Civil Money Penalty (CMP) Funds

Announcements

NEW! Funding for In-Person Visitation Aids

CMS has developed the COVID-19 In-Person Visitation Aids Request Application Template for the use of CMP Reinvestment funds to provide nursing homes with in-person visitation aids, such as tents and clear dividers.  When completing the application, be sure to include any shipping and handling costs, taxes, and installation costs on the application as we can only reimburse expenses that have been approved.  The total of all costs cannot exceed $3,000 per facility.  Please review the application and the FAQs carefully prior to completing the application.

COVID-19 In-Person Visitation Aids Application / FAQ / Related Administrator Letter

Funding for Communicative Technology for Nursing Homes

As of mid-August 2020, funding for communicative technology has been approved for more than 140 nursing homes in the State of Washington, totaling over $400,000.  Recognizing that visitor restrictions may be difficult for residents and families, CMS developed a special application template for requests to use CMP reinvestment funds to provide nursing home residents with adaptive communicative technologies. The funds can be used to purchase devices such as iPads and tablets as well as accessories like protective covers, headphones, and device cleaning and disinfectant products.

Communicative Technology Application / FAQ / Related Administrator Letter

CMP Grant Specialist Melissa Lawton shares, “This funding for communicative technology will truly make nursing home residents lives better. Video chats with family members are more important than ever during this unprecedented time of COVID-19. This program will allow residents to communicate with their families and bring families together, wherever they may physically located. These devices will also allow residents to have telehealth visits with medical providers to assist in keeping them safe and healthy.”

 

 Nursing Home Grant Program

Washington state participates in the Civil Money Penalty (CMP) Fund Grant Program.  Civil money penalties (CMPs) are fines imposed on nursing facilities that do not meet federal health and safety standards.  Washington state receives a portion of the funds collected to be reinvested in support of projects that improve the overall quality of life and/or care of nursing facility residents. 

Nursing facility providers, stakeholders and other organizations are encouraged to submit CMP fund grant applications for the development and implementation of quality improvement initiatives that directly or indirectly benefit nursing facility residents.   Learn more

States must obtain approval from CMS before using federally imposed CMP funds to pay for projects. The Department will evaluate applications using criteria developed by CMS and published in CMS QSO -19-19-NH abd CMS S&C 12-13-NH. 

Application & Resources

Approved Projects

 

Grantee and Dates of Project                                                         

Project Summary

Amount Awarded

Status

Pennant Healthcare, Inc.
Start Date:  7/1/20
End Date:  6/30/23

Moments of Truth to Engage, Nurture, Stimulate, Inspire, Grow and Network (ENSIGN) with It’s Never 2 Late (iN2L)

This project will provide the iN2L engagement technology to nine Pennant Healthcare, Inc. facilities in Washington.  The iN2L is a comprehensive, multi-dimensional approach to engaging residents in life-enriching activities and rehabilitation interventions.  The iN2L offers thousands of computer based experiences through technology with continuous training and support of staff to ensure program consistency and sustainability.  The goals are to reduce opioids and antipsychotic medications and reduce falls through the use of the technology. 

 $638,066 Active

Alzheimer’s Association
Start Date:  7/1/2020
End Date:  6/30/2022

Dementia Care Practice Recommendations:  Organization-Wide Coaching and Implementation

This project, Dementia Care Practice Recommendations:  Organization-Wide Coaching and Implementation in Washington, will provide coaching to 25 nursing homes in Washington State.  The project promotes person-centered care practices based on the Alzheimer’s Association Dementia Care Practice Recommendations (DCPR).  It is anticipated that residents will benefit from increased quality of care, including lower rates of anti-psychotic use.  

 :  $370,240 Active

LeadingAge Washington
Start Date:  7/15/2020
End Date:  7/14/2022

Garden Access Responds to Diagnosis and Environmental Needs (GARDEN)

This extension project, in partnership with Eldergrow, will implement the GARDEN program in six additional LeadingAge WA facilities.  The program brings nature indoors with mobile gardens and gives residents the opportunity to nurture life and feel a sense of purpose.  Eldergrow educators will facilitate therapeutic horticulture classes twice each month.

