Assisted Living Facility

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Information for Providers:

• Initial Application Letter
• Initial or Change of Ownership Application for Assisted Living Facility
• Category B supplemental Application Form
• Category C Supplemental Application Form
• Change of Ownership Letter
• Renewal Application

Statutes and Rules Governing Assisted Living Facilities

• Assisted Living Facility Rules (37.106.2801 - 37.106.2898)
• MCA - Hospitals and Related Facilities
• Montana Elder and Persons with Developmental Disabilities Abuse Prevention Act
• Rights of long-term care facility residents 50-5-1104
• Safety Devices:
  • MCA 50-5-1201 - 50-5-1205
  • ARM 37.106.2901 - 37.106.2908
• Food Service Establishments
• Minimum Standards for All Healthcare Facilities

Additional Resources

MCA 50-5-226(6) "The department shall develop standardized forms and education and training materials to provide to the assisted living facilities and to the licensed health care professionals who are responsible for the signed statements provided for in subsection (3)(f).  The use of the standardized forms is voluntary."

• Assisted Living Assistance with Self-administration
• Bathroom Requirements
  • Example 1
  • Example 2
• Certification Form for Licensed Health Care Professionals
  (For Category B/C: admissions and change of level of care, including changing from Category B to A level of care)
• Incident/Accident Report
• Involuntary Discharge guide and checklist
• Medication Aide Program
• Resident Agreement Guide and Checklist
• Resident Needs Assessment
• Safety Device - Consent Form
• Safety Device - One Daughter's Story
• Hospice Memo for Assisted Living
• Service Plan for Category A Assisted Living Residents
• Health Care Plan for Category B Assisted Living Residents
• Health Care Plan for Category B / C and A/C Assisted Living Residents
• Survey Tools:
  • Minimum Standards for All Healthcare Facilities Survey Tool
  • MCA - Hospitals and Related Facilities Survey Tool
  • Administrative Rules for Assisted Living Facilities.
  • Restraint/Safety Devices
• Printable Version of Minimum Standards for All Healthcare Facilities
• Printable Version of MCA for Hospitals and Related Facilities
• Printable Version of Montana Elder and Persons with Developmental Disabilities Abuse Prevention Act
• Printable Version of Administrative Rules of Montana for Assisted Living Facilities
• Printable Version of Administrative Rules of Montana for Restraint/Assistive Devices