Date: March 7, 2012 Project: Construction of New Nursing Facility in Bucksport, Maine. Proposal by
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- Maine’s Population Trends and Implications for Proposed Projects
IV. Public NeedA. From Applicant “The project seeks approval to construct, operate and maintain a new 61 bed NF facility with an attached residential care level IV component. This project specifically addresses the need to provide a stable, modern health care facility within Bucksport, Maine. Further the project specifically addresses the need for services in the Greater Bucksport area that meet all the regulatory requirements including room size, common areas, reasonable accomodation for those with disabilities and that improve the operational efficiency of services including energy efficiencies.” “The project will also help met the projected need for NF beds over the coming decades.” “Services will be available to all residents in the planned service areas who qualify for nursing facility or residential care based upon their health and payor status. All facilites will have and will follow non-discrmination practices for admission and employment at the facilities.” Maine’s Population Trends and Implications for Proposed Projects “The 2010 U.S. Census report and a 2010 report by the Muskie School of Public Service titled Older Adults and Adults with Disabiites: Population and Service Use Trends in Maine 2010 are referenced in this section and each provides unique insight helpful in understanding the projects expected contribution to health problems as measured by health needs in the areas to be served.” “Pertinent Muskie Report Highlights Maine has one of the oldest populations in the country, ranked 4th in 2008 and is projected to rank 2nd by 2020 Rural Maine has a higher proportion of older adults ~ approximately 80% of Maine’s towns are classified as rural by CMS The number of working age adults available to care for older adults is declining Older adults in Maine often live in poverty and with a disability, particularly in rural areas resulting in poor health status In 2007, Maine ranked 38th among states in the number of nursign facility beds per 1,000 persons age 65-and –above Nearly two-thirds of the 14 nursing facility closures or conversions in Maine between 2001 and 2008 were among the samller facitities, those with fewer than 50 beds In 2008, nearly half of Maine’s nursing facilities were larger than 60 beds Nearly 3-out-of-10 Maine nursing faciity beds are in buildings in need of replacement – 30% In 2008, Washington County has 61 NF/Rescare beds per 1,000 age 65+ compared to state average of 56 (35 NF 21 Rescare) In 2008, Hancock County has 43 NF/Rescare beds per 1,000 age 65+ (25 NF 18 Rescare) compared to state average of 56 (35 NF 21 Rescare)” Census 2010 Highlights Last 20 years population shift away from Washington County2 Largest growth in Waldo and Hancock Counties Ellsworth centrally located in Hancock – fastest growing city in Maine Need - Population and Census Data Conclusions “As noted above according to the 2010 census report, there continues to be a significant population shift away from Washington County. The declining population trend has impacted our Calais facility over the years and resulted in a de-licensing of over fifty (50) NF beds since 1994.3” “Hancock County has a lower than average ratio of total beds per 1,000 persons 65+ as of 2008 and if service level and bed count remained static over the next twenty years that ratio would decline significantly based upon the expected growth in age cohorts most likely to utilize either residential care services or nursing facility services. According to Muskie data, the age 65+ cohort in Hancock County will grow by 47% to 13,049 persons by 2020, eight years from now. Applying the state average of 56 beds per 1,000 over 65, results in a need for Hancock County of 731 total beds by 2020. Hancock County has as of 2007, 227 NF beds and 160 residential care beds for a total of 387 beds or 52% of the potential need in eight years. Sixty-five percent of persons over the age of 65 were living with an annual income below the federal poverty level.” “Bucksport has many formal and informal ties to Waldo County. It serves as the regional retail hub for several Waldo County towns including Verona Island, Prospect and Stockton Springs,. Its school system also formally hosts students from towns in Waldo County most commonly based on proximity to Bucksport.” B. CONU Discussion Criteria Relevant criterion for inclusion in this section are specific to the determination there is a public need for the proposed services as demonstrated by certain factors, including, but not limited to: Whether, and the extent to which, the project will substantially address specific health problems as measured by health needs in the area to be served by the project; Whether the project will have a positive impact on the health status indicators of the population to be served; Whether the services affected by the project will be accessible to all residents of the area proposed to be served; and Whether the project will provide demonstrable improvements in quality and outcome measures applicable to the services proposed in the project. ii. CON Analysis The CONU informed the Office of Elder Services (OES) about the proposal and provided the office with copies of the application. OES reviewed this application and determined that the project met OES’s criteria for consistency with their expected demands for nursing care beds for the area served by the facility. The project will increase the availability of beds. The new facility serves primarily the Bucksport Area. Facilities in this area typically demonstrate higher occupancy levels. Bed need is a measurable health need. First Atlantic HealthCare has a higher ratio of skilled care occupancy compared to its peers. The current operators of the facility provide competent care and have provided evidence that the programs in place will assure positive health outcomes. iii. Conclusion CONU recommends that the Commissioner find that First Atlantic HealthCare has met their burden to show that there is a public need for the proposed project as demonstrated by certain factors, including, but not limited to: (1) Whether, and the extent to which, the project will substantially address specific health problems as measured by health needs in the area to be served by the project; (2) Whether the project will have a positive impact on the health status indicators of the population to be served; (3) Whether the services affected by the project will be accessible to all residents of the area proposed to be served; and (4) Whether the project will provide demonstrable improvements in quality and outcome measures applicable to the services proposed in the project. Directory: dhhs -> mecdc -> dlrs -> c o n -> 2012 -> documents dhhs -> Adults only school, Home, and Office: Examples of Inhalants and Safer Alternatives mecdc -> 2014 immunization provider vaccine agreement documents -> Date: November 6, 2012 Project documents -> Date: November 17, 2011 Project: Construction of Replacement Nursing facility for Collier’s Healthcare in Ellsworth, Maine. Proposal by Download 190.23 Kb. Share with your friends:
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