Page 1 Summer 2016 Volume 34, Issue 2 Mitzi E. McFatrich, Executive Director QUESTIONS? Call KABC Toll-Free: 800-525-1782

Member Feedback Q: My father - a Veteran - recently moved into a nursing home. He is on several expensive medications that had been nearly completely paid for by the Veterans Administration (VA). I suddenly received a bill from the nursing home for several hundred dollars for his medications. When I asked why, I was told my father was required to use their preferred pharmacy. Is this correct? A: Not entirely. Residents of nursing homes do have the right to choose their own pharmacy. According to Kansas Administrative Regulation (KAR) 26-39-103 Resident rights in adult care homes, (f) Free choice - “The administrator or operator shall ensure that each resident, or resident’s legal representative on behalf of the resident, is afforded the right to perform the following: (5) choose the pharmacy where prescribed medications are purchased. If the

adult care home uses a unit-dose or similar medication distribution system, the resident shall have the right to choose among pharmacies that offer

or are willing to offer the same or a compatible system.” Some nursing facilities charge residents a fee when using a non facility-

designated pharmacy. If your care is reimbursed through the Veterans Administration, such a charge may be prohibited. To reduce medication errors and medication contamination, some nursing homes prefer or require the use of

individually packaged (i.e. blister pak) medications that are one dose per package. Using this type of packaging helps to ensure residents receive the exact dose prescribed by his/her physician. These pre-packaged unit doses also lessens the risk of contamination in the event the medication package touches an unsanitary surface. Since cost is definitely a factor, it would be worthwhile to talk to both the facility and their pharmacist, and to the Veterans Administration

to see if a satisfactory solution can be coordinated. If the facility did not properly state their policies about medications during admission or in your father’s care plan, they are out of compliance with regulation 26-39-102 pertaining to Admission, transfer, and discharge rights of residents in adult care homes. Additionally, residents or their legal representative must be notified orally and in writing as soon as possible of any significant changes in the resident’s well-being, health, cost of care, etc.

For complete regulations, visit the Kansas Department for Aging & Disability Services website: http://www.kdads.ks.gov/docs/default-source/General-Provider-Pages/provider-statutes-and-regulations/ksa-and-kar-for-adult-care-homes/nursing-facilities-2015.pdf?sfvrsn=2 or contact KDADS at 800-842-0078 if you have any questions or need to file a complaint.

Member Feedback pg 1

KABC Caring Award pg 2

Memorials pg 2

Save the Dates pg 2

Guide to Elder Care pg 3

Advocacy in Action pg 4

NF Data Details pg 6

Facility Remedies pg 6

NF Penalties in 2015 pg 9

Enforcements pg 10

New HCBS Rules pg 10

Helpful Resources pg 11

What’s Inside...

Page 2 KABC is the only one-stop source for long-term care facility information. 800-525-1782 or email: info@kabc.org

“Advocating for Quality Long-Term Care”

Kathy Greenlee 2016 KABC Caring Award

Kansas Advocates for Better Care (KABC) will honor Kathy Greenlee with the 2016 KABC Caring Award. The KABC Caring Award recognizes outstanding leadership of an individual for innovation, advocacy and commitment to improving the lives of Kansans needing long term care and support.

Greenlee, a native Kansan, currently serves in the dual roles of administrator of the Administration for Community Living (ACL) and Assistant Secretary for Aging, U.S. Department of Health and Human Services. She was appointed by President Obama as Assistant Secretary for Aging and confirmed by the Senate in 2009. She was serving as Secretary of the Kansas Department on Aging (KDOA 2006-09) at the time she was called to serve by the President. Prior to that she was the Kansas State Long-Term Care Ombudsman. From 1999-2002, Greenlee served as general counsel at the Kansas Department of Insurance. As Kansas Long Term Care Ombudsman, Greenlee invigorated the program’s advocacy and won legislative budgetary support to increase the professional ombuds staff authorized to help adults resolve problems they encounter with long-term residential care. In state and national leadership roles, she has supported public policies which are firmly grounded in the belief that persons with functional support needs should have the opportunity to live independently in homes of their choosing, and receive appropriate services and supports. Her career demonstrates a strong commitment to meet the needs of elders through building capacity of the aging and disability networks which serve elders. In her current position, she has advanced ACL’s programs to work collaboratively to enhance access to health care and long-term services and supports while promoting inclusive community living policies. Greenlee will be honored with the 2016 KABC Caring Award at the organization’s Stand By Me event on October 23rd in Lawrence.

