Florida Association of Homes and Services for the Aging
June 24, 2010 Vol 17, Issue 28
 
 
 
 
 
Welcome to this week's edition of the FAHSA Link!

Nursing Home Staffing Requirements to Change on July 1, 2010 -- This is a reminder of the staffing ratio changes that will occur on July 1, 2010.  Under the current regulations, nursing homes must maintain 1.0 nursing hours and 2.9 certified nursing assistant hours per resident per day. 
 
As a consequence of the budget process, nursing homes will have somewhat more flexibility in their direct care staffing requirement starting on July 1.  The new provisions require 1.0 hours per resident per day for nurses and 2.7 hours per resident per day for certified nursing assistants, with a weekly combined nurse and CNA average of 3.9 hours per day. 
 
The practical implication of this change is a little more flexibility in scheduling of direct care staff.  Please consider the example of a nursing home that routinely maintains 1.3 nursing hours per resident per day.  Prior to July 1, 2010 that nursing home had to maintain a daily CNA staffing ratio of 2.9 hours per resident per day.  However, after July 1 that same nursing home will be able to reduce the CNA staffing (if its residents' conditions allow this change) to 2.7 hours per resident per day and use .2 hours of excess nurse staffing to achieve the required 3.9 combined staffing ratio.  For more information, contact Dr. Erwin Bodo at ebodo@fahsa.org or (850) 671-3700.

 
In This Issue
ALF News
CCRC News
Education News
General News
HCBS News
Housing & Service Coordinator News
Legislative News
Nursing Home News
Region / Membership News
Preferred Business Associates News
Career Center
FAHSA Quick Links
 
ALF News
 
 
AHCA Announces New Assisted Living Unit Manager -- Last week, AHCA Deputy Secretary Liz Dudek announced the appointment of Shaddrick (Shad) Haston to the position of Assisted Living Unit Manager within the Bureau of Long-Term Care. Shad's contact information is as follows: phone -- 850-412-3645; email - Shaddrick.Haston@ahca.myflorida.com . Shad is replacing Bernard Hudson who replaced Alberta Granger in 2009.  Bernard will continue as the manager of the Long-Term Care Unit which handles nursing home licensure and other long-term care programs; contact phone 850-412-4303; email Bernard.Hudson@ahca.myflorida.com.  
 
Shad was a member of the United States Navy from July 1997 through July 2002.  During this time he served at various duty stations and finally in Operation Enduring Freedom aboard the USS John F. Kennedy.  He received his Bachelors of Health Science from Campbell University; and after graduation from Campbell, he attended Southern University Law Center in Baton Rouge, Louisiana where he received his J.D. Welcome Shad. 
 
ALF Faces $10,000 Fine for Death Related to Ingesting Dishwasher Detergent -- A 93-year-old South Florida assisted-living facility resident in the late stages of Alzheimer's disease died recently after swallowing dishwasher detergent. The ALF is owned by a reputable national company. According to a spokesperson for the company, which is fighting the fine and citation, "The device with the dish detergent in it was in a cabinet under the sink and was attached to the dishwasher. The lines of the device ran directly to the dishwasher. It took much maneuvering and manipulation to get to the fluid, including disconnecting the hoses."

Reportedly, AHCA inspectors had warned the care center during a 2008 survey that it needed to secure the kitchen, beauty salon and laundry room in its memory impaired unit to prevent residents from having unsupervised access. AHCA records indicated that the corrections were made. Nonetheless, this resident made his way into the kitchen and did what no one could have anticipated.  When an incident like this occurs, surveyors are often more vigilant in checking for similar problems in other facilities. Please be sure that your risk management team reviews your policies, procedures and practices for protecting residents with dementia from products and equipment that could be potentially harmful.
 
Be Sure to Update ESS Info for AHCA -- This week, nursing homes and ALFs received a notice from AHCA asking them to update their status in ESS and to record their Census and Available Bed Information by 12pm Friday, June 25, 2010, to assist with emergency preparedness activities.  Please access ESS at this time to update current status information.  In addition, the Agency has recommended these preparation steps:
  • Test emergency generators to confirm they are working properly.
  • Check for access to a sufficient supply of drinking water, non-perishable foods, batteries, fuel, oxygen and other supplies to provide quality care during a crisis.
  • Review emergency management plan with current staff members.
For more information on regulations regarding emergency preparedness, please visit AHCA's website.
 
CCRC News
 

U.S. Senate Special Committee on Aging to Hold Hearing on CCRCs -- The U.S. Senate Special Committee on Aging is holding a hearing on July 21 to discuss the findings of the General Accountability Office (GAO) study on Continuing Care Retirement Communities.   To read more, please click here to read the Retirement Community Alert this week.

