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An Assisted Living like a private residence? Or are you calling a Long-term facility an Assisted Living.

An Assisted living that is a private residence, does not usually provide any type of therapy. They may have one RN who will do a care plan based on what the facility provides. Like medicine needed and given. Does he need help with dressing, bathing etc. There is tier and a person is charged by what tier they are on.

My Mom needed physical therapy at her AL. Moms Dr ordered it, the Nurse called to have PT come in. Medicare paid their part, I paid the balance. So, if this person is in a facility like this, I doubt if they would be involved in any therapy unless brought in from the outside. If this is the type of facility this person is in, you need to talk to the RN to find out how this all will work.

A Skilled nursing or LTC facility does have PT on site. Maybe even behavior therapy. You really need to talk to the RN in charge or the DON to see what the facility provides. I would hope before this person was admitted, his needs were considered. RNs usually do patient careplans.
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The doctor who recommended AL should be writing a care plan.

If not, get a physiatrist (an MD who specializes in rehabilitation medicine) to assess him and write and monitor a plan.
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Yes, you work with the staff. They will take the lead. And depending on the state law, the care planning meetings have to be held periodically -- twice a year, or quarterly, or whatever. But you can ask to meet with them at any time if you think the plan needs to be adjusted.

Try to view the staff as allies and partners in caring for him or her. Try not to be adversarial unless really necessary.
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You work closely with the staff in a care conference, providing information you have as to "what works". And of course what works in another setting may not be feasible in this setting. So this is a back and forth with caregivers after the initial assessment of the ALF/your MD records and etc. This will be a work in continual progress.
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