Florida Association of Homes and Services for the Aging
June 12, 2008 Vol 15, Issue 26
Hands  FAHSA LINK
 
Welcome to this week's edition of the FAHSA Link.
 
Community Treasures - Celebrating the Gift of Age - Sixteen AAHSA/FAHSA members participated in AAHSA's Homecoming Week, "Celebrating the Gift of Age", the week of May 26-30, 2008.  Advent Christian Village, Barry Manor Apartments, Bishop's Glen, Courtenay Springs Village, Edgewater Pointe Estates, Hurley Manor Apartments, Indian River Estates East, Indian River Estates West, Jefferson Center, Lake Ella Manor, RHF/ Cloisters of Deland, Riverside Presbyterian Apartments, San Jose Manor, St. Andrews Estates North, St. Andrews Estates South and The Estates at Carpenters opened their doors and invited the local community to discover how their organizations and the people they serve make their communities better places to live.  More than 24 events took place, from picnics to dinners.  The events were declared very successful by all involved.  This event will become an annual Homecoming Celebration, so make plans now to host your event next year.
 
To view the photo album of some of the events, CLICK HERE to open a power point presentation. 

 

In This Issue
CCRC / Retirement Community News
District and Membership News
Education News
General News
Home and Community-Based Services News
Housing News
Legislative News
Nursing Home News
Ziegler Capital Markets
Preferred Business Associates News
Job-Mart
FAHSA Quick Links
CCRC / Retirement Community News

Survey Indicates That Majority of Resident Councils Hold Open Meetings -- Twenty-three retirement communities responded to a June 5, 2008 FAHSA survey about resident council meetings.  All but one of the respondents was from a continuing care community. 82.6% of the respondents indicated that all resident council meetings are open to the resident body. Several commented on the importance of open communication between resident leaders and others, including the administration and board of the community.

 

Ø       16 of the respondents indicated that their resident council meets monthly; three meet quarterly; two meet every other month; and three meet eight to 10 times a year.

Ø       19 of the respondents reported that resident council meetings are open to all residents.  One respondent indicated that every other meeting is open. Another reported that although the council meetings are open, the meeting for setting the agenda is closed.

Ø       Two respondents reported that council meetings are completely closed, but an open meeting is held once a year.  One televises the meeting.

Ø       The two remaining respondents said that in lieu of an open resident council meeting, the council holds a monthly town hall meeting with the resident body. Any resident may request that a topic be placed on the agenda for that meeting.

Ø       Three of the councils that have open meetings also hold a monthly resident "town hall meeting" to encourage more communication between the resident council and the resident body. 

Ø       One council opens its meetings to prospective residents and family members.

Ø       A few suggestions and observations were made by respondents. Few residents attend open resident council meetings.  The "town hall meetings" hosted by the resident council draw larger crowds. It's important to remind residents periodically that resident council meetings are open and that there is a process to follow for getting an issue on the agenda or addressing the council. Open communication is important, especially with newer residents who want to be connected and involved.

District and Membership News
Disaster Preparedness Experts Share Valuable Information at FAHSA Regional Meetings -- Last week, FAHSA held a series of regional meetings on disaster preparedness.  The four-hour educational sessions featured Helene Wetherington, AIPC, CEM, Emergency Management Services Director, Calvin, Giordano & Associates, Inc., a well-known speaker with extensive public policy and practical experience in a wide range of disasters ranging from wildfires to hurricanes.  Shared Service Vendors, Marcela Frizone-Anderson from CPSI (Care Purchasing), Tim Gregson, Ron Peabody, and Vicki Martin from FMS Purchasing; FAHSA staff, Janegale Boyd and Susan Tobin; various county disaster emergency management experts, Alfred Grasso, Palm Beach Department of Health, Edward J. McCrane Jr., Emergency Management Chief, Dave Freeman, Emergency Management Chief, Janet Kreischer, Aging Resources Disaster Leader and Kavin Catalfu, Public Health Preparedness, provided tips on how to prepare for disaster-based lessons learned during the 2004 hurricane season.  Read more about this and other news in this week's General Alert, GEN 08-04.
Education News

Upcoming Audio Conference -- Join AAHSA on Tuesday, June 24 from 12:30 - 1:30 p.m. ET for the Strategies for Managing Operational Costs Amidst Economic Uncertainty audio conference. Join Larry Minnix, AAHSA president and CEO, and Dan Gray, president of Continuum Development Services, for an in-depth discussion about how to strategically plan during these unpredictable times.
 
