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Avoiding Falls as You Age

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Our topic today is about how to avoid falls.

I spoke with John Jurchack, from ‘Healthy at Home,’ who is an expert on senior care.

I was recently looking at No-Step communities. They have town houses that are entirely flat. Even the little raises that go between rooms or height differences on floor levels can trip you up and put someone on a hospital bed for an extended period of time.

This is important because falls are a big deal.

It doesn’t take much at all, the Amercians disability act defines a trip hazard as a quarter inch, so we’re talking about an eraser head on a pencil. Even the door jams, getting rid of those. It can be as simple as going from a kitchen floor to a carpeted surface.

It doesn’t take much to catch that foot, so an architectural assessment, having someone look at that environment, make recommendations is real important, if people put throw rugs down or different kind of décor, they can set themselves up for a fall without even knowing it.


Why is it so important for a senior to avoid a fall?

I’d like to say that falling is not a normal part of aging. I think some people feel, I’ve reached a certain age, this is just normal. We can’t be apathetic to this cause, if you do get injured especially a fractured hip, the mortality rate is extremely high. So the prevention is the best cure for that is not falling in the first place.

A statistic that comes to mind that really opened my eyes is, senior adults, those 65 years of age and older are 16 times more likely to end up admitted to the ER or hospital from a fall than those younger from a car accident.

And what can we do?

There are two categories: Your modifiable risk factors and your non modifiable. So non modifiable may be your age, maybe your race, your cognitive level. We can’t change those types of things but what we can do is look at modifiable risk factors.

There’s going to be muscle weakness, especially lower extremities, and medications, has your eye prescription been updated, vision is so important as it relates to falls.

So those types of things, environment, postural hypertension, your blood pressure is dropping when you stand up, and also any medical history, including symptoms of depression. Diagnosis of depression raises your fall risk by 50%.

Let’s talk about visual deficits. What are some of the things we can do to deal with that?

As we age sometimes we have difficulty seeing contrasts. So if everything in your house is white, you may not see that door jam, or the lip of the stair, you can’t see the depth perception. So a simple solution is carry that high glow neon duct tape, and put it along the edges of those raises, whether it’s a door jam or stair. 75% of the falls happen at home, so that is the best place to really do that assessment.

As far as vision and falls, you really have 3 different systems in your body to keep you from falling.

1- Is your nervous system. It’s going to tell you where your body is in space.

2- Is your equilibrium, your inner ear.

3- Is your vision.

If you can’t see, you’ve already taken a third of your compensation techniques for balance away. So keeping a light on at night, making sure your eyeglasses are up to their prescription or at least even putting them on. So vision has a huge impact on balance.

An ounce of prevention is worth a pound of cure. You talked about how inactivity decreases your strength.

It’s been said that for every day you spend in the hospital bed, you lose 5 % of your strength, and that doesn’t even take into consideration any medical problems associated with that hospitalization. So, you can certainly come home from that in a severely weakened condition.

We talked about medications, and I think the most interesting one there is, sedating over the counter medications. That’s anything with the PM in it, and it’s basically benedryl, you reduce your fall risk by 66% if you stop or reduce taking those.

If someone has questions on how to avoid falls, how would they get in touch with you?

You can reach me at my office at 704–591–9287.

Be safe out there.

I’m Greg McIntyre from McIntyre Elder Law.

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby


Write ur Life with Nabu Scholar’s founder: Duncan Blount.

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See how you can leave a real written legacy to your family and pass on your most important life experiences and lessons. #theelderlawguy

Helping Mom or Dad Stay at Home: Tips for Selecting an In-Home Care Provider

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There may come a time when your parent is no longer safe living at home due to physical or emotional/social concerns. Instead of moving Mom or Dad to an assisted living or nursing home, in-home care can provide a solution that makes everyone happy— your parent can stay at home in familiar surroundings and you can have peace of mind that someone is there looking after them.

Here are some tips will help you select an in-home care provider.

Determine the level of care needed. There are several options available, depending on the assistance your parent needs. Companions can provide social interaction and help with housekeeping, errands, meal preparation and medication supervision. Personal care aides provide hands-on assistance with personal hygiene, dressing and moving to different rooms. Licensed or registered nurses can provide skilled medical care. In-home care is available to even those with advanced needs.