  $133,766 Active
LeadingAge Washington
Start Date:   12/1/2018
End Date:    12/1/2020
 
It's Never 2 Late (iN2L)       
The iN2L engagement technology is a comprehensive approach to engaging life enrichment activities, redirection and rehab interventions for senior living residents.  The project integrates engagement technology, which offer thousands of computer-based experiences; continuous training and support for staff to ensure project sustainability; and data collection and assessment to demonstrate quantitative and qualitative outcomes.  The funds provided through this grant will enhance the quality of care and life for residents in 21 facilities.        
         

$817,561

 Active
LeadingAge Washington
Start Date:   9/1/2019
End Date:   12/31/2021
 
Garden Access Responds to Diagnosis and Environmental Needs (GARDEN)
This project, in partnership with Eldergrow, will implement the GARDEN program in 31 LeadingAge facilities.  The program brings nature indoors with mobile gardens and will give residents the opportunity to nurture life and feel a sense of purpose.  Eldergrow educators will facilitate therapeutic horticulture classes twice each month.
 $706,496 Active
 
Western WA University Palliative Care Institute
Start Date:   8/31/2018
End Date:   8/31/2021

 
 
Touch of Grace
This project is a video-based training program on palliative and end-of-life care for nursing home staff, including all non-licenses support staff.  Funding will support the implementation of a pilot project in a local skilled nursing facility with a staff of over 200.  Training is intended to increase the understanding of palliative care in both professional and non-profession staff and shift staff attitudes and behaviors toward a culture where palliative approach is welcome and supported. 
 

$58,345

Active
New York University
Rory Meyers College of Nursing
Start Date:  1/1/2020
End Date:  12/31/2022
 
Nurses Improving Care for Healthsystem Elders (NICHE)
The NICHE Program will provide nurses and certified nursing assistants in 30 nursing homes in Washington State with specialized education and clinical leadership development training to implement evidence-based clinical practices to improve the care of older adults. The program begins with an eight-week Leading Training Program (LTP) during which nursing leadership teams develop an action plan aimed at enhancing two clinical care areas. Shortly after completing the LTP, facility staff complete the Staff Training Assessment (STA) administered by the Cornell Survey Research Institute.  The STA assesses staff and organizational capabilities to deliver evidence-based care targeting common health problems experienced by older adults, and nursing homes receive feedback aimed at supporting their prioritization of opportunities for improvement.  Front-line staff complete a comprehensive continuing education program to extend their knowledge, skills, and clinical competencies to appropriately respond to the needs to older adults.  The NICHE Program has been proven successful in preventing falls, reducing potentially inappropriate medications, and helping healthcare providers to care for patients with dementia.
 $644,234 Active
LeadingAge Washington
Start Date:   12/1/2019
End Date:   2/28/2022
It’s Never 2 Late (iN2L)
The iN2L engagement technology is a comprehensive approach to engaging life enrichment activities, redirection and rehab interventions for nursing home residents.  The project integrates engagement technology, which offers thousands of computer-based experiences; continuous training and support for staff to ensure project sustainability; and data collection and assessment to demonstrate quantitative and qualitative outcomes.  The funds provided through this grant will enhance the quality of care and life for residents in three facilities.  LeadingAge Washington has been implementing the iN2L project since 12/01/2018 through a currently ongoing grant.  This grant extends the iN2L project to three additional nursing homes.  
 

$96,103

 Active

Franklin Hills Health - Spokane
Start Date: 9/1/20
End Date: 8/31/23

Enriching Our Seniors Lives with It’s Never 2 Late (iN2L)  This project will provide the iN2L engagement technology to Franklin Hills nursing community in Spokane, Washington.  iN2L is a comprehensive, multi-dimensional approach to engaging residents in life-enriching activities and rehabilitation interventions. The iN2L offers thousands of computer based experiences through technology with continuous training and support of staff to ensure program consistency and sustainability. The goals of the project is to improve resident quality of life by addressing the life enrichment needs and individual interest of residents. 

