Assisted living facility means any building or buildings, section or distinct part of
a building, private home, boarding home, home for the aged, or other residential facility,
which undertakes through its ownership or management to provide housing, meals, and
one or more personal services (e.g., assistance with activities of daily living (ADLs) and
self-administered medication) for a period exceeding 24 hours to one or more adults
who are not relatives of the owner or administrator. An ALF can have a standard license
or a specialty license as defined below.
Standard means a facility licensed to provide housing, meals, and one or more
personal care services for a period exceeding 24 hours. Personal care services include
direct physical assistance with or supervision of a resident’s ADLs and the self-
administration of medication and similar services. The facility may employ or contract
with licensed persons to administer medication and perform other nursing tasks, such
as taking vital signs, managing individual weekly pill organizers for residents who self-
administer medication, giving pre-packaged enemas ordered by the physician, and
observing residents.
Limited nursing services means a facility licensed to provide any of the services
under a standard license and additional LMH specified in rules, which include:
conducting passive range of motion exercises; applying ice caps or collars and heat;
cutting toenails of diabetic residents or residents with a documented circulatory
problem, if approved in writing by the resident’s health care provider; performing ear
and eye irrigations; conducting a urine dipstick test; replacing established self-
maintained in-dwelling catheter or performing intermittent urinary catheterizations;
applying and changing routine dressings that do not require packing or irrigation; caring
for Stage II pressure sores; conducting nursing assessments if conducted by, or under
the direct supervision of, a registered nurse (RN); and providing any nursing service
permitted within the scope of the nurse’s license, including 24-hour supervision, for
hospice patients.
Extended congregate care means a facility licensed to provide any of the
services under a standard license and LNS license, including any nursing service
permitted within the scope of the nurse’s license consistent with ALF residency
requirements and the facility’s written policy and procedures. A facility with this type of
license enables residents to age in place in a residential environment despite mental or
physical limitations that might otherwise disqualify them from residency under a
standard or LNS license. This definition creates a higher level of care in assisted living.
Limited Mental Health. A facility licensed to provide any of the services under a
standard license must obtain an LMH license to serve three or more residents who
receive Social Security Disability Insurance or Supplemental Security Income (SSI)
benefits due to a mental disorder, and who also receive a state SSI supplement--called
the OSS. The facility must meet additional requirements, including the development of a
community living support plan with the mental health resident and a case manager,