Representative Kevin Ambler Named Legislator of the Year FALA Files
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newsvolume 13 issue 2 FALApromoting excellence in assisted living l fall 2009 Representative Kevin Ambler Named Legislator of the Year ALA was pleased to present the Legislator of the Year award to Representative Kevin Ambler at the Annual Conference this year. Representative Ambler represents District 47 which is Northwest Hillsborough County Fand was elected to the House of Representatives in 2002 and reelected subsequently. Representative Ambler served on the Health Care Appropriations Committee this year and was instrumental in expanding the number of diversion slots that were added to the budget. He has been an outstanding legislator that has demonstrated his commitment to the seniors of Florida. Representative Kevin Ambler has received numerous awards and recognitions from Associated Industries of Florida Ports Council, American Association of School Boards, The Florida Bar, Florida Chamber of Commerce, Florida Association of Area Agency on Aging, and more. FALA Files Rule Challenge fter more than a year of rule workshops for the Long Term Care Ombudsman rule with no agreement on the proposed Administrative Assessment Form, FALA has filed a rule challenge. The form which proposes Ausing complaint codes and combines assisted living, adult family care homes and nursing homes on one form has been at the center of the debate. Unfortunately, none of our suggestions have been considered and we are left with only one option – to challenge the rule. This means that the proposed rule, specifically dealing with the Administrative Assessment will go before an Administrative Law Judge for a hearing. We expect a hearing to be scheduled sometime in March 2010. John Gilroy is representing FALA and FAHSA in this proceeding. If you would like to see a copy of the proposed rule and form please contact the FALA office. We will be happy to email a copy to you. 2010 Legislative Priorities Elimination of Specialty Licenses FALA supports the elimination of the Limited Nursing Services (LNS) license and the Extended Congregate Care (ECC) license. These licenses are outdated and in many instances vague and misleading with a lot of duplication. These licenses are confusing to providers as well as consumers and serve no purpose. The LNS and ECC licenses were implemented to allow certain nursing services in assisted living facilities for the purpose of aging in place. In many instances, facilities that have these licenses do not even have a nurse on staff. Many times, the facility simply has the license (LNS or ECC) to be able to participate in the Assisted Living for the Elderly Waiver. FALA supports allowing nurses in assisted living facilities to be able to provide services that are currently under the rule and law for LNS and ECC licenses. Maintain/Increase Funding for the following programs: Assistive Care Services Waiver, Assisted Living for the Elderly Waiver, and Nursing Home Diversion In accordance with FALA’s mission, ensuring that residents are placed in the most appropriate setting is vital to the well being of Florida’s elders. The State’s objective of providing appropriate care in the least restrictive and more cost effective setting for Medicaid recipients is furthered by increasing funding for these programs. All of these programs have saved the Medicaid program significant dollars. FALA supports increased funding for the Assistive Care Services Waiver, the Assisted Living for the Elderly Waiver, and the Nursing Home Diversion Program. Property Tax Exemption Property taxes have increased over 80% and many assisted living facilities are faced with the possibility of closing due to the inability to pay high property tax assessments. Particularly hard hit are the smaller facilities with limited budgets that care for individuals on limited incomes and that receive state/federal funding. These facilities play a vital role by providing appropriate care in the least restrictive and more affordable settings for many low income seniors. The loss of these facilities would force many individuals into a more costly nursing home setting. FALA supports initiatives for relief of increased property taxes for assisted living facilities. Alberta Granger Joins FALA Team ALA was proud to have Alberta Granger join the FALA team this year after her retirement from the Agency for Health Care Administration (AHCA). Alberta Fhad been with the State of Florida for 35 years and most recently managed the Assisted Living Unit at AHCA. During the FALA Annual Conference in Ft. Myers, FALA presented Alberta with an appreciation plaque for her many years of service and dedication to the assisted living profession in Florida. Since coming to FALA, Alberta has been busy providing technical