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Infographic: Sierra View Homes Satisfaction Survey Results

Sierra View Homes Retirement Community sent out our resident satisfaction surveys during the summer. The questionnaire was either completed by mail or by individual interview. Of course, we are looking for a “report card” to see how we measure up, but we are also trying to understand if some areas need to be worked on.

We are pleased to report that our scores were high for each of the service lines! Certainly we want to improve all the time. Of the questions, we pulled from the ones that capture the resident’s full impression of our services. Full details may be found in the office, but we would like to summarize here for each service line:

Independent Living: 94% of residents see Sierra View Home’s apartments as a good value for the money, and 93% would recommend our community to others. A few of you would like to see more variety on the food menu and an increase in maintenance helpers.

Assisted Living: 100% of the residents and family members are “happy with the care and service that is provided.” A few of you would like to see more group activities in the evenings and weekends. 100% would recommend Sierra View Homes to others.

Skilled Care: More than 85% of residents and family members are happy with the care and service that is provided and 100% of the family would recommend Sierra View Homes to others. Some of you want more choice and participation in making decisions about their care and routines.

We appreciate your support and encouragement, especially after a very difficult year and a half. You also have given us some areas to improve on, and we will be working on them with expediency and diligence.

Dementia is Hard Work for Both Sides

Recently, while attending an educational conference, I attended a class taught by Laura Wayman. She has written a book on “A Loving Approach to Dementia Care.”

Dementia is not a specific disease; it is a term used for a group of brain disorders. Many diseases can have a dementia component. Alzheimer’s disease is probably the most prevalent. Recent studies show there are many more diseases that can result in dementia.

What is dementia? How can I tell if my loved one is on this path or could the problem be rectified? According to the Alzheimer’s Association, here are some symptoms that should not be ignored. Symptoms from the list include short-term memory loss when a person’s immediate memory is being challenged. Another issue can be the loss of the ability to process everyday activities which creates difficulty performing familiar tasks such as cooking, making a telephone call or remembering how to play a game. Struggling with words can be a sign of a problem. Individuals with Alzheimer’s disease often forget simple words or substitute an unusual word leaving the listener confused as to what is being said. Significant mood and/or behavior or personality changes could be a reason to be tested. We all have times when these symptoms are present. It could be brought on by medication, exhaustion, or stress. If you or your loved one is experiencing any of these symptoms for an extended period of time, seek help from a doctor who specializes in diagnosing dementia. For most of us, the symptoms will disappear when we take care of ourselves.

Laura Wayman talked about the caregiver of someone with dementia. She spoke about her mother’s journey as her father’s caregiver and shared insights she learned from watching them.

One of the issues for caregivers is the dementia-related person’s lack of ability to process thoughts and/or activities which often leads to trouble when a caregiver is trying to communicate. If a question is asked, an answer is expected. What happens when you cannot process the question? Anger and frustration can flare up. As our loved ones move deeper into dementia, it is important to remember not to ask questions. Wow, is that hard. I came back from my conference and noticed how often I would interact by asking questions of the people in Sierra View Homes Marden’s Place. We naturally want to ask questions. I did find I was successful in just talking with the resident because I got pleasant happier feedback.

The inability to process what is going on also means there is no good way for someone with dementia to tell us what is going on with him or her. Often, their behavior is the only way to understand there is an issue. People with dementia can be mirrors of the emotions of their caregivers. Have you heard the phrase “it is not what you say; it is how you say it”? In life, we all have encountered times when we felt put down or that someone was angry with us. Did the words stay with you or the tone of voice that caused you to take notice? If you are impatient and/or try to rush the dementia-related person, they will slow down. Showing you are frustrated and upset often leads to resistance and aggressive behavior. Laura stressed the importance of staying calm so everyone can have a better experience.

If you are a caregiver, it is extremely important to take care of yourself. You need to educate yourself on what to expect as the dementia progresses and to make sure you ask for help so you can step away for a few hours every so often. It is important that you keep yourself healthy and have the ability to cope with the situation. All too often, the caregiver becomes “worn out” and passes away too early.

Many of our residents’ family members find that interactions with their loved ones become more positive after they have moved into Marden’s Place Memory Care, our dementia-care assisted living. Not worrying about day-to-day caregiving tasks frees family members up for the positive, loving, meaningful interactions that they crave.

