ST. LEONARD ASSISTED LIVING

LEVELS OF CARE:

ADMISSION AND LEVEL OF CARE DETERMINATION WILL BE BASED ON AN ASSESSMENT OF CARE NEEDED FOR EACH RESIDENT. ASSESSMENTS WILL BE PERFORMED BY ST. LEONARD NURSING PERSONNEL.

LEVEL I

Activities of Daily Living (ADL)

• Capable of ambulating or transporting self to the dining room
• Can ambulate short distances or can use the walker/wheelchair independently for long distance
• Transfers in/out of the bed and in/out of the chair independently
• Capable of bathing self or may require assistance with back and lower extremities
• Care for self at toilet completely; no incontinence/manages incontinence
• Dresses and undresses and selects clothes from own wardrobe
• Eats without assistance
• Normal-oriented to time, place and person.  Able to plan daily events.
• Medications may either be self-administered or administered by the licensed staff

 Independent Activities of Daily Living (IADL)

• Able to look up phone numbers, dial numbers and answer the phone
• Has the ability to access St. Leonard’s transportation system
• Shops without help and purchases both large and small items
• Capable of filling out menu, select items from buffet and carry them to their table
• Performs light tasks (i.e. making bed) maintain acceptable level of cleanliness
• Manages financial matters
• Does personal laundry

LEVEL II

Activities of Daily Living (ADL)

• Needs help getting in and out of shower/tub.  Can wash face and hands but cannot wash the rest of body
• Dresses and undresses self with minor assistance.  Needs assistance in selection of clothes
• Ambulates with assistance of assistive devices
• Grooms adequately.  Requires supervision
• Independently manages incontinence.  May require assistance 1x/week to manage incontinence
• Eats without assistance.  May require food to be cut
• May have some fluctuation in memory but can plan daily events appropriately
• Medications Administered

 Independent Activities of Daily Living (IADL)

• May be able to answer phone or dial operator in an emergency
• May be able to shop, but requires assistance and someone to accompany them
• May require assistance in carrying food from the buffet and filling out menu
• May require help with bed making and straightening room
• May be able to launder small items, other items completed by staff or family
• May be able to manage daily buying needs, requires help in managing checkbook and paying bills
• May travel but needs someone to travel with/cannot make transportation arrangements

LEVEL III

Activities of Daily Living (ADL)

• Does not wash self, but is cooperative with those who bathe him/her
• Requires major assistance in dressing but cooperates with efforts of others to help
• May need escort/transportation to and from dining room and activities
• Needs total grooming care, but can remain well groomed after help from others
• Needs assistance getting on and off toilet.  Requires assistance to manage incontinence daily
• Feeds self with moderate assistance and is untidy
• Frequent fluctuations in memory and orientation causing inability to plan daily events.  Requires frequent cueing.  Judgment impaired
• Medication administers

Independent Activities of Daily Living (IADL)

• May be able to answer phone, unable to call out or use phone book
• May be able to go to store, but requires assistance in decision making for items. Family does shopping for resident
• Unable to do laundry
• Unable to manage money
• Unable to travel without escort/cannot make any travel arrangements

Special Care Level II

Activities of Daily Living (ADL)

• Requires escort and redirection for going to the dining room, activities, ADL’s and beauty shop
• Requires staff assistance or supervision with bathing. Washes face and hands only, but cannot bathe the rest of their body
• May be continent but requires frequent reminders and requires assistance in cleaning self.  Soiling or bedwetting while asleep, more than once a week
• Dresses and undresses self with minor assistance.  May require assistance in selection of clothes
• Grooms self adequately with occasional assistance or supervision in grooming
• Feeds self with moderate assistance
• Ambulates independently
• Frequent fluctuations in memory and orientation causing inability to plan daily events; judgment impaired. Requires frequent cueing
• Medication administered

Independent Activities of Daily Living (IADL)

• Able to answer phone, may require help in dialing out and obtaining phone numbers
• Requires help in making decisions on items while shopping
• Cannot make any transportation arrangements/may have difficulty in recalling areas in building and on campus
• Can fill out menu/may need assistance at the buffet, remains tidy in dining room.  Social and etiquette skills remain intact
• Unable to manage finances or checkbook
• May be able to launder small items, wash out socks, stocking, etc.  Staff or family to complete other laundry

Special Care Level III

Activities of Daily Living (ADL)

• Does not wash self but is cooperative with efforts of those who bathe him/her
• Requires major assistance in dressing but is cooperative with efforts of other to help
• Ambulates with assistive devices
• Needs grooming care and assistance but remains well groomed after help from others
• Requires assistance to manage bladder continence and requires help in keeping clean.  Soiling or bedwetting while asleep, more than 2x/week
• Requires assistance in dining room; may require that food be cut up and packages opened. May require cueing but can feed self, and is untidy
• Requires monitoring for maintaining nutritional status
• Requires assistance in getting to and from activities, dining room, beauty shop
• Evidence of impairment in short and long term memory.  Difficulty in following directions, holding cues or expressing needs OR safety risk present
• Exhibits behavior responsive to intervention and behavior management program with a frequency of less than 2x/week but less than daily OR a behavior management program with a frequency of daily or multiple times per day
• Medication Administered

Independent Activities of Daily Living (IADL)

• Unable to use the phone independently
• Unable to shop independently
• Unable to fill out menu without assistance and obtain food from buffet
• Unable to do any light daily tasks and does not recognize the need for
• Unable to manage money
• Unable to do personal laundry