1. Joint Finance Committee Hearing Fiscal Year 2016 Mary Peterson Division Director February 25, 2015 Department of Health and Social Services Division of Long Term Care Residents Protection (DLTCRP)

2. To promote the quality of care, safety and security of people living in long-term care settings; To ensure facilities' compliance with state and federal laws and regulations; and To advocate on behalf of residents Our Mission

3. Delaware Health and Social Services Annual certification of nursing homes Annual licensure of long term care facilities  Nursing Homes  Intermediate Care Facilities for Persons with Intellectual Disabilities  Assisted Living Facilities  Rest Residential Facilities  Intensive Behavioral Support and Educational Residences  Group Homes for Individuals with Mental Illness  Group Home for Persons with AIDS  Neighborhood Homes for Individuals with Developmental Disabilities  Family Care Homes We Accomplish Our Mission Through:

4. Delaware Health and Social Services We Accomplish Our Mission Through: Continued Standard and complaint surveys of all licensed facilities Operation and maintenance of the Nurse Aide Registry Operation of the Background Check Center Operation of the Complaint and Incident Referral Center

5. Delaware Health and Social Services Investigations of allegations of abuse, neglect, mistreatment and financial exploitation Maintaining and administering the Adult Abuse Registry Promulgation of regulations Working closely with other stakeholders We Accomplish Our Mission Through: Continued

6. Delaware Health and Social Services Percentage of Licensed Facilities vs. Percentage of Licensed Beds as of 1/1/15 # of Licensed Facilities 50 33 173 54 18 7 3 1 # of Licensed Beds 5,133 2,070 674 140 136 107 98 16

7. Delaware Health and Social Services Incidents Reported Incidents CY 2013CY 2014 Total reports5,9035,111 Assigned for Follow-up 2,0721,901

8. Delaware Health and Social Services Adult Abuse Registry 178 persons currently on the registry 36 persons were placed in CY 2014 31 of those appealed their placements 2 of the 31 won their appeal

9. Delaware Health and Social Services Background Checks FingerprintsRap BackTotal CY '13CY '14CY '13CY '14CY '13CY '14 All Applicants9,41810,8011,47729010,89511,091 No Convictions8,3539,253554748,9079,327 No Disqualifier1,0421,494263311,3051,525 Disqualifier000000 Pending (as of 12/31 of the given CY) 2354660185683239

10. Delaware Health and Social Services Surveys CY 2014 Nursing HomesAll Other ProvidersTotal 268153421

11. Delaware Health and Social Services Delaware - 10 Most Frequent Nursing Home Citations RBM29/Jan/2015 Current Surveys, 2012 and 2013 Per Total, Citation Scope and Severity Source: Casper Reports O314S, updated 20 February 2014, and 27 January 2015 NOTE: "T" after a ranking number means tied. Severity and Scope RegulationNo Actual HarmActual Harm, Immediate Jeopardy Rank F TagTag DescriptionGroupCumulativeTotal,B&CDEFTotal,GHIJKL B-FG-L 4674611278158246600000 1 309Provide Care/Services for Highest Well beingCare Quality 60 038220 0 000000 2 279Develop Comprehensive Care PlansResident Assessment 53 043100 0 000000 3 371Food Procure, Store/Prepare/Serve-SanitaryDietary Services 52 073015 0 000000 4 441Infection Control, Prevent Spread, LinensInfection Control 48 024186 0 000000 5 280Right to Participate Planning Care; Revise CPResident Assessment 45 03960 0 000000 6 329Drug Regimen is Free From Unnecessary DrugsCare Quality 3938 022160 1 100000 7 241Dignity and Respect of IndividualityLife Quality 38 020180 0 000000 8T 323Free of Accident Hazards.Supervision/DevicesCare Quality 3732 022100 5 500000 8T 514Resident Records Ccmplete, Accurate, AccessibleAdministration 37 12790 0 000000 9 225Investigate/Report Allegations/individualsBehavior Practices 30 02910 0 000000 10 431Drug Records, Label/Store Drugs and BiolgicalsPharmacy 28 07183 0 000000 Nursing Home Citations

12. Delaware Health and Social Services Certified Nurse Aides 10,300 Active Nurse Aide Training Programs 32

13. Delaware Health and Social Services Prioritizing our workload and maximizing efficiencies to protect our residents as best we can with fewer resources Keeping current with Adult Abuse Registry placements Our Challenges

14. Delaware Health and Social Services Thank You Are there any questions?