Issue: September 17, 2018

Published on November 8, 2018

Articles in this issue:

Paid Feeding Assistant Program and Ancillary Service Assistant Template

Author: Lisa Volk

The use of new roles and care delivery models to help to supplement the nursing staff can be implemented within your facility. We have been discussing a couple programs in different forums recently and have been requested to send out two of them to help members. They are the Paid Feeding Assistant Program & the Ancillary Service Assistant to help complement the nursing staff. Both programs will be discussed at the Town Hall meeting on this Thursday 9/20/18 from 11 am -12 noon. These programs may be new to some facilities and others may have these programs in place.

Remember ancillary services consist of individuals who:

• Provide direct, task-specific, time-limited care to residents.

• Support the services that facilitate care of residents.

• May or may not be located where the residents receive their routine care (depending on the size of the nursing home).   

Paid Feeding Assistance Program:

Nursing homes may elect to use non-licensed health care professional nursing home employees as feeding assistants, including administrative, clerical, recreational activity and housekeeping staff.  The home may also elect to employ part-time employees to work exclusively as feeding assistants.  The nursing home must determine if the required feeding assistant training will be provided in-house by the facility or if the facility will only be utilizing previously training paid feeding assistants as permitted.  

Nursing homes may not assign a feeding assistant to perform any additional hands-on tasks or services to or for residents.  All feeding assistants work under the supervision of a registered nurse or licensed practical nurse and can only feed or assist residents who do not have complicated feeding problems.  Feeding assistants will be restricted to providing eating and hydration assistance only in congregate dining rooms (areas) of the nursing home [415.13(d)(4).   See links below to the DAL and PFA program.

Create an ancillary service position to assist the nursing staff:

This employee would be responsible for assisting with resident care support services, feeding assistance, and resident transport.  This employee must be able to read facility documentation including but not limited to, meal cards, resident ID bracelets or bands, input sheets, feeding/hydration assignments, etc. As a member of the facility staff, the Unit Assistant must be able to understand directions provided verbally and in writing from supervisors. When providing feeding assistance to a resident it is critical that this employee converse with each resident.

See attached template job description


Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

DOH Minimum Wage Survey Reminder

Author: Carl J. Pucci* Published in Finance & Reimbursement

A reminder that the 2019 Minimum Wage Survey is due this Friday, September 21, 2018.

Below is the DOH memo:

NYS Department of Health

Office of Health Insurance Programs

Bureau of Residential Health Care Reimbursement 

2019 Minimum Wage Survey 

Dear Administrator:

Please find the attached letter requesting information from your facility regarding the State’s Minimum Wage increase from January 1, 2019 through January 1, 2021. The Department is surveying health care providers to determine the financial impact of scheduled minimum wage increases over the coming years. 

Please complete the survey found at using employee wage data from April 1, 2018 through June 30, 2018 for your facility. Please include in the count of hours for all direct care workers for which your agency can produce a payroll record, including direct contracted staff. 

REMINDER – The survey deadline was extended from the original attached letter, and they are due by COB Friday, September 21, 2018 

If you have any questions regarding the Minimum Wage Survey, please send an email with the subject line Minimum Wage to, and Jada Eberle will get back to you. 


Carl J. Pucci
Chief Financial Officer
518-462-4800 x36

2018 Advanced Administrator Program - Application Deadline Extended to 9/25/18

Author: Amanda Vandenburgh

The six (6) day Advanced Nursing Home Administrator Course is designed as part of the FQC Long Term Care Leadership Institute. Nursing Home Administrators who have successfully completed the basic Nursing Home Administrator Leadership course and/or those with over two years of experience are encouraged to apply. The LNHA competencies are used  as the basic framework for the design of the curriculum, but have been built upon to enhance the skills and process methods administrators utilize to lead their teams.

For brochure and application, Click Here.


Foundation for Quality Care Contact:

Amanda Vandenburgh

518-462-4800, ext. 21


Author: Rick Patterson

NYSHFA / NYSCAL will be sponsoring a BRONZE Quality Award Workshop on Thursday, October 25, 2018 at Noble Health Services in Syracuse, NY.  6.0 CEUs have been applied for.  The times for the Workshop have changed and are 8:30 AM to 3:30 PM.  This will be a “hands-on” workshop giving all attendees the basic framework to complete their AHCA / NCAL Bronze Level Quality Award Application. Workshop Flyer and Application AttachedApply Early !!!

Rick Patterson
Sr. Director, Business Development
518-462-4800 ext. 19

New LTC Trend Tracker Publication Coming Soon!

Author: Nancy Leveille* Published in Clinical & Quality

AHCA is excited to announce that a new publication will be released in LTC Trend Tracker, Your Quality Initiative Progress, tomorrow, Tuesday, September 18. They wanted all of us to be aware that this publication is forthcoming and spread the word for SNF providers to be on the lookout for this new publication. 

The Your Quality Initiative Progress publication will feature metrics and graphs that outline an individual SNF’s progress through the Quality Initiative 3.0. Please visit their website for additional information on the Quality Initiative. In addition, NYSHFA will be able to access all of our state’s centers’ publications and be receiving Excel workbooks that rank NYS’ facilities in the number of Quality Initiative goals achieved-to-date and other data, one week following the individual PDF publications release. 

To prepare for this new publication, AHCA is asking that you please add to your safe-sender’s list to ensure the publication will be delivered directly to your inbox! If you miss the email tomorrow, you can still log into LTC Trend Tracker to view and download the publication, from the left-hand menu of your LTC Trend Tracker page. 

Should you have any questions at all, please reach out to the LTC Trend Tracker Customer Service team at

We thank you for your continued support of promoting and utilizing LTC Trend Tracker! 

Julie Painter
Vice President, Constituency Affairs & Governance
American Health Care Association (AHCA) 


Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

2018 GHFA Health Care Conference

Author: Scott Jackson

On Wednesday, October 10th the Genesee Health Facilities Association will host their Health Care Conference at the RIT Inn and Conference Center. The Health Care Conference is a day of education that benefits personnel in every facility. We have carefully structured the Health Care Conference to give participating facilities maximum exposure to issues that affect all parts of your operation. We have thoughtfully created a program that will touch on the resident care and billing aspect changes that will affect every facility in the year to come. Today, administrators cannot do it alone; they cannot be an expert in every aspect of every discipline – the demands in each area are just too great. The presentations in this full day of education will help all departments become better prepared for the daily responsibilities they face. Click here for more details. 


Last Chance to Register! 37th Annual Health Care Open


On September 24th, NYSHFA/NYSCAL will host the 37th Annual Health Care Open at the Van Patten Golf Club in Clifton Park.

Click here for additional details. Sponsorship opportunities are available.