7 AAC 74.010 - Quality and levels of service

(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.

Notes

7 AAC 74.010
Eff. 8/1/2004, Register 171; am 8/30/2019, Register 231, October 2019; am 4/14/2021, Register 238, July 2021

Authority:AS 47.55.010

AS 47.55.020

AS 47.55.030

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