SOURCES SOUGHT
Q -- New Mexico Community Nursing Home (CNH)
- Notice Date
- 8/17/2023 1:13:01 PM
- Notice Type
- Sources Sought
- Contracting Office
- 262-NETWORK CONTRACT OFFICE 22 (36C262) Gilbert AZ 85297 USA
- ZIP Code
- 85297
- Solicitation Number
- 36C26223Q1509
- Response Due
- 8/24/2023 12:00:00 PM
- Archive Date
- 11/22/2023
- Point of Contact
- Ben Bayoneta, Contract Specialist, Phone: None
- E-Mail Address
-
benjumar.bayoneta@va.gov
(benjumar.bayoneta@va.gov)
- Awardee
- null
- Description
- This is not a solicitation announcement. This is a sources sought notice only. The purpose of this synopsis is to gain knowledge of potential qualified sources and their size classification (HUBZone, 8(a), small business, small disadvantage, veteran owned, women owned or service- disabled veteran owned small business relative to NACIS 623110 - Nursing Care Facilities (Skilled Nursing Facilities) $34 Million, PSC: Q402 Medical- Nursing Home Care Contracts. Responses to this notice will be used by the Government to make appropriate acquisition decisions. After review of the responses to this sources sought notice, a solicitation announcement may be published in Contracting Opportunities website. Responses to this source sought notice are not considered adequate responses to the solicitation announcement. All interested offerors must respond to the solicitation announcement in addition to responding to this sources sought notice. The Veterans Affairs, Network Contracting Office, is seeking sources to provide the following service for VA New Mexico Healthcare System (VANMHS). If you are interested, and capable of providing the required services, please provide the requested information as indicated below. Response to this notice should include company name, address, phone number, Unique Entity ID (UEI), point of contact, size of business pursuant to the following questions: (1) Is your business small (2) If small, does your firm qualify as a small, emerging business, or small disadvantaged business? (3) If disadvantaged, specify under which disadvantaged group and if your firm is certified under Section (8(a) of the Small Business Act? (4) Is your firm a certified HubZone firm? (5) Is your firm a woman-owned or operated business? (6) Is your firm a certified service-disabled veteran owned small or veteran owned small business? (7) Capability statement that addresses the organization s qualifications and ability to perform as a contractor specifically for the work described in the attached DRAFT excerpt of the Performance Work Statement (PWS). Respondents are also encouraged to provide specific examples (e.g. contract number, point of contact information) of the Contractor s experience providing the same or similar services to that described in the attached DRAFT PWS. Capability statement shall specify the following item: Have you been a Prime Contractor in providing Nursing home facilities in the Community Nursing Home (CNH) program described in in the Draft PWS below? If so, please provide detailed information describing the services you provided, where these services were provided. If these services were provided under contract, identify the organization for whom you provided these services and provide the contact information for someone from that organization who can verify your contract with that organization. Responses to this notice shall be e-mailed to the attention of Ben Bayoneta at: benjumar.bayoneta@va.gov. Telephone responses will not be accepted. Responses must be received in writing no later than 12:00PM PST on Thursday August 24, 2023. This notice is to assist the VA in determining sources only. A solicitation is not currently available. If a solicitation is issued it will be announced later, and all interested parties must respond to that solicitation announcement separately from the responses to this announcement. Responses to this sources sought is not a request to be added to a prospective bidders list or to receive a copy of the solicitation. PLEASE see below DRAFT Performance Work Statement (PWS) for details. Background and Introduction. The Community Nursing Home (CNH) program is a key component of the Veterans Health Administration (VHA) continuum of care under authority 38 U.S. Code § 1720. The Contractor agrees to provide in accordance with the terms and conditions stated herein to the U.S. Department of Veterans Affairs New Mexico VA Healthcare System, in Albuquerque, NM, prices specified in the section titled Schedule of Items of this contract. Nursing home facilities in the CNH program shall cooperate with VA staff in referral of appropriate Veterans for care and accept Veterans of which they have the capability/capacity to care. Place of Performance. The work to be performed under this agreement shall be performed at the contractor facility within one of these counties in New Mexico or Southern Colorado: Bernalillo, Sandoval, McKinley, Chaves, Cibola, Sierra, Taos, Grants\, San Juan, Otero, Eddy, Montezuma (Southern Colorado), La Plata (Southern Colorado), Archuleta (Southern