News

This week, several members of LeadingAge Minnesota attended LeadingAge's annual Leadership Summit. In conjunction with the conference, LeadingAge facilitated meetings with our state delegation in Congress to discuss several policy priorities to ensure we have enough caregivers to provide safe, quality care for Minnesota's seniors.

HUD's NSPIRE Demonstration program, which will replace REAC's current physical inspection standards and protocol under the Uniform Physical Condition Standards (UPCS) for the HUD-assisted housing portfolio, is on track to complete over 900 advisory inspections by the end of May 2022. HUD inspectors will continue to work with approximately 4,500 volunteer properties to identify potential adjustments to NSPIRE standards, protocols, and processes, which will then be rolled out to the broader portfolio.

Periodically, CMS raises the Quality Measure (QM) ratings’ thresholds in the Five Star Quality Rating System to promote continuously quality improvement. CMS is implementing a new process for raising QM rating thresholds by increasing the threshold for the average rate of improvement in QM scores by 50% every six months. For example, if there is an average rate of improvement of 2%, the QM rating thresholds would be raised 1%.   

Project Firstline, led by the Centers for Disease Control and Prevention (CDC), launched a new toolkit yesterday entitled Risk Recognition and Infection Control in Healthcare. As with other Project Firstline resources, the new toolkit aims to increase infection control knowledge and understanding among frontline staff.

The White House’s strategy to address the national mental health crisis, outlined on March 1 in a fact sheet and formally announced during President Biden's March 2 State of the Union speech, includes training HUD service coordinators, housing counselors, and fair housing grantee staff to be equipped to identify, understand, and respond to signs of mental illness and addiction among those they serve. HUD will train staff in these roles to recognize the signs of emotional distress and connect residents with mental health resources.

With a goal of eliminating preventable harm in the course of caregiving, the LeadingAge Minnesota Safe Care initiative directly addresses the White House’s recent call for nursing homes to prevent resident harm and improve safety and quality.

Aging services communities looking to build a pipeline of foreign workers hired as trainees and specialists might be interested in hiring long-term care workers through the J-1 visa exchange visitor program.

The Centers for Medicare & Medicaid Services (CMS) recently issued expanded guidance for the COVID-19 In-Person Visitation Aid Grants available to nursing homes.

HR 6530 was introduced in the US House of Representatives directly at Argentum’s request and includes two primary components. If passed, the legislation would create a $10 billion caregiver sustainability fund similar to the Provider Relief Fund (PRF) and establish $1.25 billion in federal grants for workforce development that would provide four-year grants of up to $1 million per entity.

CMS has issued a Second Edition Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) COVID-19 Public Reporting Tip Sheet to help providers understand CMS' public reporting approach to the SNF QRP to account for CMS quality data submissions that were either optional or excepted from public reporting due to the COVID-19 public health emergency (PHE).

As of Wednesday, Jan. 26, CMS is posting new information to the public-facing Care Compare website for nursing homes.

First, CMS has added data about the level of weekend RN staffing and total nurse staffing (e.g., RN, LPN, and CNA), reported in terms of the average number of RN and total nurse hours worked per resident per day on weekends. As presented, the data compares a specific facility’s weekend staffing to the national average and the Minnesota average.

Following billions of dollars in broadband investments approved by Congress in the fall of 2021, federal and state governments have begun making plans to distribute funds and increase connectivity, potentially for affordable housing communities.

This week LeadingAge and the American Health Care Association sent a joint letter to the Centers for Medicare and Medicaid Services (CMS) recommending accommodations for skilled nursing facilities impacted by a ransomware attack that human resources company Ultimate Kronos Group faced on Dec. 10, 2021.

In late December, HUD opened renewal applications for existing Service Coordinator grants for Calendar Year 2022. Applications are due Feb. 7 and must include HUD's one-year budget form. The agency has applied a 5.9% Cost of Living Adjustment, higher than in previous years and falls in line with this year's Social Security benefits increase.

On Jan. 7, CMS posted QSO-22-08-NH stating that it will publish additional nursing home staffing data to the public-facing Care Compare website beginning this month:

The Health Resources and Services Administration (HRSA) recently opened the Provider Relief Fund (PRF) reporting portal for providers to begin entering data to submit their second period PRF reports. Second period reports cover PRF payments from July 1 – Dec. 31, 2020, including Phase 2 and Phase 3 general distributions and nursing home infection control distributions and incentive payments. The deadline to submit the second period report is March 31, 2022.

CMS announced on Dec. 28 that it will begin enforcing its Omnibus COVID-19 Health Care Staff Vaccination mandate for facilities located in all states where the rule is not currently blocked by a legal injunction, including Minnesota.

Senate Majority Leader Schumer has committed to a procedural vote on the Senate Build Back Better Act, which is still being drafted. On Dec. 20, Majority Leader Chuck Schumer (D-NY) acknowledged the deep discontent and frustration in a Dear Colleague letter by the decision to delay floor consideration of the Build Back Better Act because Senator Manchin could not agree with President Biden.

This week the Health Resources and Services Administration (HRSA) began distributing the $17 billion in Provider Relief Fund (PRF) Phase 4 funding to a broad range of health care providers, including care centers, assisted living, and adult day providers who experienced revenue loss and increased expenses associated with the pandemic.

The Build Back Better Act (BBB) currently being debated in the Senate requires nursing homes to have a registered nurse on staff 24 hours a day.