MI HB5609

Creates new Part 221 establishing federal certification procedures for nursing homes under Medicare requirements, including survey protocols, citation review processes, and reporting standards aligned with Centers for Medicare and Medicaid Services guidelines.

Requires nursing home surveyors to complete 10 days of training at a licensed facility before beginning oversight responsibilities and prohibits assignment to the same facility for one standard survey following their training period.

Establishes dining assistant positions with 8-hour department-approved training curriculum to provide feeding assistance to nursing home patients under nurse supervision, subject to criminal history checks.

Implements informal dispute resolution process allowing nursing homes to appeal citations through peer review organizations, with departments required to adopt peer review recommendations and quarterly quality assurance reviews.

Requires department to report annually to legislature on nursing home survey metrics including citation appeals, survey timeliness, complaint patterns, and enforcement actions, with reporting by March 1 each year.