What is it called?

• An "Assisted Living Residence" provides care to 3 or more adults
• An “Alternative Care Facility” is an Assisted Living Residence that can accept Medicaid reimbursement

What services are provided?

• All Assisted Living Residences are required to provide:
• Room and Board
• Personal Services, including a safe environment, 24-hour supervision, assistance with daily activities, recreational activities, and arrangement of transportation
• Protective Oversight, including the monitoring of the changing needs of residents in order to ensure that they receive the necessary services
• Social Care
• Limited assistance with medication

• Who can be admitted?
• Adults needing assistance with daily activities and other intermittent nursing needs
• Residents requiring the administration of oxygen

Who is inappropriate?

• Private Pay Assisted Living Residences:
• Adults who need a level of care or service they facility does not and cannot provide
• Adults with uncontrollable incontinence, unless this incontinence can be kept from being a health hazard
• Bedridden Adults, unless adult becomes bedridden while residing in the facility and a physician determines the facility can meet the resident's health needs
• Adults who need 24 hour nursing services
• Adults who must be restrained
• Adults with communicable diseases or infections
• Adults with substance abuse problems

• Alternative Care Facilities:
• Adults needing more than intermittent skilled services
• Adults with acute, untreatable illnesses
• Adults who cannot or will not meet own hygiene needs
• Adults with ambulatory limitations (unless they can be assisted)
• Adults consistently unwilling to take medication

What training is required for direct care staff?

• Initial Training:
• Needs of the population and resident’s rights
• General First Aid
• Medication administration
• After one month:
• Emergency and fire procedures
• Assessment skills         
• Infection control
• Dealing with difficult situations and behaviors

Is nurse staffing required?

• Not specified.

Is there any public payment available?

• Yes.  A Medicaid home and community based services waiver covers services in alternative care facilities.  Facilities are reimbursed on a flat rate based on residents' income. 

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