SB 1157 - This act changes the name of residential care facilities I and II to assisted living facilities I and II.

An "assisted living facility I" is defined as any licensed facility that provides 24-hour care and protective oversight to three or more residents who need shelter and board.

An "assisted living facility II" is defined as any licensed facility that provides 24-hour care and protective oversight to three or more residents who need shelter, board, and assistance with any activities of daily living (ADL) or any instrumental activities of daily living (IADL).

New definitions for "dementia", "activities of daily living", and "instrumental activities of daily living" are also provided in section 198.006, RSMo.

Assisted living facilities I and II must provide 24-hour staff in appropriate numbers and skill to meet the needs of residents and must have a written plan for evacuating residents in the event of a disaster. Assisted living facilities II may continue to care for residents with dementia who require assistance to evacuate provided that, among other requirements, the resident is assessed by either a licensed professional or an individual with a bachelor's degree in social work.

Individualized service plans, which shall include an evacuation plan, must be implemented for each resident with dementia who requires assistance to evacuate. These plans must be reviewed with the resident at least semi-annually and modified whenever a significant change occurs in the resident's condition that would require additional services.

Any person, who previously qualified for residence due to a temporary illness, surgery, or injury lasting no more than 45 days, may remain in an assisted living facility II as long as it is approved by a physician.

This act is similar to HB 943 (2004).
LORIE TOWE