There is no cure for people with dementia. Studies show there are many more ways to get dementia than we previously thought. As the Baby-Boomer population ages we will see more people with a disease that has a dementia factor. Laura Wayman shared with those of us in her class the importance of continuing to be educated about dementia. The care of the dementia-related person is difficult, but the approach you use can significantly help you.

Defining Self-Care

The month of Valentine’s has arrived! Of course, soon after Christmas, the popular Cupids and red hearts were up to remind us to be in good cheer and spend some money on goodies for our loved ones.

Let’s have a little different perspective this time. I would like to remind you to take care of yourself first. Taking care of yourself fuels the good you can do in the world. True self-care is more than a collection of sayings, self-indulgence or surface-level practices. It’s taking stock of your humanness and building yourself up.

Each one of us has dignity as God’s Children. From the womb to death, each one is worth love and care. We were created to love and be loved. By taking care of yourself, you recognize the precious gift you were given to live a meaningful life. Too many, especially some care givers, give so much of themselves in being thoughtful, hard-working, persistent care deliverers, and in-addition active family members. All that caring takes a toll and we can easily see some get to a fatigue that diminishes health.

To those individuals, I say take time out for yourself. The old saying, if you don’t take care of yourself first, you are not going to be much help to others. It’s enlightening to consider self-care as an important sustainable habit that replenishes the body, mind and spirit.

Perhaps in this month, you can rework some habits that bring consideration to yourself. Is there a danger of too much pampering of oneself? For most of us, I don’t think so. The more we receive, the more we give away. May this Valentine’s Day find you replenished and able to love without limit and joyful to know that you are loved.

– Vito Genna, Executive Director

Want more articles like this? Sign up for Sierra View Homes’ monthly email newsletter! It includes events and happenings for the month along with thoughts from Vito Genna and SVH Chaplain Caley Ortmond. Submit your email address to Kecia at KFriesen@sierraview.org.

Lessons from Half a Century at Sierra View Homes

Nancy Petinak, circa 1981, dancing with a resident. “This was a really proud moment for me,” she said. “This resident suffered from PTSD and never talked or smiled. Over time, music brought him out of his shell, and he even danced. This picture captures a miracle.”

A lot changes in 44 years, but some things never change. No one can attest to this better than Nancy Petinak. The 79-year-old Reedley resident recently retired from her role as Activities Director at Sierra View Homes Retirement Community, a career which spanned an impressive 44 years.

Happy retirement, Nancy Petinak! You are loved. Thank you for your service!

Nancy played a pivotal role in the growth of Sierra View Homes from a small skilled nursing facility to a full-service continuing care retirement community. Nancy’s career is a source of great pride for Sierra View, as she exemplifies the unusual longevity of the organization’s staff, and more importantly, the service-oriented heart found beating beneath the everyday workings of the community.

When Nancy first began at Sierra View in 1975, she little expected that it would be the first and only employer of her career. “I was just hired because I could play the piano!” Nancy laughed. The director at the time, Art Bergthold Sr., wanted someone who could incorporate music into activities for the residents, and Nancy set out to do just that. She added music into workout classes, sing-alongs, performances, and weekly church services.

Before long, she had discovered that this was more than a job, it was a life’s work. “I realized it was a mission, and that God had placed me here for a reason, to help people and make their lives better each day,” she explained.

Nancy, circa 1982.

Over time, the methods she used to fulfill that mission evolved. “For many years, I focused on bringing events to Sierra View’s residents, like a Country Fair fundraiser that drew thousands of people from the neighborhoods in Reedley,” she explained. “I told our residents, if we can’t bring you to events, we’ll bring the events to you!

This philosophy, and her activity programs, were groundbreaking by necessity. “The year I started, activity programs had just begun to be required by the state, and innovations like assisted living and memory care for dementia patients didn’t exist yet,” she said. “Skilled nursing served a very wide variety of ability levels, from people who just needed a bit of assistance to Alzheimer’s residents who entered with extreme cognitive challenges.”

Nancy, circa 1982.

Thus, almost by accident, Nancy became a pioneer of dementia care. She established Sierra View’s Special Needs program, which laid the groundwork for Sierra View’s current Memory Care, transforming a dining room into a “neighborhood” with centers focused around everyday activities like cooking, laundry, sewing, and a home office. “We saw an immediate difference in our resident behavior,” she explained.

