Nursing Home Closures Toolkit for Ombudsmen and Advocates

254 Pages·2017·13.69 MB·English

by  Alisha Lineswala

Nursing Home
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1
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Y
A
M Closures Toolkit for
Ombudsmen and
Advocates
DR. CYNTHIA RUDDER, PH.D.
This project was funded by the
Retirement Research Foundation.

NATIONAL CONSUMER VOICE FOR QUALITY LONG-TERM CARE
1001 Connecticut Ave, NW, Suite 632
Washington, DC 20036
[phone]
[email protected]
www.theconsumervoice.org

The Consumer Voice is the leading national voice representing consumers in
issues related to long-term care, helping to ensure that consumers are
empowered to advocate for themselves. We are a primary source of
information and tools for consumers, families, caregivers, advocates and
ombudsmen to help ensure quality care for the individual.

© 2017 The National Consumer Voice for Quality Long-Term Care

Please send any questions or comments to [email protected].
Acknowledgements

We would like to thank the individuals in each of the best practice states, as well as
those with innovative practices for sending us resources to build this toolkit. They were
generous with their time and assistance.

Additional support on this project was provided by Lori Smetanka, Robyn Grant, and
Alisha Lineswala.
TABLE OF CONTENTS

Introduction

Section 1: Training PowerPoint

Section 2: Executive Summary from Successful Transitions: Reducing the Negative Impact of
Nursing Home Closures

Section 3: State Case Studies from Successful Transitions: Reducing the Negative Impact of
Nursing Home Closures

Section 4: Federal & Sample State Guidelines on Closures
1. Consumer Voice – Issue Brief on Nursing Home Closures
2. Federal Closure Guidelines
3. Revised Federal Transfer, Discharge, and Admission Nursing Home Regulations
4. Rhode Island – Closure Guidelines
5. Rhode Island – Notice of Your Transfer/Discharge Rights
6. Rhode Island – Actual Closure Plan from a Nursing Home
7. Iowa – Closure/Crisis Team Intervention Process
8. Wisconsin – Summary of Relocation Manual & State Statutes

Section 5: Sample Letters to Residents & Families
1. Ohio – Termination of Medicaid Funding for XXX Care Center
2. Wisconsin – Introductory Communication
3. Connecticut – Resident Rights and Options Memo from Legal Services
4. Connecticut – Informational Letter to Residents from LTCOP
5. Connecticut – Frequently Asked Questions from LTCOP
6. Ohio – Long-Term Care Living Options
7. Iowa – Notification Letter

Section 6: Sample Forms & Checklists
1. Consumer Voice – Checklist to Use for Closures
2. Consumer Voice – Checklist for Resident & Family Members on Transferring Personal Items
3. Consumer Voice – Resident and Family Informational Sheet
4. Ohio – Resident Contact Information Sheet Including Questions for Resident Interview
5. Florida – Long-Term Care Ombudsman Program Facility Closure Checklist
6. Iowa – Daily Closure Report
7. Rhode Island – LTCO/Closure Team Needs & Information
8. Rhode Island – LTCO Discharge “To Do” List
9. Rhode Island – Emergency Resident Transfer Form
10. Rhode Island – Daily Scheduled Appointments
11. Rhode Island – LTCO Progress Notes
12. Rhode Island – Final Discharge List
Section 7: Additional Consumer Voice Resources
1. Consumer Voice – “Know Residents’ Rights During a Nursing Home Closure” Brochure
2. Consumer Voice – “Know Your Rights During a Nursing Home Closure” Information Card
INTRODUCTION
This toolkit includes material that will be helpful to you if you are involved in a nursing home
closing.

Section 1 is the PowerPoint used in training ombudsmen and other state officials about nursing
home closures.
Section 2 is the Executive Summary from the National Consumer Voice’s for Quality Long-Term
Care report Successful Transitions: Reducing the Negative Impact of Nursing Home Closures.
For entire study, see http://theconsumervoice.org/uploads/files/issues/CV_Closure_Report_-
_FINAL_FINAL_FULL_APPENDIX.PDF.
Section 3 are the State Case Studies from the National Consumer Voice’s for Quality Long-Term
Care report Successful Transitions: Reducing the Negative Impact of Nursing Home Closures.
For entire study, see http://theconsumervoice.org/uploads/files/issues/CV_Closure_Report_-
_FINAL_FINAL_FULL_APPENDIX.PDF.
Section 4, Federal & Sample State Guidelines on Closures, describes the Centers for Medicare
and Medicaid (CMS) guidelines for closure. There are also descriptions of the requirements in
three states with some unique features as well as an actual closing plan.
Section 5, Sample Letters to Residents & Families, might be of help as you develop your own
material.
Section 6, Sample Forms & Checklists, has several forms and checklists used by many different
states as they monitor closures.
Section 7, Additional Consumer Voice Resources, includes a brochure and information card for
residents & family members about knowing their rights during a nursing home closure.

NOTE: Some state materials have been edited for the purposes of formatting into this toolkit.
The content remains unchanged.
SECTION 1
TRAINING POWERPOINT
Training: Nursing Home
Closures
SUPPORTED WITH A GRANT FROM RETIREMENT RESEARCH FOUNDATION
THE NATIONAL CONSUMER VOICE FOR QUALITY LONG TERM CARE
CYNTHIA RUDDER, PHD
Day One: MORNING AGENDA
• Your experiences with closures
• Review Of National Study Funded By The Retirement
Research Foundation
◦ Objectives and Results
◦ State Best Practices
◦ Recommendations
• New Federal Requirements when Discharging a Resident
• Federal Rules on Closures
FIRST DAY: 9:15 TO 9:30