Hawaii Assisted Living Information

Hawaii defines assisted living facilities as an Assisted Living Facility that consists of a building complex providing living units to individuals, and services allowing the residents to maintain an independent, assisted living lifestyle.

Hawaii Assisted Living Facility Scope of Care

The facility is required to provide 24-hour on-site direct care staff including providing services assisting residents in daily living activities, nursing assessment, health monitoring, and routine nursing tasks. The facility can arrange outside agency services for medically related care.

Hawaii Assisted Living Admission Requirements

For the admission of residents to an Assisted Living Facility in Hawaii, there are no limitations aside from any restrictions placed by the County Building Department review. Residents must receive a written notice 14 days prior to discharge if their behavior poses danger to themselves or others, or if the facility cannot meet the resident's needs.

Hawaii Assisted Living Care Plan Requirements

Facility staff must conduct a thorough assessment of the needs of every resident, plan and implement responsive services, keep resident records as needed, and update the plan. The resident's level of involvement; support principles of dignity, privacy, choice, individuality, independence, and a homelike environment; including significant others who take part in providing services is required in the plan.

Hawaii Assisted Living Medication Management Requirements

There must be medication management policies governing self-medication and the administration of medication for the facility.

Hawaii Assisted Living Facility Requirements

Each resident with an apartment unit including a bathroom, refrigerator, cooking capacity, a sink; must have a unit that is a minimum of 220 square feet, not including the bathroom; a cooking capacity that may be removed or disconnected depending on the individual needs of residents; a separate and complete bathroom with a sink, shower, and toilet; accommodations for those physically challenged and wheelchair-bound persons, as needed; a call system monitored 24-hours daily by staff; and wiring for telephones and televisions. Resident units must have a separate bathroom.

Hawaii Assisted Living Staffing Requirements

Licensed staff must be available seven days a week. The administrator or director must have a minimum of two years experience in a management role in housing, health care services, or personal care industries. An assisted living facility administrator's course or course equivalent is required. Staff must take part in orientation and complete at least six hours every year of in-service training.

Hawaii Assisted Living Medicaid Policy

A Medicaid home and community-based services waiver will cover the cost of nursing services in assisted living facilities for residents that are eligible for Medicaid.

Hawaii Department of Health, Office of Health Care Assurance