Skilled-nursing facilities (SNFs) have the staff and equipment to provide skilled nursing, medical management and therapy services to individuals, on a 24-hour basis, who do not require high-intensity services provided in the hospital setting.
Skilled-nursing facilities (SNFs) have the staff and equipment to
provide skilled nursing, medical management and therapy services
to individuals, on a 24-hour basis, who do not require
high-intensity services provided in the hospital setting.
Some individuals are admitted to SNFs on a transitional basis for
care following acute hospitalization for illness or injury.
Others may require the specialized medical supervision of a SNF
on a long-term basis due to chronic illness or disability. In
addition, SNFs provide a valuable discharge option that helps
acute-care hospitals control patient length of stay and related
Many SNFs are freestanding facilities, while others exist as
distinct parts of an acute-care hospital or hospital system.
Distinct part SNFs, compared to freestanding community-based
SNFs, care for more medically complex patients, and are often the
only option for patients with complex medical needs and
behavioral challenges living in rural areas.
CHA’s Center for
Post-Acute Care represents the interests of CHA member
post-acute care providers, including inpatient
rehabilitation hospitals and units, long-term acute care
hospitals, distinct-part skilled-nursing facilities and home
health agencies. As a part of CHA, the Center for
Post-Acute Care serves as the primary public policy arm of the
hospital association for post-acute care issues. The center also
advocates for hospital-based post-acute care services in
the federal and state legislative and regulatory arenas.
CHA is advocating that Congress include a ‘reset’ of
the Improving Medicare Post-Acute Care Transformation
(IMPACT) Act in the next COVID-19 relief package. In a
letter to Sens. Dianne
Feinstein and Kamala
Harris, CHA reaffirms support for the act’s goals, including
the ongoing implementation of standardized patient assessment
data elements and numerous new quality, outcome, and
resource use measures.
The Department of Health Care (DHCS) and the California
Department of Aging (CDA) have released the first draft of
the Medi-Cal Long Term Care at Home benefit design for public
comment, which includes an overview of key goals, target
populations, model of care, financing structure, and federal
In late April, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for the inpatient rehabilitation facility prospective payment system. If finalized, provisions of the rule will go into effect October 1, 2020.
In late April, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for the skilled nursing facility prospective payment system. If finalized, provisions of the rule will go into effect October 1, 2020.
The Centers for Medicare & Medicaid Services (CMS) has issued the
federal fiscal year (FFY) 2021 proposed
rule for the skilled-nursing
facility (SNF) prospective payment system, which
would update the Medicare payment rate and quality
reporting programs. The provisions in the proposed rule, if
finalized, would be effective Oct. 1, 2021.
On Jan. 27, the Alameda County Superior Court issued an order
about who can consent to treatment on behalf of so-called
“unrepresented patients” in nursing homes — residents who lack
the capacity to make health care decisions and have no family
members or friends willing to act on their behalf.
The California Department of Public Health has issued a
notice explaining new requirements for retaining employees and
providing written notice to residents for skilled-nursing
facilities (SNFs) undergoing a change of ownership, transfer of
facility operation, or change of management company.
CHA members can now learn about the Centers for Medicare &
Medicaid Services’ (CMS) discharge planning final rule in a
webinar. The 30-minute webinar offers a high-level overview
of the rule and solicits requests for more information and
clarification to inform CHA’s ongoing advocacy with CMS.
The California Department of Public Health (CDPH) has announced
changes to its health care facility application review
process. For applications received Jan. 1 or later, the CDPH
Center for Health Care Quality’s (CHCQ) Centralized Applications
Branch will issue a single correction letter for application
packets deemed incomplete or incorrect, and will not review those
packets unless corrections have been submitted within the
time frame identified in the correction letter.
On September 30, 2019 the Centers for Medicare & Medicaid Services (CMS) published in the Federal Register, a final rule that addresses discharge planning requirements for hospitals, critical access hospitals (CAHs), and home health agencies. Provisions of the final rule went into effect November 29, 2019.
The Centers for Medicare & Medicaid Services’ Quality, Safety &
Oversight Group reminds providers that online training is
available to help surveyors and providers prepare for upcoming
surveys. Online courses, web-based training, and video webcasts
can be viewed on the
Integrated Surveyor Training Website.
The California Department of Public Health (CDPH) will hold a
stakeholder meeting Jan. 10 at 2 p.m. to discuss the development
of certified nurse assistant and home health aide criminal
clearance regulations. The department requests that participants
be prepared to provide feedback on a
set of questions specifically related to the regulations.
The Centers for Medicare & Medicaid Services (CMS) has issued
several updates about its initiative to ensure safety and
quality in nursing homes. Notably, CMS reports that updated
interpretive guidance for Phase 3 of the Requirements for
participation for long-term care facilities — effective
Nov. 29 — will be released in the second quarter of
The Centers for Medicare & Medicaid Services (CMS) has
issued updates to the Nursing
Home Compare website. Among the most significant changes is
the addition of a new “abuse icon,” which will be used to
highlight facilities with instances of non-compliance related to
abuse, based on specified criteria.
The Centers for Medicare & Medicaid Services (CMS) has issued a
final rule revising requirements for discharge planning for
hospitals, critical access hospitals, and home health agencies.
The provisions in the final rule will take effect in
approximately 60 days, and CMS will provide additional
interpretative guidance in the near future.
The Department of Health Care Services (DHCS) has announced it
will make long-term care and transplant coverage the
responsibility of all Medi-Cal managed care plan model types
— including Two Plan, Geographic Managed Care, Imperial,
Regional, and San Benito — effective Jan. 1, 2021. These
benefits are currently carved in to County Organized Health
Systems, and no changes will be made for them.