{"report_id":213,"form_id":"23","user_id":81,"organization_id":10,"question_id":"124","question_type":"Free_Text","text_answer":"\"Note: a key part of the example of drift stems out of this...The staff attached to the roommate who passed away would often intervene in de-escalating and responding to the person\u2019s physically aggressive behavior...then additional system constraints with DWRS impacted not being able to change the staff ratio to 2:1.\"\r\n\r\nAnother impact of staff being unable to consistently redirect behaviors with one staff was the staffing level dropped in the home in 2017 after a roommate passed away. When the person passed away, the home reduced their staff level to coincide with the reduced reimbursement that came from that person\u2019s residence in the home. The staff attached to the roommate who passed away would often intervene in de-escalating and responding to the person\u2019s physically aggressive behavior. When the roommate passed away, the provider inquired about adding a staff but were told that 2:1 staff couldn\u2019t be reimbursed. This was impacted by the county not moving forward with the rate exception due to the needs of the person not changing, which in turn was influenced by the banding for the state rate allowing limited rate increase for service intensity.","created_by":81,"updated_by":81,"updated_at":"5\/25\/2021 10:22:03 am","created_at":"5\/25\/2021 10:22:03 am","id":15784}