Delaware Assisted Living Facilities
Cost of Delaware Assisted Living Facilities
According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Delaware is $5,745 per month.
The monthly base rate for Delaware assisted living is typically higher when compared to neighboring states. Delaware is also more expensive compared to the national average.
This cost is the base cost for a one-bedroom assisted living unit in Delaware. Additional fees beyond the base rate may apply.
Monthly Costs Compared to Neighboring States
Assisted Living Regulations
Assisted Living Facilities is the official definition Delaware uses for an Assisted living facility. It is a combination of housing, supportive services, supervision, personalized assistance, and health care used to respond to the needs of those needing help with day to day living activities. For facilities that offer specific care for individuals with memory impairment, there is a disclosure statement.
Delaware Assisted Living Facility Scope of Care
Assisted living in Delaware is designed to offer living arrangements to those who are medically stable and do not require skilled nursing care and supervision. Any person requiring intermittent nursing care for a short period of time may live in an assisted living facility. There are certain conditions prohibiting a resident from being in an assisted living facility regardless of whether care is provided by employees or an outside agency. A resident can contract with a home health agency for services with approval of the facility's director. A licensed hospice care provider can provide care for a resident. It is required that the hospice program provide written assurance that in conjunction with care provided by the assisted living facility, the care of the resident will not place other residents at risk.
Delaware Assisted Living Admission Requirements
An assisted living facility is prohibited from admitting, providing services to, or Allowing care to individuals who meet any of the following conditions: Require care by a nurse for intermittent of limited periods of time, require skilled monitoring, testing, or aggressive medication adjustments or treatments where there legitimate potential of an acute episode unless there is a registered nurse to give proper care; require monitoring of a chronic medical condition not stabilized with available medications or treatments; bedridden for over 14 days; have stage III or IV skin ulcers; require a ventilator; require treatment for a disease or condition requiring more than contact isolation; have a tracheotomy for less than six months; have an unstable PEG tube; require an intravenous or central line with certain exceptions; Wander in a manner that the assisted living facility would not be able to provide supervision or security arrangements; Show behaviors that present a threat to the health or safety of themselves or others; and are socially inappropriate that the facility would not be able to manage the behavior - after documented efforts for no more than 60 days. The provisions above do not apply to residents under the care of hospice as long as the hospice program submits written assurance that the resident's needs will be met without putting other residents at risk.
Delaware Assisted Living Care Plan Requirements
In Delaware, a resident assessment form is required. Assisted living facilities must develop, implement, and adhere to a documented, ongoing quality assurance program including an internal monitoring procedure to track performance and measure resident satisfaction. At least semi-annually every facility must survey residents to gauge their satisfaction with services provided. These surveys must be kept for two years available for review during inspections. Documentation addressing actions taken as a result of the surveys should be kept for one year.
Delaware Assisted Living Medication Management Requirements
Facilities in Delaware must comply with the Nurse Practice Act regarding medications. Residents can have assistance with self-medication by care providers who have completed the 'Assistance with Self-Administration of Medication' (AWSAM) training course. It is required that facilities keep records on file for employees who have completed the course, and must complete and submit an annual report to the Board of Nursing. Administration of medication can be performed by an RN or a licensed practical nurse only. The facility must establish and comply with written medication policies that obtaining, storing, and administering medication. A quarterly pharmacy review is also required.
Delaware Assisted Living Facility Requirements
Facility Requirements of Assisted Living Facilities for the State of Delaware are; resident kitchens must be available in the resident's living unit or in an area accessible to every resident. For new construction and conversions of facilities with more than 10 beds, there must be a minimum of 100 square feet of floor space for residents in a private bedroom, and at least 80 square feet for residents sharing a bedroom. A maximum of two residents is allowed per resident unit. Bathing facilities must be available in an individual living unit or in an area readily accessible to every resident. If bathroom facilities are shared there must be a minimum of one commode, sink, and tub/shower for every four residents.
