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Provider dilemmas with relocation in assisted living: philosophy vs. practice
Donna J Munroe1, Marylou Guihan
1North Illinois University, 1240 Normal Rd, DeKalb, IL 60115, USA. dmunroe@niu.edu
Journal of Aging & Social Policy
|October 13, 2005
Summary
Assisted living (AL) providers show inconsistent practices in managing tenant frailty and implementing aging-in-place policies. Differences exist in move-out criteria and flexible service planning, impacting resident care.
Area of Science:
- Gerontology
- Healthcare Management
- Sociology
Background:
- Tenant frailty in assisted living (AL) presents complex challenges for residents, families, providers, and policymakers.
- Avoiding unnecessary relocation is a shared goal, yet practical implementation varies significantly.
Purpose of the Study:
- To examine assisted living provider perspectives on implementing aging-in-place for frail residents.
- To identify inconsistencies in managing tenant needs and service flexibility.
Main Methods:
- Evaluation of a three-year assisted living demonstration project in Illinois.
- Analysis of provider perspectives on policies and practices related to tenant care.
Main Results:
- Significant differences were observed in how providers approach and apply move-out criteria for residents experiencing increased frailty.
- Provider willingness to create flexible service plans varied, impacting the ability to support aging-in-place.
Conclusions:
- Findings highlight inconsistencies in assisted living practices regarding tenant frailty and aging-in-place.
- States face challenges in consistently implementing the philosophy and intent of assisted living policies.