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

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Table 8. Florida consumer guide Topic area Questions/information Does the facility have fire drills, smoke detectors, and a sprinkler system? Cost/financing Does the ALF require an initial entrance fee, application fee or deposit up front? Is there a cap on the percentage by which the monthly rate can be increased? What services are included in the monthly rate? Some rates include the basic service of room, meals, and at least one personal service. Additional services may include an increase in costs. Ask the ALF staff person to clearly explain the costs and services and to provide you with the facility's admission package. When considering these prices, think about services that might be needed in the future, not just the current needs. Services Will I receive a written plan of care? If so, will it be addressed periodically as my needs may change? An assisted living facility provides housing, meals, and one or more personal services for residents who are not related to the facility's owners. Personal services include assistance with or supervision of the activities of daily living like eating, walking and toileting. A person can become a resident of an ALF only if certain functional criteria are met, such as being able to perform the activities of daily living (with supervision or assistance). Services offered by an ALF include: Basic housing; meals and snacks; 24-hour staff availability; assistance with activities of daily living (ADLs), if needed, such as bathing, dressing, toileting, hygiene and grooming, eating, and walking; administration, or assistance with self-administration, of medications, housekeeping; maintenance; laundry; social and recreational activities; transportation to activities, appointments, shopping, etc Staff When you visit the ALF, speak to as many different staff and residents as possible. Get a sense of how the residents and workers feel about the ALF, if they enjoy living or working there. Is the staff friendly and respectful? Are workers able to take time to speak with residents or are they too busy rushing around? What is the ratio of staff to residents? How many staff persons are available to provide personal care services? How many workers are available during the day, in the evening, overnight and on weekends? Florida regulations require a certain minimum amount of staffing, depending on the number of residents. Is the staff trained to handle the special needs of these patients? What medical care options are available? Is there a doctor or pharmacy on-site? If the ALF provides nursing, what services can the nurse provide? If I need to receive services from a home health agency, like nursing, physical therapy, home health aide services, etc., will the ALF assist me in arranging for these services? What is the procedure for signaling staff of an emergency? How are medical emergencies handled? What if there is an emergency in the facility that requires evacuation? Meals/dining How many meals and snacks are provided each day? If I prefer to have a light breakfast in my own room, is there a package that allows me to pay only for lunch and dinner? Are meals in the dining room provided at convenient times? Is there much choice in when I can have breakfast, lunch or dinner, or are these meals served at the same time every day? If I like to sleep late, are things like coffee, juice and muffins available later? If I am away from the ALF and arrive after mealtime will I be served my meal? What is the ALF's policy about having meals delivered to my room? Is this allowed? Is there an extra charge or limit on the number of times that I may eat 38
Table 8. Florida consumer guide Topic area Questions/information in my room? What is the menu like? Are special meals or diets available, if needed? Are there enough interesting choices? Are choices always available, or does the kitchen often run out of one choice, leaving few options? Is the food tasty and nutritious? If I have special dietary needs how will they be handled? Are there special seating arrangements or can residents sit where they want in the dining room? Do the residents eat at the same time or in shifts? Do the residents eat in one large dining room, or are there several dining rooms that serve different groups in the ALF? Are there any arrangements for late night snacks? If I want a snack other than at a designated mealtime, are snacks available? Is there an extra charge for this service? Activities Most ALFs advertise that they have many activities available for residents. Ask to see a schedule of activities, and consider whether you or your family member would want to participate in these activities. Do the activities appear appropriate for the resident? Are there a variety of activities to choose from? Are residents active in planning activities and events? Are the activities provided at convenient times? How frequently are they provided? Transportation Is transportation available to access community activities? This information is one way to determine how much the ALF encourages the participation of its residents in community activities. Is transportation only available at certain times, or can it be accessed whenever it is needed? What if I have a doctor's appointment or want to go to a church service in the community? Is there an extra cost for transportation? Medicaid What happens if I run out of money? Does the facility participate in the Medicaid program? 39
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 38 and 39: Table 6. Arizona consumer guide Top
Page 40 and 41: Table 7. Colorado consumer guide To
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
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needs of county DSS staff; clarific
Page 96 and 97:
Each center must have a quality ass
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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
Page 106:
assessment survey of compliance wit
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