Licensing
Licensing varies from state to state. What one state may call an adult family home another may refer to as a boarding home and the level and type of services can be different. This can be very confusing to people searching for senior housing, especially when searching long distance for a loved one. We've compiled a list of state by state licensing terms which we hope will be useful to you.
To begin, simply click on the name of the state you are interested in. The number next to the state name indicates the number of known senior housing license types in that state. As you can see, they vary greatly.
Alaska
Assisted Living Home
Residential facilities serve three or more adults who are not related to the owner of the facility by blood or marriage by providing housing and food service to its residents and by providing or obtaining, or offering to provide or obtain assistance with the activities of daily living and/or personal assistance. AS 47.33.101
Alabama
Congregate Assisted Living Facility
Individual, individuals, corporation, partnership, limited partnership, limited liability company or any other entity that provides, or offers to provide, residence and personal care to individuals who are in need of assistance with activities of daily living. Authorized to care for 17 or more adults.
Congregate Specialty Care Assisted Living Facility
Individual, individuals, corporation, partnership, limited partnership, limited liability company or any other entity that provides, or offers to provide, residence and personal care to individuals who are in need of assistance with activities of daily living. Specially licensed and staffed to permit it to care for residents with a degree of cognitive impairment that would ordinarily make them ineligible for admission or continued stay in an assisted living facility. Residents admitted to specialty care assisted living facilities must meet all eligibility and continued stay requirements specified elsewhere in these rules. Authorized to care for 17 or more adults.
Family Assisted Living Facility
Individual, individuals, corporation, partnership, limited partnership, limited liability company or any other entity that provides, or offers to provide, residence and personal care to individuals who are in need of assistance with activities of daily living. Authorized to care for 2 or 3 adults.
Group Assisted Living Facility
Individual, individuals, corporation, partnership, limited partnership, limited liability company or any other entity that provides, or offers to provide, residence and personal care to individuals who are in need of assistance with activities of daily living. Authorized to care for 4 to 16 adults.
Group Specialty Care Assisted Living Facility
Individual, individuals, corporation, partnership, limited partnership, limited liability company or any other entity that provides, or offers to provide, residence and personal care to individuals who are in need of assistance with activities of daily living. Specially licensed and staffed to permit it to care for residents with a degree of cognitive impairment that would ordinarily make them ineligible for admission or continued stay in an assisted living facility. Residents admitted to specialty care assisted living facilities must meet all eligibility and continued stay requirements specified elsewhere in these rules. Authorized to care for 4 to 16 adults.
Arkansas
Licensed Level I Assisted Living Facility
Any building or buildings, section or distinct part of a building, boarding home, home for the aged or other residential facility that undertakes through its ownership or management to provide assisted living services for a period exceeding twenty-four (24) hours to more than three (3) adult residents of the facility who are not relatives of the owner or administrator. Assisted living facility means facilities in which assisted living services are provided either directly or through contractual arrangements or in which contracting in the name of residents is facilitated. Assisted Living Services are defined as housing, meals, laundry, social activities, assistance with transportation, direct care services, health care services, 24-hour supervision and care, and limited nursing services. Level 1 assisted living facilities cannot serve nursing home eligible residents or residents who need 24-hour nursing services except as certified by a licensed home health agency for a period of 60 days with one 30-day extension; are bedridden; have transfer assistance needs that the facility cannot meet, including assistance to evacuate the building in case of an emergency; present a danger to self or others; and require medication administration performed by the facility.
Licensed Level II Assisted Living Facility
A special combination of housing, supportive services, personalized assistance and healthcare designed to respond to the individual needs of those who need help with activities of daily living. Supportive services are available, 24 hours a day, to meet scheduled and unscheduled needs, in a way that promotes maximum dignity and independence for each resident and involves the resident's family, neighbors and friends. Level II facilities are allowed to serve nursing home eligible residents but cannot serve residents who need 24-hour nursing services; are bedridden; have a temporary (more than 14 consecutive days) or terminal condition unless a physician or advance practice nurse certifies the resident’s needs may be safely met by a service agreement developed by the assisted living facility, the attending physician or advance practice nurse, a registered nurse, the resident or his or her responsible party if the resident is incapable of making decisions, and other appropriate health care professionals as determined by the resident’s needs; have transfer assistance needs, including but not limited to assistance to evacuate the facility in case of emergency, that the facility cannot meet with current staffing; present a danger to self or others or engage in criminal activities.
Nursing Home
Nursing Home shall mean and be construed to include any buildings, structure, agency, institution, or other place for the reception, accommodation, board, care, or treatment of two or more unrelated individuals, who, because of physical or mental infirmity are unable to sufficiently or properly care for themselves, and for which reception, accommodation, board, care, and treatment.
Residential Care Facility
Tenants must be 18 or older; independently mobile (physically and mentally capable of vacating the facility within 3 minutes); able to self-administer medications; be capable of understanding and responding to reminders and guidance from staff; do not have a feeding or intravenous tube; are not totally incontinent of bowel and bladder; do not have a communicable disease that poses a threat to the health or safety of others; do not need nursing services which exceed those that can be provided by a certified home health agency on a temporary or infrequent basis; do not have a level of mental illness, retardation, or dementia or addiction to drugs or alcohol that requires a higher level of medical, nursing, or psychiatric care or active treatment than can safely be provided in the facility; does not require religious, cultural, or dietary regimens that cannot be met without undue burden; and do not require physical restraints or have current violent behavior.
Arizona
Adult Foster Care
A residential setting which provides room and board and adult foster care services for at least one and no more than four adults who are participants in the Arizona long-term care system and in which the sponsor or the manager resides with the residents and integrates the residents who are receiving adult foster care into that person's family.
Assisted Living Center
Residential care institution, including adult foster care, that provides or contracts to provide supervisory care services, personal care services or directed care services on a continuing basis. Provides resident rooms or residential units to eleven or more residents. (A residential Institution is defined as a health care institution other than a hospital or a nursing care institution which provides resident beds or residential units, supervisory care services, personal care service, directed care services or health-related services for persons who do not need inpatient nursing care.)
Assisted Living Center-Directed
Residential care institution, including adult foster care, that provides or contracts to provide supervisory care services, personal care services or directed care services on a continuing basis. Provides resident rooms or residential units to eleven or more residents. Offers programs and services, including personal care services, provided to persons who are incapable of recognizing danger, summoning assistance, expressing need or making basic care decisions. (A residential Institution is defined as a health care institution other than a hospital or a nursing care institution which provides resident beds or residential units, supervisory care services, personal care service, directed care services or health-related services for persons who do not need inpatient nursing care.)
Assisted Living Center-Personal
Residential care institution, including adult foster care, that provides or contracts to provide supervisory care services, personal care services or directed care services on a continuing basis. Provides resident rooms or residential units to eleven or more residents. Offers assistance with activities of daily living that can be performed by persons without professional skills or professional training and includes the coordination or provision of intermittent nursing services and the administration of medications and treatments by a nurse who is licensed pursuant to Title 32, Chapter 15 or as otherwise provided by law. (A residential Institution is defined as a health care institution other than a hospital or a nursing care institution which provides resident beds or residential units, supervisory care services, personal care service, directed care services or health-related services for persons who do not need inpatient nursing care.)
Assisted Living Center-Supervisory
Residential care institution, including adult foster care, that provides or contracts to provide supervisory care services, personal care services or directed care services on a continuing basis. Provides resident rooms or residential units to eleven or more residents. General supervision, including daily awareness of resident functioning and continuing needs, the ability to intervene in a crisis and assistance in the self-administration of prescribed medications. (A residential Institution is defined as a health care institution other than a hospital or a nursing care institution which provides resident beds or residential units, supervisory care services, personal care service, directed care services or health-related services for persons who do not need inpatient nursing care.)
Assisted Living Home
Residential care institution, including adult foster care, that provides or contracts to provide supervisory care services, personal care services or directed care services on a continuing basis. Provides resident rooms or residential units to ten or fewer residents. (A residential Institution is defined as a health care institution other than a hospital or a nursing care institution which provides resident beds or residential units, supervisory care services, personal care service, directed care services or health-related services for persons who do not need inpatient nursing care.)
Assisted Living Home-Directed
Residential care institution, including adult foster care, that provides or contracts to provide supervisory care services, personal care services or directed care services on a continuing basis. Provides resident rooms or residential units to ten or fewer residents. Offers programs and services, including personal care services, provided to persons who are incapable of recognizing danger, summoning assistance, expressing need or making basic care decisions. (A residential Institution is defined as a health care institution other than a hospital or a nursing care institution which provides resident beds or residential units, supervisory care services, personal care service, directed care services or health-related services for persons who do not need inpatient nursing care.)
Assisted Living Home-Personal
Residential care institution, including adult foster care, that provides or contracts to provide supervisory care services, personal care services or directed care services on a continuing basis. Provides resident rooms or residential units to ten or fewer residents. Assistance with activities of daily living that can be performed by persons w/o professional skills or professional training and includes coordination or provision of intermittent nursing services and the administration of medications and treatments by a licensed nurse. (A residential Institution is defined as a health care institution other than a hospital or a nursing care institution which provides resident beds or residential units, supervisory care services, personal care service, directed care services or health-related services for persons who do not need inpatient nursing care.)
Assisted Living Home-Supervisory
Residential care institution, including adult foster care, that provides or contracts to provide supervisory care services, personal care services or directed care services on a continuing basis. Provides resident rooms or residential units to ten or fewer residents. General supervision, including daily awareness of resident functioning and continuing needs, the ability to intervene in a crisis and assistance in the self-administration of prescribed medications. (A residential Institution is defined as a health care institution other than a hospital or a nursing care institution which provides resident beds or residential units, supervisory care services, personal care service, directed care services or health-related services for persons who do not need inpatient nursing care.)
Nursing Home
A nursing care institution is a health care institution providing inpatient beds and nursing services to persons who need nursing services on a continuing basis but who do not require hospital care or direct daily care from a physician. Nursing services are provided 24 hours a day and an attending physician is available 24 hours a day. A resident is admitted only on a physician's order.
California
Continuing Care Retirement Community
A facility where services promised in a contract are provided, in exchange for an entrance fee, the payment of periodic charges, or both types of payments. The contract represents a promise, expressed or implied, by a provider to provide one or more elements of care to an elderly resident for the duration of his or her life or for a term in excess of one year.
Residential Care Facilities for the Elderly
A housing arrangement chosen voluntarily by the resident, the resident's guardian, conservator or other responsible person; where 75 percent of the residents are sixty years of age or older and where varying levels of care and supervision are provided, as agreed to at time of admission or as determined necessary at subsequent times of reappraisal. Any younger residents must have needs compatible with other residents.
Skilled Nursing Facility
A health facility or a distinct part of a hospital which provides continuous skilled nursing care and supportive care to patients whose primary need is for availability of skilled nursing care on an extended basis. It provides 24-hour inpatient care and, as a minimum, includes physician, skilled nursing, dietary, pharmaceutical services and an activity program.
Colorado
Assisted Living Residence
A residential facility that makes available to three or more adults not related to the owner of such facility, either directly or indirectly through a resident agreement with the resident, room and board and at least the following services: personal services; protective oversight; social care due to impaired capacity to live independently; and regular supervision that shall be available on a twenty-four-hour basis, but not to the extent that regular twenty-four hour medical or nursing care is required.
Nursing Home
A health facility that is planned, organized, operated, and maintained to provide supportive, restorative, and preventive services to persons who, due to physical and/or mental disability, require continuous or regular inpatient care. Residents require continuous medical and nursing care and supervision.
Connecticut
Assisted Living
Provides nursing services and assistance with activities of daily living within a managed residential community having supportive services that encourage clients primarily age 55 or older to maintain a maximum level of independence. Routine household services may be provided as assisted living services by the assisted living services agency or by the managed residential community. These services provide an alternative for elderly persons who require some help or aid with activities of daily or nursing services in order to remain in their private residential units within the managed residential community. Please note that the services are licensed but the building (referred to as a managed residential community) is not licensed to provide care.
Chronic and Convalescent Nursing Home/Skilled Nursing Facility
A long-term institution having facilities and all necessary personnel to provide skilled nursing care under medical supervision and direction to carry out simple, non-surgical treatment and dietary procedures for chronic diseases, or convalescent stages of acute diseases or injuries.
Residential Care Homes (Homes for the aged and rest homes)
An institution having facilities and all necessary personnel to furnish food, shelter and laundry for two or more persons unrelated to the proprietor and in addition, providing services of a personal nature which do not require the training or skills of a licensed nurse. Additional services of a personal nature may include assistance with bathing, help with dressing, preparation of special diets and supervision over medications which are self-administered.
District of Columbia
Community Residence Facility
A facility dedicated to provide for the welfare, comfort, and safety of residents at all times of the day and night. A prospective resident shall be admitted to and retained by a community residence facility only if the prospective resident and the resident's personal physician certifies in writing, that the resident is not in need of professional nursing care and can be assisted safely and adequately within a community residence facility. Residents shall be able to perform the activities of daily living with minimal assistance, generally be oriented as to person and place, and capable of proper judgment in taking action for self-preservation under emergency conditions. (Persons not generally oriented as to time and place or persons substantially ambulatory but needing limited personal assistance in case of an emergency may be admitted to a community residence facility by special permission of the Mayor.)
