comar regulations for assisted living facilities in maryland comar regulations for assisted living facilities in maryland

10.07.14.40. First, its important to know who the agency responsible for overseeing and regulating assisted living in Maryland is. 10.07.14.15. Sec. %U8x1=3*"3CtsY6LE$r @e2qK&?Wd.Q_,L(nR+;4wG1]< The Code of Maryland Regulations, often referred to as COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland.While the Legislature of the State of Maryland enacts statutes, it is administrative agencies which adopt, amend, and repeal regulations under the authority granted to them by statutes. 10.07.14.19. Click here to go directly to Title 26 Subtitles with links to their pertinent Chapters and Regulations.. (1) The assisted living manager of a program shall arrange for a licensed pharmacist to conduct an on-site review of physician prescriptions, physician orders, and resident records at least every 6 months for any resident receiving nine or more medications, including over the counter and PRN (as needed) medications. complete regulations are online at the links provided at the end. 402 0 obj <>/Filter/FlateDecode/ID[<624F291B3915C54C98DC5CA6DA75CE94><1D8F96FEDCD2404C8D64CB4166544AA7>]/Index[388 37]/Info 387 0 R/Length 76/Prev 104424/Root 389 0 R/Size 425/Type/XRef/W[1 2 1]>>stream ;Xi4p6y*p{L$R5*lb=f -:TQ~ q6( ^Ip$x%A=Gb`'E;&DwFZ"Yvg=kbk8?`lhF"Av8v{~(h@)_JrKw2YR;d\aLo'qix+1nW>%?n"I$Xnwc[>] W hV~oCD2cI> House Memory Care, terms and To Find Inspection Reports, Citations and Violations for Assisted Living Facilities (2) Those violations have caused or have the potential to cause physical or emotional harm to a resident. Administrative History. Many of these are cataloged in the Library catalog. WC[.oo;~(i%eZ(Ho030M"6fJ j m'\? Alzheimer's Special Care Unit, Sec. Another topic listed in COMAR is the nursing services. There is an e-mail button/section that you can use to submit your information to regarding State Regulations, which will provide you periodic updates pertaining to the States regulations. It looks like your browser does not have JavaScript enabled. 10.07.14.11. Contact our attorneys if you've suffered harm while in the care of a group home. Read the regulations: Code of Md. Assisted Living Manager Training Basic Courses, Sec. hb```|eaX(0 r``AxG6qj c`uH 1/HQqQel%&%zNs`wm4+W#Y)9F&k^ 0 ( JavaScript is required to use content on this page. Medication Management and Administration, Sec. 10.07.14.52. The COMAR regulations are reviewed and updated frequently. Code of Maryland Regulations (COMAR) is the official compilation of all regulations issued by agencies of the State of Maryland. 10.07.14.24. (Family Day Care) or COMAR 07.04.02 (Child Care Center Licensing) except for those . 10.07.14.50. City, Pittsburgh, Facility have to be inspected at least biannually to maintain their license. JavaScript is required to use content on this page. Abuse, Neglect, and Financial Exploitation, Sec. The goal of the COMAR regulations is to keep residents healthy, happy, and well cared for. 388 0 obj <> endobj MSDE regulations are regularly evaluated and updated. For details about COMAR on-line or in print, call the Division of State Documents at 410-974-2486 or 1-800-633-9657. Each regulation is assigned a unique fo ur-part codification numbe r. COMAR Codification System Misuse of Resident's Funds, Sec. Arizona, Las Vegas, Island's Assisted Living Regulations, Inspiration for 10.07.14.10. Sample Page; ; To view the regulations, please visit COMAR Online. and 8-6A-08(f)(5), Annotated Code of Maryland .01 Exclusion from Regulations. These regulations should also be considered essential 'coursework' for anyone wishing to open an assisted living home in Maryland, as they give you a concrete idea of what is involved, and the standards to which you will be held by the State. Investigation by Department, Sec. The Code of Maryland Residents, or COMAR, goes into depth on topics such as admission and discharge, resident's representative, special care units, pharmaceutical services, and relocation. %PDF-1.7 % . Shall oversee the Department's Controlled Dangerous Substance medications. 10.07.14.18. The following regulations apply to all assisted living and memory care communities and are the key points to look for when evaluating facilities: Licensure requirements and procedures. Ko#8'R?:MXkUxuq]BZP*3k0ZkvT}z)@N w\EQY's>5hPih?b?r:T"jg u:"RXS|13;xsNUv5ymeNE?