What is it called?

• Managed Residential Community
• A private, residential unit that provides a managed group with housing and services
• May contract with Assisted Living Services Agencies, home health agencies, or a licensed health care provider to make services available to its tenants
• Must be registered (but no licensing requirement)
• Assisted Living Services Agency (ALSA)
• Provides services to tenants at various facilities
• Must be licensed
• Residential Care Home
• An institution with 2 or more residents that provides food, shelter, and personal services

What services are provided?

• ALSAs may provide:
• Nursing services
• Assistance with daily activities
• Managed Resiential Care Communites shall provide, or make available the following core services:
• Regularly scheduled meals
• Laundry
• Transportation
• Housekeeping
• Social and recreational programs
• Limited assistance with medication

Who can be admitted?

• ALSA services can only be provided to residents who are in a chronic and stable condition
• Exception: Residents whose conditions are unstable must receive services through a home health agency or other arrangments
• Most residents are 55 years or older

Who is inappropriate?

• Must be refused admission
• Adults who are not in a chronic or stable condition
• Adults who are younger than 55
• Can be evicted
• Each facility must develop its own discharge policy, but all policies have a few common components
• Discharge based on a change in condition, when a resident is not longer chronic and stable
• Routine Discharge when the goals of care have been met and the resident doesn’t require services
• Emergency Discharge when services are terminated due to safety issues which place the resident or staff in jeopardy
• Financial discharge when the resident’s insurance or financial resources are exhausted
• Premature discharge when the goals of care have not been met and the resident still requires care, but the agency decides to terminate coverage

What training is required for direct care staff?

• Staff Training:
• State mandated training and competency evaluation program 
• 10 hour orientation
• Alzheimer's Dementia Care Units Staff Training:
• Specified training in first 6 months including not less than 8 hours of dementia-specific training
• 8 hours of continuing dementia-specific education annually
• Annual training of not less than 2 hours in pain recognition and administration of pain management techniques

Is nurse staffing required?

• The supervisor of the agency must be a Resident Nurse
• A Resident Nurse must be on call 24 hours a day
• There must be at least 1 licensed nurse working at least 10 hours a week

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:

Connecticut Long Term Care Ombudsman

1-866-388-1888

http://www.ltcop.state.ct.us/

Connecticut Department of Public Health

(860) 509-8000

http://www.dph.state.ct.us/