Caring for the Ages at Los Angeles Jewish Health

Connections to Care Mobile Hero
Home / News & Events / Newsletter

Caring for the Ages at Los Angeles Jewish Health

Feb 5, 2025

January 27th commemorated the 80th anniversary of the liberation of Auschwitz—the most notorious of Nazi concentration and extermination camps. Every day, there are fewer living witnesses to the atrocities and tragedies of that era. Today, only approximately 245,000 Holocaust survivors  remain. Many of these cherished seniors are frail and have multiple medical needs requiring care from expert geriatric healthcare providers like the care teams at Los Angeles Jewish Health (LAJH).

At one time, there were 113 Holocaust survivors in residence at LAJH. Now in their 90s, 29 still call LAJH home, including a new 95-year-old resident and survivor who came to live at LAJH just last week. What they find here, thanks to the incredible professionalism of a highly-trained staff who wear compassion on their sleeves, is a special combination of nurturing, expertise and an ethos—developed by Chief Medical Officer Noah Marco, MD, the child of survivors—that prioritizes listening.

Sally and Ben Marco, Holocaust Survivors and Parents of Dr. Noah Marco

His approach has made Dr. Marco a trusted source of education on senior care and specifically  on caring for Holocaust survivors. Last month, he presented to 15 medical students from the University of California Los Angeles who came together to learn about the Holocaust and about the importance of providing services, in a caring and sensitive manner, to each member of the survivor community.

“There are many things to keep in mind when caring for Holocaust survivors. For instance, it’s important not to rush the patients, as well as to approach and touch them only after getting explicit permission,” Dr. Marco said during his presentation. “Best practices also include recognizing potential signs of post-traumatic stress disorder (PTSD); asking the patients about common somatic symptoms; and realizing that sexual or abuse questions are unlikely to get a truthful response. Survivors’ history makes them unique, and as care providers, we need to adjust our approach accordingly.”

Participants in the class reported dramatically expanding their knowledge of the subject. “Despite attending a public school in Los Angeles, the second most Jewish city in the U.S., I learned about the Holocaust for a maximum of five minutes,” noted one student. “My time with Dr. Marco helped fill the void from those high school history classes; he spoke wonderfully, and I learned a lot.”

Whether he is imparting wisdom about caring for survivors or speaking more broadly about the many distinct facets of senior health, Dr. Marco enthusiastically shares strategies to help make medical visits more efficient and satisfying, both for the care provider and for the patient.

“Treating our patients at LAJH is not only about cataloging their symptoms, many of which are chronic and may not resolve. It’s also critical that we truly see them: learning what matters most to them, asking them what questions they may have, and eliciting their ideas and expectations,” Dr. Marco says.

Dr. Marco, who is often called upon to share his expertise in geriatric health, recently laid out his philosophy related to providing medical care to seniors in an essay he authored for the publication Caring for the Ages, the official newspaper of the Post-Acute and Long-Term Care Medical Association (PALTmed). He was recognized with a second-place award in the paper’s 2025 essay competition, “Caring for Residents, Caring for Ourselves.” The essay will appear in Caring for the Ages’ March/April 2025 issue, which will be distributed to a wide national audience of post-acute and long-term care professionals. His other recent publications include “The Lost Summer” an essay published in this week’s edition of McKnight’s Long-Term Care News.

“My goal in treating seniors is always to move beyond just discussing their chronic issues so that we’re able to elicit their input about things that are important to them,” he says. “When they feel heard, they often feel better—one of the key indicators, for a care provider, of a job well done.”

Dr. Noah Marco, Chief Medical Officer at LAJH

Sign up for the Los Angeles Jewish Health newsletter, Connections.