_B\Jz0X]Q;Xt7! N_8uOQE>G+j/}m. These live on-line meetings are open to the public and are not being held in-person. Assisted Living at lou's house The Maryland General Assemblys Office of Legislative Audits operates a toll-free fraud hotline to receive allegations of fraud and/or abuse of State government resources. 10.07.14.38. Resident Agreement General Requirements and Nonfinancial Content, Sec. NM, Tucson, In the Quick Links section youll see a section for Assisted Living. I recommend bookmarking these pages for future, and handy reference. Chapter 10.07.14. You may be trying to access this site from a secured browser on the server. Title 03 - Subtitle 01 - Office of the Comptroller. endstream endobj 389 0 obj <>/Metadata 23 0 R/OCProperties<>/OCGs[405 0 R]>>/Pages 385 0 R/StructTreeRoot 41 0 R/Type/Catalog/ViewerPreferences 404 0 R>> endobj 390 0 obj <>/MediaBox[0 0 612 792]/Parent 386 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 529/Tabs/S/Type/Page>> endobj 391 0 obj <>stream endstream endobj 461 0 obj <>stream 0 , Matthew WeissHealth Policy Analyst for Regulatory AffairsOffice of Health Care Quality410-402-8140matthewe.weiss@maryland.gov. Forms may be downloaded below or you can request a packet be mailed to you by calling 410-767-1100. Maryland, like every state, has its own unique set of assisted living rules, regulations and statutes that each care home, employee, owner and administrator needs to understand, and uphold on a daily basis. Related institutions are . The consumer pays an entrance fee that is, at a minimum, three times the average monthly fee; The provider furnishes or makes available shelter and health-related services to persons 60 years of age or older; and. 10.07.14.25. People often confuse the Code of Maryland Regulations (COMAR) with the Annotated Code of Maryland. A. Y&30 0 The following regulations apply to all assisted living and memory care communities and are the key points to look for when evaluating facilities: Licensure requirements and procedures. Copyright 2023 by eLaws. Senator Washington, M. 2. The CCRCs, both operating and under construction, contains over 16,000 continuing care units, of which over 12,000 are independent living, over 2,000 are assisted living, and over 2,000 are nursing care. The Proposed Regulations section is exactly that regulations that are on the table, but not yet law. 456 0 obj <> endobj Resident-Specific Level of Care Waiver, Sec. The Office of Health Care Quality is seeking informal public comments as it continues to revise the assisted living regulations in COMAR 10.07.14. The Department urges anyone who is considering moving into a CCRC to consult with an attorney and a. financial advisor familiar with these types of agreements before signing any documents. Alternate Assisted Living Manager, Sec. You may be trying to access this site from a secured browser on the server. The current regulations (COMAR 10.07.14) are 92 pages long and are best described as the fox guarding the hen house. Assisted Living Programs. [Bill No.73-22] A. 470 0 obj <>/Filter/FlateDecode/ID[<42EA14CDD5E9EC4EBA507CA1E9B60A30>]/Index[456 27]/Info 455 0 R/Length 75/Prev 54671/Root 457 0 R/Size 483/Type/XRef/W[1 2 1]>>stream The residents pay the homeowner in exchange for a room, personal care services, and meals. Typically, a nursing home resident will need more help and supervision than an assisted living resident. General Physical Plant Requirements, Sec. hbbd``b`$XSE Changes in a Program that Affect the Operating License, Sec. This report is by the Appropriations 02 -Regulation Baltimore, Maryland. C. An assisted living manager employed in a program that is licensed for five or more beds shall complete 20 hours of Department-approved continuing education every 2 years. Make sure the facility is licensed in the state of Maryland, by the Office of Healthcare Quality. Combined Glory Assisted Living Facility 13909 Skyview Drive (281) 491-0076 Care provided: Assisted Living, Respite Care A Home Away From Home 1851 S.W. Patients living in nursing homes and assisted living facilities are increasingly using Pre-register for the meetings atAL Registration Form, OHCQ appreciates the input of all stakeholders that has resulted in thedraft of the proposed regulationsthat will serve as the starting point of these discussions. FOR A FREE CONSULTATION 1(410) 825-3161. . Other Staff Qualifications, Sec. Assisted Living Manager, Sec. How To View and Get A Copy of Marylands Assisted Living Regulations. For example, some CCRCs may provide full coverage nursing care in an on-site health center at no additional charge to the resident, while other CCRCs may provide priority admission to a nursing facility on a fee-for-service basis. Unless the Legislature has created an exemption, agencies must follow the procedures in the Administrative Procedure Act when adopting, amending or repealing regulations. The performance measures reported for assisted living residences include: 1) the results of Inspection surveys performed on-site; 2) influenza vaccination rates of assisted living staff, and 3) facility mandatory influenza vaccination policies. 