Continuing Care Retirement Community
A building or complex of buildings under one management at one or more sites, if continuing care services are provided. Continuing care services are defined as the continuum of care, ranging from independent living to assisted living to nursing home care, provided pursuant to a contract for the life of the individual purchasing the services or for a period of not less than one year. See Division VIII, Title 44, Subtitle 1, Chapter 1A
Nursing Home
A 24-hour institution or distinct part of a 24-hour institution that: (1) is primarily engaged in providing nursing care and related services to residents who require medical or nursing care, or rehabilitation services for the rehabilitation of persons who are injured, disabled, or sick; (2) is not primarily for the care and treatment of mental diseases; and (3) has in effect a transfer agreement with one or more hospitals that have a provider agreement in effect.
Delaware
Assisted Living Facility
A licensed entity that provides a special combination of housing, supportive services, supervision, personalized assistance and health care designed to respond to the individual needs of those who need help with activities of daily living and/or instrumental activities of daily living.
Nursing Home
An institution that provides permanent facilities that include in-patient beds and medical services, including continuous nursing services, to provide treatment for patients who do not currently require continuous hospital services. Nursing homes may have various levels of care; however, in no case will a patient be cared for in an area designated at a lower level of care than his needs, as determined by a physician. Nursing homes shall be subject to all applicable code requirements of the State Fire Prevention Commission. (See Title 16, 3201 & 3205)
Rest (Family Care) Home
An institution that provides resident beds and personal care services for persons who are normally able to manage activities of daily living. The home should provide friendly understanding to persons living there as well as appropriate care in order that the resident's self-esteem, self-image, and role as a contributing member of the community may be reinforced.
Rest (Residential Care) Home
Provides resident beds and personal care services for two (2) or three (3) residents who can no longer live independently and/or who need a family living situation. The home should provide friendly understanding to persons living there as well as appropriate care in order that the resident's self-esteem, self-image and role as a contributing member of the community may be reinforced. At the time of admission the client should be able to do all of the activities of daily living; that is, washing, bathing, feeding self, dressing, ambulating and providing for personal activities such as hygiene, comfort, toilet needs and so forth. No client with an indwelling catheter should be admitted unless all catheter care can be entirely done by the client.
Florida
Adult Family Care Home
A facility in which the provider shall ensure the provision of personal services including assistance with or supervision of the activities of daily living as required by the resident. Assistance with activities of daily living means individual assistance with the following ambulation, bathing, dressing, eating, grooming, and toileting. The AFCH provider shall also provide general supervision which includes being aware of the resident's general whereabouts and well-being while the resident is on the premises of the AFCH in order to ensure that resident's safety and security, and reminding the resident of any important tasks or activities, including appointments. The provider shall ensure the arrangement of, transportation to and from, and for someone to accompany the resident to medical, dental, nursing, or mental health appointments, to the extent needed by the resident. The AFCH provider must own or rent the adult family care home that is to be licensed, and reside therein. There shall be no more than 5 residents in any AFCH. Each AFCH must designate at least one licensed space for a resident receiving optional state supplementation (OSS). In order to be admitted as a resident to an AFCH an individual must be capable of self-preservation in an emergency situation involving the immediate evacuation of the AFCH, with assistance with ambulation, if needed. In addition, in order to be admitted an individual must not be bedridden. In order to be admitted as a resident to an AFCH an individual must not require 24-hour nursing supervision.
Assisted Living Facility
An assisted living facility shall offer assistance with/provide the following: 1) care and services appropriate to the needs of residents accepted for admission to the facility. 2) personal supervision, as appropriate for each resident. 3) personal supervision, as appropriate for each resident, including general awareness of the resident's whereabouts. The resident may travel independently in the community. 4) an ongoing activities program. 5) assistance to residents in making appointments and remind residents about scheduled appointments for medical, dental, nursing, or mental health services, as needed by residents 6) transportation to needed medical, dental, nursing or mental health services, or arrange for transportation through family and friends, volunteers, taxi cabs, public buses, and agencies providing transportation for persons with disabilities. 7) supervision of or assistance with activities of daily living as needed by each resident. Personal services shall not be construed to mean the provision of medical, nursing, dental, or mental health services by the staff of a facility. Each resident must be able to transfer, with assistance if necessary in order to meet residency criteria. A resident shall not be bedridden. A resident does not require any of the following nursing services: 1. Oral, nasopharyngeal, or tracheotomy suctioning; 2. Assistance with tube feeding; 3. Monitoring of blood gases; 4. Intermittent positive pressure breathing therapy; or 5. Treatment of surgical incisions or wounds, unless the surgical incision or wound and the condition which caused it have been stabilized and a plan of care developed. A resident does not require 24-hour nursing supervision or skilled rehabilitative services.
Continuing Care Retirement Community
A place in which either shelter and nursing care or personal services, whether such nursing care or personal services are provided in the facility or in another setting designated by the contract for continuing care, to an individual not related by consanguinity or affinity to the provider furnishing such care, upon payment of an entrance fee. Other personal services provided shall be designated in the continuing care contract. Contracts to provide continuing care include agreements to provide care for any duration, including contracts that are terminable by either party. Entrance fee is defined as an initial or deferred payment of a sum of money or property made as full or partial payment to assure the resident a place in a facility. An accommodation fee, admission fee, or other fee of similar form and application shall be considered to be an entrance fee.
Skilled Nursing Facility
Any institution, building, residence, private home, or other place, whether operated for profit or not, including a place operated by a county or municipality, which undertakes through its ownership or management to provide for a period exceeding 24-hour nursing care, personal care, or custodial care for three or more persons not related to the owner or manager by blood or marriage, who by reason of illness, physical infirmity, or advanced age require such services, but does not include any place providing care and treatment primarily for the acutely ill. A facility offering services for fewer than three persons is within the meaning of this definition if it holds itself out to the public to be an establishment which regularly provides such services.
Georgia
Community Living Arrangements
Any residence, whether operated for profit or not, that undertakes through its ownership or management to provide or arrange for the provision of daily personal services, supports, care, or treatment exclusively for two or more adults who are not related to the owner or administrator by blood or marriage and whose residential services are financially supported, in whole or in part, by funds designated through the Department of Human Resources, Division of Mental Health, Developmental Disabilities, and Addictive Diseases.
Continuing Care Retirement Community
An organization which offers a contract to provide an individual of retirement status, other than an individual related by consanguinity or affinity to the provider furnishing the care, with board and lodging, licensed nursing facility care and medical or other health related services, or both. These services are provided for a minimum period of more than one year and may be for as long as the lifetime of the resident.
Nursing Home
A facility which admits patients on medical referral only and for whom arrangements have been made for continuous medical supervision; it maintains the services and facilities for skilled nursing care, rehabilitative nursing care, and has a satisfactory agreement with a physician and dentist who will be available for any medical and/or dental emergency and who will be responsible for the general medical and dental supervision of the home; it otherwise complies with these rules and regulations. Skilled Nursing Care is the application of recognized nursing methods, procedures, and actions directed toward implementation of the physician's prescribed therapeutic and diagnostic plan, detection of changes in the human body's regulatory system, preservation of such body defenses, prevention of complications, and promotion of emotional well-being, including but not limited to the following: 1. The administration of oral or inject able medications which cannot be self-administered. Other examples include the administration of oxygen, the use of suction, the insertion or changing of catheters, the application of medicated dressings, the use of aseptic technique and preparation of the patient for special procedures; 2. Observation in the care of the patient for symptoms and/or physical and mental signs that may develop and which will require attention of the physician and a revision in the patient's treatment regimen. Rehabilitative Nursing is the use of nursing skills and techniques to combat deformities and helplessness, to maintain or restore body functions, and to promote independence in self-care. Such techniques will include but not be limited to the following: 1. Positioning patients in or out of bed to maintain good body alignment (unless contraindicated by physician's orders), the use of range of motion exercises to maintain joint mobility; 2. Arranging a progression of self-care activities such as transfer and walking, and attention to bowel and bladder schedules together with retraining when indicated.
Personal Care Home
Any dwelling, whether operated for profit or not, which undertakes through its ownership or management to provide or arrange for the provision of housing, food service, and one or more personal services for two or more adults who are not related to the owner or administrator by blood or marriage. Personal Services includes, but is not limited to, individual assistance with or supervision of self-administered medication, assistance with ambulation and transfer, and essential activities of daily living such as eating, bathing, grooming, dressing, and toileting.
Hawaii
Adult Residential Care Home - Type I
Any facility providing 24-hour living accommodations, for a fee, to adults unrelated to the family, who require at least minimal assistance in the activities of daily living, but who do not need the services of an intermediate care facility. It does not include facilities operated by the federal government. There shall be two types of adult residential care homes: 1) Type I home for 5 or less residents
Adult Residential Care Home - Type II
Any facility providing 24-hour living accommodations, for a fee, to adults unrelated to the family, who require at least minimal assistance in the activities of daily living, but who do not need the services of an intermediate care facility. It does not include facilities operated by the federal government. There shall be two types of adult residential care homes: 2) Type II home for six or more residents
Assisted Living Facility
A facility consisting of a building complex offering dwelling units to individuals and services to allow residents to maintain an independent assisted living lifestyle. The environment of an assisted living facility shall include one in which meals are provided, staff are available on a 24-hour basis and services are based on the individuals needs of each resident. Each resident, family member, and significant others shall work together with the facility staff to assess what is needed to support the resident so that the resident can achieve his or her greatest capacity for living independently. The facility shall be designed to maximize the independence and self-esteem of limited mobility persons who feel that they are no longer able to live on their own.
Extended Care ARCH Type 1
A category of an adult residential care home qualified to serve nursing facility level residents. There shall be two types of extended care ARCHs: 1) Type I home shall consist of five or less residents with no more than two nursing facility level residents; and 2) Type II home shall consist of six or more residents with no more than 10% of the home's licensing capacity as nursing facility level residents.
Extended Care ARCH Type 2
A category of an adult residential care home qualified to serve nursing facility level residents. There shall be two types of extended care ARCHs: 1) Type I home shall consist of five or less residents with no more than two nursing facility level residents; and 2) Type II home shall consist of six or more residents with no more than 10% of the home's licensing capacity as nursing facility level residents.
Intermediate Care Facility
A facility which provides appropriate care to persons referred by a physician. Such persons are those who: 1) need 24-hour a day assistance with the normal activities of daily living; 2) need care provided by licensed nursing personnel and paramedical personnel on a regular, long-term basis, and; 3) do not need skilled nursing or paramedical care 24-hours a day.
Iowa
Assisted Living Program
Assisted living means the provision of housing with services, which may include but are not limited to health-related care, personal care, and assistance with instrumental activities of daily living, to three or more tenants in a physical structure, which provides a homelike environment. Assisted living programs also includes encouragement of family involvement, tenant self-direction, and tenant participation in decisions that emphasize choice, dignity, privacy, individuality, shared risk, and independence. Assisted living includes twenty-four hours per day response staff to meet schedule and unscheduled or unpredictable needs in a manner that promotes maximum dignity and independence and provides supervision, safety, and security. Assisted living includes the provision of housing and assistance with instrumental activities of daily living only if personal care or health-related care is also included. Individuals residing in assisted living programs are referred to as tenants.
Assisted Living Program for People with Dementia
means a certified assisted living program that either serves five or more tenants with dementia between Stages 4 and 7 on the Global Deterioration Scale or holds itself out as providing specialized care for persons with dementia, such as Alzheimer’s disease, in a dedicated setting.
Elder Group Home
Elder group home means a single-family residence that is operated by a person who is providing room, board, and personal care and may provide health-related services to three through five elders who are not related to the person providing the service.
Nursing Facility
An institution or a distinct part of an institution housing three or more individuals, which is primarily engaged in providing health-related care and services, including rehabilitative services, but which is not engaged primarily in providing treatment or care for mental illness or mental retardation, for a period exceeding twenty-four consecutive hours for individuals who, because of a mental or physical condition, require nursing care and other services in addition to room and board.
Residential Care Facility
Any institution, place, building, or agency providing for a period exceeding twenty-four consecutive hours accommodation, board, personal assistance and other essential daily living activities to three or more individuals, not related to the administrator or owner thereof within the third degree of consanguinity, who by reason of illness, disease, or physical or mental infirmity are unable to sufficiently or properly care for themselves but who do not require the services of a registered or licensed practical nurse except on an emergency basis.
Idaho
Certified Family Home
A home certified to provide care to one or two adults, who are unable to reside on their own and require help with activities of daily living, protection and security, and need encouragement toward independence.
Residential Care-Assisted Living Home
A facility or residence, however named, operated on either a profit or nonprofit basis for the purpose of providing necessary supervision, personal assistance, meals, and lodging to three or more adults not related to the owner.
Skilled Nursing Facility
A facility designed to provide area, space, and equipment to meet the health needs of two or more individuals who, at a minimum, require inpatient care and services for twenty-four or more consecutive hours for unstable chronic health problems requiring daily professional nursing supervision and licensed nursing care on a twenty-four hour basis, restorative, rehabilitative care and assistance in meeting daily living needs. Medical supervision is necessary on a regular, but not daily, basis.
