Memory care residences, Adith Miller Manor and Roger Metz Manor, celebrate 25 years

Dick Kowles, a retired professor of genetics and biology at Saint Mary’s University, with wife, Rose. Mr. Kowles shares slide presentations with residents.

Winona’s first assisted living memory care residences, Winona Health’s Adith Miller Manor and Roger Metz Manor, are celebrating 25 years of serving people who have Alzheimer’s disease or other forms of dementia. Adith Miller Manor was the first memory care home in the Winona area, outside of a long-term care setting.

When Rose needed more care than could safely be provided in their multi-level home, her husband of nearly 63 years, Dick Kowles, a retired professor of genetics and biology at Saint Mary’s University, chose Adith Miller Manor.

“I looked at our options and visited Adith Miller Manor a couple of times,” said Kowles. “I talked with the people and toured the rooms and got familiar with the place, and it looked like what she needed. There are always a couple of helpers and they are excellent—you can see that it’s genuine care. That’s the way it appeared to me, and that’s the way it worked out. We’re almost like a family, the residents and the visitors, it’s a very homey setting.”

Adith Miller Manor is located on the Winona Health campus next door to Roger Metz Manor.

Something else that’s important to Kowles, “They have a lot of activities, table games, entertainment, music and singing together. Sometimes it brings tears to your eyes. So I enjoy coming in every day.” He notes that he’s only missed three days, due to weather, of spending time with Rose and the other residents. Kowles also shows 35 mm slides to the residents about twice a month (flowers, animals, scenic views, historical sites, etc.), and he enjoys doing it.

Meeting a community need

Located on the Winona Health campus, Adith Miller and Roger Metz manors are home to people who thrive in an assisted living environment where they can continue to enjoy the activities of daily living in spite of the challenges they face due to Alzheimer’s or dementia.

In the early 1990s, Ben Miller, a Winona-area businessman and philanthropist, known for his generosity and caring and for finding ways to improve the lives of Winona residents, had a personal interest in providing a home-like setting for persons with Alzheimer’s disease. Miller shared his interest with Roger Metz, Winona Health’s CEO at the time, and, in honor of his wife Adith, Miller provided funding to build Adith Miller Manor in 1992. A second home, Roger Metz Manor, was built a few years later.

Adith Miller and Roger Metz Manors can accommodate up to 10 residents each with early-to middle-stage Alzheimer’s or other memory diseases. Often residents and their families are seeking a safe and home-like setting where they can continue to be engaged in their day-to-day routines and meaningful activities.

When is it the right time to consider memory care?

Often people wonder: When is the right time for someone who has memory challenges to move? According to Cheryl Krage, director of Assisted Living at Winona Health, “Each individual has unique needs and access to resources. Safety concerns at home, fear of wandering outside and getting lost, limited socialization and needing more help throughout the day with personal cares, balanced meals, etc. are often areas of concern when seeking out our memory care home for their loved one.”

Krage added, “I’ll never forget how a gentleman I worked with described how his family made the decision to move their mom to our memory care. His mom, who moved to Winona from another state, had been living with him and his family. While they had the usual safety concerns about leaving his mom at home alone while they worked, the decision was all about her. He realized her life was revolving around their work and school schedules and he really wanted her to live somewhere where activities, socialization, meals, and other life events revolved around her and her needs.”

Consider your options

People who choose Adith Miller and Roger Metz manors generally do so because of the smaller, home-like setting. The homes are in a beautiful, quiet location that faces Lake Winona, where residents can spend time outside enjoying views of the bluffs and the lake from their garden area.

“Our residents participate in a variety of activities that keep them engaged throughout the day,” said Krage. “Activities are designed to keep everyone moving and socializing if they wish, with storytelling and reminiscing, board games and trivia, crafts, opportunities to enjoy nature and planting, and even live music.”