CLICK HERE to download a complete description of the program, or for more information, contact Kevin Bradley, kbradley@aahsa.org or (202) 508-9457.
 
Five Education Scholarships Available for Convention from the Scott Boord Career Development Scholarship -- The Scott Boord Career Development Scholarship enables FAHSA members to send eligible staff to FAHSA or AAHSA educational conventions, workshops and seminars.  The maximum amount of funding available per applicant is $500.00. The funds can be used to cover registration fees, travel, or other conference-related expenses.  The selected recipients receive credit on the FAHSA registration or reimbursement of expenses by submitting an expense form with the attached receipts.
 
The scholarship is funded by the Silent Auction held each year in conjunction with FAHSA's Annual Convention and Exposition and FAHSA's Annual Housing & Service Coordinator Workshops.
 
For more information, or to apply for a scholarship, please click HERE. Also, take a look at FAHSA's 2007 Convention highlights -- to find your 15-seconds of fame!!!


 
Upcoming Educational Events:
July 27 - FAHSA's 5th Annual Strategic Visioning Workshop, Boca Raton Resort & Club
July 27 - FAHSA's Preceptor Training Program, Boca Raton Resort & Club
July 28-31 - FAHSA's 45th Annual Convention and Exposition, Boca Raton Resort & Club
September 16-17 - FAHSA's 25th Annual HUD and Service Coordinator Workshop, Hyatt, Jacksonville
 
   

FAHSA Calendar of Events

General News

Governor Approves HIV/AIDS CE Glitch Bill -- Well in advance of the 2008 legislative session, Rep. Joyce Cusack and Sen. Gwen Margolis filed a bill at FAHSA's request to fix an inconsistency with the HIV/AIDS continuing education requirements for licensed healthcare professionals. As a result of their efforts and stakeholders' support, SB 646 passed. The law was approved on Tuesday by Governor Crist.
 
The new law eliminates the HIV/AIDS biennial educational update for individuals working in facilities licensed by AHCA and clarifies that the same HIV/AIDS educational requirements apply to all licensed nurses, physicians, nursing home administrators, and other licensed health care professionals, regardless of their place of employment. There are exceptions depending on the professional licensing board.  For example, certified nursing assistants must continue to comply with their in-service requirement which requires CNAs to complete a HIV/AIDS biennial update.  
 
As approved, the new law takes effect on July 1, 2008.
 

Other General Alert News:

·         Disaster Preparedness Experts Share Valuable Information at FAHSA Regional Meetings

·         Durable Medical Equipment Changes Are Coming

 

Home and Community-Based Services News
CMS Outlines Rights of Medicare Hospice Patients Aimed at Improving Quality of Care --  Medicare beneficiaries with terminal illnesses have their right to determine how they receive end-of-life care outlined for the first time in a new regulation soon to be published by the Centers for Medicare & Medicaid Services.  In the first overhaul of regulations governing the hospice industry since 1983, the new Medicare Conditions of Participation (CoP) include explicit language on patient rights that had not existed under the previous regulations.  Although many hospice patients are already active in their own treatment plans, this regulation is the first to set out a detailed list of patient rights.
 
