7 AAC 74.010. Quality and levels of service

(a) It is the policy of the department that a pioneers' home will provide a safe and sanitary environment. Each resident or recipient will be treated with consideration and respect for personal dignity, individuality, and the need for privacy. Each resident will receive a lifestyle assessment that identifies the appropriate service level in (c) of this section and is further specified in each resident's assisted living plan. A pioneers' home will make reasonable efforts to provide the proper service level to residents who require the same or a different service level after being admitted. However, a pioneers' home cannot guarantee that all service levels described in (c) of this section will be available to every resident. Availability of service levels is subject to the funding, facilities, and staff that are available at each pioneers' home.

(b) A pioneers' home is neither an acute care facility nor a skilled nursing facility. A pioneers' home is an assisted living facility, operating in accordance with the statutes and regulations pertaining to assisted living homes. If a resident requires services not normally provided by a pioneers' home, the resident will be referred to another appropriate health care facility until the resident is able to return to the pioneers' home.

(1) level I services include the provision of housing, meals, emergency assistance, and opportunities for recreation; level I services do not include staff assistance with activities of daily living, medication administration, or health-related services, although the pioneers' home pharmacy may supply prescribed medications;

(2) level II services include

(A) the provision of housing, meals, and emergency assistance; and

(B) as stated in the resident's assisted living plan, staff assistance, including assistance with activities of daily living, medication administration, recreation, and health-related services; assistance provided by a staff member includes supervision, reminders, and hands-on assistance, with the resident performing the majority of the effort; during the night shift, the resident is independent in performing activities of daily living and capable of self-supervision;

(3) level III services include

(A) the provision of housing, meals, and emergency assistance; and

(B) as stated in the resident's assisted living plan, staff assistance, including assistance with activities of daily living, medication administration, recreation, and health-related services; assistance provided by a staff member includes hands-on assistance, with the staff member performing the majority of the effort; the resident may receive assistance throughout a 24-hour day, including the provision of care in a transitional setting;

(4) day services include services provided in a pioneers' home to a recipient who requires level III services for up to eight hours a day between 6:00 a.m. and 6:00 p.m., including meals scheduled during the period the recipient is receiving day services;

(5) respite services include room and board provided in a pioneers' home to a recipient who requires level III services for up to 14 consecutive days, 24 hours a day.

History: Eff. 8/1/2004, Register 171

Authority: AS 47.55.010

AS 47.55.020

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