Memorials

Bob Billings from

Beverly Smith Billings

Dr. Robert Harder from

Dorothy Harder

Leroy & Mark Nedrow from

Jo Nedrow

Jean Edward & Maxine Ruth Soldan

from Linda Mason

Donna Swall

Ruth Tomasek from

Earl Nehring

Friday, September 16th: KABC will host Caregiver Education along with our Annual Meeting. Watch for

more information, on our website and Facebook or in your mailbox! Sunday, October 23rd: KABC’s Stand By Me fundraiser will be at Maceli’s in Lawrence. More to come in our next newsletter, on the KABC website and Facebook.

Save these Dates

Page 3

GUIDE TO ELDER CARE IN KANSAS

IN-HOME CARE Home Health Care - Skilled nursing and Medical Services provided under a doctor’s order in your home. Often as rehabilitation after an injury, illness or hospitalization. Many rural counties do not have a home health provider. Home health can also provide services in assisted living residential settings. WHO PAYS: Private insurance, Medicare, KanCare/Medicaid, Veterans Administration (VA), Individuals Home Care - Non-medical assistance such as grocery shopping, transportation, house cleaning or yard services, bill payment. WHO PAYS: Individuals Senior Care Act Assistance - Cooking, cleaning, laundry, grocery shopping, other similar services. WHO PAYS: Individuals pay fees on a sliding scale (income based). Gov. Brownback just cut $2.1 million state tax dollars from this program which will result in a waiting list for this helpful and cost effective program. Older Americans Act Assistance - Meals delivered to home or adult day centers; in-home services such as homemaker and home health aides, chore maintenance; access to transportation, information and assistance, and case management services; caregiver training and respite care support. Services vary by geographic location. Contact your local area agency on aging. WHO PAYS: U.S. taxpayer funded services available in all 50 states Adult Day Services - Provided in a community setting for adults with physical, mental or cognitive impairments. WHO PAYS: Individuals; Private Long-term care insurance, Medicaid, Veterans Administration Program of All Inclusive Care of the Elderly (PACE) - Health care (preventive, primary & acute), coordination of care needs, in-home long-term services and supports such as help with bathing, meal preparation, adult day services, etc. May incorporate care in an adult residential setting such as assisted living or nursing facility if needed. Not available in all geographic locations in Kansas. WHO PAYS: Medicare, Medicaid, Private Insurance, Individuals KanCare/Medicaid Home and Community Based Services for Frail Elders - Attendant care/personal caregiver assistance, medication reminders, overnight or sleep support, adult day services, assistive technology services, oral health services, medical services, and wellness monitoring. Services can be provided for persons who qualify at home or in residential assisted living settings. Kansas’ program is provided through private managed care companies (United Healthcare, Americare and Sunflower). WHO PAYS: State and Federal Government, individuals must meet income requirements. No waiting list at present. Veterans Services - run independent of other state-run programs and provide for health care, home health & attendant services, residential facility care, geriatric evaluation, mental health rehab and care, caregiver support and respite. WHO PAYS: Veterans Administration

Nursing Facility Care - Nearly all Kansas counties have a nursing facility. Nursing facilities can provide for the health care needs, physical therapy and support needs for older adults who need help with bathing, eating, walking/mobility, etc. WHO PAYS: Individuals, Private long-term care insurance, Medicaid, Medicare (limited to up to 100 days of rehabilitation care after a 3 day hospitalization) Nursing Facilities for Mental Health - Care and assistance for persons with a mental illness. Intended to be a transitional living arrangement prior to a person moving out into the community.

Making Elder Care Better Since 1975

KABC is the only one-stop source for long-term care facility information. 800-525-1782 or email: info@kabc.org

Page 4 KABC is on Facebook! “Like” us for information about long-term care in Kansas.

