Long-term care hospitals specialize in treating patients with more than one serious condition who, with time and care, may improve and return home. Iowa Department of Inspections and Appeals Health Facilities Division Citation Citation Number: 7038 Date: September 4, 2019 Facility Name: Heartland Care Center Survey Dates: August 12, 2019 - August 20, 2019 Facility Address/City/State/Zip 604 East Fenton Marcus, IA 51035 MW/DC Rule or Code Section Nature of Violation Class Administrative Hearings & Legal Resources. Search for Iowa Housing and Care. Johnson served as legal counsel and deputy legal counsel for more than six years for Governor Terry E. Branstad and then-Lt. The incident happened at the Water's Edge Rehab and Nursing Center in Port Jefferson, the Suffolk County Police Department tells PEOPLE in a statement. Contact us Iowa Code & Administrative Rules Frequently Asked Questions Department Director Residential care facilities (RCFs) provide accommodation, board, personal assistance, and other essential daily living activities. The Iowa Health Care Association says it is working with the state and other agencies to help the residents find a new home. The Iowa Department of Inspections and Appeals (DIA) within the Health Facilities Division informs the public of licensure status of nursing facilities, assisted living and other health facilities. Tenants in ALPs are encouraged to participate in decision-making. Department of Inspections and Appeals Health Facilities Division Citation If, within thirty (30) days of the receipt of the citation, you: (1) do not request a formal hearing or; (2) withdraw . The Iowa Department of Inspections and Appeals has proposed a total of $105,250 in state fines against the six homes. Reporting COVID-19 test results for Long Term Care facilities Slides and Transcript 3.29.22. This would include, but is not limited to, billing for services not provided, charging Medicaid more than the reasonable value of the services and providing services that were medically unnecessary. Home; Organizations; Inspections and Appeals Department; Inspections and Appeals Department Open For Comment 4; All 205; ARC 6911C. Intermediate care facilities for the intellectually-disabled are defined in Iowa Code Chapter 135C and Title 42 of the Code of Federal Regulations (CFR). A swing-bed hospital is a critical access hospital (CAH), participating in Medicare that the Centers for Medicare and Medicaid Services (CMS) has approved to provide post-hospital skilled nursing facility care and meets certain requirements. Note that for the best user experience, DIA recommends using the application in Chrome, Edge, or Safari browsers. Division staff oversee all strategic planning, financials and budgeting, legislative affairs, administrative rulemaking, personnel, purchasing, and public information activities for the department. If any problems are discovered, DIA will work with the facility to ensure compliance with State and federal rules; department staff may also issue disciplinary action, if merited. Administrative Hearings & Legal Resources. Medicaid fraud occurs when a Medicaid provider knowingly makes, or causes to be made, a false or misleading statement or representation for use in obtaining reimbursement from the medical assistance program. The professional licensing board has the authority to license and regulate the professionals under its jurisdiction. The closures mean that. DIA Health Facility Database. The Department of Inspections and Appeals completes an investigative report for review and evaluation by the appropriate board. For additional information, contact: Office of the State Long-Term Care Ombudsman. Records requests can be made by filling out DIA's online form, by phone (515.281.7102),fax (515.242.6863), or mail, or in person at DIA's main office in the Lucas State Office Building, 321E. 12th Street, Des Moines, Iowa 50319. 510 E 12th St., Ste. Intermediate care facilities for persons with mental illness (ICF/PMI) provide room and board and nursing care for those who primarily have a mental illness. Six nursing and assisted living facilities across Iowa are shutting down.The facilities are all owned by Blue Care Homes, LLC. DIAs Health Facilities Division currently maintains a databasevia a separate website where you can search survey reports for specific healthcare facilities. The department's administrative rules (Iowa Administrative Code 481-55) for the newly-createdIowa Code 135Q have been finalized and the new rules implementing HF2521 go into effect beginning Jan. 4, 2023. Intermediate care facilities for individuals with anintellectual disability(ICF/IID) provide health or rehabilitation services for persons with an intellectual disability. If specific complaints or concerns are received, DIA staff may complete on-site inspections in addition to routine