She recalls one particular resident, a former newspaper editor, who came into Sierra View angry and lashing out at the staff. However, at Nancy’s suggestion they added a typewriter and desk to the office area for him, and his behavior changed overnight. “He was suddenly very industrious, and typed all day long – it was like he was back to work,” Nancy said. “When we read what he was typing, it wasn’t always relevant, but it was clear that he was typing his feelings out. His family noticed an immediate improvement. They were so grateful that he was finally content and at peace.” Her program was so successful, in fact, that she visited other communities and spoke at conferences to teach about best practices in dementia care.

When Sierra View Homes’ dedicated Marden’s Place Memory Care wing was built, Nancy’s role pivoted once again, beginning to focus even more on the social needs of residents and their families. “I spent a lot of time mentoring families, dealing with individual concerns, walking residents and their families through power of attorney issues and disputes – basically helping families to understand what was happening to their loved ones,” she said. “But one of my favorite things was to sit with people and sing with them.”

In fact, over 44 years, Nancy has found that music is one of the constants. She helped bring the iPod Music program to Sierra View’s residents, where residents are provided with an iPod tailored to their individual favorite music. This has had special success in Sierra View’s Memory Care, where residents show marked improvement in happiness while singing along to their favorite tunes. “Music and scripture and prayer are the things that are never damaged by Alzheimer’s or dementia,” Nancy explained. “I’ve always told families that, and they seem to find comfort in it. Music, God’s Word, and prayer all speak straight to our heart, and that never changes.”

Another thing that doesn’t change is the service-oriented heart in Sierra View’s staff. “I’ve been blessed to work with a group of people who share my mission,” said Nancy. “Sierra View seems to draw people who want to make residents’ lives better every day, and I’ve been honored to work with many people who have really made a difference.”

Likewise, she has met incredible people in Sierra View’s residents. “One of our residents invented the little clip on pens so that you can hook it to your paper. Another invented a revolutionary design for airplane wings. We’ve had doctors, lawyers, missionaries, and Olympic medalists,” she said. “Sierra View is full of a wealth of stories and wisdom and history, just there for the asking.” So her advice to the younger generations after her? “Ask.”

Some things change – buildings rise up and organizations grow, and foundational staff like Nancy move on to new adventures. But the music, the heart of Sierra View Homes, and Nancy Petinak’s legacy, will always remain.

10 TIPS for Living a Dignified Life as You Age

“Aging with dignity is the ability to live life to its fullest in the place you call home, regardless of age, illness or disability. “ So starts an article by Victoria R Ballesteros and Athan G. Bezaetis. Both are communication professionals with the SCAN Foundation. The article they wrote covers 10 points on the topic of aging with dignity. These are good points to use to look to the future. Here is a summary of those points with some comments of my own.

TIP #1: You Are Not Alone

We have been hearing for a while now that the huge number of baby boomers are now reaching retirement age. There are not enough retirement communities, assisted living buildings or skilled nursing facilities to accommodate the numbers of people who will need care. It is important for you to talk to your family. Share with them what aging with dignity means to you on a personal level and listen to what it means for them.

TIP #2: Different People Need Different Kinds of Support

Most folks need someone to socialize with, some need help with medication management and others need some help to make sure they eat nutritious foods. Older individuals with health conditions that make routine activities difficult need specialized help. There is help for giving care in the home. Contact your Area Agency on Aging, Medi-Cal office, and your doctor to find out what help is offered in your area. There are no free services; however, there are people who are willing to volunteer occasionally. A good place to look for volunteers is your church.

TIP #3: Family Member Support Counts.

Family is a vital part of aging with dignity. Family members do many kinds of hands on care for individuals who have health needs. Someone in the family often helps with finances either managing money or helping to pay for needed help. Emotional support is an important family contribution. This can be challenging when you also have to grieve the loss of health and vitality.

TIP #4: Plan for Expensive Long-Term Care

Hiring people to provide care in your home can get very expensive. I understand a certified nursing assistant is being paid more than $15 per hour in most cases. In-home support organizations are charging $25 per hour and above. Nursing Homes are trying to keep costs to the resident as low as possible, but ever increasing environment regulations forces the cost of providing care to continue increasing. Many nursing homes cost $7000 a month and above.