CLICK HERE to view the entire Press Release.
Housing News 

Governor Signs HB 1489, Residential Tenancies Bill - Yesterday, Governor Charlie Crist signed H.B. 1489, a bill sponsored by Representative Pat Patterson (R-26) and co-sponsored by Representative Kevin C. Ambler (R-47) and Representative Ed Homan (R-60).  This bill allows landlords to terminate rental agreements and recover liquidated damages or charge tenants early termination fees for breach of agreement, or both, under certain circumstances: requires tenant to indicate acceptance of early termination fee or liquidated-damages provision in rental agreement in order for provision to take effect.  At the present time, we have asked HUD to comment on their interpretation of the bill and whether or not member communities can change their lease documents to reflect the new changes in law.
 
Department of Elder Affairs To Host Meeting in Tampa - The Communities for a Lifetime Bureau will hold a public meeting on June 17, 2008 from 10:00 a.m. to 12:30 p.m. at the Embassy Suites Hotel, 555 North Westshore Boulevard, Tampa, FL 33609. The meeting will be held to provide technical assistance to communities to address the benefits and challenges of an increasing elder population.  In addition, the forum will enlighten individuals on methods for improving networking collaborations among local, state and governmental agencies including civic, business, faith-based and grassroots efforts.  The forum will present the opportunity to showcase best practices identified in participating communities.  For more information, contact Janine Rogers-Harris, DOEA, rogersj@elderaffairs.org
 

Legislative News
Governor Signs Budget Bill -- This week, with little fanfare, Gov. Charlie Crist signed the state's $66 billion budget for Fiscal Year 2008-09, vetoing only three items.  The budget a record $6 billion lower than the one he signed last year. More cuts may come after the November election if revenues from the state sales tax continue to drop.
 
FAHSA Priority Bills Become Law this Week -- In addition to the Governor approving SB 646 by Sen. Margolis (HB 153 by Rep. Cusack) relating to the HIV/AIDS biennial educational for individuals working in AHCA licensed facilities (see article in NH Alert, NH 07-29), the following FAHSA priority bills will become law:
 
CS/HB 727 / SB 1554 Fire Safety/ Nursing Home Fire Protection Loan Guarantee Loan Program / Rep. H Gibson / Sen. Wise
 
HB 727 was amended for FAHSA to extend the application deadline for applying for the State Fire Marshal Nursing Home Fire Protection Loan Guarantee Program from June 30, 2006 to July 1, 2009.  It requires nursing homes that are not protected by an automatic sprinkler system to submit engineering plans to AHCA by December 31, 2008. A 6-month extension may be requested. HB 727 also requires the State Fire Marshal to conduct a study on the use of voice-over-Internet-protocol telephone service for monitoring fire alarm systems. Effective Date: July 1, 2008
 
CS/HB 697 /SB 560 Building Standards/Carbon Monoxide Detectors in Nursing Homes / Rep. Aubuchon / Sen. Constantine
 
FAHSA staff drafted and amended to HB 560 with AHCA, FHCA and the Florida Hospital Association (FHA) that relaxes the carbon monoxide detector requirement for nursing homes that passed last session. As a result, a new hospital, hospice facility, or nursing home facility must install an operational carbon monoxide detector inside or directly outside of each room or area within the building where a fossil fuel burning heater, engine, or appliance is located rather than within 10 ft. of each room used for sleeping purposes. Effective Date: July 1, 2008.
 
CS/HB 247 / CS/CS/SB 686  Nursing Home Regulation
Rep. Murzin / Sen. Bennett
 
SB 686 authorizes facilities with standard licenses to provide CNA training without becoming an approved school.  It eliminates the one day initial adverse incident report. It directs AHCA to assign standard licensure status to a facility that has corrected specified deficiencies and makes the last survey for a facility that has been on a six-month survey cycle to count as a regular survey if the deficiencies leading to more frequent surveys is overturned. For purposes of compliance with minimum staffing requirements, the bill authorizes a nursing home to allocate a licensed nurse's time between CNA duties and licensed nursing duties without first obtaining approval from the Agency for Health Care Administration, as required by current law. 
Effective Date: July 1, 2008.  
 
