California Nursing Home Administrator License Practice Exam

What is allowed for a resident being admitted to an ALF?

1. Receiving 24-hour nursing services

2. Receiving hospice services

3. Requiring total assistance with eating

4. Having a stage 3 pressure ulcer

The correct answer is: Receiving hospice services

When a resident is admitted to an Assisted Living Facility (ALF), the acceptance of hospice services is indeed permitted. Hospice services focus on providing care that emphasizes comfort and quality of life for individuals with terminal illnesses. This reflects the holistic approach of ALFs, which aim to support residents' emotional and physical needs while enhancing their dignity and quality of life. While an ALF can accommodate residents who may require assistance in various activities, there are specific regulations regarding the level of medical care provided. For instance, a resident needing 24-hour nursing services typically falls outside the scope of care offered in standard ALFs, which are designed for more independent living with support. Similarly, while assistance with eating may be provided, total dependency on staff for such activities may necessitate a higher level of medical oversight that an ALF may not be equipped to handle effectively. On the more serious side, a stage 3 pressure ulcer indicates a significant medical concern that may require specialized nursing care and vigilant medical oversight, which is again beyond what is generally provided in an assisted living setting. Therefore, the inclusion of hospice services aligns well with the philosophy of an ALF, allowing for compassionate care during the end-of-life stage, making it the appropriate choice in this context.