Residential Care and Assisted Living - Agency for Healthcare ...

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This document is in the public domain and may be used and reprinted without permission. Suggested citation: Mollica RL. Residential Care and Assisted Living: State Oversight Practices and State Information Available to Consumers. AHRQ Publication No. 06-M051-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2006. This report was prepared for the Agency for Healthcare Research and Quality by the National Academy for State Policy. The information and recommendations presented in this report do not necessarily represent the view of AHRQ. No ii
Contents Executive Summary ......................................................................... 1 Section I. Introduction and Overview ................................................... 3 Introduction .....................................................................................................................................3 Overview..........................................................................................................................................3 Facing the Information Challenge ..................................................................................................4 Communicating with Consumers ....................................................................................................6 State Licensing Agencies ....................................................................................................6 State Units on Aging ...........................................................................................................7 Comparing, Rating, and Profiling Facilities .................................................................................13 Using the Internet ..........................................................................................................................17 Facility Lists ......................................................................................................................18 Survey and Complaint Findings ........................................................................................18 Examples of State Web Sites ............................................................................................18 Consumer Guides and Disclosure Statements ..................................................................20 Oversight Process ..........................................................................................................................26 Innovations in the Oversight Process ................................................................................27 Supporting Quality Through Technical Assistance ..........................................................29 Discussion .....................................................................................................................................30 Section II. Consumer Guides to Assisted Living .................................. 33 Section III. State Summaries ........................................................... 61 Alabama ........................................................................................................................................61 Alaska ...........................................................................................................................................62 Arizona ..........................................................................................................................................62 Arkansas ........................................................................................................................................63 California ......................................................................................................................................64 Colorado ........................................................................................................................................65 Connecticut ...................................................................................................................................66 District of Columbia .....................................................................................................................67 Delaware .......................................................................................................................................67 Florida ...........................................................................................................................................68 Georgia ..........................................................................................................................................70 Hawaii ...........................................................................................................................................70 Idaho .............................................................................................................................................71 Illinois ...........................................................................................................................................72 Indiana ...........................................................................................................................................73 Iowa ...............................................................................................................................................74 Kansas ...........................................................................................................................................75 Kentucky .......................................................................................................................................75 Louisiana .......................................................................................................................................76 iii
Page 1: Residential Care and Assisted Livin
Page 5: Executive Summary This report was c
Page 8 and 9: For the purposes of this study, ass
Page 10 and 11: ecommendations related to resident
Page 12 and 13: living, a link to a list of facilit
Page 14 and 15: Table 2. State licensing agency Web
Page 16 and 17: Table 2. State licensing agency Web
Page 18 and 19: or published in most States. All li
Page 20 and 21: 27 residents experienced a fall com
Page 22 and 23: State Web sites were reviewed to de
Page 24 and 25: The find-a-facility Web page allows
Page 26 and 27: Meals/dining. Most guides include q
Page 28 and 29: arrangements; services included in
Page 30 and 31: operating special care facilities o
Page 32 and 33: survey strategy includes seven type
Page 34 and 35: A few States indicated that they co
Page 36 and 37: and providers groups. State aging a
Page 38 and 39: Table 6. Arizona consumer guide Top
Page 40 and 41: Table 7. Colorado consumer guide To
Page 42 and 43: Table 8. Florida consumer guide Top
Page 44 and 45: Table 9. Kentucky check list Topic
Page 46 and 47: Table 10. Maryland consumer guide (
Page 48 and 49: Table 10. Maryland consumer guide (
Page 50 and 51: Table 12. Michigan consumer guide T
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Table 13. Nebraska: Selected exampl
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Table 14. New Jersey Consumer Guide
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Table 15. Oregon Consumer Guide Are
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Table 16. Pennsylvania consumer gui
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Table 17. South Dakota Consumer Gui
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Table 18. Washington consumer guide
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Table 19. Wisconsin check section o
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Communicating with Consumers The De
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The State believes that providing e
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Surveyors and other staff provide t
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Communicating with Consumers The Di
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The Agency for Health Care Administ
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Inspections include reviews of the
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training manual for special care fa
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Louisiana Approach The Department o
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Massachusetts Approach The Executiv
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Minnesota Approach The Minnesota De
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A searchable database includes link
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The site contains a brochure about
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form is not submitted to the State
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needs of county DSS staff; clarific
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Each center must have a quality ass
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and incidents (for example, residen
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negotiated risk contracts, resident
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eports. Exceptions are when the dis
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assessment survey of compliance wit
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