3. %%EOF Providers of Continuing Care in Maryland must complete the CCRC Development Process as specified in Human Services Article, Sections 10-401 through 10-499 of the Annotated Code of Maryland. The CCRCs, both operating and under construction, contains over 16,000 continuing care units, of which over 12,000 are independent living, over 2,000 are assisted living, and over 2,000 are nursing care. 10.07.14.03. Maryland OneStop OneStop is the central hub for Maryland State licenses, forms, certificates, permits, applications, and registrations. The above regulations are those most relevant to consider when evaluating a residential facility. Entrance fees and monthly fees also vary widely. ^Nvz, 1X yQr8s'~SUFo#lD4pTP"Ij%2,pmpUKC~tS)AsKZfW`7/SWg/RdoZl8TPn/Tp.V\vb30'T_C'W'CLa?K(^-fOr{`E`SL= e^6.l>lutDCDOo,ci=b2`J^gmEcKE%_3itznd4{cz)[}x7f+^;BF 1tbKc^^Z| z=E=Z1C'g1yXb9F^7 !o,z`IzN7W(o]#E]b9`!TE3_-bH{;# 7 Critical Aspects To Quality of Life in Assisted Living Communities: Quality of Life is the sum total of many other aspects, including choice, independence and dignity, as presented by this excellent video by the ALFA. All rights reserved. Please turn on JavaScript and try again. Financial Considerations - Assisted Living in Maryland can cost anywhere from $1,000/month to over $5,000/month. hb```,\@ (@,Xfy\nmFh2 , @~ i 0N8c.>*rO2b`,4)M%|@Z R! $? JavaScript is required to use content on this page. hmo6SE( 8[ ]P2baH on proposed revisions to the assisted living regulations in COMAR 10.07.14. 2022 University Libraries, University of Maryland. The Maryland Register is an official publication of the State of Maryland, The Register serves as the temporary supplement to the Code of Maryland Regulations (COMAR). Maryland has not updated assisted living regulations since 2008, despite the law requiring them to be updated every eight years. H0Eq!;cV[V&LZd5LfiIa Remote access is limited to University of Maryland staff and students. This guide includes instructions on how to research previous Maryland regulations by using COMAR and the Maryland Register. CODE OF MARYLAND REGULATIONS (COMAR) COMAR is the official compilation of all regulations issued by agencies of the State of Maryland. Assisted living facilities must adhere to certain standards and state regulations. Department Psychiatric Rehabilitation. a. For example, COMAR 10.07.02.01 is Title 10, Subtitle 7, Chapter 2, and Regulation 1. The Maryland Department of Aging provides a comprehensive consumer information packet for persons interested in learning more about Continuing Care Retirement Communities. These numbers are expanded when greater detail is required. COMAR is organized by title, subtitle, chapter, and regulation. The Homeless Education Liaison's duties are those mandated by Title VII, Subtitle B of the McKinney-Vento Homeless Assistance Act as amended by the No Child Left Behind Act of 2001 (Public Law 107-10), Education for Homeless Children and Youth, Title X, Part C, Subtitle B as implemented in Maryland under COMAR 13A.05.09.03.A(5) ("McKinney-Vento"). Administrative agencies adopt, amend and repeal regulations under the authority granted to them by statutes. All rights reserved. The Legislature enacts statutes. These regulations are contained in the Maryland Code of Regulations (COMAR 10.07.14). living, in a way that promotes optimum dignity and independence for the individuals. Maryland Manual Online State Department of Education, 200 West Baltimore Street, Baltimore, MD 21201-2595, 410-767-0100 Available online 24 hours a day, 7 days a week. 482 0 obj <>stream Access available atall UM Libraries' locationsthrough the Database Finder (https://www.lib.umd.edu/dbfinder). Below you'll find links to state regulation guides so you can explore your state's . 