Colorado), Valencia, Santa Fe, and San Miguel. Post Award Conference/Periodic Progress Meetings. The Contractor shall attend any post award conference convened by the contracting activity, contract administration office, or NMVAHCS CNH staff. The CO, Contracting Officers Representative (COR), Alternate Contracting Officer's Representative (ACOR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the CO will apprise the contractor of how the Government views the contractor's performance and the contractor will apprise the Government of problems, if any, are being experienced. Appropriate action shall be taken to resolve outstanding issues. All meetings described herein shall be at no additional cost to the Government. Contracting Officer Representative (COR). The COR (and if applicable ACOR) will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: monitor Contractor s performance of the technical requirements of the contract; perform quality CNH facility assessments necessary in connection with contract performance; maintain written and oral communications with the Contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government specifications; monitor Contractor's performance and notifies both the CO and Contractor of any deficiencies; and coordinate availability of Government furnished property. The COR is not authorized to change any of the terms and conditions of this contract. Termination of Services. VA reserves the right to remove any or all VA patients from the CNH at any time when it is determined to be in the best interest of VA or the patients without additional costs to the Government. PART 2 PAYMENT PAYMENT Authorization. VA will authorize CNH placement. Authorizations for CNH placement will be accomplished on a VA Form 10-7078. Each written authorization validity period will be from the initial effective date to disposition. Any extension to the original authorization validity period, regardless of the number of days, requires a new or updated VA Form 10-7078. Other VHA activities may utilize this agreement and are authorized to place eligible beneficiaries. It is the Contractor s responsibility to verify the authority of any individual attempting to make a placement and to promptly notify the VA facility s Contracting Officer s Representative (COR) of any placement made by a different VHA activity. Extension of Services: A VA beneficiary may not be provided CNH authorization at the expense of the NMVAHCS for a period in excess of that stated in the initial authorization received from the NMVAHCS, unless an extension of the authorization is provided, in writing, by the NMVAHCS CNH program under the NMVAHCS Community Care-GEC Community Nursing Home Consult/Order. VA Payments. Payments made by VA under any contract pursuant to this contract, constitute the total cost of nursing home care. No additional charges will be billed to Medicare (with the exception of hospice), Medicaid, or private insurance, the beneficiary or his/her family, either by the CNH or any third-party furnishing services or supplies required for such care, unless and until specific prior authorization in writing is obtained from the VA facility authorizing placement. Vendors will submit monthly claims and supporting clinical information (RUG IV MDS summary or section Z and MDS completion date) to the NMVAHCS community care department electronically Vendors who are not able to use the HIPAA-compliant transactions are not required to do so, monthly claims and supporting clinical information (RUG IV MDS summary or section Z and MDS completion date) can be mailed to: New Mexico VA Healthcare System ATTN: Community Care-Anthony Cardenas Mail Stop 136F 1501 San Pedro Dr. SE Albuquerque, NM 87108 Minimum Quantities. It is impossible to determine the exact or estimated amount, which will be expended under this contract. No obligation will be incurred by VA under this contract, until authorizations are issued for nursing home care of specific beneficiaries. VA agrees to make payment on a timely basis for services rendered in accordance with such authorizations upon receipt of proper invoices submitted by the CNH as outlined in this contract. VA will make payment for the day a recipient enters the CNH but not the day the recipient leaves a CNH unless entrance and departure are on the same day, then payment will be made for one (1) day at the lowest RUG IV rate. Rate Per Diem/Rate Determination. The per diem rate is established by the current Medicare rate for Medicare approved nursing homes to cover the cost of supplies, services, and equipment above that provided under Medicare established by the local state Medicare agency (CMS). Rates established after the effective date of this contract will constitute a modification to the contract. VA Per Diem covers semiprivate room, board, and routine nursing care. For all levels of nursing care, the negotiated per diem rate includes routine ancillary services/ supplies, such as drugs, nursing supplies, oxygen (as clinically indicated by a provider order), x-ray, laboratory, physician