Delaware Assisted Living Staffing Requirements
In Delaware, every facility must have a director responsible for daily operations. Facilities licensed for 25 beds or more are required to have a full-time nursing home administrator. Facilities licensed for five to 24 beds must have a part-time nursing home administrator on duty at least 20 hours each week. The director of a facility for four beds or less must be on site a minimum of eight hours a week. Facilities must have a Director of Nursing who is an RN. Facilities licensed for 25 or more beds must have a full time DON; facilities licensed for five to 24 beds must have a part-time DON on site a minimum of 20 hours a week; and a DON of a facility for four beds or less must be on site at least eight hours a week. Resident assistants must be at least 18 years old. One staff person must be on site 24 hours each day, and must be qualified to administer or assist with self-administration of medication, have knowledge of emergency procedures, basic first aid, CPR, and the Heimlich Maneuver. Overall staffing must be sufficient in number, and staff must be appropriately trained, certified, or licensed to meet the needs of the residents and to comply with state laws and regulations. The nursing home administrator must maintain certification, for facilities with four beds or fewer, requirements for the director of the facility and for the on-site manager are reduced. On-site house managers of facilities with four beds or fewer must receive a minimum of 12 hours in-service education annually. Resident assistants must receive at least 12 hours of in-service education annually. The Board of Nursing Home Examiners approves continuing education programs for assisted living facilities.
Delaware Assisted Living Medicaid Policy
Medicaid home and community-based services are covered by a waiver for assisted living services.
Delaware Medicaid Coverage of Assisted Living and Related Services
The State of Delaware pays for assisted living through the Amended Elderly and Disabled (E&D) Waiver. The waiver is a partnership of a number of preceding waivers including one referred to as the Assisted Living Waiver. Delaware Medicaid managed care also pays for assisted living through Diamond State Health Plan Plus.
As of 2013, the Diamond State Health Plan Plus is in transition but is expected to replace the state's Elderly and Disabled Waiver. This program is intended to provide a full suite of services to low income, elderly state residents including nursing home care, assisted living and a variety of home and community supports that assist frail and / or disabled individuals to remain living at home.
The Diamond State Health Plan Plus is a managed care program and it allows for consumer direction of certain services. Those personal or attendant care services delivered outside of residential care facilities can be self-directed. Under consumer direction, some family members would be eligible to receive payments for providing care services. You can learn more about how family members can become paid caregivers.
The Diamond State Health Plan Plus is designed to cover all of a beneficiary's needs including both medical and non-medical care. But note that not every program participant will be eligible for all services. The services to be covered will be determined in the individual's Plan of Care when they become a member. Services can include:
- Assisted living care
- Chore services
- Durable medical equipment
- Emergency Response System
- Emergency transportation
- Home health services
- Home safety / accessibility modifications
- Home-delivered meals
- Hospice care
- Inpatient hospital services,
- Outpatient hospital services,
- Personal care
- Physical and occupational therapy
- Private duty nursing
- Respite care
- Speech, hearing and language therapies
How to Contact the Delaware Medicaid Administrative Offices go to http://dhss.delaware.gov/dhss/dmma/contact.html
List of Delaware Waivers
Developmental Disabilities (DD) - allows persons with Mental Retardation and Developmental Disabilities who meet the Intermediate Care Facilities for individuals with Mental Retardation level of care and require residential placement to remain living at home and in the community. Services offered include: case management, day habilitation, institutional or in-home respite care, and residential habilitation.
Elderly and Disabled (E&D) Waiver - combine three existing waiver programs: Beginning December 1, all services provided under the Assisted Living (AL) Waiver, the Acquired Brain Injury (ABI) Waiver, and the Elderly and Disabled (E&D) Waiver will be provided under an amended Elderly and Disabled Waiver. Services include: adult day services; assisted living; case management; cognitive services; day habilitation; medical equipment and supplies; personal care; personal emergency response; respite; and support for participant direction.
AIDS/HIV Related Diseases allows persons with HIV/AIDS who meet the hospital level of care to remain living at home and in the community. Services include: case management, personal care services, respite care, mental health services, and supplemental nutrition.
Department of Health & Social Services, Division of Long Term Care Residents Protection Phone (302) 577-6661
Contact: Mary Peterson Phone (302) 577-6661
Website is under construction
What is the best number to call to get started? Call (866) 940-8963 to request services.
Delaware Department of Health & Social Services, Division of Long Term Care Residents ProtectionPhone: (302) 577-6661
Website: Under development
Phone: (302) 577-6661
Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.
License information source: Delaware Health and Social Services
Delaware Assisted Living Facilities by City
- What is Assisted Living?
- Who Lives in Assisted Living?
- Services Provided
- Staff and Administration
- Quiz: What type of care is right for me?
- Talking to a Parent
- Assisted Living Costs
- Ways to Pay for Assisted Living
- Putting Together a Financial Plan
- If You Can't Afford Assisted Living
- Planning Your Social Security to Better Pay for Retirement
- Prescription Drug Assistance
- Choosing an Assisted Living Facility
- Moving Out of the Family Home
- Moving Into an Assisted Living Community
- Resident Activities
- Resident Health
- Medication Management and Adherence Education
- How Tech Advanced are Facilities?