09 -Title- Department of Licensing and Regulation 5;$D}H&YJ_[aV$t% c},(c:A []y^7iGFy -}fFPpk|, Assisted Living Manager Certification - COMAR Regulations - HIPPA Compliance Certification - Languages Urdu Full professional proficiency Hindi Full professional proficiency Punjabi Full. Whether a regulation is complied with varies from facility to . Heating, Ventilation, and Air Conditioning, Sec. TX, Salt Lake Specific sections of the regulation will be discussed at the first, second, and third meetings. All rights reserved. Each state has different regulations overseeing assisted living. COMAR 10.24.10 State Health Plan for Facilities and Services: General Acute Care Hospital Services . Maryland State agency regulations are compiled in the Code of Maryland Regulations (COMAR). The Maryland Register is an official publication of the State of Maryland that is published every two weeks. National Human Trafficking Hotline - 24/7 Confidential. Civil Money Penalties Hearings, Sec. 10.07.14.16. Approval of Burial Arrangements for Unclaimed Deceased Residents, Sec. Licensure Standards Waiver, Sec. ). HB 1034 and SB 720 . All Rights Reserved. The Code of Maryland Regulations (COMAR) is provided online by the Division of State Documents at www.dsd.state.md.us. 10.07.14.08. HUQO0~T7v'nbChhZ!I[Jh;88NO -hvZiib\dh,,`>8P(1.Pa:VhGv*.4T*NNz'X|;ILG2R |2Bc.Ly0>#.6'X+mW! Uniform Disclosure Statement, Sec. The Code of Maryland Regulations, often referred to as COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland. Unless the Legislature has created an exemption, agencies must follow the procedures in the Administrative Procedure Act when adopting, amending or repealing regulations. %%EOF There is also a direct email address for the Health Policy Analyst for Regulatory Affairs, and a physical address that you can send questions, concerns or comments to. An assisted living provider may limit Medicaid participation to designated units only if approved by the Maryland Department of Aging and the facility resident agreement contains the following provision: The facility's participation in the Maryland Medical Assistance Program is limited to one or more designated units and, in order to access 2 Public Health Reports - 1990 Veterinary Technician - 2002-07 Journal of the American Medical Association - 1992-03 Adams Jobs Almanac 1998 - Bob Adams Publishers 1997-07 10.07.14.41. The Office of Health Care Quality (OHCQ) maintains a Licensee Directory of all Assisted Living Facilities. Laws Affecting Assisted Living Facilities; COMAR Code of Maryland Regulations: Regulations Affecting Nursing Homes: Click here to view the regulations in Section 10.07.02-Comprehensive Care Facilities and Extended Care Facilities ; Click here to view the regulations in Section 10.07.09-Resident's Bill of Rights Springs, The Most Here are some of the benefits of living at Chesapeake Cove: Lifestyle Amenities The Osprey Dining Room offers three meals a day. However, COMAR in print form will continue to be the only official legally enforceable version of the Code. . There is a risk that these units may not be reoccupied (or a new entrance fee may not be paid) in a timely manner. (a) In general. yDT^T G6+,uST@9)M[#|rSy'?o,=y}ugJ5P0 (5SNGb?:7UZ%QSt'dFhE2~|) Zv;(RTfvM?e'f"-`kwE}Y6l;G}B&3n`\)D%n'f3\?Wa~q%"@`R@ps*lv%b-.ei&znbf _h2fX~>Toyu/wscP)Y2cb/_ . 10.07.14.59. G. A program may request an extension from the Department to allow an individual to serve as an assisted living manager for longer than 45 days if the program has shown good cause for the extension. House report on STATE, FOREIGN OPERATIONS, AND RELATED PROGRAMS APPROPRIATIONS BILL, 2023. As the Director of Regulatory Compliance, Wanda assists Sharps' customers in evaluating current federal and state-specific medical and pharmaceutical waste regulations, implementing compliant regulated medical and pharmaceutical waste management programs and processes, and developing training programs for both internal and external customers. The completed manager's training course shall: (1) Consist of at least 80 hours of course work and include an examination; (2) Consist of training programs that include direct participation between faculty and participants; and. For questions about the Licensee Directory, contact OHCQ by calling 877-402-8221. The fourth meeting will include comments. and conditions, privacy National Human Trafficking Hotline - 24/7 Confidential. Preadmission Requirements, Sec. You may be trying to access this site from a secured browser on the server. Complete the form below to access Ratings, Reviews, & Pricing Info, Assisted Living with Learn About Marylands Assisted Living Regulations. 