Illinois
Assisted Living
A home, building, residence, or any other place where sleeping accommodations are provided for at least three adults, at least 80% of whom are 55 years of age or older with services for persons who need assistance with activities of daily living, including personal, supportive, and intermittent health-related services available 24 hours per day, to meet the scheduled and unscheduled needs of a resident.
Intermediate Care Facility
A facility that provides basic nursing care and other restorative services under periodic medical direction. Many of these services may require skill in administration. Such facilities are for residents who have long-term illnesses or disabilities that may have reached a relatively stable plateau.
Shared Housing
Shared housing establishment or establishment – a publicly or privately operated free-standing residence for 16 (Note from SNAPforSeniors – Regulations state that 12 is the max. cap. - which was historically the case - but the number has increased to 16) or fewer persons, at least 80% of whom are 55 years of age or older and who are unrelated to the owners and one manager of the residence, where the following are provided:
- services consistent with a social model that is based on the premise that the resident’s unit is his or her own home;
- community-based residential care for persons who need assistance with activities of daily living, including housing and personal, supportive, and intermittent health-related services available 24 hours per day, if needed, to meet the scheduled and unscheduled needs of a resident; and
- mandatory services, whether provided directly by the establishment or by another entity arranged for by the establishment, with the consent of the resident or the resident’s representative.
Shared housing establishment or establishment does not mean the following:
- A home, institution, or similar place operated by the federal government or the State of Illinois.
- A long term care establishment licensed under the Nursing Home Care Act. A long term care establishment may, however, convert sections of the establishment to assisted living. If the long term care establishment elects to do so, the establishment shall retain the Certificate of Need for its nursing beds that were converted.
- A hospital, sanitarium, or other institution, the principal activity or business of which is the diagnosis, care, and treatment of human illness and that is required to be licensed under the Hospital Licensing Act.
- An establishment for child care as defined in the Child Care Act of 1969.
- A community living establishment as defined in the Community Living Facilities Licensing Act.
- A nursing home or sanitarium operated solely by and for persons who rely exclusively upon treatment by spiritual means through prayer in accordance with the creed or tenets of a well-recognized church or religious denomination.
- An establishment licensed by the Department of Human Services as a community-integrated living arrangement as defined in the Community-Integrated Living Arrangements Licensure and Certification Act.
- A supportive residence licensed under the Supportive Residences Licensing Act.
- A life care establishment as defined in the Life Care Facilities Act; a life care establishment may apply under the Act to convert sections of the community to assisted living.
- A free-standing hospice establishment licensed under the Hospice Program Licensing Act.
- An assisted living establishment.
- A supportive living establishment.
Sheltered Care Facility
A facility that provides assistance with meals, dressing, movement, bathing or other personal needs or maintenance, or general supervision and oversight of the physical and mental well-being of an individual who is incapable of maintaining a private, independent residence or who is incapable of managing his person, whether or not a guardian has been appointed for such individual.
Skilled Care Facility
A skilled nursing facility provides skilled nursing care, continuous skilled nursing observations, restorative nursing, and other services under professional direction with frequent medical supervision. Such facilities are provided for patients who need the type of care and treatment required during the post-acute phase of illness or during recurrences of symptoms in long-term illness.
Supportive Living Facility
A residential setting in Illinois that provides or coordinates flexible personal care services, 24 hour supervision and assistance (scheduled and unscheduled), activities, and health related services with a service program and physical environment designed to minimize the need for residents to move within or from the setting to accommodate changing needs and preferences; has an organizational mission, service programs and a physical environment designed to maximize residents' dignity, autonomy, privacy and independence; and encourages family and community involvement. Each Supportive Living Program designates which population it will serve, either: 1) persons with a disability who are 22 to 64 years of age; or 2) persons who are 65 years of age and over who meet the requirements Requirements include a screening by the Department and having been found to be in need of nursing facility level of care and that SLF placement is appropriate to meet the needs of the individual. (Private pay individuals may choose to be admitted into an SLF when the screening assessment does not justify nursing facility level of care)
Indiana
Comprehensive Care Facility (Nursing Home)
A health facility that provides nursing care, room, food, laundry, administration of medications, special diets, and treatments and that may provide rehabilitative and restorative therapies under the order of an attending physician. Comprehensive nursing care includes, but is not limited to, the following: (1) Intravenous feedings. (2) Enteral feeding. (3) Nasopharyngeal and tracheostomy aspiration. (4) Insertion and sterile irrigation and replacement of suprapubic catheters. (5) Application of dressings to wounds that: (A) require use of sterile techniques, packing, or irrigation; or (B) are infected or otherwise complicated. (6) Treatment of Stages 2, 3, and 4 pressure ulcers or other widespread skin disorders. (7) Heat treatments that have been specifically ordered by a physician as part of active treatment and require observation by nurses to adequately evaluate the process. (8) Initial phases of a regimen involving administration of medical gases.
Residential Care Facility
A health care facility that provides residential nursing care which may include, but is not limited to, the following: (1) Identifying human responses to actual or potential health conditions. (2) Deriving a nursing diagnosis. (3) Executing a minor regimen based on a nursing diagnosis or executing minor regimens as prescribed by a physician, physician assistant, chiropractor, dentist, optometrist, podiatrist, or nurse practitioner. (4) Administering, supervising, delegating, and evaluating nursing activities. ARTICLE 16.2. HEALTH FACILITIES; LICENSING AND OPERATIONAL STANDARDS
Kansas
Assisted Living Facility
Any place or facility caring for six or more individuals not related within the third degree of relationship to the administrator, operator or owner by blood or marriage and who, by choice or due to functional impairments, may need personal care and may need supervised nursing care to compensate for activities of daily living limitations and in which the place or facility includes apartments for residents and provides or coordinates a range of services including personal care or supervised nursing care available 24 hours a day, seven days a week for the support of resident independence. The provision of skilled nursing procedures to a resident in an assisted living facility is not prohibited by this act. Generally, the skilled services provided in an assisted living facility shall be provided on an intermittent or limited term basis, or if limited in scope, a regular basis.
Boarding Care Home
Any place or facility operating 24 hours a day, seven days a week, caring for not more than 10 individuals not related within the third degree of relationship to the operator or owner by blood or marriage and who, due to functional impairment, need supervision of activities of daily living but who are ambulatory and essentially capable of managing their own care and affairs.
Home Plus
Any residence or facility caring for not more than eight individuals not related within the third degree of relationship to the operator or owner by blood or marriage unless the resident in need of care is approved for placement by the secretary of the department of social and rehabilitation services, and who, due to functional impairment, needs personal care and may need supervised nursing care to compensate for activities of daily living limitations. The level of care provided residents shall be determined by preparation of the staff and rules and regulations developed by the department on aging. An adult care home may convert a portion of one wing of the facility to a not less than five-bed and not more than eight-bed home plus facility provided that the home plus facility remains separate from the adult care home, and each facility must remain contiguous.
Nursing Facility
Any place or facility operating 24 hours a day, seven days a week, caring for six or more individuals not related within the third degree of relationship to the administrator or owner by blood or marriage and who, due to functional impairments, need skilled nursing care to compensate for activities of daily living limitations.
Residential Health Care Facility
Any place or facility, or a contiguous portion of a place or facility, caring for six or more individuals not related within the third degree of relationship to the administrator, operator or owner by blood or marriage and who, by choice or due to functional impairments, may need personal care and may need supervised nursing care to compensate for activities of daily living limitations and in which the place or facility includes individual living units and provides or coordinates personal care or supervised nursing care available on a 24-hour, seven-day-a-week basis for the support of resident independence. The provision of skilled nursing procedures to a resident in a residential health care facility is not prohibited by this act. Generally, the skilled services provided in a residential health care facility shall be provided on an intermittent or limited term basis, or if limited in scope, a regular basis. scope, a regular basis.
Kentucky
Alzheimer’s Nursing Home
The care of residents with Alzheimer’s disease and other cognitive disorders require increased security and visual access. Measures to protect the residents from harm and to prevent them from leaving designated areas without supervision shall include frequent in-person observation of each resident and may also include the use of wide angle mirrors closed-circuit television monitors, and alarm systems. The following shall be provided: (1) Control doors (2) Locking devices may be used on the control doors (3) Access to outdoor areas shall be provided and such areas shall be enclosed by walls or fencing Alzheimer’s Nursing Homes shall provide the following services: (1) Physician services - health care of every patient shall be under the supervision of a physician (2) Nursing services - twenty-four (24) hour nursing services (3) Comprehensive assessments and care plans (4) Specialized rehabilitative services - physical, speech and occupational therapy services (5) Personal care services – includes assistance with bathing, shaving, cleaning and trimming of fingernails and toenails, cleaning of the mouth and teeth, and washing, grooming and cutting of hair. (6) Pharmaceutical services - appropriate methods and procedures for obtaining, dispensing, and administering drugs and biologicals (7) Diagnostic services - the facility shall have provisions for obtaining required clinical laboratory, x-ray and other diagnostic services. (8) Dental services - the facility shall assist patients to obtain regular and emergency dental care. (9) Social services – provision for medically related social needs. The medically related social needs of the patient shall be identified, and services provided to meet them, in admission of the patient, during his treatment and care in the facility. (10) Patient activities - activities suited to the needs and interests of patients (11) Transportation - arrange for appropriate transportation in case of medical emergencies (12) Residential services - dietary services, housekeeping and maintenance services, room accommodations
Assisted Living
A series of living units on the same site, operated as one business entity, and certified to provide services for five or more adult persons not related within the third degree of consanguinity to the owner or manager.
Family Care Home
A family care home provides: (1) Basic health and health related services such as supervising self-administration of medication and arranging for necessary therapeutic or physician services (2) Personal care services such as hygiene related services (3) Dietary services such as service of at least three meals per day and a snack shall be provided if desired or requested (4) Housekeeping and sanitation
Intermediate Care Facility
Intermediate care facilities are establishments with permanent facilities including inpatient beds. Services provided include twenty-four (24) hour supervision of patients, services including physician, nursing, pharmaceutical, personal care, activities and residential services. Patients in an intermediate care facility must have a physical or mental condition that requires intermittent nursing services along with continuous supervision of the activities of daily living.
Nursing Facility
Each resident shall receive the necessary nursing, medical and psychosocial services to attain and maintain the highest possible mental and physical functional status. The facility shall conduct initially and periodically a comprehensive, accurate, standardized, reproducible assessment of each resident's functional capacity. A physician shall personally approve a recommendation that an individual be admitted to a facility and each resident shall remain under the care of a physician. Nursing Services are provided on a twenty-four hour basis. A nursing facility will also provide rehabilitative services, such as physical therapy, speech-language pathology, and occupational therapy, dental services and pharmacy services. In addition, nursing facilities provide support for: • Activities of daily living • Vision and hearing - proper treatment and assistive devices to maintain vision and hearing abilities • Pressure sores • Urinary incontinence • Range of motion • Psychosocial functioning • Drug therapy • Hydration • Naso-gastric tubes; & • Special needs such as: (a) Injections; (b) Parenteral and enteral fluids; (c) Colostomy, ureterostomy or ileostomy care; (d) Tracheostomy care; (e) Tracheal suctioning; (f) Respiratory care; (g) Podiatric care; and (h) Prostheses.
Nursing Home
A facility which provides routine medical care in which physicians regularly visit patients, which provides nursing services and procedures employed in caring for the sick which require training, judgment, technical knowledge, and skills beyond that which the untrained person possesses, and which maintains complete records on patient care (KRS 216.750)
Personal Care Home
Personal Care Homes provide: (1) Basic health and health related services including continuous supervision and monitoring of the resident to assure that the resident's health care needs are being met, supervision of self administration of medications, storage and control of medications, when necessary, and making arrangements for obtaining therapeutic services ordered by the resident's physician which are not available in the facility. (2) Residential care services including room accommodations, housekeeping and maintenance services, and dietary services. (3) Personal care services such as assisting each resident to achieve and maintain good personal hygiene. (4) Activity services such as social and recreational activities to stimulate physical and mental abilities, encourage and develop a sense of usefulness and self respect, and prevent, inhibit or correct the development of symptoms of physical and mental regression due to illness or old age.
Skilled Nursing Facility
Skilled nursing facilities are establishments with permanent facilities including inpatient beds. Services provided include medical services, and continuous nursing services to provide treatment for patients. Patients in a skilled nursing facility are patients who require inpatient care but are not in an acute phase of illness, and who currently require primarily convalescent or rehabilitative services and have a variety of medical conditions.
Louisiana
Adult Residential
A public or privately operated (twenty-four hour) residence that provides personal assistance, lodging and meals for compensation to two or more adults who are unrelated to the residence licensee, owner, or director.
Nursing Home
Any private home, institution, building, residence, or other place, serving two or more persons who are not related by blood or marriage to the operator, whether operated for profit or not, and including those places operated by a political subdivision of the state of Louisiana which undertakes, through its ownership or management, to provide maintenance, personal care, or nursing for persons who, by reason of illness or physical infirmity or age, are unable to properly care for themselves.
Massachusetts
Assisted Living Facility
Any entity, however organized, whether conducted for profit or not for profit, which meets all of the following criteria: 1. provides room and board; and 2. provides, directly by employees of the entity or through arrangements with another organization which the entity may or may not control or own, assistance with activities of daily living for three or more adult residents who are not related by consanguinity or affinity to their care provider; and 3. collects payments or third party reimbursements from or on behalf of residents to pay for the provision of assistance with the activities of daily living or arranges for the same.
