Los Angeles Jewish Health: Energizing Senior Life

By Noachim (Noah) Marco, MD, CMD - Chief Medical Officer - Los Angeles Jewish HealthOriginally published here by the California Association of Long Term Care Medicine (CALTCM).I have been a primary care doctor for over 36 years. Over that time, many of my older patients told me a goal of theirs was to get to age 100. It is a landmark birthday, that in 2024 only 0.03% of the US population achieved. The Today show on NBC, continues to honor centenarians by showing their images and briefly describing what they enjoy doing.Therefore, it was surprising to me when a few years ago one of my nursing home residents told me that she wanted me to get her to 99 and one day. I asked Evelyn why her goal was 99 and one day, rather than age 100. Evelyn who was 96 at the time, said that when she hits 99 and one day that she will be able to tell everyone that she is in her 100th year. I responded to her like I had to my other patients that expressed a goal for longevity. I told her that I would do everything medically appropriate to help her reach her goal.Once again, Evelyn responded atypically. She said, “Not so fast, Dr. Marco. I know you are busy, but I’m not done. I have to tell you it’s not just hitting 99 and one day, but how.”She then went on to remind me how she loved to walk. She said that when the weather is bad, and she could not walk around “The Home”, (Grancell Village of Los Angeles Jewish Health) she would walk the hallways of her floor. She told me, “The nurses have even put a chair at the end of each hallway so when I get tired I can sit and rest.” I hoped that I masked my reaction thinking about the possible citation the fire marshal would give us if that was discovered.She went on to describe how she noticed that there are a lot of people in wheelchairs in her building, and divided them into two groups. One group could “self-propel” (her phrase) and go where they want, when they want. The other group are taken out of their beds in the morning, and placed in a wheelchair. Then they are rolled into the common areas. Later, returned to their bed when the nurses decided to do so.I immediately understood what made Evelyn’s two groups of non-ambulatory residents different. The second group predominately had advanced dementia.Evelyn then said, “Dr. Marco, I want to get to 99 and one day, but not if I am like the people who can’t self-propel their wheelchair.” She asked that I do what I could to keep her walking, but life would be acceptable to her if she had to be in a wheelchair. As long as she could go where she wanted, when she wanted.Those few sentences spoken by Evelyn were not stimulated by any question that I asked, and they were much more powerful than the typical answers I got by the questions I asked to understand my patients’ goals of care.I reviewed with Evelyn, and her family that based on what she told me, our team would send her to the hospital if we could not control an acute exacerbation of her chronic conditions, or if she developed a serious acute issue, such an infection. Later, when the nurses called me telling me Evelyn wanted a sleeping pill, I told them (and later told Evelyn) that prescribing it was not consistent with her wishes. It could increase her risk of falling, which might cause her to end up in a wheelchair or even worse have a severe brain injury.I walked into Evelyn’s room on her 99th and one-day birthday and wished her a happy one hundredth year. I asked her “Evelyn are we done?” As expected, she told me her new goal (with the same conditions) was to get to age 100. A similar question and answer occurred on her 100th birthday. On her 101st birthday, the response was quite different.Evelyn shook her head no when I asked if the plan we had followed should stay the same. At that point, she was mostly in bed, on continuous supplemental oxygen, and could not speak more than a few words at a time. She then made a horizontal back and forth motion with her hand across her neck. Signifying she was done. I asked a few more clarifying questions, and looked up at her daughter, who gave me a confirming response. I then put in the order for Hospice, and discontinued all medications not devoted to her comfort.Three months later, I got a call from her nurse saying that Evelyn was transitioning. I quickly walked the few hundred feet from my office to her room. I had the all too rare fortune of watching my patient take her last few breaths, in comfort and peace, and in the place she called home. Her family and the staff who loved her, shared her last moments and honored her remarkable life.I tell Evelyn’s story at least every other week when I mentor the Internal Medicine Residents, and Geriatric Fellows that rotate to my facility. I explain how unfortunately rare it is for patients, their families and clinicians to have such clear and stress-free, end of life decision making. I stress that our standard questions don’t get us the richness of information that we need to replicate Evelyn’s story. I suggest to them that establishing that longevity is a goal is not enough. A question such as “Is there any situation where you would not want to live longer?” should be asked and the responses explored. I hope that our sessions inspire them, and that when they are having end of life conversations that they, and you, remember Evelyn’s words, “Not so fast”.Noachim (Noah) Marco, MD, CMDChief Medical OfficerLos Angeles Jewish Health