visits, geriatric psychiatric consultations, and basic medical equipment rental. Special equipment, e.g., clinitron bed, are not considered routine ancillary services (and may be provided by the VA or pre-approved by the VA as a line item for rental on invoice). The contracted nursing facility is responsible for notifying the CNH program when specialized equipment is clinically indicated. Pre-approval required by VA. High drug costs which comprise more than eight and one-half percent (8.5%) of the per diem rate are generally not considered routine ancillary supplies When a high-cost drug patient is identified the nursing home staff are responsible for notifying and getting preapproval by the VA. The nursing home will need to complete a VA high dollar request form requesting a line-item reimbursement for high dollar medication along with a pharmacy invoice, which then will be reviewed, and approval will be provided to the nursing home to submit as a line item on the monthly claim. VA staff must be advised promptly to establish an appropriate course of action, as the high dollar medication approval must be received for the current billing month. A transaction fee of 3% will be added to any line item high-cost drug patient. Rehabilitation therapies will be provided as a distinct level of care. Rehabilitation visits will be authorized by VA based on actual services provided and typically in an initial 30-day pre-approved increments. Therapy extensions may be approved by a VA licensed therapist, Veteran will need to participate in enough rehab minutes to qualify for a category 2 rehabilitation RUG. Rehabilitation services will not be reimbursed without a rehab approval and/or adequate rehab minutes to trigger a RUG IV rehab category. Hospice Care and Dialysis are not included in the rate. VA or other payers may be used for Hospice and Dialysis, as determined by the veteran with VA approval. Hospice and Dialysis services are billed and authorized separately. Ventilator Care: Veterans requiring use of a ventilator will only be placed in a CNH-trained and equipped for those types of specialty patients. The CNH must be approved by the VA prior to any placements to confirm ventilator level of care can be provided, review of licensed respiratory staff, adequate provider support, vendor support for respiratory equipment, etc. Rates for ventilator care will be detailed in the pricing schedule and will be an all-inclusive per diem rate (including ventilator and supplies). Any rate adjustments shall not exceed the Medicare rate. The per diem rate(s) will apply throughout the term of this agreement, including extension period(s). The rate(s) may be adjusted upon review. Economic Rate Adjustments Rate adjustments may be requested by either the VA or the Contractor s authorized Community Nursing Home (CNH) representative during the term of this IDC. Adjustments will occur no more frequently than those issued by the CMS. Normally, this will be in conjunction with the annual Option renewal review. Request for Rate adjustments must be accompanied by a justification for consideration by the Contracting Officer. No adjustments will be made until the Contracting Officer receives a CMS authenticated copy of the new rate, signed, and dated in a conspicuous area at the top right of the document by the authorized nursing home official and is reviewed by the VA CNH COR. Invoicing. Invoices shall be submitted promptly to the authorizing facility by the 15th calendar day following the end of the month in which services were rendered. All invoices must include the full name and address of the nursing home and shall reflect the patient's name, social security number, number of days billed, level of care category, applicable bed holds days, and daily per diem rate. Failure to include this information and incorrect information may result in delayed payments. PART 3 DEFINITIONS & ACRONYMS DEFINITIONS AND ACRONYMS: DEFINITIONS: CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime. CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract. DELIVERABLE. Anything that can be physically delivered but may include non-manufactured things such as meeting minutes or reports. FACILITIES. Includes but is not limited to rooms, wards, sections, eating areas, drinking fountains, entrances, and other like areas. OMBUDSMAN. The entity setup by Medicare to address nursing home resident rights and protection. QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance. QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end-product or service shall meet contract requirements. RESOURCE UTILIZATION GROUPS. Mutually exclusive categories that reflect levels of resource need in long-term care settings, primarily to facilitate Medicare and Medicaid payment. SENTINEL EVENT: includes but is not limited to fall resulting in death or injury; elopement resulting in a missing patient; patient abuse confirmed or under suspicion; a medication error resulting in patient illness or injury; death or patient injury related to restraint (including side rails) use; or death