Civil Money Penalty (CMP) Funds

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. 

CMP

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

LeadingAge Washington

Start Date: 8/1/21
End Date: 7/31/23

PARO Robotic Therapy Seal Initiative

PARO the Robotic Therapy Seal project will provide nursing home staff with the tools to provide more person-centered care. Interaction with PARO potentially satisfies five needs important in person-centered care: comfort, identity, attachment, occupation and inclusion. This project will provide 25 nursing homes with PARO and this will be a significant contribution to the quality of life for skilled nursing community residents by addressing isolation, depression, socialization, pacing behavior, anxiety, and may also potentially reduce the use of antipsychotic medications.

$344,520.48

Active

Alzheimer’s Association

Start Date: 8/1/21
End Date: 7/31/22

Person-Centered Dementia Care: A Multi-Component Approach for Systems Change

This project provides training and support to implement an on-line Person-Centered Dementia Care Program in four nursing communities in the State of Washington over a 12-month project period. The training program is offered in conjunction with the essentiALZ® exam which demonstrates knowledge of quality care dementia practices and empowers staff to handle the complex challenges dementia can bring and Project ECHO® (Extension for Community Healthcare Outcomes), an evidence-based distance-learning model to bring together members of the long-term care communities and multidisciplinary experts for a six-session collaborative learning series. Lastly, education programs will be available for communities to share with their families to extend this learning community-wide. 

$63,320.28

Active

LifeBio

Start Date: 7/1/21
End Date: 6/30/22

Improving Person-Centered Care Through Engagement, Reminiscence Therapy, and Life Stories

This project will record an individual biography for residents and deliver a bound LifeBio “Storybook” to ensure staff, family and communities are familiar with each resident’s life history.  The goal is to help “elders” (residents) be known as individuals in order to bring increased meaning to their lives.  The project will be implemented in 12 nursing homes for a one year period.  The project aims to create 30 stories per nursing home.  Since being founded in 2000, LifeBio has created more than 14,000 unique and powerful life stories, especially in senior living and nursing homes.         

$134,111.63 Active

LeadingAge Washington

Start Date: 6/1/21
End Date: 5/31/23

PARO Robotic Therapy Seal Initiative

PARO the Robotic Therapy Seal project will provide nursing home staff with tools to be able to provide more person-centered care.  Interaction with PARO potentially satisfies five needs important in person-centered care:  comfort, identity, attachment, occupation and inclusion.  This project will provide three nursing homes with PARO and this will be a significant contribution to the quality of life for skilled nursing community residents by addressing isolation, depression, socialization, pacing behavior, anxiety, and may also potentially reduce the use of antipsychotic medications.       

$44,668.02 Active

Friend to Friend America

Start Date: 5/1/21
End Date: 4/30/22

Friend to Friend Virtual Connection Program

This project will focus on creating a safe, efficient, and effective virtual connections environment to provide residents in three nursing homes in the State of Washington with an opportunity to participate in video calls with their loved ones.  The goal is to reduce feelings of isolation, depression, and loneliness amongst the nursing home residents.  The project’s Virtual Connection’s Manager will work with the nursing home staff to coordinate the of identifying residents, scheduling calls with family members and facilitating video calls between residents and their loved ones.

$113,863.60 Active

NewGen Healthcare

Start Date: 4/1/21
End Date: 3/31/24

Garden Access Responds to Diagnosis & Environmental Needs (GARDEN) 

This project, in partnership with Eldergrow, will implement the GARDEN program in seven skilled nursing homes.  The program brings nature indoors with mobile sensory gardens and give the residents the opportunity to nurture life and feel a sense of purpose.  Eldergrow educators will facilitate therapeutic horticulture classes twice each month.  Residents in these communities are in need of meaningful activities to support their psychosocial and physical wellbeing especially during the global health pandemic.   

