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    Levels of Care

    • What Are Care Levels?
    • Services
    • Amenities
    What Are Care Levels?

    The philosophy of Assisted Living is built on the foundation of promoting and maintaining a resident’s highest level of independence and self-sufficiency. Every resident will be assessed by a licensed nurse and assigned a healthcare service level based on the total points of that assessment. While meeting some specific criteria from the identified levels will determine the resident’s level of care, it is not essential that the resident meet every criterion listed to be placed into the determined level. Residents will be provided services within their healthcare level based on their assessed needs for those services. Residents will be notified when there is a change in the level of care.

    This assisted living community offers Healthcare Services Level 1 – 4. Level 5 services may be offered on a temporary basis or for as long as the location is able to safely accommodate the resident’s health care needs. Should a resident be evaluated as needing healthcare services exceeding those provided, discharge to a facility providing a higher level of care will be arranged. The staffing level required for your care cannot compromise or require changes to the overall staffing level at the Community.

    Services

    • Basic cable TV

    • Basic Wireless Internet access

    • Personal emergency response system

    • 24-hour staffing

    • Light housekeeping once per week with trash removal

    • Two scheduled loads of personal laundry per week

    • One scheduled linen service and bedding change per week

    • Three meals and snacks daily

    • Nutritional status reviewed by a registered dietitian monthly

    • Tray service for temporary illness of up to five consecutive days

    • Scheduled spiritual ministries, recreation and well-being opportunities are available daily

    Amenities

    • Private unit with lockable door that can be personally furnished and decorated

    • Furnished appliances (refrigerator/microwave)

    • Utilities (water, sewer, refuse collection, electricity, heating and cooling) (telephone not included)

    • Individually controlled heating and air conditioning

    • General maintenance to the building, grounds, and furnished appliances

    • Private mailbox

    • Uncovered parking space (based on availability)

    • Secure access after business hours

    • Access to common area appliances (washer, dryer, etc.)

    • Access to the community amenities

    • Salon services on site

    Level 1

    • 24/7 licensed nurse available to medication aides or universal workers for questions and concerns

    • Registered nurse (RN) Level of Care Evaluation: minimally upon admission, annually, and with changes in condition and/or as required per state regulations or Good Samaritan Society policy

    • Healthcare coordination: managing physician orders, may include appointment scheduling

    • Vital signs/weight monitoring: monthly

    Level 2

    • Healthcare Services Level 1

    • Medications: assistance with medication passes 1-3 times daily (does not include staff tracking/management of controlled medications and monitoring/management of anticoagulant therapy)

    • Vital signs/weight monitoring: monthly or may include more

    • Nutrition: set up assistance with meals (opening cartons, cutting meat)

    • Dressing/undressing: assistance with selection and laying out of clothes (set up) and/or assistance with adaptive devices

    • Toileting: verbal reminders to use the bathroom (no hands on assistance)

    • Cognition: redirection and cueing (less than weekly) related to cognitive impairment

    • Safety/risk: additional fall risk interventions

    Level 3

    • Healthcare Services Level 1 +

    • Medications: assistance with medication passes 4-6 times daily (includes staff tracking/management of controlled medications and monitoring/management of anticoagulant therapy)

    • Vital signs/weight monitoring: monthly or may include more

    • Health condition monitoring and treatments: diabetes management with assistance with and/or monitoring of blood sugar checks and/or insulin injections 1-2 times daily

    • Nutrition: set up assistance with meals (opening cartons, cutting meat)

    • Showering: showering assistance (up to 2x’s weekly)

    • Grooming: assistance with grooming (washing face, brushing teeth, brushing hair, applying makeup and/or shaving)

    • Dressing/undressing: cueing/limited hands on assistance with buttons, snaps, zippers, laces, includes assistance with application/removal of TED stockings/hose

    • Toileting: occasional incontinence assistance (less than daily)

    • Mobility/transferring: escorting to and from meals and activities

    • Cognition/behavior: recurring redirection and cueing (less than daily) related to cognitive impairment and/or reassurance in response to fear, anxiety and/or paranoia

    • Safety/risk: additional fall risk interventions

    Level 4

    • Healthcare Services Level 1 +

    • Medications: assistance with medication passes 4-6 times daily (includes staff tracking/management of controlled medications and monitoring/management of anticoagulant therapy)

    • Vital signs/weight monitoring: monthly or may include more

    • Health condition monitoring and treatments: diabetes management with assistance with and/or monitoring of blood sugar checks and/or insulin injections 3 or more times daily; includes management and monitoring of nebulizer treatments, oxygen, BIPAP/CPAP and ostomy/catheter care (no additional ancillary charges for these in Levels 4 & 5)

    • Nutrition: set up assistance with meals (opening cartons, cutting meat)

    • Showering: showering assistance (up to 2x’s weekly); whirlpool assistance may be substituted for included showering assistance

    • Grooming: assistance with grooming (washing face, brushing teeth, brushing hair, applying makeup and/or shaving)

    • Dressing/undressing: hands-on assistance with AM and/or PM dressing; resident able to perform some tasks independently, includes assistance with application/removal of TED stockings/hose

    • Toileting: incontinence assistance at least once daily; includes catheter/ostomy care by nurse

    • Mobility/transferring: one person hands-on physical assistance

    • Cognition/behavior: daily assistance with reorientation and redirection in response to cognitive impairment and/or reassurance in response to fear, anxiety and/or paranoia

    • Safety/risk: required or requested checks every 4-7 hours; additional fall risk interventions

    Level 5

    • Healthcare Services Level 1 +

    • Medications: assistance with medication passes 4-6 times daily (includes staff tracking/management of controlled medications and monitoring/management of anticoagulant therapy)

    • Vital signs/weight monitoring: monthly or may include more

    • Health condition monitoring and treatments: diabetes management with assistance with and/or monitoring of blood sugar checks and/or insulin injections 3 or more times daily; includes management and monitoring of nebulizers treatments, oxygen, BIPAP/CPAP and ostomy/catheter care (no additional ancillary charges for these in Levels 4 & 5)

    • Nutrition: feeding assistance

    • Showering: showering assistance (up to 3x’s weekly); whirlpool assistance may be substituted for included showering assistance

    • Grooming: assistance with grooming (washing face, brushing teeth, brushing hair, applying makeup and/or shaving)

    • Dressing/undressing: total hands on assist with AM, PM and PRN dressing tasks, includes assistance with application/removal of TED stockings/hose

    • Toileting: total incontinence management, includes assisting with catheter/ostomy cares and bag emptying at least daily (if applicable and varies by location)

    • Mobility/transferring: hands-on assistance of up to two persons or a mechanical lift for transfers (if allowed by state regulations and community)

    • Cognition/behavior: ongoing staff monitoring, redirection and management for inappropriate behaviors, verbally or physically aggressive/intrusive/ combative behaviors and/or frequently refuses to accept cares

    • Safety/risk: required or requested checks every 1-3 hours; additional fall risk interventions

    • Laundry: up to three scheduled loads of personal laundry and two linen changes weekly

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