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Three hundred conversations in, and the spirit of connection is stronger than ever! Varsity’s 300th weekly Roundtable featured yet another thoughtful exchange, this time with nationally recognized downsizing expert and former Hoarders host Matt Paxton. 

“Downsizing should be an opportunity to share your generational stories and move to a better life. It should not be this overwhelming daunting task,” said Paxton during his conversation with the group. 

As a guest on Varsity’s weekly Roundtable, Paxton talked about the emotional side of downsizing. Why it’s never really about the “stuff,” but about the memories and meaning behind it. He shared practical ways to help people move forward, from starting small to focusing on what truly matters, all while honoring the past. Below are a few Fresh Perspectives from his discussion.

IT’S NEVER ABOUT THE STUFF, IT’S ABOUT THE STORY

What people hold onto isn’t clutter, it’s identity, memory and meaning. Until you address the emotional connection, you can’t unlock the move.

PEOPLE ARE STUCK BETWEEN PAST AND FUTURE

Many prospects aren’t resisting the move, they’re paralyzed by memories of the past and fear of making the wrong decision, keeping them from living in the present.

START SMALL TO BUILD MOMENTUM

Downsizing doesn’t begin with big decisions. It starts with small, non-emotional wins that create progress and confidence to keep going.

DON’T RECREATE THE OLD LIFE, CREATE A NEW ONE

The goal isn’t to replicate a former home inside a community. It’s to embrace a new chapter, new space and new experiences.

MOST “VALUABLE” ITEMS AREN’T ACTUALLY VALUABLE

Families often overestimate resale value. Outside of things like gold, most furniture and household items have limited financial return.

SERVICE AND TRUST DRIVE EVERYTHING

Whether working with residents or prospects, success comes from leading with empathy, building trust and helping people move forward, not just moving their stuff.

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here.

The desire to age in place is changing how older adults engage with senior living—and challenging communities to rethink when and how they connect with future residents. As a result, models like continuing care at home (CCaH) are gaining attention as a way to extend care beyond the campus while building earlier relationships.

On Varsity’s weekly Roundtable, Dr. Amanda Young, CEO of M.A. Longey Consulting, shared insights from her experience launching and operating these programs, including how they’re evolving and where they fit within the broader continuum. Below are a few Fresh Perspectives from her discussion.

EARLIER ENTRY POINT, STRONGER FUTURE PIPELINE

CCaH doesn’t cannibalize independent living demand, it captures prospects earlier. By engaging individuals years before they’re ready to move, communities can build relationships, strengthen waitlists, and ultimately convert more residents over time.

EDUCATION IS THE GROWTH BOTTLENECK

Interest in the model is growing, but adoption lags due to confusion. Consumers don’t know what it is, leaders don’t fully trust it, and the lack of a physical product makes it harder to explain, turning education into the biggest growth constraint.

THIS IS A NEW BUSINESS, NOT A SIDE HUSTLE

Programs that struggle are often under-resourced. Success requires dedicated staff, marketing investment, and leadership alignment because this isn’t an add-on, it’s an entirely new line of business with its own operational and financial model.

THE MODEL EXPANDS YOUR REACH—WITHOUT BUILDING

With demand for senior living far exceeding supply, continuing care at home offers a scalable way to serve more older adults without major capital investment. It extends your mission beyond your campus and into the broader community.

FLEXIBILITY IS THE FUTURE OF THE MODEL

The traditional life care structure isn’t reaching the middle market, but innovation is underway. Hybrid models, care coordination-only options, and waitlist-based programs are reshaping the offering to be more accessible and financially realistic.

RETHINKING THE CONTINUUM AS A CONNECTED JOURNEY

The most effective organizations don’t treat at-home and community living as separate choices. They position them as connected steps, allowing individuals to enter earlier, stay longer, and move seamlessly when the time is right. 

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here. 

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The following is Part 2 of a two-part series (see part one here) exploring how pharmacogenetic (PGx) testing can help senior living communities navigate medication conversations and support more personalized care. The series is written by Dr. Troy Veale, CEO of PHD Laboratory, a healthcare innovator with more than 25 years of experience in behavioral health and over a decade in laboratory science focused on advancing precision medicine and improving patient outcomes.

