NEW DOH Survey Forms

DOH has provided updated survey forms for Assisted Living, including an Entrance Conference Checklist. These forms can be found on our website under the Current Regulations tab or downloaded here

New ALR Variance Process

DOH is implementing a new process for ALRs to submit variances. Beginning in 2020, providers will be able to e-mail a variance request to [email protected]

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Survey Tips: 2.4.21 Dietetic Services

The food service in each residence shall comply with the appropriate requirements of R.I. Gen. Laws Chapters 21-27 and 21-31, Rhode Island Food Code (Part 50-10-1 of this Title), and such other applicable statutory or regulatory provisions.

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Survey Reminder: 2.4.21 Dietetic Services

Snack availability after dinner hours must be posted; this applies to Traditional Assisted Living and Memory Care

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Survey Tip: Fall Intervention/Care Plan

Recent surveys show DOH are looking carefully at residents with multiple falls.  (e.g. if fall prevention is included in the care plan, what interventions were put in place to lower fall risk?) Be sure to document file, even if no additional interventions are put in place.

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Changes at the Department of Health - Oct 2019

Jennifer Olsen Armstrong has been promoted to Chief Center for Health Facilities Regulations, formerly Ray Rusin’s role. Diane Pelletier has accepted the position of Chief Health Program Evaluator, replacing Jennifer Olsen Armstrong. Jessica Marcaccio, most recently the primary AL Surveyor, has been promoted to Principle Nursing Care Evaluator, in RI speak Adele Renzulli’s role.

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Fire Inspections are Needed Before License Renewals

RI Health Office of Facility Regulations requires all AL communities to have a Life Safety Code inspection within 1 year of ALR License renewal. See sample letter

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RI DOH Health Inventory Survey

This week the RI Department of Health sent out a RI Assisted Living Inventory Survey. The survey is due back to DOH by October 25, 2019.  This will be used to help DOH understand Health Systems Capacity. 

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New Work Overtime Rules

The long awaited ruling from the US Department of Labor was finally issued on Monday of this week.  The impact of this ruling now enables all employees who make less than $35,568 annually, eligible for overtime pay.  The new rule also raises the threshold for highly compensated employees from $100,000 a year to $107,432 (of which $684 must be paid weekly on a salary or fee basis).  The new rate will take effect January 1, 2020.

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I-9 Employment Eligibility Verification Form Set to Expire Soon

The federal government's Form I-9, used by HR departments across the country to verify workers' employment eligibility, is expiring on August 31, 2019.  What should your organization do to prepare? 

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Hospice considered a significant change

Hospice care is considered a significant change, even if the services provided by the AL community do not change as a result. ALR Regulation Section  2.4.16 D states: The assessment shall be reviewed and at intervals not to exceed twelve (12) months and each time a resident’s condition changes significantly. 

Understanding Why Employees Leave Your Community

Today, with the low unemployment rate and so many job openings, more employees are voluntarily leaving their jobs than at almost any other time. When an employee quits, it can leave managers scrambling to cover their work load. The loss can be particularly acute when employees simply don’t show up to work, sometimes only days after starting the job.

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CNA and Medication Aide License Renewals and Applications

Some AL providers have experienced delays in confirmation of license renewals for CNA and Med Aids. RI Dept of Health, Professional Regulations report that CNA and MAD licensees who renew online should be active automatically but "holds" may occur for multiple reasons

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Waiver Providers: NHPRI Co-Share Letters

NHPRI recently sent a letter to providers announcing they will be running an update file, which will contain amended Cost of Care (co-share) information for residents on Integrity. Providers may see residents with higher co-shares and possible recoupments in payments. NHPRI will issue a follow-up letter to clarify how this update will impact providers.

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The BH Link

EOHHS has developed The BH-Link, an alternative to the ED for people with Behavioral Health issues.
The Behavioral Health Hotline and Triage Center provides immediate treatment and recovery services, as well as, connections to long term treatment options- 24 hours-a-day, seven-days-a-week. Learn more about the BH-Link

General Assembly passes bills on Alzheimer’s care, elder abuse

The General Assembly has approved four bills to better support Rhode Islanders affected by Alzheimer’s disease and to protect against elder abuse. Read the full press release

General Assembly approves 2020 state budget bill

The State Budget for FY2020 did not include an increase to the minimum wage next year, nor did it include the governor’s proposal to tax large businesses whose employees are enrolled in Medicaid programs. 
Read the Press Release for more information

Income Limit for AL Medicaid Waiver Eliminated

The Dept. of Elderly Affairs (DEA) previously announced that the income limit for AL Waiver recipients has been eliminated; the state is adopting the policy that everyone has the right to apply.

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Top 10 Deficiences of 2019

RI Dept. of Health has recently reported the top deficiencies of 2019 so far.  If you have been surveyed recently, please advise RIALA.

Creative and Compliant Ways to Check References

Reference checking is a necessary evil of the hiring process, and it's fraught with the following challenges.

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