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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| SENATE BILL |
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| INTRODUCED BY KASUNIC, BOSCOLA, BREWSTER, BROWNE, COSTA, FERLO, KITCHEN, RAFFERTY, SOLOBAY, STACK, TARTAGLIONE AND WOZNIAK, FEBRUARY 11, 2011 |
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| REFERRED TO PUBLIC HEALTH AND WELFARE, FEBRUARY 11, 2011 |
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| AN ACT |
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1 | Providing for nursing home performance information; and |
2 | requiring nursing homes to maintain inspection reports and to |
3 | distribute reports to patients or designees. |
4 | The General Assembly of the Commonwealth of Pennsylvania |
5 | hereby enacts as follows: |
6 | Section 1. Short title. |
7 | This act shall be known and may be cited as the Nursing Home |
8 | Performance Information Act. |
9 | Section 2. Definitions. |
10 | The following words and phrases when used in this act shall |
11 | have the meanings given to them in this section unless the |
12 | context clearly indicates otherwise: |
13 | "Area agency on aging." An agency designated by the |
14 | Department of Aging in accordance with the Older Americans Act |
15 | of 1965 (Public Law 89-73, 42 U.S.C. § 3001 et seq.) and Article |
16 | XXII-A of the act of April 9, 1929 (P.L.177, No.175), known as |
17 | The Administrative Code of 1929, to plan and provide a |
18 | comprehensive and coordinated system of services for older |
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1 | adults and to serve as the advocate for older persons in the |
2 | community. |
3 | "Consumer guide on nursing home performance." The consumer |
4 | guide required to be published by the Department of Health under |
5 | the provisions of this act. |
6 | "Department." The Department of Health of the Commonwealth. |
7 | "Nursing home." Any long-term care nursing facility as |
8 | defined in section 802.1 of the act of July 19, 1979 (P.L.130, |
9 | No.48), known as the Health Care Facilities Act. |
10 | "Secretary." The Secretary of Health of the Commonwealth. |
11 | Section 3. Consumer guide on nursing home performance. |
12 | (a) Publication.--The department shall publish in electronic |
13 | and paper media on an annual basis a consumer guide on nursing |
14 | home performance. The department's initial guide shall contain |
15 | information from calendar year 2006 and shall be published |
16 | within 60 days of the effective date of this section. The second |
17 | consumer guide shall contain information from calendar year 2006 |
18 | and calendar year 2007. The third consumer guide shall contain |
19 | information from calendar year 2006, calendar year 2007 and |
20 | calendar year 2008. All subsequent consumer guides shall contain |
21 | information from the last three calendar years. These guides |
22 | shall hereafter be published no later than January 31 of the |
23 | year following the year covered in the guides. |
24 | (b) Contents.--The consumer guide on nursing home |
25 | performance shall contain the following information for the |
26 | three most recent calendar years for each nursing home licensed |
27 | and operating within this Commonwealth: |
28 | (1) The name, address, county and telephone number of |
29 | the nursing home. |
30 | (2) The number of licensed beds and the occupancy rate |
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1 | of the nursing home. |
2 | (3) Ownership of the nursing home. |
3 | (4) Current license status. |
4 | (5) A numerical breakdown of the number of deficiencies |
5 | pertaining to: |
6 | (i) Resident rights. |
7 | (ii) Resident behavior and facility practices. |
8 | (iii) Quality of life. |
9 | (iv) Resident assessment. |
10 | (v) Quality of care. |
11 | (vi) Nursing services. |
12 | (vii) Dietary services. |
13 | (viii) Physician services. |
14 | (ix) Specialized rehabilitative services. |
15 | (x) Pharmacy services. |
16 | (xi) Infection control. |
17 | (xii) Physical environment. |
18 | (xiii) Administration. |
19 | (6) The total number of deficiencies in each of the |
20 | three years. |
21 | (7) A summary of deficiencies according to severity |
22 | level in each of the three years. |
23 | (8) A listing of any sanctions or remedies imposed |
24 | against the nursing home in the period covered. This listing |
25 | shall include, but not be limited to, any plan of correction |
