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2020-01-22 CC Packet
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2020-01-22 CC Packet
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State will review the applicant's policies, procedures, and intended operating <br />guidelines. The facility's staffing levels will be part of this review by the State. <br />The applicant employs personnel with professional experience of having worked in the <br />field of providing care at assisted living or memory care facilities. The applicant does <br />not currently own or operate assisted living or memory care facilities. The applicant has <br />not yet obtained licensure to operate its proposed facility. They intend to apply for <br />licensure within one year. Issuing an Interim Use Permit will afford them the opportunity <br />to move forward with constructing the facility knowing they have interim approval for <br />use of property as a senior living/memory care facility. Should they fail to obtain their <br />necessary licensure, an Interim Use Permit will allow the land to revert to a state where <br />future owners will be required to apply for land use permissions based on the individual <br />circumstances of their proposed use. <br />Public Safety Services <br />Memory care and assisted living facilities can be associated with an increased number <br />of calls for emergency public safety services. This type of patient population has greater <br />needs for medical services and are at a greater risk for injury. The applicant will operate <br />a 16-unit senior living/memory care facility. The relatively small size of this facility means <br />the business model will employ less staff than would a larger facility. With less staff at the <br />facility to address patient matters, the facility's staff may need to call 911 for support. <br />Any assisted living facility will proportionally increase calls for emergency services simply <br />due to the type of patient population served by these facilities. However, the City <br />should be concerned with the potential for increased costs for emergency services if <br />911 calls were used to supplement the applicant's facility staffing. <br />The Mayo Clinic studied emergency medical utilization of assisted living facilities in <br />Olmsted County, Minnesota.' In one finding the report concludes, <br />Data findings show that one-third of visits from [Assisted Living Facilities] to <br />the [Hospital Emergency Department] occurred during weekends and <br />after traditional clinic hours. Traditional primary care medical models <br />featuring ambulatory clinic hours (8 am to 5 pm) may not meet the <br />current and future needs of medically complex older adults. <br />To operate this facility the applicant proposes, "Our staff will consist of two people on - <br />site during the day and one overnight." The applicant submitted three proposed staff <br />policies and procedures to the City regarding their response to emergency situations. <br />The proposed policies and procedures will be subject to State review at the time they <br />apply for their operating licensure. <br />It is reasonable for the City to place operating conditions on the facility to ensure that <br />an increase in emergency service is the responsibility of the applicant, and not the City. <br />' A Comparison of Emergency Medical Service Utilization in Assisted Living and Long -Term Care <br />Facilities, Ericka E Tung, MD, MPH, Mayo Clinic, Annals Of Long -Term Care, Sept/Oct 2017. <br />2 <br />
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