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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Are there any laws regarding what services MUST be given to a resident of an assisted living facility? As they decline, can their needs become so great that they may be asked to move to a nursing home?

On the other hand, can someone already on hospice care move into an assisted living facility rather than a nursing home/skilled care facility if they have their own private hospice care team already in place?

Trying to think a few steps ahead. Thanks.[/quote]

You can get kicked out of an assisted living facility and often you aren't given much time. [/quote]

How about if we move a parent into assisted living already on hospice and with our own private hospice care team (that we pay for)?[/quote]

Doubtful, [b]assisted living centers are only allowed to accept certain types of residents and that doesn’t include people who need assistance with daily life skills.[/b]  Since hospice nurses aren’t under their suoerviisio or employment, that doesn’t change what the calculus.

There are some really nice hospice centers.  I’d look into those[/quote]

This is what I'm tryin to find out. Is this covered by law or just the regulations of the facility? Parent DOES NOT want to go into a nursing home but will consider assisted living environment. We want to figure out timing on the move if any. So is there a law governing what kind of needs are too much for the facility to accept, or do we just find one willing to let them in? And when?[/quote]

There are licensing requirements, but there are facilities licensed for multiple care levels.  [/quote]

Though generally they are not housed in the same area. Independent, Assisted and Skilled (and Memory) are separate as each of those groups don't want to have to see all that the more advanced group is going through. [/quote]

Depends on the facility.  Larger places, certainly.  My aunt and uncle were in a smaller place in West Virginia that did assisted living through hospice in the same location.  My uncle lived with my aunt in the same unit until the end of his life.  He passed away in a home-like environment surrounded by his family.  It was really as good a set-up as they could have wanted.  [/quote]

Was this one of those independent homes that legally can have just a few people?[/quote]

No.  It was a full-fledged facility.  I’m the one who did the research for the family.  They told us they could handle assisted living through end of life, and that’s what they delivered. [/quote]

So it was a continuing care facility.[/quote]

So is "continuing care" a legit label for this, and is there a license for "continuing care"?[/quote]

Yes, but most only accept patients who don’t need any care at all at time of admission.  And wait lists can be very long, sometimes years for the more popular (nicer) facilities.  We were quoted two years by one and four by another  in the Baltimore area. Fortunately my parents have already been on the wait list at the place with the two year wait, so it will only be about a four month wait from when they were ready to move in.[/quote]

This really depends on where you are. It can vary a lot.  [/quote]

I don’t think it varies alot in more populated areas of Maryland.[/quote]

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