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North Dakota Long Term Care Association Issue Briefs 2003

Comparison Between Basic Care and Assisted Living



Features

Assisted Living

Basic Care

Definition

“Assisted Living Facility” means a building or structure containing a series of living units operated as one entity to provide services for five or more individuals who are not related by blood, marriage, or guardianship to the owner or manager of the entity and which is kept, used, maintained, advertised, or held out to the public as a place that provides or coordinates individualized support services to accommodate the individual’s needs and abilities to maintain as much independence as possible.  An assisted living facility does not include a facility that is a congregate housing facility, licensed as a basic care facility, or licensed under chapter. 23-16.

“Basic Care Facility” means a facility licensed by the department under North Dakota Century Code chapter 23-09.3 whose focus is to provide room and board and health, social, and personal care to assist the residents to attain or maintain their highest level of functioning, consistent with the resident assessment and care plan, to five or more residents not related by blood or marriage to the owner or manager.  These services shall be provided on a twenty-four-hour basis within the facility, either directly or through contract, and shall include assistance with activities of daily living and instrumental activities of daily living; provision of leisure, recreational, and therapeutic activities; and supervision of nutritional needs and medication administration.

Rates

Choose and pay for only those services needed or desired

All inclusive rate for residents regardless of services used

Governance

Governed by contract law

Governed by state regulation

Licensure

Department of Human Services and Department of Health

Department of Health

Public Assistance

Limited for services only (SPED and only for lower income) none for rent

Basic Care Assistance for low income elderly and disabled

Space Accommodations

Generally one or two bedroom apartment or efficiency

Generally semi-private room with shared bath

Complaint Investigations

Ombudsman

Ombudsman

Rights of Residents

No “special” bill of rights – same rights as US citizens

Bill of Rights in North Dakota Century Code

Special Care Units for Dementia

Not available

Available

Average Rate

$50 to $150 per day depending on services and space

$50.85 per day

Ownership

1/3 For Profit
2/3 Non-Profit

1/3 For Profit
2/3 Non-Profit

Statewide Availability

35 Registered in North Dakota

43 Licensed in North Dakota

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July 31 2003 || www.ndltca.org/data/data07.html