related to an unconfirmed or suspicious cause. SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor. VA FORM 10-7078. Authorization and Invoice for Medical and Hospital Services. WORKDAY. The number of hours per day the Contractor provides services in accordance with the contract. WORK WEEK. Monday through Friday, unless specified otherwise ACRONYMS: ACOR Alternate Contracting Officer's Representative CASPER Certification and Survey Provider Enhanced Reports CFR Code of Federal Regulations CMS Centers for Medicare and Medicaid Services CNH Community Nursing Home CO Contracting Officer CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative DHS/DOH Department of Health Services/Department of Health-Local State Oversight DVA Department of Veteran Affairs FAR Federal Acquisition Regulation HIPAA Health Insurance Portability and Accountability Act of 1996 MDS Minimum Data Set (assessment for Medicare) OCI Organizational Conflict of Interest OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RTCL Rehabilitation and Transitional Care Line RUG Resource Utilization Group ROI Release of Information NMVAHCS New Mexico VA Health Care System TE Technical Exhibit VHA Veterans Health Administration PART 4 CONTRACTOR ROLES AND RESPONSIBILITIES CONTRACTOR ROLES, RESPONSIBILITIES, AND TASKS: The CNH must maintain a current and unrestricted state license to operate as a skilled nursing facility. Changes in the status of the licensure will be immediately reported to the NMVAHCS Community Nursing Home coordinator, COR, and CO. The NMVAHCS will monitor the professional care and administrative management of services provided to VA beneficiaries under this contract, through one or any combination of the following methods: reviews of State agencies reports; collaboration with the Ombudsman State office of jurisdiction; on-site and remote monitoring of VA patients, and direct observation of COR, NMVAHCS CNH coordinator, and/or NMVAHCS CNH staff. The CNH shall provide the VA with copies of all State agency reports when requested and cooperate fully with VA s quality improvement or quality assurance program functions relating to this contract, including VA s on-site annual reviews. The VA Contracting Officer shall make all final determinations as to the Contractor s reasonable cooperation with VA and compliance with these requirements. The CNH will cooperate with timely development of Corrective Action Plans (CAPs) related to identified deficiencies and related to State, Federal surveys. HIPAA compliance is required. The Contractor must adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI). As required by HIPAA, the Department of Health and Human Services (HHS) has promulgated rules governing the security and use and disclosure of protected health information by covered entities, including the Department of Veterans Affairs (VA). In accordance with HIPAA, the Contractor may be required to enter into a Business Associate Agreement (BAA) with VA, but VACO has recognized CNH Facilities as an entity that does not require a BAA as long as they are conducting health care on VA s behalf. The CNH care program qualifies as a medical service, so no BAA is required. The CNH must safeguard clinical record information against loss, destruction, or unauthorized use. If the CNH maintains a Veteran s record by computer, electronic signatures are acceptable. If attestation is done on computer records, safeguards to prevent unauthorized access and to provide for reconstruction of information must be in place. The CNH s building shall conform to the most recent standards of the Life Safety Code (National Fire Protection Association Standard #101) in effect on the date of the contract award and compliance with all applicable Federal, State and local regulations. The administrator of the CNH is required to notify the VA Contracting Officer in writing at least thirty (30) calendar days prior to any planned facility changes that could impact the Life Safety Code and other safety features of the facility which were in existence at the time this contract became effective. These changes may include but are not limited to: Interior finish, corridor partitions/walls, patient room doors, linen or trash chutes, exits, emergency lighting, fire alarm systems, automatic sprinklers, smoke barrier walls or doors, oxygen systems, compressed gas storage, HVAC, electrical and fuel gas systems; All VA contracted CNH facilities are to be fully-equipped with a fully-automatic sprinkler system installed in accordance with the National Fire Protection Association s (NFPA) standards and sprinklers throughout the whole building. In the event of a natural disaster (flood, tornado, etc.), the CNH shall communicate all action plans to VA. The action plans will at a minimum identify temporary transfers of location, dates, and names of Veterans transferred; and Major construction including building additions or other renovations which may affect physical plant integrity; SHALL MEET latest NFPA 101 Life/Safety Code requirements as well as any additional VA CNH