Monday 16 March 2015

Singaporeans pack JB nursing homes

Homes expanding to meet demand as families send chronic sick and old folk there
By Janice Tai And Toh Yong Chuan, The Sunday Times, 15 Mar 2015

In a quiet private estate within Taman Johor, a 30-minute drive from the Causeway, there is a large two-storey bungalow with high ceilings and a lush garden.

At first glance, it looks like a typical suburban residence. But it is really a nursing home, and Singaporean Andrew Tan is one of its residents.

The house is part of a cluster of 10 bungalows within the estate, making up the City Heart Care Nursing Home.

"There are computers for me to check my Facebook page, my own TV to watch the news and I can even go to the coffee shop outside for noodles," said Mr Tan, 43, who is paralysed from the chest down after a car accident 20 years ago.

His family, who lives in Singapore, sent him there as his ageing parents no longer have the strength to care for him.

After visiting more than 10 nursing homes in Singapore and Malaysia, the former electrical technician, who is single, chose City Heart Care as "it does not feel or smell like a hospital".

"I also have my own room, which means I have privacy when my diapers need changing," he said.

He is one of a growing number of infirm Singaporeans who have been admitted to nursing homes in Johor Baru, where prices can be as low as half those in Singapore.

Mr Tan's family pays $900 a month for a two-bedded private room. A similar room in Singapore would cost more than double.

The growing influx is convincing major nursing home players to expand in Johor Baru.

Singapore company Econ Healthcare Group, which runs eight nursing homes here, opened a 57,000 sq ft, four-storey home in Taman Perling this month. The 199-bed centre is a 30-minute drive from the Causeway.

Spring Valley Homecare, believed to be Johor Baru's largest nursing home operator, with 210 beds, recently bought an 8,000 sq ft piece of land in Johor Baru.

Its Singaporean-Malaysian owners want to build a three-storey, 84-bed home by the end of the year.

City Heart Care is also looking to buy more bungalows.

Said Econ group executive chairman Ong Chu Poh: "There is potential in Johor Baru because of lower land and labour costs, which mean lower fees."

Three residents from Econ's nursing homes in Singapore have already moved over to its new Taman Perling home.

At Spring Valley, more than 40 per cent of its 150 residents are Singaporeans, compared with a fifth five years ago. At City Heart Care, the number of Singaporeans has doubled in the last two years to make up 20 per cent of its residents.

Affordability is the key pull. Nursing home fees in Singapore range from $1,200 to $3,500 a month. This is before government subsidies of between 10 per cent to 75 per cent. But those with per capita household incomes of above $2,600 do not qualify for these subsidies.

In Johor Baru, nursing home fees start from $600 a month, making them attractive to middle-class Singaporeans.

Mr Frankie Ker, director of Spring Valley, said most of his Singaporean residents come from the "sandwiched middle class".

He said: "If you are poor, the Government will look after you. If you are rich, you can afford three maids to look after you 24 hours. If you're middle-class, it's tough."

Spring Valley offers basic, spacious open wards for $600 a month. Those who prefer more privacy can pay $900 for a two-bedded room in City Heart Care's bungalows.

"Singaporeans are very price-sensitive and will bargain for even $20 off," said City Heart Care's Malaysian owner, Mr Jeremy Yeo.

Econ's homes target those with higher spending power, charging up to $2,500.

Besides offering single rooms with attached toilets, it has barbecue pits and outdoor exercise gardens. Still, its fees are up to a third lower than its Singapore rates.

The space crunch in homes in Singapore is another reason more are heading across the Causeway.

There are 10,000 beds now and the Health Ministry is pushing to increase this to 17,150 by 2020. Work on seven new nursing homes began this year.

Operators said demand for nursing home space here will only grow, given Singapore's ageing population, creating a spill-over effect across the Causeway.

For some though, being in Johor can be a more lonely experience as the hassle of crossing the border deters some families from visiting, said operators.

Retired labourer Seow Teck Beng, who has been living at Spring Valley for three years, sees his children every three months. "I miss them," the 89-year-old said.

Operators said that they try to encourage family visits.