compliance inspections. Iowa Code & Administrative Rules | Iowa Department of Inspections & Appeals Iowa Code & Administrative Rules Here you can find links to the sections of Iowa Code and Administrative Rules specifically relevant to the Department of Inspections and Appeals. The latest breaking updates, delivered straight to your email inbox. They are located in four different cities, including Fort Dodge, Winterset, Humboldt and Maquoketa.The Iowa Department of Inspections and Appeals (DIA) told KCCI that the owner of Blue Care Homes told regulators that they could no longer operate its facilities.The closures mean that more than 260 residents are now searching for a new place to live. Please update your bookmarks to the new URL. Last month, a woman in New York was pronounced dead at a nursing home only to be discovered breathing nearly three hours later, police said. The Food Code is based upon food safety recommendations developed by the Food and Drug Administration (FDA), in consultation with representatives from the food industry and regulators, and focuses on public health and the prevention of foodborne illness. The (DIA) said that the facilities are now in receivership by the state. DES MOINES, Iowa (KCRG) - Four nursing facilities and two assisted living facilities have been place in receivership with the State of Iowa Department of Inspections and Appeals (DIA). Nominations are open to all health care facilities licensed under Iowa Code Chapter 135C, which include nursing facilities, residential care facilities, and intermediate care facilities, including those facilities specializing in the care of persons with mental illness or intellectual disabilities. Prior to working in the governors office, he practiced administrative law in Des Moines. Two investigators conduct the investigations for the boards. While the division is required to conduct certain contested case proceedings by statute or administrative rule, it is also authorized under section 10A.801(5) of Iowa Code to conduct any proceeding for any governmental entity on a contract basis. The 89th Iowa General Assembly passed new legislation (House File 2521) during the 2022 session requiring health care employment agencies that provide direct care staff to certain health care facilities in Iowa to register with DIA and pay an annual registration fee. Persons calling in with a specific complaint will be asked if they wish to file a written complaint. DIA handles registration for consumable hemp retailers and manufacturers. All other data updated January 2023. COVID-19 data updated January 15, 2023. They are located in four different cities, including Fort Dodge, Winterset, Humboldt and Maquoketa. You may report provider fraud, waste or abuse by calling Iowa Medicaid Enterprise, Program Integrity Unit at 1-877-446-3787 (toll-free) or at 515-256-4615 (locally in Des Moines). These reports are divided into regions. WHILE WERE VERY CONFIDENT THAT THERE WILL BE SAFE HEALTH CARE PLACEMENT FOR THESE INDIVIDUALS, THEY MAY BE TRAVELING FARTHER AWAY FROM HOME THAN IN THE PAST, WHICH CAN CREATE ADDITIONAL STRAIN ON FAMILIES. Psychiatric hospitals are defined in Title 42 of the Code of Federal Regulations (CFR). All current job listings for the department can be found on the State of Iowa career website. The office accepts only written complaints. Complaints can be filed in one of the following ways: Upon receipt of the complaint in the board office, the Bureau Chief opens the envelope, reviews, prioritizes the complaint and gives it to an administrative assistant. Interactive Checklist for LTC Facilities Experiencing COVID-19 Outbreaks 3.2.22. Several Iowa care facilities for the elderly and disabled have been cited recently for death, injury and resident abuse. As counsel, he served on the Iowa Legislatures Administrative Rules Review Committee as the governors ex officio representative. Boarding homesfive-year review of rules, amendments to ch 66 Published on 2/22/2023 . Health Facilities Division personnel also investigate complaints alleging improper care or treatment of patients, residents, and tenants in licensed and certified entities. Iowa Department of Inspections and Appeals Lucas State Office Bldg 321 E 12th St Des Moines IA 50319-0082 Phone: (515) 242-5991 Fax: (515) 242-5022 E-mail: kzaabel@dia.state.ia.us Legal Authority Code of Iowa 441, Chapter 81 Job Description Certified nursing assistants provide personal care including feeding, bathing, and Elder group homes are defined in Iowa Code Chapter 231B. endstream endobj 241 0 obj <. The Iowa Health Care Association says it is working with the state and other agencies to help the residents find a new home. In addition, DIA staff investigates alleged fraud in Iowa's public assistance programs and conducts contested case hearings to settle disputes between Iowans and various