Determine the cost and how to pay for it. According to a 2015 Genworth survey, the national median cost for a home health aide working 44 hours a week is $45,760. (Click here for costs in your state.) Actual costs will depend on the level of care and number of hours needed.

Long-term care insurance is one option to pay for in-home care, but many people have waited until the costs are prohibitive and/or they are uninsurable. (You may want to look into one of these policies for yourself now, as health care costs will only continue to increase in the future.) You can pay privately, using Social Security or pension benefits, savings or equity in the home. Medicare pays for skilled nursing care, but only for a short term. Medicaid programs are available for those with limited assets. Aid & Attendance benefits from the Veterans Administration are also available for wartime veterans and their spouses who qualify.

Decide if you want to use an agency or hire an individual. Agencies provide you with some protection. They typically run background checks and drug tests on their employees, and if there is a problem, they are usually quick to correct it. They also handle taxes and payroll, and carry liability and worker’s compensation insurance. If you prefer to hire an individual, make sure you have excellent referrals. Also find out if you are liable for payroll taxes and worker’s compensation.

Check them out. If you are evaluating agencies, check their online reviews. Whether interviewing an agency or individual, ask about licenses, training (especially if dementia is an issue), and past experiences (good and bad). Call references and conduct personal interviews.

Be prepared to make adjustments. The type of care needed is likely to change over time. You may also need to make a change due to conflicting personalities.

Call me if you have any questions:

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby




Elder Law Report: Avoiding Falls and Staying Active.

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John, Greg and Hayden tell how to avoid falls as you age and what to look for as a senior or family member of a senior. Staying active is essential as you age. #theelderlawguy

Elder Law Report: Active Older Adult Communities with Guest Don Peeler

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Imagine a no-step community that is for seniors who want to be social and active. That is exactly what our guest, Don Peeler has created in Crystal Springs. A no-step community that is located directly across from a Senior Center full of social activities and friends. The no-step part is so important. The longer you can stay active and prevent falls the more you can extend healthy longevity.


Your Health Care – Stay at Home with Bayada Home Health Care.

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My guest today is Joe Seidel, division director of Bayada home healthcare and keynote speaker at our 4 city seminar tour beginning March 1st in Asheville, March 3rd in Morganton, March 8th in Charlotte and March 10th in Shelby.


Doors open at 5:30 at each location for the vendor fair. At 6 we serve the meal and present with a Q&A time, and close at 8pm.
To reserve a seat call 1-888-794-8631, or watch the video at and sign up.


Today we are discussing home health care, and how to pay for it.

Nowadays, you can receive minimum level care to hospital level ICU care, in-home through Bayada. They have 300 offices (50 in NC) in 22 states.

People want to stay at home.
There is definite health and psychological benefits to being in your own home. We have a really broad range of services from pediatric, assistive care, companionship, care for people with dementia, or wander risks, running errands, all the way up to high tech nursing and very high level complicated care.


You go into the home and see the sacrifices the spouse and family members make to keep somebody at home. If you’ve got your loved one in a facility and it’s an hour away, that’s tough.

We have phenomenal care givers in the field, the training they get, and compassion they demonstrate. They could be in that home 12 hours at a time, and in many cases they become almost part of the family.

Recently our Shelby office had the RN of the year, and last year the Shelby office had the No.1 home health aid for the entire company, that’s 25’000 employees. When you dig in and find out what our care givers are doing in the field, we just hear some incredibly amazing stories.

How does Bayada offer ICU care to someone at home?

A number of years ago iron lung machines took up the whole house, some of these now are the size of a laptop. Ventilators, suctions machines, we have all kinds of equipment that can be in someone’s home.

One of the really unique things we have is the training for our nurses. Our simulation lab will be at each of the seminars so people can see our training process.

Watch the Full Interview Here:

We have high definition mannequins programmed to do whatever you need to. If you’re not doing protocols properly the lips start to turn blue, it can go into cardiac arrest, the mannequin can even die if not doing the protocols properly. It helps to give them a life like scenario. And like I said we have developed scenarios which would potentially be likely.