The Kansas Legislature returned in late April to complete its work on budget and various bills, adjourning just five days later on May 2. They made quick work of passing a budget that included a few funding adjustments and multiple policy issues, leaving the governor to deal with $90-$100 million in expenditure reductions through June 30, 2016 end of the current fiscal year and into FY 2017. The governor made cuts of $56 million to KanCare/Medicaid and with general cuts of 4% to many of the programs. Medicaid reimbursements to nursing facilities were cut 4.5%. The cuts go through the three managed care organizations (MCOs) which likely will result in cuts to provider reimbursements. The legislature returned to Topeka for its ceremonial last day, sine die, on June 1. The Governor will call a special session to address school funding. SB 457/Nursing Home Quality Provider Assessment -- PASSED. SB 457 reauthorizes the 2010 Kansas quality provider assessment aka “nursing home bed tax” which requires periodic legislative renewal. This bill extended the tax expiration date to July 1, 2020. Most importantly, HB 457 raised the annual nursing home assessment 152%, from $1,950 to $4,908 per bed allowing the State to rebase and increase the nursing home reimbursement rates without using State General Funds. KABC testified in strong support of requiring the funds be used to improve elders care through safe nurse staffing levels and significant reductions in anti-psychotic chemical restraint use. With the passage of SB 457, nursing homes receive an additional $55 million through enhanced taxpayer funded reimbursement rates with no accountability to elders and families or taxpayers that the money is being used as intended when the Quality Provider Assessment was passed. KABC pointed out during committee testimony in the Senate Ways and Means and House Appropriations that 200+ of 342 Kansas

Advocacy in Action - April 2016 nursing facilities were cited repeatedly for the same deficient health practices (F-tags) on three consecutive inspections (2011-15). The state has conducted no audit of how the more than $120 million that nursing homes have received in the same years have improved quality care for residents. The Senate adopted amendments forwarded by Sen. Laura Kelly, Topeka to expand the number of consumers on the Quality Care Improvement Panel from two to four. It also added a requirement that the Kansas Department for Aging and Disability Services (KDADS) provide an annual report to the 2017 legislature incorporating the progress of nursing homes on reducing the incidence of antipsychotic drug use in elders with dementia; participation in financial incentive programs for quality and efficiency outcomes and for culture change and person-centered care; and report annual resident satisfaction ratings for Kansas skilled nursing care facilities. The bill passed the Senate. The full House did not debate the bill’s merits. Instead the bill made its way forward through conference committee negotiations. SB457 was signed by the Governor. HB 2639/Emergency Observation Act -- DIED IN COMMITTEE. The bill - if passed - would establish a new system and treatment protocol for individuals with mental illness, substance use disorders and those with co-occurring conditions. KABC testified in opposition to a provision within the bill that denied due process and redress to those who would be placed in this new licensing class of crisis recovery centers. These new centers would be allowed to involuntarily detain a person and medicate without the person’s consent. Because these centers would operate outside the current emergency observation and treatment provisions within the Kansas Care and Treatment Act, individuals receiving treatment would not be accorded the due process rights current law provides. The House Committee on Corrections and Juvenile Justice sent the issue to the Kansas Judicial Council for further discussion.

“Advocating for Quality Long-Term Care”

Page 5 KABC is the only one-stop source for long-term care facility information. 800-525-1782 or email: info@kabc.org

Making Elder Care Better Since 1975

KDADS is responsible for licensing and regulating most adult care homes. The information beginning on Page 6 is reproduced from KDADS’ records, and is the most current made available to KABC as of May 18, 2016. Notations such as payment denial, or terminate provider agreement are recommended remedies made by KDADS to the Center for Medicare/Medicaid Services (CMS) and does not assure it is imposed or provider agreements are terminated. CMS may impose the stated remedy if a nursing facility doesn’t substantially comply by the date noted. The facility is notified, KABC is not. Nursing facilities may appeal actions, until a final settlement agreement is reached with KDADS. Nursing facilities listed here are having problems with regulatory compliance, and should be scrutinized carefully before making placement decisions. Questions regarding the accuracy of this information or compliance status should be directed to KDADS, 1-800-432-3535.