State and local government agencies. The Bureau of Professional Licensure receives complaints for nineteen regulatory boards. Survey teams from the division conduct unannounced on-site inspections at health care facilities to assess the quality of care and services provided to clients, patients, residents, and tenants. I THINK WERE CONFIDENT THAT RESIDENTS WILL FIND SAFE PLACEMENT. (III) 58.28(3) . The Iowa Department of Inspections and Appeals (DIA) told KCCI that the owner of Blue Care Homes told regulators that they could no longer operate its facilities. The three-member Employment Appeal Board is appointed by the governor and serves as the final administrative law forum for State and federal unemployment benefit appeals. If you need to visit the department, the main office is located on the Capitol complex in Des Moines. Staff from long-term care facilities may contact one of the following program coordinators for the following assigned areas. The Iowa Department of Inspections and Appeals' Food and Consumer Safety Bureau is responsible for licensing and conducting inspections at food establishments (grocery stores, restaurants, and convenience stores), food processing plants, and hotels and motels. Prior to the Statement of Charges the Board can not acknowledge that a complaint has been filed. The DIA said it was not allowed to conduct surveys during. The Iowa Department of Inspections and Appeals (DIA) is a multifaceted regulatory agency charged with protecting the health, safety, and well-being of Iowans. Hospice care is not limited to medical care, but also addresses all physical, psychological, and spiritual needs of the patient, as well as the emotional needs of the patients family. The division also includes the Iowa Direct Care Worker (DCW) Registry, which manages the database of certified nursing assistants (CNAs) in Iowa, and the Abuse Coordinating Unit, which asists with the detection, investigation, and prosecution of civil, administrative dependent adult abuse investigations in health care facilities. Des Moines, Iowa 50319-0083. The Iowa Racing and Gaming Commission regulates pari-mutuel dog and horse racing, commercial gambling facilities, sports wagering, and fantasy sports contests in Iowa. Each of the following vendors are accredited by the Professional Background Screening Association (PBSA): Long-term care facility staff may contact the following DIA program coordinatorsdepending on their location. Note that for the best user experience, DIA recommends using the application in Chrome, Edge, or Safari browsers. A uniform complaint procedure assures consistency in processing complaints. Hospitals may be accredited by two different organizations: The Joint Commission or the American Osteopathic Association, both of which meet all Medicare conditions of participation (CoP), except the required provision of active treatment in psychiatric hospitals. The question will be how far away from home? The definition of a swing-bed hospital can be found in Title 42 of the Code of Federal Regulations (CFR). 0 The Iowa Department of Inspections and Appeals is looking into disturbing allegations at a southeast Iowa nursing home. State Licensing for Senior Communities and Care Services in Iowa. The board also hears appeals of rulings of the Occupational Safety and Health Administration (OSHA) and rulings of the Iowa Public Employees Retirement System (IPERS). That means they will eventually shut down. The licensee of a nursing facility shall be responsible for the provision and maintenance of a safe environment for residents and personnel. Homepage Photo Credit: Monte Goodyk/Moment via Getty Images, Health care employment agency requirements, Health Care Employment Agency Requirements [NEW]. All but $1,000 of those fines are being held in suspension while regulators at the Centers [] All complaints needing investigation are referred to the Department of Inspections and Appeals. After hours, on weekends, or holidays, contact:1-800-362-2178. Violation of Iowa Code 204.14A(1) is a criminal offense (serious misdemeanor). The Iowa Department of Inspections and Appeals (DIA) is a multifaceted regulatory agency charged with protecting the health, safety, and well-being of Iowans. Department of Inspections and Appeals of Iowa - Health Facilities Division. Anyone may file a complaint against a licensee by filling out the complaint form found here. Essential, centralized support services for DIA are administered by and coordinated through the Administration Division. Update: See important new information on Mandatory Reporter Training. Providers may select a vendor from this list to conduct the comprehensive preliminary background checks for provisional employment of employees or provisional participation by students. The Child Advocacy Board ensures that the foster care system is working to place each Iowa foster child in a permanent home. STARTS RIGHT NOW. DCW users (CNAs) however, may use a personal email address. STATE AND FEDERAL LAW REQUIRES A 60 DAY PROCESS. License holders may alsologin here to file a gambling report for 2021. Call the Abuse Hotline at 1-800-362-2178, available 24 hours a day, 7 days a week. He was appointed to this role by Governor Kim Reynolds on March 1, 2019. It is important to understand the investigation of a complaint is a lengthy process and in some cases may take up to a year. Residents and family members were given about 48 hours' notice of the evacuation. hbbd```b``3@$:df`r!d e9X0D.