Continuing Care Retirement Community
The place or places in which a person undertakes to provide continuing care to an individual. Continuing care is defined as the furnishing to an individual, other than an individual related by consanguinity or affinity to the person furnishing such care, of board and lodging together with nursing services, medical services or other health related services, regardless of whether or not the lodging and services are provided at the same location, pursuant to a contract effective for the life of the individual or for a period in excess of one year.
Maryland
Assisted Living Program
A residential or facility-based program that provides housing and supportive services, supervision, personalized assistance, health-related services, or a combination of these services to meet the needs of individuals who are unable to perform, or who need assistance in performing, the activities of daily living or instrumental activities of daily living, in a way that promotes optimum dignity and independence for the individuals.
Comprehensive Care Facility & Extended Care Facilities (Nursing Homes)
An institution which is primarily engaged in providing to residents: (i) Skilled nursing care and related services for residents who require medical or nursing care; (ii) Rehabilitation services for the rehabilitation of injured, disabled, or sick persons; or (iii) On a regular basis, health-related care and services to individuals who, because of their mental or physical condition, require care and services (above the level of room and board) which can be made available to them only through institutional facilities. (See 10.09.10)
Congregate Housing
Definition: A program operated by the Department under the authority of Human Services Article, §10-209, Annotated Code of Maryland, which, among other activities, certifies providers willing to provide congregate housing services to participants and subsidizes congregate housing services for low income seniors. Congregate housing services are defined as congregate meals, housekeeping, laundry, personal assistance services, and service management provided in an apartment building, which services are to promote independent living for seniors who qualify. (See 32.03.04)
Continuing Care Retirement Community
Furnishing shelter and services to the public under all the following conditions: (a) Services consist of shelter plus health services; (b) Health services provided shall include at least one of the following services: (i) Medical and nursing services, (ii) A formal arrangement between the provider and a nursing home by which the nursing home grants priority to subscribers for admission to the nursing home, or (iii) Assistance with the activities of daily living other than the provision of meals; (c) Services may be paid for by the following methods: (i) An entrance fee in advance of receipt of services, (ii) Regular periodic charges which guarantee health services whenever needed, (iii) Purchase of services at the option of the subscriber as services are needed, or (iv) Any combination of the arrangements in §B(11)(c)(i)—(iii) of this regulation; (d) Services are offered to individuals who are: (i) 60 years old or older, and (ii) Not related to the provider by blood or marriage; (e) Services are offered for: (i) The life of the subscriber, or (ii) A period in excess of 1 year; and (f) Services are offered under a written agreement that may require periodic charges and shall require: (i) A transfer of assets from the subscriber to the provider, (ii) An entrance fee, or (iii) Both a transfer of assets and an entrance fee.
Maine
Assisted Living Program
A program of assisted living services provided to consumers in private apartments in buildings that include a common dining area, either directly by the provider or indirectly through contracts with persons, entities or agencies. The types of assisted living programs governed by these regulations include: (1) Type I – an assisted living program that provides medication administration directly or indirectly through contracts with persons, entities or agencies. (2) Type II – an assisted living program that provides medication administration and nursing services directly or indirectly through contracts with persons, entities or agencies. Assisted Living are defined as the provision by an assisted housing program, either directly by the provider or indirectly through contracts with persons, entities or agencies, of assisted housing services, assisted housing services with the addition of medication administration or assisted housing services with the addition of medication administration and nursing services, defined as follows: (1) Personal supervision, meaning general awareness of a consumer’s general whereabouts, giving consideration to the nature of the living arrangement; and, observation and assessment of each consumer’s functioning or behavior to enhance his or her health or safety or the health or safety of others; (2) Protection from environmental hazards, meaning mitigation of risk in the physical environment to prevent unnecessary injury or accident; (3) Assistance with Activities of Daily Living and Instrumental Activities of Daily Living; (4) Diversional, motivational or recreational activities, meaning activities that respond to consumers’ interests or which stimulate social interaction, both in individual and group settings; (5) Dietary services, meaning the provision of regular and therapeutic diets that meet each consumer’s minimum daily food requirements, based on the number of meals served, as defined by the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council, National Academy of Sciences; (6) Care Management Services, meaning a process of working with a consumer to identify his/her needs and strengths, developing a service plan and arranging for and monitoring service delivery; (7) Administration of medications, meaning services such as reading labels for consumers, observing consumers taking their medications, checking the dosage, removing the prescribed dosage, filling a syringe and administering insulin and bee sting kits (when permitted) and the maintenance of a medication record for each consumer; (8) Nursing services, meaning services provided by professional nurses. It includes coordination and oversight of consumer care services provided by unlicensed health care assistive personnel in assisted living programs.
Continuing Care Retirement Community
A facility furnishing shelter for the life of the individual or for a period in excess of one year and either health care, supportive services, or both, under an agreement requiring prepayment as defined in subsection 12, whether or not the shelter and services are provided at the same location, to 3 or more older individuals not related by blood or marriage to the providers. A Continuing care agreement is defined as a contract or contracts which create the obligation to provide continuing care, including, but not limited to, mutually terminable contracts.
Level I Residential Care Facility
A house or other place that, for consideration, is maintained wholly or partly for the purpose of providing residents with assisted living services. Residential care facilities provide housing and services to residents in private or semi-private bedrooms in buildings with common living areas and dining areas. It does not include licensing nursing homes or a supported living arrangement certified by the Department of Behavioral and Developmental Services. Following are the types of residential care facilities: (1) Level I – a facility with a licensed capacity of one to two residents. (2) Level II – a facility with a licensed capacity of three to six residents. (3) Level III – a facility with a licensed capacity of three to residents and which employs three or more persons who are not owners and are not related to the owner. (4) Level IV – a facility with a licensed capacity of more than six residents.
Level II Residential Care Facility
A house or other place that, for consideration, is maintained wholly or partly for the purpose of providing residents with assisted living services. Residential care facilities provide housing and services to residents in private or semi-private bedrooms in buildings with common living areas and dining areas. It does not include licensing nursing homes or a supported living arrangement certified by the Department of Behavioral and Developmental Services. Following are the types of residential care facilities: (1) Level I – a facility with a licensed capacity of one to two residents. (2) Level II – a facility with a licensed capacity of three to six residents. (3) Level III – a facility with a licensed capacity of three to residents and which employs three or more persons who are not owners and are not related to the owner. (4) Level IV – a facility with a licensed capacity of more than six residents.
Level III PNMI Residential Care Facility
A house or other place that, for consideration, is maintained wholly or partly for the purpose of providing residents with assisted living services. Residential care facilities provide housing and services to residents in private or semi-private bedrooms in buildings with common living areas and dining areas. It does not include licensing nursing homes or a supported living arrangement certified by the Department of Behavioral and Developmental Services. Following are the types of residential care facilities: (1) Level I – a facility with a licensed capacity of one to two residents. (2) Level II – a facility with a licensed capacity of three to six residents. (3) Level III – a facility with a licensed capacity of three to residents and which employs three or more persons who are not owners and are not related to the owner. (4) Level IV – a facility with a licensed capacity of more than six residents.
Level III Residential Care Facility
A house or other place that, for consideration, is maintained wholly or partly for the purpose of providing residents with assisted living services. Residential care facilities provide housing and services to residents in private or semi-private bedrooms in buildings with common living areas and dining areas. It does not include licensing nursing homes or a supported living arrangement certified by the Department of Behavioral and Developmental Services. Following are the types of residential care facilities: (1) Level I – a facility with a licensed capacity of one to two residents. (2) Level II – a facility with a licensed capacity of three to six residents. (3) Level III – a facility with a licensed capacity of three to residents and which employs three or more persons who are not owners and are not related to the owner. (4) Level IV – a facility with a licensed capacity of more than six residents.
Level IV PNMI Residential Care Facility
A house or other place that, for consideration, is maintained wholly or partly for the purpose of providing residents with assisted living services. Residential care facilities provide housing and services to residents in private or semi-private bedrooms in buildings with common living areas and dining areas. It does not include licensing nursing homes or a supported living arrangement certified by the Department of Behavioral and Developmental Services. Following are the types of residential care facilities: (1) Level I – a facility with a licensed capacity of one to two residents. (2) Level II – a facility with a licensed capacity of three to six residents. (3) Level III – a facility with a licensed capacity of three to residents and which employs three or more persons who are not owners and are not related to the owner. (4) Level IV – a facility with a licensed capacity of more than six residents.
Level IV Residential Care Facility
A house or other place that, for consideration, is maintained wholly or partly for the purpose of providing residents with assisted living services. Residential care facilities provide housing and services to residents in private or semi-private bedrooms in buildings with common living areas and dining areas. It does not include licensing nursing homes or a supported living arrangement certified by the Department of Behavioral and Developmental Services. Following are the types of residential care facilities: (1) Level I – a facility with a licensed capacity of one to two residents. (2) Level II – a facility with a licensed capacity of three to six residents. (3) Level III – a facility with a licensed capacity of three to residents and which employs three or more persons who are not owners and are not related to the owner. (4) Level IV – a facility with a licensed capacity of more than six residents.
Nursing Facility
A facility licensed by the Department to provide nursing services. Each resident shall receive nursing care, as defined by the Standards of Care established by the American Nurses association. These services include, but are not limited to: a. Good personal hygiene, such as clean, well-groomed hair, cleaned, trimmed fingernails, clean skin, and freedom from offensive odors, clean mouth and teeth, and absence of dry cracked lips; b. Appropriate nursing measures including encouraging and assisting resident to change position at least every two (2) hours to stimulate circulation and prevent pressure sores, contractures and deformities. c. Ensuring clean resident rooms, beds, bed linen and clothing. d. Ensuring that resident care equipment is in sufficient supply, in good condition, properly cleaned and cared for, well organized and readily available.
Michigan
Adult Foster Care Congregate Homes
A governmental or nongovernmental establishment that provides foster care to 21 or more adults who are aged (60+), mentally ill, developmentally disabled, or physically disabled who require supervision on an ongoing basis but who do not require continuous nursing care. Foster care is defined as the provision of supervision, personal care, and protection in addition to room and board, for 24 hours a day, 5 or more days a week, and for 2 or more consecutive weeks for compensation. (ADULT FOSTER CARE FACILITY LICENSING ACT 218 of 1979)
Adult Foster Care Family Homes
A governmental or nongovernmental establishment that provides foster care to 6 or fewer adults who are aged (60+), mentally ill, developmentally disabled, or physically disabled who require supervision on an ongoing basis but who do not require continuous nursing care. Foster care is defined as the provision of supervision, personal care, and protection in addition to room and board, for 24 hours a day, 5 or more days a week, and for 2 or more consecutive weeks for compensation. The adult foster care family home licensee shall be a member of the household, and an occupant of the residence. (ADULT FOSTER CARE FACILITY LICENSING ACT 218 of 1979)
Adult Foster Care Large Group Homes
A governmental or nongovernmental establishment that provides foster care to between 13 - 20 adults who are aged (60+), mentally ill, developmentally disabled, or physically disabled who require supervision on an ongoing basis but who do not require continuous nursing care. Foster care is defined as the provision of supervision, personal care, and protection in addition to room and board, for 24 hours a day, 5 or more days a week, and for 2 or more consecutive weeks for compensation. (ADULT FOSTER CARE FACILITY LICENSING ACT 218 of 1979)
Adult Foster Care Medium Group Homes
A governmental or nongovernmental establishment that provides foster care to between 7 - 12 adults who are aged (60+), mentally ill, developmentally disabled, or physically disabled who require supervision on an ongoing basis but who do not require continuous nursing care. Foster care is defined as the provision of supervision, personal care, and protection in addition to room and board, for 24 hours a day, 5 or more days a week, and for 2 or more consecutive weeks for compensation. (ADULT FOSTER CARE FACILITY LICENSING ACT 218 of 1979)
Adult Foster Care Small Group Homes
A governmental or nongovernmental establishment that provides foster care to 6 or fewer adults who are aged (60+), mentally ill, developmentally disabled, or physically disabled who require supervision on an ongoing basis but who do not require continuous nursing care. Foster care is defined as the provision of supervision, personal care, and protection in addition to room and board, for 24 hours a day, 5 or more days a week, and for 2 or more consecutive weeks for compensation. (ADULT FOSTER CARE FACILITY LICENSING ACT 218 of 1979)
Home for the Aged
A supervised personal care facility, other than a hotel, adult foster care facility, hospital, nursing home, or county medical care facility that provides room, board, and supervised personal care to 21 or more unrelated, nontransient, individuals 60 years of age or older. Home for the aged includes a supervised personal care facility for 20 or fewer individuals 60 years of age or older if the facility is operated in conjunction with and as a distinct part of a licensed nursing home. (PUBLIC HEALTH CODE Act 368 of 1978) (Please note that this license type is no longer being issued)
Life Interest (CCRC)
A life lease, life membership, life estate, or other similar agreement between a purchaser and a facility by which the purchaser pays a fee for the right to occupy a space in the facility for life.
