There shall be a staff inservice education program for the entire staff
that includes:
(1) Orientation for all new employees to acquaint them with the philosophy, organization,
practice, and goals of assisted living; and
(2) Ongoing inservice training on a regularly scheduled basis (minimum of six hours
annually).
Range of services.
(a) Service plan.
(1) The assisted living facility staff shall conduct a comprehensive assessment of each
resident’s needs, plan and implement responsive services, maintain and update resident records
as needed, and periodically evaluate results of the plan. The plan shall reflect the assessed
needs of the resident and resident choices, including resident’s level of involvement;
support principles of dignity, privacy, choice, individuality, independence, and home-like
environment; and shall include significant others who participate in the delivery of
services;
(2) A service plan shall be developed and followed for each resident consistent with the
resident’s unique physical, psychological, and social needs, along with recognition of that
resident’s capabilities and preferences. The plan shall include a written description of
what services will be provided, who will provide the services, when the services will be
provided, how often services will be provided, and the expected outcome. Each resident shall
actively participate in the development of the service plan to the extent possible;
(3) The initial service plan shall be developed prior to the time the resident moves into the
facility and shall be revised if needed within 30 days. The service plan shall be reviewed
and updated by the facility, the resident, and others as designated by the resident at least
annually or more often as needed; and
(4) The facility shall designate a staff member to review, monitor, implement, and make
appropriate modifications to the service plan for each resident.
(b) Services.
(1) The assisted living facility shall provide the following:
(A) Twenty-four hour on-site direct staff to meet the needs of the residents;
(B) Three meals daily, seven days a week, including modified diets and snacks which
have been evaluated and approved by a dietitian on a semi-annual basis and are
appropriate to residents’ needs and choices;
(C) Laundry services to the extent that the resident is unable to perform these tasks
for himself or herself;
(D) Opportunities for individual and group socialization;
(E) Services to assist the resident in performing all activities of daily living,
including bathing, eating, dressing, personal hygiene, grooming, toileting, and
ambulation;
(F) Nursing assessment, health monitoring, and routine nursing tasks, including those
which may be delegated to unlicensed assistive personnel by a currently
licensed registered nurse under the provisions of the state Board of Nursing;
and
(G) Household services essential for the health and comfort of the resident (e.g.
floor cleaning, dusting, bed making, etc.).
(2) The assisted living facility shall also have the capability to provide or arrange access to
the following services:
(A) Transportation for medical and social appointments;
(B) Ancillary services for medically related care (e.g. physician, pharmacist, therapy,
podiatry, etc.), barber or beauty care services, social or recreational
opportunities, and other services necessary to support the resident;
(C) Services for residents who have behavior problems requiring ongoing staff support,
intervention, and supervision;
(D) Social work services; and
(E) Maintenance of a personal fund account for residents showing deposits and
withdrawals.
(3) The assisted living facility shall have policies and procedures relating to medications
to include but not be limited to:
(A) Self-medication:
(i) Residents must have physician or prescribing advanced practice
registered nurse’s written order of approval for self-medication of
prescription medications;
(ii) Residents able to handle their own medication regimen may keep
prescription medications in their unit;
(iii) Residents may keep and use over the-counter medications in their unit without a written order unless
otherwise indicated by a physician or prescribing advanced practice
registered nurse’s written orders;
(iv) If more than one resident resides in the unit, an assessment shall be
made of each person’s ability to safely have medications in the unit.
If safety is a factor, the medication shall be kept in a locked container
in the unit; and
(v) Residents who self-medicate with prescription drugs or maintain overthe-counter drugs in their units
shall have all their medications reviewed by either a registered
pharmacist, registered nurse, or physician at least every 90 days.
(B) Administration of medication:
(i) Prescription and non-prescription medications which the facility has
responsibility for administering to a resident must be identified in the
resident’s record and must be prescribed in writing for the
resident by a physician or prescribing advanced practice
registered nurse; and
(ii) The facility shall provide and implement policies and procedures
which assure that all medications administered by the facility are
reviewed at least once every 90 days by a registered nurse or physician,
and is in compliance with applicable state laws and administrative rules.
(4) Recreational or social activities are to be made available to residents on a daily basis.
(c) Licensed nursing staff shall be available seven days a week to meet the care management and monitoring
needs of the residents. [