S u r v e y R e s u l t s - R e c o m m e n d e d R e m e d i e s

Advocacy in Action - continued HB 2682/Prohibiting the State from moving forward on the KanCare integrated waiver -- DIED IN COMMITTEE. While the bill died, advocates were successful in securing a budget proviso to delay any implementation to 2019. Much work is being done by advocates to delay the elimination of the seven Medicaid waivers by consolidating them under a demonstration block-grant-funded program. KABC supported HB 2682 which would have prohibited the State from integrating, consolidating or otherwise altering the structure of the seven current Kansas Medicaid waiver services. In September 2015, the Administration proposed implementation of a new “integrated waiver” to begin July 1, 2016, then delayed to Jan. 2017. The proviso will delay it until July 2019. KABC and consumer advocates called for delay of the proposed integrated waiver during a hearing on the bill in the House Health Committee and a follow-up subcommittee. KABC pointed to weaknesses in the current system of delayed eligibility determinations (thousands), lack of State staff capacity and infrastructure to undertake significant change, and lack of a well- conceived plan to replace the current system with one “collapsed” waiver. The House subcommittee recommended the implementation date be delayed until at least January 2018 and further recommended that the State report progress on plan development to the legislature in January and March 2017.

The subcommittee expressed strong concerns about the short timeframe and a plan not vetted by participants or stakeholders, and still requiring CMS approval. This bill, like all 2015-2016 health policy bills, was stalled in committee by legislative leadership to block floor amendments to pass Medicaid/KanCare expansion. The KanCare Advocates Network (including KABC) worked with legislators to move the issue forward through alternate procedural routes. As a result, Lt. Gov. Jeff Colyer made a statement that the State wouldn’t implement the waivers before July 1, 2017. The budget conference committee added a one-year provision to the budget, SB 249 which prohibits implementation before July 1, 2019, further underscoring the legislature’s intent to direct the State to delay implementation until there had been additional planning and input from consumers and providers. The provision also requires State agencies to report back to the 2017 legislative leadership and health committees on the status and plans to structurally alter the KanCare waiver programs . The provision attached to SB 249 passed both chambers and was signed by the governor. SB 456/Electronic Monitoring in Nursing Homes -- DIED IN SENATE. KABC supported the bill as amended including significant protections for consumers. The Alzheimer’s Association & State ombudsman program supported the bill as amended.

Page 6

KABC tracks and reports results of facility health inspections to members and the public. Providing the information in a way easily useable for our readers is our first priority. We hope the new format works for you. Starting with this newsletter, on pages 6-9, the health inspection results and remedies will be presented in chart form.

CHART KEY

DATE - Survey completion date

FACILITY - Nursing Facility Name

CITY- location of facility

SURVEY TYPE - annual health, abbreviated/complaint, or revisit to confirm correction

DEF - total number deficient practices cited

Serious Deficient Practices include:

AH - Actual Harm, total number cited

IJ - Immediate Jeopardy, total number cited

ANE - Abuse, Neglect or Exploitation, total cited

Remedies include:

DPNA - Denial of Payment for New Admissions. If a facility is not in compliance by a certain date, they will be prevented from receiving payment from Medicare or Medicaid for new admissions.

TERMINATE MEDICARE - Date Recommended by KDADS to CMS which if implemented, ends Medicare & Medicaid reimbursement to the facility.

CMP - Civil Monetary Penalty recommended the facility be assessed for serious deficient practice.

COMPL - Total number of complaints made to the KDADS hotline which may result in deficiency cited.

If a facility is identified as delivering Substandard Quality of Care, the entire line item will appear in a bold italic font. We hope that in making these improvements it will be simpler for you to find the information most important to you from the health inspection and enforcement actions. KABC does not originate data provided. It comes from KDADS & CMS. KABC publishes this information for educational purposes. We strive for accuracy, but typographical errors may occur. The information is provided without warranty of any kind, either express or implied.

