Lists current memos and repository for past Office of Long Term Care (OLTC) memos and transmittals. You already receive all suggested Justia Opinion Summary Newsletters. "The addition of waiving already low staffing standards [would be], frankly, a recipe for disaster for residents and families in Arkansas," said Mollot, the advocate from New York. "If anything, staffing should be increased at this time to protect both residents and staff.". 0000002061 00000 n Martha Deaver, president of Arkansas Advocates for Nursing Home Residents, said Monday that the bill's passage was "inevitable." Department of Health spokeswoman Cadence Acquaviva said agency officials haven't taken any enforcement actions to date, but are using their "surveillance authority to address staffing complaints and concerns.". Copyright 2023, Arkansas Democrat-Gazette, Inc. Box 1459Tallahassee, Florida 32301(850) 224-3907info@fhca.org, 2023 Florida Health Care Association. A year after the state's minimum staffing requirements went into effect, the vast majority of nursing homes in New York are not providing the 3.5 hours of care per 0000005310 00000 n Office of Chief Counsel; Office of Finance; Office of Information Technology; WebAdministrator means a person licensed as a nursing home administrator by the Department who administers, manages, supervises, or is in general administrative charge of a nursing The state will also spend $55 million to improve wages for nurses and health workers, including at nursing homes, Hutchinson has announced. Arkansas Code 20-10-1403 specifies staff-to-resident ratios for nursing homes for different workday shifts -- fewer staffers are required on the midnight shift, for example. Public health officials nationwide have expressed particular concern about the spread of covid-19 in nursing homes. It has been called Dr. Seuss Day because of this. Dont miss important renewal information. c. A minimum of 1 staff to 6 residents in a Secured Environment at all times. My opinion is there will be more neglect and abuse and less accountability for the nursing homes.". Having enough staff in a nursing home is the most critical determinant of the quality of care the nursing home residents will receive. Facilities licensed by OLTC include nursing homes, residential care facilities, assisted living facilities, intermediate care facilities, adult day care and adult day health care centers, and post-acute head injury facilities. WebState Minimum Staffing Standard for Licensed Nursing Homes Staffing Standard Converted to hprd for 100-Bed Facility Staffing Standard Citation and Hyperlink AK Sufficient Staff State Attorney General Letitia James recently filed a slew of recent lawsuits against nursing home operators, accusing operators of financial fraud and self-dealing while providing insufficient care to nursing home residents. 0000006823 00000 n 332 37 ARKANSAS ( KNWA/KFTA) The summary for House Bill 1776 states, To Modernize And Strengthen Nursing Facility Staffing Standards And Reporting b. (a) The Department of Human Services shall not issue or renew a license of a nursing facility unless that facility employs the direct-care staff needed to provide continuous twenty-four-hour nursing care and service to meet the needs of each resident of the nursing facility and the staffing standards required by all state rules and federal regulations. 0000003618 00000 n Get free summaries of new opinions delivered to your inbox! Copyright 2023, Arkansas Democrat-Gazette, Inc. Deaver, who has been in Northwest Arkansas attending to a family matter, did not testify on the bill. The facility must have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident Florida's Advocate for Long Term Care Providers and the Elders They Serve, If you have an existing membership account, please sign in using your NEW login credentials you received from membership@fhca.org. Privacy Policy, Quality Assurance and Performance Improvement (QAPI), Life Safety and Emergency Management Summit, Ch 2022-61, Laws of Florida (CS/CS/HB 1239), AHCA Staffing Compliance Form: Calculating Minimum Staffing for Long Term Care Facilities, AHCA State Minimum Nursing Staff Hours Per Day Reference Sheet, FAQs: April 2022 Nursing Home Staffing Requirements, FHCA Webinar: Nursing Home Staffing Standards Recording (April 6, 2022), FHCA Webinar: Nursing Home Staffing Standards Handouts (April 6, 2022), CMS PBJ Frequently Asked Questions (Oct. 2018), AHCA/NCAL Five Star Quality Rating System. "Care problems persist not because facilities lack resources but, rather, because we fail to enforce the laws protecting residents and fail to holdaccountable a powerful provider industry funded almost entirely by New York taxpayers," Foster testified Tuesday. Disclaimer: These codes may not be the most recent version. If you use a windshield cover, you can at least forget about scrapping the ice off your windshield to save some time and hassle. 0000046134 00000 n At least 42 residents and 11 staff at four nursing homes -- including 37 residents at Briarwood Nursing & Rehab in Little Rock -- have contracted the virus, according to the Arkansas Department of Health. Mollot, referring to the nationwide restrictions on nursing home visitation and oversight, said reducing staffing levels would make the situation worse. It was established in 1951, according to its website. trailer <<9BD41DC105604077BDBE97057B39D963>]/Prev 140981/XRefStm 1585>> startxref 0 %%EOF 368 0 obj <>stream The 16-page bill had nearly 50% (8 pages) stricken. "It is a really tough balancing act," Webb said, calling the pandemic an "unprecedented public health emergency. Emergency crews say they often wait hours with patients in ambulances outside hospital emergency departments because there are no hospital beds available. ", "We're talking about residents who -- a lot of them can't move," Deaver said. Arkansas officials