 $25,712.14 Active

Pennant Healthcare, Inc.
Start Date: 8/1/20
End Date: 7/30/23

Garden Access Responds to Diagnosis and Environmental Needs (GARDEN) This project, in partnership with Eldergrow, will implement the GARDEN program in nine Pennant Healthcare Washington nursing communities.  The program brings nature indoors with mobile gardens and give residents the opportunity to nurture life and feel a sense of purpose.  Eldergrow educators will facilitate therapeutic horticulture classes twice each month.  Residents will benefit from increased socialization, cognitive stimulation, sensory stimulation, spatial awareness, motor skills and creative expression, resulting in improved quality of care and life. 

 $419,450 Active

LeadingAge Washington
Start Date: 8/1/20
End Date:  7/31/22
 

iNSPIRE (Integrate Fun, Sustainable, Programming that is Innovative and Enriches) Extension This grant extends the project to an additional five nursing homes. With the implementation of the iN2L Program, the additional facilities will be able to provide personalized life-enriching, re-engaging, and redirecting activities to residents resulting in increased quality of life for all participants.

 $233,567.13 Active

LeadingAge Washington
Start Date: 8/1/20
End Date:  1/31/21

SPARKing Conversation, Connection, and Fun! During COVID-19 This project, in partnership with Silver Kite Community Arts, will provide individual art kits and online art programming to residents in 44 nursing facilities.  The goal is that the art activities will reduce resident stress and increase engagement, resulting in a direct improvement to the residents’ quality of life.  will be able to provide personalized life-enriching, re-engaging, and redirecting activities to residents resulting in increased quality of life for all participants.

 $133,550.11 Active

Christian Health Care Center (CHCC)
Start Date: 9/1/20
End Date: 8/31/22

Cycling Without Age During the COVID-19 Pandemic This project will provide the funding for two trishaws and other equipment to allow residents to experience “the wind in their hair” and enjoy a ride around the surrounding area to get fresh air, a change of scenery, and gain a sense of freedom and bring them joy.  The goal of the project is increase resident well-being at CHCC during the challenging times brought on by the pandemic and for participating residents to experience a decrease in their PHQ9 Depression Scale scores. 

 $23,633.21 Active

Completed Projects

Grantee and Dates of Project                                                          Project Summary Amount Awarded Status
Woodard Creek Healthcare, Inc. for Olympia Transitional Care and Rehabilitation Canter
Start Date:   5/31/2019
End Date:    12/31/2019
Music & Memory 
This project will bring the Music and Memory program to the facility.  The funds will be used for training, equipment and the purchase of the Music and Memory certification.  Outcomes for nursing home residents should include decreased behavioral symptoms with increased mood, engagement and interaction with others, and improved cognition/memory.
 $15,493 Completed
LeadingAge Washington
Start Date: 9/15/2017
End Date:  5/1/2019
Music & Memory
This project provided funds to 42 facilities in Washington State for the implementation of the Music and Memory program.  The funds were used for training, equipment, and the purchase of the Music and Memory certification.  Outcomes included decreased behavioral symptoms with increased mood, engagement and interaction with others, and improved cognition/memory. 
 $124,486 Completed
Pennant Healthcare, Inc.
Start Date:  10/1/2019
End Date:  12/31/2019
 Would Care Education Course This project funded 18 members of nursing staff (two from each of the nine Pennant Healthcare, Inc. nursing facilities in Washington) to attend the University of Washington’s Fundamentals of Wound Care Education course.  The course included both online and in person hands on sessions.  Health professionals practicing in the long-term care setting should be well versed in pressure ulcer management, risk factors, prevention and the management of pressure ulcers. $ 12,510 Completed

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