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In Part 1, we explored why medication conversations matter in senior living environments. In Part 2, we turn to the clinical side of pharmacogenetic (PGx) testing, what it is, what it is not, and why it holds particular relevance for aging populations.

WHAT PGx TESTING ACTUALLY EVALUATES

Pharmacogenetic testing analyzes specific genes that influence how medications are metabolized. Using a non-invasive cheek swab, laboratories evaluate genetic markers related to drug-processing enzymes, particularly those that impact common prescriptions used in aging adults.

Results may indicate whether an individual is likely to:

• Metabolize a medication too quickly (reducing effectiveness)
• Metabolize it too slowly (increasing side effect risk)
• Process it as expected
• Benefit from alternative medication classes

The goal is not to dictate therapy but to provide additional data to support provider judgment.

WHY AGING POPULATIONS BENEFIT FROM PERSONALIZATION

Older adults are more susceptible to adverse drug reactions for several reasons:

• Decreased liver and kidney function
• Changes in body composition
• Multiple coexisting health conditions
• Polypharmacy (use of multiple medications)

Research consistently shows that adverse drug events are a leading cause of emergency department visits among older adults. Even when medications are appropriately prescribed, genetic variation can influence response.

PGx testing brings that variability into clearer focus.

ADDRESSING COMMON MYTHS

Myth 1: PGx testing is only for complex cases.
In reality, many commonly prescribed medications,  including those for cardiovascular health, depression, pain, and neurology — have pharmacogenetic considerations.

Myth 2: Stable patients don’t need this information.
Even stable residents may benefit from minimizing long-term risk or identifying lower-risk alternatives.

Myth 3: It replaces physician expertise.
PGx testing enhances decision-making. Providers interpret results within the context of medical history and clinical presentation.

Myth 4: It is invasive or risky.
The test requires only a simple cheek swab.

BENEFITS ACROSS STAKEHOLDERS

For providers:

• Additional prescribing insight
• Support for medication adjustments
• Alignment with evidence-informed care

For senior living teams:

• Stronger educational positioning
• Confidence in discussing holistic care
• Alignment with preventative models

For families:

• Greater transparency
• Reduced uncertainty
• Peace of mind

Medication conversations become proactive rather than reactive.

PRIVACY, COVERAGE AND NEXT STEPS

Your DNA is used only to analyze how your body processes medications. PHD Laboratory does not sell, share, or store your DNA for any other purpose. We are CLIA and COLA certified and fully compliant with HIPAA privacy laws, ensuring your genetic information is protected and confidential at all times.

PGx testing is covered by Medicare Part B for eligible patients and may also be paid for using FSA/HSA funds, CareCredit, or private pay options.

For questions, educational information, or to order a PGx test, please visit the PHD Laboratory website or email info@phdlaboratory.com.

Aging has long been framed as a story of decline. Slowing down, scaling back, preparing for what’s next. But that narrative is starting to shift, driven by research, changing expectations and a growing recognition that later life can be defined by strength, purpose and continued growth.

That shift was at the center of a recent conversation on Varsity’s weekly Roundtable, where we were joined by Colin Milner, CEO of the International Council on Active Aging, to discuss The Wellness Revolution: From Decline to Potential. Below are a few Fresh Perspectives from his discussion.

DECLINE WAS A STORY, NOT A DESTINY

For decades, aging was framed around managing decline, largely because of the gap between lifespan and healthspan. But emerging science is rewriting that narrative, showing that decline isn’t inevitable, it’s modifiable.

MINDSET IS A HEALTH INTERVENTION

How people think about aging directly impacts outcomes. A positive outlook, paired with healthy behaviors, can improve both longevity and quality of life, making mindset a critical (and often overlooked) part of wellness strategy.

WELLNESS HAS A DEFINITION PROBLEM

Many communities claim to be “wellness-based,” but without a clear understanding of what wellness actually means, execution falls short. True wellness is active, intentional and rooted in whole-person outcomes, not just programming.

THE MODEL SHIFT IS FROM CARE TO POTENTIAL

Senior living is moving from a place that manages decline to one that unlocks potential. The communities leading the way are designing experiences around purpose, identity and continued growth, not just support.