Nursing Home
A facility that provides preventive, supportive, maintenance, habilitative, and rehabilitative nursing care directed to the physiologic and psychosocial needs and well-being of that patient. The care of a patient admitted to a home shall be under the continuing direction of a physician licensed to practice in Michigan. Nursing care and services shall include, at a minimum, all of the following: (a) Care of the skin, mouth, teeth, hands, and feet and shampooing and grooming of the hair. (b) Oral hygiene shall be provided at least daily and more often as required. Special mouth care shall be regularly provided to the acutely ill patient in accordance with individual need or as ordered by the physician. (c) A patient's hair shall be combed or brushed daily. A patient's hair shall be shampooed on a routine basis at least weekly and more often as required, unless the attending physician writes an order to the contrary. (d) A patient shall be offered the opportunity and facilities for, and assistance with, shaving, if necessary, as often as is required for comfort and appearance, unless the patient requests otherwise or the physician writes an order to the contrary. Daily shaving shall be made available on request or for comfort and appearance as needed. (e) A complete tub or shower bath shall be taken, under staff supervision, by, or administered to, an ambulatory patient at least once a week, unless the physician writes an order to the contrary. (f) A bedfast patient shall be assisted with bathing or bathed completely at least twice a week and shall be partially bathed daily and as required due to secretions, excretions, or odors. (g) A patient shall be provided the opportunity for, and, as necessary, assisted with, personal care, including toileting, oral hygiene, and washing of hands and face before the breakfast meal. A patient's hands shall be washed before and, as required, after all meals and snacks. (h) A patient's clothing or bedding shall be changed promptly when it becomes wet or soiled. (i) A patient shall receive skin care as required according to written procedures to prevent dryness, irritation, itching, or decubitus. (j) A patient shall receive care as required according to written procedures to prevent complications of inactivity or prolonged periods of being bedfast. (k) An inactive or bedfast patient shall be positioned according to written procedures so that major body parts are in natural alignment. Such position shall be changed appropriately at regular and specified intervals. Supportive devices shall be employed as indicated to maintain posture, support weakened body parts, or relieve undue pressure. (l) A patient shall have, during each day, planned periods of rest, exercise, and diversional activities consistent with the patient's health status and desires. (m) A patient shall be weighed and have his or her temperature, pulse, respirations, and blood pressure taken and recorded on admission and at least monthly thereafter or more frequently if ordered by a physician. The patient's measured or estimated height shall be recorded on admission. (n) Provisions shall be made for the marking, laundering, ironing, and mending of the clothing of each patient. The clothing of each patient shall be stored individually. A system of inventory for patient clothing shall be implemented and maintained to prevent and control loss or theft insofar as possible. (o) A patient who is out of bed in the daytime shall be dressed in comfortable clothing, unless contraindicated by the patient's medical condition or preference and justification thereof is documented in the patient's clinical record. Ambulatory patients shall wear appropriate footwear. Nonambulatory patients shall at least wear appropriate protective foot coverings.
Minnesota
Adult Foster Care
A residence operated by an operator who provides 24 hour foster care to no more than five functionally impaired residents . Adult foster care is defined as the provision of food, lodging, protection, supervision, and household services to a functionally impaired adult in a residence and may also include the provision of personal care, household and living skills assistance or training, medication assistance, and assistance safeguarding cash resources . Note: Licenses are issued by the county in which the facility resides. (MINNESOTA RULES 9555.5105 - 9555.6265)
Boarding Care Home
A licensed facility or unit used to provide care for aged or infirm persons who require only personal or custodial care and related services in accordance with these regulations. A boarding care home license is required if the persons need or receive personal or custodial care only. Nursing services are not required. Examples of personal or custodial care: board, room, laundry, and personal services; supervision over medications which can be safely self-administered; plus a program of activities and supervision required by persons who are not capable of properly caring for themselves.
Housing With Services
An establishment providing sleeping accommodations to one or more adult residents, at least 80% of which are 55 years of age or older, and offering or providing, for a fee, one or more regularly scheduled health-related services or two or more regularly scheduled supportive services, whether offered or provided directly by the establishment or by another entity arranged for by the establishment. (Note: These facilities are "Registered" but are not "Licensed".)
Missouri
Assisted Living Facility
Any premises, other than a residential care facility, intermediate care facility, or skilled nursing care facility, that is utilized to provide twenty-four hour care and services and protective oversight to three or more residents who are provided with shelter, board, and who may need and are provided with the following: (A) Assistance with any activities of daily living and any instrumental activities of daily living; (B) Storage, distribution or administration of medications; and (C) Supervision of health care under the direction of a licensed physician, provided that such services are consistent with a social model of care. (D) The term “assisted living facility” does not include a facility where all of the residents are related within the fourth degree of consanguinity or affinity to the owner, operator, or manager of the facility. (19 CSR 30-83)
Intermediate Care Facility
Any premises, other than a residential care facility, assisted living facility, or skilled nursing facility, which is utilized to provide twenty-four hour accommodation, board, personal care, and basic health and nursing care services under the daily supervision of a licensed nurse and under the direction of a licensed physician to three or more residents dependent for care and supervision and who are not related within the fourth degree of consanguinity or affinity to the owner, operator or manager of the facility. (19 CSR 30-83)
Residential Care Facility I
Any premises, other than an assisted living facility, intermediate care facility, or skilled nursing facility, which is utilized to provide twenty-four hour care to three or more residents, who are not related within the fourth degree of consanguinity or affinity to the owner, operator, or manager of the facility and who need or are provided with shelter, board, and with protective oversight, which may include storage and distribution or administration of medications and care during short-term illness or recuperation, except that, for purposes of eligible residents of facilities formerly licensed as residential care facilities II receiving supplemental welfare assistance payments, any residential care facility that was licensed as a residential care facility II on or before August 27, 2006 that continues to meet the licensure standards for a residential care facility II in effect on August 27, 2006 shall be considered a residential care facility II for purposes of its eligible residents receiving the cash grant payment amount allocated immediately prior to August 28, 2006 for residents of a residential care facility II. (19 CSR 30-83)
Residential Care Facility II
Any premises, other than an assisted living facility, intermediate care facility, or skilled nursing facility, which is utilized to provide twenty-four hour care to three or more residents, who are not related within the fourth degree of consanguinity or affinity to the owner, operator, or manager of the facility and who need or are provided with shelter, board, and with protective oversight, which may include storage and distribution or administration of medications and care during short-term illness or recuperation, except that, for purposes of eligible residents of facilities formerly licensed as residential care facilities II receiving supplemental welfare assistance payments, any residential care facility that was licensed as a residential care facility II on or before August 27, 2006 that continues to meet the licensure standards for a residential care facility II in effect on August 27, 2006 shall be considered a residential care facility II for purposes of its eligible residents receiving the cash grant payment amount allocated immediately prior to August 28, 2006 for residents of a residential care facility II. (19 CSR 30-83) Note: Licenses for Residential Care Facility IIs are no longer being issued.
Skilled Nursing Facility
Any premises, other than a residential care facility, assisted living facility or an intermediate care facility, which is utilized to provide for twenty-four hour accommodation, board and skilled nursing care and treatment services to at least three residents who are not related within the fourth degree of consanguinity or affinity to the owner, operator or manager of the facility. Skilled nursing care and treatment services are those services commonly performed by or under the supervision of a registered professional nurse for individuals requiring twenty-four hours a day care by licensed nursing personnel including acts of observation, care and counsel of the aged, ill, injured or infirm, the administration of medications and treatments as prescribed by a licensed physician or dentist, and other nursing functions requiring substantial specialized judgment and skill. (19 CSR 30-83)
Mississippi
Nursing Home
A facility in which nursing care is under the supervision of a registered nurse. Either a registered nurse or a licensed practical nurse shall be on active duty at all times.
Personal Care Home - Assisted Living
Any place or facility operating 24 hours a day, seven (7) days a week, accepting individuals who require assisted living services as governed by the regulations herein. Assisted Living is defined as the provision of personal care and the addition of supplemental services to include, but not be limited to, the provision of medical services (i.e., medication procedures and medication administration), and emergency response services.
Personal Care Home - Residential Living
Any place or facility operating 24 hours a day, seven (7) days a week, accepting individuals who require personal care services or individuals, who due to functional impairments, may require mental health services to compensate for activities of daily living. Personal care is defined as the assistance rendered by personnel of the licensed facility to residents in performing one or more of the activities of daily living, including but not limited to bathing, walking, excretory functions, feeding, personal grooming, and dressing.
Montana
Adult Foster Care Facility
A private home operated by one or more persons 18 years of age or older which offers light personal care, custodial care and supervision to disabled adults who are not related to the operator by blood or marriage or which offers light personal care or custodial care to aged persons. Light personal care is defined as assisting the aged person or disabled adult in accomplishing such personal hygiene tasks as bathing, dressing, hair grooming, and supervision of self-medication. Custodial care is defined as providing a sheltered, family-type setting for an aged person or disabled adult to provide for the basic needs of food and shelter and having a specific person available to help the adult meet these basic needs. Supervision is defined as guidance of a person as he carries out activities of daily living, including reminding a resident to maintain his medication schedule as directed by his physician, reminding him of important activities to be carried out, assisting him in keeping appointments and being aware of his general whereabouts even though he may travel independently about the community.
Assisted Living Facility
An assisted living facility shall, at a minimum, provide or make provisions for: (a) personal services, such as laundry, housekeeping, food service, and local transportation; (b) assistance with activities of daily living, as provided for in the facility admission agreement and that do not require the use of a licensed health care professional or a licensed practical nurse; (c) recreational activities; (d) assistance with self-medication; (e) 24-hour onsite supervision by staff; and (f) assistance in arranging health-related services, such as medical appointments and appointments related to hearing aids, glasses, or dentures. (MCA 50-5-225) Assisted living facilities can elect to seek "Category B" and "Category C" endorsements which require services to go above and beyond the standard "Category A" regulations. Standards for operating a category B assisted living facility must include the standards for a category A assisted living facility and additional standards for assessment of residents, care planning, qualifications and training of staff, prevention and care of pressure sores, and incontinence care. Standards for operating a category C assisted living facility must include the standards for a category B assisted living facility and additional standards for resident assessment, the provision of specialty care to residents with cognitive impairments, and additional qualifications of and training for the administrator and direct-care staff. (MCA-50-5-226)
Nursing Home
Nursing homes provide both skilled nursing care and intermediate nursing care. Skilled nursing care is defined as the provision of nursing care services, health-related services, and social services under the supervision of a licensed registered nurse on a 24-hour basis. Intermediate nursing care is defined as the provision of nursing care services, health-related services, and social services under the supervision of a licensed nurse to patients not requiring 24-hour nursing care. (Montana Code Annotated, 50-5-101)
Retirement Home
A building or buildings in which separate living accommodations are rented or leased to individuals who use those accommodations as their primary residence. (MCA 50-5-101) A retirement home shall offer meals or central kitchens but may not offer nursing or personal-care services to the residents, other than by a contract with a third party. (MCA 50-5-214)
North Carolina
Adult Care Home/Home for the Aged
A facility operated as a part of a nursing home and which provides residential care for aged or disabled persons whose principal need is a home with the shelter or personal care their age or disability requires. Medical care in an adult care home is usually occasional or incidental, such as may be required in the home of any individual or family, but the administration of medication is supervised. Continuing planned medical and nursing care to meet the resident's needs may be provided under the direct supervision of a physician, nurse, or home health agency. (See G.S. 131E-101)
Continuing Care Retirement Community
The retirement community or communities in which a provider undertakes to provide continuing care to an individual. Continuing care is defined as the furnishing to an individual other than an individual related by blood, marriage, or adoption to the person furnishing the care, of lodging together with nursing services, medical services, or other health related services, under an agreement effective for the life of the individual or for a period longer than one year.
Family Care Home
Facility with a capacity of two to six residents. The facility shall assure that staff who perform or directly supervise staff who perform personal care tasks and interpersonal skills and behavioral interventions receive on-the-job training and supervision as necessary for the performance of individual job assignments prior to meeting the training and competency requirements. Any adult who, because of a temporary or chronic physical condition or mental disability, needs a substitute home may be admitted when, in the opinion of the resident, physician, family or social worker, and the administrator the services and accommodations of the home will meet his particular needs. (b) Exceptions. People are not to be admitted: (1) for treatment of mental illness, or alcohol or drug abuse; (2) for maternity care; (3) for professional nursing care under continuous medical supervision; (4) for lodging, when the personal assistance and supervision offered for the aged and disabled are not needed; or (5) who pose a direct threat to the health or safety of others.
Multi-Unit Assisted Housing with Services
An assisted living residence in which hands-on personal care services and nursing services which are arranged by housing management are provided by a licensed home care or hospice agency, through an individualized written care plan.
Nursing Facility
A facility, however named, which is advertised, announced, or maintained for the express or implied purpose of providing nursing or convalescent care for three or more persons unrelated to the licensee. A "nursing home" is a home for chronic or convalescent patients, who, on admission, are not as a rule, acutely ill and who do not usually require special facilities such as an operating room, X-ray facilities, laboratory facilities, and obstetrical facilities. A "nursing home" provides care for persons who have remedial ailments or other ailments, for which medical and nursing care are indicated; who, however, are not sick enough to require general hospital care. Nursing care is their primary need, but they will require continuing medical supervision. (See G.S. 131E-101)
North Dakota
Adult Family Foster Care Facility
An occupied private residence in which foster care for adults is regularly provided by the owner or lessee thereof, to four or fewer adults who are not related by blood or marriage to the owner or lessee, for hire or compensation. Foster care for adults is defined as the provision of food, shelter, security and safety, guidance, and comfort on a twenty-four-hour per day basis, in the home of a caregiver, to a person age eighteen or older, who is unable, neglects, or refuses to provide for the person's own care.
