The Kendal idea embraces nationwide outreach. The work of the first program, Untie the Elderly®, began in 1986, and subsequently resulted in federal legislation in 1990 requiring nursing facilities to consider the effects of restraint use on the well-being of residents.
A Kendal subsidiary, Kendal Outreach LLC, shared Kendal’s approach to quality care with consumers, advocates, providers, government agencies, and related organizations. It served the long-term care industry by providing education and training to health care professionals, providers, and consumers; demonstrating care methods proven to enhance outcomes for older people; partnering with like-minded individuals and institutions interested in quality care techniques; and fostering the spirit of generosity by broadening Kendal’s mission beyond Kendal’s walls.
Pennsylvania Restraint Reduction Initiative
Grant-funded beginning in 1996, the Pennsylvania Restraint Reduction Initiative (PARRI) served the state for more than 20 years. PARRI was praised for providing leadership, direction, and technical support to more than 700 long-term care providers throughout the Commonwealth.
Pennsylvania saw a 97.6 percent drop in physical restraint use from 1996 to 2015. The training team provided free assistance to Pennsylvania facilities not only on physical restraint elimination, but also chemical restraint reduction, fall management, bed and side rail safety, family/staff relationships, pressure ulcer prevention and dementia care training.
PARRI was dissolved on Oct. 31, 2017, because the Centers for Medicare and Medicaid Services (CMS) denied the Pennsylvania’s Department of Human Services request to extend grant funding for PARRI. The denial was based on a new CMS policy that prohibits using civil money penalties to fund long-term projects for more than three years. PARRI was funded by state grants financed by civil money penalties levied against Pennsylvania nursing homes found to be out of compliance with standards for long-term care.