At Los Angeles Jewish Health (LAJH), we are enormously proud of the dedicated staff members who help care for our beloved residents. Each person on the team brings their own unique talent and history to the organization, together weaving a beautiful tapestry of care, compassion, and love.Tapestries are right up the alley of Radka Falk, director of LAJH’s popular Arts & Crafts Room, located on the Eisenberg Village campus and a key component of the Lifestyle and Enrichment Department. For nearly 20 years, Radka has been a supportive, engaging, and steadying force at LAJH, helping residents channel their creative energies as they make extraordinary objects of art.Radka FalkA native of Bulgaria, Radka emigrated to the United States in 2000—a single mother of two in search of better economic opportunity.“I worked for a big newspaper and also as a teacher in Bulgaria, but once my son was accepted to university there, I knew that, even with multiple jobs, I wouldn’t have been able to pay his tuition,” she recalls. “It was time for me to make a change.”When she arrived in the U.S., Radka found employment as a private caregiver. In addition to introducing her to her future second husband (a friend of the owners of the caregiving company), the job enabled her to develop critical skills for working with seniors.“One of my clients had Alzheimer’s, and when she was accepted at LAJH, I came and stayed with her for a time,” she says. “The wonderful people I met there offered me a position helping with activities, and that was almost two decades ago. I’ve never looked back.”What many do not know about Radka is that she is an accomplished writer and painter who has authored multiple well-received volumes of poetry. Securing her position at LAJH allowed her to combine her interest in the arts with her newfound abilities in senior care. Under her direction, the Arts & Crafts Room has become a beloved retreat for residents, many of whom visit several times a week. She shares her passion for textile-making and helps others create beautiful handcrafts, from sweaters and skirts to quilts. The participants also work with Radka to explore a wide array of other artistic mediums and to explore their culinary side by cooking delicious baked goods in the onsite kitchen.“I love to knit and to sew, and I also love to help people,” Radka says. “In this job, I get to do both. I am so grateful to have found a home at LAJH.”Both Radka’s colleagues and residents at LAJH say the appreciation is mutual.“It is a pleasure working with Radka,” says Annette Weinberg, campus lifestyle and enrichment director for Eisenberg Village. “There’s something very special about her: She’s such a positive force and a loving person, and her creativity is just amazing. Whether someone needs a hem stitched or we’re seeking blooms to decorate the dining room, she always says ‘yes.’”It’s a sentiment repeated again and again by all who know her.“Radka and I have been close,” says resident Norman Garber. “It’s a pleasure collaborating with her because she’s so talented; there isn’t a thing she can’t do. And she is so compassionate and kind—always with a positive word for everyone.”Radka helps display artwork from resident Norma GarberRadka’s cheerleading offers residents a big boost as they undertake new creative endeavors.“She’s so fantastic at helping me explore my sewing abilities, and she helps me push the limits of what I can learn to do,” says resident Casey Joseph. “I love how understanding Radka is and how she can listen to your ideas, then figure out a way to make them real. It’s such a feel-good environment that I look forward to coming to Arts and Crafts five days a week!”Arlene Bercu, another LAJH resident, is equally glowing in her praise.“I knew at once after touring the Arts and Crafts Room that it would be my happy place,” she says. “Everything Radka does is original and creative, from the beautiful handbags down to the made-from-scratch mandel bread. I actually wore a dress she made me in our recent Purim play. I always tell her she should have owned her own couture shop!”In March, Radka brought the world of high fashion directly to LAJH, working with Annette and the rest of the Lifestyle and Enrichment team to run a fashion show featuring clothes she has made for residents. The clothes were modeled by the residents themselves.Radka at the Newman Building fashion show featuring clothes she has made for residents“We had a runway for our models, and nearly all of the women who spend time in the Arts and Crafts Room participated, including some who actually had careers as fashion models!” she says.Whether coordinating a runway or supervising a cross-stitch, Radka brings her signature creativity, energy, and enthusiasm to every endeavor.“I enjoy doing all this stuff, and it’s exciting because I am able to create something new every day,” she says. “I absolutely love this job.” 