Krage also noted that residents who enjoy getting out and about go on rides in the Winona Health van for activities such as seeing the changing seasons, visiting an apple orchard or participating in the Minnesota Marine Art Museum Spark program.

“We see firsthand the comfort these homes bring to residents and their families,” said Krage. “And we are grateful to Benjamin Miller for his generosity and compassion, which will continue to benefit people in our community.”

Those interested in scheduling a tour of Adith Miller or Roger Metz manors, discussing costs or getting additional information about Alzheimer’s or memory loss are invited to call 507.494.7400.


Photo: Celebrating 25 years: Winona Health’s Adith Miller Manor, Winona’s first assisted living residence specially designed for people needing assisted living due to Alzheimer’s disease or other forms of dementia.

Photo: In addition to visiting his wife, Rose, at Adith Miller Manor daily, Dick Kowles, a retired professor of genetics and biology at Saint Mary’s University, frequently shares slide presentations, including nature, historical sites and photos from travels to other countries, with the residents.



Recognizing depression or anxiety in your child

Andrea Salzmann, LICSW

Andrea Salzmann, LICSW, Winona Health Psychiatric & Counseling Services

Depression and anxiety affect many adults, but did you know that it can affect children and adolescents, too?

According to recent research, depression and anxiety have been on the rise in children and adolescents for the last 50-70 years. In fact, studies show children, adolescents, and young adults are more depressed now than in any other time in our history, including the Great Depression.

There are many reasons for the rise in depression and anxiety rates, however, one main cause is most likely due to how children are viewing their own world and not necessarily with what’s happening in our world.  Additionally, what makes depression and anxiety harder to detect, is that children do not have the knowledge of what depression and anxiety are and they lack the words to accurately express how they are feeling.

How can you, as a parent, know if your child is beginning to struggle with depression or anxiety? Fortunately, there are several signs and symptoms. These include: changes in demeanor; anger; irritability; unexplained crying; changes or loss of interest in activities; appearing sad, withdrawn or isolative; decrease in grades or school attendance; conflict with peers, or behavioral problems at school; or talk of harming themselves or about suicide.  Anxiety symptoms may appear similar and are as follows: difficulty with separating from you or severe temper tantrums at separation; frequent and unexplained stomach aches in the morning and at school; vomiting, irritability and anger during transitions; sleep disturbance; chronic and uncontrollable worrying; rapid heartbeat or difficulty breathing; poor concentration; and a strong need to have things in their control. These are just some of the signs and symptoms of depression and anxiety.

Sometimes signs of depression and anxiety can be subtle, too. However, as a parent, there are things you can do to help your child. Begin by having a conversation with them, explore how they are feeling and what they worry about. Provide support as they open up to you and remember that although it may seem like something very minor to us adults, it can be a big deal to them. Talk to them about healthy ways to manage their worries and feelings, and then provide suggestions to help with coping as well as help them identify people they can trust to talk to when they are feeling sad or worried. Let them know that whatever they are feeling, it is o.k. and that you are here to help.

If you find that your child continues to struggle with depression or anxiety, it may be time to consider getting your child professional help. There are several agencies in our community that provide children’s therapy services to address issues of depression and anxiety, as well as other mental health needs. If you feel their struggles are becoming too big to handle, be sure to reach out and ask for help. At Winona Health, we are all here to support your child and meet your family’s needs! To schedule an appointment, call 507.454.2606.


Andrea Salzmann, LICSW is a licensed clinical social worker with experience in individual therapy, family therapy, and group therapy serving ages 4-60. Having held positions in a variety of settings including psychiatric hospitals, outpatient clinic offices, home based settings, as well as in foster care settings, she utilizes her experiences along with cognitive behavioral techniques, behavioral modification techniques, parenting strategies and other therapeutic modalities, to help restore patient’s to optimal functioning and improve their overall daily life experiences.

June Open Houses at Senior Living at Watkins

Community members are invited to the June Open House events to see recent exterior and interior updates at Senior Living at Watkins, 175 East Wabasha (7th) Street in Winona, Minn.

