HOUSE AMENDMENT Bill No. HB 1891 CS
1	CHAMBER ACTION
2	Senate House
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12	Representative Fiorentino offered the following:
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14	Amendment (with directory amendment)
15	Remove line(s) 1040-1066, and insert:
16	(a) Staff-to-resident ratios must be reported in the
17	categories specified in s. 400.23(3)(a) and applicable rules.
18	The ratio must be reported as an average for the most recent
19	calendar quarter.
20	(b) Staff turnover must be reported for the most recent
21	12-month period ending on the last workday of the most recent
22	calendar quarter prior to the date the information is submitted.
23	The turnover rate must be computed quarterly, with the annual
24	rate being the cumulative sum of the quarterly rates. The
25	turnover rate is the total number of terminations or separations
26	experienced during the quarter, excluding any employee
27	terminated during a probationary period of 3 months or less,
28	divided by the total number of staff employed at the end of the
29	period for which the rate is computed, and expressed as a
30	percentage.
31	(c) The formula for determining staff stability is the
32	total number of employees that have been employed for more than
33	12 months, divided by the total number of employees employed at
34	the end of the most recent calendar quarter, and expressed as a
35	percentage.
36	(d) A nursing facility that has failed to comply with
37	state minimum-staffing requirements for 2 consecutive days is
38	prohibited from accepting new admissions until the facility has
39	achieved the minimum-staffing requirements for a period of 6
40	consecutive days. For the purposes of this paragraph, any person
41	who was a resident of the facility and was absent from the
42	facility for the purpose of receiving medical care at a separate
43	location or was on a leave of absence is not considered a new
44	admission. Failure to impose such an admissions moratorium
45	constitutes a class II deficiency.
46	(e) A nursing facility which does not have a conditional
47	license may be cited for failure to comply with the standards in
48	s. 400.23(3)(a) only if it has failed to meet those standards on
49	2 consecutive days or if it has failed to meet at least 97
50	percent of those standards on any one day.
51	(f) A facility which has a conditional license must be in
52	compliance with the standards in s. 400.23(3)(a) at all times.
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54	Nothing in this section shall limit the agency's ability to
55	impose a deficiency or take other actions if a facility does not
56	have enough staff to meet the residents' needs.
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58	Facilities that have been awarded a Gold Seal under the program
59	established in s. 400.235 may develop a plan to provide
60	certified nursing assistant training as prescribed by federal
61	regulations and state rules and may apply to the agency for
62	approval of their program.
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64	============= D I R E C T O R Y A M E N D M E N T =============
65	Remove line(s) 1028-1030, and insert:
66	Section 23. Subsection (15) of section 400.141, Florida
67	Statutes, is amended to read: