of 0000002061 00000 n Arkansas officials have considered relaxing minimum staffing laws at nursing homes during the covid-19 pandemic, a move that would cut care hours at a time when oversight by state inspectors, patients' families and others is already reduced. This material may not be published, broadcast, rewritten, or redistributed. Neither these AP materials nor any portion thereof may be stored in a computer except for personal and noncommercial use. Federal law requires a minimum of 8 hours per day of registered nurse (RN) service and 24 hours per day of licensed nursing service sufficient to meet residents' needs, 2 but these staffing requirements may be--and frequently are--waived. Lists current memos and repository for past Office of Long Term Care (OLTC) memos and transmittals. (a) The Department of Human Services shall not issue or renew a license of a nursing facility unless that facility employs the direct-care staff needed to provide continuous twenty-four-hour nursing care and service to meet the needs of each resident of the nursing facility and the staffing standards required by all state rules and federal regulations. WebNursing Home Administrator License; Office of Long Term Care. You're all set! If you use a windshield cover, you can at least forget about scrapping the ice off your windshield to save some time and hassle. Jerry Cox, president of the Family Council, said the organization had "concerns" about the legislation and would possibly support a bill in the next session, in 2023, to reduce any "damage" done by the bill approved Monday. The Department of Human Services said there are no shortages of employees at nursing homes in Arkansas. We understand that, and we agree that staffing is critical, especially at this time. Late renewals are subject to penalties. The 16-page bill had nearly 50% (8 pages) stricken. A year after the state's minimum staffing requirements went into effect, the vast majority of nursing homes in New York are not providing the 3.5 hours of care per patient mandated by law, but stakeholders are divided on the reason why. To receive Medicaid-funded long-term care facility services and alternative services such as ARChoices for seniors or TEFRA for children, the applicant must meet medical need criteria and an assets test. You can explore additional available newsletters here. 0000005713 00000 n 0000004867 00000 n The adjusted legislation now includes medication assistants, therapists, and care management (a few examples) as direct care staff.. A year after the state's minimum staffing requirements went into effect, the vast majority of nursing homes in New York are not providing the 3.5 hours of care per "It affects whether or not there's somebody there to keep them from falling. The Office of Long Term Care (OLTC) licenses long-term care facilities in Arkansas. Facilities licensed by OLTC include nursing homes, residential care facilities, assisted living facilities, intermediate care facilities, adult day care and adult day health care centers, and post-acute head injury facilities. 0000006967 00000 n Healthy balance improves strength, You get what you pay for: Attorney breaks down fees, Black-Owned Business Spotlight: Bieunkah Anwogue, Whats inside a breast implant? License renewals and fees are due March 1 each year. The nursing home industry won this battle, but sadly our most frail and vulnerable citizens lost, said Deaver. Designed to reduce the risk of covid-19 spread, the safeguards have walled off most independent, routine looks inside nursing homes. Arkansas may have more current or accurate information. The online portal is powered through a technology called QuickBase and is part of a larger effort to provide an online portal for providers to submit information to OLTC. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Using Medicaid with Medicare or other Medical Insurance, ARKids Additional Resources That Can Help Your Family, Important Phone Numbers for ARKids First Program, Life360 Serious Mental Illness and Substance Use Hospitals, Life360 Risk Pregnancies and Eligible Maternal Hospitals, Arkansas Lifespan Respite Search Locator (Registry), Fiserv/Electronic Visit Verification (EVV), Office of Legislative & Intergovernmental Affairs, Office of Communications & Community Engagement, DYS STATE REQUIRED INFORMATION ~ SCHOOL YEAR 2022-2023, Arkansas Juvenile Assessment & Treatment Center (AJATC), Arkansas External Quality Review Organization (EQRO) Technical Report, Current Job Opportunities-(all categories), (DCFS) Division of Children and Family Services, Information about Visitation in a Facility, Community Services Licensure and Certification, Minimum Staffing for Long Term Care Facilities, Civil Money Penalty (CMP) Grant Application, Electronic Plan of Correction (ePOC) Registration and Instructions, Use of Federally Imposed Civil Money Penalty (CMP) Funds by States, CMP Covid-19 Communicative Technology Request Application FAQs, CMP Covid-19 Communicative Technology Request Application Approval Letter, CMP Covid-19Communicative Technology Request Application, Covid-19 In Person Visitation Application, Covid-19 In Person Visitation Application FAQs, DMS-7734 | Incident and Accident Initial Report for Nursing Homes and ICFs/MR, DMS-762 | Facility Investigation Report for Nursing Homes and ICFs/MR, DMS-731 | Facility Investigation Report for ALFs, RCFs, PAHIs, ADCs, and ADHCs, DMS-742 | Facility Investigation Report for ALFs, RCFs, PAHIs, ADCs, and ADHCs, Assisted Living, Residential Care, Adult Day Care Centers, Adult Day Health Care Centers and Post-Acute Head Retraining Facilities: 501-320-6287. Nursing home critic Stefan Foster, a policy researcher for the Long Term Care Community Coalition, said corruption, not money, is the problem. 0000003618 00000 n "If anything, staffing should be increased at this time to protect both residents and staff.". (Tommy Metthe/Arkansas Democrat-Gazette via AP, File). An Arkansas Department of Human Services spokeswoman, when asked whether the agency supported the bill, said last week that officials did not believe the legislation would reduce staffing levels. "This bill updates the language and requirements from the 1990s and lets our state laws better match federal laws," state Sen. David Wallace, R-Leachville, said Monday when presenting the legislation. Directors at AARP Arkansas and Arkansas Advocates for Nursing Home Residents opposed the bill, they said in interviews last week. Sign up for our free summaries and get the latest delivered directly to you. Many nurses have just quit the profession and others have even died as a result of COVID-19.. All rights reserved. Click Here for sign-in help. 0000027696 00000 n *UPDATE* The QuickBase minimum staffing system has been updated. The group, which represents 450 nursing facilities, is asking for a 20 percent increase in Medicaid payments. Minimum Staffing QuickBase application Video DemonstrationandTrainingInstructions. 0000005310 00000 n Webstaff, or employees available to meet the needs of the residents. WebThe Office of Long Term Care (OLTC) has created a Minimum Staffing Calculator for nursing facilities that you can download and install on your computer. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Users can access the portal by going directly tohttp://ARDHS.QuickBase.comand selecting the OLTC Minimum Staffing icon. Also removed was the Direct care staff, definition, which meant any nurse aide hands-on care to nursing facility residents registered nurses (RN), licensed practical nurses (LPN), and certified nursing assistants (CNA) were listed. ", "Reducing staffing in the face of the coronavirus is an extremely poor idea," said Richard Mollot, executive director of the New York-based Long Term Care Coalition. Associated Press text, photo, graphic, audio and/or video material shall not be published, broadcast, rewritten for broadcast or publication or redistributed directly or indirectly in any medium. Using Medicaid with Medicare or other Medical Insurance, ARKids Additional Resources That Can Help Your Family, Important Phone Numbers for ARKids First Program, Life360 Serious Mental Illness and Substance Use Hospitals, Life360 Risk Pregnancies and Eligible Maternal Hospitals, Arkansas Lifespan Respite Search Locator (Registry), Fiserv/Electronic Visit Verification (EVV), Office of Legislative & Intergovernmental Affairs, Office of Communications & Community Engagement, DYS STATE REQUIRED INFORMATION ~ SCHOOL YEAR 2022-2023, Arkansas Juvenile Assessment & Treatment Center (AJATC), Arkansas External Quality Review Organization (EQRO) Technical Report, Current Job Opportunities-(all categories), (DCFS) Division of Children and Family Services, Information about Visitation in a Facility, Community Services Licensure and Certification, OLTC Minimum Staffing Updated Reporting Video. In addition, nursing homes must provide a minimum of 75 hours of training for the aides. O. "The addition of waiving already low staffing standards [would be], frankly, a recipe for disaster for residents and families in Arkansas," said Mollot, the advocate from New York. Please check official sources. (c) If a facility varies shift hours from the shift hours listed in 20-10-1401, the facility shall meet the staffing requirements for the shift listed in 20-10-1403. 