1. Ask at the Maryland Room Desk to locate Incorporated Documents. Information reported to the hotline in the past has helped to eliminate certain fraudulent activities and protect State resources. provides the official online access to COMAR.The Office of Health Care Quality does not sell copies of COMAR regulations. A. As of January 1, 2023, there are 38 operating or approved continuing care retirement communities, known as CCRCs, in Maryland. These numbers are placed at the top right and left corners of the pages. 10.07.14.61. Provisions and regulations of automated external defibrillator programs. Amount of Civil Money Penalties, Sec. X@ V(`) A w0012 Make sure the facility is licensed in the state of Maryland, by the Office of Healthcare Quality. A visit to this section offers information, and sections specific to Assisted Living in Maryland, including: Additionally, youll see, on the main page, phone and fax numbers for the Department of Health and Mental Hygiene. Resident's Representative, Sec. Regulations governing the Maryland State Department of Education (MSDE) fall under Title 13A. Index- A keyword index toCOMAROnlineis available, though it only refers tobroad subjects at the end of each title. CarePatrol will have this information for you and make this process very easy for you to chose a RAL. COMAR Title 26 corresponds to the Department of the Environment. Please enable JavaScript in your browser. hbbd``b`:$[A`}$CKDA,m"t(;\L %$ d September 15, 2021, 10:00 a.m. 12:00 p.m., COMAR 10.07.14.00 - 10.07.14.21, October 19, 2021, 10:00 a.m. 12:00 p.m., COMAR 10.07.14.22 10.07.14.37, November 16, 2021, 1:00 p.m. 3:00 p.m., COMAR 10.07.14.38 10.07.14.64, December 16, 2021, 1:00 p.m. 3:00 p.m., all sections, OHCQ appreciates the input of all stakeholders that has resulted in the, that will serve as the starting point of these discussions. 10.07.14.33. 301 West Preston Street Suite 1007, Baltimore, MD 21201, Maryland Access Point: Your link to information and assistance, Maryland Durable Medical Equipment Re-Use, State Health Insurance Assistance Program, Health Promotion, Nutrition and Activities, Health Promotion and Chronic Disease Prevention, Long Term Services and Community Supports, Scams and Fraud: Prevention and Reporting, Senior Assisted Living Subsidy Program (SALS), Skilled Nursing Facilities Vaccination Dashboard, Volunteer, full-time, part-time, contractual, and internship opportunities, Unit Matrix by County, Contract Type, and Levels of Care. Proposed actions are available for 30 days following their publication in the Maryland Register and emergency actions are available for 180 days following their effective date or until replaced by a proposed action, whichever is sooner. y (21) "Supervised group living settings" means assisted living facilities, group homes for 2020 and 2021 Assisted Living State Regulatory Review Maryland Agency Department of Health, Office of Health Care Quality . The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. Regulations governing the Maryland State Department of Education (MSDE) fall under Title 13A. Only a portion of the content of continuing care agreements is regulated by continuing care laws. E. The training requirements of A of this regulation do not apply to an individual who: (1) Is employed by a program and has enrolled in a Department-approved manager training course that the individual expects to complete within 6 months; (2) Is temporarily serving as an assisted living manager for less than 45 days, unless the Department has granted an extension of the 45 days, due to an assisted living manager leaving employment and before the hiring of a permanent manager; (3) Has been employed as an assisted living manager in this State for 1 year before January 1, 2006; or. Approval If approved you will hear back from us within 10 - 14 business days. endstream endobj startxref Assisted Living Managers Training Requirements, Sec. As of January 1, 2023, there are 38 operating or approved contin uing care retirement communities , known as CCRCs, in Maryland. Generally, these fees are based on the level of care (independent living, assisted living, or nursing care), size of the unit, number of residents living in the unit, and type of contract entered into. NV, San Antonio, The Office of Health and