construction standards in place at the time of renovation or alteration. Acceptable safety and sanitation practices shall be observed throughout the facility during CNH Veteran visits. The assigned CNH provider is the primary medical provider during the nursing home stay and is responsible for writing or approving admission and all other orders as soon as the Veteran arrives at the CNH. The CNH provider is responsible for general medical care, urgent evaluation and intervention. Provider visits will be available at the same rate as required by CMS. The assigned nursing home provider will provide timely care following the most current CMS guidelines; arranging 24/7 access for patient care; arranging easy access to VA staff for consultation; providing timely response to calls and arranging for timely provider back-up per OBRA guidelines (42 CFR 483.40, OBRA Guidelines). Laboratory, x-ray, and other special services will be available to VA patients as needed. In addition, the care provided will include room, meals, nursing care, and other services or supplies commensurate with the VA-authorized level of care, without extra charge. The CNH will assume responsibility for arranging specialty care for Veterans (e.g., dental care, podiatry and ophthalmology). The CNH s Minimum Data Set (MDS) assessment will be completed on the same schedule as the current Medicare MDS-Scheduled assessments, including close of therapy (COT) assessments, and significant changes. Classification changes will be approved by VA, dependent on projection for short-term or long-term residence, and adhering to the most current MDS frequency guidelines from Medicare. The Level of Care classification and associated per diem rates will remain in effect for each placement until and unless one of the following events takes place: Re-hospitalization that may be associated with a change in level of care upon readmission; Need for more intensive therapy; As determined by a new MDS assessment; Significant change in condition; or Classification changes may also occur based on a determination by VA. Contractor s CNH shall meet all Federal, State, and local laws, regulations, and codes pertaining to health and safety such as those regulating: Construction, maintenance and equipment; Sanitation and waste management; Buying, dispensing, safeguarding, administering and disposal of medications and controlled substances; National Fire Protection Association (NFPA) Life Safety Code #101 The Contractor shall not maintain nor provide dual or segregated beneficiaries facilities which are segregated on the basis of race, creed, color, sexual orientation, or national origin. The Contractor shall neither require such segregated use by written or oral policies nor tolerate such use by local custom. A CNH retains the right to refuse and accept any patient when it is anticipated that the cost of care or services required would exceed the scope of the contract, or placement is determined unsafe due to the level of care needed by the Veteran. The contractor shall make all medical records, electronic medical records, and administrative records concerning the beneficiary's care in the CNH readily accessible to the VA. Upon discharge or death of the beneficiary, the contractor shall retain all medical records for a period of at least six years following termination of care. The contractor shall maintain beneficiaries records in conformance with the Privacy Act of 1974 (5 U.S.C. 552a). The contractor shall maintain a medical record for each beneficiary that includes a minimum of the following: Admission record, including assessment and diagnosis; Sufficient information to identify the resident Physician orders as required by state licensing requirements; The plan of care and services including medication administration, provided by CNH staff and services provided by the CNH; Interdisciplinary progress notes to include effect of care provided, Veteran s response to treatment, change in condition, and changes in treatment Periodic evaluations and nursing assessments; Discharge Summaries; Allergies; Other usual and customary information pertinent to beneficiary care; Advanced directives if available; and Person to contact in an emergency situation. There shall be sufficient nurses or Nursing Assistants (NA) to provide supportive nursing care and assistance in daily activities. The contractor shall allow reasonable visitation rights to family and to other persons who have a care-giving or significant relationship to the beneficiary while the beneficiary is residing in the CNH. The Contractor shall forward all clinical concerns regarding this agreement to the COR. The NMVAHCS CNH Coordinator will provide oversight and act as a liaison between the VA and the CNH. Duly authorized representatives of the Department of Veterans Affairs shall provide monthly follow-up supervision visits to beneficiaries placed in the Contractor s CNH to assure the continuity of care and to assist in the beneficiary s transition back into the community. It is understood that these visits do not substitute