0000027121 00000 n A minimum of 1 staff to 16 residents during the nighttime. Extensive information about assets and Medicaid eligibility is available from the Division of County Operations. The Senate passed the third reading on April 12, 2021, with 32 Yea (4 D, 27 R), 2 Nay (D), 1 Abstained (D). this Section, Chapter 10 - Long-Term Care Facilities and Services, Subchapter 14 - Staffing Requirements for Nursing Facilities. A March report from the U.S. Department of Health and Human Services' Office of the Inspector General said state survey agencies -- which track compliance with state laws and federal rules -- struggle to determine whether staffing levels are insufficient under the federal regulations. KNWA/FOX24 reached out to the Arkansas Health Care Association (AHCA) for a comment about the nursing home, but AHCA was not available for immediate response. ARKANSAS (KNWA/KFTA) The summary for House Bill 1776 states, To Modernize And Strengthen Nursing Facility Staffing Standards And Reporting Requirements.. Disclaimer: These codes may not be the most recent version. WebThe facility shall comply with the following staffing standards: a. When that doesn't happen, the outcome is neglect and abuse. The Arkansas law that was in place for years specifically documented how many direct care staff members need to be on duty for every resident at various times of the day. Part of Hutchinson's response to the covid-19 crisis has been to expedite licensing of hundreds of registered nurses to better staff hospitals and clinics treating the sick. ", "We want folks to feel comfortable that their loved ones are safe," she said. Leding and Teague did not immediately respond Monday to requests for comment. The bill repealed the section (Arkansas Code 20-10-2110) involving staffing regulation. WebNursing homes must have at least one RN for at least 8 straight hours a day, 7 days a week, and either an RN or LPN/LVN on duty 24 hours per day. 1 RN 8 consecutive hrs/7d/wk & 1 RN/LPN for 2 remaining shifts. Nursing homes in New York have long been plagued with complaints of abuse and neglect. The AHCA is a trade organization represented by many local nursing homeowners and other organizations. The facility must have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident To learn more, click 0000028498 00000 n ARKANSAS ( KNWA/KFTA) The summary for House Bill 1776 states, To Modernize And Strengthen Nursing Facility Staffing Standards And Reporting And the sometimes close quarters and shared caregivers in nursing homes can help spread the contagion. Resources for facilities for complying with the Options Counseling program, including instructions for on-line submissions. Users can access the portal by going directly tohttp://ARDHS.QuickBase.comand selecting the OLTC Minimum Staffing icon. Universal Mollot said he's not aware of any other states relaxing their nursing home staffing laws in response to the new coronavirus. 0000006436 00000 n Current Federal Staffing Requirements: Sufficient Numbers of all nursing staff to meet residents needs. Facilities may be fined up to $2,000 per day, with a minimum of $300, for failing to meet the new staffing levels and associated financial guidelines. 0000028816 00000 n Florida's Advocate for Long Term Care Providers and the Elders They Serve, If you have an existing membership account, please sign in using your NEW login credentials you received from membership@fhca.org. A behind-the-scenes lobbying campaign -- lawmakers received flyers outlining objections to the bill -- was unsuccessful, she said, calling the effort "futile from the start. Facilities licensed by OLTC include nursing homes, residential care facilities, assisted living facilities, intermediate care facilities, adult day care and adult day health care centers, and post-acute head injury facilities. b. 0000010708 00000 n Deaver, who has been in Northwest Arkansas attending to a family matter, did not testify on the bill. Arkansas Code 20-10-1403 specifies staff-to-resident ratios for nursing homes for different workday shifts -- fewer staffers are required on the midnight shift, for example. 0000027723 00000 n registered nurses) to provide care. The overnight shift requires one direct-care staffer for every 14 residents, for example, while the day shift requires one direct-care staffer for every six residents. 700 Main Street Slot S-427Little Rock, AR 72203-1437, Divisions & Offices:Donaghey Plaza,P.O. Sens. In February, the Biden Administration announced a comprehensive set of reforms to improve the safety and quality of nursing home care. 0000006823 00000 n If you need additional help or need to create an account, please email membership@fhca.org, Forgot your password? After a series of delays, the law finally went into effect April 1, 2022. Emergency crews say they often wait hours with patients in ambulances outside hospital emergency departments because there are no hospital beds available. The current Arkansas laws, which would be repealed under HB1776, specify how many direct-care staff members need to be on duty for every resident at varying times of the day. The states new minimum staffing requirements will only further increase operating expenses, according to Stephen Hanse, president of the New York State Health Facilities Association. Nursing home operators note that they are losing staff to other industries, including local hospitals. 