THE FUTURE RESIDENT IS ALREADY DIFFERENT

Incoming generations are more health-focused, informed and expectation-driven. Communities waiting until residents “need” care risk missing the opportunity to engage them earlier through a wellness-first approach.

WELLNESS ISN’T A PROGRAM, IT’S A COMMITMENT

The communities doing this best aren’t looking for quick wins. They’re investing time, resources and energy into building cultures where wellness is fully integrated, measurable and continuously evolving.

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here. 

 

Dementia is often defined by what people lose, but a more helpful question is what abilities remain. In a recent episode of Varsity’s Roundtable Talk, Derek sat down with Teepa Snow, occupational therapist, educator and founder of Positive Approach to Care, one of the most influential voices in dementia care.

Their conversation explored why fear still shapes public perceptions of dementia, how communication must adapt as brain changes occur and why Snow prefers the term “care partner” over caregiver. She also discusses caregiver burnout and the importance of building stronger community support around people living with dementia. The following are some fresh perspectives from their conversation. Check out the full episode here. 

WHAT DOES IT MEAN TO TAKE A POSITIVE APPROACH TO DEMENTIA CARE?

Well, in my experience, I can’t use what you can’t do. It’s not possible. What I can do is engage with you and see what you have. And that’s where we can come into a relationship and I can work with you. I need to tune in to the reality of who you are now, not just who you were and what you’re capable of, because that’s what we have to work with and come together with.

WHY IS FEAR STILL THE DOMINANT EMOTION PEOPLE ASSOCIATE WITH DEMENTIA?

I think human beings, as a rule, like the predictable. They like once they master something, they don’t have to think about it so much. And I think what dementia does is rob us of our knowingness. It forces us back into a space of paying attention, being observant. The reality is dementia is ever changing. You don’t get to relax into routine. You have to stay alert, and maybe people don’t want to be on the job so much.

WHAT MISCONCEPTIONS ABOUT DEMENTIA DO THE MOST HARM?

The idea that everybody experiences the same kind of losses and changes in the same order. Alzheimer’s tends to take the front seat, but if I’m living with Lewy body or vascular dementia, my symptoms may be very different. It pays to get a pattern established of what I’m living with and how it’s going. And people also think it only happens to older adults and that it’s all about memory. Memory is just this much. There’s a whole lot more going on.

HOW EARLY SHOULD PEOPLE START LEARNING ABOUT BRAIN HEALTH AND CHANGE?

I would like us to learn more about brain health and wellness when we’re younger. Kids know their body parts, but they don’t know the brain parts, and those are super important. If I know how my brain’s supposed to work, then I can notice when it’s doing something unusual. We tend to wait until there’s so much evidence something isn’t going well, and by then we’re past screening and dealing with significant change.

WHY DO YOU PREFER THE TERM “CARE PARTNER” OVER “CAREGIVER”

I believe there is no care about me without me. It’s time to quit treating someone living with dementia like they’re a football and we’re passing them around. It’s their life, their care. I’ve got to figure out how to work with that human being. I can’t just give care because if I give it, you have to receive it. If you don’t want it, you don’t want it. So I have to partner with you.

WHAT ARE EARLY SIGNS OF CARE PARTNER BURNOUT?

If I were to ask you to tell me three things you’ve done today for yourself and you can’t, that’s a sign. If you can’t tell me something you feel good about in your relationship or something that brings you pleasure, it’s time to have a conversation. We don’t train people for this work. We drop them into it and they keep going until they drop. We need to build community around this, not expect one person to carry it all.

Want to hear more from Teepa? Check out the full episode of Roundtable Talk for more fresh perspectives. Watch new episodes of Roundtable Talk on the Varsity website and on Apple Podcasts, Spotify, and iHeartRadio.

In senior living sales, there’s constant pressure to move quickly. Leads need attention, tours need follow-up, pipelines need momentum. But the communities that win aren’t just fast, they’re intentional about building trust at the right moment.