 
CS/HB 35 / SB 226 Social Worker Licensure
Rep. Richardson / Sen. Rich
 
This new law makes it a first degree misdemeanor for a person to hold himself or herself out as a social worker unless the person has a bachelor's or advanced degree in social work. As requested by FAHSA, it exempts persons who used the title "social worker" continuously with the same employer prior to July 1, 2008. Also requested by FAHSA, it exempts persons who provide social work services under administrative supervision in long-term care facilities licensed by AHCA. Effective Date: July 1, 2008.
 
 
CS/HB 243 / CS/CS/SB 564 Automated External Defibrillators
Rep. Anderson / Sen. Constantine

 
SB 564 is intended to reduce the legal liability for businesses that use automatic external defibrillators. We are seeking legal guidance to determine if the new law will help FAHSA members when a health care professional uses the device. This is one of the topics that will be discussed during a legal session at the annual meeting.  The bill requires any "person or entity in possession" of an AED to properly maintain and test the device and provide training to anyone who is expected to be a user of the AED; encourages persons who possess an AED to notify, rather than register with, the local emergency medical services director of the location of the device; and broadens the civil immunity provided under the Cardiac Arrest Survival Act for harm resulting from the use of an AED. Effective Date: July 1, 2008.

Nursing Home News

Proposed Minimum Standards for Nursing Homes Rule (Chapter 59A-4, FAC) -- This week, Carol Berkowitz, Senior Director of Regulations and Compliance attended a proposed rule hearing on the Minimum Standards for Nursing Homes --Chapter 59A-4, FAC.  This was one of many meetings held for the past four years to review this rule.  To read FAHSA's comments, please see this week's Nursing Home Alert, NH 08-19. 
 
Other Nursing Home News:

  • Clarification on Satellite Phones in Nursing Homes
  • Durable Medical Equipment Changes are Coming
  • AHCA Plans Cultural Change Meeting on Tuesday, June 17 

FAHSA Nursing Home Alert Page

Ziegler Capital Markets
 

2008 AZ 100:  Additional Listings

The 2008 AZ 100 publication has as its primary listing a ranking of the largest not-for-profit multi-site senior living organizations providing market-rate housing. The publication also ranks the largest affordable (non-market rate) senior housing multi-site providers, health-care sponsored senior living providers, single-campus senior living communities, and single-campus senior living providers. These additional listings expand the breadth of our examination of not-for-profit senior living providers (See Chapter 6 of the publication [table numbers referenced below] for these additional listings). Today's Z-News highlights the ten (10) largest affordable (non-market rate) senior housing providers and health-care sponsored senior living providers. 

Largest Not-for-profit Providers of Affordable Senior Housing
Over 50 percent of the organizations in the 2008 AZ 100 primary ranking provide non-market rate senior housing, but their number of subsidized units varies widely. The 54 organizations are significantly disparate in size: the largest, National Church Residences (AZ 100 #61, OH), with 218 facilities and 15,786 affordable units; the smallest, United Methodist Retirement Homes, Inc. (AZ 100 #83, NC), with one facility of 24 units.

In addition to these senior living providers, there are AAHSA members that focus solely on affordable senior housing (and/or other non-senior living services). When this group is combined with the 2008 AZ 100 primary ranking, the largest ten providers of affordable senior housing are ranked as follows:

RANK

SYSTEM NAME

STATE

UNITS

FACILITIES

1

National Church Residences (AZ 100 #61)

OH

15,786

218

2

Retirement Housing Foundation (AZ 100 #6)

CA

9,984

116

3

Volunteers of America (AZ 100 #15)

VA

8,421

139

4

Christian Church Homes of Northern California

CA

5,230

61

5

Elderly Housing Development & Operations Corporation

FL

3,709

47

6

Presbyterian Homes and Housing Foundation of Florida

FL

2,607

14

7

United Church Homes (AZ 100 #39)

OH

2,253

51

8

SPM

FL

2,152

25

9

Catholic Housing Management

FL

1,984

14

10

TELACU Residential Management

CA

1,910

27

See Table 6-1 of the 2008 AAHSA Ziegler 100 publication for a ranking of the largest 100 AAHSA-member organizations providing affordable senior housing.

