{"report_id":221,"form_id":"23","user_id":81,"organization_id":10,"question_id":"104","question_type":"Free_Text","text_answer":"Other staff were unwilling to cover this shift because the home is further away than most of the provider\u2019s other homes. Also, the asleep shift was likely to be awake because the person was known for having challenging behaviors.  Further supporting staff\u2019s unwillingness to cover this shift was that they would only receive $10\/hour.\r\n\r\nThis RMS rate then affects the provider determining they could pay overnight staff $10\/hour for asleep shifts.  \r\n\r\nAnother influence was the Minnesota State Legislature, who creates laws governing provider rates, enforcing a 7% decrease in reimbursement rates to providers in July of 2018.  This impacted the provider\u2019s ability to give an annual raises to staff and in turn influenced the provider having a staff shortage.","created_by":81,"updated_by":81,"updated_at":"5\/25\/2021 10:28:56 am","created_at":"5\/25\/2021 10:28:56 am","id":16225}