According to data shared by Maggie Seybold, VP of Customer Insights at WelcomeHome, in one of Varsity’s weekly Sales & Marketing Roundtable gatherings, one simple action can dramatically accelerate both trust and timing: a brief executive director follow-up call after a tour. In fact, a personalized three- to four-minute call from the ED can shorten the sales cycle by 60%.

“Fifty percent of families never hear from an executive director post-tour,” said Seybold during her Roundtable presentation. “This is a competitive opportunity just waiting to be seized.”

WelcomeHome’s benchmark data shows that timing plays a critical role in senior living sales follow-up. Communities that reach out within one business day of a tour increase move-in likelihood by 42%. Waiting two days still delivers a 27% lift. After that, engagement drops sharply. In a market where average inquiry-to-move-in conversion hovers around 9%, small improvements in post-tour follow-up can have outsized impact.

So why does an executive director call matter so much?

Because it signals leadership engagement. When a prospect hears from the person overseeing day-to-day operations, it builds credibility and confidence. It reinforces that the community is organized, attentive and personally invested. It also differentiates you from competitors who rely solely on automated follow-up or sales-only outreach.

Even better, the lift isn’t theoretical. Half of the prospects who answer an ED’s call move in within 11 days. That kind of acceleration not only boosts occupancy but also reduces marketing spend and shortens the sales cycle.

FRESH PERSPECTIVE

In today’s senior living sales environment, where lead volume is tighter and connection rates matter more than ever, executive director follow-up is one of the most underutilized growth levers available. And for communities willing to act quickly, it’s a competitive advantage hiding in plain sight.

Find this data and more in WelcomeHome’s Senior Care Insights data platform. Explore their quarterly benchmarks and new 2025 Year in Review here.

Workforces rarely move in neat generational lines. Most organizations today include boomers approaching retirement, Gen X leaders balancing stability and innovation, millennials shaping culture and Gen Z bringing new expectations about flexibility, purpose and technology. Understanding how those perspectives intersect is becoming increasingly important for senior living organizations trying to recruit, retain and lead multigenerational teams.

That was the focus of a recent conversation on Varsity’s weekly Roundtable, where Jennifer Smith, Ph.D., of the Mather Institute shared insights from Year 3 of the Gen Xperience Study, a five-year research series examining how Gen X compares with other generations in the workplace. Below are a few Fresh Perspectives from her discussion.

GEN X IS THE WORKPLACE BRIDGE GENERATION

Gen X often lands in the middle of generational trends. They value stability like boomers but are comfortable with technology like younger workers. That positioning makes them a natural bridge between residents who may be less comfortable with tech and younger colleagues who are quick to adopt tools like AI.

RETENTION ISN’T JUST ABOUT PAY ANYMORE

Compensation still matters most, but flexibility, autonomy and job security increasingly shape whether employees stay. Gen Z is especially focused on control over how they work, while Gen X prioritizes stability. Organizations that balance both will be better positioned to retain a multigenerational workforce.

LONELINESS IS A RETENTION ISSUE, NOT JUST A WELLNESS ISSUE

Employees who feel more isolated at work report lower job satisfaction and shorter plans to stay with their employer. Even though average loneliness levels were moderate, the connection between belonging and retention suggests that building workplace community isn’t optional, it’s a workforce strategy.

MISSION IS A RECRUITING ADVANTAGE

Younger generations increasingly want employers to make a positive social or environmental impact. For mission-driven senior living organizations, clearly communicating how the work improves lives can be a powerful differentiator when recruiting and retaining talent.

AI ADOPTION IS MOVING FAST, BUT TRUST IS LAGGING

Generative AI is already widely used in the workplace, especially among millennials. But Gen X and Gen Z show more caution, recognizing its benefits while still questioning the reliability of its outputs. Adoption may depend as much on building trust as on the technology itself.

WELLNESS EXPECTATIONS ARE EXPANDING

Younger workers increasingly expect employers to support not just physical health but emotional, social and mental well-being. At the same time, older generations are also broadening their definition of wellness. That shift signals that holistic wellness programs will only grow more important across the workforce.

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here.

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The following is Part 1 of a two-part series exploring how pharmacogenetic (PGx) testing can help senior living communities navigate medication conversations and support more personalized care. The series is written by Dr. Troy Veale, CEO of PHD Laboratory, a healthcare innovator with more than 25 years of experience in behavioral health and over a decade in laboratory science focused on advancing precision medicine and improving patient outcomes.