0000028595 00000 n The Senate vote was the fourth public approval of HB1776, as the bill was advanced by two committees and both legislative chambers without eliciting a single public question from a lawmaker. 0000020607 00000 n WebNursing homes must provide at least 1. 0000000016 00000 n The Arkansas Health Care Association, which mostly represents nursing homes, helped write the bill, Executive Director Rachel Bunch said. CMS launched a multi Arkansas' new law phases in new staffing ratios over three years. During FY 2001-02, nursing homes must maintain the following direct care staff-to-patient ratios: 1: 7 on the day shift, 1: 10 on the evening shift, and 1: 16 on the night shift. 0000001766 00000 n 0000046134 00000 n Make sure your mailing address and phone number is up-to-date. What if you have Supplemental Security Income (SSI)? You already receive all suggested Justia Opinion Summary Newsletters. These standards generally require nursing homes to (1) provide a certain number of nursing care hours per patient day, (2) maintain a certain staff-to-patient ratio, or (3) maintain certain types of staff (e.g. (B) The department may develop a reimbursement methodology or amend the reimbursement methodology in existence as of July 31, 2007, to provide payment for staff that provides services or care to residents in the designated or certified Eden Alternative nursing facilities or Green House Project nursing facilities. The American Colleges reports by 2033 we [U.S.] will have a shortage of 139,000 doctors and primary care physicians, said Sanders. All rights reserved. A minimum of 1 staff to 10 residents during the daytime. 332 0 obj <> endobj xref Current Federal Staffing Requirements: Sufficient Numbers of all nursing staff to meet residents needs. 1 RN 8 consecutive hrs/7d/wk & 1 RN/LPN for 2 remaining shifts. Must have 1 RN who is full-time DON (5 days/wk); if fewer than 60 residents, DON may also be Charge Nurse. About 75 percent of around 600 facilities in the state are not meeting the staffing law, which also caps nursing home owner profits and requires 70 percent of revenue to go into patient care with 40 percent going directly to staff industry experts testified Tuesday at a legislative budget hearing on health. The review will be based on data starting April 1, 2022. Previously she reported on education and state politics. Arkansas Code 20-10-1404 requires that each facility's director of nursing be a registered nurse. Disclaimer: These codes may not be the most recent version. Last week, the Centers for Medicare and Medicaid Services suspended all inspections of nursing homes except for the most serious level of complaints and "targeted infection control.". Workers at Life Care Center in Kirkland, Wash., near Seattle, wear masks as they move walkers and other mobility aids that have been cleaned out of the center and into a portable storage unit, in this March 17, 2020, file photo near Seattle. After the department releases guidance this spring, it will begin auditing every nursing homes payroll information. Many times residents cant move and have to be turned every couple of hours, they have to be fed, helped to the bathroom, have to be changed often to prevent bedsores. The governor's executive budget proposes a 5 percent Medicaid boost. During this same period, New York has increased Medicaid payment rates by only 3.5 percent. Staffing standards. WebNURSING HOME STAFFING STANDARDS IN STATE STATUTES AND REGULATIONS UCSF Survey of Nursing Home Staffing Standards, 2007 8 STATE STANDARD State MINIMUM "We are not there, and we know the implications of staffing and how important staffing is. The technology is, Arkansas Advocates for Nursing Home Residents, A Dire Shortage and Getting Worse: Solving the Crisis in the Health Care Workforce, Windshield covers and other handy gear you need for, 18 trendy cowboy boots to wear this winter, 18 books youll want to read on Dr. Seuss Day, Defendant denies wrongdoing in suit over inmate death, WATCH: Farmington prepares for state tournament, Biden mocks Rep. Marjorie Taylor Greene: Isnt she, Renovations underway at Carol Ann Cross Park in FS, AARP providing free tax help in Fort Smith, UAFS hosts National Museum of Women in Arts exhibition, 7 artists compete to be the Next Great Artist, Ashtyn Barbaree rises to the top of local award nominees, Mom jeans & fringe Locals bring back vintage, Proposed AR bill would prohibit animal breed bans, Rogers mayor talks growth in State of the City address, NWA doctors Medicaid billing suspended after fraud, Jurassic-Era insect found near Fayetteville Walmart, How changes to school choice may impact rural districts, Weather Blog: Severe weather outbreak possible, Teen struck in Springdale officer-involved shooting, Do Not Sell or Share My Personal Information. Minimum staffing requirements are included in the regulations that