Assisted Living varies in definition and scope between states. Skilled nursing homes have long complained about the strict laws and regulations with which they’re governed by and have pointed to assisted living centers as being unfairly free of the same burdens. Less compliance and regulation certainly keeps costs down but the two types of housing differ enough that straight line comparisons will not work. A nurse evaluates potential residents before the assisted living community will accept them and in all states they must meet minimum thresholds of health (Alaska is an exception). Two examples of health barometers for assisted living homes are mobility – the resident must be able to get out of bed and walk on their own (a walker, cane or wheelchair is usually permitted) and self-maintenance – the resident must be free of a chronic condition requiring daily medical attention (e.g. pressure ulcers) . Skilled nursing homes provide 24 hr medical care for their residents and almost all of them accept Medicaid (most assisted living communities refuse Medicaid payments).
Some of the various state licensure terms for assisted living are: Assisted Living Facilities, Assisted Living Facilities Level I, II, III, Residential Care Facilities for the Elderly, Assisted Living Residence, Assisted Living Service Agencies, Assisted Living Programs, Community Residence Facilities and Personal Care Homes.
All states allow for third-party medical service providers on-site; ancillary care and skilled nursing if short-term.
The NCAL’s Assisted Living State Regulatory Review 2011 has a full list of mandates.
- Assisted Living State Regulatory Review 2012 (scstuffblog.wordpress.com)
- A retirement home is defending one of its nurses who refused to perform CPR … – Detroit Free Press (freep.com)