Senior Living at Watkins will hold an Open House every Monday afternoon in June. People are invited to enjoy the music from 2:30 to 3:30 and to come early or stay late to look around and ask questions.

If it’s been a while since someone has been in Watkins Great Hall and Senior Living at Watkins—or it they have never been inside—this is a great opportunity to see what it’s like,” said Cheryl Krage, director of Assisted Living at Winona Health. “If people are planning ahead and considering options for assisted living, we’re happy to give a tour and provide information.”

Senior Living at Watkins/Watkins Manor

Krage notes that those interested in learning more about Senior Living at Watkins also are welcome to call 507.494.7400 for a private tour for another date/time.

Learn more about Senior Living at Watkins and other senior living options at Winona Health including assisted living for those who need memory care.

Lake Winona Manor parade brings joy to residents and families

Bob and Luella Wise were King and Queen of the 2018 Lake Winona Manor parade.

Nice! Good! Fantastic! Wonderful! Were just a few of the residents’ responses to: How was the parade?

Lake Winona Manor residents Bob and Luella Wise, married nearly 69 years, were the king and queen of the Lake Winona Manor parade on Tuesday, June 12, 2018.

As the Wises were coming down the parade route, their daughter, Barb, commented about seeing her mom’s smile and added, “I think they are doing really well here. It’s great that they can be together, and the staff are so friendly.”

The annual Lake Winona Manor parade began as a way for residents to enjoy a community event that they may not otherwise be able to attend. It has become a tradition for Lake Winona Manor residents, family and friends.

More than 30 organizations, groups and individuals participated, including area emergency, rescue and law enforcement agencies, the American Legion, musical groups, clowns, animals and classic vehicles. This year, residents chose Roland Woodford to be the parade’s Grand Marshal. Mr. Woodford is a Winona Health Volunteer who comes in Monday through Friday to read the newspapers to residents and reminisce with them about past and current news.

Learn more about Lake Winona Manor, a skilled nursing residence for people who need short-term rehabilitative care or long-term care. For information or a tour, call 507.457.4366.

Program to help curb opioid use earns Minnesota Hospital Association Quality and Safety Award

Members of the team on hand to accept the award (l – r): Merry Enright, Nurse Manager, Clinic; Cheryl Peterson, Operations Improvement Manager; Marti Bollman, VP of Primary Care and Wellness; Daniel Parker, MD, Internal Medicine Physician; E. Allen Beguin, MD, Family Medicine Physician; and Rachelle Schultz, EdD, President and CEO.

Winona Health’s Conservative Management Clinic has earned a Minnesota Hospital Association Quality and Patient Safety Improvement Award.

Winona Health developed the Conservative Management Clinic to increase safety, improve care, and decrease the risk of accidental overdose and medications getting into the wrong hands. After research and planning, Winona Health launched the Conservative Management Clinic in the fall of 2015.

In the Conservative Management Clinic, and now throughout Winona Health’s primary care clinics, if a medical professional determines opioids are needed, they use prescribing guidelines, giving patients the lowest dose for effective treatment. The staff educates patients about the addictive risks associated with opioids, while providing information about alternative pain management options including cognitive, physical and behavioral therapy and alternatives.

Allen Beguin, MD, Family Medicine, said, “In addition to improving safety, we’ve helped people improve their quality of life by helping them become less dependent on medications that may have negative side effects.”

After working with the Conservative Management staff and tapering back some of his medication, Glen, a conservative Management Clinic client, said, “My attitude has entirely changed. I feel 20 years younger, and I can do things again. They understand my condition and have changed my life immensely.”

Minnesota Hospital Association awards honor innovative programs and outstanding leaders in health care. The award was announced at MHA’s 34th annual awards ceremony on Friday, June 1. Criteria for the Quality and Patient Safety Improvement Award included: Promoting a culture of safety; providing data at all levels for continuous improvement; and demonstrated engagement of patients and families throughout organization.

