memory care facility

4 Zoom Games to Play with a Loved One in a Memory Care Facility

Family celebrations are a lot harder these days because of the COVID-19 pandemic. It is even more challenging to celebrate with loved ones in a memory care facility where health protocols are stricter to protect the elderly from contracting the virus.

 

Thankfully, these facilities allow virtual visits so you can still share quality time with your loved one even if only through Zoom calls. So why not make one of those visits more memorable during the holidays by trying out these four Zoom games with your loved one and family members?

 

Bingo

 

It is one of the most relatable games for seniors and you can have a great time playing it too. Bingo is such a hit no matter what the occasion is, and you can let other family members and even your loved one’s neighbors join in on the fun to make the experience more memorable.

 

You can send out printable bingo sheets to the memory care facility and ask the staff to print it for your loved one and their friends. Then, on your call, you can designate someone to call out the numbers while the players get busy blocking off their cards. You can even send some snacks over to make the call more fun.

 

Charades

 

Charades are another party classic, whether it is Christmas, Hanukkah or any other celebration. Seniors love it too, not to mention that it is a good brain exercise. You can organize two teams including your loved one in the memory care facility.

 

In case you are still not familiar with the game, one team chooses a word under a category and acts it out for teammates to guess. Whoever has the most correct guesses after a set of words will win the game.

 

Trivia

 

You will probably think that your older loved one will not be able to answer questions in a trivia. But try it and you will surely be surprised at how good they can be, especially in answering questions on a topic you know they love.

 

You just need to come up with a set of trivia questions that your family members including your elderly loved one could guess. You can even squeeze in some questions about the family to make the game personal.

 

The Alphabet Game

 

Of course, you cannot miss one of the easiest yet most fun game that you can play on Zoom with your loved one. The Alphabet Game does not need any materials. You just need to have a conversation with each sentence running through the letters of the alphabet. This game can last for hours and you will not even notice how amazing your topics have already been.

 

No matter what the occasion or the game that you choose to play, what is important is that you make time for your loved ones in memory care facility.

 

After all, they deserve the best love and care even if they are living in a facility where they can be given the best quality of life.

For more information on our memory care program, click here to be redirected to our memory care page


Fallbrook Assisted Living is proud to offer its services to Fremont, NE, and surrounding areas and cities: Arlington, Cedar Bluffs, Ames Nickerson, Fontanelle, Arlington, Leshara, Colon, and Hooper

assisted living

4 Ways to Celebrate the Holidays Virtually with a Loved One in Assisted Living

The pandemic has changed a lot of things in this world, especially the way we interact and spend time with our loved ones in assisted living. Being some of the most vulnerable populations for COVID-19, strict protocols are now in place to protect the elderly from contracting the virus.

 

But even the pandemic should not stop you from making your loved one in assisted living feel loved this holiday season. Here are four ways to celebrate virtually and make him feel included in your holiday festivities:

 

Prepare a personalized gift box

 

You do not need to buy something expensive to make your loved one feel special. In fact, it is going to be more meaningful to put a personalized gift box together with a beautiful holiday themed sweater and socks, some hot chocolate mix and even freshly baked cookies straight from your kitchen.

 

You can even include a Christmas album that could be played while you are doing your Zoom party to make the mood feel more festive and happier.

 

Send this gift box ahead of time and give special instructions to really make your loved one feel included in the celebration.

 

Follow some traditions even if you are celebrating virtually

 

Most elderly depend on traditions and can be one of the things that really make them feel that they belong in the family. If you are used to opening your gifts together on Christmas day or all dressing up in red, follow that even if you are only seeing each other online.

 

Make sure to give your loved one in senior living an important part in your program like saying taking part in any religious ceremony/saying or reading out the family favorite holiday story. No matter how simple your celebration is, it is the family traditions that will make it all the more special.

Prepare virtual games that your loved one can join in

 

A virtual Christmas celebration does not have to be boring. In fact, you can play games that your loved one can join in so he can really feel the fun of the season.

 

Just make sure that your games do not involve running around or doing things that could be risky for him. You can even ask their neighbors in assisted living to get in on the fun to make the celebration a community effort.

 

Take time to share in meaningful conversations

 

Although the pandemic has forced us all to be separated from our loved ones this Christmas, it does not mean that we can’t share meaningful conversations with them.