TIP #5: Medicare Does Not Pay

I get a number of calls each week with the question, “Does Medicare pay for my loved one’s stay in Skilled Nursing or Assisted Living>” They are so surprised when I have to tell them Medicare does not pay. Medicare will only pay for a short-term rehabilitation stay not for custodial care. If you stay longer in a Skilled Nursing Home, you will have to pay out-of-pocket. If you end up spending all of your assets, you may then apply for Medi-cal, California‘s version of Medicaid. Medi-Cal has several programs to assist you in paying health care costs.

TIP #6: Talk to Your Loved Ones.

Planning is important. Decisions are extremely difficult when a crisis happens. Has a Durable Power for Health Care been established? If it has, how old is it, and are the agents listed in the document still able to fulfill the functions assigned to them? Are health care wishes spelled out in the document, or have there been explicit conversations with the Durable Power agent so the wishes can and will be honored when that time comes?

TIP #7: Talk to Your Loved One’s Doctors

Aging brings health care changes. Being a strong advocate for someone who is aging means you need to know about what the doctors feel is the right treatment. Do you have the right specialists? Are there contradictory issues or treatments going on? Doctors do not necessarily talk to each other.

TIP #8: Build a Circle of Support

The Durable Power of Health agent is certainly an important person in the life of someone who is aging. It may also be important to have discussions with your loved one’s attorney, financial planner, insurance provider and other family members. It is never an easy task to bring everyone together, but it is important to bring all people involved into the decision-making process to honor your loved one’s wishes and desires.

TIP #9: We All Have Different Definitions of Aging with Dignity

We all want to age with dignity, choice and independence. We want to live life to the fullest regardless of age, health care issues or ability. Be sure you understand how your loved one defines aging with dignity and make that part of the master plan.

TIP #10: Get Involved

Decisions are being made at the state and federal level that could impact the services available to you and your loved ones. Stay informed and speak up by talking to your local, state, and federal officials. The SCAN Foundation website can keep you updated.

Aging with dignity is important and creates less fear in the aging process. At Sierra View Homes Retirement Community, we strive to do person-centered care to increase dignity in the lives of the people we care for. We care-plan the resident wishes in the Residential Care/Assisted Living Facility, keeping the resident center in the plan of care. There are activities for the independent living to help foster friendships and a sense of belonging and to stay physically agile. The goal is to provide an outstanding environment that promotes dignity and a sense of well-being.

For more information about Sierra View Homes Retirement Community, please contact Crystal Rogalsky at (559) 638-9226 and crogalsky@sierraview.org.

10 Tips for a Great Garage Sale in Reedley

10 Reedley Yard Sale Tips! Are you ready to move into a Reedley retirement community like Sierra View Homes, but you’re still drowning in STUFF? Let’s downsize! It’s time to hold a garage sale!

Here are a few handy tips and tricks to make sure your Reedley garage sale draws a crowd:

  1. Don’t Forget Your Yard Sale Permit!
    Check out the City of Reedley’s rules for garage sales. The City of Reedley requires homeowners to purchase a $10 permit to hold a sale, and prohibits more than 2 yard sales each calendar year.
  2. Post Your Sale Online.
    Multiple websites are available to help you promote your yard sale, and most allow you to post your sale for free. 

  3. Post a Yard Sale Classified Ad in The Reedley Exponent.
    Yard sale ads cost $16, and the deadline is 10 a.m. on Monday for inclusion in Thursday’s newspaper. You can compose and submit your ad using The Reedley Exponent’s classified ad submission form. Then you will receive a call from them to provide payment over the phone.
  4. Put Up Signs. More signs = more awareness. Plan to post 5-10 brightly-colored signs.

  5. Try a Theme Sale.
    If you have a lot of one type of item, use that as your theme to draw traffic! Some ideas: Electronics Sale, Book Sale, Downsizing Sale, Furniture Sale, Clothing Sale, Garden Tools.
  6. Team up with Neighbors.
    A multiple-house sale will draw more interest.
  7. Don’t Overprice.
    A good rule of thumb is 10% to 25% of an item’s original value. Keep in mind that people shop at garage sales to get deals. If you want to sell the item for what it is worth, it will be worth more to collectors, or it’s a big-ticket-item, you may have better luck selling the item on Craigslist or Ebay.