The Jewish holiday of Purim is known for many things: delivering baskets filled with goodies to friends and loved ones; providing gifts to the needy; and perhaps most famously, the Purim shpiel—a fun, festive play that retells the story of the Book of Esther. While versions of the shpiel are produced each year on the campuses of Los Angeles Jewish Health (LAJH) and typically performed by staff who volunteer for the roles, this year, the talented residents of the Joyce Eisenberg-Keefer (JEK) Medical center mounted their own Purim production, complete with colorful costumes, songs, and prodigious amounts of laughter.The decades-long tradition of LAJH staff performing the Purim play continued this March at the Taper Building and at Fountainview on the Eisenberg Village campus. The staff dedicated their time for rehearsals and performances, entertaining residents with their comical retelling of Mordechai’s pride, Haman’s evil cunning, and Queen Esther’s bravery. But residents of JEK flipped the script and stretched their acting chops as they brilliantly infused their own creative ideas and energy into the holiday skit—making it the most special one yet.The cast of the 2025 Joyce Eisenberg-Keefer Medical Center Resident Purim Shpiel“Traditionally, we as staff would do the entertaining during Purim, but the residents were excited to play a role, so they ‘fired’ us in the most beautiful way,” says Ilana Springer, JEK’s CEO and administrator. “We were thrilled to witness this turn of events because it meant our residents were feeling empowered to run programs and to lead their lives proactively and intentionally. It’s wonderful to see them taking so much initiative.”Orchestrating the event was JEK’s Director of Therapeutic Activities Susan Leitch, who helped organize rehearsals, run technical aspects of the production (such as sound), and provide other key support.“What was so amazing about this year’s shpiel is that the whole thing was resident-driven,” she says. “From choosing the script, to adding songs and dialogue, to casting, they were the ones calling the shots!”Resident Barbara Fallick delighted in the opportunity to dip her toe in the world of theater. “It’s so much fun being dramatic!” she says. “We can be childlike in our portrayals of the villain Haman, as beautiful as Esther, and as dignified as Mordechai.”Fellow cast member Steven Horowitz also loved participating.“Coming up with a play that was original to the story, but a different adaptation in a humorous way—it was really fun,” he says. “All of our rehearsals made a big difference, and it was an awesome experience.”The Purim shpiel was just one in a series of LAJH events related to the holiday. Other celebrations on the Grancell Village campus included a Purim concert by well-known singer-songwriter Cindy Paley (who also performed at Eisenberg Village) and a traditional reading of the megillah (the Scroll of Esther) by Orthodox Rabbi Hershey Spitzer. At Eisenberg Village, in addition to the Purim shpiels, there was also a resident-led megillah reading and an Arabian-themed buffet dinner complete with professional belly dancers.“The energy here at LAJH during Purim was truly infectious across the board,” Ilana says. “Everybody came together as part of a warm and cohesive community.”Fountainview at Eisenberg Village residents and staff PurimLAJH staff put on a shpiel at the Mark Taper BuildingEisenberg Village staff perform a shpiel for residents of the Newman BuildingNature Gan Preschool visit to the Joyce Eisenberg-Keefer Medical Center for PurimLeo Baeck Synagogue 7th grade visit to the Newman BuildingResidents of the Joyce Eisenberg-Keefer Medical Center welcomed a visit from 4th-grade girls from Yeshiva Ketana of Los Angeles.Residents from both the Newman Building and Fountainview at Eisenberg Village read chapters of the Megillah for Purim in the Eisenberg Synagogue. Chief Mission Officer Rabbi Karen Bender visits residents for Purim, bringing joy and silly disguises 

