1. NCCLTCE Grants $$$$$

2. Contact Person Becky Wertz, FSC II Nursing Home Licensure & Certification Section, Division of Health Service Regulation 919-855-4580 Becky.Wertz@dhhs.nc.gov

3. $$$ Grant monies $$$ Centers for Medicare & Medicaid Services (CMS) collects civil money penalties (CMP) A portion of that money “comes back to the state” CMS mandates that the money be used to improve the quality of life or quality of care for nursing home (NH) residents NC does this best through coalition grant contracts

4. Notification of Funds Available The two requests for application (RFAs) have been distributed to every certified nursing home The RFAs will also be posted on the Division website, www.ncdhhs.gov/dhsr/ You may choose one to apply for

5. ELIGIBILITY Any dually certified nursing home Any medicaid only certified nursing home Any medicare only certified nursing home

7. Looks great, doesn’t it? One RFA will allow you to apply for a resident centered computer system The total RFA amount will be $500,000 Approved applicants will receive $10,000

9. Isn’t he having fun? One RFA is for any other culture change project The total amount is $300,000 Each approved applicant can receive up to $15,000 The photo is a resident in a whisper glide swing - residents love to go outdoors

10. The RFA is the application The RFA explains what the NH needs to include in their submission: –Cover letter –Enhancement goals –Education for change –Implementation (timeline & budget) –Performance based criteria –Sustainability –Endorsements

11. RFA continued & review process Each of these areas except the cover letter can receive points The RFA also explains that approval from the Construction Section is required as applicable (919 855 3893) Any questions about what grant monies will cover can be directed to becky.wertz@dhhs.nc.gov The coalition leaders establish criteria for grant application reviewers The coalition leaders schedule training for reviewers The reviewers are given applications to review based on no conflict of interest

12. Selection process Two non biased reviewers are assigned to each application Sometimes a third review is necessary The review group comes together and tallies up scores Letters of rejections are sent out from the NH Section

13. This is the new step of the process: The letters stating that the application has been approved by the coalition will now instruct the applicant to complete the new CMS CMP application which can be obtained from Becky.Wertz@dhhs.nc.gov or the DHSR website, www.ncdhhs.gov/dhsr/Becky.Wertz@dhhs.nc.gov www.ncdhhs.gov/dhsr/ Becky Wertz is the contact person for the CMS application process

14. Process and contract After CMS approves the application, the NH Section will develop the actual contract between DHSR & the NH Most contracts especially the computer ones can be set up for one year; some contracts may need two years depending on the project Once the contract is in place, each NH will be required to submit: quarterly reports with deliverables & a one time/year online state auditor reporting (unless state operated NH) Becky will send reminders and instructions

15. Contract requirements continued –A trained Division staff member will make one scheduled onsite visit per contract year (Edna Knight or Becky Wertz) –If a facility is non compliant with any contract requirements, the Division can recoup the funds

16. 1998 Grantees Ashe Living Center, Beverly HC Charlotte, Friends Homes at Guilford, Givens, Ivy Hill, Hugh Chatham, Pardee, Pisgah Manor, Sentara, Sunnybrook, The Oaks Forsyth, Twin Oaks, Whispering Pines, Each was awarded $15,000

17. 2001 Grantees Abernethy Center, Cherry Hospital, Chowan Hospital, Edwin Morgan, Fairhaven, Glenflora, Wesley Long Each was awarded $25,000

18. 2004 Grantees Abernethy Center, Aston Park, Autumn Care Roanoke Valley, Brian Center Wallace & Brevard, Lutheran Home Hickory West, Albemarle, Trinity Oaks and Hickory, Maryfield, NC Special Care, Wesley Long, Wilkes, Woodlands, Yancey Nursing Center Each awarded up to $25,000

19. 2007 grantees Cleveland Pines, Croasdaile, Davis HCC, Fairhaven, Grace Heights, Liberty Commons Alamance, Lee County, Lutheran Home Hickory, Albemarle, Trinity Oaks, Mary Gran, NC Special Care, Pender Memorial Hospital, Wilkes, White Oaks Shelby, Woodlands Assisted Living Each awarded up to $15,000

20. 2009 Grantees Autumn Care Drexel, Blowing Rock, Brian Center Lincolnton, Capital, Century Care Cherryville, Croasdaile, Davis HC, Highland Farms, Longleaf, Lutheran Home Albemarle, Hickory, Hickory West, Trinity Oaks, Winston Salem, Mary Gran, Pisgah Manor, St. Joseph Pines, White Oak Rutherfordton Each awarded up to $24,999

21. April 2011 grantees Aston Park, Brian Center Spruce Pine, Clapps Asheboro, Conover, GlenFlora, Margate, Morehead, Mt. Olive, Murphy Medical, Sampson Regional, South Village, Stanly Manor, Oaks Brevard, Twin Lakes Memory Care, UniHealth PAC Raleigh, Universal Ramseur, Westchester Manor, White Oak Burlington & Shelby, Woodland Hill awarded up to $15,000

22. May 2011 grantees Abbotts Creek, Abernethy Laurels, Alleghany Care, Blumenthal, Mooresville Center, Ocean Trail, Pembroke Care, Pender Memorial Hospital, Poplar Heights, Siler City, Sunnybrook, The Oaks at Town Center, Triad Care, Twin Lakes Community, Walnut Cove, Whispering Pines Awarded up to $15,000

23. July 2011 grantees Emerald Ridge, Heritage Farmville, Heritage High Point, Liberty in Sanford, NC Veterans Salisbury, Pettigrew, Springwood, Stokes-Reynolds, The Oaks Mayview, Woodlands Nsg & Rehab Awarded up to $15,000

24. August 2011 grantees Autumn Care Nash, Autumn Care Saluda Awarded up to $15,000

25. October 2011 grantees Davis HCC, Highland Farms, Lutheran Home Albemarle, Hickory, Hickory West, Trinity Oaks and Winston Salem Awarded up to $15,000

26. November 2011 grantees Kenansville Health & Rehab, Willow Ridge Awarded up to $15,000

27. More Ideas Outdoor projects: awnings, automatic door openers, gazebos, outdoor games, bird feeders, sensory gardens Dining enhancements, ice cream parlors Indoor games/activities Sensory rooms, bathing without a battle, mouth care without a battle Pets, aviaries, aquariums,

28. Playgrounds: children actually want to visit the NH; residents want to go outside & watch & interact with children – how great is that?

29. How cool is it for residents & families to have a place to visit & socialize outdoors?

31. Look at the pride in their faces Residents love to grow their own vegetables

32. Enhanced bathing

33. Bistros

34. $$$$$$$ IS AVAILABLE It’s time to start the ground work – talk to residents, families, staff & see what they would like to request funds for Revisit your facility culture change philosophy or implement a new one Get plans to construction as applicable Be ready to submit your application this summer!!!!

35. A hint to help you out Make your application personal – the reviewers want to read about your residents, your facility culture, what would benefit your residents & why & how you are going to measure effectiveness Reviewers can tell if an application is not from the heart, if it is not personal & not individualized to your facility & population

36. “It’s All About The Residents” & grant funds can certainly help make the nursing facility more like HOME