An Open Letter to the Jewish Community of Detroit For more than 80 years, our Detroit Jewish community has sought to meet the needs of our elderly, according to the most cherished values of our faith. The growth in support ser- vices, facilities and programs provided by our Jewish Federation agencies in recent years con- firms our deep commitment to our older citizens, who are most deserving of our respect and care. Since 1967, the Jewish Home for Aged has delivered many of these services at Borman Hall on West Seven Mile in Detroit. At its beginnings, Borman Hall provided a level of home for aged care that met the needs of its residents. Over the years, however, the definition of a "home for aged" has changed and now requires the need for skilled specialty care, a need that Borman Hall was not designed to meet. Results of state public health department quality and operational surveys conducted at Borman Hall over the past year have brought into focus the challenge of assuring the continuous and consistent level of quality, provided in a cost- effective manner, that Borman Hall residents deserve and our community has a right to expect. Passage of the most recent survey, which required heroic efforts by the Borman Hall staff, did not eliminate the inherent challenges we face in providing an acceptable and affordable level of care at Borman Hall. Moreover, the location of Borman Hall, so far from where most of our community cur- rently lives, inhibits the Jewish Home for Aged from serving the needs of many members of our community who would otherwise take advantage of the services available. As a result, the census at Borman Hall today is at the lowest level in its history. The changing scope of service require- ments and the decline in occupancy have esca- lated the community's financial commitments. Since 1 987, the Jewish Home for Aged has utilized nearly $ 15 million in community funds, most of it directed specifically to support Borman Hall. A review of the operational challenges indicates that a continuous and unacceptable community financial commitment would be re- quired to support Borman Hall, once again with no assurance as to the long term level of quality of care. - For these reasons, the boards of the Jewish Home for Aged, the Jewish Federation of Metropolitan Detroit and the United Jewish Founda- tion have made the difficult decision to discontinue direct sponsorship of Borman Hall sometime within the next year. In keeping with our responsibility to the current residents of Borman Hall, every effort will be made to minimize any disruption of service to them. In addition, appropriate action will be consid- ered to lessen the impact on the loyal employees of Borman Hall. Preferably, either the facility will continue operations under different ownership, or current Borman Hall residents will be transferred to an- other nursing facility that can accommodate both our numbers and our residents' special needs. If one of these preferred options is not realized by March 31, 1994, Borman Hall will begin the closure process. The process will take place over several months, and Borman Hall residents will be assisted with placement at other conve- niently located facilities. This closure plan, which relates to Bor- man Hall only, will be completed by fall 1994. Services to the residents of Prentis Manor and Fleischman Residence, as well as to the users of our community's other residential facilities and many programs for the elderly, will not be affected by this action. Federation's Elder Care Options Commit- tee is reviewing the need and feasibility of a new nursing facility on or near the Maple/Drake Jewish Community Campus in West Bloomfield. This review will be conducted as part of the broader charge of the committee to assess current and future needs of older adults in our community, together with the most effective way of meeting those needs. In any event, please be assured that our community will, to the best of our ability, do every- thing possible to continue to meet our commit- ments to our frail Jewish elderly, including the current residents of Borman Hall. In the weeks and months ahead, as we determine the best ways to serve our older citi- zens, we will need the support and guidance of our entire community. It will require commitment, sensitivity and heart — qualities for which our community is well known. If you have any comments, please for- ward them to the Elder Care Options Committee, P.O. Box 2030, Detroit, MI 48303-2030. c) Lc) cC LLJ CO David K. Page Jack A. Robinson Robert H. Naftaly Mark E. Schlussel President Jewish Federation Of Metropolitan Detroit President United Jewish Foundation Chairman of the Board Jewish Home for Aged Chairman Elder Care Options Committee LLJ CD 35