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In senior living, some of the most important conversations don’t happen on a tour, they happen around medications.

Families ask questions quietly:

• Why is Mom more tired lately?
• Is this medication causing confusion?
• Why does this prescription work for one resident but not another?

Medication management is often treated as a clinical back-office issue. But in reality, it directly affects resident satisfaction, outcomes, staff confidence, and family trust.

For senior living sales teams, executive directors, nurses, and caregivers, medication conversations present both a challenge and an opportunity. The challenge is complexity. The opportunity is education.

One emerging tool helping shift these discussions is pharmacogenetic (PGx) testing, not as a sales pitch, and not as a replacement for physician oversight, but as a framework for clearer conversations.

Why Medication Conversations Feel Overwhelming

Older adults frequently manage multiple chronic conditions, cardiovascular disease, diabetes, depression, chronic pain, neurological disorders. It is not uncommon for residents to take five, ten, or even more medications daily.

With aging comes physiological changes that affect how the body absorbs, metabolizes, and eliminates drugs. These changes can increase the risk of:

• Adverse drug reactions
• Falls and dizziness
• Increased confusion
• Medication non-adherence due to side effects
• Avoidable hospitalizations

Families often assume these risks are simply “part of aging.” Teams sometimes assume side effects are unavoidable. Providers do their best with the information available.

But what if medication conversations didn’t have to start from a place of guesswork?

A Shift Toward Personalization

PGx testing evaluates how a person’s genetics may influence the way certain medications are processed in the body. It doesn’t diagnose disease. It doesn’t predict future illness. It provides insight into how medications may interact with an individual’s metabolic profile.

For senior living professionals, the most powerful part of PGx testing isn’t the lab result, it’s the conversation it opens.

It creates space to ask:

• Is this medication optimal for this individual?
• Could side effects be reduced?
• Are there alternatives that may align better?
• How can we support safer prescribing conversations?

These are not clinical determinations made by sales staff or caregivers. They are informed discussions that support provider evaluation and collaborative care planning. 

Trust Is Built Through Transparency

Senior living is built on trust. Families are not just choosing a community; they are choosing partners in care.

When medication conversations are proactive rather than reactive, families feel:

• Heard
• Educated
• Involved
• Reassured

Communities that introduce the idea of personalized medication discussions demonstrate alignment with preventative and value-based care models.

Sales teams are uniquely positioned here. They can frame PGx testing as a supportive educational resource, one that enhances provider decision-making and resident well-being.

Rather than saying, “We offer genetic testing,” the conversation becomes:

“We believe in helping families feel confident in every aspect of care — including medications.”

Removing Barriers, Not Adding Complexity

One concern often raised is whether introducing PGx testing adds another layer of complexity to an already overwhelming process. The opposite can be true.

By helping providers evaluate medication suitability earlier rather than later, PGx testing may reduce future medication adjustments, side effects, or avoidable emergency visits. It simplifies long-term decision-making by introducing clearer data into the process.

For caregivers and daughters like Michele, who recently navigated placing her own mother into senior living, clarity around medications is deeply personal. Families want assurance that their loved one is not simply “trying medications”, but receiving informed, thoughtful care.

PGx testing supports that reassurance.

A New Category of Conversation

Senior living has evolved to include partnerships in move management, downsizing, care coordination, and wellness programming. Medication personalization is a natural extension of holistic senior care.

This isn’t about replacing physicians. It isn’t about overstepping clinical boundaries. It’s about strengthening education, transparency, and collaboration.

In Part 2, we will explore the clinical foundation behind PGx testing, how it works, common myths, and why it continues gaining traction in aging populations.

Privacy, Coverage, and Next Steps

Your DNA is used only to analyze how your body processes medications. PHD Laboratory does not sell, share, or store your DNA for any other purpose. We are CLIA and COLA certified and fully compliant with HIPAA privacy laws, ensuring your genetic information is protected and confidential at all times.

PGx testing is covered by Medicare Part B for eligible patients and may also be paid for using FSA/HSA funds, CareCredit, or private pay options.