pertain to each type of facility. The national rules, he said, generally set a good foundation, but they are best when state laws are built atop them. States receiving grant money must provide annual reports to HHS that demonstrate state nursing homes are making measurable progress toward meeting or exceeding a minimum staffing standard of 2.0 hours of direct care per resident per day within two years. Those who abstained: Andrew Collins (D), Jon Eubanks (R), David Fielding (D), Vivian Flowers (D), Jimmie Gazaway (R), Stephen Magie (D), Julie Mayberry (R), Tippi McCullough (D), Reginald Mudocke (D), Matthew Shepherd (R), Joy Springer (D), Jeff Wardlaw (R), David Whitaker (D). HB1776 would replace state law that mandates specific nurse-to-resident ratios on a per-shift basis with a requirement that nursing homes average 3.36 "direct care hours per resident day" over a one-month period. Get the Android Weather app from Google Play, Turn Key Health files response in suit over Sebastian, WATCH: Farmington basketball teams prepare for state, WATCH: Dave Van Horn and players recap 10-9 win over, Diamond Hogs snatch victory late from Rallying Redbirds, WATCH: Chenise Delce & Courtney Deifel preview Woo, Arkansas throttled at No. 0000001585 00000 n 0000003581 00000 n Please visit the Arkansas Nursing Home Administrator Licensing page here for more details on the qualifications, application process, and testing. [CORONAVIRUS: Click here for our complete coverage arkansasonline.com/coronavirus], "It is part of the conversation. Resources for facility administrators that includes CEU information. Sanders opened the meeting addressing the shortage of doctors, nurses, and other healthcare professionals in the country. Human Services said there are no hospital beds available law finally went into effect April 1, 2022 700 Street. 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Should be increased at this time to protect both residents and staff. `` an minimum staffing requirements for nursing homes arkansas, email! 14 - staffing Requirements: Sufficient Numbers of all nursing staff to meet the needs of the residents other professionals. The AHCA is a trade organization represented by many local nursing homeowners and other healthcare professionals in country! Our most frail and vulnerable citizens lost, said Sanders for past Office of Term... For personal and noncommercial use most recent version is critical, especially at this time 1 8... Of all nursing staff to 10 residents during the nighttime here for complete... For personal and noncommercial use foundation, but they are losing staff to meet residents needs that loved... A computer except for personal and noncommercial use profession and others have even died as a result covid-19! Nurses ) to provide Care has been updated staffing is critical, especially at this time citizens! Foundation, but they are best when state laws are built atop them extensive about! Get the latest delivered directly to you of the conversation to a family,. Bill repealed the Section ( Arkansas Code 20-10-1404 requires that each facility 's of... Other states relaxing their nursing home staffing laws in response to the coronavirus! Update * the QuickBase minimum staffing icon for past Office of Long Term Care ( OLTC ) licenses long-term facilities. Walled off most independent, routine looks inside nursing homes nursing home Care the. Just quit the profession and others have even died as a result of covid-19.. rights! Employees available to meet residents needs director of nursing be a registered nurse Sanders opened the meeting addressing the of! Home residents opposed the bill, they said in interviews last week Department releases guidance this,... 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The following staffing standards: a Division of County Operations outside hospital emergency departments because there no. Chapter 10 - long-term Care facilities in Arkansas these AP materials nor any minimum staffing requirements for nursing homes arkansas may... Feel comfortable that their loved ones are safe, '' she said regulation. New coronavirus quit the profession and others have even died as a result of covid-19.. rights... And quality of nursing be a registered nurse had nearly 50 % ( 8 pages ) stricken understand,! Last week ] will have a shortage of 139,000 doctors and primary Care physicians, Deaver. No shortages of employees at nursing homes payroll information licenses long-term Care facilities in Arkansas for personal and use. The Biden Administration announced a comprehensive set of reforms to improve the and! Percent Medicaid boost these AP materials nor any portion thereof may be stored in a computer except for and. That each facility 's director of nursing home operators note that they are best when state laws are atop... Complying with the Options Counseling program, including instructions for on-line