Working to Enhance Seniors’ Quality of Life There are so many ways Brandman Centers for Senior Care (BCSC) PACE helps make a difference in the lives of participants. Its comprehensive services spanning head-to-toe medical assistance, engaging social activities, rehabilitation, transportation, social services, delicious meals, and even home care services enable participants to stay healthier, active, and engaged—making BCSC PACE so much more than just an adult day healthcare center.“As people live longer and the number of older adults in our community grows, there is an increasing demand for programs like BCSC PACE, which offers seniors critical services that empower them to continue to reside in their own homes for as long as possible,” says Vice President of BCSC PACE, Kim Stratman. “Seniors and their loved ones trust us to support their daily needs, and we are honored to fulfill that commitment every day.”People from all backgrounds and walks of life look to BCSC PACE as a vital source of care and comfort as they seek to enhance their wellbeing. They turn to the program for the stability and support it provides—uplifting them with essential assistance in improving their diets; strengthening their bodies; sharpening their minds; managing anxiety and depression; learning to navigate illness; making new friends; and even coping with grief and loss.Steven Glick is a prime example of how seniors benefit from BCSC PACE’s incredible array of services. He depends on expert, compassionate care from the entire BCSC PACE team at the Reseda location as he continues to recover from a life-threatening bike accident that left him with a broken neck and shoulder.“I was at UCLA West Valley Medical Center for the first three months following the accident, then in a nursing home for a year before ending up at Providence Cedars-Sinai Tarzana Medical Center,” Steven recalls. “It was there that I met Dr. [Casey] Ott, medical director of BCSC PACE, who recommended I come to Los Angeles Jewish Health’s (LAJH) Grancell Village Campus for rehabilitation. That was last July, and thanks to the progress I’ve made, I haven’t had to be readmitted to the hospital since!”Steven GlickHe now rents a room in a shared house in Sun Valley and visits BCSC PACE three times a week for exceptional medical care, delicious nutritious meals prepared by the outstanding dietary team, stimulating games and activities and wonderful camaraderie and socialization with fellow seniors. The center also arranges his transportation and identifies any medical specialist he needs.“I’ve had so much injury in my body, and the folks at BCSC PACE have really listened to me and taken an active role in my recovery. The doctors and nurses who treat me there are world-class, and when my care requires specific expertise, they partner with outside specialists. During my time here, I’ve seen nerve and spine specialists, a cardiologist, physical and occupational therapists, an acupuncturist, a massage therapist, you name it. Whether it’s the medical staff, the person who drives the shuttles, or the cook who makes you meals, everyone is so full of love,” he says. “I never thought I’d get my quality of life back after my accident, but that’s what Brandman has given me. I’m forever in their debt!”Participants like Steven are especially thankful for the fantastic activities that get their bodies moving and their spirits soaring. From puzzles, trivia games, and bingo, to stretching, music therapy, special entertainers, holiday celebrations, and beyond. BCSC PACE is a one-stop-shop for seniors eager to reap the physical and mental health benefits of robust social engagement.BCSC PACE currently serves nearly 450 area seniors on its two campuses in Reseda and West L.A. Among those who visit the centers are: Fabiola Anleu, who enjoys coming for craft activities and credits BCSC PACE with “saving her life”; Linthong Phannaporn, who lights up when she visits, spreading joy as she shares her passion for knitting and crocheting with fellow program participants; and Alberto Masnicoff and his wife, who appreciate the physical and emotional nurturing they receive from BCSC PACE staff.Across the program, among participants, families, and other loved ones, there is a deep sense of community for all who are involved with BCSC PACE. Perhaps Steven sums it up best: “Whenever I talk to my brothers, who have closely followed my health struggles, they always say, ‘Thank God for Brandman!’”  

