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

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Table 6. Arizona consumer guide Topic Questions Licensing status Is there a posted current license, with the facility’s correct address, from ADHS? Admission What are the admission requirements? Ask for a "typical profile" of a resident in their facility. Are residents alert or confused? Financing What are the added expenses? (service plan, transportation, personal items, beautician) What is facility policy on holding a bed if a resident leaves the home for hospitalization or vacation? Physical environment Are the grounds and the building(s) neat and clean? How close is the location of the home to family and friends? Are resident permitted to access to the outdoors, get beverages, use the telephone, rest, etc. on their own? Can residents go to bed at night and get up in the morning when they choose? Are resident rooms decorated with personal belongings? Do they allow pets? Are residents permitted to have visitors at any time? Staffing What are resident to staff ratios? Is there a certified manager on duty? Are caregivers available 24 hours a day? Are residents clean and comfortable? Are residents wearing appropriate seasonal clothing? Medication and health Who arranges doctor appointments and manages resident medication? services Can residents continue to see their own doctor? Meals/dining Is the menu balanced and appealing? How much time do residents have to eat their meals? Do they have substitutes if a resident does not like the meal? Activities What activities are available? Communication Are relationships between staff and residents warm and friendly? Are there communication barriers between staff and residents? Do staff know residents by name? 34
Table 7. Colorado consumer guide Topic Questions Licensing status Is the facility licensed by the State and in good standing? Resident agreement Physical environment Observations Is the facility Medicaid certified? Do the admission criteria match my needs? Have I reviewed the terms of the financial/provider agreement? Is the unused portion of the rent refunded upon transfer/discharge? Do I have a choice in the selection of medical/health care providers if additional services are needed? Are the specific services offered clearly identified in the agreement? Have I reviewed the house rules? Have I reviewed all of the reasons for which I may be transferred of discharged? Is the bedroom private or shared? Is the bathroom private or shared? Are the shared areas clean? Is there space for personal belongings? Does the floor plan allow for easy mobility for me? Are there private areas other than the bedroom for visits? Is bathroom safety equipment installed or available if needed? (grab bars, raised toilet seat) Is there a call system? Are walkers/wheelchairs permitted? Are hallways and doorways wide enough for wheelchairs? Have I toured the entire facility? Have I observed the kitchen and pantry? Have I observed a meal? Does the atmosphere seem pleasant? Does there seem to be enough staff available? Are pets allowed? Do residents seem happy and engaged? Do residents appear to be clean, groomed and odor-free? Have I observed for staff/resident interaction? Have I observed for cleanliness and odors? Services Does the facility provide: Assistance with dressing? Assistance with bathing? How many times per weeks is bathing provided? Assistance with toileting? Assistance with incontinency? Does this include assistance with bowel and bladder? Assistance with transfers from wheelchair to bed, etc. Assistance with medications? Care plan Am I involved in the care planning process? Is my family/responsible party involved? Is my physician or other health provider involved? Are the care plans updated to reflect changes in care needs? Staff What is the operator/administrator’s training? Do staff receive training to work with special needs or behaviors, such as dementia? Is there high staff turn-over? What is the ratio of staff to resident? Are staff awake at night? Meals/dining Are specialized diets available? Are cultural or ethnic preferences considered? 35
Page 1 and 2: Residential Care and Assisted Livin
Page 3 and 4: Contents Executive Summary ........
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 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
Page 52 and 53: Table 13. Nebraska: Selected exampl
Page 54 and 55: Table 14. New Jersey Consumer Guide
Page 56 and 57: Table 15. Oregon Consumer Guide Are
Page 58 and 59: Table 16. Pennsylvania consumer gui
Page 60 and 61: Table 17. South Dakota Consumer Gui
Page 62 and 63: Table 18. Washington consumer guide
Page 64 and 65: Table 19. Wisconsin check section o
Page 66 and 67: Communicating with Consumers The De
Page 68 and 69: The State believes that providing e
Page 70 and 71: Surveyors and other staff provide t
Page 72 and 73: Communicating with Consumers The Di
Page 74 and 75: The Agency for Health Care Administ
Page 76 and 77: Inspections include reviews of the
Page 78 and 79: training manual for special care fa
Page 80 and 81: Louisiana Approach The Department o
Page 82 and 83: Massachusetts Approach The Executiv
Page 84 and 85: Minnesota Approach The Minnesota De
Page 86 and 87: A searchable database includes link
Page 88 and 89:
The site contains a brochure about
Page 90 and 91:
form is not submitted to the State
Page 92 and 93:
Communicating with Consumers The De
Page 94 and 95:
needs of county DSS staff; clarific
Page 96 and 97:
Each center must have a quality ass
Page 98 and 99:
and incidents (for example, residen
Page 100 and 101:
Communicating with Consumers The De
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negotiated risk contracts, resident
Page 104 and 105:
eports. Exceptions are when the dis
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assessment survey of compliance wit
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