The rules allow licensed staff and medication aides to administer medications as well as to assist with or supervise medications. Financing A Medicaid HCBS waiver covering assisted living and other services serves 1,748 beneficiaries in 237 facilities. Income supplementation is not allowed. A new payment based on level of need and nursing home case mix is being developed for implementation on September 1,2000. Staffing Staff ratio requirements have been deleted.
New rules require that facilities post staffing patterns and disclose the patterns to new residents.
Facilities must have facility-specific staffing ratios that reflect the needs of residents as identified in service plans. Night staff in small facilities must be immediately available. Larger facilities must have staff available and awake. Training The department is required to develop a training program for inspectors that emphasizes the distinction between surveying assisted living facilities and nursing facilities. Staff must receive four hours of orientation covering reporting abuse and neglect, confidentiality, universal precautions, conditions that require notification to the manager, resident's rights, and emergency and evacuation procedures.