OHCA 2020 Oregon Long Term Care State Report

www.ohca.com Oregon Health Care Association 18 Compliance Oversight and Quality Oregon’s long term care system continues to evolve and has recently implemented new federal and state standards to improve the quality of care. In 2017 and 2018, the Oregon Legislature passed legislation that enhanced training requirements for caregivers, increased civil monetary fines, required professional licensure and oversight of administrators, and launched the nation’s first set of quality measures for community- based care settings (assisted living facilities, residential care facilities, and memory care). In 2019, the legislature passed legislation to enhance the infectious disease prevention and mitigation requirements for community-based care providers. Breadth of Oversight Licensed long term care providers are subject to thousands of pages of federal and state rules and regulations. They are also scrutinized by a wide range of oversight and advocacy agencies. Providers are required to meet federal, state, and local compliance standards for resident care, safety, and quality of life. Oregon nursing facilities continue to implement the Centers for Medicare and Medicaid (CMS) new Rules of Participation and community-based settings are set to be in full compliance with the CMS Home and Community-Based Care standards well before the March 2022 compliance deadline. Government Oversight By Licensed Setting in Oregon SKILLED NURSING ASSISTED LIVING (ALF) RESIDENTIAL CARE (RCF) MEMORY CARE (MC) ADULT FOSTER HOMES IN-HOME CARE HOSPITALS US Centers for Medicare & Medicaid Services (CMS) DHS APD Safety, Oversight & Quality Unit DHS Adult Protective Service Investigators DHS Compliance Surveyors DHS Complaint Surveyors DHS/AAA Case Managers DHS Criminal Background Check Unit DHS/APD Contracting Requirements Long Term Care Ombudsman Fire & Safety Officials OHA Licensing OHA Certificate of Need TOTAL 11 10 10 10 10 4 4