Nursing Home Inspection Data

DA

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4 1

6/17

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2/18

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Page 6

Page 7 DA

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Page 9

ALDERSGATE VILLAGE, Topeka $11,550 3/13/15

AVITA HEALTH & REHAB AT REEDS COVE,

Wichita $3,413 5/21/15

BELLEVILLE HEALTH CARE CENTER $12,600 7/7/15

BREWSTER HEALTH CENTER, Topeka $5,981 2/25/15

BROOKDALE OVERLAND PARK $10,335 7/30/15

BROOKSIDE RETIREMENT, Overbrook $4,800 2/13/15

BROOKSIDE RETIREMENT, Overbrook $15,950 9/21/15

BUHLER SUNSHINE HOME $29,088 8/14/15

CATHOLIC CARE CENTER, Bel Aire $4,950 1/7/15

CATHOLIC CARE CENTER, Bel Aire $18,200 3/19/15

CATHOLIC CARE CENTER, Bel Aire $35,133 7/31/15

CLARIDGE COURT, Prairie Village $4,485 5/15/15

COUNTRY CARE, Easton $2,700 4/29/15

DELMAR GARDENS OF OVERLAND PARK $58,900 5/27/15

DIVERSICARE OF HAYSVILLE $8,100 6/29/15

ELMHAVEN WEST, Parsons $3,000 8/14/15

ENTERPRISE ESTATES NURSING CENTER $20,250 4/30/15

GOLDEN LIVINGCENTER - NEODESHA $72,280 6/25/15

GOLDEN LIVINGCENTER - WICHITA $7,898 3/4/15

GOLDEN LIVINGCENTER - WILSON $13,325 7/30/15

GOOD SAMARITAN SOCIETY - CHEYENNE CO. $34,255 8/27/15

GOOD SAMARITAN SOCIETY - DODGE CITY $33,215 4/7/15

GOOD SAMARITAN SOCIETY - ELLSWORTH $2,763 6/16/15

GOOD SAMARITAN SOCIETY - LIBERAL $97,240 2/17/15

GOOD SAMARITAN SOCIETY - LIBERAL $45,500 8/20/15

HERITAGE HEALTH CARE CENTER, Chanute $5,850 5/8/15

HICKORY POINTE CARE & REHAB, Oskaloosa $58,504 5/5/15

HOLIDAY RESORT OF SALINA $4,160 6/30/15

HOLIDAY RESORT OF SALINA $8,650 8/12/15

HOMESTEAD HEALTH CENTER, Wichita $2,470 3/4/15

Making Elder Care Better Since 1975

KABC staff personally respond to your inquiries about long-term care. Toll-free: 800-525-1782 or email: info@kabc.org

Civil Monetary Penalties Assessed in 2015 The following nursing facilities were assessed civil monetary penalties/fines for substandard care in 2015. Information is available on the Nursing Home Compare website www.medicare.gov/nhcompare/home.asp For more information, please contact KABC by phone or email.

