Hacienda HealthCare closing, shutting down the intermediate care .
The nursing facility the place a affected person was raped and have become pregnant in Phoenix is shutting down the intermediate care unit of their constructing.
Hacienda HealthCare launched a letter to their staff Thursday saying partially, “After cautious consideration, the Board of Administrators have come to grasp that it’s merely not sustainable for us to proceed to function our ICF-ID. Thus, we’ll start to transition purchasers and finally stop operation.”
The Arizona Division of Financial Safety, the state company that ordered Hacienda HealthCare to rent a third-party supervisor, isn’t on board with their choice to close down the ICF unit.
“That is very disturbing information. We need to discover a path ahead that’s in one of the best pursuits of the sufferers — and this strategy isn’t it.
We encourage Hacienda to work with the State to discover a path ahead. State companies are exhausting all efforts to deliver this to a conclusion that’s helpful to the sufferers, a few of whom have been at this facility almost their whole lives. They’re those who ought to come first, with out query. This strategy merely doesn’t meet that take a look at.”
The ICF is the place the sufferer within the rape case, which was first made public by Arizona’s Household in January, was being handled. Phoenix police have since arrested a nurse in reference to the sexual assault.
There are no less than 36 sufferers at present within the ICF, mentioned a spokesman with Hacienda HealthCare.
Earlier this week, Gov. Doug Ducey referred to as on the Arizona Legal professional Normal’s Workplace to research and produce fees in opposition to Hacienda HealthCare.
Hacienda HealthCare launched the next assertion Thursday concerning the closure.
“The Hacienda Healthcare Board of Administrators, after an excessive amount of cautious consideration, has come to grasp that it’s merely not sustainable to proceed to function our Intermediate Care Facility for the Intellectually Disabled. Thus, pursuant to a vote of the Hacienda Board of Administrators on February 1, 2019, we’ll start to transition purchasers and finally stop to function the ICF-ID unit.
“Instantly following the February 1st vote, we notified the State of Arizona of the Board’s choice. Since then, we’ve got been working with the correct state companies to develop a plan to assist the State transition our ICF-ID sufferers to different services. We’ll proceed to work with these companies within the weeks and months forward to make sure an acceptable and protected transition shifting ahead. The care of our sufferers stays our prime precedence and we’ll do every part in our energy to make sure a clean transition for them and their households.”
Learn your entire letter despatched to Hacienda HealthCare staff under.
“Within the greater than half-century historical past of Hacienda HealthCare. our group has by no means confronted a problem as troublesome as what our purchasers and our group have confronted over the previous 5 weeks. Every of you could have responded admirably. You’ve gotten labored lengthy hours and gone the additional mile in each manner potential for our purchasers, their households, your co-workers and for Hacienda
“As you already know, within the aftermath of the unconscionable and unprecedented alleged actions of certainly one of our staff, we’ve got needed to make a posh set of adjustments to just about each side of how Hacienda does enterprise, following directives from a number of state companies. Every of you is to be recommended to your laborious work and your willingness to assist Hacienda’s new management group implement these adjustments immediately and comprehensively. It has not been simple. Every of you could have given your all to make sure that each single Hacienda shopper is protected and cared for as successfully as potential Each state directive has been taken critically.
“As a part of these adjustments. AHCCCS has required Hacienda to rent a third-party supervisor to supervise operations within the Intermediate Care Facility for the Intellectually Disabled (ICF) and the Expert Nursing Facility (SNF). Hacienda’s new management put in place this new group ASAP, once more ensuring to do what the State requested. Sadly, a long run work settlement couldn’t be met.
“After cautious consideration, the Board of Administrators have come to grasp that it’s merely not sustainable for us to proceed to function our ICF-ID. Thus, we’ll start to transition purchasers and finally stop operation.
“For nevertheless lengthy this troublesome transition takes, our obligations to our workers, sufferers, and their households will likely be heightened even past what we’ve got skilled of late. It’s crucial to us that we proceed to serve every of you in one of the best ways potential
“This transition will likely be a group effort, one that won’t happen in a single day and could also be many months. We’ll work with the State carefully throughout this time to make sure each affected person’s security, safety and care as we’ll lead as much as what finally will likely be a tragic goodbye to many beloved sufferers.