For more information about the Conservative Management Clinic, call 507.454.3680.

Hospital Against Violence #HAVhope

National Day of Awareness Friday, June 8, 2018

Winona Health takes a stand against violence in all forms for a safer, healthier community. It’s part of our mission: To improve the health and well-being of our family, friends and neighbors.

Toward this goal, Winona Health:

  • Provides nonviolent crisis intervention training for staff and contract staff including security – More than 100 staff members are certified in nonviolent crisis intervention
  • Hosts community presentations about preventing domestic abuse, sexual abuse, and workplace violence
  • Has a zero tolerance policy for any type of violent or threatening behavior
  • Is a weapons-free campus
  • Conducts a daily report out on any potential safety risks throughout the organization
  • Has a Safety Committee with representatives across the organization that meets monthly and takes a proactive approach to safety


Lake Winona Manor parade set for Tuesday, June 12 at 2 p.m.

Residents, friends and families enjoying the 2017 parade.

Lake Winona Manor’s annual parade will be Tuesday, June 12 at 2 p.m. in the circle drive at the Lake Winona Manor north entrance (facing Lake Winona), 865 Mankato Avenue.

“Many of our residents have a difficult time attending community parades due to the heat and the crowds, so we bring a parade to them,” said Jennifer Schultz, therapeutic recreation manager at Lake Winona Manor. “We are fortunate to have the support of so many community members and organizations who make this a really fun event for our residents and families.”

More than 30 entries will be in this year’s Lake Winona Manor parade and Roland Woodford will be the Grand Marshal.

Learn more about Lake Winona Manor or call 507.457.4366.

Grand Marshal:  Roland Woodford driven by Bev Kieper

2018 Lake Winona Manor Parade Line-up (subject to change)

  1. Winona Police
  2. Winona American Legion
  3. Grand Marshal – Roland Woodford driven by Bev Kieper
  4. Winona Fire Department
  5. Winona Area Ambulance
  6. Mayor of Winona- Mark Peterson driven by Dave Brommerich
  7. Minnesota Fish and Wildlife Department
  8. Winona Radio
  9. 2018 Steamboat Day Float
  10. Pet Companion “Shadow”
  11. 2013 Harbormasters driven by Vickie Klinger
  12. Winona Area Dairy Princesses and Ambassadors
  13. Trestors Trolley
  14. SGDanceworks
  15. Winona Health Volunteers
  16. Doug Inglett with K9 dog
  17. Motorcycles driven American Legion group and others
  18. John Bernadot and band with Ron Gandrude
  19. Winona Dive and Rescue
  20. Lake Winona Manor Royalty
  21. Bob the Bug Man
  22. Robbie’s Dad and Wagon with kids
  23. Winona Area SOAR Team
  24. Animals- Chelsey’s family
  25. Winona Clown Club
  26. Ghostbusters
  27. Lake Winona Manor “Duet Bike” with rider
  28. Lake Winona Manor “100 Club”
  29. Rich Wood’s Classic Truck
  30. Roger Metz/Adith Miller
  31. Gary Roddel Car
  32. Winona Health Food Service Employees
  33. McNally Tractor
  34. Dave Brand with horse


Winona Health expands Health Care Home Certification: Now includes Rushford Clinic

Rushford Clinic staff (l-r): Michele Ekern, Registration; Janet Jaimes Mendoza, LPN; Diane Montgomery, PT; Nicholas Modjeski, MD; Katie Halder, CNP; Trisha Bellock, RN; Tanya Dockter, Rad Tech; Danielle Corcoran, Registration.

Winona Health’s certification as a Health Care Home by the Minnesota Department of Health has expanded to encompass all of Winona Health primary care areas from Pediatrics to Internal Medicine including Rushford Clinic.