*@d4 Xb)-@3.d?w eO Part / Section. dia.iowa.gov. The facilities are all owned by Blue Care Homes, LLC. If the Board determines that there is probable cause for violation of board code or administrative rules you maybe asked to testify at the formal hearing. A report shows that one administrator at Windsor Place Senior Living in . All personnel must . Information on deficiencies comes from a homes last three inspection cycles, or roughly three years in total. 872 Registered Nurse Licensure as Registered Nurse in the State of Iowa by the Iowa Board of Nursing . In cases of a planned closure, the 60-day advance notice goes to the Iowa Department of Inspections and Appeals, which inspects and regulates Iowa's care facilities, as well as the office of the Iowa Long-Term Care Ombudsman, which advocates for older Iowans. Protection of the public is the boards' primary responsibility. A psychiatric hospital primarily provides services surrounding the diagnosis and treatment of mentally-ill persons by a doctor of medicine or osteopathy (M.D or D.O). 2023; State of Iowa | The woman, 82, was pronounced dead at. Nomination forms may bedownloaded hereor obtained by calling the DIA Health Facilities Division at 515.242.5022. DIA provides oversight for nursing facilities, skilled nursing facilities, residential care facilities, intermediate care facilities for the intellectually disabled, hospitals, hospices, home health agencies, programs and facilities caring for children, assisted living programs, and elder group homes. (Facilities not eligible for nomination are assisted living programs, elder group homes, or hospital-based nursing facilities as these facilities are not licensed under the Iowa Code chapter establishing the award program.). DIA-Regulated Health Facilities DIA supports health facilities in Iowa with licensing, certifications, surveys (inspections), and more. Staff within the division work closely with other State and local partners in identifying fraud, waste, and abuse, and where appropriate, forward cases to federal, State, and local officials for prosecution. Residential care facilities are defined in Iowa Code Chapter 135C. Download a PDF of the Guide for Mandatory Reporters (or download the Spanish Guide for Mandatory Reporters). Lucas State Office Building. If you have questions it is best to contact the board administrator for direction. However, that debt represents a small portion of the total amount owed to the state by private care facilities, many of which are owned and managed by for-profit companies. 321 East 12th Street NOTE: If you are an Entity, College, or DIA user you will need to use your organizational email address and not a personal email. The Iowa Department of Inspections and Appeals recently proposed a $29,750 fine for the Timely Mission Nursing Home in Buffalo Center due to the Feb. 27 death of Virginia Olthoff. Inspections and Appeals Department . Rule 481-58.51 - Choice of physician and pharmacy. Title 42 was last amended 2/01/2023. The Iowa Department of Inspections and Appeals (DIA) told KCCI that the owner of Blue Care Homes told regulators that they could no longer operate its facilities. Counties served:Buena Vista, Cerro Gordo, Cherokee, Clay, Dickinson, Emmet, Franklin, Hancock, Hardin, Humboldt, Kossuth, Lyon, OBrien, Osceola, Palo Alto, Plymouth, Pocahontas, Sioux, Winnebago, Worth, Wright, Counties served:Audubon, Boone, Calhoun, Carroll, Crawford, Dallas, Greene, Guthrie, Hamilton, Ida, Monona, Sac, Shelby, Story, Webster, Woodbury, Counties served:Adair, Adams, Cass, Clarke, Decatur, Fremont, Harrison, Jasper, Madison, Mills, Montgomery, Page, Pottawattamie, Ringgold, Taylor, Union, Warren, Counties served:Allamakee, Black Hawk, Bremer, Buchanan, Butler, Chickasaw, Clayton, Delaware, Dubuque, Fayette, Floyd, Grundy, Howard, Mitchell, Winneshiek, Counties served:Benton, Cedar, Clinton, Iowa, Jackson, Johnson, Jones, Linn, Marshall, Poweshiek, Scott, Tama, Counties served:Appanoose, Davis, Des Moines, Henry, Jefferson, Keokuk, Lee, Louisa, Lucas, Mahaska, Marion, Monroe, Muscatine, Van Buren, Wapello, Washington, Wayne. AND 150 STAFF MEMBERS ARE ALSO OUT OF A JOB. If you are making report as a mandatory reporter, you must leave your