Information on Levels of Care

Tier 1 – Independent Living

  • All activities of daily living without assistance
  • Able to self-administer medication/dietary supplements/treatments
  • Nursing response to emergencies
  • 24/7 Staff on duty

Tier 2 – Minimal Assistance

Dependent in:

  • One or more of four Instrumental Activities of Daily Living or
  • Medication management
  • 24/7 Nurse/Registered Medication Aide, Direct/Non-Direct Care Staff on duty
  • Requires minimal assistance with oxygen, ted hose, diabetic compliance, injections, and treatments

Tier 3 – Minimal Assistance with Bathing Only

Dependent in:

  • One of seven Activities of Daily Living – Bathing only or
  • One or more of four Instrumental Activities of Daily Living or
  • Medication management
  • 24/7 Nurse/Registered Medication Aide, Direct/Non-Direct Care Staff on duty
  • Requires minimal assistance with oxygen, ted hose, diabetic compliance, injections, and treatments

Tier 4 – Moderate Assistance

Dependent in:

  • Two (2) or more of seven Activities of Daily Living
  • Behavior Pattern
  • Medication management
  • 24/7 Nurse/Registered Medication Aide, Direct/Non-Direct Care Staff on duty

Tier 5 – Includes Tier 4 Services plus the following

  • Requires assistance with toileting
  • Incontinent and requires assistance
  • More than weekly housekeeping and/or laundry services
  • More substantial use of emergency call system requiring more frequent assistance from Staff