Training to be an ALF administrator

The Administrator or Executive Director of an Assisted Living Facility in Maryland must be an excellent
a leader capable of making decisions under duress, excellent with time management, superb
communication skills and problem-solving skills to boot- they are also required to complete the
following courses and be deemed proficient in the skills necessary to be an administrator by the
Maryland Office of Health Care Quality:

.17 Assisted Living Manager Training — Basic Courses.
A. The assisted living manager’s training shall include the following courses:
(1) Philosophy of assisted living, 2 hours, including:
(a) Philosophy and background of assisted living and aging in place;
(b) Objectives and principles of assisted living resident programs;
(c) Comparison of assisted living to other residential programs;
(d) Basic concepts of choice, independence, privacy, individuality, and dignity; and
(e) Normalization of the environment;
(2) Aging process and its impact, 4 hours, including:
(a) Physical characteristics of the assisted living residents;
(b) Psychosocial characteristics of the assisted living residents;
(c) Basic needs of the elderly and disabled; and
(d) Activities of daily living;
(3) Assessment and level of care waiver, 6 hours, including:
(a) Purpose and process;
(b) Guidelines for conducting assessments;
(c) Level of care assessments; and
(d) Collaboration with case manager and delegating nurse;
(4) Service planning, 6 hours, including:(a) Required services;
(b) Enhanced scope of services;
(c) Development of individualized service plans;
(d) Scheduling of appropriate activities;
(e) Structure of activities;
(f) Care notes; and
(g) Collaboration with case manager and delegating nurse;
(5) Clinical management, 20 hours, including:
(a) Role of the delegating nurse;
(b) Appropriate nurse delegation;
(c) Concept of self-administration of medications;
(d) Concept of medication management;
(e) Assistance with self-administration of medications;
(f) Administration of medications;
(g) Coordination of services and care providers;
(h) Collaboration with a case manager and delegating nurse;
(i) Preventing medication errors;
(j) Patient safety;
(k) Medication monitoring;
(l) Pharmacy consultation;
(m) Medication storage;
(n) Infection control, to include standard precautions, contact precautions, and hand hygiene;
(o) Appropriate staffing patterns;
(p) Pressure sores;
(q) Effective pain management