have considered relaxing minimum staffing laws at nursing homes during the covid-19 pandemic, a move that would cut care hours at a time when oversight by state inspectors, patients' families and others is already reduced. Previously she reported on education and state politics. WebApril 2022 Nursing Home Staffing Requirements If you have an existing membership account, please sign in using your NEW login credentials you received from You can explore additional available newsletters here. 0000001036 00000 n 700 Main Street Slot S-427Little Rock, AR 72203-1437, Divisions & Offices:Donaghey Plaza,P.O. Click here for information/instructions on the new reporting. At Tuesday's hearing, representatives for nursing home operators testified that they would need a significant boost in Medicaid funding to meet the state's staffing requirements. A year after the state's minimum staffing requirements went into effect, the vast majority of nursing homes in New York are not providing the 3.5 hours of care per patient mandated by law, but stakeholders are divided on the reason why. (c) If a facility varies shift hours from the shift hours listed in 20-10-1401, the facility shall meet the staffing requirements for the shift listed in 20-10-1403. The Senate vote was the fourth public approval of HB1776, as the bill was advanced by two committees and both legislative chambers without eliciting a single public question from a lawmaker. this Section, Chapter 10 - Long-Term Care Facilities and Services, Subchapter 14 - Staffing Requirements for Nursing Facilities. (you are here), This site is protected by reCAPTCHA and the Google, Go to previous versions 0000027121 00000 n 1998 - 2023 Nexstar Media Inc. | All Rights Reserved. For example, day shift meant the period of 7 a.m. to 3 p.m. Its been replaced with, the total number of hours of direct care services provided by direct care staff in a month, divided by the number of calendar days in that month and the facilitys average daily resident census for that month, the bill states on page 4. The American Colleges reports by 2033 we [U.S.] will have a shortage of 139,000 doctors and primary care physicians, said Sanders. Arkansas officials have considered relaxing minimum staffing laws at nursing homes during the covid-19 pandemic, a move that would cut care hours at a time Arkansas Code 20-10-1404 requires that each facility's director of nursing be a registered nurse. Webduties shall not be counted for purposes of determining compliance with the minimum daily staffing hours. To receive Medicaid-funded long-term care facility services and alternative services such as ARChoices for seniors or TEFRA for children, the applicant must meet medical need criteria and an assets test. The National Read Across America Day takes place every year on March 2, Geisels birthday. Also removed was the Direct care staff, definition, which meant any nurse aide hands-on care to nursing facility residents registered nurses (RN), licensed practical nurses (LPN), and certified nursing assistants (CNA) were listed. 0000046520 00000 n A recent report from Scripps Gerontology Center notes that from 2017 to 2021, New Yorks nursing homes have seen their operating expenses rise 23 percent due to higher wage and benefit costs, an increasing need to rely on high-cost temporary staffing agencies, and the effects of inflation. A medical needs assessment must be submitted by the physician, documenting why services are necessary, and must be approved by OLTC staff nurses and physicians before payment. To learn more, click The labor shortage has resulted in the closure of 6,600 nursing home beds and contributed to patient backlogs at local hospitals, which have been dealing with their own staffing challenges. "They have to be turned. Minimum nurse staffing levels have been identified in research studies and recommended by experts. 0000001585 00000 n The Office of Long Term Care (OLTC) has created a Minimum Staffing Calculator for nursing facilities that you can download and install on your computer. The overnight shift requires one direct-care staffer for every 14 residents, for example, while the day shift requires one direct-care staffer for every six residents. You already receive all suggested Justia Opinion Summary Newsletters. Some of the troubles seen "on the ground" include staff shortages, she said. 0000002017 00000 n | To create an account please email membership@fhca.org, Florida Health Care Association307 W. Park Ave.P. They have to be fed. 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The Arkansas Senate on Monday endorsed a rewrite of the state's nursing home staffing laws, sending the governor a bill that proposes the most significant changes to the state's minimum nursing standards in decades. Any decision would be made by Human Services Secretary Cindy Gillespie in coordination with the governor's office "as appropriate," Webb said. "This is uncharted territory for everybody.". Each long-term care facility must have a license issued by OLTC, which is renewed annually. Greg Leding, D-Fayetteville, and Larry Teague, D-Nashville, voted against HB1776 on Monday. (1) Except for nursing facilities that the Office of Long-Term Care designates or certifies as Eden Alternative nursing facilities or Green House Project nursing facilities, the staffing standard required by this subchapter shall be the minimum number of direct-care staff required by nursing facilities and shall be adjusted upward to meet the care needs of residents. And the sometimes close quarters and shared caregivers in nursing homes can help spread the contagion. The online portal is powered through a technology called QuickBase and is part of a larger effort to provide an online portal for providers to submit information to OLTC. (i) The Department shall impose a penalty of up to two thousand (2,000) dollars per day for each day in a quarter that a facility fails to comply with the minimum nursing staff requirements set No one stated a specific reason for opposition or asked questions of the bill's sponsors. Get free summaries of new opinions delivered to your inbox! Federal law requires a minimum of 8 hours per day of registered nurse (RN) service and 24 hours per day of licensed nursing service sufficient to meet residents' needs, 2 but these staffing requirements may be--and frequently are--waived. This material may not be published, broadcast, rewritten, or redistributed. WebThe State Nursing Home Staffing Standards Chart (Appendix B) presents state staffing requirements for licensed nursing homes that are mandated in state regulation and/or statute. 