Econ's Mr Ong said: "Singaporeans can combine the visit with weekend shopping. Johor Baru is not that far away - it's like an MRT trip from Jurong to the airport."

For Mr Tan, who said he is now good friends with the Indonesian staff at City Heart Care, Johor Baru has become a long-term choice.

He gets visits from his family several times a year, but he said: "This is my home now."

Stuck in middle

"If you are poor, the Government will look after you. If you are rich, you can afford three maids to look after you 24 hours. If you're middle-class, it's tough."

- MR FRANKIE KER, director of Spring Valley

Added incentive

"Singaporeans can combine the visit with weekend shopping. Johor Baru is not that far away - it's like an MRT trip from Jurong to the airport."

- MR ONG CHU POH, Econ group executive chairman, who wants to encourage family members to visit residents in the nursing homes across the Causeway


No one told him he's in JB
By Toh Yong Chuan, The Sunday Times, 15 Mar 2015

Retired goldsmith Sim Ah Chew has been living at Spring Valley Homecare in Johor Baru (JB) for the last three years.

But when asked by The Sunday Times if he knew that he was living outside of Singapore, he was surprised.

He said in Hokkien: "Malaysia? This is Malaysia? No one told me."

The 71-year-old used to work at a jewellery shop in Geylang. He was living with his wife and the family of his eldest son in a three-room HDB flat in Hougang until three years ago.

Mr Sim has two other children - a son and a daughter - and four grandchildren.

When the eldest son, a delivery driver, upgraded to a larger flat in Sembawang, Mr Sim was moved to the nursing home.

At first, Mr Sim was reluctant to say why. But he later admitted that there were some family problems, including with his wife.

"We could not get along," he said.

Mr Sim added that it was four to five months since they last came to visit him.

Now he spends most of his time sleeping on a bed in a large room without air-conditioning, with at least 20 other residents, similar to the layout of a C-class ward in a Singapore government hospital.

"I am lucky to have a window," said Mr Sim, adding: "The staff here take care of me well."

He spends his days talking to other residents in the home, sleeping, watching TV and having meals.

When asked what he misses most about his family, he said: "My grandchildren. But what is the point of thinking about them? There is no use."


Singaporeans value privacy
By Toh Yong Chuan, The Sunday Times, 15 Mar 2015

Mr Frankie Ker, 60, runs the largest nursing home in Johor Baru. The Malaysian, a Singapore permanent resident, is married to a Singaporean and they are the majority owners of the 210-bed Spring Valley Homecare at Kempas Baru, a 30-minute drive from the Causeway.

They have also bought an 8,000 sq ft plot nearer the Causeway, to build a three-storey, 84-bed nursing home by the end of the year. "The new location is nearer town and easier for Singaporeans to find," he said.

He opened Spring Valley in 2006 after seeing the potential in Singaporeans' demand for nursing homes. He had been working in construction and had no experience in running nursing homes.

Singaporeans now make up about 40 per cent of the 160 residents at Spring Valley, though at one point Singaporeans made up half the residents.

His new building will be better designed, he said.

"I will have partitions between beds so that there is more privacy," he said. "Singaporeans value privacy."

Mr Ker and his wife have three children and live in Ang Mo Kio.

More Singaporean men than women in JB homes
By Toh Yong Chuan, The Sunday Times, 15 Mar 2015

The residents in Singapore nursing homes are evenly split between men and women. But in homes across the Causeway, there are about twice as many men as women.

At Spring Valley Homecare nursing home, 36 of the 62 Singaporean residents are men.

Over at City Heart Care nursing home, the number is 13 out of 20.

Mr Frankie Ker, director of Spring Valley Homecare, said families find it easier to care for their elderly women relatives at home.

"It is tougher to take care of men if they cannot walk. Because of their size, maids may not be able to handle them," he said.

"Another reason is that it is easier for the woman to live with her daughter's family, but harder for the man."

Mr Jeremy Yeo, owner of City Heart Care nursing home, offers a more direct explanation.

"It's simple," he said.

"People love their mothers more. That's why they send their fathers to the nursing homes farther away, but not the mothers."

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