These facilities meet criteria established in PA 231 to care for COVID-positive residents who become ill and do not meet a hospital level of care. The purpose of the CR Facilities is to provide care in-place with enhanced infection control measures for individuals with confirmed COVID-19 who have not met the criteria for discontinuation of Transmission-Based Precautions and have limited access to the state’s Care and Recovery Centers (CRCs). All approved CR Facilities may retain or readmit after acute care, their own COVID-positive residents. Facilities that are not approved for CR Facility designation must transfer any COVID positive residents to an alternate location.
Increasing the capacity of nursing facilities to care for COVID-positive residents in-place will limit the risks associated with transfer, facilitate additional oversight on infection control measures to ensure safety, and increase surge capacity in a region should it be needed.
MINIMUM PARTICIPATION CRITERIA
Nursing facilities must meet the following criteria to qualify for CR Facility designation:
Has a designated COVID-positive area (designated area can include a portion of a unit, wing, or separate building)
Has designated staff to serve only COVID-positive residents
Has an adequate supply of Personal Protective Equipment (PPE)
Has adequate testing capabilities to comply with any MDHHS orders or CMS requirements
CR Facilities seeking to admit new COVID-positive residents must also meet the following criteria demonstrating enhanced experience and capacity:
The NF has a rating of 2 or higher in the staffing category of the Centers for Medicare & Medicaid Services’ (CMS) Nursing Facility Compare Five-Star Rating by the date of final application approval.
The NF is not designated by CMS in Nursing Facility Compare as a Red Hand Facility, indicating a citation for abuse.
Has experience serving COVID-positive residents.
Has available a qualified healthcare professional designated as the Infection Preventionist (CDC training completed and documented).
Has had no infection control (L-level) citations from LARA in the last six months.
Agree to have facility contact information shared with other NFs and hospitals that may need a place to discharge or transfer COVID-positive residents.
Completed applications must be submitted by 5:00 PM on February 28, 2022.
Questions may be submitted to: MDHHS-iPRAT@michigan.gov