Assisted Living
A building or structure containing a series of at least five living units operated as one entity to provide services for five or more individuals who are not related by blood, marriage, or guardianship to the owner or manager of the entity and which is kept, used, maintained, advertised, or held out to the public as a place that provides or coordinates individualized support services to accommodate the individual's needs and abilities to maintain as much independence as possible.
Basic Care
A licensed facility whose focus is to provide room and board and health, social, and personal care to assist the residents to attain or maintain their highest level of functioning, consistent with the resident assessment and care plan, to ?ve or more residents not related by blood or marriage to the owner or manager. These services shall be provided on a twenty-four-hour basis within the facility, either directly or through contract, and shall include assistance with activities of daily living and instrumental activities of daily living; provision of leisure, recreational, and therapeutic activities; and supervision of nutritional needs and medication administration.
Nursing Facility
An institution or a distinct part of an institution established to provide health care under the supervision of a licensed health care practitioner and continuous nursing care for twenty-four or more consecutive hours to two or more residents who are not related to the licensee by marriage, blood, or adoption; and who do not require care in a hospital setting.
Nebraska
Assisted Living Facility
A facility where shelter, food, and care are provided for remuneration for a period of more than 24 consecutive hours to four or more persons residing at such facility who require or request such services due to age, illness, or physical disability. This definition does not include a home, apartment or facility where: 1. Casual care is provided at irregular intervals, or 2. A competent person residing in such home, apartment or facility provides for or contracts for his or her own personal or professional services if no more than 25% of persons residing in such home, apartment, or facility receive such services.
Long Term Care Hospital
Although this is a separate long term care license type, those Long Term Care hospitals that provide nursing care operate under the Nursing Facility regulations and those that provide skilled nursing care operate under the Skilled Nursing Care regulations.
New Hampshire
Adult Family Care
A combination of personal care, homemaking and other services that are provided to a person in the licensed home of another individual in accordance with a care plan.
Nursing Home
A place which shall provide, for 2 or more persons, basic domiciliary services (board, room, and laundry), continuing health supervision under competent professional medical and nursing direction, and continuous nursing care as may be individually required.
Residential Care Home Facility
A facility which provides services to 2 or more individuals, beyond room and board care, in a residential setting, as an alternative to nursing facility care, which offers residents home-like living arrangements, social, health, or medical services, including but not limited to, medical or nursing supervision, or medical care or treatment by appropriately trained or licensed individuals, assistance in daily living, or protective care.
Supported Residential Care Home Facility
A facility which provides services to 2 or more individuals, beyond room and board care, in a residential setting, as an alternative to nursing facility care, which offers residents home-like living arrangements, social, health, or medical services, including but not limited to, medical or nursing supervision, or medical care or treatment by appropriately trained or licensed individuals, assistance in daily living, or protective care.
New Jersey
Assisted Living Residence
A facility which is licensed by the Department of Health and Senior Services to provide apartment-style housing and congregate dining and to assure that assisted living services are available when needed, for four or more adult persons unrelated to the proprietor. Apartment units offer, at a minimum, one unfurnished room, a private bathroom, a kitchenette, and a lockable door on the unit entrance.
Comprehensive Personal Care Home
A facility which is licensed by the Department of Health and Senior Services to provide room and board and to assure that assisted living services are available when needed, to four or more adults unrelated to the proprietor. Residential units in comprehensive personal care homes house no more than two residents and have a lockable door on the unit entrance.
Nursing Home
A facility that is licensed by the Department to provide health care under medical supervision and continuous nursing care for 24 or more consecutive hours to two or more patients who do not require the degree of care and treatment which a hospital provides and who, because of their physical or mental condition, require continuous nursing care and services above the level of room and board.
New Mexico
Adult Residential Care
Any congregate residence, maternity shelter, or building for adults, which provides and whose primary purpose is to provide to the residents, within the facility, either directly or through contract services, programmatic services, room, board, assistance with the activities of daily living, in accordance with the program narrative, and/or general supervision to two (2) or more adults who have difficulty living independently or managing their own affairs.
Nevada
Adult Group Care for Alzheimer’s Disease-Residents with Dementia (AGZ)
A residential facility that provides care and protective supervision for persons with Alzheimer’s disease or a related disease, including, without limitation, senile dementia, organic brain syndrome or other cognitive impairment.
Adult Group Care/Residential Care/Assisted Living
An establishment that furnishes food, shelter, assistance and limited supervision to a person with mental retardation or with a disability or a person who is aged or infirm. The term includes, without limitation, an assisted living facility.
Facility for Skilled Nursing
An establishment which provides continuous skilled nursing and related care as prescribed by a physician to a patient in the facility who is not in an acute episode of illness and whose primary need is the availability of such care on a continuous basis.
Intermediate Care Facility
An establishment operated and maintained to provide 24-hour personal and medical supervision, for a person who does not have illness, disease, injury or other condition that would require the degree of care and treatment which a hospital or facility for skilled nursing is designed to provide.
New York
Adult Home
A facility established and operated for the purpose of providing long-term residential care, room, board, housekeeping, personal care, (either directly or indirectly), and supervision to five or more adults unrelated to the operator. The provisions of this subdivision shall not apply to any housing projects established pursuant to the private housing finance law, the public housing law, the membership corporations law or the not-for-profit corporation law except for those distinct programs operated by such projects which provide supervision and/or personal care and which are approved or certified by the department. (Social Services Laws, Article 2)
Assisted Living Program
An entity or entities with identical ownership, which are approved to operate pursuant to subdivision three of this section and possesses a valid operating certificate as an adult care facility, other than a shelter for adults, a residence for adults or a family type home for adults, issued pursuant to this article and which possesses either: (i) a valid license as a home care services agency issued pursuant to section thirty-six hundred five of the public health law; or (ii) a valid certificate of approval as a certified home health agency issued pursuant to section thirty-six hundred six of the public health law; or (iii) valid authorization as a long term home health care program issued pursuant to section thirty-six hundred ten of the public health law. Social Services Laws, Title 2, Article 7, 461-L)
Continuing Care Retirement Community
A facility or facilities established to provide a comprehensive, cohesive living arrangement for the elderly, oriented to the enhancement of the quality of life and which, pursuant to the terms of the continuing care contract, at a minimum: a. provides independent living units, and provides a meal plan. The independent living unit can be made available either through a non-equity arrangement or through an equity arrangement including, but not limited to a cooperative or condominium. For purposes of this article, the purchase price of an independent living unit in an equity arrangement, regardless of the form of the purchase agreement, shall not be considered an entry fee for purposes of calculating reserve liabilities, but shall be considered an entry fee for escrow purposes; b. provides a range of health care and social services, subject to such terms as may be included within the contract, which shall include home health care, nursing care, and at a minimum, sixty days of prepaid services of an on-site or affiliated nursing facility; c. provides access to health services as defined in the contract, prescription drugs, and rehabilitation services; and d. nothing in this article shall eliminate the obligation of a continuing care retirement community to provide at least sixty days of prepaid nursing facility services to all residents. The prepaid days must include the first sixty days of nursing facility services, whether or not consecutive, not covered by Title XVIII of the federal social security act. (Public Health, Article 46)
Enriched Housing Program
An adult care facility established and operated for the purpose of providing long-term residential care to five or more adults, primarily persons sixty-five years of age or older, in community-integrated settings resembling independent housing units. Such program shall provide or arrange the provision of room, and provide board, housekeeping, personal care and supervision. (Social Services Laws, Article 2)
Nursing Home
A facility providing therein nursing care to sick, invalid, infirm, disabled or convalescent persons in addition to lodging and board or health-related service, or any combination of the foregoing, and in addition thereto, providing nursing care and health-related service, or either of them, to persons who are not occupants of the facility. (Public Health Law, Article 28)
Residence For Adults
An adult care facility established and operated for the purposes of providing long-term residential care, room, board, housekeeping and supervision to five or more adults, unrelated to the operator. The provisions of this subdivision shall not apply to any housing projects established pursuant to the private housing finance law, the public housing law, the membership corporations law or the not-for-profit corporation law except for those distinct programs operated by such projects which provide supervision and/or personal care and which are approved or certified by the department. (Social Services Laws, Article 2)
Ohio
Adult Family Home
A residence or facility that provides accommodations to three to five unrelated adults and supervision and personal care services to at least three of those adults. Personal care services include, but not limited to, the following: (i) Assisting residents with activities of daily living; (ii) Assisting residents with self-administration of medication, in accordance with rules adopted by the public health council pursuant to this chapter; & (iii) Preparing special diets, other than complex therapeutic diets, for residents pursuant to the instructions of a physician or a licensed dietitian, in accordance with rules adopted by the public health council pursuant to this chapter.
Adult Group Home
A residence or facility that provides accommodations to six to sixteen unrelated adults and provides supervision and personal care services to at least three of the unrelated adults. Personal care services include, but not limited to, the following: (i) Assisting residents with activities of daily living; (ii) Assisting residents with self-administration of medication, in accordance with rules adopted by the public health council pursuant to this chapter; & (iii) Preparing special diets, other than complex therapeutic diets, for residents pursuant to the instructions of a physician or a licensed dietitian, in accordance with rules adopted by the public health council pursuant to this chapter.
Nursing Home
A home used for the reception and care of individuals who by reason of illness or physical or mental impairment require skilled nursing care and of individuals who require personal care services but not skilled nursing care. A nursing home is licensed to provide personal care services and skilled nursing care. Skilled nursing care is defined as procedures that require technical skills and knowledge beyond those the untrained person possesses and that are commonly employed in providing for the physical, mental, and emotional needs of the ill or otherwise incapacitated. Skilled nursing care includes, but is not limited to, the following: (a) Irrigations, catheterizations, application of dressings, and supervision of special diets; (b) Objective observation of changes in the patient’s condition as a means of analyzing and determining the nursing care required and the need for further medical diagnosis and treatment; (c) Special procedures contributing to rehabilitation; (d) Administration of medication by any method ordered by a physician, such as hypodermically, rectally, or orally, including observation of the patient after receipt of the medication; (e) Carrying out other treatments prescribed by the physician that involve a similar level of complexity and skill in administration. Personal care services include, but not limited to, the following: (i) Assisting residents with activities of daily living; (ii) Assisting residents with self-administration of medication (iii) Preparing special diets, other than complex therapeutic diets, for residents pursuant to the instructions of a physician or a licensed dietitian
Residential Care Facility
A home that provides either of the following: (a) Accommodations for seventeen or more unrelated individuals and supervision and personal care services for three or more of those individuals who are dependent on the services of others by reason of age or physical or mental impairment; (b) Accommodations for three or more unrelated individuals, supervision and personal care services for at least three of those individuals who are dependent on the services of others by reason of age or physical or mental impairment and, to at least one of those individuals, any of the skilled nursing care mentioned in 3721.011. Personal care services include, but are not limited to, the following: (i) Assisting residents with activities of daily living; (ii) Assisting residents with self-administration of medication, in accordance with rules adopted under section 3721.04 of the Revised Code; (iii) Preparing special diets, other than complex therapeutic diets, for residents pursuant to the instructions of a physician or a licensed dietitian, in accordance with rules adopted under section 3721.04 of the Revised Code. Skilled nursing care includes procedures that require technical skills and knowledge beyond those the untrained person possesses and that are commonly employed in providing for the physical, mental, and emotional needs of the ill or otherwise incapacitated. Skilled nursing care includes, but is not limited to, the following: (a) Irrigations, catheterizations, application of dressings, and supervision of special diets; (b) Objective observation of changes in the patient’s condition as a means of analyzing and determining the nursing care required and the need for further medical diagnosis and treatment; (c) Special procedures contributing to rehabilitation; (d) Administration of medication by any method ordered by a physician, such as hypodermically, rectally, or orally, including observation of the patient after receipt of the medication; (e) Carrying out other treatments prescribed by the physician that involve a similar level of complexity and skill in administration.
