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​Civil Money Penalty Fund

Civil Money Penalties (CMP) are one statutory enforcement remedy available to address nursing facility noncompliance in the Medicare and Medicaid programs as defined in sections 1819(h) and 1919(h) of the Social Security Act. CMP funds must be used for activities that protect or improve the quality of care or quality of life for nursing facility residents. All activities and plans for utilizing CMP funds must be approved in advance by the Centers for Medicare and Medicaid Services (CMS). As of July 1, 2015, the following activities have been approved by CMS.

Fall 2015 CMP Grant Award Recipients

Kane Regional Center - RistCall Patient Care                $50,000
"The RistCall Solution introduces a wireless wearable call bell system in a wrist watch like device... Residents raise their requests through icons on these devices, and calls are routed
through a remote server... The Ristcall Patient Care Pilot will improve the resident's access to assistance from caregivers without the limitation of mobility."

Care Pavillion Nursing & Rehabilitation Center - Music Therapy                 $41,450
"The purpose of this project is to increase the quality of lie of nursing home residents who are cognitively impaired with an organized Music Therapy Program... The project is expected to
benefit nursing home residents by reducing falls and other behavioral problems while stimulate their mental status and open a dialog of reminiscing."

Spring 2015 CMP Grant Award recipients

County of Northampton Gracedale Nursing Home – Therapeutic Garden and Recreation Area          $50,000
"The purpose of this project is to provide…secure outdoor space for our residents and…increase resident-centered care."

Fulton Medical Center - Sensory Integration through Horticulture and Music Therapy                        $50,000
"The purpose of our program is to improve dementia care…by using holistic approaches to optimize behavioral health."

Carbondale Nursing and Rehabilitation Center - Outdoor Improvements to Promote Positive Change        $44,900
"The purpose of this project is to promote culture change within the facility through constructing and outdoor environment that supports the physical, cognitive, and emotional needs of the residents."

Applications and instructions for facilities interested in the grant opportunities may be found here

Pennsylvania Restraint Reduction Initiative/Manage, Assess, Plan, Intervene, Teach (PARRI/MAP-IT)
FY 16/17: $977,990
FY 2015/2016       $933,783

FY 15/16 - End of Year Report
FY 16/17 - End of year Report

Since 1996, PARR staff has:

  • Conducted hundreds of local, state and national education training programs through a variety of methods on a wide range of topics and performed thousands of on-site consultations
  • Developed more than 40 long-term care facility training sites across the Commonwealth, which hosted hundreds of educational programs for staff, nursing home residents and their families.
  • Educated over 200 nurses to become certified wound treatment associates, enhancing their ability to prevent pressures ulcers and provide appropriate wound care, if necessary.
  • The Department of Human Services requested that the Centers for Medicare and Medicaid Services (CMS) extend the PARRI-MAP/IT program for fiscal year 2017/2018. CMS denied the request based on CMS policy S&C: 12-13-NH that prohibits using civil money penalties to fund projects for more than three years and Kendall Outreach, LLC ceased all PARRI/MAP-IT activities on October 31, 2017.
  • DHS is appreciative of the work and education the PARR/IMAP-IT staff accomplished over the past 21 years
  • Pennsylvania has partnered with Kendal Out reach, LLC to deliver technical assistance and learning opportunities focused on reduction of physical and chemical restraints in long- term care settings.

The PARRI/MAP-IT Program improves the care and services provided to nursing facility residents in Pennsylvania's MA nursing facilities through regional programs that provide education, support and mentorship of caregivers. Training opportunities for nursing facility staff include restraint reduction, prevention of pressure ulcers, wound treatment, infection control, person-centered dementia care and reduction of unnecessary antipsychotic medications. And although the focus is nursing facility residents, it can have a positive impact on those receiving home and community based services. For example, a pressure ulcer prevention program for nursing facility residents who are admitted for rehabilitation care and their families is scheduled to be developed in FY 2015-2016.

Training Materials

  • How to reduce urinary tract infections through evidence-based practices
  • Infections and the Environment, Hand Hygiene and Beyond
  • Stop the Parasites Within: a toolkit to Eliminate the Scabies itch Mite
  • Wound Infections: Causes and Cures
  • Lessons from the Field: Pearls for improving Your Care Practices