If there’s a power outage, and the back up generator fails, what do you do? It’s really fascinating the technology available to keep people at home.

Listen to the Full Podcast Here:

Paying for Bayada
Medicare is an episodic spell of illness which is for 60 days. And a person would need to be home bound during that time. That’s a Part A benefit with Medicare so that’s paid for 100%.

We have Medicaid waiver programs, called PCS which is Personal Care Services, that’s physician recommended. Cap DA Program (Community Alternatives Program/ Disabled Adults). Each county has it’s own Cap DA agency. We have contracts with most major insurance, private insurance companies, workers compensation, VA veterans, and we take private funds.

Each person is unique as they come to this and there are a lot of paying options available.

I want to wrap up on the 4 city seminar.

Last year we did a couple of seminars, and found out the public needs to know more about what’s available from a home care standpoint. So this is an educational seminar. We talk about all the different services, the payer types that are available, and you’re going to be talking about how to preserve your assets. We will have a geriatric care manager who helps you walk through this journey of care for their family member.

We’ve got some really great vendors lined up. Phillips Life Line, Edward Jones, Greg McIntyre of course, Hospice, a gentleman talking about VA benefits and a lot more.

Come to one of those seminars in your area. You can go to our website and sign up for our newsletter.

I’m Greg McIntyre of McIntyre Elder Law.

If You Have Any Questions Call: 704-259-7040

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby

Avoiding Falls as You Age

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Don’t Fall! Great show featuring John Jurchack, PT with Healthy at Home and Carolinas Healthcare System.

The longer seniors can stay active and mobile the better. John is an expert on falls and how to avoid them. John has been doing physical therapy for seniors for many years and he brings his expertise to the Elder Law Report. #dontfall #theelderlawguy

The Misconceptions about Hospice

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Bishop Sharon Martin

I’m thrilled to bring to everyone today, an interview I conducted with Sharon Martin. Sharon is from Hospice.

New York, Manhattan was built by pioneers, by mavericks, who were not scared to be bold and think big, and that is something Sharon does. I consider her a celebrity and a maverick. Last year she was honored at the Chicago conference as a national example of how to extend hospice care and really reach a ton of families, especially in the minority community where there has been a stigma about hospice in the past. And I wanted to know how all that came about.

What had happened that lead up to the Chicago and the national Tennessee experience was that word started getting around other hospices that the submission rate in Cleveland County escalated from 17% to 52% in the African American community. So all the other hospices when they heard it were all like, what did you do.

On a national level, only 8% of the African American community uses hospice services. We’re at 52% which is just an amazing number on the national level.

Any business or organization that have those kind of numbers should be in the S&P 500. Those are amazing numbers, and to raise a submission rate from 17 – 52% in any endeavor is not as simple a task as it might sound. A lot of that has to do with the overall hospice plan here in Shelby, and Sharon is a main player in doing that. She is an outreach person for this community. This is a job that requires heart. Successfully going out into a community to discuss something as sensitive as end of life care, is not an easy thing to achieve.

I took a lot of hard knocks when you go out in the community and start talking about hospice. Immediately people of all races start thinking, okay we’re dying tomorrow, mamma’s dying, pappa’s dying tomorrow. But that is not the case. We even now have a patient in our Wendover facility, that has been with us three years, and so it can go into long term care. It can go into short term care but what I like to tell people, to get the most out of hospice services, as soon as your physician says to you or to the family, I only think ‘Sharon’ has 6 more months to live, that’s when the family should really be seeking out hospice services, so the family and the loved one can get the full benefit of hospice services.

Sharon has been with hospice for over 6 years, but did not at first want to get back into the work force. I wanted to know how she got involved with hospice in the first place?

“Six years ago our CEO Myra McGinnis and vice president Patty McMurray determined that the African American community in Cleveland County were not using hospice services as they would like.

And so what I learned after being hired was that this discussion went on for about 10 years, just trying to think of ways to engage the African American community with hospice services.

I was retiring. I had been laid off from a mental health agency, and so I thought I’m going to retire because my background is in social services, and mental health and also in ministry so. Later on I learned I was the one they were looking for but I was not the one who wanted to work, so they actually had a hard time getting me to come in for an interview.

