When Madeline Hill made the commitment to create Mountain Meadows,
www.mtmeadows.com , her
decision was based on a long and dedicated history in social
services. Madeline played a key role in creating the project that
became the Oregon Model of Long Term Care, now used by Congress and
other state governments. For 11 years, she served as regional
manager of the Oregon State Senior Services Division. During her
years in social services, Madeline became dedicated to the idea of a
very special kind of senior community. That's how the dream that
became Mountain Meadows began.
"The main thing is — it wouldn’t look like a senior community," said
Hill, 61. "It would look like the rest of town and be part of the
town’s life, yet have a rich community life of its own and, above
all, residents would have all the power. They would essentially run
the place, buy (or sell) their homes, keep their equity and be free
to come and go as they please."
It happened. Mountain Meadows Community, now in its seventh year
after its first occupants (Hill’s parents) moved in, sits atop a
gentle slope at the north end of Ashland, home to 250 people in 65
homes and 160 condominiums, all done in early 20th-century
Craftsman-style architecture.
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Madeline Hill |
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"It exceeded what I planned," said Hill, who lives in a Mountain
Meadows condo with her husband, Hunter, a psychologist retired from
work at the Veterans Domiciliary in White City. "I set up an
aging-in-place community and people embraced it."
As part of the Jackson-Josephine Health Planning Council in the late
1970s, Hill was a pioneer in the concept of aging-in-place — helping
seniors remain at home as long as possible, providing additional
care (meals on wheels, home nursing, assisted living, in-home
services, senior transportation) so they don’t suddenly become
unable to take care of themselves and end up in a nursing home.
"We demonstrated more people could be served with less government
money by keeping them at home with more services," she said. "It was
so successful that the state created the Senior Services Division
based on our experiment, called the Oregon Model of Long Term Care."
The state in the early 1980s hired Hill to teach the model to the
rest of Oregon and from there, it became the centerpiece on a White
House Conference on Aging, from which it spread to most other
states.
"Nursing homes as we knew them — just places to put people because
they’re old — became a thing of the past. They’re now almost
sub-acute hospitals, doing post-operative care and rehab therapy,
such as for broken hips."
After that, Hill became Southern Oregon director of the state Senior
Services Division and served on the boards of the Ashland Community
Hospital, the Ashland Senior Program, the Ashland Association of
Retired Persons and the Oregon Gerontological Association and as a
member of the Ashland Housing Commission.
By 1989, with her own parents getting older, Hill wanted to create
the "ideal senior community," entirely without government money. She
found local investors and her 50-50 partner, longtime Ashland
builder and former city planning commission member Larry Medinger,
then bought 22 acres on pasture (adding eight more later).
On Mountain Meadows she applied her aging-in-place model, so that as
younger seniors age, they are met with a gradually more supportive
network of in- home meals, visiting nurses, town vans and a fitness
center and pool designed for any level of ability.
Residents draw a certain peace of mind from knowing they won’t be
"shipped off" away from their community. If they finally can’t make
it alone at home, Skylark assisted living center awaits them on the
north end of the campus. Trinity Respite Center, which relocated to
Mountain Meadows from Trinity Episcopal Church, provides much-needed
breaks for any caregiver in the community.
Homes, condos and a cluster of soon-to-be-built rentals are all
designed as senior-friendly with faucets, doorknobs and kitchen
buttons that are near waist level and easy to turn with the back of
the hand or elbow. Wheelchairs can turn in all halls, bathrooms and
elevators.
"There are no steps in homes," Hill said. "If you’re in a wheelchair
or scooter, you can go anywhere in any floor of any building
throughout the campus. It’s all on a hill so, if you have a
two-floor condo, you go in the first floor on the downhill side and
the second floor on the uphill side. Every obstacle is gone."
"We looked at 15 places in the West and Florida and found nothing
like this, where you get to own your home and are free to serve or
not serve on committees, as you please," said resident Janet Nelson,
77. "It’s also nice that your investment increases about $53,000 a
year."
"We came because of the concept that you live in your own home, are
independent and yet you have a lot of community, so if your spouse
passes away, you’re not alone," said Lue Anne Cook, 77.
"In California, you just don’t have this, said Bette Noss, 78. "It’s
either assisted living or a life-care complex." (Life-care means a
residential comprehensive care system with large ‘buy-in’ fee,
sometimes exceeding $1 million in California.)
The Owners’ Association has considerable power and, after a search,
chose the management company and the food service provider for
Mountain Meadows’ new clubhouse, said Lee Bowman, 62, president of
the Owners Association.
The owners assess themselves $448 a month single or $568 double for
house and yard maintenance, clubhouse membership and 10 clubhouse
meals. A dining committee of residents plans meals.
The community has picked up a slew of awards, including Best Small
Active Adult Retirement Community in America from the National
Council on Senior Housing and 100 Best Master-Planned Communities
from Where to Retire Magazine.
Mountain Meadows made local headlines recently when unacceptable —
but not health-threatening — levels of copper were found in some of
the units’ water pipes. The city and an engineering firm hired by
Mountain Meadows are working to resolve the problem. Testing at the
site showed that running the water for three minutes once a day
flushed the copper out of the pipes.
Mountain Meadows markets most heavily in Northern California, where
so many people know of Ashland because of trips to the Oregon
Shakespeare Festival, Hill said. The arts, educational
opportunities, scenic views, lack of traffic (compared to
California), friendly people and sense of safety do much of the
selling for Mountain Meadows, she said.
"The social life here is a big plus," said resident Bob Pohl. "You
can be busy all the time with concerts, plays and the city band.
People recognize you in stores. We paid $330,000 here, less than
half of what our home sold for in California, but that’s not the
reason we’re here. It’s the totality of it all and the great mix of
people."
For Hill, Mountain Meadows is the culmination of a journey that
began in childhood, where her family cared for their aged
grandparents and a disabled aunt at home.
"My mom drove a school bus for disabled children, and my best friend
had cerebral palsy and was in a wheelchair," Hill said. "I got to
deeply value disabled people as who they really are inside. As a
child welfare worker, I began trying to move handicapped children
out of hospitals and to advocate for them being part of society.
"It’s always been my passion to help those who need a little extra
hand. That’s what being human is all about."