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ASSISTED LIVING REGULATIONS TARGETING PERSONS WITH ALZHEIMER’S DISEASE: ENFORCEMENT STRATEGIES & ACTIONS.

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Presentation on theme: "ASSISTED LIVING REGULATIONS TARGETING PERSONS WITH ALZHEIMER’S DISEASE: ENFORCEMENT STRATEGIES & ACTIONS."— Presentation transcript:

1 ASSISTED LIVING REGULATIONS TARGETING PERSONS WITH ALZHEIMER’S DISEASE: ENFORCEMENT STRATEGIES & ACTIONS

2 TODAY’S PRESENTATION BACKGROUND ON ASSISTED LIVING DEMENTIA-SPECIFIC REGULATION ENFORCEMENT STRATEGIES ACTIONS TAKEN

3 BACKGROUND ON ASSISTED LIVING

4 Looking more like nursing facilities… ServicesNursing Home Assisted Living Average number of services received5.4***3.9 Dental Care22%23% Equipment or devices41%**30% Medical services71%***46% Mental health services7%6% Skilled nursing services56%***15% Nutritional services50%***26% Occupational therapy9%*5% Personal care87%***64% Physical therapy23%**15% Prescribed Medications93%***83% Social Services31%***11% Transportation31%48%*** Note: * Significant at the 0.1 level; ** Significant at 0.05 ; *** Significant at the 0.01 level Source: 2000 National Claimant Study Cohen & Miller, 2000

5 Primary residence for persons with AD

6 DEMENTIA SPECIFIC REGULATION

7 Successful advocacy efforts…

8 Still need to do some work….

9 ENFORCEMENT STRATEGIES Enforcement StrategyTypes Basic ActionsInspections Notice of Violations Public Disclosures Intermediate ActionsCivil Monetary Penalties Restriction on New Admissions License Probation/Suspension Potent ActionsDecertification / Non-renewal

10 Here’s what is available…

11 Here’s what can be done…

12 ACTIONS BEING TAKEN -Low Effectiveness Inspections and Penalties -Moderate Effectiveness Civil Monetary Penalties -High Effectiveness Suspensions

13 Inspections and Violations

14 Civil Monetary Penalties

15 Wide variation in fines….

16 Reasons for Suspensions

17 Summary of Key Findings - Low effective action is most common and tied to staffing - Moderate to highly effective action occurs - Not clear why some states take pursue highly effective actions

18 DISCUSSION Agency Characteristics Political Environment Other Effects

19 Agency Characteristics

20 Barriers to enforcement…

21 Political Environment Ties to nursing facility industry Lack of champions - ideology

22 Other Characteristics Role of assisted living industry Role of consumer information – public disclosure – rating systems

23 THANK YOU


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