Virginia Regulatory Town Hall
Agency
Department of Social Services
 
Board
State Board of Social Services
 
chapter
Auxiliary Grants Program - As of 2013, a regulation of the Department of Aging & Rehabilitative Services [22 VAC 40 ‑ 25]
Action Amend Auxiliary Grant Program
Stage Proposed
Comment Period Ended on 4/16/2010
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4/13/10  11:31 am
Commenter: Frankie Minor 20 years administrator

General comments about this amendment,contents,purpose its harm and what its all about.
 

I realize the cost of funding the auxiliary grant is a burden on the state,because it comes from the general funds.We are trying to get better programs in place to help fund assisted living for the poor.Until that time it is very important for the a.g. homes to survive.Allowing the 90 day residency requirement to become a standard or law would hurt and would be another issue facing the a.g.home in it's ability to survive ,because of it low reimbursement rate.If the money needs to be controlled for this fund ,why not consider a certificate of need for new assisted livings.I find the reasoning for this ,saving the bed for a Virginia resident hard to believe.I have never turned down a appropriate Virginia resident for care in my facility regardless of pay ,in fact I have taken many Virginia residents with no income,placed at my facility by local d.s.s.,many homeless or inability to survive in the community.We can always reserve 2 or 3 bed for Virginia residents ,if we ever got to that point.At any rate I would like to see some documentation of any virginia resident being turned away for acceptance to an alf because no bed were available,because they were taken up by people from out of state.So therefore if you cannot show me documentation ,I would consider this statement to be inaccurate and just another way to impose harm or punishment to the a.g. home .We have taken care of many difficult residents for many years and continue to do so from our own state.We have in the past accepted and tried to care for some difficult residents from other states as well.We did not know any better.This was before any new regs.were passed that required pre- screening and a possible fine for $10,000 on a facility who brings in a potential dangerous resident to your facility,regardless of where their from.So facilities do everything possible to make a safe and livable suitable environment ,and not having the risk of being fined a large amount ,possible putting the a.g.home out of business.This was probable all brought on by mental health ,because some of the more difficult residence from other states were admitted to alf's and almost immediately or later required long term hospitalization in a state facility,therefore placing a financial burden on the state and taking up a bed intended to be more for a Virginia  resident.I have heard this from my local mental health facility and have met with them and shared concerns about this and understood and have virtually eliminated this issue.It seems a little overkill on this issue ,but as you can tell no one speaks for a.g.alfs and what good services they have provided and the money they have saved the state ,as a major downsizing of mental health institutes from the 80's.This was a very difficult job that most people would not consider.We are better facilities with improved regs.We do not need the 90 day resident requirement to be approved.If the above is the issue ,it has been taken care of.Look at ways to help us and our fellow man in need not hurt us .The pros far outweigh the cons,of not allowing 90 day residency requirement.Most people making these rules and regulations have never been in a home and have no empathy with low income and high care residents involved Its time for the tide to turn.

CommentID: 13984