Email Newsletter icon, E-mail Newsletter icon, Email List icon, E-mail List icon Sign up for our Email Newsletter
For Email Newsletters you can trust

Alternative Housing > Assisted Living > AL 1

By JoAnn Thibault

Assisted Living Residence or Assisted Living Facility or Community means any entity, however organized, whether conducted for profit or not for profit, which meets all of the following criteria:

(a) provides room and board; and

(b) provides, directly by employees of the entity or through arrangements with another organization which the entity may or may not control or own, Personal Care Services for three or more adults who are not related by consanguinity or affinity to their care provider; and

(c) collects payments or third party reimbursements from or on behalf of Residents to pay for the provision of assistance with the Activities of Daily Living (dressing, bathing, toileting) or arranges for the same.

Definitions of Terms used in Assisted Living Facilities

Learn exactly what is offered, included, and not serviced within the Assisted Living Facility before you make your decision. Below are some definitions of terms of an ALF.

Bathing Facility means a room equipped with a showerhead and/or a bathtub to enable one person to take a shower or a bath.

Cooking Capacity means each Resident must have access to a refrigerator, sink, and heating element.

Instrumental Activities of Daily Living (IADL) means those tasks related to meal preparation, housekeeping, clothes laundering, shopping for food and other items, telephoning, use of transportation and other similar tasks related to environmental needs.

Legal Representative means Guardian, Conservator or attorney in-fact under a Power of Attorney, where legally appropriate.

Personal Care Service means assistance with one or more of the Activities of Daily Living and Self-Administered Medication Management (SAMM), either through physical support or supervision. Supervision includes reminding and/or observing Residents while they perform activities.

Resident Services means assistance with Activities of Daily Living (ADL), assistance with Instrumental Activities of Daily Living (IADL), Self-Administered Medication Management, or other similar services, but not including concierge services, recreational or leisure services. Assistance is either through physical assistance or supervision.

Resident means an adult who resides in an Assisted Living Residence and who receives housing and Resident Services and when the context requires or permits, such individual’s Legal Representative.

Residency Agreement means the contract between a Certified Assisted Living Residence and a Resident or adult who seeks to reside in such Residence on either a temporary (e.g. respite) or more permanent basis, which clearly describes the rights and responsibilities of the Resident and Sponsor, including all requirements in M.G.L. c. 19D, § 2 and 651 CMR 12.08(2). The Residency Agreement shall be signed by the Sponsor or the Sponsor’s authorized agent and by the Resident, or their Legal Representative.

Self-Administered Medication Management (SAMM) means the following:

(a) When assisting a Resident to self-administer medication the individual performing Self-Administered Medication Management must:

1. remind Residents to take medication;

2. check the package to ensure that the name on the package is that of the Resident;

3. observe the Residents while they take the medication; and

4. document in writing the observation of the Residents’ actions regarding the medication (e.g. Resident took medication at x time, Resident refused medication at x time, Resident not in Unit at x time).

If requested by the Resident, the individual performing Self-Administered Medication Management may open prepackaged medication and/or open containers, read the name of the medication and directions to the Resident and respond to any questions the Resident may have regarding the directions on the label.

(b) The Residence may assist a Resident with Self-Administered Medication Management from a medication container that has been removed from its original pharmacy-labeled packaging or container by another person (i.e. by the Resident’s family). Such assistance is not required of the Residence. If this service is to be provided, the Residence and Resident shall have a full written disclosure of the risks involved and consent by the Resident. The individual performing Self-Administered Medication Management shall:

1. remind Residents to take medication;

2. check the package to ensure that the name on the package is that of the Resident;

3. observe the Residents while they take the medication; and

4. document in writing the observation of the Residents’ actions regarding the medication (e.g. Resident took medication at x time, Resident refused medication at x time, Resident not in Unit at x time).

The individual performing Self-Administered Medication Management may open prepackaged medication and/or open containers.

(c) The Residence shall through the Self-Administered Medication Management program assist Residents with any medication that is part of the Self-Administered Medication Management plan, including prescription and over-the-counter medication, whether such medication is taken according to a schedule or as necessary (PRN). Self-Administered Medication Management shall only be performed by an individual who has completed Personal Care Service Training as set forth in 651 CMR 12.07(3) or 651 CMR 12.07(6), a practitioner, as defined in MGL c. 94C, or a nurse registered or licensed under the provisions of MGL c. 112, s. 74 or 74A to the extent allowed by laws, regulations and standards governing nursing practice in Massachusetts. Central storage of Resident medications (the storage of medication for Residents in an area outside of the Resident’s Unit under the control of the Residence) is prohibited in an Assisted Living Residence. Residences shall provide a refrigerator to store medication in the Resident’s Unit if refrigeration is required.

Source: http://maseniorcare.org/Consumers/Description_of_Services.aspx