Nursing Home Civil Money Penalty (CMP) Reinvestment Projects
Civil Money Penalties (CMP) are monetary penalties (fines) imposed by the Centers for Medicare and Medicaid Services (CMS) against nursing facilities that have failed to maintain compliance with federal requirements. A portion of these funds are returned to States and may be used for projects supporting activities that benefit nursing facility residents or that protect and improve their quality of life or care. CMP funds may be used for, but not limited to the following:
- Training
- Transition preparation
- Culture change/quality of life
- Projects that support resident and family councils
- Resident transition due to facility closure or downsizing
The Agency for Health Care Administration began this project in 2005 in an effort to use federal CMP funds (fines) to support innovative ideas that directly impact quality of care or quality of life of nursing home residents beyond minimum standards. The ideas proposed must be innovative to the facility, the state or to long-term care.
Resources
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Florida Civil Money Penalty Reinvestment Program Brochure
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AHCA Frequently Asked Questions
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- CMS Frequently Asked Questions[
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CMP Funds Application
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- Allowable and Non-Allowable Uses of CMP Funds[ ]
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Example CMP Application Budget Template
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Standard Grant Agreement Language
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- 42 CFR Part 488
- CMS - Civil Money Penalty Reinvestment Resource
- Civil Money Penalty Reinvestment Program (CMPRP) Revisions - QSO-23-23-NHs[ ]
Approved Projects
| Entity | Project | Award | Term |
|---|---|---|---|
Edu-Catering | Twelve Months of Proactive Practices to Reduce Falls – The project will educate nursing home professionals simple, doable, no cost, individualized and proactive practices that can reduce falls when intentionally implemented while also individualizing care and supporting resident-directed living. | $140,220.00 | 08/01/24-07/31/27 |
| Sabal Palms Health and Rehabilitation | Compassionate Touch®: A Caregiving Technique to Improve Resident Wellbeing and Promote Recovery from COVID Related Isolation – The project will provide a non-pharmacological solution, Compassionate Touch® (CT), to help reduce unnecessary use of antipsychotic medication in dementia care while actively engaging nursing home residents, staff members, and family-care partners. | $4,827.60 | 08/01/24-07/31/25 |
| Palm Healthcare Management, LLC | The Java Project: Addressing Social Isolation and Loneliness – This project will implement the suite of Java Group Programs. The purpose of Java Group programs is three-fold: 1) to develop staff capacity to build a culture of peer support and peer mentoring with training and advisory support provided by Dr. Kristine Theurer; 2) to implement a structured approach to peer support and mentoring through the JavaGroup Programs; and 3) to assess the programs from a perspective of the resident, volunteer and staff participants and share the results.
Final Report
[
| $189,952.00 | 05/01/23-04/30/24 |
| Orlando Lutheran Towers, Inc. d/b/a The Commons at Orlando Lutheran Towers | The Commons Goes Virtual Project – The primary purpose and goal of the project is to reduce social isolation which will result in a significant contribution to the quality of life of the nursing home’s residents. The virtual reality (VR) platform will allow residents to share their immersive experiences with fellow residents, family members, friends, and staff. The virtual reality experiences will be a great discussion starter and in turn should help build a stronger bond with family members. It is anticipated that residents who are enjoying experiences independently or as a group are excited to share their experiences with other residents. | $17,100.00 | 04/01/23-03/31/26 |
| Long-Term Care Consultants, LLC | SNFClinic – The primary purpose and goal of SNFClinic™ is to provide comprehensive, accurate, and cost-effective tools to ensure that nursing homes are providing high quality care to their residents. SNFClinic™ will assist the home in the development of systems to demonstrate better pathways contributing to better resident satisfaction and outcomes, benefitting both residents and the home through evidenced-based educational trainings for the enhancement of care delivery for the resident. | $795,100.00 | 07/01/22-06/30/25 |
| Florida Post Acute Care Clinicians, LLC (Vohra Wound Physicians) | Florida’s Wound Care Excellence Program for Skilled Nursing Facilities – This program is designed specifically for nurses in skilled nursing facilities to improve the care they deliver, raise their level of education, and close the knowledge gap present in wound care provided across the State of Florida. The online nurse education program in wound care was developed in Florida and is the optimal system for raising the standard of nursing care for Florida’s fragile, primarily senior population.