name and contact information. DIA staff also investigate complaints received regarding improper care or treatment of patients or clients in licensed health facilities. hearing; and (3) pay the penalty, the assessed penalty will be reduced by thirty-five percent (35%) pursuant to Iowa Code section 135C.43A (2013 . A formal hearing before the Board of Examiners or settlement agreement follows the statement of charges. If you are seeking to report dependent adult abuse in a nursing facility or hospital by a staff member, Monday through Friday, 8 a.m. to 4:30 p.m., contact the Department of Inspections and Appeals: 1-877-686-0027 or hfd_complaint@dia.iowa.gov. The Administrative Hearings Division of DIA conducts contested-case and other administrative proceedings for nearly all State agencies and some local government agencies. The DIA HFD application has been upgraded and the URL has changed. The monthly base rate for Iowa nursing homes is typically lower when compared to neighboring states. After reviewing the investigation, the Board may decide to: Close the case; Close the case by writing a confidential letter of education to the licensee; NURSING HOME AND HOME HEALTH COMPLAINT HOTLINE Report complaints to Iowa Department of Inspections and Appeals by calling 1-877-686-0027 or in writing to: Iowa Department of Inspections and Appeals Health Facilities Division/Complaint Unit Lucas State Office Building 321 East 12th Street Des Moines, Iowa 50319-0083 CHILD CARE COMPLAINT HOTLINE The board receives 96 percent of its funding from the federal government based on the number of appeals heard and the time taken to render a decision. Find out how to be added to the registry, how to transfer to the Iowa registry, how to transfer to another state registry, how to stay active on the registry, how to update your own information in the registry, and more. Per Senate File 2299signed on June 1, 2020,the department is required to post a listing of third-party vendors for background checks of potential health facility staff that have been vetted, approved, and provided to the Department by statewide associations of hospitals, health care facilities, programs and providers. Learn how to apply for a social and charitable gambling license, Iowa Administrative Procedures Act, Iowa Code chapter 17A, Visit the Health Facilities Division online database, Visit the Employment Appeal Board website, Visit the Iowa Racing and Gaming Commission website, Preside over telephone or in-person hearings, Write proposed agency decisions in cases on many topics, including drivers licenses revocations and child abuse assessment proceedings, James Strohman,Chair, Labor Representative, Ashley Koopmans, Vice Chair, Public Representative, Myron Linn, Board Member, Management Representative. Iowa Department of Inspections and Appeals Health Facilities Division Citation Citation Number: #6009 Date: February 21, 2023 Facility Name: Windmill Manor The Investigations Division audits health care facilities, and conducts criminal, civil, and administrative investigations of fraud and misconduct. The division is authorized by the legislature in Iowa Code 10A.801, and is governed by the Iowa Administrative Procedures Act, Iowa Code chapter 17A, the division's administrative rules, and the relevant statutes and rules of the agency for which the division is conducting a particular contested case proceeding. Intermediate care facilities for persons with mental illness are defined in Iowa Code Chapter 135C and Title 42 of the Code of Federal Regulations (CFR). %PDF-1.6 % THIS IS A BIG DEAL. "I think we're confident that residents will find safe placement. https://dia-hfd.iowa.gov CNAs may download the application for the Direct Care Worker Registry here. If you wish to file a complaint about an Illinois nursing home, call the Department's toll-free hotline at 1-800-252-4343. Rehabilitation hospitals, or inpatient rehabilitation facilities,provide psychiatric and/or rehabilitation services explicitly excluded, or not paid for, under the Medicare prospectivepayment system. Rule 481-58.50 - Family visits. The Health Facilities Division is the designated state survey and certification agency, responsible for state licensure and federal certification of Medicare and Medicaid programs and other health care providers and suppliers operating in the state of Iowa. Des Moines, IA 50319. AND SINCE THAT TIME, LAURA TERRELL HAS BEEN WORKING TO FIGURE OUT WHATS NEXT FOR THE RESIDENTS AND THE STAFF WHO CARE FOR THAT BLOCK. Under Iowa Code Chapter 235E, the Department of Inspections and Appeals is now responsible for accepting reports of suspected dependent adult abuse in the following facilities and for completing evaluations of these reports: Health care facilities licensed in Iowa Code section 135C.1, Hospitals defined in Iowa Code section 135B.1, You may remain