SENATE AMENDMENT
    Bill No. CS for CS for CS for SB 1680
    Amendment No. ___   Barcode 240064
                            CHAMBER ACTION
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       04/23/2004 03:55 PM         .                    
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11  Senator Saunders moved the following amendment:
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13         Senate Amendment 
14         On page 122, line 20, through
15            page 124, line 29, delete those lines
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17  and insert:  
18         Section 66.  Subsections (14), (15), and (16) of
19  section 400.141, Florida Statutes, are amended to read:
20         400.141  Administration and management of nursing home
21  facilities.--Every licensed facility shall comply with all
22  applicable standards and rules of the agency and shall:
23         (14)  Submit to the agency the information specified in
24  s. 400.071(1)(a) s. 400.071(2)(e) for a management company
25  within 30 days after the effective date of the management
26  agreement.
27         (15)(a)  At the end of each calendar quarter, submit
28  semiannually to the agency, or more frequently if requested by
29  the agency, information regarding facility staff-to-resident
30  ratios, staff turnover, and staff stability, including
31  information regarding certified nursing assistants, licensed
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    1:24 PM   04/22/04                              s1680c3b-37t22

SENATE AMENDMENT Bill No. CS for CS for CS for SB 1680 Amendment No. ___ Barcode 240064 1 nurses, the director of nursing, and the facility 2 administrator. For purposes of this reporting: 3 1.(a) Staff-to-resident ratios must be reported in the 4 categories specified in s. 400.23(3)(a) and applicable rules. 5 The ratio must be reported as an average for the most recent 6 calendar quarter. 7 2.(b) Staff turnover must be reported for the most 8 recent 12-month period ending on the last workday of the most 9 recent calendar quarter prior to the date the information is 10 submitted. The turnover rate must be computed quarterly, with 11 the annual rate being the cumulative sum of the quarterly 12 rates. The turnover rate is the total number of terminations 13 or separations experienced during the quarter, excluding any 14 employee terminated during a probationary period of 3 months 15 or less, divided by the total number of staff employed at the 16 end of the period for which the rate is computed, and 17 expressed as a percentage. 18 3.(c) The formula for determining staff stability is 19 the total number of employees that have been employed for more 20 than 12 months, divided by the total number of employees 21 employed at the end of the most recent calendar quarter, and 22 expressed as a percentage. 23 (b)(d) A nursing facility that has failed to comply 24 with state minimum-staffing requirements for 2 consecutive 25 days is prohibited from accepting new admissions until the 26 facility has achieved the minimum-staffing requirements for a 27 period of 6 consecutive days. For the purposes of this 28 paragraph, any person who was a resident of the facility and 29 was absent from the facility for the purpose of receiving 30 medical care at a separate location or was on a leave of 31 absence is not considered a new admission. Failure to impose 2 1:24 PM 04/22/04 s1680c3b-37t22
SENATE AMENDMENT Bill No. CS for CS for CS for SB 1680 Amendment No. ___ Barcode 240064 1 such an admissions moratorium constitutes a class II 2 deficiency. 3 (c)(e) A nursing facility that which does not have a 4 conditional license may be cited for failure to comply with 5 the standards in s. 400.23(3)(a) only if it has failed to meet 6 those standards on 2 consecutive days or if it has failed to 7 meet at least 97 percent of those standards on any one day. 8 (d)(f) A facility that which has a conditional license 9 must be in compliance with the standards in s. 400.23(3)(a) at 10 all times from the effective date of the conditional license 11 until the effective date of a subsequent standard license. 12 13 Nothing in this section shall limit the agency's ability to 14 impose a deficiency or take other actions if a facility does 15 not have enough staff to meet the residents' needs. 16 (16) Report monthly the number of vacant beds in the 17 facility which are available for resident occupancy on the 18 last day of the month information is reported. 19 20 21 22 23 24 25 26 27 28 29 30 31 3 1:24 PM 04/22/04 s1680c3b-37t22