assistance to members, training, developing curriculum and working with FALA’s Executive Director, Pat, on legislative issues. Alberta is available to FALA members for telephone assistance with survey questions, law and rule questions or general information. On site consulting is available by appointment for a fee. 2 FALA Office 1922 Miccosukee Road FALA Installs New Board of Tallahassee, FL 32308 Phone: 850.383.1159 Fax: 850.224.0448 Directors Toll Free: 800.785.3252 Email: [email protected] www.falausa.com FALA Staff Patricia Lange Executive Director Sally Hicks Director of Operations Courtney Ann Hicks Membership Manager Tom Campbell Director of Education Alberta Granger Assisted Living Specialist Sharon Collier Education Coordinator Karen Klena At the Annual Conference in August, FALA installed the newly elected Board of Marketing Manager Directors for 2009-2010. FALA Officers Jamie Glavich Officers President Krone Weidler President: Jamie Glavich, Almost Home Senior Services, Inc. Vice President Vice President: Krone Weidler, The Fountains ALF Steven Schrunk Treasurer Treasurer: Steven Schrunk, Countryside Lakes Brian Robare Secretary: Damon Thomas, Emeritus Assisted Living Immediate Past President Damon Thomas Immediate Past President: Brian Robare, The Villa at Carpenter Secretary Larry Sherberg Directors Past President’s Adivsory Council Brian Bursa 17-49 Beds: Veronica Cate, The Allegro at Harbour Island Ex Officio 50+ Beds: Sandi Lynch, Ormond in the Pines FALA Directors ECC/LNS Facilities: Mark Crews, North Florida Retirement Village Linda Amin ACS Facilities: Charlie Goucher, Spring Hills Lake Mary Director, Southwest Region Rene Buck At Large: Malcolm Harriman, Stone Ledge Manor Director, Northwest Region At Large: Michael Karban, Bay Pointe Terrace Veronica Catoe Director, 17-49 Beds Multi-Facilities: Mary Sue Patchett, Horizon Bay Retirement Living Luis Collazo Association Member Representative: Nina Corsi, Evercare Director, Southeast Region Association Member Representative: Michael Okaty, Foley & Lardner Nina Corsi Associate Member Representative Mark Crews Region Directors Director, 50+ Beds Donna Damiani Southwest Region: Linda Amin, Highlands at the Glenridge on Palmer Ranch Director, West Central Region Northwest Region: Rene Buck, Heritage Oaks Senior Housing Charlie Goucher Director, ACS Facilities Southeast Region: Luis Collazo, Palm Breeze Assisted Living Facility Albert Green West Central Region: Donna Damiani, Heather Haven Director, East Central Region Malcolm Harriman East Central Region: Albert Green, Summit Care ALF Director at Large Northeast Region: Stacy Hartley, Ashford Court at Marsh Landing Stacy Hartley Director, Northeast Region Michael Karban President’s Advisory Council Director at Large Larry Sherberg, Lincoln Manor Sandy Lynch Director, 50+ Beds John Lyncheski Ex Officio Chair, FALERF (Ex-Officio) Michael Okaty Brian Bursa, Lewis, Brisbois, Bisgaard & Smith, LLP Associate Member Representative Mary Sue Patchett Chair, FALA Foundation Director, Multi-Facilities John Lyncheski, Cohen & Grigsby 3 Creative Financing As you know, the downturn in the credit and housing markets and the ensuing economic recession have created difficult financial problems for the senior living industry. Occupancy rates at many facilities have declined or are declining, as more seniors are choosing to stay in their homes rather than move into senior living communities. This development, in turn, affects facility owners, who are finding it difficult to operate profitably, which in turn leads to distressed sales, bankruptcies, and, in some cases, facility closures. This article discusses the current financial environment of the senior living industry, exploring creative ways that operators are attracting residents in the hopes of avoiding unfortunate outcomes. Creative Financing to Attract Residents America’s seniors have not been immune to the recent housing crisis. For some, it is affecting long-term housing and care options. The downturn has reduced the value of seniors’ homes – in many cases the single, most valuable asset that many seniors own. Unfortunately, this crisis has struck when the cost of long-term care continues to increase. A recently released Case-Schiller Index report, which is considered a valuable source for housing market pricing information, showed that May prices this year were down 17.1 percent compared to 2008. In contrast, the increase in the average cost of long-term care from 2006 to 2008 ranged from 5 percent to 13 percent, depending on the type of service, with the cost of assisted living facilities increasing at the highest rate (according to a Prudential Insurance Company of America: Research Report 2008: Long-Term Care Cost Study). And the average monthly cost in an assisted living facility is roughly $3,000 per month. As a