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Often one is not sure what type of service our family member or we may require. Below is an assessment tool to assist you in making the decision as to whether the need is Assisted Living, Skilled Nursing or Memory Support. Just click on each heading on the left and you will find the criteria listed for each living arrangement for that specific need. If you need further assistance in making this decision, please contact us and we will be pleased to assist you. Click the heading below for more information.
Assisted Living |
Skilled Nursing |
Memory Support |
| May walk independently |
May not walk independently |
Must be self-mobile, but can utilize assertive devices such as w/c, walker, cane, etc |
May require assistance of cane or walker.
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May require assistance of cane or walker.
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| May use self-propelled w/c or electric cart/chai |
May use self-propelled or electric chair/cart. |
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May use assistance in pushing wheelchair outside of apartment.
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May require assistance in pushing wheelchair outside of room. |
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Must be able to secure appropriate assistance for ambulation.
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May not be able to secure appropriate assistance for pushing w/c (i.e., contracted escort service, family/friend, appropriate staff). |
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Must demonstrate capability of minimal mobility in the event of an emergency.
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May not be capable of minimal mobility in the event of an emergency. |
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Assisted Living
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Skilled Nursing
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Memory Support
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Must be able to toilet self without relying on the assistance of another person.
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May not be able to toilet self without relying on the assistance of another person.
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Must be able to have incontinence issues handled by a developed incontinence program. |
Must be able to manage Ostomy care with minimal assistance.
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May not be able to manage Ostomy care independently. |
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Must be able to manage incontinence with minimal assistance.
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May not be able to manage incontinence. |
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Assisted Living
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Skilled Nursing |
Memory Support |
May require intermittent preventative, creative or restorative nursing care or treatment.
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May need complex nursing services such as IV Therapy, tube feeding.
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Requires preventative and creative management of ADLs and behavior management. |
Needs assistance to manage routine or non-acute health-care needs.
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May need total assistance with disease management such as diabetes, heart/lung diseases.
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Needs assistance to manage routine health care needs. |
Assisted Living
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Skilled Nursing |
Memory Support
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May not be able to self-administer medications according to the prescription.
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May not be able to self-administer medications according to the prescription.
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Requires total management of medications/treatments. |
May require total management of medications.
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Requires total management of medication. |
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Assisted Living
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Skilled Nursing |
Memory Support |
| Must not depend on continued tray service to meet dietary needs. |
May depend on continued tray service to meet dietary needs. |
Assistance provided for all meals. (dining with staff member provided if needed.)
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Assisted Living
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Skilled Nursing
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Memory Support
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| Must be able to eat independently. |
May not be able to eat independently.
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Assistance provided for all meals, direction to and from meals, dining atmosphere directed toward improved nutrition & enjoyed dining experience for all residents. |
Must be able to take at least two meals per day in a dining room setting (with normal expectation).
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Must be able to take at least three meals a day in a dining room setting.
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Alternate meal choices provided. |
May require special dietary assistance (i.e., education, altered textures).
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May require special dietary assistance (i.e., education, menu planning, altered textures).
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Alternate food/snacks available at all times. |
Must not be high nutritional risk due to non-compliance of appropriate diet.
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May be high nutritional risk due to non-compliance of appropriate diet. |
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Must not require consistent supervision for compliance with appropriate diet.
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May require supervision for compliance with appropriate diet. |
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| May not be able to obtain and prepare food in apartment. |
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Assisted Living
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Skilled Nursing |
Memory Support
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Must be able to socialize with others appropriately.
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May not be able to socialize with others appropriately.
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Organized activities provided, with special attention to individualized needs/capabilities. |
May benefit from more convenient proximity to activities/programs.
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May benefit from more convenient proximity to activities/programs. |
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Benefits from organized activity.
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May require daily supervised activities. |
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Assisted Living
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Skilled Nursing |
Memory Support
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| Must be alert, oriented as to person, place, time |
May not be alert, oriented as to person, place, time.
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Individualized behavior management provided. |
Must be able to reason, plan, respond.
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May not be able to reason, plan, respond.
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Behaviors must not be to the extent that they present a danger to the resident themselves or other residents of the facility. |
Must be able to understand and follow directions with prompts.
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May not be able to understand and follow directions. |
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Must have memory sufficient for normal Activities of Daily Living (ADL).
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May not have memory sufficient for normal ADL functioning. |
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May have dysfunctional forgetfulness.
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May have dysfunctional forgetfulness. |
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Must not have symptoms of active anxiety or phobias.
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May have symptoms of active anxiety or phobias. |
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Assisted Living
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Skilled Nursing |
Memory Support
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| May not be able to perform basic day to day housekeeping (i.e., dishes, pick up, etc.). |
Unable to perform basic day to day housekeeping and laundry tasks.
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All housekeeping and laundry services provided, may be incorporated into 1:1 activities with the residents. |
May require weekly housekeeping service.
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May contract for additional housekeeping or personal laundry service. |
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| May be unable to do or manage personal laundry. |
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| Assisted Living |
Skilled Nursing |
Memory Support
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| Must be able to transfer most of the time without assistance of another person. |
May not be able to transfer at all times without assistance of another person.
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Must be able to transfer with assistance of 1 staff member. |
Assisted Living
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Skilled Nursing
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Memory Support
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| May be independent in showering/bathing. |
Probably needs assistance in showering/bathing.
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Assistance provided with all showering/bathing for safety measures. |
May need personal care assistance for grooming, dressing, hair care.
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Probably needs personal care assistance for grooming, dressing, hair care.
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Reminders & assistance provided for personal grooming/hygiene. |
May benefit from personal assistance for bathing.
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