What is it called?

Residential Care Facility

What services are provided?

• Facility must provide
• Assistance with activities of daily living
• Facility has the discretion to provide
• Residential nursing
• Medication administration (must be administered by licensed nursing personnel or qualified medication aides)
• Comprehensive nursing care may be provided to a medically stable resident for a medical condition that will eventually resolve itself, if the facility of appropriately staffed
• Third-party services
• Hospice services through a licensed provider is permitted for a terminally-ill resident

• Who can be admitted?
• Individuals with a major metal illness if the individual’s mental health service provider determines that the individual’s needs can be met and if the facility can perform the necessary comprehensive care plan

• Who is inappropriate?
• Individuals who need 24-hour comprehensive nursing care or oversight
• Individuals who fail to contract with a licensed provider for required comprehensive nursing care, oversight, or rehabilitative therapies (needed for less than 24-hour nursing care)
• Individuals who are medically instable
• Individuals who need total assistance with any two or more of eating, toileting, or transferring (unless the adult is medically stable and the facility can meet the adult’s needs)
• Individuals whose needs cannot be met by the facility

• What training is required for direct care staff?
• Initial training
• Orientation
• Minimum of 6 hours of dementia-specific training within 6 months
• Emergency procedures
• Review of ethical considerations and confidentiality in resident care and records
• Personal introduction to and instruction in the needs of each resident
• Continuing training
• Annual in-service education and training
• 3 hours annually of dementia-specific training
• 8 hours of in-service training per year for nursing personnel
• 4 hours of in-service training per year for nonnursig personnel
• Additional requirements
• At least one staff member with current CPR and first aid certification must be awake and on-site at all times
• Is nurse staffing required?
• If residential nursing care or medication administration is provided, a licensed nurse must be involved in the identification and documentation of services to be provided
• At least one nursing staff member must be on site at all times if 50 or more residents regularly receive residential nursing services or medication administration
• An additional nursing staff member must be awake and on duty at all times for every additional 50 residents
• Is any public payment available?
• Yes.  The Medicaid program may pay for assisted living services through a Medicaid Home and Community Based Services Waiver if the facility is licensed. 
•      - Additional funding is available through the state Residential Assistance Care Program 
•      - Limited services are covered
•      - Residents must be aged, blind, mentally ill, disabled, low income, and/or cannot live alone but do not qualify for nursing home care
•      - Payments are based on a flat rate

For More Information See:

Department of Health

Division of Regulations and Information Services (ISDH)

(317) 233 - 1325

www.in.gov/core/family.html

(888) 673-0002

Indiana Long Term Care Ombudsman

(800) 622-4484