Missouri House Minority Leader Crystal Quade this week introduced legislation to ensure minimum staffing levels at assisted living facilities and to provide more transparency about their owners.
Quade, D-Springfield, who is a candidate for governor, to the public Friday outside the now-closed Northview Village nursing home in St. Louis. The facility made national headlines in December when it abruptly closed overnight.
The operators of the facility said they were unable to pay staff, and the closure displaced more than 170 residents, confused families and left more than 180 workers without jobs.
The bill would establish minimum staffing for assisted living facilities, require a professional nurse to serve as a director of nursing and designate a charge nurse for each shift.
It would also require owners to submit an application that discloses companies the facility does business with and real estate investment trusts.
Northview鈥檚 closure was a 鈥渢ragic reminder of what can happen when facilities are allowed to go understaffed and without proper oversight,鈥� Quade said. 鈥淢issourians deserve to know that their family is cared for, and those responsible for that care are trained, staffed properly and will be held responsible.鈥�
Lenny Jones, state director of the Service Employees International Union, which represented many of the former Northview staff members, said the owners bought the facility on North Kingshighway and then charged rent to a separate LLC within the same ownership group.
The bill would keep such deals in check, Quade said.
鈥淐ompanies will create an LLC 鈥� but then create another company that they then charge rent for, and then they're profiting off of that rent,鈥� she said. 鈥淲hen the rent increases go up, then that impacts staffing hours, how much folks are paid. And that's one that this legislation would prevent.鈥�
Medicare records show several people who live out of state owned shares in Northview Village.
The two families that own the biggest stake in the company could not immediately be reached for comment.
Proponents of the legislation said the nursing home industry is vulnerable to nonlocal business owners who cut staff to maximize profit, which leaves workers and residents at risk.
鈥淣ursing homes are being bought by venture capitalists and other out-of-state interests,鈥� Jones said. 鈥淭hey're stripping assets from the homes, decreasing staff to resident ratios and moving money to their other businesses. They don't care about the people they're impacting, and they don't care about our communities. They only care about their bottom line.鈥�
In January, the Missouri Department of Health and Senior Services released a critical account of Northview Village鈥檚 overnight closure.
鈥淭he facility failed to take measures to ensure security of the residents and staff during the evacuation and failed to secure resident belongings from theft. The failures jeopardized the health and safety for all residents and staff,鈥� according to the DHSS report.
Correction: A previous version of this article misnamed the Missouri Department of Health and Senior Services.
