4-006.11 Resident Care: Each assisted-living facility must provide residents care and services in accordance with their established resident service agreements which maximize the residents’ dignity, autonomy, privacy and independence.


4-006.11A Evidence that the facility is meeting each resident’s needs for personal care, assistance with activities of daily living and health maintenance include the following outcomes for residents:


4-006.11A1 Physical well-being of the resident:



  1. Clean and groomed hair, skin, teeth and nails;
  2. Nourished and hydrated;
  3. Free of pressure sores, skin breaks, chaps and chafing;
  4. Appropriately dressed for the season in clean clothes;
  5. Protected from accident, injury and infection; and
  6. Receives prompt emergency care for the following but not limited to: illnesses, injuries, and life threatening


4-006.11A2 Behavioral/emotional well-being of the resident:

  1. Opportunity to participate in age appropriate activities that are meaningful to the resident, if desired;
  2. Sense of security and safety;
  3. Reasonable degree of contentment; and
  4. Feeling of stable and predictable


4-006.11A3 In agreement that the resident:

  1. Is free to go to bed at the time desired;
  2. Is free to get up in the morning at the time desired;
  3. Is free to have visitors;
  4. Has privacy;
  5. Is free to self direct his/her own care and treatment and change their plan at any time;
  6. Is assisted to maintain a level of self-care and independence;
  7. Is assisted as needed to have good oral hygiene;
  8. Has been made as comfortable as possible by the facility;
  9. Is free to make choices and assumes the risk of those choices;
  10. Is fully informed of the services he/she can expect to be provided by the facility;
  11. Is free of abuse, neglect and exploitation;
  12. Is treated with dignity; and
  13. Has the opportunity to participate in activities, if


4-006.11B Health Maintenance Activities:  All health maintenance activities must  be performed in accordance with the Nurse Practice Act and the rules and regulations adopted and promulgated under the act.


4-006.11C Other Supportive Services: A assisted-living facility  may  provide other supportive services to assist residents. These services could include, but are not limited to: transportation, laundry, housekeeping, financial assistance/management, behavioral management, case management, shopping, beauty/barber and spiritual services.


4-006.11D Special Populations Services: Each assisted-living facility that provides services to special populations such as, but not limited to, those individuals with disabilities, mental impairments, dementia, or other disorders must:

  1. Evaluate each resident to identify the abilities and special needs;
  2. Ensure the administrator and staff assigned to provide care are trained to meet the special needs of those residents. Such training must be done by a person(s) qualified by experience and knowledge in the area of special services being provided;
  3. Prepare and implement each resident service agreement to address the special needs; and
  4. Provide a physical environment that maintains the safety and dignity of residents and accommodates residents’ special needs, such as physical limitations, and visual and cognitive


4-006.11E Requirements for Facilities or Special Care Units for Persons with Alzheimer’s Disease, Dementia or a Related Disorder: Each assisted-living facility or special care unit that specializes in providing care for persons who have Alzheimer’s disease, dementia or a related disorder must meet the following requirements:


  1. Care and services must be provided in accordance with the resident service agreement and the stated mission and philosophy of the facility.
  2. Prior to admission, the facility must inform the resident or authorized representative in writing of the facility’s criteria for admission, discharge, transfer, resident conduct and
  3. The facility or unit must maintain a sufficient number of direct care staff with the required training and skills necessary to meet the resident population’s requirements for assistance or provision of personal care, activities of daily living, health maintenance activities, supervision and other supportive services. Such staff must remain awake, fully dressed and be available in the facility or unit at all times to provide supervision and care to the
  4. The administrator and direct care staff must be trained in:


  1. The facility or unit’s philosophy and approaches to providing care and supervision for persons with Alzheimer’s disease;
  2. The Alzheimer’s disease process; and
  3. The skills necessary to care for, and intervene and direct residents who are unable to perform activities of daily living, personal care, or health maintenance and who may exemplify behavior problems or wander
  4. The facility must not admit or retain residents if any one of the following conditions exists, unless the criteria in 4-006.07B are met:
  5. The resident poses a danger to self or to others; or
  6. The resident requires complex nursing