Largest Health Systems That Provide Senior Living (Table 6-2)
The 2008 AZ 100 primary ranking specifically excludes healthcare-sponsored providers of senior living because their operations typically are focused predominantly on acute care, with corporate and financing structures quite different from multi-sites focused predominantly on senior living services. The ranking of healthcare-sponsored providers of senior living is shown below. 

RANK

HEALTH SYSTEM NAME

SENIOR LIVING DIVISION

STATE

UNITS

FACILITIES

1

Catholic Health East

 

PA

3,643

37

2

Catholic Health Initiatives

 

WI

3,527

22

3

Trinity Health

Trinity Continuing Care Services

MI

3,439

27

4

Catholic Healthcare Partners

 

OH

3,061

17

5

Ascension Health

 

MO

2,888

18

6

Covenant Health Systems

 

MA

2,657

15

7

Deaconess Associations

Deaconess Long Term Care

OH

2,633

24

8

Berkshire Health Systems

Berkshire Healthcare

MA

2,317

16

9

Provena Health

Provena Senior Services

IL

1,630

15

10

Bon Secours Health System

 

MD

1,541

16

See Table 6-2 of the 2008 AAHSA Ziegler 100 publication for the largest 37 AAHSA-member health systems that provide senior living.

You can obtain a copy of the 2008 AZ 100 publication by visiting www.aahsa.org OR www.zieglerseniorlivingfinance.com.

Prepared by Kathryn Brod, Sr. Vice President, Ziegler Capital Markets


Ziegler and Company
Preferred Business Associates News
 

CoupleWithDollarFAHSA's Preferred Business Associates Program (PBAs) -- A list of PBAs can be found by on the FAHSA Web site www.fahsa.org and selecting Preferred Business Associates from the left side menu bar or clicking on the FAHSA Preferred Business Associates Page hyperlink. FAHSA members can also use the on-line directory to search for PBAs by specialty.

 
Job-Mart
 FAHSA is pleased to provide an opportunity for you to advertise your "position wanted" or "position available" through the FAHSA Link newsletter and on our Web Page.

FAHSA members may use the Job Mart services at no charge. A nominal fee of $25 will be charged to nonmembers.

Your Job Mart advertisement will be displayed on our Web site for approximately three months. The FAHSA Link is published weekly and distributed to our membership which is comprised of nursing homes, CCRCs, HUD housing, assisted living facilities, independent living facilities and companies/firms.

To reserve advertisement space in our Job Mart program, please complete the application and fax it to FAHSA at (850) 671-3790 or E-mail Erin Steele at esteele@fahsa.org

Copyright 2008 -- Publication of the Florida Association of Homes and Services for the Aging (FAHSA).

  • FAHSA Chair: Alma Ballard
  • FAHSA President/CEO: Janegale Boyd
  • Managing Editor: Gail Matillo
Copyright Information: Copies of the articles and other information in this publication may be noncommercially reproduced for the purpose of educational or scientific advancement. Otherwise, no part of this publication may be reproduced or utilized in any form or by any means, mechanical or electronic, including photocopying, microfilm and recording, or by any information storage and retrieval system, without the written permission of the editor.

Correspondence: Should be addressed to: Editor, 1812 Riggins Road, Tallahassee, FL 32308. For telephone inquiries, call (850) 671-3700. Or E-mail FAHSA at info@fahsa.org. © 2008 FAHSA. All rights reserved.

Disclaimer: The information contained in this correspondence is not intended as a substitute for legal advice. Please discuss any information gathered from this or any other FAHSA publications with your legal counsel in the context of your particular situation before implementing any new policies or procedures.

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