These clients must meet the programmatic and financial eligibility requirements in order to be eligible for nursing facility care. The principal ADLs include bathing, eating, maintaining continence, toileting, dressing, and transferring from bed to chair. Most clients receive services through the federal Medicaid program, meaning the federal government pays for approximately 50 percent of the cost of care and the services are focused on those who meet income guidelines. This includes both services received in a client's home and services received in residential settings. In addition, clients can access services at adult day health centers.
Residential care is provided in adult residential care facilities and adult family homes.
An adult residential facility is a licensed boarding home, such as an assisted living facility. Federal and state funds are supplied to AAAs to provide case management, planning, information and assistance, nutrition services, employment, minor home repair, and volunteer services. The Residential Care Quality Assurance category performs those activities that assure quality in the residential settings utilized by the state's elderly and disabled. There are a number of both federal and state statutory requirements, including requirements to license, inspect, and certify settings such as nursing homes, boarding homes, and adult family homes. Quality assurance nurses undertake regular patient assessments to ensure that they are receiving the services they require.