let either party take advantage of the carve-out.

“Ultimately, we have the power to destroy,” he said.

Sam.levin@columbiaspectator.com

Statements from Comm. Bd. 7 meeting

At the Community Board 7 meeting on Sept. 8, 2009,

(1) Jewish Home & Lifecare issued a statement explaining its support for ending the zoning exclusion on its 106th Street site.

The statement, a lobbying piece, says that while the main facility will move to 100th Street (building to begin Oct. 2011), the Kaufman building will be "heavily subsidized" for current and former staff and remain as affordable senior housing.

The statement neglected to mention that Kaufman is needed because JH&L is closing the Stern Building - a building protected under the Mitchell-Lama program. And under Mitchell-Lama, owners are entitled to an annual 6% return on investment over all expenses - so that "heavy subsidy" from the owner is not required. (To learn more about Mitchell-Lamas, click on www.save-ml.org.)

(2) Assembly Member Daniel O'Donnell also issued a statement calling for an end to the zoning exclusion carved out for the Jewish Home.

_______________

Information point: Aside from rezoning by the City Council, the only document that would ensure that any special terms be maintained (such as "use only for community facility purposes") is a "restrictive declaration" filed with the City Clerk.





Friday, September 4, 2009

Traffic problems - foreseen and realized

Jean Green Dorsey of the Coalition to Preserve West Park North writes:

A problem foreseen is a problem half solved

I wish that the above statement were true. It came to my attention that the suggested solution the traffic problems on 97th Street, between Columbus and Amsterdam avenues might be "solved" by denying us, the stakeholders who live in the community, on-street parking. This is not an acceptable solution and should immediately be taken off the table. Already there are back-ups, delays and almost accidents involving medical transport vehicles. This is before school starts and school buses must be added to the mix.

From the start of the development of the Columbus Avenue corridor, we called attention the coming traffic problems and suggested alternatives: before a shovel went into the ground we asked for a traffic study, discussed the possibility of a Disney-style under ground distribution center and said the we were open to any idea that would protect our peaceful living in our homes. I even testified at the BSA Hearings which are part of the public record. People proceeded "as of right" which was and is wrong!

Now, as we come to the Labor Day weekend, we have no choice but to deal with what is happening in our community. What can be done? Denying my neighbors on-street parking is not even a decent temporary solution. If the new "Square" is to have any chance of success, it is time for them to bite the bullet. Ask (beg) for a variance and use the underground vault for off-street parking that can be reached from somewhere other than 97th Street. There is still time to modify the plans and build the ramps necessary to support what has been created.

This is an activist community that knows the power of the vote and how to exercise non-violent opposition. It will not do well to make us band even more closely together.


Jean Green Dorsey

Jewish Home / Park West Village Land Swap: Who's Responsible for What?

The Duke Ellington Boulevard Neighbors Association and Manhattan Borough President Scott Stringer have been in correspondence about who bears the responsibility for bringing the rezoning issue to the City Council. This correspondence includes the letter from Scott Stringer and City Council Member Melissa Mark-Viverito to DEBNA, and DEBNA's response.

Meanwhile, the situation has changed. Glory Ann Kerstein of DEBNA writes:

___________________

"There has been an important development. Jewish Home now says they will not apply for a rezoning of their property to 8A/8B on W. 106th St. until they get title to the parcel on W. 100th St., and they anticipate that will take 25 months!


Our community does not find it acceptable to be in limbo and unprotected in terms of livable zoning for another two years. We are contacting our elected officials, primarily Council Member Melissa Mark-Viverito and Borough President Scott Stringer, to help initiate the rezoning of the Jewish Home's W. 106 St. parcel to 8A/8B immediately. After all, JHH's carve-out would never have happened without their support.


Thanks,
Glory Ann Kerstein
President/DEBNA
Co-Chair/Manhattan Valley Preservation Coalition

Tuesday, September 1, 2009

Cong. Rangel's letter to Jewish Home