UPDATE TO FACILITY COVID-19 STATUS SURVEY SENT VIA EVERBRIDGE

California Department of Social Services PIN 20-32-ASC September 28, 2020 TO: ALL ADULT AND SENIOR CARE FACILITY LICENSEES Original signed by Pamela Dickfoss FROM: PAMELA DICKFOSS Deputy Director Community Care Licensing Division SUBJECT: UPDATE TO FACILITY COVID-19 STATUS SURVEY SENT VIA EVERBRIDGE Provider Information Notice (PIN) Summary PIN 20-32-ASC provides an update to information provided in PIN 20-22-ASC, dated June 25, 2020, on an important licensee COVID-19 status survey disseminated via the Everbridge Mass Notification System.

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White House Commission Urges Feds for More Resources (But Not Enforcement) in Nursing Homes

The White House’s Coronavirus Commission on Safety and Quality in Nursing Homes released an extensive report reviewing lessons learned from the COVID-19 pandemic and making recommendations to improve safety in nursing homes related to infection control.  The report sets forth dozens of potential “action steps” for the Centers for Medicare and Medicaid Services (CMS) and other federal and state agencies to take to foster better infection control involving: COVID-19 testingproviding PPE and training staff to use itupdating resident visitation and cohorting policies to be more sensitive to the balance between safety and quality of life; andsupporting staff/caregivers.

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ASSISTING RESIDENTS WITH TELEHEALTH VISITS

California Department of Social Services PIN 20-31-ASC September 25, 2020 TO: ALL ADULT AND SENIOR CARE PROGRAM RESIDENTIAL LICENSEES Original signed by Pamela Dickfoss FROM: PAMELA DICKFOSS Deputy Director Community Care Licensing Division SUBJECT: ASSISTING RESIDENTS WITH TELEHEALTH VISITS Provider Information Notice (PIN) Summary PIN 20-31-ASC provides Adult and Senior Care (ASC) residential licensees withguidance on assisting residents with telehealth visits.

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Trump Administration Announces Historically Low Medicare Advantage Premiums and New Payment Model to Make Insulin Affordable Again for Seniors

FOR IMMEDIATE RELEASE September 24, 2020 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries Trump Administration Announces Historically Low Medicare Advantage Premiums and New Payment Model to Make Insulin Affordable Again for Seniors Medicare Advantage program continues to grow, offering seniors a greater number of plan choices and increased benefits Ahead of the annual Medicare Open Enrollment, the Centers for Medicare & Medicaid Services (CMS) announced today that average 2021 premiums for Medicare Advantage plans are expected to decline 34.2 percent from 2017 while plan choice, benefits, and enrollment continue to increase.

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CMS Announces New Federal Funding for 33 States to Support Transitioning Individuals from Nursing Homes to the Community

FOR IMMEDIATE RELEASE September 23, 2020 Contact: CMS Media Relations (202) 690-6145 | CMS Media Inquiries CMS Announces New Federal Funding for 33 States to Support Transitioning Individuals from Nursing Homes to the Community The Centers for Medicare & Medicaid Services (CMS) today announced the availability of up to $165 million in supplemental funding to states currently operating Money Follows the Person (MFP) demonstration programs.

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Coronavirus Disease 2019 (COVID-19) Outbreak Investigation and Reporting Thresholds

AFL 20-75 From the California Department of Public Health September 22, 2020 TO: All Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Outbreak Investigation and Reporting Thresholds ​AUTHORITY:     Title 17 California Code of Regulations (CCR) sections 2500, 2501, and 2502; Title 22 CCR sections 70737, 70739, 72523, 72539, and 72541 All Facilities Letter (AFL) Summary This AFL reminds licensed health facilities of requirements to report outbreaks and unusual infectious disease occurrences to their local health department (LHD) and Licensing and Certification District Office and provides investigation and reporting thresholds for reporting for COVID-19.

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Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities

AFL 20-74 From the California Department of Public Health September 22, 2020 TO: Skilled Nursing Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities ​All Facilities Letter (AFL) Summary This AFL provides recommendations for PPE, resident placement/movement, and staffing based on the residents’ COVID-19 status.

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Advance Care Planning, Physician’s Order for Life Sustaining Treatment (POLST) and Coronavirus Disease 2019 (COVID-19)

AFL 20-73 From the California Department of Public Health September 22, 2020 TO: Skilled Nursing Facilities SUBJECT: Advance Care Planning, Physician’s Order for Life Sustaining Treatment (POLST) and Coronavirus Disease 2019 (COVID-19) ​AUTHORITY:     Title 22 California Code of Regulations section 72527 All Facilities Letter (AFL) Summary This AFL provides guidance for confirming resident treatment wishes during the COVID-19 pandemic through proactive advance care planning.

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California’s Deadliest Spring in 20 Years Suggests COVID Undercount

By Phillip Reese, CaliforniaHealthline, September 21 2020 The first five months of the COVID-19 pandemic in California rank among the deadliest in state history, deadlier than any other consecutive five-month period in at least 20 years. And the grim milestone encompasses thousands of “excess” deaths not accounted for in the state’s official COVID death tally: a loss of life concentrated among Blacks, Asians and Latinos, afflicting people who experts say likely didn’t get preventive medical care amid the far-reaching shutdowns or who were wrongly excluded from the coronavirus death count.

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‘Quality of Life is Medically Necessary’: What Nursing Home Residents’ Families Want in a Post-COVID World

By Alex Spanko, Skilled Nursing News, September 20, 2020 For Melody Taylor Stark, navigating life after her husband Bill required long-term nursing care hasn’t always been easy, but with the help of some caring staffers and a little bit of creativity, the couple was able to settle into something like normalcy. Friday nights out at a restaurant became takeout shared over a table that the facility’s staff reserved just for them, off in a private room with a tablecloth and flowers.

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