A friend of mine called me and said Sharon there’s a job at hospice that has your name on it, that job is perfect for you.
It was Bishop Michael Moore and he said that job is yours, and I thanked him and said but I’m not going to work and I hung the phone up, not quite that rudely but I’m not even going to talk about this. Anyway, he calls back a couple of days later, and said Sharon seriously that job is definitely for you, and I said I’m not interested in the work, I’m not going to work. I just want to be a grandmother to my two grand children and I’m just going to go to their school and enjoy life helping them out in school.

After the third call, I decided out of respect to him to call Patty McMurray and Hospice about the position. I was hired in 20 minutes after talking to Patty. So that’s how I became a part of the hospice family.

And it is a family. Hospice is a very tight knit community of people who wear their hearts on their sleeves. This is more than just a job to Sharon, and I asked her if she would explain why that is.

How I found out about hospice on a personal level was 30 years ago in Akron Ohio, where my parents were and where I was raised. My mother called me one day and told me my father had terminal colon cancer, and she said Sharon, I’m going to allow an agency to come in and call hospice. Well at that time I was in Greensborough NC and this is what I said to mother, what is good for you is good for me.

And so as I would travel back and forth to Akron to visit my parents, I learned first hand how the hospice staff would come in and take care of my dad, and give him a bath, and do whatever was necessary to take the relief from my mother. So that was what was so comforting to me, because my parents had been married for 52 years and my mother was not going to leave my dad.

And so my dad was at home, and hospices services came in, and after my father died this is what I said to my mother one day, if I ever have any money to contribute to any organization, it would be hospice Akron Ohio. Little did I know I would be working for hospice Shelby NC. So that’s a great comfort to my soul.

I think hospice does an amazing job. I’ll tell you what is amazing about Shelby and Cleveland County is it is unreal the great services we have in every different type of industry related to senior care. I mean nationwide beacons, from Life Enrichment and Suzi Kennedy to Hospice and Sharon Martin. I just can’t applaud Sharon enough for being held up as a nationwide model on how to reach and convert a population, any population and take it from 17% to over 50%. That is just impressive and she deserves all the praise she gets from that.

One of the questions that I know there is some confusion about, is people in general seem to think of hospice as a physical place, which it does have but it is much more than that, and so I asked Sharon if she could clarify some of that confusion.

Many people, not only African Americans, they just have this great fear of hospice services. For some reason they don’t understand end of life care. So that became a challenge to be able to just talk to the community in general about what end of life care was.

A lot of people look at hospice as a place. Hospice is not a place, and that is what I really want the audience to understand. Hospice is a concept of care. Just like a hospital is a concept of care, hospice is a concept of care.

And that is that we try to make a persons life more comfortable as they go towards death. But what is so unique about hospice care is that we help the entire family, not just the patient. If we go into a persons home, and we’ve seen there is a great need, maybe a power bill needs to be paid, maybe a family doesn’t have food in the home, whatever that family needs, then that is what we will try to provide for the family.

So it’s like holistic care, we take care of everybody that is involved.

So don’t think that hospice is just the hospice house in Kings Mountain, and the hospice house in Shelby. It is so much bigger than that, it reaches the entire county, which brings up another question that causes some puzzlement. How many people does hospice actually help?

People think that we only serve 24 patients a day, but we have two facilities which is the place that people are at, and that’s Wendover in Shelby and the Testa family house in Kings Mountain. Well the total patient load with those two facilities are only 24 patients so they might question when I propose to people when I’m doing talks and presentations how many people do you think we serve per day?

And people just look at me with a puzzle in their face and then I’ll say just go throw out a number, and they’ll start 40 and then 60, and I’ll say higher, 80, higher, 100, higher, so we play this little high/low game, and finally when someone says 150, that’s when I stop, because that is exactly how many patients we serve every day, 150. Last year, in 2015, we went all the way up to a 190 patients. Well that’s because we serve people in their home.

That is a daily number, that is unreal. Think about that, hospice ministers and administers care to so many more than 24 people on a daily basis.
And just like Little House on the Prairie, where the doctor made house calls, the hospice family are really in peoples homes. The doctor comes out to the home, the nurses, the hospice workers come out to the home, and do not just care for the individual who is suffering. I’ve talked to some hospice workers and administration before, and it’s really so much more than that. They are really ministering and helping the spouse and the family as well.

