1. January 5, 2009Iowa Department of Inspections & Appeals Iowa Department of Inspections & Appeals Public Forums “Protecting the Health and Safety of Iowans”

2. Introductions Iowa Department of Inspections & Appeals January 5, 2009

3. The Department is composed of four main divisions and four attached units: –Administration Division –Health Facilities Division –Administrative Hearings Division –Investigations Division –Attached Units Child Advocacy Board Employment Appeal Board State Public Defender State Racing and Gaming Commission

4. January 5, 2009Iowa Department of Inspections & Appeals Health Facilities Division The purpose of the Health Facilities Division is to enhance the safety, security and general welfare of the persons served in licensed/certified facilities and programs. Source: DOM FY 08 Financial Summary

5. January 5, 2009Iowa Department of Inspections & Appeals State Licensed Health Care Facilities Long-Term Care Facilities – 757 Facilities –409 Nursing Facilities –140 Intermediate Care Facilities –208 Residential Care Facilities Adult Services Bureau – 311 Programs –218 Assisted Living Programs –50 Assisted Living Dementia Specific Programs –36 Adult Day Services –7 Elder Group Homes Hospitals – 123 Hospitals –40 Acute Care Hospitals –82 Critical Access Hospitals –1 Long-Term Acute Care Hospital

6. January 5, 2009Iowa Department of Inspections & Appeals Funding Sources 84 percent of the Division’s funding comes from the federal government – Medicare and Medicaid Funds 16 percent of the Division’s funding comes from a state appropriation Source: DOM FY 08 Financial Summary

7. Iowa Has Excellent Nursing Facilities! Iowa Department of Inspections & Appeals January 5, 2009

8. Iowa Nursing Homes Compared to National Averages 2007 National Average 2007 Iowa Average Percentage of nursing homes cited for Substandard Quality of Care 6.1%1.5% Percentage of nursing homes with deficiencies (11.6% of Iowa facilities are Deficiency-Free) 91.9%88.4% (11 th lowest in the nation) Average number of deficiencies per nursing home 7.05.0 (12 th lowest in the nation) Percentage of nursing homes that had a Federal penalty or other sanction effectuated 18.1%10.4% Iowa Department of Inspections & Appeals January 5, 2009

9. Average # of Deficiencies per Survey by Scope & Severity Average # of Deficiencies per Survey by Scope & Severity – FY08 Iowa Department of Inspections & Appeals January 5, 2009

10. Percentage of Facilities with Remedy Effectuated by Fiscal Year Iowa Department of Inspections & Appeals January 5, 2009

11. Deficiency-Free Facilities and Programs In Iowa During SFY 2008 January 5, 2009 Iowa Department of Inspections & Appeals

12. Deficiency-Free Facilities and Programs In Your Area Windsor Manor, Vinton Clarence Nursing Home, Clarence Crestview Nursing & Rehab, West Branch Valley View, North English Jefferson Point, North Liberty Anamosa Care Center, Anamosa Woodland Park, Anamosa Linn Manor Care Center, Marion Winslow House Care Center, Marion Cherry Ridge, Mount Vernon Valley View Manor, Muscatine Iowa Department of Inspections & Appeals January 5, 2009

13. Governor’s Award Winning Facilities Iowa Department of Inspections & Appeals January 5, 2009

14. Governor’s Award for Quality Care Awarded to nominated facilities that provide the highest level of care to their residents. 38 awards have been presented to 34 facilities across the state. –Four facilities are repeat winners. Four facilities in east-central Iowa have been award winners: –Cedar Manor, Tipton (2001 and 2007) –Crestview Nursing & Rehab Center, West Branch (2006) –Linn Manor Care Center, Marion (2001) –United Presbyterian Home, Washington (2001 and 2003) Iowa Department of Inspections & Appeals January 5, 2009

15. SFY 2008 Long-Term Care State Enforcement Actions January 5, 2009Iowa Department of Inspections & Appeals Source: DIA Fining and Citation Data Fines Collected From Nursing Facilities FY 08: $180,585

16. SFY 2008 Assisted Living Programs State Enforcement Actions Source: DIA Fining and Citation Data January 5, 2009 Iowa Department of Inspections & Appeals

17. Iowa’s Population is Changing Iowa Department of Inspections & Appeals January 5, 2009

18. Iowa Department of Inspections & Appeals Iowa Demographics Iowa’s % of Nursing Home Population Iowa’s % of US Population 1.95%1.0% % of Iowans Over the Age of 75 % of Americans Over the Age of 75 7.6%5.9% Source: Kaiser State Health Facts, 2005 and 2000 US Census

19. The Changing Face of Long-Term Care in Iowa Today’s seniors have more options than ever before –Assisted Living Program –Elder Group Homes –Adult Day Care Services –Continuing Care Communities –Independent Living –Home and Community-Based Services to keep seniors in their homes Nursing facility residents’ care needs are greater due to acuity Iowa Department of Inspections & Appeals January 5, 2009

20. Important Telephone Numbers Health Facilities Division Complaint Hotline 1-877-686-0027 Long-Term Care Ombudsman’s Office 1-800-532-3213 Iowa Department of Inspections & Appeals January 5, 2009

21. Iowa Department of Inspections & Appeals January 5, 2009 Contact Us Iowa Department of Inspections and Appeals Health Facilities Division Lucas State Office Building 321 East 12 th Street Des Moines, IA 50319-0083 (515) 281-4115

22. Internet Access to Information https://dia-hfd.iowa.gov/DIA_HFD/Home.dohttp://www.medicare.gov/NHCompare/ Iowa Department of Inspections & Appeals January 5, 2009

23. Questions? Iowa Department of Inspections & Appeals January 5, 2009