26 | implemented, provisional license issued, temporary management |
27 | appointed, suspension or ban on admissions, civil penalties |
28 | or any other remedy or sanction imposed and their effective |
29 | dates. |
30 | Section 4. Categorization of deficiencies. |
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1 | (a) Categorization and reporting.--For purposes of this act, |
2 | the department shall use the criteria set forth in 42 CFR Pt. |
3 | 483 Subpt. B (relating to requirements for long term care |
4 | facilities) in categorizing and reporting a nursing home's |
5 | deficiencies under section 3(b)(5). |
6 | (b) Severity level.--For purposes of this act, the |
7 | department shall use the criteria set forth in 42 CFR 488.404(b) |
8 | (1) (relating to factors to be considered in selecting remedies) |
9 | when determining the severity level of a nursing home's |
10 | deficiencies under section 3(b)(7). |
11 | Section 5. Nursing home to maintain inspection reports. |
12 | Each licensed nursing home shall keep on file all inspection |
13 | reports completed by the department during the period covered in |
14 | the most recent consumer guide. The nursing home shall allow |
15 | public inspection of these reports upon request. |
16 | Section 6. Administration. |
17 | (a) File copy.--A copy of the consumer guide on nursing home |
18 | performance shall be kept on file in the main office of the |
19 | department. The secretary shall also provide each local area |
20 | agency on aging within this Commonwealth a copy of the |
21 | information compiled for section 3(b) for each licensed nursing |
22 | home within the local area agency on aging's service area. |
23 | (b) Copies to residents or designees.--All nursing homes |
24 | licensed by the department shall provide a copy of the nursing |
25 | home's most recent information published in the consumer guide |
26 | on nursing home performance to each nursing home resident or his |
27 | or her designated guardian on an annual basis. The nursing home |
28 | shall also provide a copy of the nursing home's most recent |
29 | information published in the consumer guide on nursing home |
30 | performance to any individual, or their immediate family or |
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1 | guardian, considering residency in the nursing home. |
2 | (c) Posting.--All nursing homes within this Commonwealth |
3 | shall post in a conspicuous public place and in a manner clearly |
4 | visible to the resident and visitor notice of the existence of |
5 | the guide and information advising that State law requires that |
6 | individuals receive a copy of the nursing home's information |
7 | either annually or when considering residency in the nursing |
8 | home. |
9 | Section 7. Form of consumer guide on nursing home performance. |
10 | The consumer guide on nursing home performance established |
11 | under section 3 shall be substantially in the following form: |
12 | Commonwealth of Pennsylvania |
13 | Consumer Guide on Nursing Home Performance |
14 | Name of Nursing Home |
15 | Address |
16 | County |
17 | Telephone Number |
18 | Ownership |
19 | Number of Beds |
20 | Occupancy Rate |
21 | Current License Status |
22 | Summary of Deficiencies |
23 | (Number of deficiencies per year) |
24 | Performance Categories | Year | Year | Year |
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25 | Resident Rights |
26 | Resident Behavior and Facility |
27 | Practices |
28 | Quality of Life |
29 | Resident Assessment |
30 | Quality of Care |
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1 | Nursing Services |
2 | Dietary Services |
3 | Physician Services |
4 | Specialized Rehabilitative |
5 | Services |
6 | Pharmacy Services |
7 | Infection Control |
8 | Physical Environment |
9 | Administration |
10 | Total Number of Deficiencies: |
11 | Summary of Deficiencies by Severity Level |
12 | Classification of Severity Levels | Year | Year | Year |
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13 | Level 1 - No negative impact on |
14 | residents |
15 | Level 2 - Potential for negative |
16 | impact on residents |
17 | Level 3 - Actual negative impact |
18 | on residents |
19 | Level 4 - Immediate jeopardy to |
20 | residents |
21 | History of Sanctions or Remedies Imposed |
22 | Type of Sanction or Remedy | Effective Dates |
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23 | Section 8. Effective date. |
24 | This act shall take effect immediately. |
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