Other CCRC News:
  • CCRC Best Practice Disclosure and Transparency Document Released
  • OIG Issues Opinion on Rewards Program for Referrals from CCRC Employees and Residents and Anti-kickback Laws 
  • DON Salaries in CCRCs Increase (From HCS)
  • Sample Resident Association Bylaws Shared Through AAHSA Listserv
Education News
 
The Deadline for Nominations for a FAHSA Award has been Extended to June 30th -- FAHSA's Awards Program honors those who embody excellence in leadership, care, and service innovation, and who are making outstanding contributions to their communities in the field of long-term care, affordable and supportive housing, retirement housing, assisted living or home and community-based services.  Please consider nominating your staff or colleagues for one of these prestigious awards. Click here to print a copy of the Awards program nomination form. 
 

REGISTER FOR WEBINAR ON NEW BACKGROUND SCREENING REQUIREMENTS NOW! -- Don't forget to sign up for FAHSA's upcoming webinar on  2010 Background Screening Requirements for Direct Care Staff, featuring representatives from the Agency for Health Care Administration Staff and Florida Department of Law Enforcement on Tuesday, July 13, 2010, 2:00 p.m. to 4:00 p.m. EDT (2 contact hours). Cost is $ 75.00 for members, $ 110.00 for nonmembers. Many of you have called with questions about the new law.  This is your opportunity to hear from the regulatory agencies that will be implementing it.
 
Join Us for Upcoming Training Opportunities:  
General News

Background Screening Technical Brief Posted on Public Policy Alert Pages -- For your ready access as the August 1st implementation date approaches for enhanced background screening requirements, last week's Background Screening General Alert has been posted as a Technical Brief on each of the Public Policy Alert pages.  Click on the page links below to access this valuable resource:
Florida's Population Continues to Decline -- Once among the fastest growing states, Florida is now experiencing a population decline. According to an article that appeared in the Sarasota Herald Tribune this week, the biggest losses between 2008 and 2009 occurred in Cape Coral, St. Petersburg, Deltona, Fort Walton Beach, Sunrise, North Port, Bradenton, Sarasota, Venice, and Punta Gorda. The article pointed out that according to the latest census population estimates "no Florida City with more than 100,000 people ranked in the country's top 75 for growth last year."  For a state that depends on population growth for revenue, the news is not good. Economists speculate that the recession and high employment rate are reasons for the shift. Retirees in particular are staying put because of the housing market. This has affected not only migration of retirees to Florida but also retirees living in Florida who are considering downsizing or moving to a retirement community. 

Tamiflu: Counterfeit Product Sold on Internet -- FDA notified consumers and healthcare professionals about a potentially harmful product represented as "Generic Tamiflu" sold over the Internet. FDA tests revealed that the fraudulent product does not contain Tamiflu's active ingredient, oseltamivir, but cloxacillin, an ingredient in the same class of antibiotics as penicillin. Patients who are allergic to penicillin products are at risk of experiencing similar reactions from cloxacillin. This includes a sudden, potentially life-threatening reaction called anaphylaxis, with symptoms that include difficulty breathing, chest tightness, swelling of the throat or tongue, hives, dizziness, loss of consciousness, or a rapid or weak pulse.

The FDA advises anyone possessing or encountering any of these fraudulent Tamiflu drugs not to use them and to contact the FDA's Office of Criminal Investigations by visiting the OCI website.
 
HCBS News
 

HH PPS PC Pricer Updated -- The CY 2010 Home Health Prospective Payment System (HH PPS) PC Pricer has been updated with revised logic required by the Health Care Reform legislation.  The PC Pricers are available on their web page under the Downloads section.  If you use the CY 2010 HHA PPS PC Pricer, go to the page above and download the latest versions of the PC Pricers with the revised logic.  There are now two CY 2010 PC Pricers. One is for claims 10/01/2009 to 03/31/2010 and another is for claims 04/01/2010 to 09/30/2010.  Both were updated on 6/17/2010.

Enhancements to Home Health Consolidated Billing Enforcement -- Medicare instructions regarding delivery of Non-routine supplies intended for use over an extended period of time have been changed. Now suppliers are instructed to report the delivery date as the 'from' date and the date by which the supplies will be used in the 'to' date. When this causes the 'to' date on a supply line item subject to consolidated billing to overlap a HH episode, the service is rejected contrary to the original intent of this edit. Effective October 1, 2010, CMS is implementing new requirements to modify this edit in order to restore the original intent to pay for supplies delivered before the HH episode began.
 
