Florida Agency for Health Care Administration Information on Nursing Home Gold Seal Award / Governor's Panel on Excellence in Long-Term Care

Note, unless marked "NEW," these documents are dated 2010 and earlier.

Determination of Nurse Staffing Adequacy in Nursing Homes
Calculating Staffing for Long Term Facilities, July, 2011
Minimum Staffing Hours per Day Reference Sheet, July, 2011



Florida
2009 Legislative Notice (Nursing Home Changes due to the passage of SB 1986)
2010 Legislative Update
Emergency Status System (ESS) Enrollment Required by April 30, 2010
2010 Medicaid Lease Bond Memo


Consumer Guides
Nursing Home Guide
Nursing Home Watchlist
Nursing Home Guide/Watch List Posting Instructions
Guía de Hogares de Ancianos (Spanish Nursing Home Guide)
Quality of Long-Term Care Facility Improvement Trust Fund (Nursing Homes only)
An effort to use federal Civil Money Penalty funds (fines) to support innovative ideas that directly impact quality of care or quality of life of nursing home residents beyond minimum standards.


Nursing Home Gold Seal Award / Governor's Panel on Excellence in Long-Term Care
Gold Seal Facility Listing
Gold Seal Facility Best Practices
Gold Seal Panel Members

Gold Seal Panel Meetings
May 7, 2008 Meeting
May 27, 2008 Meeting
June 13, 2008 Meeting
August 18, 2008 Meeting
September 16, 2008 Meeting
October 21, 2008 Meeting
December 8, 2008 Meeting
May 14, 2009 Meeting
Gold Seal Applications must be submitted by September 15, 2010 per Florida Administrative Code 59A-4.2015 Facilities Qualifying through December 31, 2010


Applications and Forms (Documents to download as PDF files)
Gold Seal Application
Other Applications and Forms



Transfer & Discharge Forms
Transfer_Discharge_Notice
Spanish Version
Transfer_Discharge_Fair_Hearing_Request
Spanish Version
Transfer_Discharge_LTC_Ombudsman_Request
Spanish Version

Miscellaneous Forms
Adverse_Incident_Report_1_day
Adverse_Incident_Report_15_days
Attestation of Residency
Bed Change Request Form
Bed_Change_Request_Instructions
Bed_Change_Room_List_Form
Emergency Management Planning
Facility Internet Access Form
Fire Incident Reporting and System Failure
Fire Incident Reporting Form
Monthly_Liability_Claim_Information
Staffing Formula Insert

Hotline Posters are available online only; please note the smaller version is acceptable regarding surveys.
Hotline Poster (can be printed on 8 1/2" x 14" or 11" x 17") - English
Hotline Poster (can be printed on 8 1/2" x 14" or 11" x 17") - Creole
Hotline Poster (can be printed on 8 1/2" x 14" or 11" x 17") - Spanish
Hotline Poster (can be printed up to 36" x 48" - special paper/printer required) - English
Hotline Poster (can be printed up to 36" x 48" - special paper/printer required) - Creole
Hotline Poster (can be printed up to 36" x 48" - special paper/printer required) - Spanish

Provider Emergency Contact Information and Resources
Provider Emergency Contact Information and Resources [30Kb .pdf]

Resources
Best Practices for Compliance to Food Sanitary Conditions, January, 2004
Best Practices for Compliance to Resident Dignity, February, 2005
Best Practices for Compliance to Resident Dignity--Powerpoint Presentation, February, 2005
Attachment C: Draft Guidance to Surveyors (Reasonable Person Concept), February, 2005
Culture Change Information, December 4, 2008


Emergency Water Issues and One Week Non-Perishable Food Supply document, March 2003

Federal 5-Day Incident Reporting, March 4, 2008
Federal 5-Day Incident Reporting Form (example), March 4, 2008
FMQA Health Care Quality Improvement Training Info, June, 2003
Hurricane Preparedness Notice and Form for NHs and ICFs, July, 2005


Joint Training AHCA Presentation, January, 2011
Survey Expectations and Regulatory Update
MDS 3.0 Preadmission Screening and Resident Review (PASRR)
MDS 3.0 Section F -- Preferences for Customary Routine and Activities
MDS 3.0 Coding of Section M -- Pressure Ulcers
MDS 3.0 Section Q -- Participation in Assessment and Goal Setting
Nursing Home Round Table Presentation-Orlando, November, 2007
Poster Questions & Answers document May 11, 2000

Quality Indicator Survey (QIS) Training Resource Manual, January, 2011
Overview of the QIS Process
Recommended Guidelines for Adult Protective Services re: Sexual Offenders/Predators, March, 2010
Recommended Guidelines for Nursing Homes re: Sexual Offenders/Predators, March, 2010
Reporting Requirements for Abuse and Neglect, March 6, 2003
SB 1202 Questions & Answers, February 15, 2002

Statewide Provider Training, September, 2001
Statewide Provider Training 1, September, 2002
Statewide Provider Training 2, September, 2002
Statewide Provider Training, November, 2003
Statewide Provider Training, January, 2005

Surveyor Guidance for Hot Water Temperatures, January, 2002
Surveyor Guidance for Taking Food Temperatures, March, 2003

Regulations
Nursing Home Statutes -- Florida Statutes (F.S.), Chapter 400, Part II
Nursing Home Rules -- Florida Administrative Code (F.A.C.), Chapter 59A-4
AHCA Declaratory Statement of American Health Associates Clinical Laboratory, Inc. 
Nursing Home Federal Code -- Code of Federal Regulations (CFR), Title 42, Part 483

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