Mental Hygiene has a section dedicated to the States Assisted Living Regulations, and it includes two important sub-sections: Under the Adopted Regulations section, there is another sub-section specific to Assisted Living Programs, which then provides numerous additional pages, by topic or area, for adopted regulations including: The section for Assisted Living Programs looks like this: Any assisted living facility or residential care home in Maryland should be able to provide residents and family members a copy of state regulations should they be requested. The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. To be licensed as a Residential Assisted Living facility (RAL) in the State of Maryland, you must follow the Code of Maryland Regulations (COMAR) http://www.dsd.state.md.us/COMAR/searchall.aspx. COMAR 10.24.13 1 .01 Incorporation By Reference. 10.07.14.58. The COMAR regulations are reviewed and updated frequently. Maryland State agency regulations are compiled in the Code of Maryland Regulations (COMAR). The Code of Maryland Regulations as Applied to Residential Assisted Living Facilities, Holiday Visits: Be Aware of the Signs an Aging Parents Needs Have Changed, What Is Transfer Trauma And How To Avoid It, ComForCare Platform Could Grow to 20 Different Franchise Brands. There is no requirement for direct care aides in these facilities to be licensed Geriatric Nursing . The. Four public meetings will be held to provide the opportunity for stakeholders to propose changes to the regulation. We value your privacy. Protection of a Resident's Personal Funds, Sec. Please enable JavaScript in your browser. (2) A civil money penalty not to exceed $10,000. For example, COMAR 10.07.02.01 is Title 10, Subtitle 7, Chapter 2, and Regulation 1. Workgroup meetings will begin within the coming . 2006, an assisted living manager of a program that is licensed for five beds or . COMAR is organized by title, subtitle, chapter, and regulation. Enter your zip for local care options or call. endstream endobj startxref TheDivision of StateDocumentsprovides the official online access to COMAR.The Office of Health Care Quality does not sell copies of COMAR regulations. If the regulations are not currently under review, comments are held untilthe next review. Every proposal describes how and when to submit comments. The code provides detailed regulations for procedural, safety and health protocols within the senior living industry. OHCQ strongly encourages stakeholders to engage with each other for further discussion about these regulations. Reviewing and approving plans, policies, and procedures to ensure regulatory and accreditation compliance as well as quality controls and established and maintained. https://lib.guides.umd.edu/mdlawresources, Maryland Reports and Maryland Appellate Reports, Opinions of the Attorney General of Maryland, Priddy Library (Universities at Shady Grove), Administrative regulations of Maryland state agencies, Administrative History of the regulations, including amendments and effective dates (included at the end of each chapter of COMAR), The executive orders of the Governor that are considered generally permanent in nature (located in Title 01). The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. 2. 10.07.14.9999. 10.07.14.30. policy, Consumer Information useful for those researching assisted living, Licensure Application & Instructions for Completion, Definitions (it is important to understand that each state defines assisted living differently). 10.07.14.36. Regulatory Review Process MSDE regulations are regularly evaluated and updated. Maryland Code - Education, 7-425 EDUC. Much of the content of the continuing care agreements will vary from community to community, as does the scope of the continuing care offered at these communities. The Code of Maryland Regulations (COMAR) are maintained by the Division of State Documents (DSD) under the Office of the Secretary of State and can be accessed through the DSD Web site. Please enable scripts and reload this page. Bathrooms for Residents, Sec. Learn About Marylands Assisted Living Regulations. Purposes of the State Health Plan for Facilities and Services. Remote access is limited to University of Maryland staff and students. Regulations 10.07.02.01 Consider Alternatives - Depending on your needs, there may be alternatives to nursing home care that work better for your situation, including home aide services, medical adult day .