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They do have call alert buttons, but the nearest manager is 35 miles away. Also, her across the hall neighbor is on oxygen and smokes. This is a very nice, high-end facility, but I am becoming more and more concerned for her welfare. Is this legal?

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I assume "locked in" means a secure entrance just like any other apartment complex. As for fire and medical emergencies, even at AL one or two night staff would never be able to evacuate a building and no one but an RN will touch anything medical, they call for help and let the pros take over.
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How far away is the nearest fire/rescue service? If it is just a few miles away, a resident could dial 911 if they need help, or the alert pendent goes to the central dispatch. If the building is locked, chances are the fire/rescue service has a key to the front door.
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What do you mean by locked in? They have to have fire doors for exit in case of emergency.
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Oxygen and smoking- good grief

At 92, it sounds like mom could benefit from assisted living - is this a continuing care facility or is a move to a new one needed?
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Well, it's not illegal......My parents lived in an independent living facility - but half of the building was assisted living and there were round the clock nurses & staff to handle any emergency. PLUS, the maintenance man lived on site. So...first check with the management to see if there are ANY staff members on site 24/7 and if not.....look into moving mom to a better staffed facility.
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Independent facilities are exactly what the name implies, places where people who are able to manage INDEPENDENTLY can live together for companionship and to more easily access extra outside care.
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