Final Report
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| $208,554.45 | 02/01/22-01/31/23 |
| Second Wind Dreams | Virtual Dementia Tour Comprehensive Experiential Education Program – Second Wind Dreams will provide Virtual Dementia Tours (VDT) and Dementia Aware Competency Education (DACE) to 125 Florida certified nursing homes over a two-year period. This evidence-based, patented program is an educational tool to assist people in identifying with and better understanding the needs of those living with dementia, which results in a relationship between caregiver and resident based on increased understanding. Second Wind Dreams will focus on enrolling one and two star rated nursing homes, nursing homes with memory care units and facilities receiving deficiency citations at F-744 for the treatment and services provided to residents living with dementia.
Final Report
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| $1,110,112.07 | 01/01/22-12/31/23 |
| Florida Health Care Education and Development Foundation | The CaregiversFL Career Program – The Program goal is to increase the number of direct care staff available to work in Florida nursing homes and will work to recruit 3,000 certified nursing assistants (CNAs) into Florida’s long-term care workforce over a two-year period.
Final Report
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| $1,868,730.00 | 10/01/21-09/30/23 |
| It's Never 2 Late, LLC | The iNSPIRE Project – This project will implement the It's Never Too Late (iN2L) program in seventeen (17) nursing homes. The person-centered project will aim to improve all aspects of the residents' lives - social, cognitive, spiritual, physical and emotional well-being. The iN2L offers diverse solutions for resident engagement to help reduce social isolation.
Final Report
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| $926,573.56 | 08/01/21-07/31/24 |
| LeadingAge Florida, Inc. | Eldergrow GARDEN Project – This project is an interactive and purposeful resident project that brings nature indoors with indoor therapeutic gardens and a team of Eldergrow Educators who teach therapeutic horticulture classes.
Final Report
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| $1,074,003.57 | 06/01/21-08/31/24 |
| FMDA-The Florida Society for Post-Acute and Long Term Care Medicine | Leveraging Clinical Staff Engagement Through Education in PALTC Project – This project will provide partial scholarships to eligible physicians, advanced practice nurses, physician assistants, consultant pharmacists, nurse administrators, registered nurses and nursing home administrators to FMDA's Leveraging Clinical Staff Engagement Through PALTC - A Certificate Program. Participants who complete the program will be empowered on numerous levels to provide better patient-centered care to skilled nursing facility residents.
Final Report
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| $197.500.00 | 04/01/21-03/31/23 |
| The TRECS Institute | Advancing of the Quality of Care for Nursing Facility Residents while Reducing the Spread of COVID-19 to Residents and Staff through the Effective Use of Telemedicine Project – This project will attempt to reduce the spread of COVID-19 and the frequency of avoidable hospital admissions and readmissions; improve resident health outcomes; and reduce overall health care spending without restricting access to care through telemedicine services. This project will be implemented at twenty-eight (28) nursing homes.
Final Report
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| $368.319.00 | 03/01/21-05/31/22 |
| Perry Facility Operations LLC d/b/a Perry Oaks Health Care | The Java Project: Addressing Social Isolation and Loneliness COVID-19 and Beyond – This project will implement the suite of Java Group Programs. The purpose of Java Group programs is three-fold: 1) to develop staff capacity to build a culture of peer support and peer mentoring with training and advisory support provided by Dr. Kristine Theurer; 2) to implement a structured approach to peer support and mentoring through the JavaGroup Programs; and 3) to assess the programs from a perspective of the resident, volunteer and staff participants and share the results.
Final Report
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| $10,388.00 | 03/01/21-02/28/23 |
| The Commons at Orlando Lutheran Towers | Patient Centered Care Project – This project will implement the It's Never Too Late (iN2L) program. The person-centered project will aim to improve all aspects of the residents' lives - social, cognitive, spiritual, physical and emotional well-being. The iN2L offers diverse solutions for resident engagement to help reduce social isolation.
Final Report
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| $99,030.00 | 03/01/21-02/28/24 |
| VirtuSense Technologies | Reducing Falls with AI; Proactive Approach to Mobility Improvement and Fall Prevention – This project is designed to help improve the mobility level and reduce the risk of falls for nursing home residents. The use of artificial intelligence (AI) technology, called VSTBalance, will allow nursing staff to conduct advanced assessments capable of providing clinicians and residents with real-time feedback on each resident’s musculoskeletal and functional capabilities using a comparison with normative data.
