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Yes, this is determined by type of facility policies, some insurances, and state guidelines. I hope that helps answer some of your question. If you need further assistance you can reference your insurance company and provide them with policy number and locations of the facility you hope to utilize and get their information pre authorized or approved and fill out a preliminary application.
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Reply to Senior8
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lealonnie1 Oct 6, 2025
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Yes, indeed. Assisted Living is not like a memory care or a nursing home. Usually they provide supervised medication administration, some help with showering, meals, and housekeeping. They do not provide transportation with aide companionship to doctor's appointments or some other types of outing. AL usually doesn't have 'elder-sitting' that makes sure residents with dementia don't take off or get into trouble.

In the AL I worked for residents were free to come and go as they liked. The doors were locked at a certain hour and if someone was planning on being out past that time, they had to make sure the administrator knew so someone would let them back in.

Usually if a person can't toliet independently or is in diapers, they can't stay at AL. Sure, there are CNA's who will help with an ocassional "accident", but not if it becomes a regular thing. That's usually when a nursing home or memory care comes in.

Look over the resident folder that every person going into an AL facility gets. It will tell you what services are available to residents and what is not available.
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Reply to BurntCaregiver
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Yes, when you visit they will explain to you what is available, and at what price. Usually there are tiers of care for various needs -- medication management, incontinence care, frequency of housekeeping, number of meals provided per day, mobility assistance such as a wheelchair.
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Reply to MG8522
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Yes. You'd have to inquire at the AL itself to find out which services are provided, and at what costs, and which services are not provided.
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Reply to lealonnie1
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A person entering an AL should be able to do most things themselves.

My Mom, dementia, was excepted by a small AL and they had to do everything for her but she paid for those services. They dressed her, brushed her hair and made sure she brushed her teeth. She was given a shower 2x a week which was customary. If I wanted more, she would have paid for that. End of day they got her ready for bed.

Are you having problems with a LO not being properly cared for? What do you think the AL should be doing?
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Reply to JoAnn29
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I think it depends on each facility. The place where my MIL started was AL (although they also offered IL).

The AL had "a la carte" services, like laundry, light housekeeping and medication dispensing, among other things. If someone needs more than that, they probably need MC or LTC.
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