$359,620.92 Active

Washington Health Care Association

Start Date: 4/1/21
End Date:  3/31/22

SPARKing Conversation, Connection, and Fun! During COVID-19 and Beyond

This project, in partnership with Silver Kite Community Arts, will provide individual arts engagement toolkits and online art programming to residents in 70 nursing facilities.  The goal is that the art activities will reduce resident stress, strengthen communication skills and boost self-esteem, resulting in a direct improvement to the residents’ quality of life.  SPARK Boxes contain high quality arts supplies, instructions, and ideas to SPARK conversation, connection, and fun!

$161,434.33

Active

University of Washington
Translational Practice and Training Center, Goldsen Institute, School of Social Work

Start Date: 2/1/21
End Date: 1/31/24

Safe Home: Best Practices for Serving LGBTQ and Racial and Ethnic Vulnerable Populations in Washington State Long-Term Care Communities  

The Safe Home training program will address the unique barriers vulnerable older adults face in accessing the care they need in up to 36 nursing homes in WA state.  This program is the first evidence-based training program to address the distinct and intersecting needs of LGBTQ and racial and ethnic minorities in long-term care communities in the State of Washington.  These will be skill-based trainings with a focus on ensuring that direct care staff develop specific and transferable skills resulting in more inclusive care for health disparate, underserved populations.

$580,421 Active

NewGen Healthcare
Start Date:  1/1/2021
End Date:  12/31/2023

Increasing Resident Engagement and Interaction with Eversound – COVID & Beyond

This project, in partnership with Eversound, will be implemented in seven skilled nursing communities in the State of Washington. Hearing loss and impaired sensory processing are challenges faced by nursing home residents and these are linked to psychosocial distress, decreased wellbeing and quality of life. This project will equip the nursing homes with the Eversound technology and provide the training necessary for staff to use it with residents to enable them to fully engage regardless of their level of hearing loss. Eversound is referred to as an “engagement amplifier” and is designed to help deliver sounds directly and without distraction into the ears of those with hearing deficiencies or who lack focus due to dementia.

$231,242.91 Active

The Eden Alternative, LLC
Start Date:  1/1/2021
End Date:  12/31/2022

Creating a Culture of Person-Directed Dementia Care

This project will provide training for nursing home staff in person-directed dementia care to combat loneliness, helplessness, and boredom for nursing home residents. This project will support up to 30 nursing homes and combines in-depth training with personalized coaching and consulting. Residents in these nursing homes will benefit from this project through person-directed care strategies that will improve quality of life as well as help reduce the use of antipsychotics for nursing home residents.

$521,606.89 Active

Cornerstone Healthcare Services, LLC
Start Date:  1/1/2021
End Date:  12/31/2022

Garden Access Responds to Diagnosis & Environmental Needs (GARDEN)

This project, in partnership with Eldergrow, will implement the GARDEN program in five Cornerstone Healthcare Services nursing homes. The program brings nature indoors with mobile sensory gardens and give the residents the opportunity to nurture life and feel a sense of purpose. Eldergrow educators will facilitate therapeutic horticulture classes twice each month. Residents in these communities are in need of meaningful activities to support their psychosocial and physical wellbeing especially during the COVID-19 pandemic.

$245,068.64 Active

Sunshine Health & Rehab
Start Date: 12/1/20
End Date: 11/30/23

Use of Virtual Reality Technology for Improved Social and Behavioral Support

This project will provide the funding to implement a Virtual Reality (VR) technology project.  The project will utilize VR technology to improve the quality of life and care for residents that are experiencing increased depression, anxiety, failure to thrive, and loneliness as a result of the COVID-19 pandemic.  It is anticipated that residents will experience an improved quality of life when the VR technology stimulates cognition, reduces anxiety and depression, and boosts morale to reverse some of the emotional and physical impacts cause by the social isolation residents have experienced during the public health emergency. 

$ 63,687.53 Active

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 five 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:   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

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
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 Completed
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 integrated engagement technology, which offered 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 enhanced the quality of care and life for residents in 21 facilities.
         

$817,561

Completed
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
Wound 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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