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Noble loses two pillars

SALISBURY — Two top administrators are retiring from Noble Horizons this month: JoAnn Luning and Barbara L. Tobias.Luning, of Lakeville, has been at Noble Horizons for 31 years — 25 as director of nursing and six as wellness coordinator.Tobias has been director of social services and admissions for 36 years. Noble celebrated its 40th anniversary this year, and Tobias has been there for nearly its entire history.They have seen Noble Horizons expand and the nature of care for the elderly develop.Before coming to Noble, Luning was the coordinator of the intensive care unit at Sharon Hospital.“The nurses there were very competitive” in those days, she said. It was a very different atmosphere at Noble.“The focus is on keeping people healthy and independent,” she said.As wellness coordinator, Luning was in charge of the Caroline Wall Cottage Program. Wall was a resident in one of the cottages at Noble (there are 50 one- and two-bedroom cottages on the campus). Wall left Noble a bequest for the benefit of cottage residents, to encourage their independence and allow them to remain in their cottage as long as possible.The program includes meal preparation and transportation; use of the fitness room; a wellness clinic to monitor residents’ condition, minor personal care, wound care and medication management; walks twice a week; transportation on and off campus to church and to shopping, the library and other appointments; mail and newspaper delivery; coordination of medical appointments and outpatient services; and emergency assistance.There is also an Internet cafe for use by the residents.Luning said that Noble’s residents have kept it fresh for her. “Never a dull day.”As director of social services and admissions, Tobias said her job included making sure that mandated services in nursing homes are provided, “which dovetails with admissions.”“That way, we know much more about the residents than just their medical condition.”Tobias assists residents with financial arrangements; helps navigate through the Medicare, Medicaid and insurance systems; works with the families of residents; and attends to their “psycho-social needs.”“Any problem that comes up eventually comes my way.”She said that as Noble has expanded the range of services offered, the amount of oversight has increased as well.“We have more compliance issues, more government oversight” than when she started.She said that people now wait longer to come to Noble Horizons than in the past. “People used to choose Noble as a retirement option. They aged in place here.”Another change is short-term rehabilitation services. Luning said she could remember one year without a discharge or an admission.“Now people come, get better, and go home.”Tobias said that working with the residents to enrich their lives has been fulfilling. “They have certainly enriched mine.”

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