(a) This chapter does not prohibit the resident of an assisted living home from self-administering the resident’s own medications, unless the resident’s assisted living plan specifically provides otherwise.
(b) An assisted living home may provide, obtain, or offer to provide or obtain the health-related services described in (c) — (i) of this section. A service under (c) — (i) of this section may only be provided or obtained in addition to, and as a supplemental service to, the long-term provision by the home to the resident of assistance with the activities of daily living or personal assistance.
(c) If self-administration of medications is included in a resident’s assisted living plan, the assisted living home may supervise the resident’s self-administration of medications, notwithstanding a limitation imposed by AS 08 or by a regulation adopted under AS 08. The supervision may be performed by any home staff person and may include
(1) reminding a resident to take medication;
(2) opening a medication container or prepackaged medication for a resident;
(3) reading a medication label to a resident;
(4) observing a resident while the resident takes medication;
(5) checking a resident’s self-administered dosage against the label of the medication container;
(6) reassuring a resident that the resident is taking the dosage as prescribed; and
(7) directing or guiding, at the request of the resident, the hand of a resident who is administering the resident’s own medications.
(d) An assisted living home may provide intermittent nursing services to a resident who does not require 24-hour nursing services and supervision. Intermittent nursing services may be provided only by a nurse licensed under AS 08.68 or by a person to whom a nursing task has been delegated under (e) of this section.
(e) A person who is on the staff of an assisted living home and who is not a nurse licensed under AS 08.68 may perform a nursing task in that home if
(1) the authority to perform that nursing task is delegated to that person by a nurse licensed under AS 08.68; and
(2) that nursing task is specified in regulations adopted by the Board of Nursing as a task that may be delegated.
(f) A resident who needs skilled nursing care may, with the consent of the assisted living home, arrange for that care to be provided in the home by a nurse licensed under AS 08.68 if that arrangement does not interfere with the services provided to other residents.
(g) As part of a plan to avoid transfer of a resident from the home for medical reasons, the home may provide, through the services of a nurse who is licensed under AS 08.68, 24-hour skilled nursing care to the resident for not more than 45 consecutive days.
(h) If a resident has received 24-hour skilled nursing care for the 45-day limit set by (g) of this section, the resident or the resident’s representative may elect to have the resident remain in the home without continuation of 24-hour skilled nursing care if the home agrees to retain the resident after
(1) the home and either the resident or the resident’s representative have consulted with the resident’s physician;
(2) the home and either the resident or the resident’s representative have discussed the consequences and risks involved in the election to remain in the home; and
(3) the portion of the resident’s assisted living plan that relates to health-related services has been revised to provide for the resident’s health-related needs without the use of 24-hour skilled nursing care, and the revised plan has been reviewed by a registered or advanced practice registered nurse licensed under AS 08.68 or by the resident’s attending physician.
(i) A terminally ill resident may remain in the home if (1) the home and either the resident or the resident’s representative agree that the resident may remain in the home; and (2) the resident is under the care of a physician who certifies that the needs of the resident are being met in the home. The time limitation of (g) of this section does not apply in the case of a terminally ill resident.
Other Sections in this Chapter:
- Sec. 47.33.005. Purpose.
- Sec. 47.33.010. Applicability.
- Sec. 47.33.030. Advance payments.
- Sec. 47.33.040. Residents’ money.
- Sec. 47.33.050. Temporary absence.
- Sec. 47.33.060. House rules.
- Sec. 47.33.070. Resident files.
- Sec. 47.33.080. Closure or relocation; change of mailing address.
- Sec. 47.33.090. Rate increase.
- Sec. 47.33.100. Criminal background check for employees. [Repealed, § 49 ch 57 SLA 2005.] Repealed
- Sec. 47.33.200. Commencement of residency.
- Sec. 47.33.210. Residential services contracts.
- Sec. 47.33.220. Assisted living plan required.
- Sec. 47.33.230. Assisted living plan contents; distribution.
- Sec. 47.33.240. Evaluation of assisted living plan.
- Sec. 47.33.300. Residents’ rights.
- Sec. 47.33.310. Notice of rights.
- Sec. 47.33.320. Access to assisted living home.
- Sec. 47.33.330. Prohibitions.
- Sec. 47.33.340. Resident grievance procedure.
- Sec. 47.33.350. Retaliation against home resident.
- Sec. 47.33.360. Involuntary termination of contract.
- Secs. 47.33.400 , 47.33.410. License required; Licensing agency. [Repealed, § 49 ch 57 SLA 2005.] Repealed
- Sec. 47.33.420. Standard forms.
- Sec. 47.33.430. Authority of state agencies to impose additional requirements. [Repealed, § 49 ch 57 SLA 2005.] Repealed
- Secs. 47.33.500 — 47.33.570. Complaint; Immunity; Investigation; Notice of violation; Report of compliance; Administrative sanctions; Administrative procedures; Criminal penalty. [Repealed, § 49 ch 57 SLA 2005.] Repealed
- Secs. 47.33.910 , 47.33.920. Fees; Regulations. [Repealed, § 49 ch 57 SLA 2005.] Repealed
- Sec. 47.33.990. Definitions.