Supporting the right to freedom of speech has always been a central tenet of American culture. At Los Angeles Jewish Health, we take this right to heart, ensuring every one of our residents, participants, and members has a voice and is heard. One of the most impactful ways this occurs is through an active resident council process on each of our campuses.Resident councils at LAJH are elected bodies that are very much independent and led by the residents themselves. Council leaders engage other residents to participate in discussion and even debate around issues that have impact on their day-to-day campus experiences. Although the structure of the councils varies depending upon the campus facility (some have co-presidents, others have multiple vice presidents, and still others have positions such as parliamentarian), each is based on the same deep-seated commitment to representation. Residents are chosen by their peers to represent their interests and to partner closely with LAJH leadership to achieve the best and most fair outcomes for everyone. The councils are a tangible example of the teamwork that goes into care for all at LAJH.“Through a democratic process, the councils give residents a say in ways that make them feel invested in the governance of their communities,” says Annette Weinberg, LAJH’s campus lifestyle and enrichment director for Eisenberg Village and liaison to resident councils in the Newman Building and Fountainview. “They’re absolutely vital to resident life.”During meetings held each month, residents hear updates from council officials and from LAJH leadership on issues that range from selection of furniture for the common areas of campus to transportation logistics to ideas of what should be offered on ever-changing menu selections.“Our town halls are a wonderful opportunity for residents to get involved with whatever might be happening at the time,” says Marcia Mass, president of the resident council at the Newman Building. “Recently, we offered input on some planned upgrades here at Newman that included new carpeting, new lighting, and fresh paint. It’s so exciting to see how our opinions can make a difference!”Newman Building Resident CouncilFor Sue Richter, co-president of the resident council at Fountainview, running for a seat was a natural extension of the volunteer leadership work she has carried out throughout her life. “I was president of my temple sisterhood; I’m that type of person,” she says. “Moving to Fountainview is the best thing I ever did, and being on the council allows me to give back. It’s a fantastic way to keep residents up to date and let the administration know how we feel on a particular topic.”Co-president Bill Green also has a history of working with Jewish organizations as a lay leader, prior to arriving at Fountainview two and a half years ago. Through his role on the council, he has gained crucial insight into how LAJH works and ways he can help his fellow residents share their creative ideas.Fountainview at Eisenberg Village Resident Council“When Sue and I started our terms, we found we could bring up any topic we wanted,” he recalls. “For instance, we recommended there be a full-time registered nurse at Fountainview during the week. Working through the council, we collaborated with the administration; they agreed and made it happen. I’ve found that LAJH administration is very receptive to dialogue. It’s terrific because our residents are realizing that, if there’s a change or improvement they’d like to see, they can have influence through the resident council.”Susan Leitch, director of therapeutic activities at the Joyce Eisenberg Keefer (JEK) Medical Center, helps facilitate JEK’s resident council. She says the council there is truly invaluable.“During each meeting, residents sit down with our administrator/CEO, chief mission officer, director of nursing, our infection preventionist, our director of social services, our maintenance and housekeeping leads, the heads of our dietary and laundry departments, and me. We gather to hear residents’ accolades, comments, or concerns,” she says. “There’s so much benefit to having the council: Residents are empowered knowing they can effect change in their own home.”The JEK council’s officeholders, Linda Zweig (president), Lois Schindel (vice president), and Barbara Fallick (secretary), echo Susan’s enthusiasm.Joyce Eisenberg-Keefer Medical Center Resident Council“I’m always thrilled to see how many people are in the room at our meetings each month,” Linda says. “To me, it’s an indication of how much the residents care about building their community.”Lois is grateful the council can serve as a practical tool for residents seeking support. “It’s a great forum for people to interact and identify whom to contact about an issue that they’d like to see addressed,” she says.Every meeting begins with a reading of the minutes from the previous month’s gathering. “I love doing that because when we review what we talked about last time and then move onto current business, we can reflect on how much has been accomplished,” Barbara says. “Seeing that progress is very affirming—it shows all of us residents that we matter!”Elaine Mark, president of the resident council in the Taper Building, notes that there are other upsides to the councils, as well. Now in her third term on the board, Elaine has seen first-hand how resident participation translates to a more cohesive community.“Because of the councils, we’ve all gotten to know each other better, and that’s ended up leading to greater participation in our activities, which is wonderful,” she says. “It’s also opened up lines of communication with our administrators. They are eager to partner with us, and their support makes LAJH a very easy place to live.”Elaine Marks, President of the Mark Taper Building Resident Council