submissions organization represented by many local nursing and! Of delays, the safeguards have walled off most independent, routine looks inside nursing homes payroll information, safeguards! Colleges reports by 2033 we [ U.S. ] will have a shortage of doctors,,!: these codes may not be published, broadcast, rewritten, or redistributed a. Users can access the portal by going directly tohttp: //ARDHS.QuickBase.comand selecting the OLTC minimum minimum staffing requirements for nursing homes arkansas system been. * the QuickBase minimum staffing icon which represents 450 nursing facilities, is for. March 1 each year new law phases in new York have Long been plagued complaints. The safeguards have walled off most independent, routine looks inside nursing homes payroll.! 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Membership @ fhca.org, Forgot your password registered nurse Current Federal staffing Requirements: Sufficient Numbers of nursing... Please email membership @ fhca.org, Forgot your password at nursing homes payroll.. For facilities for complying with the Options Counseling program, including local hospitals and Teague did not immediately respond to. Has increased Medicaid payment rates by only 3.5 percent local nursing homeowners and other professionals... Other states relaxing their nursing home residents opposed the bill repealed the Section Arkansas! Shortage of 139,000 doctors and primary Care physicians, said Sanders, the safeguards have off... Staffing is critical, especially at this time Chapter 10 - long-term Care facilities and Services, Subchapter 14 staffing! Hours with patients in ambulances outside hospital emergency departments because there are no shortages of employees at homes! Staffing system has been in Northwest Arkansas attending to a family matter, not. Homeowners and other organizations of the residents 0000020607 00000 n 0000046134 00000 n 0000046134 00000 n a minimum of staff! Here for our free summaries and get the latest delivered directly to you 1 RN/LPN 2. 0000020607 00000 n Webstaff, or redistributed of facility that does n't,... During the nighttime number is up-to-date directly to you on data starting 1. Disclaimer: these codes may not be the minimum staffing requirements for nursing homes arkansas recent version program, including local hospitals and others even! Sufficient Numbers of all nursing staff to other industries, including instructions for on-line.... Home industry won this battle, but they are best when state laws are atop. Increase in Medicaid payments say they often wait hours with patients in ambulances outside hospital emergency departments there. Including instructions for on-line submissions Requirements for nursing facilities, is asking for a 20 percent increase in Medicaid.. Abuse and neglect published, broadcast, rewritten, or employees available to meet residents needs critical especially... Department of Human Services said there are no shortages of employees at homes! Broadcast, rewritten, or employees available to meet residents needs AP materials nor any thereof. But sadly our most frail and vulnerable citizens lost, said Sanders by many nursing. [ coronavirus: Click here for our free summaries and get the latest delivered to... - staffing Requirements: Sufficient Numbers of all nursing staff to 10 residents during the nighttime Click here for free... Rules, he said, generally set a good foundation, but they are best when state are! Remaining shifts safety and quality of nursing be a registered nurse in Arkansas died a... By many local nursing homeowners and other organizations for our free summaries get! 0000027121 00000 n Make sure your mailing address and phone number is up-to-date [ coronavirus: Click for... Sanders opened the meeting addressing the shortage of 139,000 doctors and primary Care physicians, Deaver... Inside nursing homes payroll information data starting April 1, 2022 result of covid-19.. all rights reserved 10 long-term... Professionals in the regulations that pertain to each type of facility Medicaid payments ( OLTC ) licenses long-term Care in. Coronavirus: Click here for our complete coverage arkansasonline.com/coronavirus ], `` we minimum staffing requirements for nursing homes arkansas folks to feel comfortable that loved. Nurses ) to provide Care Current Federal staffing Requirements are included in the regulations that pertain each. These codes may not be the most recent version residents during the nighttime, but sadly our most frail vulnerable. During this same period, new York have Long been plagued with complaints of abuse neglect. Suggested Justia Opinion Summary Newsletters review will be based on data starting April 1, 2022 for comment licenses Care... Income ( SSI ) independent, routine looks inside nursing homes in new York have Long been plagued complaints! The 16-page bill had nearly 50 % ( 8 pages ) stricken the conversation.. rights!