and Answers
If a resident is admitted with a stage 2
pressure sore, the ALF must have: -
✅1. Limited Nursing Services (LNS) or Extended Congregate Care (ECC) license and provide the
appropriate nursing care
If a resident is admitted with a stage 2
pressure sore, the ALF must have: -
✅2. The ALF must employ or contract with a nurse to provide the care
3.• The resident must contract with a home health agency for nursing care
If there is no improvement in 30 days, the resident must be discharged.
Oral, nasopharyngeal, or tracheotomy suctioning -
✅The resident cannot require suctioning in a standard or LNS facility unless
The resident cannot require suctioning in a standard or LNS facility unless -
✅the resident is under the care of hospice. ECC facilities may provide tracheotomy suctioning, but
all other suctioning is prohibited
The resident cannot require suctioning in a standard or LNS facility unless -
✅unless the resident is under the care of hospice. Filing a complaint with the Agency for Health
Care Administration:
. Proper licensure. Is a valid license posted in the facility visible to those who enter? If not, verify
licensure at -
✅true
If the facility is not licensed but appears to be operating as an ALF, report possible unlicensed
activity. -
✅true
, . Mechanical lifting equipment -
✅Mechanical lifting devices such as Hoyer Lifts are prohibited in ALFs. Residents who need
mechanical lifting devices to get out of bed or chairs are not appropriate for an ALF.
Sufficient food -
✅Based on the menu, is there enough food to prepare (including snacks)?
Medication administration -
✅Does any resident indicate they are not receiving their medication?
Resident whereabouts/ safety. -
✅Have any residents eloped (missing) and what is the response?
Restraints. Restraints are prohibited -
✅Are restraints being used? Examples of restraints: Buckle or Velcro seat belt in the
Restraints. Restraints are prohibited -
✅wheelchair that resident cannot release, Geriatric Chairs with lap trays and, the use of sheets
tied to a chair to support resident. Family request is not justification for the use of restraints.
Restraints. Restraints are prohibited -
✅Only half- bed rails are allowed with a physician's order every 6 months
Restraints. Restraints are prohibited -
✅An ALF
resident who is also on hospice care can have full bed rails if the health care provider and
interdisciplinary plan identifies that
the resident needs them.
Building Safety -
✅Obvious and urgent safety hazards related to the building such as unstable construction, fire
alarms, or building