1. New Federal Regulation Set Effects
Nursing Home Guide
New Federal Regulation Set Effects

2. History Nursing Home Guide was first released in November, 2001
5-star ranking is produced for 3 broad categories and 5 sub- categories
Quality of Life, Quality of Care, Administration
Nutrition, Abuse/Restraints, Pressure Ulcers, Decline, and Dignity
Presently 684 Nursing Homes (680 are certified, 4 licensed-only)
Certified Nursing Homes: Federal Health(F) and Life Safety(K) Deficiencies
Licensed-Only Nursing Homes: State Health(N) and Life Safety(K) Deficiencies
Ranking is based on the Annual and Complaint Surveys for the last 30 months
Updated Quarterly
Since 2013, it has been a part of FloridaHealthFinder.gov (the Compare Section)
History

3. New Federal Regulation Set
November 28, 2017—New Federal Health Regulation(F) set for nursing homes released
Complete overhaul of the previous regulation set
Previous Regulation Set had 175 deficiencies; New Regulation Set has 204 deficiencies
HQA’s Bureau of Field Operations held training sessions last Fall to teach the surveyors
New numbering system and categories
Previous Regulation Set—F150-F539
New Regulation Set—F540-F949
New Federal Regulation Set

4. New Federal Regulation Set: Categories
Many of the same categories such as Resident Rights, Quality of Care, Quality of Life, Administration
New categories including Behavioral Health, Ethics, Quality Assurance and Performance, and Training
Many deficiencies are a 1-1 ratio, but broad deficiencies have been expanded to focus on specific areas and other deficiencies have been collapsed
New Federal Regulation Set: Categories

5. Expanded / Collapsed Deficiencies
Expanded Example
Previous Regulation Set: F309—a broad quality of care deficiency; that the nursing home provide care/services for the highest well- being of its residents.
New Regulation Set: the deficiency has been split into 5 different deficiencies –1 quality of life and 4 quality of care
F675—Quality of Life: regarding the care/services provided to the residents
F684—Quality of Care: regarding the treatment and care provided to the residents
F697—Pain Management: that this service is provided to the residents who require it
F698—Dialysis: that this service is provided to the residents who require it
F744—Treatment/Service for Dementia: that this service is provided to the residents who require it
Expanded / Collapsed Deficiencies

6. Expanded / Collapsed Deficiencies
Collapsed Example
Previous Regulation Set: F325—Maintain Nutrition Status Unless Unavoidable and F327—Sufficient Fluid to Maintain Hydration
New Regulation Set: the deficiencies have been collapsed into one deficiency
F692—Nutrition/Hydration Status Maintenance
Expanded / Collapsed Deficiencies

7. How are Florida’s Nursing Homes Affected?
Certified Nursing Homes are required to comply with state and federal regulations. The new regulation set will affect them.
Licensed-Only Nursing Homes are required to comply with state regulations only. The new regulation set will not affect them.
Nursing Home Guide: For the next 30 months, the Guide will include a combination of the two regulation sets; after that, only the new regulation set will be utilized in the Guide
FloridaHealthFinder—methodology of the Nursing Home Guide has been updated to show the differences in the sub-categories and a few of the critical deficiencies
CMS Nursing Home Compare’s 5-star ranking: Is unavailable until the end of the year due to the new regulation set. The 5-star ranking is a comprehensive rating of not only deficiencies, but staffing and quality measures.
How are Florida’s Nursing Homes Affected?

8. Nursing Home Guide / Regulation Set
Any questions?
Nursing Home Guide / Regulation Set