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~a <br />Comment: This is provided by the Triangle JAr•ea Agency on Aging Ombudsman <br />Program, with assistance from the Nursing Home and Adult Care Home Community <br />Advisory Committees. <br />Objective #110: Develop and implement county-wide quality of life standards that long <br />term care and service providers must meet or be subject to county ordinance penalties <br />adopted by Orange County Board of Commissioners. (Bx. Lincoln Co.. model) (Goal IV-B) <br />Comment: Meetings were held regarding the Lincoln County Model, and the task force <br />deemed the development of a separate ordinance unnecessary. <br />Objective #111: Drawing on the contents of Senate Bill 10, implement county ordinances <br />that require truth in advertising for all long term caze services: adult day, hospitals, adult <br />care homes, nursing homes, home health agencies, hospice, etc. (Goal IV-B) (Reference <br />Senate Bill 10-Long Term Caze Safety Initiative-Special Care Disclosure Act section) <br />Comment: Senate Bill 10 reguired a Special Care I/nit Disclosure Act for all adult <br />care homes who advertise or put themselves out to be a Special Care Unit (Alzheimer's/ <br />Dementia Care). The Disclosure Acl reguires specialized b°aining, specialized slaffng, <br />specialized activities, specialized care plans, etc.. The state Division of Facility Services <br />has allowed a loophole for, facilities, enabling them to be exempt, from the reguirements <br />of the Special Care Unit Disclosure Act if they don't "advertise "themselves as a special <br />care unit. Advocates contend that locking your doors constitutes 'putting yourself out to <br />be" a Special Care I/nit (SCII). Residents who are locked behind closed doors must <br />have a diagnose that supports a locked unit. This loophole must be closed Another <br />caveat is the cost,for specialized staffing. Staffing 1 stafffor every 8 residents, as <br />reguired in SCUs, is more expensive than staff ng 1 stafffor- every 20 residents, as <br />required in a typical adult care home setting. For this reason, very, few facilities <br />accepted Special Assistance (government assistance) for• residents residing in SCIIs. <br />Legislation was passed in 200.5 to increase the Special Assistance reimbursement rates <br />,for SCT1s. <br />Objective #112: Study the need for an increase in the number of Community Advisory <br />Committee members (grassroots ombudsmen) who visit adult care homes and nursing <br />homes to advocate for resident rights. (Goal IV••B) <br />Comment: Lack of staff.' Additional CAC members would require additional training <br />from the Long Term C"are Ombudsman program, which is already stretched thin. <br />V. BABY BOOMERS: THE FUTURE OLDER POPULATION <br />GOAL V-A: To develop programs and services for future older <br />persons (baby boomers) that promote personal responsibility for <br />their health and well being and utilize their skills and talents. <br />Accomplishments -None for Goal <br />Unmet Objectives <br />Objective #113: Plan and implement an annual pre-retirement educational workshop(s) <br />for Baby Boomers. (Goal V-A) <br />Comment: Lack .staff time and resources. <br />23 <br />