“We perceive that it is a troublesome day for a lot of Hacienda group members. Your administration group shares that sorrow. We’ll do every part in our energy to assist each worker impacted by this variation to safe employment inside our different applications the place potential, or throughout the neighborhood. We will likely be providing retention incentives in addition to a severance package deal to staff that assist us see this transition by means of. As a corporation, we’ll do every part potential to get by means of the problem collectively, successfully and with an undiminished dedication to these we serve.
“Once more. Thanks for every part you could have achieved and can proceed to do for our purchasers and this neighborhood.”
Arizona’s Healthcare Value Containment System (AHCCCS) additionally responded to Hacienda’s plan to shut the unit Friday morning with a letter to the power:
“The State is in receipt of Hacienda’s letter dated February 6, 2019 and its discover despatched yesterday to the Arizona Division of Well being Companies (ADHS), relating to its plans to stop operations of the Intermediate Care Facility for People with Mental Disabilities (ICF-IID). As has already been communicated, the State’s paramount precedence is and has been the well being and security of the residents of the ICF-IID. It is because of this the State has issues over the affirmation in your communications that the power will likely be closing with little element or readability in your plan to maneuver ahead. Because the well being and security of those residents may very well be adversely impacted by transitioning them to a different facility, each effort needs to be made to make sure that such a transition isn’t essential; at the moment the State doesn’t trust that Hacienda has offered a plan that meets this take a look at.
Moreover, you agreed, in writing, that you’d make use of a 3rd occasion throughout the timeline offered by the State and subsequently communicated your compliance with this directive. Your February sixth letter confirms your understanding of this requirement. Sadly, Hacienda’s settlement with the third occasion was rescinded, ensuing within the State’s request for a brand new plan. Your February sixth response falls effectively wanting assembly this request.
The response neither supplies readability nor demonstrates intent to adjust to contract provisions or prior directives to fairly guarantee the well being and security of the residents of the ICF-IID – one thing the State finds deeply regarding. Your latest correspondence and statements to the media make it clear that quite than complying with the prior settlement to herald a 3rd occasion and with out a particular plan to handle challenges Hacienda confronted with the third occasion it selected, resembling prices, the Board of Administrators determined to shut the power citing the power’s lack of economic viability.
To keep away from any potential misunderstanding, and to help the State in making certain that the residents of the ICF-IID are protected, the State requests Hacienda to definitively reply the next questions and supply the next data in writing no later than 4:00 p.m., Friday, February 8, 2019:
• Was the vote of the Hacienda Board of Administrators to formally and unconditionally shut the ICF-IID? If the vote was conditional, please present the circumstances. Please present the State with a duplicate of the Board decision.
• How does this choice adjust to paragraph 5 of Hacienda’s contract with DES (ADES 18-00007493) which states: “5. Contract Adjustments. The Contractor shall not terminate the operations of the ICF/IID establishment with out the prior written consent of the Division throughout the time period of this Contract.”?
• Does Hacienda intend the letter of February 6, 2019, to function its discover to DES/DDD that it’s terminating its contract with DES (ADES 18-00007493)? If not, please present a selected date by which that discover of termination will likely be despatched.
• With respect to the ICF-IID, Hacienda notified the Arizona Division of Well being Companies of its plan to shut the power; nevertheless it didn’t point out its intent to relinquish its Medicare/Medicaid certification as required by 42 C.F.R. 438.75, nor was the discover ample. Please present a selected date by which that discover will likely be despatched.
To be clear, it was by no means the State’s want to see the ICF-IID shut down. As acknowledged in our prior communications, the State’s major goal is to make sure that the residents reside in a protected atmosphere and are offered acceptable care by certified people in a fashion that’s protected and that absolutely addresses the residents’ wants and the alternatives of the residents and their households. To be clear, the State doesn’t consent at the moment to the ICF-IID ceasing operations.
Because the State has continued to have staff on website to observe this facility, the State is anxious to facilitate an answer that ensures the continued security of residents whereas shifting ahead and is providing Hacienda two choices: (1) come into compliance with the directive within the January 16, 2019 letter from the State or (2) enter into an settlement with the ADHS to voluntarily allow ADHS to train licensing authority over the ICF-IID pending legislative motion relating to licensure. For extra data relating to the second choice, Hacienda might contact ADHS straight.
As talked about above, the State expects your written response on or earlier than 4:00 p.m., Friday, February 8, 2019.”