Health Care Home certification assures that Winona Health’s care delivery approach is a partnership with primary care providers, families and patients with the goals of improving the quality, experience, and value of care. This is a shift from a purely medical model of health care to a focus on linking primary care with wellness, prevention, self-management and community services. The goals encompass improving health outcomes and quality of life while working to prevent hospitalization and unnecessary emergency care and the higher costs associated with those services.

Winona Health provides care that goes beyond screening, diagnosis and treatment to focus on improving an individual’s understanding of their health status and overall health. This may include connecting patients with key staff and services to help them determine health goals that are important to them and manage their health conditions.

“This is about focusing on the right work to benefit our patients and to improve overall population health,” said Marti Bollman, Winona Health VP of Primary Care Services. “Each person’s needs are different, and our healthcare professionals and support staff continually develop innovative ways to enhance care for people who may be struggling to manage their health.”

One aspect of being a certified Health Care Home is providing Care Coordination services for interested patients. Patients may meet the criteria and be referred for Care Coordination services if they and their healthcare provider agree that Care Coordination services would be beneficial. Patients then meet with a registered nurse, discuss health goals and receive enhanced services to help them manage complicated health conditions and meet their health goals.

To schedule an appointment in Winona, call 507.454.3650, or in Rushford, 507.864.7726.

Well-child checkup perfect time to complete sports physical

Appointments now available

Winona Health Pediatrics and Family Medicine departments remind parents that a well-child checkup is the perfect time to complete your child’s sports physical.

Parents are encouraged to schedule sports physicals with a Primary Care provider in Winona or Rushford. Appointment times are available.

“If your child is due for a well-child exam, it’s best to schedule a well-child appointment and bring your sports physical forms,” said Winona Health Pediatrician, Sarah Lallaman. “That way we can take care of everything for you in one visit.”

If you need a copy of your school’s sports physical forms, Minnesota and Wisconsin sports physical forms are available here.

Students previously diagnosed with heart conditions or head injuries must schedule an appointment with a member of their regular healthcare team.

If you have questions or to schedule an appointment in Winona, call 507.457.7607.

For an appointment at Rushford Clinic, 109 W. Jessie St., call 507.864.7726.

You can also schedule appointments through your My Winona Health account.

Healthcare providers in Pediatric & Adolescent Medicine:

Sarah Lallaman, DO, FAAP

Kelli Ostermann, MD

Laura Dubis, PA-C

Jessica Nelson, CNP

Sports physicals can also be completed with your Family Medicine provider.

Urgent Care now located on the Winona Health main campus

Winona Health’s Urgent Care Clinic is located on the first floor of the clinic on the Winona Health campus at 855 Mankato Avenue in Winona.

“We want the community to know that only the Urgent Care location has changed. They’ll find the same friendly faces but in a new location,” said Beth Poulin, director of Emergency and Urgent Care Services.

Urgent Care is available seven days a week on the first floor of the clinic at Winona Health, 855 Mankato Avenue.

Monday – Friday:  7 a.m. – 8 p.m.

Saturday – Sunday: 8 a.m. – 5 p.m.

Holidays, such as Memorial Day, Monday, May 28: 8 a.m. – 5 p.m.

Closed: Thanksgiving, Christmas Day, New Year’s Day and Easter

“Our new location on the clinic first floor is closer to the Emergency Department and Primary Care Clinics,” said Poulin. “This is an advantage to those who come to Urgent Care but who can benefit from immediate referral to Emergency Services or Primary Care Services.” Poulin also noted that having Urgent Care on the main campus will mean even shorter wait times because of the intentional care delivery design that will allow access to care very quickly in Urgent Care or, if a wait time is expected, immediate referral to Primary Care to help eliminate waiting for our patients and their families.”

Urgent Care estimated wait time is posted during open hours at And, as always, Winona Health’s Emergency Department is open 24 hours a day every day.

For more information about Urgent Care, click here.