What is it called?

• Assisted Living Facility:
• Houses more than 3 adults
• Categorized as either Level I or Level II, based on the services offered 
• Residential Care Facility:
• Houses 3 or more adults who need help with daily activities, but do not need nursing home care or hospitalization

What services are provided?

• Minimum services include 24 hour assistance with activities of daily living (ADLs), activities, transportation, meals, laundry, and medication assistance
• Level I Minimum services:
• 24 hour awake staff supervision
• Assistance in obtaining emergency care
• Social and recreational activities
• Level II Minimum services:
• Help with daily routines
• Limited help with medication administration
• Nursing home services

Who can be admitted?

• Level I:
• Adults needing assistance with daily activities

• Level II:
• Residents who need a nursing facility level of care
• Residents who need help with the administration of medication

Who is inappropriate?          

• All Facilities:
• Adults who need a level of care that cannot be provided by the facility
• Level I:
• Adults who require 24-hour nursing services
• Exception: The 24 hour nursing services are provided by a licensed home health agency for a period of up to 60 days, with the possibility of one 30-day extension
• Adults who are bedridden
• Adults who need help moving into and out of their wheelchair (or ‘transfer assistance’) that the facility cannot provide with their current staff
• Adults who are dangerous to others or engage in criminal activity

• Level II:
• Adults who require 24-hour nursing services
• Adults who are bedridden
• Adults who need help moving into and out of their wheelchair (or ‘transfer assistance’) that the facility cannot provide with their current staff
• Adults who have a temporary or terminal condition, unless a physician or nurse certifies the resident's needs may be safely met by a service agreement
• Adults who are a danger to themself or others or engage in criminal activity
• Exceptions to Eviction:
• If a condition that would make it otherwise impossible to remain in the facility is expected to last more than 14 consecutive days, or is terminal, the resident may stay if a service agreement is made by the resident, facility, and his or her personal physician

What training is required for direct care staff?

• Within 7 days of being hired:
• Complete training on topics of: emergency and safety procedure, abuse recognition and reporting, resident’s rights, job requirements
• Within 30 days:
• Complete training on topics including: medication assistance and monitoring, communicable diseases, dementia and cognitive impairment
• Within 180 days:
• Complete training on topics including: communication skills, the aging process, disability sensitivity
• Continuing education:
• 6 hours per year of ongoing education and training

Is nurse staffing required?

• Level II:
• At least 1 registered nurse who is employed by or contracts with the facility, who must be available at all times either by phone or pager
• Contract with or employ licensed nurses to provide medical and direct care services

Is there any public payment available?

• Yes.  Medicaid state plan service reimburses for personal care services.  Level II Facilities can receive reimbursement from Medicaid through home and community-based services waiver 

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