SERVICES


§ 2800.220. Service provision.

 (a)  Services. The residence shall provide assisted living services as specified in subsection (b). The residence shall offer and provide the core service packages specified in subsection (c). The residence shall provide or arrange for the provision of supplemental health care services as specified in subsection (e). Other individuals or agencies may furnish services directly or under arrangements with the residence in accordance with a mutually agreed upon charge or fee between the residence, resident and other individual or agency. These other services shall be supplemental to the assisted living services provided by the residence and do not supplant them.

 (b)  Assisted living services. The residence shall, at a minimum, provide the following services:

   (1)  Nutritious meals and snacks in accordance with § §  2800.161 and 2800.162 (relating to nutritional adequacy; and meals).

   (2)  Laundry services in accordance with §  2800.105 (relating to laundry).

   (3)  A daily program of social and recreational activities in accordance with §  2800.221 (relating to activities program).

   (4)  Assistance with performing ADLs and IADLs in accordance with § §  2800.23 and 2800.24 (relating to activities; and personal hygiene).

   (5)  Assistance with self-administration of medication or medication administration as indicated in the resident’s assessment and support plan in accordance with § §  2800.181 and 2800.182 (relating to self-administration; and medication administration).

   (6)  Housekeeping services essential for the health, safety and comfort of the resident based upon the resident’s needs and preferences.

   (7)  Transportation in accordance with §  2800.171 (relating to transportation).

   (8)  Financial management in accordance with §  2800.20 (relating to financial management).

   (9)  24-hour supervision, monitoring and emergency response.

   (10)  Activities and socialization.

   (11)  Basic cognitive support services as defined in §  2800.4 (relating to definitions).

 (c)  Core service packages. The residence shall, at a minimum, provide the following core service packages:

   (1)  Independent Core Package. This core package shall be provided to residents who do not require assistance with ADLs. The services must include the following:

     (i)   24-hour supervision, monitoring and emergency response.

     (ii)   Nutritious meals and snacks in accordance with § §  2800.161 and 2800.162.

     (iii)   Housekeeping services essential for the health, safety and comfort of the resident based upon the resident’s needs and preferences.

     (iv)   Laundry services in accordance with §  2800.105.

     (v)   Assistance with unanticipated ADLs for a defined recovery period.

     (vi)   A daily program of social and recreational activities in accordance with §  2800.221.

     (vii)   Basic cognitive support services as defined in §  2800.4.

   (2)  Enhanced Core Package. This core package shall be available to residents who require assistance with ADLs. The services must include the following:

     (i)   The services provided in the basic core package under paragraph (c)(1)(i)—(vii).

     (ii)   Assistance with ADLs and unanticipated ADLs for an undefined period of time.

     (iii)   Transportation in accordance with §  2800.171.

     (iv)   Assistance with self-administration of medication or medication administration as indicated in the resident’s assessment and support plan in accordance with § §  2800.181 and 2800.182.

 (d)  Opt-out. If a resident wishes not to have the residence provide a service under subsection (c)(1)(ii)—(iv), the resident-residence contract must state the following:

   (1)  The service not being provided.

   (2)  The corresponding fee schedule charge adjustment that takes into account the reduction in service.

 (e)  Supplemental health care services. The residence shall provide or arrange for the provision of supplemental health care services, including, but not limited to, the following:

   (1)  Hospice services.

   (2)  Occupational therapy.

   (3)  Skilled nursing services.

   (4)  Physical therapy.

   (5)  Behavioral health services.

   (6)  Home health services.

   (7)  Escort service if indicated in the resident’s support plan or requested by the resident to and from medical appointments.

   (8)  Specialized cognitive support services as defined in §  2800.4.

Cross References

   This section cited in 55 Pa. Code §  2800.4 (relating to definitions); 55 Pa. Code §  2800.25 (relating to resident-residence contract); and 55 Pa. Code §  2800.161 (relating to nutritional adequacy).



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