Recent Articles

Aug 6

Los Angeles Jewish Health Welcomes Rabbi Marc Kraus

For new Los Angeles Jewish Health rabbi Marc Kraus, there’s something special about working in a residential community.“So many rabbis only have a chance to engage with their communities weekly, monthly, or even annually when they come to synagogue. But, at Los Angeles Jewish Health, I get to see people every day and to develop deep pastoral connections with them,” he says. “Finding this job was a dream come true.”Rabbi Kraus arrived at LAJH this summer as campus rabbi for Eisenberg Village, joining Rabbi Karen Bender, who serves as the organization’s chief mission officer. In his brief tenure, he has already gotten the flavor of what makes LAJH’s community unique.“It’s so wonderful to be part of this huge village in the middle of Reseda,” he says. “I’ve been breaking bread with residents at every meal, getting to know them and seeing just how beautiful Jewish life here really is. I feel so incredibly welcomed.”Rabbi Marc KrausA native of London, Rabbi Kraus has been in the U.S. since 2010. After completing his undergraduate degree in Hebrew literature at Oxford, he received his rabbinic ordination from American Jewish University and a Master of Education in Clinical Mental Health Counseling from William & Mary. Over the course of his professional career, Rabbi Kraus has served as both a pulpit rabbi and a licensed marriage and family therapist.“I’m a spiritual seeker, an academic, and a therapist,” he says. “I believe my diverse experience—whether it was facilitating Orthodox Jewish holiday services in England as a teenager, spending time at an egalitarian yeshiva in Jerusalem, tending to a Conservative synagogue congregation in Virginia, or logging thousands of hours as a marriage and family counselor—has prepared me well to provide LAJH residents with pastoral services that help them find meaning in their everyday lives.”Avoiding denominational labels is central to Rabbi Kraus’ rabbinic approach. “I see myself as a facilitator of people’s Jewish journeys, no matter where they’re coming from,” he says. “I think there is a lot of wisdom in every denomination, and my goal is to meet LAJH residents where they are—recognizing where they’re coming from and adapting accordingly. Ultimately, I want to help people connect with their spirituality in whatever way is most resonant for them.”Singing is another of Rabbi Kraus’ key areas of focus. “Music is such a powerful way to bring people together. As a vocalist, I feel being able to sing is a gift—and being able to share that gift with others is blessing,” he says.Rabbi Bender notes that the many blessings Rabbi Kraus brings are being felt by LAJH residents far and wide. “It is a mitzvah to ‘find yourself a rabbi,’ and we feel truly blessed to have found Rabbi Kraus—and even more so that he has chosen to join the LAJH family,” she says. “He is a gifted scholar, a soulful singer, and a deeply compassionate pastoral presence. In just his first month, he has already inspired minds and touched hearts across our community. We are profoundly grateful to welcome him as the rabbi for both Eisenberg Village and Fountainview at Eisenberg Village.”In the coming weeks and months, Rabbi Kraus looks forward to meeting as many members of the LAJH family as possible. His energy and enthusiasm are nothing short of infectious.“I was overjoyed on the day I started at LAJH,” he says, “and my excitement has only grown every day since.”Rabbi Kraus speaks to residents of the Newman Building 
Read More
Aug 6

