What is it called?

• Assisted Living Homes

What services are provided?

• Assisted Living Homes provide residents with housing, food services, laundry, assistance with daily activities, and other personal assistance
• They may provide intermittent nursing to their residents
• They may allow residents who require skilled nursing to arrange for that nursing as long as it does not interfere with the running of the home

Who can be admitted?

• Adults needing help with daily activities and/or intermittent nursing services

Who is inappropriate?

• Must be refused admission:
• Adults who harm themselves, other residents, or the staff
• Adults who have needs that the home cannot take care of
• Can be evicted:
• Residents who are ineligible under admission guidelines (see above)
• Residents who violate their contracts or do not pay
• Residents can be transferred when it is ordered by their doctor 
• Residents can be removed if the Home closes 
• A resident’s contract can be terminated when the Home is no longer able to fulfill the resident’s needs
• Residents needing more than 45 days of skilled nursing care
• Residents can be discharged due to medical reasons
• Exceptions to eviction:
• Terminally ill residents may remain in the facility as long as a physician confirms that the resident’s needs are being met

What training is required for direct care staff?

• Initial Training:
• Work under the direct supervision of the administrator or an experienced care provider for three work days before providing unsupervised care to a resident
• Continuing Education:
• 12 hours of continuing education per year
• Each administrator must complete 18 clock hours of continuing education annually
• Education must be relevant to the staff member's responsibilities
• Additional training requirements may apply, depending on number of residents in facility
• A baccalaureate (or higher) degree in gerontology, health administration, or another health-related field, may be accepted in place of all or part of required experience and 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.

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