 

Seniors in assisted living especially love going back down memory lane and telling stories of your favorite holiday memories.

 

Ask each member of the family to share their fondest memories with your loved one and you can even give him your personal message to really make him feel that he is loved and cared for, even from a distance.

 

At the end of the day, Christmas should always be Christmas no matter what the situation is. So, make the effort to make this season extra special for your elderly loved one.

 

Any questions about our assisted living home plans or actions we are taking this holiday season to keep your loved ones safe? Click here to get in touch

 


Fallbrook Assisted Living is proud to offer its services to Fremont, NE, and surrounding areas and cities: Arlington, Cedar Bluffs, Ames Nickerson, Fontanelle, Arlington, Leshara, Colon, and Hooper

assisted living facilities

5 Holiday Gift Ideas for Seniors in Assisted Living Facilities

While the holiday season might be met with some unforeseen difficulties this year, there are still plenty of ways to bring joy and cheer into the season. For most of us this will mean smaller gatherings, and zoom holiday parties, but no matter what the occasion it’s important to still right in the seasonal spirit.

 

If you have family members who are in one of the country’s assisted living facilities, they may be feeling a little more down this season having to miss the normal family celebrations. While zoom is a perfect way to include them at home, there is no better time than Christmas to make them feel extra loved and special with these five holiday gift ideas:

 

A custom photo album

 

Memories bring back great times, emotions and experiences for seniors who are suffering from dementia or Alzheimer’s disease. So, what better way to ignite your loved ones’ memory than by giving them a custom photo album that contains the most beautiful photos of you and your family together? These might be the gift that just keeps on giving as these photos can even help introduce some daily memory exercises for your loved one in assisted living facilities.

 

You can add texts and notes on each photo to make them look and feel extra special.

 

Activity books

 

Seniors in assisted living facilities are encouraged to engage in different activities and games to allow them to socialize and keep their memories fresh.

 

If your loved one likes art, then you can give her adult coloring books that will surely keep her busy for hours. If the senior loves solving puzzles, you can opt for a crossword or Sudoku puzzle. You can also go for playing cards, board games or video games that seniors will surely love.

 

A special relaxation treat

 

Some assisted living facilities have their own salons and spas that you can treat your loved one to for a day. You can also fin a local spa or salon where you can book a day of pampering with your loved one where you can both enjoy a facial, massage, manicure, haircut, and even threading.

Seniors rarely have the chance to get themselves treated to a spa or salon day, so your loved one will surely appreciate this sweet gesture in time for the holidays.

 

An e-reader, tablet, or phone

 

Although most seniors are not well versed with technology, staff and members of assisted living facilities are more than happy to aid your loved one in mastering the basics of a tablet or e-reader. This way, you can still allow them to enjoy the convenience of these gadgets to entertain themselves and keep in touch with you.

 

If your loved one is into reading books, you can give her an Amazon Kindle or if she is into movies, then she’d love a new tablet with a subscription to Netflix or Hulu.

 

A beautiful blanket

 

Nothing is more comforting for a senior who experiences anxiety than a beautiful, weighted blanket. This type of blanket has been scientifically proven to help reduce anxiety and distress, and it is beneficial for seniors who have dementia or those that have difficulty sleeping or always anxious while in the assisted living facility.

 

Do not forget to make your loved one feel loved and remembered during the holiday season.

 

We may be experiencing some very rough times, but we should always make the effort to spend time with the people who once made sure that our holidays were extra special. Which one of these five gift ideas are you planning to buy for a loved one?

 

Want to see what kind of assisted living facilities we have to offer at Fallbrook? Click here to check out our assisted living page!


Fallbrook Assisted Living is proud to offer its services to Fremont, NE, and surrounding areas and cities: Arlington, Cedar Bluffs, Ames Nickerson, Fontanelle, Arlington, Leshara, Colon, and Hooper

senior housing

5 Useful Tips for Transitioning into Senior Housing

The move to senior housing can be tough on you and your loved one, but it can sometimes serve as the best option for both parties. So, whether you’re just beginning to consider your options or you’re getting ready for the move, here are five useful tips to help your loved one transition smoothly into this new living community:

Find the right community

 

There are a lot of senior housing facilities out there, but not all of them will fit your loved one’s needs. So, never rush into finding a community. Instead take the time to do your research and consider factors like level of care, amenities, staff, activities, location and cost.

 

The process of finding the right community may be the longest part of transitioning into senior housing, but it will surely prove to be worth your time and effort if you see your loved one happy.

 

Facilitate the moving process

 

Planning the move itself can be challenging for you and especially your loved one. In fact, this is such an emotional process because it means stepping out of a house that your loved one may have lived in for decades, so you should plan and facilitate everything to make him as comfortable as possible during the move.

 

Give the community time to get to know your loved one and understand his condition. Provide all the necessary support but be careful not to overstep boundaries with professionals because it could affect the level of care, they will provide to your loved one.

Make the effort to spend time with your loved one

 

When you are asked to move into a completely new living environment, it will definitely take time for you to get used to it and adjust to being in a different circumstance.

 

The first few weeks from the move will be a crucial time of adjustment for your loved one, so be there for him as much as you can. Let him feel that you are involved in his care and that he can count on you even if he lives in senior housing.

Keep home as close as possible

 

One of the benefits of choosing senior housing facilities is that you have the option to personalize your loved one’s apartment to give him that sense of familiarity with his new living space. Choose furniture that he can easily use comfortably, bring items that will remind him of your home and always make sure that all his needs are provided for.

 

Join your loved one in his journey

 

The transition to senior living takes time, patience, understanding and a lot of hard work. But your loved one and your entire family can get through this journey as long as you do it together.

 

You may have days filled with joy and some filled with tears. But what you must remember is that your loved one should be given the best quality of life possible even if he is suffering from a debilitating medical condition.

 

Have a loved one who is looking for the perfect senior housing? Click here and get in contact with us today so we can fill you in on why we could be the perfect match!


Fallbrook Assisted Living is proud to offer its services to Fremont, NE, and surrounding areas and cities: Arlington, Cedar Bluffs, Ames Nickerson, Fontanelle, Arlington, Leshara, Colon, and Hooper

assisted living facilities

How Involved Should Families Be with Seniors in Assisted Living?

Chances are, you have a family member who’s about to move into one of the assisted living facilities in your area. With the baby boomers reaching their late adulthood years, there has been a steady growth of seniors moving into these facilities so they can get more supervised care and a better quality of life as they deal with the different changes of growing old.

 

Since this is a highly emotional decision for the family, it’s not uncommon for you to wonder about how involved you should be in the care of your loved one.

 

Here, we help you understand your role better as a family member and how you could help give your loved one an excellent life while in assisted living:

 

You can be involved without being nosy.

 

You want your family member to feel comfortable and loved while in assisted living facilities and that’s what the staff is there for. You can be involved by making sure that you are available to talk with the team about matters regarding the care of your loved one.

 

You can also be present whenever you can without invading the space of the healthcare team to allow them to do their job right. If you see a problem, don’t criticize.

 

Instead, make suggestions that will help them improve the quality of care. Never step over the boundaries of employees because they know better than you when it comes to your loved one’s care.

 

Invest in quality time with your loved one.

 

Whenever you have the time to visit your loved one, make sure to spend your time well not only in caring for him but also in helping out the facility. Some spouses usually visit residents almost daily and aside from spending time with them, they also volunteer to help out with preparing meals or assisting other residents without interfering with the job of the staff. How you spend your time with your loved one is more important than the length of time you spend with him, so make every minute count.

 

Be an advocate but never feel entitled.

 

Staff members in assisted living facilities love family members who are advocates of their loved ones’ wellbeing. They are there when needed and they do everything to help out in the care of the residents.

 

But there are also times when families become too unrealistic about their expectations from the healthcare team. Some would start demanding that their loved one needs to be cared for by one nurse, but that can be very unrealistic in an assisted living setting where there’s no one-to-one staff-to-resident ratio.

 

As a family member, you only want the best for your loved one. After all, that’s the primary goal of sending him to an assisted living facility.

 

But you also need to know your boundaries when it comes to your involvement in the care of your loved one to maintain a good relationship with the staff and ultimately, provide the best care possible to the resident.

 

 

 


Fallbrook Assisted Living is proud to offer its services to Fremont, NE, and surrounding areas and cities: Arlington, Cedar Bluffs, Ames Nickerson, Fontanelle, Arlington, Leshara, Colon, and Hooper

memory care

The Four Best Practices for Effective Memory Care

Every year, at least 10 million people around the world are diagnosed with dementia. The life-changing and debilitating condition that affects memory, cognition and even the ability to perform simple activities is affecting more than 50 million people. Plus, with the elderly population growing, these numbers are expected to increase immensely over the next few years.

