Reply to "Aging out" of assisted living?

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[quote=Anonymous][mastodon][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]

I only know Maryland law but the answer is yes.  Assisted living facilities aren’t allowed to accept patients who need skilled nursing.  That’s the trade off for being less regulated than nursing homes.  Your mom doesn’t have to move to a nursing home, there are hospice centers than offer services on site,  I think you will find some, of them to be “nicer” than nursing homes. [/quote]

But note that most nursing home residents don't need skilled nursing care. Think of skilled care as that provided by a registered nurse or a physical therapist--complex wound care, IV medications, respiratory treatments, physical therapy. Most people in nursing homes need help with activities of daily living (ADLs), like dressing, bathing, toileting, etc. These aren't skilled services.

OP, the answer is that it depends on the assisted living facility. Some won't provide ADL assistance, some won't accept anyone who needs that level of care but will provide it if a resident develops the need for it. By the time my MIL died, she was completely bedbound and could do almost nothing on her own. Her assisted living facility took care of her in her regular room until the end. However, it was very expensive. [/quote]

This is not correct.  If a patient needs help with more than few ADLs, they may be determined to need a nursing home rather than assisted living.  This has to do with differences in staffing ratios.[/quote]

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