Breaking New Ground On Safe and Effective Reductions in Medication Use

Each year, millions of people in this country are helped by psychotropic medications—drugs that affect the mind, emotions, and behavior and that can play an important positive role in regulating mental health. These medications can be life-changing. They also carry serious risks and dangerous consequences, particularly for older adults.Despite their potential danger, psychotropic drugs (including a class known as anti-psychotics) are often prescribed for older adults, including those residing in long-term care facilities and especially those with dementia. Government and other health regulators require nursing homes to report data on the number of residents they serve that are on anti-psychotics, and the numbers in many facilities across the county show widespread use.An important initiative at Los Angeles Jewish Health is addressing this issue head-on and is implementing innovative ways to reduce seniors on psychotropic drugs while improving their overall health. Thanks to a close collaboration between doctors with expertise in geriatrics, nurses, pharmacists, and social workers at LAJH, residents are increasingly showing dramatic health improvements—and even thriving—without these risky medications.“The use of antipsychotic medications in nursing homes in the U.S. is a significant problem,” says Noah Marco, MD, CMD, LAJH’s chief medical officer. “For residents with dementia, the instinct to prescribe the drugs is perhaps understandable: They often exhibit behaviors that are difficult to manage with non-medication treatments, a challenge complicated by the lack of FDA- and insurance-approved medications for the agitation caused by Alzheimer’s dementia.”Aida Oganesyan. Dr. Noah Marco, Ilana SpringerTo address this challenge, LAJH has created a new process, bringing an interdisciplinary team together on a monthly basis to review the cases of residents who are on psychotropics and to identify safe and effective ways to reduce or eliminate the use of the drugs for those individuals.  The protocol is yielding impressive results.“Thanks to the dedicated and compassionate clinicians and staff at LAJH, we’ve achieved a 49% reduction of anti-psychotic medication use from the fourth quarter of 2023 to the second quarter of 2025,” Dr. Marco says. “The new numbers put us well below the state average for usage rates—and we accomplished this without increasing prescriptions of other psychotropic medications.”The LAJH teams’ strategy has been driven by a focus on seeking alternate treatments tailored to the individual needs of each specific resident.“We’re working to put gradual dose reductions in place, prioritizing non-pharmacological interventions to support residents’ wellbeing instead of medications,” says Ilana Springer, LAJH’s senior vice president of In-Residence Services. “Often, that translates to learning what kind of activities might prove triggering to a resident and then finding other, more soothing activities to help them feel better.”According to Aida Oganesyan, director of the LAJH pharmacy, this kind of customized care has been critical to the new initiative’s success.“We reduce anti-psychotic medications on a case-by-case basis—and we only do it in concert with providing substantial support for each resident,” Aida says. “By being extremely measured in our approach and providing patient-centered care, we ensure that we’re only tapering residents from these drugs when they truly don’t need them.”Of course, this level of individualized care comes at a cost—one that is made manageable thanks to support from LAJH’s generous donor community.“We could not be doing this without help from our donors, whose contributions allow us to have a higher nurse-to-resident ratio than many nursing homes,” Dr. Marco says. “The additional staff—as well as the many volunteers, residents’ paid companions, and family members who sit with our dementia residents and keep them safe and calm—are far more effective than any medication.” 
Read More
Jul 9

Los Angeles Jewish Health Welcomes New Chief Information Officer

Rey Lopez brings experience and community commitment to improving local seniorsʼ lives (RESEDA, CA – July 8, 2025) Los Angeles Jewish Health announced the appointment of Rey Lopez as its chief information officer. Lopez arrives at LAJH with two decades of experience strengthening information technology (IT) infrastructure in the medical field to enhance the delivery of high-quality patient care. Central to Lopezʼs portfolio at LAJH is building technology and business solutions to help the organization grow, to assist its employees to be more efficient in their jobs, and to safeguard residentsʼ health and wellbeing by protecting their sensitive personal health information and data.“Whether itʼs securing electronic health records, streamlining our payroll systems, or reducing cost and boosting the performance of our data reporting systems, there are so many ways we can harness technology to be more nimble and to provide LAJH stakeholders with new pathways to success,” Lopez said. LAJH Chief Information Officer Rey LopezLopez joins the LAJH leadership team at a critical time in the healthcare industry, as emerging technologies play a growing role in the provision of vital care and as concerns around protecting data privacy continue to require best practices in the field. His knowledge and expertise will help drive LAJHʼs strategic approach to effective data management. “We are pleased to welcome Rey as a member of the LAJH family,” said Dale Surowitz, LAJH CEO and president. “His commitment to safeguarding the health and privacy of our residents makes him a perfect addition to our leadership team.” Lopez arrives at LAJH after a long tenure as CIO at Kern Medical in Bakersfield and, before that, as Director of Information Systems, St. Joseph Medical Center at Providence Health & Services in Burbank. Born and raised in the San Fernando Valley, he attended California State University, Northridge, graduating with a degree in business administration and management information systems. It was as a small business owner in the late 1990s—based in Encino, he consulted on issues related to workerʼs compensation—that Lopez developed an interest in pursuing a healthcare career. His new position at LAJH further deepens his connection to the San Fernando Valley, where he currently resides. “Iʼm so happy to be working in the Valley again, contributing to the community that I love,” Rey says. “Through LAJH, I look forward to helping make it an even better—and healthier—place to live.” 
Read More