0000028111 00000 n Staffing ratios are left up to states -- roughly 40 supplement federal regulations with specific nursing home staffing laws, Mollot said. If there is no way to document the number of staff on duty, during each shift, the nursing home industry has the ability to cut costs at the expense of the well-being of the nursing home residents, said Arkansas Advocates for Nursing Home Residents Founder Martha Deaver. Disclaimer: These codes may not be the most recent version. The Bill also requires that staff data reported to HHS be made publicly Certified Nurse Aides (CNAs): The online portal is powered through a technology called QuickBase and is part of a larger effort to provide an online portal for providers to submit information to OLTC. FILE - In this April 8, 2020 photo, Arkansas Gov. Nursing home operators, who tried to sue the state over the new regulations, note that 70 percent of their revenue is from Medicaid reimbursements, which have failed to keep pace with costs. 0000004372 00000 n Nursing home providers will receive guidance prior to the start of the audit, department officials said. *UPDATE* The QuickBase minimum staffing system has been updated. 0000002096 00000 n Federal rules, which do not set specific staffing ratios nationwide, require that staffing be sufficient to meet residents' needs. To learn more, click the link below. 0000028741 00000 n "[Staffing] affects whether or not residents get bedsores," Deaver said. WebThe Office of Long Term Care (OLTC) has created a Minimum Staffing Calculator for nursing facilities that you can download and install on your computer. The bill repealed the section (Arkansas Code 20-10-2110) involving staffing regulation. Arkansas' new law phases in new staffing ratios over three years. During FY 2001-02, nursing homes must maintain the following direct care staff-to-patient ratios: 1: 7 on the day shift, 1: 10 on the evening shift, and 1: 16 on the night shift. 0000020537 00000 n About 75 percent of around 600 facilities in the state are not meeting the staffing law, which also caps nursing home owner profits and requires 70 percent of revenue to go into patient care with 40 percent going directly to staff industry experts testified Tuesday at a legislative budget hearing on health. All rights reserved. Extensive information about assets and Medicaid eligibility is available from the Division of County Operations. The facility must have a minimum of one staff person per 16 residents from 7:00 a.m. to 8:00 p.m. and one staff person per 16 residents from 8:00 p.m. to 7:00 a.m. (A) The office shall promulgate staffing standards for nursing facilities that the office designates or certifies as Eden Alternative nursing facilities or Green House Project nursing facilities. Web(c) (1) (A) If the Director of the Office of Long-Term Care determines that minimum staffing standards should be increased pursuant to 20-10-1409 (b) (2), the Director of the Office of Long-Term Care shall certify the determination and any proposed regulatory increases to minimum staffing standards to the Director of the Division of Medical You're all set! License renewals and fees are due March 1 each year. 0000028498 00000 n This document may not be reprinted without the express written permission of Arkansas Democrat-Gazette, Inc. Material from the Associated Press is Copyright 2023, Associated Press and may not be published, broadcast, rewritten, or redistributed. Jerry Cox, president of the Family Council, said the organization had "concerns" about the legislation and would possibly support a bill in the next session, in 2023, to reduce any "damage" done by the bill approved Monday. The adjusted legislation now includes medication assistants, therapists, and care management (a few examples) as direct care staff.. Users can access the portal by going directly tohttp://ARDHS.QuickBase.comand selecting the OLTC Minimum Staffing icon. The bill was not favored by nursing home residents advocates who said one of the nursing home industrys biggest expenses is staffing. Update * the QuickBase minimum staffing system has been called Dr. Seuss Day because of this a shortage 139,000! Free summaries of new opinions delivered to your inbox, '' Deaver.... 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Each Long-Term Care Facilities and Services, Subchapter 14 - staffing Requirements for nursing Facilities residents who. Not residents get bedsores, '' Webb said, calling the pandemic an `` public. Primary Care physicians, said Sanders March 1 each year of them ca n't move ''... Both residents and staff. `` was not favored by nursing home advocates... Hours with patients in ambulances outside hospital emergency departments because there are no hospital beds available guidance to. She said and Larry Teague, D-Nashville, voted against HB1776 on Monday and Services, Subchapter -! We 're talking about residents who -- a lot of them ca n't move, Deaver! Nurse staffing levels would make the situation worse move, '' Deaver said have expressed concern! Three years about assets and Medicaid eligibility is available from the Division of County Operations 2020...