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Earlier this week, the Minnesota Department of Human Services (DHS) released a survey to get input on their Waiver Reimagine effort. Waiver Reimagine is designed to combine the current four disability waivers into two. Under Waiver Reimagine, the current waivers, based on the type of disability, would be replaced with waivers based on the type of service received (living independently vs. residential).

Cuyuna Regional Medical Center: Shift-to-Shift Team Safety and Dignity Rounds

Today, we highlight a successful Safe Care practice from Cuyuna Regional Medical Center (CRMC) in Crosby – Change of Shift Nursing Team Rounds. Jenny Pederson, RN, Quality Care Coordinator for the Care Center, is leading this new practice. It takes approximately five minutes during shift change and prioritizes residents' safety and dignity.

Assisted living providers, effective Aug. 1, need to add specific language to any notice that is issued to a resident or their legal or designated representative due to a requirement in the Minnesota Statute 144G or the Assisted Living Rule 4659 that is required to include information regarding the Office of Ombudsman for Long-Term Care and the Office of Ombudsman for Mental Health and Developmental Disabilities.

Medicare and Medicaid Services (CMS) requires nursing homes to report facility resident and staff COVID-19 case numbers to the Center for Disease Prevention and Control’s (CDC) National Health Safety Network (NHSN) weekly.

As part of the Opening Doors to Aging Services Initiative, our national partner, LeadingAge, has developed a research-based language guide intended to be used as a resource to aid in understanding aging services’ depth and breadth.

On June 13, US Senators Mark R. Warner (D-VA) and Tim Scott (R-SC) introduced S.4381, the Ensuring Seniors' Access to Quality Care Act, which would address the "CNA lockout" that's contributing to the long-term care staffing crisis across the country.

One of the final bills to clear the Legislature in May contained a little-debated provision with potentially significant implications. Beginning on Friday, July 1, Minnesotans aged 21 and older can purchase liquids and consumable goods containing small amounts of cannabidiols (CBD) and/or THC. THC is the ingredient in cannabis that produces a “high.”

It's not just the weather heating up: election season is upon us, and candidates seeking elected office in November are hitting the pavement to meet potential constituents. Under Minnesota law, political candidates should be granted access to multi-unit dwellings used as residences, including nursing homes, assisted living buildings, and independent living. Candidates are also permitted to leave materials behind, though nursing homes may require that materials are left at a central location.

Community grants of up to $99,000 are being offered by the Age-Friendly Minnesota Council in cooperation with the Minnesota Department of Human Services. As the first step in this process, communities can submit an interest form by Aug. 1. A virtual Responders Conference will be held during the application period to address applicant questions.

On June 29, the Centers for Medicare and Medicaid Services (CMS) released long-awaited updates to the nursing home surveyor guidance found in Appendix PP to the State Operations Manual.

Testing residents and staff for COVID-19 became a standard throughout the pandemic, and guidance frequently changed, which gives way to uncertainty on current guidance and recommendations for testing requirements, test interpretation, and test procurement.

As we have shared earlier, the Minnesota Department of Human Services (DHS) website now confirms the extension of the July 2 deadline by which employees with emergency background studies must clear fingerprint-based studies until the end of the year. Individuals who received emergency studies must have a fully compliant study by Dec. 31 to continue working after that date. Information about emergency studies and ongoing updates about the transition from emergency studies to full compliance.

By now, you know that the Minnesota State Legislature adjourned at the end of last month without spending any of the state's $9 billion budget surplus. Even though negotiations have crumbled, we cannot stop our advocacy!

LeadingAge Minnesota has worked with nurse partners to develop tools to assist members with side rail assessments in assisted living settings.

In honor of CNA week, we are excited to announce that OnTrack recently released the most up-to-date nursing assistant training curriculum to align with new Headmaster state testing!

This week, CMS announced that survey oversight of the staff vaccination mandate for Medicare and Medicaid-certified providers and suppliers will continue to be performed during initial and recertification surveys but will now only be performed in response to complaints alleging non-compliance with this requirement, not all complaint surveys. This news comes after CMS determined that 95% of nearly 12,000 providers and suppliers surveyed by states have been in substantial compliance with this requirement.

The Minnesota Department of Employment and Economic Development (DEED) announced the grant recipients of the Internationally Trained Professionals Competitive Grant Program, a program to help internationally trained healthcare workers earn healthcare licensures in Minnesota.

Are you interested in improving your mealtime safety practices but don't know where to start? LeadingAge Minnesota, as part of Safe Care, has developed a new video demonstrating two essential dietary safety practices – Pre-Meal Huddles and Dietary Safety Pauses.

