San Francisco Chronicle

Sutter Health’s CPMC finds new home for Alzheimer’s patients.

- By Catherine Ho

California Pacific Medical Center — which is shutting down San Francisco’s only subsidized Alzheimer’s residentia­l care center — has offered to relocate most of the facility’s residents to another elder care center in southweste­rn San Francisco.

CPMC, which is owned by Sutter Health, says it will cover the cost of moving 14 of the 17 residents from the Irene Swindells Alzheimer’s Residentia­l Care Program, in San Francisco’s Presidio Heights neighborho­od, to AlmaVia, near Lake Merced. CPMC has offered to subsidize the residents’ stay at AlmaVia, which is operated by the Elder Care Alliance, so that families can continue to pay the same rates they did at Swindells.

Swindells is the only Alzheimer’s residentia­l care center in the city that offers deep discounts for residents and their families based on their financial need. Families generally pay between $2,000 and $9,000 each month, with many paying on the lower end of the scale because fees are subsidized as much as 50 percent by philanthro­pic contributi­ons to the CPMC foundation.

“The families have been asking that residents be able to stay together as a group, in San Francisco, and not face cost increases,” said CPMC CEO Dr. Warren Browner. “We’re pleased we’ve been able to achieve these goals.”

Sutter plans to close Swindells by the end of 2018 as part of CPMC’s move to a newly constructe­d campus at Van Ness Avenue and Geary Street. Swindells, which opened in 1997, is the only CPMC service that will be discontinu­ed after the move. Other medical services — including emergency medicine, pediatrics and oncology — will continue at the new campus, which is scheduled to open in 2020. Sutter officials say this is because the health system wants to focus on acute

care.

The impending closure of Swindells highlights what aging advocates and officials say is a growing problem in San Francisco: the availabili­ty of affordable residentia­l care for dementia patients is dwindling at the same time the over-60 population is increasing. Swindells was licensed for 25 beds, while AlmaVia will accommodat­e 14. AlmaVia overall houses 41 people.

Officials with CPMC and the Elder Care Alliance say they have signed a letter of intent signaling that if Swindells residents so choose, they can complete the move to AlmaVia by July.

AlmaVia runs assisted living and memory care units, and will expand its memory care staff and facilities to accommodat­e 14 Swindells residents. The other three Swindells residents may be moved to hospice or another facility, according to relatives of Swindells residents who have been meeting with CPMC officials about the closure.

“We’re really happy,” said Dawn Astorga, whose 89-yearold mother has Alzheimer’s and has lived at Swindells for three years. “They worked really hard to have a good ending.”

Some residents’ relatives are concerned that the Swindells staff — many of whom have worked with the same residents for years — will not move to AlmaVia because they have a union contract with Sutter. Ann Ludwig, whose husband, Karl, has dementia and has lived at Swindells for three years, said she would have preferred that CPMC move Swindells residents to another CPMC facility. Ludwig is considerin­g their offer to relocate Karl to AlmaVia.

“There are lots of questions and things to be resolved from our point of view before we’re sure this is going to be a good move for us,” Ludwig said. “We really want to know they can provide that level of care and staffing we need.”

 ?? Photos by Jessica Christian / The Chronicle ?? Azemera Abraha assists resident Margaret Bronfield before an art session at the Irene Swindells Alzheimer’s care center.
Photos by Jessica Christian / The Chronicle Azemera Abraha assists resident Margaret Bronfield before an art session at the Irene Swindells Alzheimer’s care center.
 ??  ?? Staff member Flordeliza Edwards helps Lavonne Kleeman with crafts at the California Pacific Medical Center facility.
Staff member Flordeliza Edwards helps Lavonne Kleeman with crafts at the California Pacific Medical Center facility.
 ?? Jessica Christian / The Chronicle ?? Residents of California Pacific Medical Center Irene Swindells Alzheimer’s Residentia­l Care Program do a crafting activity.
Jessica Christian / The Chronicle Residents of California Pacific Medical Center Irene Swindells Alzheimer’s Residentia­l Care Program do a crafting activity.

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