Red Flags: Conditions Often Not Permitted in Assisted Living

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To better understand the difference between Skilled Nursing (SNF) and Assisted Living Care Homes be sure to visit our page on the Types of Care Homes. As you are considering which type of facility is most appropriate for your loved one you should know that certain conditions and treatments are sometimes required to be handled in SNF's. This list varies somewhat from state-to-state. But if your loved one has any of the following issues you should contact us before spending too much time pursuing a direction that may not be possible, at least until the situation changes (some of these items may be temporary conditions).

Also, you should be aware that some of these items can be handled at the Assisted Level with special permission or special licensing from the state. Again, we will need to work with you directly on the specific details.

Tubes, Stomas, Ostomies:

  • Catheter (Urinary tube)
  • Colostomy (Colon opening)
  • Ileostomy (Stomach opening)
  • Gastrostomy (Feeding tube)
  • IV (Intravenous for liquid, medications, etc.)
  • Nasogastric (Nose tube)
  • Tracheostomy (Throat opening)

    Breathing Related:

  • IPPBM (Use of an Intermittent Positive Pressure Breathing Machine)
  • Oxygen (Use of oxygen, especially if in liquid form)
  • Swallowing Difficulty (Especially if serious chocking results.)

    Bowel Related:

  • Anal Suppositories
  • Fecal Impact Removal
  • Frequent Enemas

    Ambulation Related:

  • Full Transfer (Unable to bear own weight or provide assistance in rising)
  • Bedridden (Unable to sit up on own)
  • High Fall Risk (Significant unsteadiness due to frailty, dizziness, etc.)
  • Blindness (Any serious sensory deficit can siginicantly increase the difficluties of someone already confused from a dementing illness.)

    Infection Related:

  • Infectious Illness (e.g., Staph Infection)
  • Tuberculosis
  • Dermal Ulcers (Bedsores, especially stages 3 & 4)
  • Other Open Wound/Healing Wound Care (after surgery, accident, etc.)

    Injection Related:

  • Injections (Administration or preparation of)
  • Glucose Readings (Administration of or Interpretation of)




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