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TODAY’S PRESENTATION

ASSISTED LIVING REGULATIONS TARGETING PERSONS WITH ALZHEIMER’S DISEASE: ENFORCEMENT STRATEGIES & ACTIONS . TODAY’S PRESENTATION . BACKGROUND ON ASSISTED LIVING DEMENTIA-SPECIFIC REGULATION ENFORCEMENT STRATEGIES ACTIONS TAKEN . BACKGROUND ON ASSISTED LIVING .

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TODAY’S PRESENTATION

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  1. ASSISTED LIVING REGULATIONS TARGETING PERSONS WITH ALZHEIMER’S DISEASE: ENFORCEMENT STRATEGIES & ACTIONS

  2. TODAY’S PRESENTATION • BACKGROUND ON ASSISTED LIVING • DEMENTIA-SPECIFIC REGULATION • ENFORCEMENT STRATEGIES • ACTIONS TAKEN

  3. BACKGROUND ON ASSISTED LIVING

  4. Looking more like nursing facilities…

  5. Primary residence for persons with AD

  6. DEMENTIA SPECIFIC REGULATION

  7. Successful advocacy efforts…

  8. Still need to do some work….

  9. ENFORCEMENT STRATEGIES

  10. Here’s what is available…

  11. Here’s what can be done…

  12. ACTIONS BEING TAKEN -Low Effectiveness Inspections and Penalties -Moderate Effectiveness Civil Monetary Penalties -High Effectiveness Suspensions

  13. Inspections and Violations

  14. Civil Monetary Penalties

  15. Wide variation in fines….

  16. Reasons for Suspensions

  17. Summary of Key Findings - Low effective action is most common and tied to staffing - Moderate to highly effective action occurs - Not clear why some states take pursue highly effective actions

  18. DISCUSSION Agency Characteristics Political Environment Other Effects

  19. Agency Characteristics

  20. Barriers to enforcement…

  21. Political Environment • Ties to nursing facility industry • Lack of champions - ideology

  22. Other Characteristics • Role of assisted living industry • Role of consumer information • public disclosure • rating systems

  23. THANK YOU

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