anonymous unless you are making a report as a mandatory reporter. Iowa Adminstrative Code (IAC, alsoreferred to as "administrative rules") are the rules an agency uses to carry out Iowa Code (law). You may comment on all administrative rules open for comment on this website. Close the case by writing a confidential letter of education to the licensee; Make a probable cause determination and proceed to a Statement of Charges against the licensee. The state's Department of Inspections and Appeals said a nurse at the facility checked . Here you can find links to the sections of Iowa Code and Administrative Rules specifically relevant to the Department of Inspections and Appeals. ARC 6908C. If you suspect that an older adult is being mistreated, contact the Iowa Department of Human Services Dependent Adult Abuse hotline at 1-800-362-2178, 24 hours a day, seven days a week. The closures mean that more than 260 residents are now searching for a new place to live. Click here to Access Online Services or to Apply Online, Iowa HHS Bureau of Professional Licensure321 E. 12th St.Des Moines, IA 50319Phone:(515) 281-0254Fax:(515) 281-3121, Online Licensure Services:http://ibplicense.iowa.gov, Office Hours:8 a.m. to 4:30 p.m.Monday through Friday, excluding state holidays, 2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders, Iowa Board of Nursing Home Administrators, Iowa Board of Cosmetology Arts and Sciences, Iowa Board of Physical and Occupational Therapy, Iowa Board of Respiratory Care and Polysomnography, Iowa Board of Sign Language Interpreters and Transliterators, Iowa Board of Speech Pathology and Audiology, https://amanda-portal.idph.state.ia.us/ibpl/portal/, Persons wishing to file a complaint can open the Complaint form below, enter information into the highlighted fields, print the form, sign and mail to the licensure office, or. KCCI AND I FIRST TOLD YOU ABOUT THIS IN BREAKING NEWS AT FIVE. They work as fast as possible to complete the cases. If you suspect a child under the age of 18 is being abused or neglected: Report complaints to Iowa Department of Inspections and Appeals by calling, Iowa Department of Inspections and Appeals, Health Facilities Division/Complaint Unit, 2023 Iowa Department of Health and Human Services, Civil Commitment Unit for Sexual Offenders, If you believe the child is in imminent danger, CALL. In January, the Villa Care Center, 2721 10th Ave. N., and Villa Cottages, 925 Martin Luther King Drive, were among six Iowa nursing facilities owned by Blue Care Homes LLC that were placed under . All staff are bound by confidentiality. Get a list by city or county. Surveyors from DIA conduct routine, unannounced on-site survey visits to assess the quality of care and services provided to clients. The nursing facilities must stay open for 60 days, while assisted living facilities must stay open for 90 days. 2023, Hearst Television Inc. on behalf of KCCI-TV. Iowa Department of Inspections and Appeals Lucas State Office Building, Third Floor 321 East 12th Street Des Moines, Iowa 50319-0083 Phone: 515.281.7102 All current job listings for the department can be found on the State of Iowa career website. Newly disclosed state records show that as of 2022, care facilities in Iowa owed at least half a million dollars either to their own residents or to the state. Iowa Department of Inspections and Appeals In cases of a planned closure, the 60-day advance notice goes to the Iowa Department of Inspections and Appeals, which inspects and regulates Iowa's care facilities, as well as the office of the Iowa Long-Term Care Ombudsman, which advocates for older Iowans. An elder group home (EGH) is a single-family residence operated by a person who provides room, board, and personal care to three to five older adults who are not related to the person operating the residence. Public participation in the formulation of administrative rules helps our state to reform burdensome rules and prevent overregulation or red tape, encouraging efficiency, economic growth and job creation. 321 East 12th Street. THE COURT APPOINTED A TEMPORARY MANAGER TO KEEP THE FACILITIES RUNNING FOR THE NEXT SIX DAYS. They were previously owned by QHC Management. Nominations will also be accepted via the department'sonline nomination form. Please be ready to provide identifying information and the whereabouts of the child. A waiver from rules administered by the department may be granted by the director for good and sufficient reason when the need for a waiver has been established. Submit a complaint for DIA to review about: In Iowa, only certified nursing assistants (CNAs), also referred to as nurse's aides, are placed on the Direct Care Worker Registry. WELL, THAT SAYS THEY SHOULD EASILY BE ABLE TO GET ONE AT ANOTHER FACILITY DUE TO THE ONGOING LABOR SHORTAGE.
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