What is it called?

• The official licensure term is “Assisted Living Faciliites”
• The term "Assisted Living Home" is used when the home serves 10 or fewer residents
• The term “Assisted Living Center” is used when the center serves 11 or more residents

• The term "Adult Foster Care" is used when an Assisted Living Home provides adult foster care
• Each type of facility can be licensed as providing supervisory care, personal care, or directed care services

• What services are provided?

• Supervisory Care Services include:
• General supervision
• Daily awareness of resident functioning and continuing needs
• Crisis intervention
• Self-administration of medication
• Personal Care Services include:
• Assistance with daily activities (performed by non-professionals)
• Provide or coordinate intermittent nursing services
• Administration of medications and other treatments by a licensed nurse
• Directed Care Services include:
• Personal care services for people unable to recognize danger, summon assistance, express need, or make basic care decisions

• Who can be admitted?
• Supervisory Care Services:
• Adults who need help with daily activities that can be performed with professional skills or professional training
• Personal Care Services:
• Adults who need help with daily activities
• Adults who need intermittent nursing
• Directed Care Services:
• Adults who need Personal Care Services, but cannot direct that care themselves

Who is inappropriate?

• Must be refused admission:
• All Facilities
• Adults who require physical or chemical restraints
• Adults who require services the facility is not able to provide
• Adults who endanger the health and safety of others
• Personal Care Services
• Adults who cannot direct their own care
• Adults needing continuous nursing services
• Bed bound Adults, unless it is due to a short term injury or the facility has made special arrangements with the resident for their extra care
• Adults with stage 3 or 4 pressure sores; unless written authorization by a physician is obtained or the resident is under care of a home health agency or hospice agency
• Directed Care Services
• Adults needing continuous nursing
• Bed bound Adults unless it is due to a short term injury or the facility has made special arrangements with the resident for their extra care
• Adults with stage 3 or 4 pressure sores unless written authorization by a physician is obtained or the resident is under care of a home health agency or hospice agency

• Can be evicted:
• Residents who are ineligible under admission guidelines (see above)
• Residents with an issue of medical urgency
• Residents who fail to pay or violate their contract
• Exceptions to eviction
• Residents who need continuous nursing services that are able to contract with licensed hospice services to provide that care

What training is required for direct care staff?

• All Staff:
• Certified in First Aid and CPR
• Complete 6 hours of annual training related to promotion of resident dignity, independence, self-determination, privacy, choice and resident rights

• All Caregivers:
• Must be trained at the level of service the facility is licensed to provide
• Have a minimum of 3 months of health-related experience
• Complete a minimum of 2 hours of ongoing training for every 12 months of employment

• All Certified Managers:
• Training for all levels of care plus an additional 8 hours of training
• Supervisory Care Services:
• Complete 20 hours of training, or the time necessary to prove competency prior to beginning work
• Completes 6 hours of continuing education per year
• Personal Care Services:
• Complete 30 hours of training, or the time necessary to prove competency prior to beginning work
• Caregivers must also be competent in providing supervisory care services
• 8 hours of continuing education
• 50 hours total of training
• Directed Care Services:
• Complete training required for Supervisory and Personal Care level, plus an additional 12 hours of training prior to beginning work
• 10 hours of continuing education 
• 62 hours total of training

Is nurse staffing required?

• Not specified

Is there any public payment available?

• Yes.  The Medicaid program may pay for assisted living services through a Home and Community Based Services Waiver.

For More Information See: