title: Admission and continued-stay criteria for assisted living facilities.
abstract: As residents in assisted living facilities (ALFs) try to "age in place" but decline in health, the facilities, families, and residents must find a balance between protecting the health and safety of residents in ALFs and maintaining their desire to live independently. The assisted living industry incorporates resident autonomy into its goals, but with regard to resident health and safety, recent reports have found that ALF staff are struggling to provide adequate care for residents with increasingly complex needs. Moreover, state regulations are not consistent in obligating ALFs to prioritize adequate health care and protection for residents over resident autonomy, or vice versa. A set of admission and continued stay criteria for individuals residing in assisted living that could serve as a guideline for state regulations in addressing the balance between safety and autonomy in ALFs is recommended.
authors.affiliation: Rhode Island Quality Partners, Providence, Rhode Island 02908, USA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Kissam
authors.forename: David R
authors.initials: DR
authors.lastname: Gifford
authors.forename: Vincent
authors.initials: V
authors.lastname: Mor
authors.forename: Gail
authors.initials: G
authors.lastname: Patry
mesh_terms: D000368:Aged; D040561:Assisted Living Facilities / Q000331:legislation & jurisprudence / Q000592:standards; D005161:Facility Regulation and Control; D006801:Humans; D008134:Long-Term Care / Q000331:legislation & jurisprudence / Q000592:standards; D010343:Patient Admission / Q000331:legislation & jurisprudence / Q000592:standards; D026684:Personal Autonomy; D012237:Rhode Island