 

Memory care is now one of the most important pillars of the medical world. The practice that deals with patients diagnosed with Alzheimer’s and other dementias focus on improving their quality of life by slowing down disease progression, preserving memory and offering independence through the following four best practices.

 

Practices

 

1. Promoting proper nutrition

 

Studies have proven that a lack of proper nutrition and the inadequate consumption of food and fluids could easily speed up the progression of the disease due the decline in the patient’s overall wellbeing.

 

Therefore, a good memory care facility always conducts screenings to assess the patient’s nutritional needs for the healthcare team to plan the appropriate care depending on the patient’s life circumstances and preferences. Mealtimes are also used as a form of socialization where patients can interact with other people while enjoying their food.

 

2. Creating meaningful activities

 

Throughout the day, patients are given the opportunity to enjoy different activities that will not only allow them to functional normally but also help deal with their condition more effectively.

 

Memory care staff always promotes independence by allowing patients to make their own bed, tidy their room, water the plants, and perform self-care activities so they still feel a sense of purpose despite their inability to remember things. This will make them feel more empowered as they tackle their disease and ensure that they continue to live a good quality of life.

 

3. Ensuring socialization

 

Socialization and interaction are very important parts of memory care because they help patients keep the functional abilities, promote better self-esteem and enhance their quality of life.

 

Healthcare teams usually plan activities that allow patients to enjoy great conversations and share experiences with their carers, family members and the staff. But memory care also respects the need for space and alone time of some of its patients.

 

4. Keeping things simple and attainable

 

Patients diagnosed with Alzheimer’s or dementia have difficulties coping up with their condition and it can get extremely frustrating for them to not be able to do activities that they used to be capable of.

 

That is why it’s very important for memory care staff to keep routines, schedules and approaches as simple as possible. This means focusing only on what makes an activity successful and getting rid of non-essential things that can only cause worry and frustration.

 

As the medical world still works on finding a cure for dementia and Alzheimer’s, memory care plays a very crucial role in ensuring that everyone suffering from these medical conditions are not only properly cared for but also allowed to enjoy the best years of their life despite the limitations posed by the disease.

 


Fallbrook Assisted Living is proud to offer its services to Fremont, NE, and surrounding areas and cities: Arlington, Cedar Bluffs, Ames Nickerson, Fontanelle, Arlington, Leshara, Colon, and Hooper

technology - nursing homes and assisted living facilities

How Technology Helps in Nursing Homes and Assisted Living Facilities

Nursing homes and assisted living facilities to benefit from technological innovations to aid in the care and management of records for patients. Here are just a few of the notable contributions of technology to health care.

 

IT Systems

Generally, information technology will be able to address the challenges in-home health care, including the large geographic distances, making resources more costly for rural patients. Such would include advances in social networking tools, telecommunication, and Web solutions to support health care delivery and education.

 

Information technology can be introduced in nursing homes in a variety of ways including the following functions.

Active monitoring and management

  • Home-based disease management through telehealth applications
  • Web-based communities for patients in-home care
  • Personal health care records

Passive monitoring and management

  • Smart homes
  • Robotic applications

 

Tele-Health Applications

This type of technology offers a platform for supporting disease management for patients in nursing homes diagnosed with chronic conditions as well as their families.

 

Web-Based Communities

The Internet also supports a consumer-centric model and enables the creation of networks for the community, home care patients diagnosed with the same condition, families or other informal caregivers, and the public in general.

That is, in addition to the Web-based applications focused on the institution-centric approach and connect home care patients to health care providers. These networks are referred to as virtual communities that share the same goal, interest, needs, or activity.

 

Personal Health Records

This is defined as the electronic record of health-related information of an individual that conforms to the recognized interoperability standards of the country. A personal health record is a tool used for sharing health information, helping transform patients into better-educated health care consumers, and increasing health understanding.

 

Smart Homes

A house equipped with technology as an integral part of the infrastructure is considered a smart home intended to facilitate the monitoring of residents and increasing the quality of life. This technology does not require operation or training by the resident, but standalone units are used to be controlled by the end-user.

