Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 113 - Regulations Governing the Licensing and Functioning of Assisted Housing Programs (includes Assisted Living Programs, Residential Care Facilities, and Private Non-Medical Institutions) (formerly 10-149 Ch. 113) › Level II - Private Non-Medical Institutions › Section 144-113-II-2 - Definitions

Current through 2024-29, July 17, 2024
The following terms have the meanings as specified.
2.1 "
Abuse
" means the infliction
				  of injury, unreasonable confinement, intimidation or cruel punishment with
				  resulting physical harm or pain or mental anguish, sexual abuse or
				  exploitation, or the willful deprivation of essential needs.
2.2 "
Activities of Daily Living
				  (hereinafter ADLs)
" means tasks routinely performed by a person to
				  maintain bodily functions, including bed mobility, transfers, locomotion,
				  dressing, eating, toileting, bathing and personal hygiene.
2.3
"Adult Day Services"
means
				  the care and supervision of consumers who attend the facility during daytime or
				  nighttime hours but are not residents of the facility.
2.4 "
Advance Directives"
means a
				  document signed by the resident, guardian or agent under durable power of
				  attorney, giving or withholding consent or approval related to medical or other
				  professional care, counsel, treatment or service for the resident, in the event
				  that the resident becomes unable to provide that direction.
2.5 "
Aging in Place"
means a
				  program of services provided in assisted housing programs that furthers the
				  independence of the resident and respects the privacy and personal choices of
				  the resident, including the choice to continue to reside at home for so long as
				  the assisted housing program, as it is fundamentally designed, is able to meet
				  the needs of the resident. Assisted housing programs provided to residents must
				  be consumer oriented and meet professional standards of quality.
2.6 "
Alzheimer's/Dementia Care Unit"
means a unit, facility or distinct part of a facility that provides
				  care/services in a designated, separated area for residents with Alzheimer's
				  disease or other dementia. The unit, facility or distinct part provides
				  specialized programs, services and activities, and is locked, segregated or
				  secured to provide or limit access by residents inside and outside the
				  designated or separated area.
2.7
"Applicant
" means the person who owns the facility and is
				  applying for a license, or the person who is applying for a license pursuant to
				  a valid lease agreement, contract or other agreement with the owner of the
				  building that delineates the roles and duties under these rules.
2.8
"Assisted Housing Program"
means an independent housing with services program, an assisted living
				  program or a program of housing and services provided by an assisted living
				  program, residential care facility or private non-medical
				  institution.
2.9
"Assisted
				  Housing Services"
means the provision by an assisted housing program of
				  housing, activities of daily living and instrumental activities of daily
				  living, personal supervision, protection from environmental hazards, meals,
				  diet care, care management and diversional or motivational activities. These
				  services are further defined as follows:
2.9.1
				  Personal supervision, meaning awareness of a resident's general whereabouts,
				  even though the resident may travel independently in the community; and,
				  observation and assessment of each resident's functioning or behavior to
				  enhance his or her health or safety or the health or safety of
				  others;
2.9.2 Protection from
				  environmental hazards, meaning mitigation of risk in the physical environment
				  to prevent unnecessary injury or accident;
2.9.3 Assistance with Activities of Daily
				  Living and Instrumental Activities of Daily Living;
2.9.4 Diversional, motivational or
				  recreational activities, meaning activities which respond to residents'
				  interests or which stimulate social interaction, both in individual and group
				  settings;
2.9.5 Dietary services,
				  meaning the provision of regular and therapeutic diets that meet each
				  resident's minimum daily food requirements, as defined by the Recommended
				  Dietary Allowances of the Food and Nutrition Board of the National Research
				  Council, National Academy of Sciences;
2.9.6 Care Management Services, meaning a
				  process of working with a resident to identify his/her needs and strengths,
				  develop a service plan and arrange for and monitor service delivery.