Why aren the ALP regulations as strict as the nursing home regulations?
A. Although an ALP may care for persons who otherwise might be cared for in a nursing home, it is not a nursing home. An ALP is an alternative to nursing home care or placement. Admission to an ALP is based on an individual’s choice. The setting is residential with fewer professional care givers. The level of care and services will not be the same. Consumers are aware of this. The nursing home regulations (sometimes called OBRA regulations) are specific to an institutional setting and geared toward a large population of residents who need skilled care. The number of residents in an ALP who will require this level of care is minimal. The assisted living regulations are mandated by State law. We had the opportunity to develop common-sense, outcome-based regulations that allow providers flexibility and creativity, and at the same time, provide for resident protections.