nor relieve the CNH in any way of the responsibility for the daily care and medical treatment of the beneficiary. The Department of Veterans Affairs may evaluate the quality of professional and administrative services provided by the CNH. VA staff will audit at a minimum approximately 20% of the MDS assessments of contracted Veterans. The CNH will provide transportation to and from outpatient and admission appointments. The NMVAHCS can provide transportation assistance for clinically indicated stretcher transports, notification needs to be timely by the contract nursing home. 4.23.1. Transportation Oversight-The nursing home is responsible for complying with all the rules, policies and regulations expressed by the state in which they operate as they relate to nursing facilities providing 24 hours per day protective oversight to their residents. When the veteran is in the outpatient clinic at the VA, s/he still is considered a resident of the nursing facility that is thereby responsible to provide physical assistance and protective oversight. The VA s responsibility in the outpatient clinic is for treatment only. If the contracted nursing home is unable to staff protective oversight the contract nursing home is responsible for rescheduling outpatient clinic appointment to accommodate staffing. In some cases, oversight can be provided by a family member, clergy person, volunteer, or any other person who, in the judgment of the nursing home staff is the non-staff member can responsibly and capably provide the necessary oversight. VA Actions Regarding Serious Quality of Care Deficiencies. In cases of serious deficiencies affecting the health or safety of Veterans or in cases of continued uncorrected deficiencies, VA will take one or more of the following actions in accordance with the terms and clauses of the contract and applicable procurement regulations: Increase VA oversight until the State survey agency clears the deficiency; Suspend placement of Veterans in the CNH; Remove or transfer Veterans under the contract from the CNH; Not renew the contract; or Terminate the contract. VA will authorize CNH placement. Authorizations for CNH placement will be accomplished on a VA Form 10-7078. Each authorization validity period will be from the initial effective date to disposition. Any extension to the original authorization validity period, regardless of the number of days, requires a new or updated VA Form 10-7078. Other VHA activities may utilize this agreement and are authorized to place eligible beneficiaries. It is the Contractor s responsibility to verify the authority of any individual attempting to make a placement and to promptly notify the VA facility s Contracting Officer s Representative (COR) of any placement made by a different VHA activity. Extension of Services: A VA beneficiary may not be provided CNH authorization at the expense of the NMVAHCS for a period in excess of that stated in the initial authorization received from the NMVAHCS, unless an extension of the authorization is provided, in writing, by the NMVAHCS CNH program under the NMVAHCS Community Care-GEC Community Nursing Home Consult/Order. The Contractor shall give full attention to motivating and educating beneficiaries to achieve and maintain independence in activities of daily living to the maximum extent possible. The contractor shall make every effort to keep beneficiaries ambulatory and to achieve an optimal level of self-care. The Contractor shall provide medical services, nursing, social work services, assistance with activities of daily living, activity therapy, case management, nutrition services, rehabilitation, and restorative care The contractor shall provide VA with copies of all State/Federal licensures, certifications, liability insurance, compliance and noncompliance CMS/State/Federal letters, and annual survey and complaint investigation reports when requested. The Contractor shall provide the following documentation for each Veteran for the duration of the agreement. Telephone contact, with written notification to follow, will be made regarding any beneficiary on contract who experiences a sentinel event, death, major change in condition or reports abuse. Telephone contact will be made to the NMVAHCS CNH Program Coordinator. VA requires CNHs to report to the CNH Coordinator any of the following events within 24-hours to 72 hours, or immediately the first business day after a weekend or holiday. Reporting shall include date of occurrence and patient disposition and outcome. Sentinel Events; When there is a change of ownership of the CNH; When there is a change of nursing home Administrator or Director of Nursing Substantiated allegations of mistreatment, neglect, abuse, or misappropriation of CNH Veterans or property; Elopements of CNH Veterans pursuant to state regulations; Infectious Outbreaks; Patient falls or change of condition; Resident to resident or resident to staff altercations involving a CNH Veteran resulting in any injury; Copies of annual ...
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