State Licensing for Senior Communities and Care Services in North Dakota
North Dakota Department of Human Services
600 E Boulevard Ave Dept 325
Bismark, ND 58505-0250
|Types of Housing/Care||Search||Definitions|
|Affordable Senior Housing||Affordable Senior Housing||HUD 202 Program that offers rental assistance for seniors who meet the requirements of the federal program.|
|Adult Day Care||Adult Day Care||Adult Day Care is supervised care for the elderly who cannot be left home alone during daytime hours when family members or caregivers aren’t available. Several services such as meals, occupational and physical therapy, personal cares, transportation, etc. may be available at Adult Day Care locations.|
|Adult Foster Care||Adult Foster Care||Adult Foster Care offers a safe, family living environment providing 24 hour care or supervision and is licensed by the state. Adult Foster Care is indicated in the program field with the abbreviation AFC.|
|Assisted Living Facilities||Assisted Living||Assisted Living Facilities provide a home-like atmosphere to seniors instead of an institutional setting. Even though the setting is residential, health or medical services are provided either by facility staff or through contracts with community agencies. Facilities are staffed 24 hours a day; housekeeping, transportation, security, social activities, and meals are available. Staff may also assist with activities of daily living such as bathing, dressing, and eating, and reminders and help with medication. The emphasis of assisted living is on choice, dignity, privacy, independence, and individuality.|
|Basic Care Facilities||Basic Care Facilities||Basic Care Facilities (licensed by the department under North Dakota Century Code chapter 23-09.3) focus is to provide room and board and health, social, and personal care to assist the senior or disabled 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. Services are provided on a 24 hour basis within the facility, either directly or through contract. These 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.|
|Home Health Agencies||Home Care||Home Heath Agencies provide many services to help senior citizens and the disabled to remain at home. Services of Home Health Care Agencies may vary from agency to agency. Some of the services provided by Home Health Agencies may include:
1. Services by registered and licensed practical nurses such as: patient assessments, patient teaching, wound care, medication administration, nutrition counseling, intravenous therapy, laboratory specimen collection, consultation of geriatric behavior, ostomy care, tracheotomy care, home oxygen, and a variety of other nursing services.
2. Occupational, physical, and speech therapies.
3. Evaluation by medical social workers regarding social and emotional factors related to health problems and counseling to deal with these problems.
4. Services by Home Health Aides including: personal care, exercise, in-home supervision, and light housekeeping.
5. Respite Care to provide help/relief for the primary caregiver.
|Hospice||Hospice||Hospice is a specialized program that provides care and support to terminally ill patients and their families. This system of care attends to the emotional, spiritual, social, and medical needs of both the patients and their families. Hospice care strives to provide the terminally ill person with the highest quality of life possible with what quantity of life remains. Hospice can provide some or all of the following services: symptom and pain control, assistance with home nursing care, physical/occupational/speech therapy, spiritual care, bereavement services for the family, medical director services, support groups, certified nurse assistance, family home care instruction, nutritional care, respiratory care, respite care, personal physician services, trained volunteer services, and medical social services. Eligibility criteria for Hospice is as follows:
1. The patient must have a terminal illness.
2. The patient’s physician must write an order for Hospice care and remain in direct supervision of the Hospice care.
3. The patient and family must elect care aimed at relieving symptoms of the disease, rather than active treatment aimed to cure.
4. The patient must have a family member or designed person who is mainly responsible for the care at their place of residence.
|Nursing Facilities||Nursing Care||Each elderly or disabled resident of a Nursing Facility is under the care of a physician who is responsible for the individual’s care plan. Nursing care is provided 24 hours a day. All Nursing Facilities are licensed by the North Dakota Department of Health and are surveyed annually to assure quality of care and quality of lives are being provided. All Nursing Facilities in North Dakota are certified to receive Medicare and Medicaid residents.|
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