Before admittance can be granted into an assisted living home, the prospective Resident's physician must complete a Health Care Practicioner Assessment. In addition to this form, our manager will also visit with the resident and complete a manager's assessment.

Once the Health Care Practicioner Assessment and Assisted Living Manager Assessment are completed, a Level of Care is determined. Each question is allotted a certain point value. Based on that value, a level of care is assigned.

For your convenience, below are three forms for you to review with your family and physician.

 

HEALTH CARE PRACTICIONER ASSESSMENT - 

http://dhmh.maryland.gov/ohcq/AL/Docs/AL_Forms/hcppa.pdf

 

ASSISTED LIVING MANAGER ASSESSMENT - 

http://www.dhmh.maryland.gov/ohcq/AL/Docs/AL_Forms/alm_tool.pdf 

 

LEVEL OF CARE SCORING GUIDE - 

http://www.dhmh.maryland.gov/ohcq/AL/Docs/AL_Forms/al_loc_tool.pdf