HUTCHINSON OPERATOR, LLC $24,473 7/29/15

INDIAN CREEK HEALTHCARE, Overland Pk $3,575 6/24/15

KANSAS CHRISTIAN HOME, Newton $10,790 6/24/15

LEGACY ON 10TH AVENUE, Topeka $12,950 9/9/15

LINCOLN PARK MANOR INC $32,500 3/4/15

LOGAN MANOR COMM. HEALTH, Logan $35,490 4/29/15

MANORCARE HEALTH SERVICES - TOPEKA $4,251 4/27/15

MCPHERSON OPERATOR, LLC $22,588 8/26/15

MEADOWLARK HILLS, Manhattan $14,500 3/6/15

MENNONITE FRIENDSHIP COMMUNITIES,

South Hutchinson $7,000 3/23/15

OSWEGO OPERATOR, LLC $3,315 3/16/15

PEABODY OPERATOR, LLC $5,428 6/24/15

PEABODY OPERATOR, LLC $16,575 8/27/15

PINNACLE RIDGE NRSG & REHAB, Olathe $76,575 2/11/15

PINNACLE RIDGE NRSG & REHAB Olathe $4,000 3/26/15

PIONEER RIDGE, Lawrence $5,600 9/15/15

PRAIRIE SUNSET HOME, Pretty Prairie $23,400 3/12/15

PROMISE SKILLED NURSING, Overland Park $111,118 4/22/15

PROVIDENCE PLACE, Kansas City $1,788 1/14/15

RAY E DILLON LIVING CENTER, Hutchinson $10,140 8/26/15

SABETHA MANOR $5,363 7/31/15

SUNSET HOME INC, Concordia $29,185 7/30/15

TANGLEWOOD NURSING & REHAB, Topeka $4,290 6/15/15

THE CEDARS, McPherson $3,850 2/9/15

TREGO MANOR, Wakeeney $6,500 6/23/15

TRINITY MANOR, Dodge City $52,000 7/31/15

VIA CHRISTI VILLAGE - HAYS INC $47,483 5/21/15

VIA CHRISTI VILLAGE PITTSBURG INC $10,758 6/19/15

VICTORIA FALLS, Andover $15,340 2/18/15

WESTY COMMUNITY CARE, Westmoreland $27,008 7/30/15

WINFIELD SENIOR LIVING COMMUNITY $11,830 8/19/15

Page 10

Enforcement Actions - Adult Care Homes The Kansas Department for Aging & Disability Services (KDADS) is responsible for regulating most licensed adult care homes. The federal government does not regulate homes licensed as assisted living, residential health care, home plus, etc. The following information is reproduced from KDADS records. This listing represents civil monetary penalties/CMP (fines), bans on admission, license revocation actions, orders of correction/CO and other enforcement proceedings by KDADS against licensed adult care homes. All facilities may appeal any of these actions until they have reached a final settlement agreement with KDADS. This information is the most current available to KABC as of May 31, 2016. Comments regarding the accuracy of this information should be directed to Kansas Department for Aging and Disability Services (KDADS), 800-432-3535. *indicates regulation violated

“Advocating for Quality Long-Term Care”

Colby Fairview Estates Retirement Community - ALF 5/11/16: CS #16-SCCC-20: CMP - $1,000: *Staff treatment of residents/ANE (Immediate Jeopardy). 5/11/16: CS #16-SCCC-21: CMP - $2,100: *Health care services (Immediate Jeopardy).

Fort Scott Franklin House - HP 4/29/16: CS #16-SCCC-22: CO - *Over-the-counter medications. 5/11/16: CS #16-SCCC-23: CMP - $5,200: *Disaster & emergency preparedness (Immediate Jeopardy).

Kansas City KC Adult Recreation Center - ADC 4/22/16: CS #16-SCCC-15: CMP - $10,000: *Administrator/operator criteria (Immediate Jeopardy).

The Piper - ALF/RHCF 5/4/16: CS #16-SCCC-24: CO - *Disaster & emergency preparedness; *Food preparation; *Facility food storage.

Osage City Vintage Park at Osage City LLC - ALF 5/16/16: CS #16-SCCC-25: CO - *Infection Control; *Building exterior; * Laundry facility.

Overland Park Lamar Court Assisted Living Community - ALF 4/29/16: CS #16-SCCC-19: CO - *Healthcare services (Actual Harm).

Rose Estates Assisted Living Community - ALF 5/16/16: CS #16-SCCC-26: CO - *Facility food storage.

Springview Adult Care Center - HP 3/4/16: CS #16-SCCC-13: CO - *Healthcare services; *Facility food storage; *Medication regiment review/frequency; *Plumbing & Piping Systems.

Rossville Oakley Place of Rossville - HP 5/31/16: CS #16-SCCC-27: CO - *Construction.

Topeka Oak Creek Senior Care - RHCF 3/25/16: CS #16-SCCC-17: CO - *Healthcare services; *Facility administration of medications. 5/11/16: CS #16-SCCC-17: CMP - $700: *Facility administration of medications.

Wichita The Homestead of Wichita - ALF 4/4/16: CS #16-SCCC-18: CMP - $1,000: *Staff treatment of residents/ANE (Immediate Jeopardy).

Residence Begonia Home Plus II - HP 3/14/16: CS #16-SCCC-14: CO - *Healthcare services. Winfield Rescare Home Plus - HP 3/16/16: CS #16-SCCC-16: CO - *Staff treatment of residents/ANE (Actual Harm).

KABC staff personally respond to your inquiries about long-term care. Toll-free: 800-525-1782 or email: info@kabc.org

Kansas Department for Aging & Disability Services (KDADS) is taking public comments. To share yours, contact KDADS now through July 31st, 785-296-4986 or via email: hcbs-ks@kdads.ks.gov To learn more call KABC or visit http://www.justiceinaging.org/wp-content/uploads/2015/12/HCBS-QA-Final-12-16-2015.pdf We encourage you to comment and help improve elder care at home and in adult care settings (day & residential), and for memory care. New federal rules require that each state address how Medicaid/KanCare home and community-based services (HCBS) received by frail elders will not isolate or be institution like. Put more positively – provide care according to the elder’s choice/direction, more engagement with/in your own community. If you live in an assisted adult care facility requirements include: lockable door to your room for privacy; lease with protections to prevent arbitrary eviction; choice of roommates & room furnishings; control of your schedule & activities; 24/7 food access; choice of visitors 24/7; and be physically accessible. New requirements must be in force March 2019. If a state plans to continue HCBS funding for settings with some institutional characteristics, it will have to demonstrate how these are overcome. If the state decertifies HCBS provider settings, the state’s plan must describe how it will transition people & protect individual’s rights.

