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Residential Program rates are based on an applicant’s or client’s degree of need and amount of services necessary to meet those needs. A Level of Care (LOC) evaluation performed prior to admission and periodically thereafter indicates the degree of services needed.

Some factors taken into consideration when determining the client’s LOC are:

• Functional status
• Chronic or severe medical/health condition
• Need for behavioral monitoring or management
• Frequency of contact by licensed professionals.

Levels of Care:

Level I

• Client is generally independent
• Able to manage away from the facility without supervision.
• Mentally and physically functional except for age-related sensory reductions.
• In need of observation no more than once in 24 hours.

Level II

• Client is minimally to moderately limited due to a chronic or degenerative but stable condition.
• Is able to carry out Activities of Daily Living (ADLs) with only reminders or minimal assistance by staff.
• Occasionally (not more than once a week) incontinent of urine.
• Clients takes oral medications daily
• Requires monitoring once every 24 hours.

Level III

• Client has some difficulty with mobility or walking.
• Mild to moderate memory/cognition impairment that requires personal care assistance by staff.
• Receives any injected, psychotropic or anti-depressant medication
• Nighttime incontinence
• Requires transportation and escort services to health related appointments at least once a month

Level IV

• Requires assistance by one other person to transfer or be wheeled in a wheel chair
• Incontinent of bowel and bladder
• Has moderate to severe memory loss
• Wandering, compulsive behavior, agitation, aggression and/or sundowner’s syndrome
• Requests the attention of a licensed nurse during the evening/night shift
• Medication administration
• Therapeutic Diet
• A condition or prescription requiring a Department of Health waiver

Level V

• If referral or contract with another care facility or third party provider are appropriate or imminent.
• Client needs to be fed
• Assistance of two persons to transfer.

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