Contracts may not include provisions for discharge which are inconsistent with the rules or imply a lesser standard of care or responsibility .A sixty-day notice of change in rates, services, or other items is required. Provisions for serving people with dementia Facilities that serve people with dementia must design units to assist residents with ADLs, enhance quality of life, reduce tension, agitation and problem behaviors, and enhance safety. Residents may not be locked inside or outside of their rooms. Residents are encouraged and assisted to decorate their unit with personal items and furnishings. Facilities try to individually identify each resident's room to help with recognition.
Facilities also have policies and procedures to deal with wandering.
Electronic locking devices may be used on exterior doors if they release in an emergency. A separate level of licensure is required for administration of medications in residential care facilities and congregate housing sites. All residents are assessed for their ability to self -administer medications or their need for assistance. Reimbursement Maine uses two programs to cover services in assisted living, the HCBS waiver and a state plan option. By 2000,141 facilities contracted as PNMls and served 3,190 residents.