Hospice is a hospital on wheels. We go into a person s home, we set up a bedroom, a living room, just like a hospital facility would, we have a hospital bed, the nurses, the nca2’s?? we have a chaplain, a grief counselor, a social worker that makes up the team. So 6 people are working with this family in their home to take care of their loved one.

So that’s what we do, we go into the home and make everybody feel comfortable and wonderful. We take the burden off of the family so they can spend all their time with mamma, daddy, or sister, and just be there for the loved one, to love on them as the process of dying increases. That’s the main thing I want to say.

So we were talking about an individual who needs hospice care, a whole family who needs hospice care. If hospice is serving a 150 people daily, and all the many workers they must have, I know that they do fund raisers, but I know that can’t possibly come close to paying the bills. So how can people afford it, how can hospice pay for it?

Well we are actually non-profit so we do rely on the generosity of the community but what I really want everyone to know, if the person has Medicare, 100% of their hospice services are paid for by hospice care. So we will never ask that person to pay out of pocket, as long as they have that red, white and blue card, all of their hospice expenses are paid for.

On the other side, even if a family doesn’t have the money to pay for whatever is needed, the donations, the generosity of people in Cleveland County, like the Testa family, they are going to make sure, and other families that have made yearly contributions and donations, we make sure a family gets the same care as if they had a million dollars as compared to they only have one dollar. So everybody gets the same care no matter what.

Well that is right along with our entire philosophy at McIntyre Elder Law, and just fits right in with helping seniors protect their assets and legacies. Keeping them in control of their assets and providing them the best health care options possible. And I mean I know first hand from having many many clients and families who have dealings with hospice.

The Hospice family has always been so kind to everyone at McIntyre Elder law. They let us use their facility up there to do events for seniors once in a while. Hospice is just a blessing to the community.

The last thing to I’d like to mention is about ‘Hearts for Hospice.’ I asked Sharon to tell us about that.

It is a fund raiser that we started 5 years ago. It’s been a very profitable fundraiser where we are only asking people for a one dollar donation. We have a heart that Pam Isaac our marketer created and it’s called hearts for hospice, it’s two lives, in memory of and honor of, and from, and you can buy a heart for a dollar and we will post it up on our wall, or you can keep it yourself. All the money that you contribute for hearts for hospice goes for patient care.

So this is a unique thing about hearts for hospice, we started asking people for a dollar, and the first year it was predicted we wouldn’t raise $500 but we raised $4000. In the last 5 years we’ve raised almost $27’000 with hearts for hospice because people would give a dollar, some people would give $100. So it kind of evens out. Some of the children want to buy a heart, they only have a quarter, so I said that’s alright.
Please call me. I will mail them to you, bring them to you, there is 25 in a pack.

Sharon’s number is 704 751 3591 and that is her direct office number.

So call Sharon, she would love to talk to you.

I’m Greg McIntyre of McIntyre Elder Law. I hope you have enjoyed this weeks Elder Law Report, and hope the information provided by Sharon Martin will help dispel some of the common misconceptions associated with Hospice.

Until next time, Make it a great day.

Call For Your Reservation: 704-259-7040

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby

Medicaid Crisis Planning Seminar – Thursday, February 25th from 5:30pm to 7:00pm

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We’ve been talking about Medicaid crisis planning on the radio lately, and I wanted to tell you about a seminar we’re giving at the Le Grand Center in Shelby North Carolina, on Thursday February 25th.

This is a special presentation for 20 people only. I’m giving a few of these this year but for reasons that I’ll mention later, we have limited how many people can be at this seminar.

We are going to talk specifically about Medicaid Crisis Planning, that’s all. But you have to qualify to go.

This is an important seminar that I have rarely given before. I wanted it to be an intimate setting where we can talk about the things going on in your lives, and really break bread together. I have seen so many situations where people waited to long and didn’t know what they could do, and lost everything, it’s all gone. This seminar will make a huge difference to you.