The advancement of technology has prompted the development of smart home applications around the world. One example is the development of Smart Medical Home, a highly controlled environment that involves biosensors, infrared sensors, and video cameras.

 

Robotic Applications

It is a method that employs artificial intelligence principles, and sometimes, with anthropomorphic features used in the clinical setting, mostly in experimental mode surgery, and robotic-assisted laparoscopic pyeloplasty, and cystectomy.

One of the applications considered is the robotic dog, which is used as part of animal-assisted therapy in treating loneliness. Another example is the therapeutic robotic harp seal designed to create a calming sensation.

 

Final Thoughts

There are clear advantages to integrating IT in nursing homes or home care facilities. Such would include easy and efficient communication amid the geographic distance. Moreover, it enables the generation of new types of data without the need for health care providers to be physically present in the residential setting.

 


Fallbrook Assisted Living is proud to offer its services to Fremont, NE, and surrounding areas and cities: Arlington, Cedar Bluffs, Ames Nickerson, Fontanelle, Arlington, Leshara, Colon, and Hooper

loved one - alzheimer's care facilities

Ways to Keep Your Loved One Happy in Alzheimer’s Care Facilities

A loved one with Alzheimer’s disease should be mentally and physically stimulated. In fact, even if his or her mental or physical abilities have declined due to dementia, it doesn’t mean that enrichment stops.

One of the things you can do is to get involved to keep your loved one happy as they start to live in a nursing home. Thus, you need to help seniors as they move into Alzheimer’s care facilities.

 

Ideas to Keep Your Senior Happy In a Nursing Home

 

Make The Transition Easy

Needless to say, moving into a nursing home for seniors can be stressful even for the family. So you need to help them by ensuring that the move will be smooth. Some of them might feel that they are still capable to care for themselves, causing them to think there is no need to leave home.

    • Explain to them that going to move into a nursing home will be helpful for them
    • Bring furniture, pictures, and objects to make their room feel like they are at just at home
    • It would greatly help if the spouse can move in with them

 

Tending To Relationships

Seniors will have the opportunity to build new relationships in nursing homes, as it strengthens old ones. This can improve their health as it promotes happiness. This is because strong relationships can make people happy to prevent physical and mental decline as time passes by.

    • Encourage them to interact with others in Alzheimer’s care facilities
    • Visit as often as possible
    • It would help if friends or neighbors can visit them
    • Any questions or concerns must be addressed to the staff

 

Participate in Activities

Seniors can build relationships with others easily through activities. In fact, regular activities can help them stay in shape, both physically and mentally. Most Alzheimer’s care facilities host activities for the whole day. So, even those suffering from disabilities or illnesses can participate in some activities that are fit for them.

    • Listening to music
    • Petting a cat or dog
    • Reading
    • Walking
    • Playing bingo

 

Maintaining Health Care

If a senior will live in a nursing home, there is a possibility that he or she has an illness or disability that will need long-term care. Thus, you can keep them happy and healthy.

    • Regularly visit your loved one and monitor the health status
    • Voice out your concerns to the staff
    • Take necessary action if things will not improve

It is important to note that happiness and quality of life are synonymous. So seniors can greatly benefit from the help of the staff of the nursing home, other residents, and more specifically the family members.

The next time you want to visit a loved one in Alzheimer’s care facilities, be guided that they too need regular checking so that they will remain safe and content. Take note that the best nursing homes will pay attention to the concerns of their residents so that everybody is satisfied.

 


Fallbrook Assisted Living is proud to offer its services to Fremont, NE, and surrounding areas and cities: Arlington, Cedar Bluffs, Ames Nickerson, Fontanelle, Arlington, Leshara, Colon, and Hooper

needs assessment - senior housing

Everything You Need to Know About Needs Assessment for Senior Housing

As a family member grows older, the need for senior housing becomes inevitable at some point. It is to not only make it easier for the family members who already bear the burden of caring for them. But also to make sure that they get the best quality of care from professionals who specialize in elderly care. But before they can move into this type of living community, a needs assessment should be done by the staff first to know the elderly’s physical, cognitive, and even emotional health.

Most senior housing facilities use an evaluation packet or checklist that will allow healthcare staff to determine the level of care needed by a senior who will be under their care.

Some facilities use a “point system” to rank seniors while others just go through a comprehensive list of questions and base their decisions from the answers.

