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professional. The person responsible for food service must obtain two hours of continuing education in nutrition and food service. Staff who prepare or serve food must receive a minimum of one hour in-service training in safe food handling practices within 30 days of employment.


The resident contract must contain: a list of specific services, supplies and accommodations to be provided; the daily, weekly or monthly rate; additional services available and charges; 30 day notice of rate increases; rights, duties and obligations of the resident; refund policy; bed hold policy; statement of the organization’s religious affiliation if any; and the process for making transfer arrangements.

Facilities with an ECC license must describe the additional personal, supportive, and nursing services provided; the costs; and any limitations on where residents must reside.

Resident contracts must include a list of specific services, supplies and accommodations provided, including LNS and ECC services; the basic daily, weekly, or monthly rate; a list of any additional services available and their charges; a provision giving at least a 30-day notice of rate changes; rights, duties, and obligations of residents; purpose of advance payments or deposits and refund policy; bed hold policy; a statement of any religious affiliation; and a notice of transfer if the facility is not able to serve the resident.

Provisions for Serving People with Dementia

Facilities may admit and retain residents with dementia. Training requirements have been increased for facilities advertising themselves as providing special care for persons with Alzheimer’s disease or related dementia. Facilities must provide supervision for all residents.

In addition to assisted living core training, staff must receive four hours of initial training covering understanding Alzheimer’s disease; characteristics of the disease; communicating with resident; family issues; resident environment; and ethical issues. Direct caregivers must obtain an additional four hours of training within nine months of employment covering: behavior management; assistance with ADLs; activities for residents; stress management for the caregiver; and medical information. Direct caregivers must receive annually four hours of training on topics specified by the Department of Elder Affairs.

State law (Chapter 429.177) requires that facilities that provide special care for persons who have Alzheimer’s disease or other related disorders must disclose in its advertisements or in a separate document those services that distinguish the care as being especially applicable to, or suitable for, such persons. Facilities with 17 or more resident must have an awake staff member on duty at night. Facilities with less than 17 residents may have staff on duty or mechanisms to monitor and ensure safety. Activities designed for people with dementia must be offered.


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