Final Report
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| $395,640.00 | 08/01/20-07/31/23 |
| Florida Post Acute Care Clinicians, LLC (Vohra Wound Physicians) | The Florida Wound Care Excellence Program – This program is designed specifically for nurses in skilled nursing facilities to improve the care they deliver, raise their level of education and close the knowledge gap present in wound care provided across the State of Florida. The online nurse education program in wound care was developed in Florida and is the optimal system for raising the standard of nursing care for Florida’s fragile, primarily senior population.
Final Report
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| $175,500.00 | 05/01/19-04/30/20 |
| Edu-Catering | Replacing Alarms and Reducing Falls with Better Practices – The purpose of this project is to teach and coach nursing home professionals how to replace alarms with better person-centered care practices and give teams more promising practices for reducing falls.
Final Report
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| $90,000.00 | 04/01/19-07/31/22 |
| Senior Health TNF LLC D/B/A Whispering Oaks | The Electrotherapy System Project – The Recipient requested funds to purchase an electrotherapy system. The purpose of this project is to improve quality of care directly to the residents by reducing pain thus improving overall quality of life. The project will also benefit residents by motivating them to utilize therapeutic services from the rehabilitation department; improving range of motion, preventing muscle atrophy, building strength and increasing tissue growth to heal wounds.
Final Report
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| $5,018.98 | 04/01/19-09/30/19 |
| University of Louisville | LTC Quality Improvement Initiative using Clinical Practice GuidelinesTM– This project will develop a CMS regional website, inclusive of Florida certified nursing homes; and to create access to Clinical Practice Guidelines (CPG) and other peer reviewed educational resources, with opportunities for continuing professional education credits. The focus will be on four professions: Medicine, Nursing, Social Work, and Nutritionists/Dieticians.
Quality Improvement Flyer
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| $482,753.00 | 01/01/18 - 12/31/20 |
| Florida Atlantic University | Reducing Avoidable Hospitalizations – To reduce avoidable hospitalizations in Florida certified nursing homes and educate residents, family members, and nursing home staff. This project will be accomplished by the dissemination and training of the family and resident Decision Guide, "Go to the Hospital or Stay Here?" statewide. The guide will be available in 6 languages.
Final Report
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| $119,255.10 | 10/01/17- 3/31/20 |
| TRECS Institute | Integration of a Telemedicine System and Outcome Measurement Platform into Nursing Facilities to Improve After-Hour Medical Care – This program will implement novel telemedicine services into the Florida nursing facility market and evaluate its effectiveness at reducing avoidable nursing home to hospital admissions. This project will provide telemedicine services for 4 nursing homes.
Final Report
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| $275,000.00 | 01/11/17-04/18/18 |
| Generativity LLC | Developing a One-Hour Version and Spanish Versions of Two Evidence-Based Training Programs to Improve Person-Centered Care and Outcomes in Nursing Homes: Bathing Without a Battle and Mouth Care Without a Battle – To provide training programs to improve person centered care and outcomes in nursing homes in Florida. This project will provide DVD trainings to nursing home providers statewide in English and Spanish.
Final Report
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| $143,776.00 | 11/21/16-10/31/18 |
| American Medical Directors Association (AMDA) | Developing a Curriculum and Training Program for Clinical Practitioners and Staff on the Younger Adult in the Long-Term Care Setting – To improve the quality of care and quality of life for younger adults utilizing long term care (LTC) services by providing advanced training to nursing home staff. This project will provide three trainings that are available to nursing home providers and staff statewide.
Final Report
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| $517,330.00 | 08/11/15-08/31/17 |
| Health Services of Palatka | To develop a "Community Courtyard Wellness Enhancement Project" which involves renovation of three existing courtyards and transform them into areas for residents and visitors.
Final Report
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| $96,172.00 | 10/08/14-10/07/15 |
| Children's Comprehensive Care Center | To implement an assistive technology program which will improve the quality of life for pediatric residents.
Final Report
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| $11,428.21 | 09/22/14-09/21/15 |