PUBLIC COMMENTS ON NEW RULES ~ MEDICAID HOME AND COMMUNITY BASED SERVICES (HCBS)

Page 11 KABC is the only one-stop source for long-term care facility information. 800-525-1782 or email: info@kabc.org

ALF Assisted Living Facility

ADC Adult Day Care

BCH Boarding Care Home

HP Home Plus

IMR Intermediate Care Facility for the Mentally Retarded

LTCU Long-Term Care Unit in a hospital

NF Nursing Facility

NFMH Nursing Facility for Mental Health

RHCF Residential Health Care Facility

CMP Civil Monetary Penalty (Fines)

CMS Centers for Medicare/Medicaid Services

CO Correction Order

d/b/a doing business as

IDR Informal Dispute Resolution

LSC Life Safety Code Survey

NOTC No Opportunity To Correct

DPNA Denial of Payment for New Admissions

AH Actual Harm (deficiency)

ANE Abuse, Neglect Exploitation (deficiency)

IJ Immediate Jeopardy (deficiency)

SFF Special Focus Facility - historically noncompliant facility providing substandard quality of care, and is inspected two times per year, per 1998 CMS initiative.

Licensing Categories &

Abbreviations

Kansas Advocates for Better Care (KABC) protects your privacy. KABC maintains password-protected computerized data files regarding financial support. We do not sell or share our membership list or member financial information with any other agency, and will not divulge any personal information about any members, contributors or contacts without express written permission.

KABC Privacy Policy

Consumer Assistance

To report abuse, neglect and exploitation occurring in adult care homes, contact the KDADS hotline:

800-842-0078 8:00 AM to 5:00 PM Monday-Friday

by FAX: 785-296-0256 (fax must be addressed to Carolyn Anderson and Ernie Beery)

by email: Carolyn.Anderson@kdads.ks.gov

Adult Abuse in the community hotline 800-922-5330 (24/7) (Also for reporting care home

abuse/neglect after hours)

KanCare customer service hotline 866-305-5147

KanCare Ombudsman Kerrie Bacon 855-643-8180

KanCare.Ombudsman@kdads.ks.gov

Aging & Disability Resource Centers (ADRC) 855-200-2372

Kansas Attorney General’s Consumer Protection Division

800-432-2310

For assistance with concerns/problems with adult care homes,

call the State Long-Term Care Ombudsman 877-662-8362

https://ombudsman.ks.gov

Elder Law Hotline 888-353-5337

To report suspected Medicare fraud: 800-876-3160

For info about Medicaid, call: 888-369-4777

For no-cost mediation regarding problems with Medicare Providers, call the Kansas Foundation for

Medical Care (KFMC) 800-432-0770

Centers for Medicare/Medicaid Services (CMS) www.medicare.gov/nhcompare/home.asp

For one-stop long-term care home information Kansas Advocates for Better Care

Toll-free: 800-525-1782 Email: info@kabc.org Website: www.kabc.org Follow us on Facebook!

Making Elder Care Better Since 1975

Page 12

Ne ws le t te r P roduced b y: Mi tz i E . McFa t r i ch , Execu t i ve D i rec to r . Lene t te Hamm , Of f i ce Manager .

RETURN SERVICE REQUESTED

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PAID Topeka, KS

Permit No. 9

Please choose how you would like to invest in the future of quality long-term care. **Gift in Honor/Memory of a loved-one (to assist in our outreach efforts) General contribution (speaking out on important elder concerns) Harriet Nehring Education Fund (to provide education & resources for caregivers across Kansas) KABC Endowment Fund (to ensure our future ability to help you when you need us)

My gift to KABC is enclosed:

___ $50 ___ $100 ___ $200 ___ $ 500 Other amount $ _______________

Name _________________________________________________________________________________

Address _________________________________________________________________________________

City, State & Zip __________________________________________________________________________

Phone __________________________ Email (if applicable) _______________________________________ ** In Honor/Memory of: _____________________________________________________________________

Make checks payable to Kansas Advocates for Better Care and return to:

913 Tennessee, Suite 2 Lawrence KS 66044

SPECIAL THANKS!

Steve & Kelly Wildeman, American Presort of Topeka, for

handling the newsletter mailing.

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