  8. Keep Change on Hand.
    A good rule of thumb is to get $100 in cash:

    • 3 – $10
    • 6 – $5
    • 30 – $1
    • A roll of quarters.

      Make sure you keep your cash in a money belt or cash box!
  9. Make a Pleasant Shopping Environment.
    • Use Tables. Customers like to see things up close. Borrow tables if you need to in order to give you sale a more professional feel.
    • Hang Clothes. Hang clothing on a rack or a ladder, or on a closet pole held by two chairs.
    • Think Ahead. Have electrical cords for people to test out electronics, batteries for battery-powered items, and a mirror for people to try on accessories.
    • Music. Put on some nice music to add to the party atmosphere and make shopping more pleasant.
    • Beverages. If it’s a hot day, sell water, or get some neighborhood kid-entrepreneurs to put up a lemonade stand in your yard.
  10. Don’t Bring the STUFF Back In!
    Once an item leaves your home, don’t bring it back into the house.

    • Designate a “free” box for items that you just want people to take off your hands!
    • Donate the leftovers, or post them online for free:

Submit Your Photo in June!

Raise awareness! Submit a photo of yourself in purple or a pic with your family member impacted by Alzheimer’s, and we will post it on Sierra View’s Facebook page.

June is Alzheimer’s & Brain Awareness Month. This is a cause that is near and dear to our hearts here at Sierra View Homes Retirement Community. Our Memory Care is full of amazing people that this disease has impacted.

(Make sure to tell us who you are wearing purple for and include names of everyone in photos so we can credit them correctly.)

Let’s help raise awareness end this disease once and for all!

For more information about how you can take action to help end Alzheimer’s check out http://alz.org/purple.

#EndAlzheimers

When is it Time to Consider Assisted Living?

Assisted Living MealWhen is it time to consider assisted living?

The time to start looking for an assisted living facility is when you notice it is no longer easy for your loved one to function all by themselves.

  • Watch the medications: Are they taking medicines at the appropriate times? Do you or another family member feel a need to remind your parent to take their medicine? Are they experiencing medical problems that may be due to not taking medications? Have they recently lost the help of a spouse or other person who was prompting them to take medications?
  • Are they keeping up their home? Is their housekeeping ability staying the same? How does the lawn look? Are dishes piling up? Are bathrooms sanitary?
  • Is your loved one skipping meals? Have you noticed significant weight loss? When you go to their home, is there healthy food in the cupboard?
  • Normal functioning: Is your loved one leaving things undone that they used to get done no matter what? Are bills getting paid? Does your loved one receive calls from collectors?

What is Assisted Living?

Assisted living is there to help the senior stay independent for as long as possible. The idea is to help the resident maintain health and ability by taking care of some of the everyday housekeeping chores such as cooking, cleaning, yard work, and medication maintenance, yet still allow the resident the freedom to come and go as they please, enjoy and entertain family and friends, be social, and enjoy various activities offered.

Make sure to look at several facilities to be able to choose the one that most fits your parent’s needs. Not all assisted living facilities are alike, so here are some factors to consider as you help choose your parent’s new home. 

Glide into 2017

rockingchair_slider

In this high tech world with all the gadgets that promise to make your life better, we are now seeing that a simple rocking chair can improve your health and your overall sense of well-being. Before you conjure up some antiquated image of an old person in a rocking chair, you need to see the evidence. Studies are being conducted by a number of leading colleges on the possible benefits of spending time rocking in a rocking chair.

Many of us have spent time rocking or gliding enjoying the soothing relaxing movement. Researchers are showing that rocking chairs help to reduce pain. The spinal cord can work in only one direction. So, when the brain is sending impulses down to the legs to push the rocker the pain receptors are blocked. President John F Kennedy got relief from his chronic back pain by spending time in a rocking chair.

Rocking chairs have been shown to improve the emotional health of those suffering from depression, anxiety and/or dementia. Researchers found by simply rocking back and forth in a rocking chair for at least an hour a day improves the psychological and emotional well being of the person rocking. No study reports why this works, but the results show the more rocking you do the better the results.

A team in New York State Department of Health did a rocking chair study of 25 nursing home residents who were diagnosed with dementia. After six (6) weeks of monitoring the residents, rocking for at least an hour a day, the team found the residents were emotionally calmer. Anxiety, tension and depression were decreased and these residents required less pain medication.

