News

The policy enacted during the COVID-19 pandemic waiving the requirement for a 3-day prior hospitalization for coverage of a SNF stay remains in effect.

This week, LeadingAge Minnesota releases its 2022 Election Guide in advance of the 2022 General Election on Nov. 8. 

The Centers for Disease Control and Prevention (CDC) and the Centers for Medicare and Medicaid Services (CMS) released several changes to COVID-19 guidance over the past two weeks. Members have several questions about the nursing home vaccine mandate, source control and eye protection use, antigen testing of asymptomatic individuals, and resident screening.

On Sept. 23, the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) released updates to multiple COVID-19 infection prevention and control practices. One of the areas that required further clarification was screening practices for residents, staff, and visitors. On yesterday's call, the Minnesota Department of Health (MDH) clarified these practices for providers.

Late on Sept. 23, the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) published updated COVID-19 guidance for nursing homes and assisted living. The updated guidance reflects the increased prevalence of vaccine-acquired and disease-acquired immunity. The updated information includes:

The Centers for Disease Control and Prevention (CDC) updated vaccine recommendations and included bivalent vaccines recently made available. They also revised the definition of up-to-date.

In partnership with Vital Research, the Minnesota Department of Human Services (DHS) and the Minnesota Board on Aging are preparing for data collection for the Assisted Living Report Card. Assisted living directors will be informed by letter of the plans for this year's statewide assisted living resident quality of life and family satisfaction surveys in early October.

A new report providing insights and data on the nation's direct care workforce was recently released.

The report, Direct Care Workers in the United States: Key Facts, is released annually by PHI, which researches, supports, and promotes the nation's direct care workforce. The report includes workforce projections and demographic overviews of home care workers, residential care aides, and nursing assistants in nursing homes.

LeadingAge Minnesota has recently updated a Property/Grounds Hazard Vulnerability Assessment Tool (Ingestion-related events) as a guide to conduct regular safety checks to ensure that your property and grounds are maintained in a safe and sanitary manner.

Last week, Governor Walz announced an additional $2.5 million in American Recovery Plan funding to continue the state’s Next Generation Nursing Assistant Training Program (NextGen) until Feb. 2023.

The Health Regulation Division (HRD) of the Minnesota Department of Health (MDH) will now take requests to change the capacity of assisted living settings any time throughout the year. MDH has reversed its previous practice, which limited change of capacity requests to the time of license renewal.

A draft version of the Minimum Data Set (MDS) Nursing Home Comprehensive Item has been released ahead of the October 2023 implementation date. The sheer volume of proposed updates means that operators and their software providers have their work cut out for them to be ready by Oct. 1, 2023.

The Minnesota Department of Health (MDH) has requested a statewide waiver to extend the temporary nurse aide training program that is currently set to expire on Oct. 6.

To support members in addressing the significant challenges caused by the current labor shortage, the LeadingAge Minnesota Foundation is investing up to $400,000 in workforce grants. Applicants must apply by Oct. 5. The maximum award per site is $20,000. Grants are available for various purposes.

Staff Appreciation Initiatives

Grants will be awarded to thank staff teams for their continued commitment. Examples of eligible expenses include:

• Gift cards
• Free meals
• Break room improvements
• Staff recognition events

Funds cannot be used to offset wages, benefits, bonuses, or other compensation.

OnTrack Nursing Assistant Training Program Set-Up Expenses

Grants will be awarded to train high-quality direct caregivers. Examples of eligible expenses include:

• Technology
• Equipment such as mannequins
• Physical plant changes for a new or existing training room

Funds can cover nurse educators’ time for the OnTrack program set-up. Funds cannot be used for OnTrack student enrollment fees, exam fees, or student wages.

Build-Your-Own Workforce Projects

Grants will be awarded to start or expand initiatives aimed at recruitment, retention, or talent pipeline efforts. Projects can involve, for example:

• Labor-saving tools and technology
• Onboarding process improvements
• Partnerships with local schools
• Upgrading online recruiting tools

The Details

Applications are due Oct. 5 by 5 p.m. Learn more in the Request For Proposal (RFP) and apply online.

Multi-site organizations can submit applications for individual settings or combine projects across sites. An announcement of awards will be made by Dec. 1.

For questions, please contact Terri Foley, Program Office at the LeadingAge Minnesota Foundation, at tfoley@leadingagemn.org or 651-815-8137.

Licensed Assisted Living Directors (LALD) are due for their first license renewal in September. The Board of Executives for Long-term Services and Supports (BELTSS), licensing board for LALDs, will issue a notice by the end of this week. It will include directions for licensees on how to renew their licenses.

Guidance for activities, visitation, and large group gatherings has not changed significantly. However, as the summer is winding down, long-term care settings that host gatherings are seeking a guidance refresher for these events.

A recent survey of nursing homes conducted by the Long-Term Care Imperative found that several settings throughout the state are closing beds, considering a sale, or considering closing their doors. Due to lost capacity in the system overall, Minnesota seniors are losings access to care in the communities they call home.

Assisted living providers must issue a new version of the Assisted Living Bill of Rights (144G.91) to all residents and obtain a written acknowledgment of its receipt. The update is necessary because the Minnesota Legislature adopted several changes to the Assisted Living Bill of Rights earlier this year.

Over the next few weeks, the Minnesota Department of Health's (MDH) Collaborative Safety steering team members will begin inviting providers with closed Tuberculous and Individual Abuse Prevention Plan correction orders to collaborate, review and map these issues with the goal of learning and improving these systems.

As reported in last week’s Advantage, the Assisted Living Facility HFID must be on new assisted living contracts entered into on or after Aug. 1, 2022. Also, effective for contracts entered into on or after Aug. 1, 2022, the following changes were made to the required assisted living contract content in item (5) in 144G.50, subdivision 2, the (struck-out language deleted, new language in bold):