Oklahoma
Assisted Living Center
Any home or establishment offering, coordinating or providing services to two (2) or more persons who: (A) are domiciled therein; (B) are unrelated to the operator; (C) by choice or functional impairments, need assistance with personal care or nursing supervision; (D) may need intermittent or unscheduled nursing care; (E) may need medication assistance; and (F) may need assistance with transfer and/or ambulation; Intermittent nursing care and home health aide services may be provided in an assisted living facility by a home health agency (see Title 310, Chapter 663)
Continuum of Care Facility
A home, establishment or institution providing nursing facility services and one or both of the following: (A) assisted living center services (B) adult day care center services (see Title 310, Chapter 663)
Hospital Based Skilled Nursing Unit
Skilled nursing units may be established as distinct units of general medical surgical hospitals. These units shall be licensed as part of the hospital and be included in the licensed bed capacity. If a hospital provides a skilled nursing unit, this unit shall be separate and distinctly identified. Beds shall not be commingled. The skilled nursing unit shall be considered a department of the hospital and therefore shall be administered by the governing body and the administrator. Each skilled nursing unit shall have a full-time nursing director for the unit who is a registered nurse. (Section 1-701 of Title 63 of the Oklahoma Statutes)
Nursing Home
A home, an establishment or an institution, a distinct part of which is primarily engaged in providing: a. skilled nursing care and related services for residents who require medical or nursing care, b. rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or c. on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services beyond the level of care provided by a residential care home and which can be made available to them only through a nursing facility. (Nursing Home Care Act, 63-1-1900.1)
Residential Care Home
Residential Care Home means (A) Any establishment or institution other than a hotel motel, fraternity or sorority house, or college or university dormitory which offers or provides residential accommodations, food service and supportive assistance to any of its residents or houses any resident requiring supportive assistance who are not related to the owner or administrator of the home by blood or marriage. Said residents shall be ambulatory and essentially capable of managing their own affairs, but do not routinely require skilled nursing care or intermediate care. (B) Transitional Living facility and halfway houses are defined in section 3-403 of Title 43A of Oklahoma Statutes. (C) A residential care home may consist of a series of units or buildings which are not connected or part of the same structure if: (i) Such buildings or units are owned by the same owner or operator. (ii) All residents of the units or buildings are fully capable of ambulation to and from buildings or units. (iii) The location and construction of the building or units ensure the health, safety and protection from fire hazards and other hazards and provide for the convenience and accessibility of the residents to each residential building or unit. (iv) Any out-of-doors premise or thoroughfare is adequately maintained to ensure the health and safety of the residents. (v) The building or units are within one hundred seventy-five (175) feet of the building housing the main kitchen and dining room. (vi) The units or buildings must be located in the most convenient and accessible location for residents. (see Title 310, Chapter 680)
Oregon
Adult Foster Home
Any family home or other facility in which residential care is provided in a home-like environment for compensation to five or fewer adults who are elderly or physically disabled and are not related to the licensee or resident manager by blood, marriage or adoption. For the purpose of this rule, adult foster home does not include any house, institution, hotel or other similar living situation that supplies room or board only, if no resident thereof requires any element of care.
Assisted Living Facility
A building, complex or distinct part thereof, consisting of fully, self-contained, individual living units where six or more seniors and adult persons with disabilities may reside in homelike surroundings. The facility offers and coordinates a range of supportive services available on a 24-hour basis to meet the activities of daily living, health, and social needs of the residents as described in these rules. A program approach is used to promote resident self-direction and participation in decisions that emphasize choice, dignity, privacy, individuality, and independence.
Continuing Care Retirement Community
A provider that agrees to furnish continuing care to a resident under a residency agreement. Continuing Care is defined as housing and health-related services, provided directly or made available indirectly, to one or more individuals not related by blood or marriage to the provider under a residency agreement and following payment of an entrance fee. The term applies regardless of whether the care is provided in the community or in another setting designated by the residency agreement. Health-related services may be provided at a location that is not a part of the community.
Nursing Facility
An establishment with permanent facilities that include inpatient beds; providing medical services, including nursing services but excluding surgical procedures; and that provides care and treatment for two or more unrelated residents. In this definition, "treatment" means complex nursing tasks that cannot be delegated to an unlicensed person.
Residential Care Facility
A building, complex or distinct part thereof, consisting of shared or individual living units in a homelike surrounding where six or more seniors and adult persons with disabilities may reside. The facility offers and coordinates a range of supportive services available on a 24-hour basis to meet the activities of daily living, health, and social needs of the residents as described in these rules. A program approach is used to promote resident self-direction and participation in decisions that emphasize choice, dignity, individuality, and independence.
Pennsylvania
Continuing Care Retirement Community
Each separate establishment, complex or campus at which location a provider engages in the business of providing continuing care. Two or more establishments located on the same premises shall be treated as separate facilities if their operations are administratively independent of each other. Continuing care is defined as the furnishing to an individual, other than an individual related by consanguinity or affinity to the person furnishing such care, of board and lodging together with nursing services, medical services or other health-related services, regardless of whether or not the lodging and services are provided at the same location and pursuant to an agreement effective for the life of the individual or for a period in excess of one year, including mutually terminable contracts and in consideration of the payment of an entrance fee with or without other periodic charges. (The Continuing Care Provider Registration and Disclosure Act 40 P. S. § § 3201—3225)
Nursing Facility
A facility that provides either skilled or intermediate nursing care or both levels of care to two or more patients, who are unrelated to the licensee, for a period exceeding 24 hours. (The Health Care Facilities Act 35 P. S. § § 448.101—448.904) Skilled or intermediate nursing care is defined as professionally supervised nursing care and related medical and other health services provided for a period exceeding 24 hours to an individual not in need of hospitalization, but whose needs are above the level of room and board and can only be met in a long-term care nursing facility on an inpatient basis because of age, illness, disease, injury, convalescence or physical or mental infirmity. The term includes the provision of inpatient services that are needed on a daily basis by the resident, ordered by and provided under the direction of a physician, and which require the skills of professional personnel, such as, registered nurses, licensed practical nurses, physical therapists, occupational therapists, speech pathologists or audiologists.
Personal Care Home
Personal care home— (i) A premise in which food, shelter and personal assistance or supervision are provided for a period exceeding 24 hours, for four or more adults who are not relatives of the operator, who do not require the services in or of a licensed long-term care facility, but who do require assistance or supervision in activities of daily living or instrumental activities of daily living. (ii) The term includes a premise that has held or presently holds itself out as a personal care home and provides food and shelter to four or more adults who need personal care services, but who are not receiving the services.
Rhode Island
Assisted Living
A publicly or privately operated residence that provides directly or indirectly by means of contracts or arrangements personal assistance to meet the resident's changing needs and preferences, lodging, and meals to two (2) or more adults who are unrelated to the licensee or administrator, excluding however, any privately operated establishment or facility licensed by or under the jurisdiction of the Department of Mental Health, Retardation and Hospitals, the Department of Children, Youth, and Families, or any other state agency. Assisted living residences include sheltered care homes, and board and care residences, or any other entity by any other name providing the above services which meet the definition of assisted living residence.
Nursing Home
A place, however named, or an identifiable unit or distinct part thereof that provides 24 hour inresident nursing, therapeutic, restorative or preventive and supportive nursing care services for two (2) or more residents unrelated by blood or marriage whose condition requires continuous nursing care and supervision. Nursing service is defined as a service organized, staffed and equipped to provide nursing care to residents on a continuous basis.
South Carolina
CCRC
A community in which there is furnished, pursuant to a continuing care contract, to two or more persons not related to the administrator or owner of the facility within the third degree of consanguinity, board or lodging together with nursing, medical, or other health-related services, regardless of whether the services or lodging are provided at the same location or not. It does not include an institution operating solely as a nursing home or community residential care facility. SC ADC 61-77 Section 1501
Community Residential Care Facilities
A facility which offers room and board and which, unlike a boarding house, provides/coordinates a degree of personal care for a period of time in excess of 24 consecutive hours for two or more persons, 18 years old or older, not related to the licensee within the third degree of consanguinity. It is designed to accommodate residents' changing needs and preferences, maximize residents' dignity, autonomy, privacy, independence, and safety, and encourage family and community involvement. Included in this definition is any facility (other than a hospital), which offers or represents to the public that it offers a beneficial or protected environment specifically for individuals who have mental illness or disabilities. These facilities may be referred to as "assisted living " provided they meet the definition of a community residential care facility.
Nursing Home
Nursing home means a facility with an organized nursing staff to maintain and operate organized facilities and services to accommodate two or more unrelated persons over a period exceeding twenty-four hours which is operated either in connection with a hospital or as a freestanding facility for the express or implied purpose of providing nursing care for persons who are not in need of hospital care.
South Dakota
Adult Foster Care
A family-style residence which provides supervision of personal care, health services, and household services for no more than four aged, blind, physically disabled, developmentally disabled, or socially-emotionally disabled adults. (Chapter 34-12-101)
Assisted Living Center
Any institution, rest home, boarding home, place, building, or agency which is maintained and operated to provide personal care and services which meet some need beyond basic provision of food, shelter, and laundry in a free-standing, physically separate facility.
Nursing Facility
Any facility which is maintained and operated for the express or implied purpose of providing care to one or more persons whether for consideration or not, who are not acutely ill but require nursing care and related medical services of such complexity as to require professional nursing care under the direction of a physician on a twenty-four hour per day basis; or a facility which is maintained and operated for the express or implied purpose of providing care to one or more persons, whether for consideration or not, who do not require the degree of care and treatment which a hospital is designed to provide, but who because of their mental or physical condition require medical care and health services which can be made available to them only through institutional facilities.
Tennessee
Assisted-Care Living Facility
A building, establishment, complex or distinct part thereof which accepts primarily aged persons for domiciliary care and provides on site to its residents room, board, non-medical living assistance services appropriate to the residents’ respective needs, and medical services as prescribed by each resident’s treating physician, limited to the extent not covered by a physician’s order to a home care organization and not actually provided by a home care organization. An ACLF may directly provide such medical services as medication procedures and administration that are typically self-administered, limited to oral medications, topicals, suppositories and injections (excluding intravenous) pursuant to a physician’s order, and emergency response. All other services (part-time or intermittent nursing care, physical, occupational and speech therapy, medical social services, medical supplies other than drugs and biologicals, and durable medical equipment) that a home care organization is licensed to provide may be provided in the facility only by a licensed home care organization, except for home health aide services, or by the appropriate licensed staff of a nursing home if the assisted care living facility is located on the same physical campus as the licensed nursing home, in which case the assisted care living facility shall provide the individual with written notice that such services may be available to the individual as a Medicare benefit through a licensed home care organization.
Home for the Aged
A building, establishment, complex or distinct part thereof which accepts primarily aged persons for domiciliary care and provides on site to its residents room, board, non-medical living assistance services appropriate to the residents’ respective needs, and medical services as prescribed by each resident’s treating physician, limited to the extent not covered by a physician’s order to a home care organization and not actually provided by a home care organization. An ACLF may directly provide such medical services as medication procedures and administration that are typically self-administered, limited to oral medications, topicals, suppositories and injections (excluding intravenous) pursuant to a physician’s order, and emergency response. All other services (part-time or intermittent nursing care, physical, occupational and speech therapy, medical social services, medical supplies other than drugs and biologicals, and durable medical equipment) that a home care organization is licensed to provide may be provided in the facility only by a licensed home care organization, except for home health aide services, or by the appropriate licensed staff of a nursing home if the assisted care living facility is located on the same physical campus as the licensed nursing home, in which case the assisted care living facility shall provide the individual with written notice that such services may be available to the individual as a Medicare benefit through a licensed home care organization.
Nursing Home
Each nursing home must have an organized nursing service that provides twenty-four hour nursing services furnished or supervised by a registered nurse. Each home shall have a licensed practical nurse or registered nurse on duty at all times and at least two nursing personnel on duty each shift. A registered nurse must supervise and evaluate the nursing care for each resident. The facility must ensure that an appropriate individualized plan of care is prepared for each resident with input from appropriate disciplines, the resident and/or the resident’s family or the resident’s representative.
Texas
Assisted Living - Type A
Assisted living facility means an establishment that furnishes, in one or more facilities, food and shelter and personal care services to four or more persons who are unrelated to the proprietor of the establishment. Personal care services are defined as assistance with meals, dressing, movement, bathing, or other personal needs or maintenance. In a Type A facility a resident: (A) must be physically and mentally capable of evacuating the facility unassisted. This may include the mobile non-ambulatory persons such as those who are in wheelchairs or electric carts and have the capacity to transfer and evacuate themselves in an emergency; (B) does not require routine attendance during nighttime sleeping hours; and (C) must be capable of following directions under emergency conditions. In a Type A facility a resident: (A) must be physically and mentally capable of evacuating the facility unassisted. This may include the mobile non-ambulatory persons such as those who are in wheelchairs or electric carts and have the capacity to transfer and evacuate themselves in an emergency; (B) does not require routine attendance during nighttime sleeping hours; and (C) must be capable of following directions under emergency conditions. (See Title 4, Chapter 247 of Texas Health & Safety Code and See Chapter Title 40, Part 1, Chapter 92 of the Texas Administrative Code)
Assisted Living - Type B
Assisted living facility means an establishment that furnishes, in one or more facilities, food and shelter and personal care services to four or more persons who are unrelated to the proprietor of the establishment. Personal care services are defined as assistance with meals, dressing, movement, bathing, or other personal needs or maintenance. In a Type B facility a resident may: (A) require staff assistance to evacuate; (B) be incapable of following directions under emergency conditions; (C) require attendance during nighttime sleeping hours; or (D) not be permanently bedfast, but may require assistance in transferring to and from a wheelchair. (See Title 4, Chapter 247 of Texas Health & Safety Code and See Chapter Title 40, Part 1, Chapter 92 of the Texas Administrative Code)
Assisted Living - Type C
Assisted living facility means an establishment that furnishes, in one or more facilities, food and shelter and personal care services to four or more persons who are unrelated to the proprietor of the establishment. Personal care services are defined as assistance with meals, dressing, movement, bathing, or other personal needs or maintenance. Type C. A four-bed facility which meets the minimum standards and program rules for enrollment with the Texas Department of Human Services as an adult foster care facility. (See Title 4, Chapter 247 of Texas Health & Safety Code and See Chapter Title 40, Part 1, Chapter 92 of the Texas Administrative Code)
Assisted Living - Type E
Assisted living facility means an establishment that furnishes, in one or more facilities, food and shelter and personal care services to four or more persons who are unrelated to the proprietor of the establishment. Personal care services are defined as assistance with meals, dressing, movement, bathing, or other personal needs or maintenance. In a Type E facility, a resident: (i) Must be physically and mentally capable of evacuating the facility unassisted. This may include persons who are mobile, although non-ambulatory, such as persons in wheelchairs or electric carts having the capacity to transfer and evacuate themselves in an emergency; (ii) Must not require routine attendance during nighttime sleeping hours; and (iii) Must be capable of following directions under emergency conditions. Type E facilities may only provide medication supervision and general supervision of residents' welfare, and may not provide substantial assistance with the activities of daily living (See Title 4, Chapter 247 of Texas Health & Safety Code and See Chapter Title 40, Part 1, Chapter 92 of the Texas Administrative Code)
CCRC
An establishment, complex, campus, or group of living units at which a provider engages in the business of providing a living unit, together with personal care services, nursing services, medical services, or other health-related services, to an individual, based on a contract that requires the payment of an entrance fee by or on behalf of an individual in exchange for care by a provider and that is effective for: (A) the life of the individual; or (B) more than one year.
