Reply to Law Regarding Assisted Living Vs. Nursing Home

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[quote=Anonymous]Nursing homes are one of the most regulated industries in the US.  And each state is different with respect to qualifications to be an administrator.  In MD, to be an administrator you have to have a bachelor's degree (in pretty much any field) and then go through a year of training and take an exam.  The training is rigorous and the exam is on the regulations - and it seems like there are a million of them.  If you really want to know about what's required, you might want to check COMAR.  (You did mention Maryland).  But it is not medical training.  And the requirements for an Assisted Living Administrator are far less.

As far as a doctor onsite in a SNF, not 24/7.  The Director of Nursing (DON) and Administrator also aren't onsite 24/7.

And, just in terms of language, what you really want to know is whether a facility is a skilled nursing facility.  A nursing home can mean anything.

The real different though is the level of care and the funding.  Assisted living facilities serve residents who are more independent.  And, in MD, unless there is long term care insurance that provides coverage for assisted living, there really isn't any funding beyond private pay.  For SNFs, there is some (short term) Medicare funding, Medicaid and sometimes private long term care insurance as an option for payment, though for Medicaid, you have to spend down assets.

Good luck in your search.  [/quote]

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