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 – Residential Living (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 2 – Residential Plus (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 3 – Assisted Living (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 4 – Assisted Living (Includes Tier 3 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.