| 1 | Representative Littlefield offered the following: |
| 2 |
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| 3 | Amendment (with title amendment) |
| 4 | Between lines 341 and 342, insert: |
| 5 | Section 10. Subsection (5) of section 400.235, Florida |
| 6 | Statutes, is amended to read: |
| 7 | 400.235 Nursing home quality and licensure status; Gold |
| 8 | Seal Program.-- |
| 9 | (5) Facilities must meet the following additional criteria |
| 10 | for recognition as a Gold Seal Program facility: |
| 11 | (a) Had no class I or class II deficiencies within the 30 |
| 12 | months preceding application for the program. |
| 13 | (b) Evidence financial soundness and stability according |
| 14 | to standards adopted by the agency in administrative rule. Such |
| 15 | standards must include, but not be limited to, criteria for the |
| 16 | use of financial statements that are prepared in accordance with |
| 17 | generally accepted accounting principles and that are reviewed |
| 18 | or audited by certified public accountants. A nursing home that |
| 19 | is part of the same corporate entity as a continuing care |
| 20 | facility licensed under chapter 651 which meets the minimum |
| 21 | liquid reserve requirements specified in s. 651.035 and is |
| 22 | accredited by a recognized accrediting organization under s. |
| 23 | 651.028 and rules of the Office of Insurance Regulation |
| 24 | satisfies this requirement as long as the accreditation is not |
| 25 | provisional. Facilities operated by a federal or state agency |
| 26 | are deemed to be financially stable for purposes of applying for |
| 27 | the Gold Seal. |
| 28 | (c) Participate in a consumer satisfaction process, and |
| 29 | demonstrate that information is elicited from residents, family |
| 30 | members, and guardians about satisfaction with the nursing |
| 31 | facility, its environment, the services and care provided, the |
| 32 | staff's skills and interactions with residents, attention to |
| 33 | resident's needs, and the facility's efforts to act on |
| 34 | information gathered from the consumer satisfaction measures. |
| 35 | (d) Evidence the involvement of families and members of |
| 36 | the community in the facility on a regular basis. |
| 37 | (e) Have a stable workforce, as described in s. 400.141, |
| 38 | as evidenced by a relatively low rate of turnover among |
| 39 | certified nursing assistants and licensed nurses within the 30 |
| 40 | months preceding application for the Gold Seal Program, and |
| 41 | demonstrate a continuing effort to maintain a stable workforce |
| 42 | and to reduce turnover of licensed nurses and certified nursing |
| 43 | assistants. |
| 44 | (f) Evidence an outstanding record regarding the number |
| 45 | and types of substantiated complaints reported to the State |
| 46 | Long-Term Care Ombudsman Council within the 30 months preceding |
| 47 | application for the program. |
| 48 | (g) Provide targeted inservice training provided to meet |
| 49 | training needs identified by internal or external quality |
| 50 | assurance efforts. |
| 51 |
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| 52 | A facility assigned a conditional licensure status may not |
| 53 | qualify for consideration for the Gold Seal Program until after |
| 54 | it has operated for 30 months with no class I or class II |
| 55 | deficiencies and has completed a regularly scheduled relicensure |
| 56 | survey. |
| 57 |
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| 58 | ================ T I T L E A M E N D M E N T ============= |
| 59 | Remove line 47 and insert: |
| 60 | amending s. 400.235, F.S.; providing for financial stability for |
| 61 | Gold Seal for certain nursing facilities; providing an effective |
| 62 | date. |