Assisted Living in District Of Columbia

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Choosing an Assisted Living Facility is an important decision and should not be taken lightly. Make sure you thoroughly research the facilities you are considering in order to learn the services they offer, what recreational and social programs they have, what the monthly fees are and more. Use the ThirdAge directory to help find a local District Of Columbia assisted living facility near you, so you can begin to learn more about each one. Get started below by choosing a county.

District Of Columbia Assisted Living Facilities by County



Other District Of Columbia Caregiving Facilities


District Of Columbia Assisted Living Regulations


Agency: Health Regulation Administration
Phone: (202) 442-5888
Website: http://dchealth.dc.gov

CRFs are defined as any facility that provides safe, hygienic sheltered living arrangements for one or more individuals age 18 years or older, who are ambulatory and able to perform the activities of daily living (ADLs) with minimal assistance. This definition includes facilities that provide a sheltered living arrangement for persons who desire or require supervision or assistance within a protective environment because of physical, mental, familial, or social circumstances. Pursuant to DC Act 13-297, the Assisted Living Residence Regulatory Act of 2000, March 22, 2000, an ALR "means an entity, whether public or private, for profit or not for profit, that combines housing, health, and personalized assistance, in accordance to individually developed service plans, for the support of individuals who are unrelated to the owner or operator of the entity.” The definition of ALR does not include a group home for mentally retarded persons as defined in section 2(5) of the Health-Care and Community Residence Facility, Hospice and Home Care Licensure Act of 1983, or a mental health community residence facility as that term is used in Chapter 38 of Title 22 of the District of Columbia Municipal Regulations.

Facility Scope of Care:
Both CRFs and ALRs provide 24-hour care and supervision of their residents.

Move-In/Move-Out Requirements:
CRFs: Residents may not be admitted who are in need of professional nursing care, unable to perform ADLs with minimal assistance, incapable of proper judgment, and disoriented to person and place. ALRs: Residents may not be admitted who have been assessed as being a danger to themselves or others or exhibit behavior that significantly and negatively impacts the lives of others; who are in need of more than intermittent skilled nursing care; or require treatment of stage III or IV skin ulcers, ventilator services, or treatment for an active, infectious, and reportable disease or a disease or condition that requires more than contact isolation.

Resident Assessment:
CRFs: Each resident's personal physician must certify that the resident is free of communicable disease and shall provide the community residence facility with a written report, including sufficient information concerning the resident's health to assist the CRF in providing adequate care, including any treatment orders, drugs prescribed, special diets, and a rehabilitation program. ALRs: An Individualized Service Plan must be developed prior to admission.

Medication Management:
Residents may store medication and facility staff may assist residents with the self-administration of medication.

Physical Plant Requirements:
The combined total of all community space provided by the facility shall afford at least 25 square feet of space above the basement per resident.

Residents Allowed Per Room:
A maximum of four residents is allowed per resident unit.

Life Safety:
CRFs: Each CRF that has residents in sleeping rooms above the second floor, or which has more than six residents in sleeping rooms above the street floor level, shall provide the following: (1) Access to two separate means of exit for all sleeping rooms above the street level, at least one of which shall consist of an enclosed interior stair, or a horizontal exit, or a fire escape, all arranged to provide a safe path of travel to the outside of the building without traversing any corridor or space exposed to an unprotected vertical opening; or (2) Alternative arrangements or methods which, according to reasonable equivalency criteria and in the opinion of the Mayor, secure safety to life from fire. Each CRF shall comply with § 914 of the D.C. Building Code (DCMR Title 12). ALRs: The District of Columbia Building Code requires ALRs to have at least two means of escape from every sleeping room when more than six residents are housed above or below the street floor level. All facilities must be protected throughout by an approved supervised automatic sprinkler system in accordance with specified provisions regardless of the number or arrangements of floors or number of occupants. Approved portable fire extinguishers must be located on each level and an approved smoke detector system must be installed. Every facility must have in effect and available written copies of an approved plan for the protection and evacuation of all persons in the event of a fire.

Alzheimer's Unit Requirements:
None specified.

Staff Training for Alzheimer's Care:
None specified.

Staffing Requirements:
CRFs: A residence director must be responsible for the daily overall management of the facility. There must be sufficient staff to provide for the welfare, comfort, and safety of residents at all times of the day and night. Facilities with 50 or more residents must employ a full-time activities specialist. Facilities with more than 20 residents must provide the services of a social worker at least eight hours a week; facilities with more than 80 residents must provide the services of a social worker at least 20 hours a week; and facilities with 100 or more residents must employ a full-time social worker. ALRs: An ALR shall be supervised by an Assisted Living Administrator who shall be responsible for personnel and services within the facility. The ALR shall employ staff and develop a staffing plan in accordance with the Assisted Living Residence Act to assure the safety and proper care of residents.

Staff Education Training:
CRFs: Initial orientation is required. ALRs: All staff shall be properly trained and be able to demonstrate proficiency in the skills required to effectively meet the requirements of the Act. Staff members must complete 12 hours of in-service training in specified areas on an annual basis.

Medicaid Policy and Reimbursements:
The Department of Health, Medical Assistance Administration, is currently reviewing and developing policy and reimbursement rates for a Medicaid waiver covering services provided in ALRs.



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