Nursing Home
An institution that provides organized and structured nursing care and service. The physical building may consist of one or more floors or one or more units, or which may be a distinct part of a licensed hospital. Nursing care is defined as services provided by nursing personnel which include, but are not limited to, observation; promotion and maintenance of health; prevention of illness and disability; management of health care during acute and chronic phases of illness; guidance and counseling of individuals and families; and referral to physicians, other health care providers, and community resources when appropriate. (see Title 40, Part 1, Chapter 19 of Texas Administrative Code)
Utah
Assisted Living Type 1
A type I assisted living facility, which is a residential facility that provides assistance with activities of daily living and social care to two or more residents who: (A) require protected living arrangements; and (B) are capable of achieving mobility sufficient to exit the facility without the assistance of another person (Title 26, Chapter 21 Health Care Facility Licensing and Inspection Act)
Assisted Living Type 2
A type II assisted living facility, which is a residential facility with a home-like setting that provides an array of coordinated supportive personal and health care services available 24 hours per day to residents who have been assessed under department rule to need any of these services. (Title 26, Chapter 21 Health Care Facility Licensing and Inspection Act)
Nursing Care Facility
A health care facility, other than a general acute or specialty hospital, constructed, licensed, and operated to provide patient living accommodations, 24-hour staff availability, and at least two of the following patient services: (a) a selection of patient care services, under the direction and supervision of a registered nurse, ranging from continuous medical, skilled nursing, psychological, or other professional therapies to intermittent health-related or paraprofessional personal care services; (b) a structured, supportive social living environment based on a professionally designed and supervised treatment plan, oriented to the individual's habilitation or rehabilitation needs; or (c) a supervised living environment that provides support, training, or assistance with individual activities of daily living.
Virginia
Assisted Living Facility
Any congregate residential setting that provides or coordinates personal and health care services, 24-hour supervision, and assistance (scheduled and unscheduled) for the maintenance or care of four or more adults who are aged, infirm or disabled and who are cared for in a primarily residential setting, except (i) a facility or portion of a facility licensed by the State Board of Health or the Department of Mental Health, Mental Retardation and Substance Abuse Services, but including any portion of such facility not so licensed; (ii) the home or residence of an individual who cares for or maintains only persons related to him by blood or marriage; (iii) a facility or portion of a facility serving infirm or disabled persons between the ages of 18 and 21, or 22 if enrolled in an educational program for the handicapped pursuant to § 22.1-214 of the Code of Virginia, when such facility is licensed by the department as a children's residential facility under Chapter 17 (§ 63.2-1700 et seq.) of Title 63.2 of the Code of Virginia, but including any portion of the facility not so licensed; and (iv) any housing project for persons 62 years of age or older or the disabled that provides no more than basic coordination of care services and is funded by the U.S. Department of Housing and Urban Development, by the U.S. Department of Agriculture, or by the Virginia Housing Development Authority. Included in this definition are any two or more places, establishments or institutions owned or operated by a single entity and providing maintenance or care to a combined total of four or more aged, infirm or disabled adults. Maintenance or care means the protection, general supervision and oversight of the physical and mental well-being of an aged, infirm or disabled individual. Assuming responsibility for the well-being of residents, either directly or through contracted agents, is considered "general supervision and oversight."
Continuing Care Retirement Community
A facility providing or committing to provide board, lodging and nursing services to an individual, other than an individual related by blood or marriage, (i) pursuant to an agreement effective for the life of the individual or for a period in excess of one year, including mutually terminable contracts, and (ii) in consideration of the payment of an entrance fee. A contract shall be deemed to be one offering nursing services, irrespective of whether such services are provided under such contract, if nursing services are offered to the resident entering such contract either at the facility in question or pursuant to arrangements specifically offered to residents of the facility. OR A facility providing or committing to provide lodging to an individual, other than an individual related by blood or marriage, (i) pursuant to an agreement effective for the life of the individual or for a period in excess of one year, including mutually terminable contracts, (ii) in consideration of the payment of an entrance fee, and (iii) where board and nursing services are made available to the resident by the provider, either directly or indirectly through affiliated persons, or through contractual arrangements, whether or not such services are specifically offered in the agreement for lodging.
Nursing Home
Any institution, or any identifiable component of any institution with permanent facilities that include inpatient beds, whose primary function is the provision, on a continuing basis, of nursing and health related services for the treatment of individuals who may require various types of long-term care, including facilities known by varying nomenclature or designation such as convalescent homes, nursing homes, nursing or nursing care facilities, skilled nursing or skilled care facilities, intermediate care facilities or extended care facilities.
Vermont
Assisted Living
A program or facility that combines housing, health and supportive services to support resident independence and aging in place. At a minimum, assisted living residences shall offer, within a homelike setting, a private bedroom, private bath, living space, kitchen capacity, and a lockable door. Assisted living shall promote resident self-direction and active participation in decision-making while emphasizing individuality, privacy and dignity.
Nursing Home
An institution or a distinct part of an institution (excluding intermediate care facilities for the mentally retarded) which is primarily engaged in providing to its residents (a) skilled nursing care and related services for residents who require medical or nursing care; (b) rehabilitation services for the rehabilitation of injured, disabled or sick persons; or (c) on a 24 hour basis, health related care and services to individuals who because of their mental or physical condition require care and services which can be made available to them only through institutional care.
Washington
Adult Family Home
A residential home in which a person or entity are licensed to provide personal care, special care, room, and board to more than one but not more than six adults who are not related by blood or marriage to the person or persons providing the services
Boarding Home (Assisted Living)
Means any home or other institution, however named, which is advertised, announced, or maintained for the express or implied purpose of providing housing, basic services, and assuming general responsibility for the safety and well-being of the residents
Nursing Home
Any home, place or institution which operates or maintains facilities providing convalescent or chronic care, or both, for a period in excess of twenty-four consecutive hours for three or more patients not related by blood or marriage to the operator, who by reason of illness or infirmity, are unable properly to care for themselves. Convalescent and chronic care may include but not be limited to any or all procedures commonly employed in waiting on the sick, such as administration of medicines, preparation of special diets, giving of bedside nursing care, application of dressings and bandages, and carrying out of treatment prescribed by a duly licensed practitioner of the healing arts. It may also include care of mentally incompetent persons. It may also include community-based care. Entering a nursing home no longer means every person stays forever. People also go to a nursing home for rehabilitation or for short-term, intensive nursing care. Often people get better or decide they want to return home and get services there.
Wisconsin
Adult Family Home
A place where 3 or 4 adults who are not related to the operator reside and receive care, treatment or services that are above the level of room and board and that may include up to 7 hours per week of nursing care per resident.
Community Based Residential Facility
A place where five or more unrelated adults reside in which care, treatment or services above the level of room and board but not including nursing care are provided to residents as a primary function of the facility. In this subsection: More specifically, residents receive supervision and supportive services provided by the operator, or by a person, agency or corporation affiliated with or under contract to the operator, to persons who have needs which cause them to be unable to live independently in the community.
Nursing Home
There are 2 types of Nursing Homes: Intermediate care facility - a nursing home which is licensed by the department to provide intermediate nursing care. Skilled nursing facility - a nursing home which is licensed by the department to provide skilled nursing services. Intermediate nursing care is basic care consisting of physical, emotional, social and other rehabilitative services under periodic medical supervision. This nursing care requires the skill of a registered nurse for observation and recording of reactions and symptoms, and for supervision of nursing care. Most of the residents have long?term illnesses or disabilities which may have reached a relatively stable plateau. Other residents whose conditions are stabilized may need medical and nursing services to maintain stability. Essential supportive consultant services are provided. Skilled nursing services are those services furnished pursuant to a physician’s orders which: 1. Require the skills of professional personnel such as registered or licensed practical nurses; and 2. Are provided either directly by or under the supervision of these personnel. In determining whether a service is skilled, the following criteria shall be used: 1. The service would constitute a skilled service where the inherent complexity of a service prescribed for a resident is such that it can be safely and effectively performed only by or under the supervision of professional personnel; 2. The restoration potential of a resident is not the deciding factor in determining whether a service is to be considered skilled or unskilled. Even where full recovery or medical improvement is not possible, skilled care may be needed to prevent, to the extent possible, deterioration of the condition or to sustain current capacities; and 3. A service that is generally unskilled would be considered skilled where, because of special medical complications, its performance or supervision or the observation of the resident necessitates the use of skilled nursing personnel.
Residential Care Apartment Complex
A place where 5 or more adults reside that consists of independent apartments, each of which has an individual lockable entrance and exit, a kitchen, including a stove, and individual bathroom, sleeping and living areas, and that provides, to a person who resides in the place, not more than 28 hours per week of services that are supportive, personal and nursing services. Services are provided by a residential care apartment complex, either directly or under contract, to meet needs identified in a tenant’s service agreement, to meet unscheduled care needs or to provide emergency services 24 hours a day.
West Virginia
Alzheimer’s - Dementia Unit - Assisted Living
Alzheimer’s/Dementia Special Care Units. -- Any licensed Assisted Living facility, that provides specialized services, twenty-four (24) hours per day, in a specialized unit in the facility, for residents with a diagnosis of Alzheimer’s disease or related dementia; and that advertises, markets, or otherwise promotes the facility as providing a specialized unit for residents requiring Alzheimer’s/dementia care services.
Alzheimer’s - Dementia Unit - Nursing Home
Any licensed Nursing Home facility, that provides specialized services, twenty-four (24) hours per day, in a specialized unit in the facility, for residents with a diagnosis of Alzheimer’s disease or related dementia; and that advertises, markets, or otherwise promotes the facility as providing a specialized unit for residents requiring Alzheimer’s/dementia care services.
Assisted Living Residence
Assisted Living Residence or Residence. - Any living facility or place of accommodation in the state, however named, available for four (4) or more residents, that is advertised, offered, maintained or operated by the ownership or management, for the express or implied purpose of providing personal assistance, supervision, or both, to any residents who are dependent upon the services of others by reason of physical or mental impairment, and who may also require nursing care at a level that is not greater than limited and intermittent nursing care. A small assisted living residence has a bed capacity of four (4) to sixteen (16). A large assisted living residence has a bed capacity of seventeen (17) or more.
Legally Unlicensed
Any place in this state in which a service provider provides accommodations and personal assistance, whether for compensation or not, for a period of more than twenty-four (24) hours, to one (1) to three (3) residents who are not related to the service provider or his or her spouse by blood or marriage within the degree of consanguinity of second cousin. These residents may be dependent upon the services of others by reason of physical or mental impairment or may require limited and intermittent nursing care, including those individuals who qualify for and are receiving services coordinated by a licensed hospice.
Nursing Home
Any institution, or any part or unit of an institution, however named, in West Virginia, which is advertised, offered, maintained or operated by the ownership or management, whether for a consideration or not, for the express or implied purpose of providing accommodations and care, for a period of more than twenty-four hours, for four or more persons who are ill or otherwise incapacitated and in need of nursing care due to physical or mental impairment, or which provides services for the rehabilitation of persons who are convalescing from an illness or incapacitation.
Residential Care Community
Individuals admitted may be in need of personal assistance in activities of daily living, in need of supervision because of mental or physical impairment, or have limited and intermittent nursing care needs. A resident my only be admitted if they are capable of removing their physical self from situations involving imminent danger, such as fire.
Wyoming
Assisted Living Facility
A non-institutional dwelling operated by a person, firm, or corporation engaged in providing limited nursing care, personal care and boarding home care, but not habilitative care, for persons not related to the owner of the facility
Boarding Home
Means a dwelling or rooming house operated by any person, firm or corporation engaged in the business of operating a home for the purpose of letting rooms for rental, and providing meals and personal daily living care, but not habilitative or nursing care, for persons not related to the owner. Boarding home does not include a lodging facility or an apartment in which only room and board is provided.
Nursing Home
A facility that is constructed, arranged and maintained to ensure the health and welfare of all residents. Must be currently licensed and meet the requirements of the regulations. Must provide twenty-four hour nursing service, social services, and on-going program of meaningful activities appropriate to the needs and interests of residents.
Powered by