Housing & Service Coordinator News
 

HUD Launches $100 Million Grant Program -- During a keynote address to The Atlantic's inaugural Future of the City Forum in Washington, D.C., U.S. Housing and Urban Development (HUD) Secretary Shaun Donovan announced that HUD is launching a $100 million Sustainable Communities Regional Planning Grant program, the first of its kind designed to create stronger, more sustainable communities by connecting housing to jobs, fostering local innovation and building a clean energy economy. For more information, please click on the website link below to read this week's Housing Alert, HOU 10-19.
 
AAHSA Launches Social Worker Listserv -- AAHSA launches new social worker list serve. To join, contact AAHSA staff, Morgan Gable at (202) 508-9427.  All you need to do is email your name, organization and e-mail address. This listserv will serve as a resource to social workers, and it's also a great way for AAHSA to learn and share your good work with your peers.
 
Other Housing News:
  • HUD Charges New Hampshire Landlord With Discriminating Against Interethnic Couple
  • National Plan Unveiled to Stop Homelessness by 2015
  • HUD, DOT Launch Collaborative Effort to Create Sustainable Communities
  • HUD Releases New Community Planning and Development Monitoring Handbook
  • HUD PublishesNew Affirmative Fair Housing Marketing Plan Form
  • New Rules Implemented by FHA
  • Section 8 Random Digit Dialing Fair Market Rent Surveys
  • Notice of Availability: Notice of HUD's Fiscal Year (FY) 2010 Notice of Funding Availability (NOFA); Policy Requirements and General Section to HUD's FY2010 NOFAs for Discretionary Programs
  • HUD Adds Important Civil Rights Protections To Its Grant Programs
  • HUD Awards Almost $65 Million To Public Housing Authorities In Florida To Improve, Preserve Public Housing Across The State
  • HUD Uses Social Media To Connect With Public And Increase Transparency
Legislative News
Mid-Term Election Approaching: Members Encouraged to Host Legislative Events and Candidates Forums -- With the November 4th election around the corner, FAHSA is
encouraging members to hold candidate forums before or after the primary election on August 24.  If the candidates for specific legislative seats of the same party affiliation, the election will be decided during the primary election, so the event must be held before August 24. Otherwise, you have more time to organize and plan the event. 
 
Last Friday was the last day for qualifying to run for the Florida House of Representatives or Senate.  The latest information on individuals who are running for specific House and Senate seats can be viewed at the Florida Secretary of State website.  If your senator or representative does not have opposition or is not up for reelection, please consider holding a forum or meeting where he or she has the opportunity to address your residents and staff about the 2010 legislative session and what is anticipated for the coming year.  Thus far, the following organizations have committed to holding a legislative forum or candidates event:
  • Village on the Green -- held on May 20 - legislative forum with Senator Andy Gardiner
  • Fleet Landing -- June 28 - legislative forum with Senator Thrasher and Representative Renuart
  • Indian River Estates -- June 25 -- candidates forum for House Seat 29
  • St. Joseph's John Knox Village -- candidates forum for House Seat 60 & Senate Seat 12(date and time to be determined)
  • Suncoast Hospice -- October 5 -- candidates forum for Senate and House seats for Pinellas County
  • Sandhill Cove -- candidates forum for House District 81 (date and time to be determined)
For your convenience, the FAHSA Public Policy Staff compiled a Voter Education Tool Kit. An abbreviated version of the document was sent to you as an email, but it can also be accessed by going to the FAHSA website.  In addition, we published a longer version of the 2010 Election - Voter Education, Candidates Forum & Advocacy Tool Kit that provides more extensive tips on how to organize a candidates forum or a legislative event.  Please be sure to notify Mary Ellen Early, meearly@earthlink.net or Beverly Gregory, bgregory@fahsa.org if you schedule an event.  Mary Ellen will be available to assist you.

34 Automatically Elected To State Legislature -- Last Friday was the deadline for qualifying as a candidate for the legislature and statewide office. Twenty-seven House and 7 Senate candidates were elected automatically because they had no opposition.   The Senators elected without opposition, include Sen. Don Gaetz, Senate President elect Mike Haridopolos, Sen. Arthenia Joyner, Sen. Joe Negron, Senate Democratic Leader Nan Rich, and former House members David Simmons and Maria Sachs. Individuals elected to the House without opposition include:  Matt Gaetz, Brad Drake, Janet H. Adkins, Jennifer Carroll, Mia L. Jones, Mike Weinstein, Charles Van Zant, Charles S. "Chuck" Chestnut IV, Steve Crisafulli, Scott Plakon, Geraldine F. Thompson, John Legg, Betty Reed, Rich Glorioso, Seth McKeel, Paige Kreegel, Gary Aubuchon, Denise Grimsley, Steve Perman, William D. Snyder, Perry E. Thurston Jr., Martin David Kiar, Elaine J. Schwartz, Oscar Braynon II, Joseph "Joe" Gibbons, Richard L Steinberg, and Esteban L. Bovo Jr.
 
