News

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):

Late last week, the Centers for Medicare and Medicaid Services (CMS) published the annual final rule that updates the Prospective Payment System (PPS) rates for care centers.

The Centers for Disease Control and Prevention (CDC) released updated guidance on enhanced barrier precautions designed to reduce the transmission of multi-drug resistant organisms (MDRO). MDRO are pathogens that cause infections and are resistant to antibiotics commonly used to treat infections.

Providers will be required to make a few minor changes to the assisted living contract in the coming weeks. LeadingAge Minnesota is in the process of providing feedback to the Minnesota Department of Health (MDH) on a draft frequently asked questions document regarding assisted living contract language.

LeadingAge Minnesota has received new and welcome guidance from the Minnesota Department of Health (MDH) concerning changes to assisted living contracts.

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.

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.

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

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.