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This presentation covers the background and current landscape of assisted living regulations focusing on individuals with Alzheimer's disease. It discusses dementia-specific regulations, enforcement strategies, and actions being taken to improve care standards. Key topics include the effectiveness of inspections, penalties, and variations in state enforcement actions. The influence of agency characteristics, the political environment, and roles of both the assisted living industry and consumer information are analyzed. Effective advocacy efforts are highlighted, as well as remaining areas for improvement in care for those with dementia.
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ASSISTED LIVING REGULATIONS TARGETING PERSONS WITH ALZHEIMER’S DISEASE: ENFORCEMENT STRATEGIES & ACTIONS
TODAY’S PRESENTATION • BACKGROUND ON ASSISTED LIVING • DEMENTIA-SPECIFIC REGULATION • ENFORCEMENT STRATEGIES • ACTIONS TAKEN
ACTIONS BEING TAKEN -Low Effectiveness Inspections and Penalties -Moderate Effectiveness Civil Monetary Penalties -High Effectiveness Suspensions
Summary of Key Findings - Low effective action is most common and tied to staffing - Moderate to highly effective action occurs - Not clear why some states take pursue highly effective actions
DISCUSSION Agency Characteristics Political Environment Other Effects
Political Environment • Ties to nursing facility industry • Lack of champions - ideology
Other Characteristics • Role of assisted living industry • Role of consumer information • public disclosure • rating systems