Exclusive Services

Pre-Admission Appraisal (LIC 603A)
- Conducted before admission to determine if the facility can meet the resident's needs.
- Includes physical, mental, and functional assessments, as well as behavioral considerations.
- Gathers information from physicians, the resident, family, and other providers.
Physician’s Report (LIC 602A)
- Must be completed and signed by a licensed physician.
- Documents medical diagnosis, medications, mental status, ambulatory status, and any special needs.
- Determines whether the resident meets admission criteria under Title 22.
Needs and Services Plan (LIC 625)
- Created upon admission based on the pre-admission appraisal and physician’s report.
- Specifies required assistance with Activities of Daily Living (ADLs), supervision, and health-related services.
- Includes resident preferences, communication needs, and any behavioral concerns.
Care Level Determination
- The Administrator or designated staff reviews all documentation and observes the resident.
- Resident is placed in one of the following care levels (outlined below) based on Title 22 definitions and facility capabilities.
- Facility must ensure proper staffing, training, and environment to support the assigned care level.
Ongoing Monitoring & Reassessment
- Residents are continuously monitored for changes in condition.
- Any change in health, mobility, or cognitive status prompts a reassessment.
- Plans are updated at least annually or as needed to reflect current needs.

1. Basic Care (Supervision & Mild Assistance)

For residents who are mostly independent but benefit from light oversight.

Includes meals, housekeeping, supervision, and reminders.
May need assistance with up to three ADLs (e.g., bathing, dressing, medication management).
Suitable for mild memory loss or limited mobility.
Residents remain ambulatory with or without assistive devices.

2. Enhanced Assisted Living (Moderate to Increased Support)

For residents needing more frequent and direct assistance.

Support with multiple ADLs including hygiene, transfers, toileting, and incontinence.
May need redirection or behavioral support.
Appropriate for those with advancing dementia who are still safely manageable in the facility.

3. Memory Care / Dementia Care (Secured or Non-Secured)

Tailored for residents with Alzheimer’s or other dementias.

Dementia-trained staff provide structured routines, behavior management, and cognitive support.

4. Bedridden / Non-Ambulatory Care

For residents who are unable to get out of bed without assistance or are completely non-ambulatory.

Care includes repositioning, pressure injury prevention, and assistance with all ADLs.
Monitoring ensures comfort, safety, and quality of life.

5. Hospice Care (End-of-Life Support)

For residents diagnosed with a terminal condition.