The Minnesota Department of Human Services (DHS) website now confirms the extension of the July 2 deadline by which employees with emergency background studies must clear fingerprint-based studies until the end of the year. Individuals who received emergency studies must have a fully compliant study by Dec. 31 to continue working after that date. 

Have you posted your open positions on the AgingServicesJobs.org platform? LeadingAge MN’s job board, AgingServicesJobs.org, is the premier resource for long-term care employers to post their critical to fill positions and get connected with qualified applicants.

The requirements for assisted living directors of settings licensed as assisted living with dementia care (ALDC) have raised several questions for those seeking to keep their credentials up to date.

The Centers for Disease Control and Prevention (CDC) released updated recommendations for an additional COVID-19 vaccination booster (fourth shot) on May 24. The updates provide a recommendation for a second booster for those people 12 and older if they are moderately to severely immunocompromised and individuals 50 years of age and older.

Although the House and Senate are in recess this week, there's no shortage of work left to be done before Congress adjourns ahead of the midterm elections. What began as the Build Back Better plan is now being reshaped into a much narrower, inflation-fighting measure that would amount to a fraction of the spending in the original bill.

On June 6, the Centers for Medicare and Medicaid Services (CMS) will terminate the COVID-19 waiver that has allowed nurse aides to serve seniors without being on the Nursing Assistant Registry. Nurse aides hired or worked during the waiver have until Oct. 7 to be placed on the Minnesota Nursing Assistant Registry.

On a monthly Nurse Assistant call, the Minnesota Department of Health (MDH) had previously communicated near-term deadlines for those working under the 1135 Waiver. With the termination of the waiver quickly approaching, we advocated strongly for flexibility and further clarity on the action required for those working under the waiver to ensure nurse aides can continue providing services for seniors throughout the state.

MDH has provided helpful clarification on the three different pathways to transition caregivers who have been working under the 1135 Waiver.

Three Pathways

Pathway 1: Enroll in a state-approved Nurse Aide Training and Competency Evaluation Program (NATCEP) and complete the training program and pass the exam by Oct. 7.

Pathway 2: Enroll in a NATCEP training program, but take advantage of the transition pathway developed by MDH, allowing facilities to credit training received while working in a long-term care facility under the waiver towards the required 75-hours of training. Individuals taking this route must still enroll in a NATCEP program to ensure training requirements are met and assist in completing any additional training needs. The training and testing must be completed and passed by Oct. 7.

Pathway 3: Choose not to enroll in a NATCEP program, but challenge and pass the test before Oct. 7. The nurse aide will have three attempts to successfully pass the knowledge and skills exams. If they do not pass the test by Oct. 7, they cannot work as a nurse aide until completion of a NATCEP program.

Please refer to the updated MDH document Placement on Minnesota’s Nurse Aide Registry for Nurse Aides Working during the 1135 Waiver for more information on these pathways.

We will continue to work closely with our partners at MDH and Minnesota State Colleges to discuss strategies to ensure all caregivers working under the 1135 Waiver are successfully trained, tested, and transitioned to be on the registry by Oct. 6.

If you have questions or need assistance with this process, please reach out to Anna Mowry, Director of Workforce Solutions at LeadingAge Minnesota.

LeadingAge Minnesota submitted comments this week urging OSHA not to make its Emergency Temporary Standard (ETS) for COVID-19 a permanent part of the regulatory landscape.

One of the provisions of the Health and Human Services policy bill that passed on the last night of the session made revenue-neutral revisions to the Elderly Waiver Customized Living (EWCL) disproportionate share program for the 2023 calendar year and beyond.

On Sunday evening, the Minnesota Legislature passed a provision as part of its Health and Human Services Policy bill to allow remote adult day as a service.

The 2022 legislative session in Minnesota has come to a close. Although our advocacy for funding to support assisted living providers continues, the Minnesota Legislature passed several policy changes affecting assisted living providers.

Although the Health and Human Services conference committee could not agree on new funding measures, the committee reached a consensus on a package of policy changes that passed both the Minnesota Senate and House of Representatives on the last day of the legislative session. The policy bill includes two provisions that provide some relief for providers relating to background studies.

Mental and behavioral health are increasing challenges for many residents of our settings. Tools to equip staff to serve individuals with these challenges and be knowledgeable in de-escalation techniques are valuable. You can better understand older adult mental illness and learn new skills with this free, three-episode video training series funded by a grant from the Stratis Health Building Healthier Communities Program.