Page 17

19434PA

ASSISTED LIVING FACILITIES (con’t) Care Level: Limited Nursing Services (LNS) License An assisted living facility with a LNS license provides the basic services of an assisted living facility with a standard license as well as additional, specific nursing services. Services include: • Nursing assessments • Care & application of routine dressings • Care of casts, braces and splints • Admin. & regulation of portable oxygen • Catheter, colostomy and ileostomy care and maintenance • Application of cold or heat treatments, passive range of motion exercises, ear and eye irrigations and other services Resident’s Care Managed An ALF is required to have enough qualified staff to provide resident supervision and to provide or arrange for scheduled and unscheduled resident services. An ALF is not required to have a nurse on staff. The ALF staff will manage the resident’s care, including ongoing assessments of the resident’s needs and health monitoring. The ALF may employ or contract with a nurse to take vital signs (blood pressure, pulse, respiration and temperature), manage pill organizers and give medications, give prepackaged enemas from a doctor’s order and keep progress notes. The ALF staff will coordinate and assist the resident to gain access to needed medical services, as well as mental health, social, educational and other services. A resident cannot be bedridden, cannot require 24-hour nursing supervision and cannot have stage 3 or 4 pressure sores. The resident can contract with a third party, such as a home health agency or a nurse registry, to provide nursing and other medical services. Licensing & Employee Screening The administrator has to be screened through FDLE and FBI. Employees providing personal care are screened through FDLE. ALFs are licensed and inspected every two years by the State of Florida’s Agency for Health Care Administration (AHCA). The license should be conspicuously posted. ALFs that do not comply with regulations will be given a deficiency report that gives the total number of deficiencies cited. Financial Concerns Residency in an ALF can be paid by:  • Private funds • Long Term Care Insurance policy • Optional State Supplementation (if the resident is eligible), in addition to the person’s existing monthly income • Medicaid Assistive Care Services (if both the resident and the ALF are eligible) Continued on page 20 17


19434PA
To see the actual publication please follow the link above