Alaska Administrative Code › Title 7 - Health and Social Services › Part 5 - Services for Behavioral Health Recipients, Seniors, and Persons with a Disability › Chapter 74 - Alaska Pioneers' Homes › 7 AAC 74.010 - Quality and levels of service

Current through May 31, 2024
(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.
(c) The service levels provided at a
				pioneers' home are as follows:
(1) level I
				services include housing, meals, emergency assistance, opportunities for
				recreation, and required transportation for recreation; the resident is
				independent in activities of daily living;
(2) level II services include level I
				services, medication management, and assistance with up to two activities of
				daily living; 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) level I services, medication management,
				and one of the following:
(i) assistance with
				up to four activities of daily living;
(ii) assistance with up to two activities of
				daily living and behavior management, excluding complex behaviors; or
(iii) assistance with up to two activities of
				daily living and nursing services as described in
				AS
				47.33.020; and
(B) during the night shift, assistance with
				activities of daily living, limited to an average of two times per
				week;
(4) level IV
				services include level I services, medication management, assistance with five
				or more activities of daily living, behavior management, excluding complex
				behaviors, and nursing services as described in
				AS
				47.33.020; services will be provided 24 hours
				a day;
(5) level V services include
				all services that exceed level IV services;
(6) day services include services provided in
				a pioneers' home to a recipient who requires 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;
(7) respite services include room and board
				provided in a pioneers' home to a recipient who requires services for up to 14
				consecutive days, 24 hours a day.