Nursing Home News
 
VIVE: Video on Interviewing Vulnerable Adults -- The Video on Interviewing Vulnerable Elders (VIVE) was funded by the Picker Institute and produced by the UCLA/JH Borun Center. The content in this video is the same that was presented at the CMS April National Train the Trainer Conference and will be helpful for training staff using effective interviewing techniques.  To order a copy of the video, click here.

Other Nursing Home News:
  • Nursing Home Staffing Requirements Change on July 1, 2010
  • CMS Releases Revised Material for MDS 3.0
  • Be Sure to Update ESS Info for AHCA
  • NFPA Summit Planned on Emerging Trends / Culture Change Models
Region / Membership News
 
The Center for Health Care at Alliance Unveils State-of-the-Art Therapy Program -- Last Friday, The Center for Health Care at the Alliance Community for Retirement Living held an open house to showcase exciting changes to its therapy program. The open house was geared to medical professionals and hospital discharge planners who refer patients to the nursing home. Invited guests had an opportunity to tour a redesigned physical and occupational therapy room that now accommodates recently purchased state-of-the-art weight-bearing machines that will be used primarily by short stay residents and residents of independent living in need of rehabilitation. The professional trainer who helped develop the machines and a related strength training program for seniors was on hand to explain the benefits. He will be consulting with Alliance as they move forward with this new initiative, which will eventually be open to residents and staff as part of a wellness program.
 
Each of the five new machines is designed to focus on specific muscle groups.  The low back and leg press machines build strength for walking, fall prevention and stability. A mid row machine is designed to increase arm strength and help retract shoulders for improved breathing, posture and balance. A tricep press machine builds arm and shoulder builds strength for getting out of chairs and picking up and carrying things. The abdominal press increases core strength for stability, posture and balance.  According to the consultant who co-author of a 1999 study of Strength Training in Nursing Facilities, fewer than 1000 SNF in the nation utilize this equipment. Even then, it is not always used with regularity.
 
Alliance also converted a meeting room to a kitchen, dining and sleeping area that will be used by occupational therapists to help residents regain essential skills before they return to their home. This room was part of the tour. Congratulations Alliance on this new venture!
 
Preferred Business Associates News

CoupleWithDollarFAHSA's Preferred Business Associates Program (PBAs) -- A list of PBAs can be found by on the FAHSA website www.fahsa.org and selecting Preferred Business Associates from the left side menu bar or clicking on the FAHSA Preferred Business Associates Page hyperlink. FAHSA members can also use the on-line directory to search for PBAs by specialty.
 
Career Center
 
Welcome to the Florida Association of Homes and Services for the Aging Career Center!
 
Your destination for exciting Aging Services job opportunities and the best resource for qualified candidates in the Florida Aging Services Industry. Searching for a job in Aging Services?

We feature various Aging Services jobs.Ready to start your job search?
Click here to find your next Aging Services job!

Looking to fill a position? This job board is custom tailored for the Aging Services industry, which means we attract the most qualified professionals in Florida.Create an Employer Account, search resumes and post your Aging Services job now!
 
Copyright 2010 -- Publication of the Florida Association of Homes and Services for the Aging (FAHSA).
  • FAHSA Chair: Terri Cunliffe
  • FAHSA President/CEO: Janegale Boyd
  • Managing Editor: Gail Matillo, MPA, COS
Copyright Information: Copies of the articles and other information in this publication may be noncommercially reproduced for the purpose of educational or scientific advancement. Otherwise, no part of this publication may be reproduced or utilized in any form or by any means, mechanical or electronic, including photocopying, microfilm and recording, or by any information storage and retrieval system, without the written permission of the editor.

Correspondence: Should be addressed to: Editor, 1812 Riggins Road, Tallahassee, FL 32308. For telephone inquiries, call (850) 671-3700. Or E-mail FAHSA at info@fahsa.org. © 2010 FAHSA. All rights reserved.

Disclaimer: The information contained in this correspondence is not intended as a substitute for legal advice. Please discuss any information gathered from this or any other FAHSA publications with your legal counsel in the context of your particular situation before implementing any new policies or procedures.

 

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