A surprising benefit was the residents had better balance after rocking. The light exercise that happens while rocking burns calories, improves knee extension, and strengthens calf muscles giving residents better ability to stand up straight.

Recently, with a memorial monetary gift from the Wendell Rempel family, Sierra View Homes purchased six (6) new rocking chairs for Marden’s Place, our assisted living memory care unit. The chairs are unique in that when you sit down in them the chair stays firmly in place. When you lean back the rocking mechanism releases and the chair starts moving. This initial engagement is a great benefit to the residents who could be unaware of how to make a rocking chair move. The residents start to rock and often will keep the chair moving. When it is time to stand up the rocking mechanism disengages as the person leans forward to stand. Once again the chair is solid with no motion.

The rocking chairs are used regularly and are frequently requested by the residents. Rarely do I see a chair-sitting idol. The staff in Marden’s Place tells me the chairs have made a difference in how they care for the residents. “The residents are more calm and they seem happier,” a staff member recently told me. Another staff member said her “residents seek out the chairs and are disappointed if they are all in use.”

Rocking brings a safe activity to people who live a sedentary lifestyle. It does not make up for strength–training such as lifting weights but it has value in increasing strength, decreasing pain and creating a sense of well-being in a person who rocks regularly. So, my advice is to dust off those old rockers and place them in a place of prominence and glide or rock on through 2017.

Food: Seniors Want Fresh, Organic, and Made-to-Order in a Fine Dining Atmosphere

healthyfood

Photo courtesy of notyourstandard.com.

Eating organic foods, more fresh produce and less processed food seems to be the current trend. Seniors are starting to rally to that table of fresh, homemade food, even after a lifetime of poor eating habits. People who are coming to live on retirement community campuses are demanding food choices that promote a heart healthy diet. It is important for food service to meet the needs and the wants of the people who live in the community.

Today’s social norms have pushed meal times to be fast paced, perhaps an inconvenience. Mealtime is a social time for seniors. It is a time when residents enjoy visiting with family and friends. The wait time and coffee after is spent visiting listening to hear the tales of the day. Quality of life is most visible at meal time. Retirement Communities’ food service keep asking the question: Is the food not only presented in an appetizing and appealing manner, but is it true to the needs and desires of the resident?

Many years ago when I started working in long-term care much of the food served was processed. There never was any fresh fruit or fresh salads. The vegetables were always cooked till they were soggy and the amount of salt in all the food was staggering. Every Resident Council and Care Plan meeting had food complaints and concerns. Dietary staff was simply charged with getting three meals a day out to the residents. There was the main dish, which was served to everyone. If someone said “I don’t like that,” the server would go back to the kitchen for the alternate most likely a sandwich, and that was the end of choices. Standalone nursing homes were especially prone to a dull plate. As retirement communities and assisted living communities started paying more attention, nursing facilities followed. Now Medicare pushes the care of residents in Skilled Nursing to a more resident-centered care and food service also needed to change. Food choices are important. Having healthy choices for residents has become a priority. New people moving onto the retirement community campus have become more vocal about having healthy food choices. Food committees have sprung up to help dietary services understand what is desired for the food choices.

Of course, expectations for improved food services and experiences present senior living communities with a variety of challenges. Residents may have religious; cultural or ethnic food needs or preferences. Food allergies have become more common. Making sure people get the right diet therapeutically and by preference takes a vigilant staff keenly aware that each person needs to be served the right foods. Also, the multitude of plates have to arrive at the table hot, tasty and appealing, all within the one hour of the mealtime window.

Sierra View Homes is working toward increasing healthy food choices for the people who dine here. Meatloaf and mashed potatoes are still served on occasion but it is more likely you will see a fish choice on the menu. Actually I can’t knock the Sierra View Minerva Meatloaf. It is many resident’s favorite dish which is a favorite of many residents. A salad bar gives a choice of fresh greens and fruit. Sierra View has a garden planted on campus for the community to harvest for their own meal planning.

Giving choices of healthy food for today’s seniors is of great importance to the quality of life at Sierra View and other retirement communities. Having good food choices goes a long way in the satisfaction of the community residents who are working hard to have a long and healthy life. So, like our residents, I take the fresh, organic made to order by our chef in our fine dining room. As the Italians’ say “Bon Appetite” the German’s say ”Mahlzeit”.