There are 3 things you need to qualify:

1- You must have an immediate need if you want to attend. You must have a loved one, a husband, a wife, yourself, or a parent, but it must be an immediate family member, who is in a nursing home, or is headed to one right now. They or you must be in a crisis health care situation, or long term care, and you’re seeing your families money depleted and spent down by 7, 8 or $10’000 a month.

2- You must own your own home, and/or other real estate.

3- You must have a net worth of liquid assets over $200’000.

Call our office even if you don’t qualify for the seminar. If you have called to get a seat at the seminar, we will walk you through those questions. If you don’t qualify, my staff will set you up for an immediate consultation with me.

We want you to get it right

We have an entire department set up to do nothing but help save your hard earned money and property. We show you exactly what benefits you qualify for, and help you become eligible for those benefits. You just have to be so careful when you’re in the benefit planning world, like Medicaid Planning for long term care. You have to be extremely careful and knowledgeable about how to arrange assets properly. It just has to be done just right or it won’t be approved.

If you’re not careful you’ll lose it, or spend it or sell it. Even if you’re spending money it has to spent just right okay. So we want you to get it right. We’re in the business of saving the money and property of individuals and families period. This seminar is part of that.

The Le Grand Center.

If you haven’t been to the Le Grand Center you ought to go. It’s not the type of place you would expect to find in a sleepy little town like Shelby. Shelby is very lucky to have this.

This has turned out to be a great asset. It’s a very modern building, and can accommodate about any size of conference you are looking to have. We have elected to use one of the smaller rooms so everyone can eat and we can talk in a more intimate setting. That is the reason we’re using a small classroom this time, no big ballroom.

We are going to furnish a beautifully catered dinner, and we’re going to decorate the room so everyone can be comfortable, sit down at round tables, enjoy their meal and learn how to best deal with their crisis. We want this to be a pleasant experience for everybody.

If you live in Cleveland County it will be easily accessible for you. If you are in Lincoln, Rutherford, Polk or any other county, the Le grand Center is just off highway 74, right across from the Cleveland county fairgrounds at 1800 East Marion Street.

Why 20 people only?

I’ve noticed if I’m giving an educational talk to a group of 80 people, it’s much different than when I talk to 5, 10 or 20 people.

A smaller group of people gives more opportunity for them to ask questions. It makes them feel more comfortable. People don’t always know what ‘Benefits Planning,’ or Crisis Planning,’ means, and hesitate to ask questions, but when we get a group like that (of 20 people or less), it’s more like a conversation where everybody benefits from everybody else’s questions.

Some people don’t know the questions to ask. People don’t know what they don’t know. They think all I need is my will, my Power Of Attorney and I’m set. They don’t realize what is available to help them. These are the things that you need to know, about getting your estate in order, and making sure your money and assets go to the people you want it to go to, not spent down on long term care.

There have been a few times lately, when we sit down with a small group of people, and have dinner with them at an assisted living facility or an apartment complex, and we just talk about everything in a really personal setting. It’s something I really enjoy doing. It’s like being at a table with friends.

And that is what this is going to be like.

I love getting this information out there. My office has become almost two practices, one to educate and one to serve legal needs.

I am passionate about helping seniors which is why I’m excited about the Medicaid Crisis Planning seminar.

Yes, it’s a serious subject. It’s something that you should come to if you have the need.

Our office address is 123 West Marion Street, McIntyre Elder Law. We are right across from the new open air farmers market pavilion, right opposite the flag.

Our phone number is 704 259 7040.

Call the office to reserve your seat for the Medicaid Crisis Planning seminar on Thursday February 25th. Ask to speak with Hayden. She will qualify you, and confirm the schedule.

There is no sweeter place to come home to than Shelby NC.

Call For Your Reservation: 704-259-7040

Greg McIntyreGreg_Full
Elder Law Attorney
McIntyre Elder Law
123 W. Marion Street, Shelby

Planning Your Healthcare – Stay at Home with Bayada Home Healthcare!!!

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Great Valentine’s Day Show!!! Bayada Division Director, Joe Seidel, explains the advantages of home healthcare and how to pay for it. Call to reserve your seat at our upcoming seminar showcasing home healthcare. 888-794-8631.

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