For questions, educational information, or to order a PGx test, please visit the PHD Laboratory website or email info@phdlaboratory.com.

In our recent Sales and Marketing Roundtable, experts Onawa Gigliotti and Samantha Adler from SEA Conflict Consulting illuminated how conflict, while inevitable, can foster innovation and stronger teamwork, especially in senior living sales. Their strategies focus on building communication and trust to improve team dynamics.

They shared fresh perspectives on mediation and conflict resolution, highlighting the power of open-ended questions and cultural awareness. These techniques help transform disputes into opportunities for creative solutions and enhanced collaboration, promoting a positive and cohesive work environment.

UNPACKING MEDIATION, DEESCALATION, AND CONFLICT RESOLUTION

Understanding the unique roles of mediation, deescalation, and conflict resolution is essential for fostering effective communication and lasting solutions. Mediation focuses on facilitative dialogue, deescalation addresses immediate tension, and conflict resolution tackles core disagreements, each promoting proactive conflict management.

EMBRACING OPEN-ENDED QUESTIONS FOR EFFECTIVE COMMUNICATION

Utilizing open-ended questions in conflict and negotiation settings invites comprehensive dialogue. Techniques such as “Tell me more” and active listening help clarify issues. These open-ended techniques foster mutual understanding, transforming potentially negative interactions into constructive exchanges.

CULTURAL AWARENESS IN MEDIATION ENHANCES UNDERSTANDING

Acknowledging cultural differences is crucial in mediation. By remaining open-minded and using broad questions, mediators can avoid misinterpretations and ensure respectful, inclusive dialogues. This approach helps address systemic issues like classism and racism, fostering effective conflict resolution.

TRANSFORMING CONFLICT INTO OPPORTUNITY

Conflicts, often viewed negatively, can become productive brainstorming opportunities with the right skills and mindset. Emphasizing transparency and openness can turn disagreements into opportunities for innovation and stronger connections, promoting a positive conflict resolution approach.

Varsity’s Roundtable is a weekly virtual gathering of senior living marketers and leaders from across the nation. For updates about future weekly Roundtable gatherings, submit your name and email address here. 

On Varsity’s podcast, Roundtable Talk, we had the pleasure of speaking with Dr. Tom Kamber, founder of Older Adults Technology Services (OATS) and Senior Planet, about how he’s helping older adults thrive through digital connection, education, and empowerment.

He discussed the evolution of OATS, the power of community-centered tech education, and how tools like smart homes, AI, and telehealth are reshaping what it means to age well in the digital era.

The following are some fresh perspectives from the conversation. Check out the full episode here. 

WHAT INSPIRED YOU TO CREATE OLDER ADULTS TECHNOLOGY SERVICES (OATS) AND SENIOR PLANET?

I started OATS 20 years ago, 21 years ago now. I’ve been a lifelong social activist. I got approached by an older woman who asked if I would help her learn the internet. And one thing led to another, she used to come to my office on Monday mornings with her breakfast and a napkin, and we would do an hour. I realized there’s kind of an open space here in the nonprofit world. So I started OATS.

WHAT’S THE MOST POPULAR PROGRAM YOU OFFER?

Our number one most popular class is a fitness class. The number one class by a mile is called Morning Stretch. Five days a week, gets like 500 or 600 people. The healthy aging part of this is the socialization of their physical activity, their communication around their health. It’s really unleashed an opportunity for people to think about their health in a social context.

WHAT’S THE BIGGEST MYTH ABOUT OLDER ADULTS AND TECHNOLOGY?

The biggest myth is that people can’t learn. Ageism is one of the last accepted prejudices. Learning technology is like a language, and if you are learning a new language, there’s a time where you’re learning the grammar and the words.  

WHAT POLICY BARRIERS STILL PREVENT OLDER ADULTS FROM GETTING ONLINE?

The big ones are clearly telecommunications reform. We know everybody needs internet. It’s not a luxury anymore. It should be like water and electricity. We also need to empower the service providers. Your veterans care, your library visit, your senior center—it should feel better because of the technology. And third is regulatory protection. Scams, AI misuse, insurance issues—people need protection and better policy.