Nursing Home Guide
In November 2017, a new federal health regulation set for nursing homes was released, marking a complete overhaul of the previous set. The updated regulations include 204 deficiencies, introducing new categories such as Behavioral Health, Ethics, and Quality Assurance. The Bureau of Field Operations conducted training sessions to implement the new numbering system. Specific deficiencies were expanded or collapsed, emphasizing areas like Quality of Life and Care, Resident Rights, and more.
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Presentation Transcript
Nursing Home Guide New Federal Regulation Set Effects
Nursing Home Guide was first released in November, 2001 5-star ranking is produced for 3 broad categories and 5 sub- categories Quality of Life, Quality of Care, Administration Nutrition, Abuse/Restraints, Pressure Ulcers, Decline, and Dignity Presently 684 Nursing Homes (680 are certified, 4 licensed-only) Certified Nursing Homes: Federal Health(F) and Life Safety(K) Deficiencies Licensed-Only Nursing Homes: State Health(N) and Life Safety(K) Deficiencies Ranking is based on the Annual and Complaint Surveys for the last 30 months Updated Quarterly Since 2013, it has been a part of FloridaHealthFinder.gov (the Compare Section) History
November 28, 2017New Federal Health Regulation(F) set for nursing homes released Complete overhaul of the previous regulation set Previous Regulation Set had 175 deficiencies; New Regulation Set has 204 deficiencies New Federal Regulation Set HQA s Bureau of Field Operations held training sessions last Fall to teach the surveyors New numbering system and categories Previous Regulation Set F150-F539 New Regulation Set F540-F949
Many of the same categories such as Resident Rights, Quality of Care, Quality of Life, Administration New Federal Regulation Set: Categories New categories including Behavioral Health, Ethics, Quality Assurance and Performance, and Training Many deficiencies are a 1-1 ratio, but broad deficiencies have been expanded to focus on specific areas and other deficiencies have been collapsed
Expanded Example Previous Regulation Set: F309 a broad quality of care deficiency; that the nursing home provide care/services for the highest well- being of its residents. New Regulation Set: the deficiency has been split into 5 different deficiencies 1 quality of life and 4 quality of care F675 Quality of Life: regarding the care/services provided to the residents F684 Quality of Care: regarding the treatment and care provided to the residents F697 Pain Management: that this service is provided to the residents who require it F698 Dialysis: that this service is provided to the residents who require it F744 Treatment/Service for Dementia: that this service is provided to the residents who require it Expanded / Collapsed Deficiencies
Collapsed Example Expanded / Collapsed Deficiencies Previous Regulation Set: F325 Maintain Nutrition Status Unless Unavoidable and F327 Sufficient Fluid to Maintain Hydration New Regulation Set: the deficiencies have been collapsed into one deficiency F692 Nutrition/Hydration Status Maintenance
Certified Nursing Homes are required to comply with state and federal regulations. The new regulation set will affect them. Licensed-Only Nursing Homes are required to comply with state regulations only. The new regulation set will not affect them. How are Florida s Nursing Homes Affected? Nursing Home Guide: For the next 30 months, the Guide will include a combination of the two regulation sets; after that, only the new regulation set will be utilized in the Guide FloridaHealthFinder methodology of the Nursing Home Guide has been updated to show the differences in the sub-categories and a few of the critical deficiencies CMS Nursing Home Compare s 5-star ranking: Is unavailable until the end of the year due to the new regulation set. The 5-star ranking is a comprehensive rating of not only deficiencies, but staffing and quality measures.
Nursing Home Guide / Regulation Set Any questions?