But in general, healthcare staff will gauge the following areas to make sure that an elderly person gets the care that they need while in senior housing:

 

Level of orientation

In this stage, the senior is gauged according to his level of orientation that will determine if he is at risk for wandering, forgetting things, and getting injured due to memory loss and other cognitive problems that may be related to his current health condition.

The staff specifically assesses for awareness to people, places and time, forgetfulness and occasional confusion, general disorientation and poor judgment, unsafe behaviors, and cognitive deficits.

 

Fall risk

A lot of seniors are victims of accidental falls that may leave them debilitated or worse, dead. This is why it’s very important to determine an elderly’s risk for falls by assessing if he has experienced a fall at home and if he had more than one accident in the last three months.

 

Bathroom independence

The bathroom can be one of the biggest challenges for seniors, especially those who have physical limitations that make it more dangerous for them to take a bath or empty their bowel and bladder alone.

In a senior housing community, seniors are given the assistance that they require when using the bathroom. It is the reason why they are assessed for their level of independence when it comes to emptying their bowel and bladder.

Or if they require prompting to go to the bathroom, or if they have problems with incontinence, if they need to use assistive devices and protective garments or if they need constant assistance when going to the bathroom are some of the factors to be considered.

 

The takeaway

Every senior housing community has the ultimate goal of offering the best possible care to seniors depending on their needs assessment.

This is why a needs assessment is the first step towards moving to senior housing and probably the most important part because it allows healthcare staff to really assess their future residents and set proper expectations for family members.

Doing so will make them enjoy an excellent quality of life by offering them services that fit their exact needs and their current health conditions.

 


Fallbrook Assisted Living is proud to offer its services to Fremont, NE, and surrounding areas and cities: Arlington, Cedar Bluffs, Ames Nickerson, Fontanelle, Arlington, Leshara, Colon, and Hooper

memory assisted living - elderly population

The Ways Assisted Living Can Promote Memory Improvement in the Elderly

The elderly population is set to overtake the younger generation in the coming years. This also means that more people will be put into memory assisted living to allow them to live a better quality of life as they deal with health conditions that are related to growing old. Memory loss is one of the most common health conditions suffered by the elderly population.

But memory assisted living facilities can sometimes help improve and preserve the memory of residents through these ways:

 

Adequate sleep

It’s not uncommon for older people to have difficulty sleeping or getting enough hours of sleep each day, especially with the different changes in their body.

But research from the National Sleep Foundation revealed that adequate sleep trigger brain changes that help strengthen memories and move them from the short-term to the long-term.

Memory assisted living facilities to offer the right environment for residents to sleep comfortably for at least 6 to 9 hours every day to strengthen their brain cells and preserve their memory.

 

Memory training

With the goal of helping the elderly keep their memory healthy for the longest time possible, several organizations like the Alzheimer’s Association and the American Association of Retired Persons have developed several directives related to memory training.

These include lifestyle modifications in diet and nutrition, physical activities, and cognitive training that allow for the elderly in memory assisted living to keep their memory active.

 

Proper nutrition

A study by the Harvard Health Publications revealed that foods that are highly saturated in fat increase bad cholesterol in the elderly that clog the arteries and cause significant damage to the brain.

This is why memory assisted living facilities don’t only provide the right living environment for residents but also ensure that they get adequate nutrition that’s rich in mono- and polyunsaturated fats to increase good cholesterol levels and keep the brain healthy for a longer time.

 

Mental exercises

One of the biggest benefits of sending an elderly loved one to memory assisted living is the fact that they can be given mental exercises like learning a new skill or practicing a hobby that has been proven to improve memory and cognitive function.

Residents can also stay social with their peers and they are allowed to spend time with family members to maintain and improve their mental health. According to research, a simple 10-minute interaction every day can already help with a senior’s memory in a lot of ways.

 

Quality of Life

Finally, being in memory assisted living allows residents to enjoy an excellent quality of life that would otherwise be difficult for them if they are staying at home with the limitations that they have because of their condition.

This will help them to not only keep their memories but also build new experiences as they enjoy independence without having to worry about daily chores or access to healthcare whenever they need it.

 


Fallbrook Assisted Living is proud to offer its services to Fremont, NE, and surrounding areas and cities: Arlington, Cedar Bluffs, Ames Nickerson, Fontanelle, Arlington, Leshara, Colon, and Hooper