Assisted Living
• Provide or arrange for rehabilitative svcs
• Provide escorts to medical appointments
• Educational programs to promote health
and prevent illness
Care Level: Memory Support
Some ALFs are specifically designed for
Alzheimer’s and other memory impairments.
The level of assistance can be minimal to
comprehensive. ALFs that specialize in this kind
of care must have an ECC license. A specialized
unit must have a physical environment that
provides for the safety and welfare of residents,
offers activities specifically designed for these
residents, have 24-hour staffing availability and
employ staff who have completed an eighthour
approved training course.
Care Level: Specialty Licenses
Limited Nursing Services (LNS)
License
ALFs with a LNS license are authorized to
provide a number of nursing services in addition
to the basic services of a standard license.
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
Limited Mental Health (LMH) License
Limited mental health facilities are licensed
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to provide for the health, safety and welfare of
mentally ill residents.
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, though
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 manage the resident’s care,
including ongoing assessments of the resident’s
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