As 2025 began and families returned from holiday celebrations, no one could have imagined the devastation, anguish, and heartache the people of Los Angeles and the surrounding areas were about to experience.Fortunately, Los Angeles Jewish Health (LAJH) remained out of harm’s way. At LAJH, the safety and security of those in our care is paramount. We prepare each year for any disaster or crisis that could affect our campuses. Efforts include online courses and real-time, in-person drills.On January 7, as media shared images of the Pasadena Jewish Temple Center being directly impacted, it became clear this rapidly growing disaster would affect our community, including through a potential surge of seniors dislocated from other sites with nowhere else to go. That night, Senior Vice President of In-Residence Services Ilana Springer, CEO and President of LAJH Dale Surowitz, and a handful of leaders quickly jumped on the first of many daily calls, reviewing all emergency plans to ensure the safety of our residents, participants, and staff.(Left) LAJH volunteer Steven Zonis and Certified Therapy Dog Rudy joined by LAPD Chief of Police Jim McDonnell and staff (Right) Zonis and Rudy outside of the Sheriff’s Mobile Emergency Unit Among their first actions was confirming we had a good inventory of emergency supplies, including non-perishable food and water, surgical masks, and generators. Facility staff also positioned additional air filtration systems and confirmed emergency lighting was operational. Perhaps most important was assessing the welfare of our staff. Many LAJH staff live within the impacted area, and we wanted to make sure they were safe. Next, we needed to confirm we would have adequate staffing to continue providing our excellent care without disruption. The cross-functional teamwork from across LAJH that stepped up to ensure coverage was impressive: We made sure staff were standing by for deployment wherever help was needed.We communicated quickly and clearly to our internal and external audiences, updating them on our emergency efforts via email, voicemail, social media, and the website. We also reached out to fellow senior care centers and community leaders offering our support.Those displaced who came to us for shelter included a couple evacuated from their apartment in Palos Verdes, another woman from Palos Verdes whose home burned down, and a woman evacuated from her home in Encino.Our volunteers and even our cherished residents played a part in providing comfort. The wonderful canine companions and handlers who visit our campuses, thanks to funding from the Steven Ohren Foundation, reported to emergency command centers. They provided mental health support to those impacted by the disaster, including emergency workers as well as victims.In addition, our seniors teamed up with local schoolchildren to create thank-you signs for the heroic firefighters who worked around the clock under extreme and dangerous circumstances.While our campuses fortunately remained unthreatened throughout, the air quality prevented outdoor activities. One afternoon during this period, Chief Mission Officer Rabbi Karen Bender was finishing a lesson on the fourth floor of the Joyce Eisenberg-Keefer Medical Center when she noticed that, one-by-one; participants were turning to look out the window. They were seeing smoke from the Kenneth fire that had started that afternoon. The flames were miles away, but it was clear from the residents’ faces that this development was creating growing concern and fear. As Rabbi Bender and Ilana began strategizing about the best way to address the issue, Andrew, an activity aide at JEK, decided—without prompting—the best thing he could do to help was simply to sit down at the piano and start playing. This immediately diverted the seniors’ attention, and suddenly, everyone looked comforted and cared for. It was a signature LAJH moment, highlighting the warmth, dedication, and collaboration of our team and of the entire LAJH family.From ensuring we had evacuation plans and transfer agreements (including agreements with other facilities) in place, to continuously monitoring our emergency supplies, we remained vigilant throughout this disaster and confirmed that LAJH was indeed well prepared. The LAJH family can rest easy knowing we are ready for whatever may come our way.Of course, you can never be too prepared, and before a disaster is the best time to stock up on blankets, wheelchairs, non-perishable food, air purifiers, bottled water, etc. If you would like to contribute to help us purchase additional emergency supplies for the safety of the seniors in our care and for our devoted staff, please click here.  LAJH Certified Therapy Dog Rudy visits the Fire Command Center Students from Milken Community School join residents of the Newman Building, making signs of gratitude for firefighters