Assisted Living and Long-Term Care

Establishments primarily engaged in providing inpatient nursing and rehabilitative services to patients who require ongoing health care but not hospital-level services. Care must be ordered by and provided under the direction of a physician, with a licensed nurse on duty at all times and at least one full-time registered nurse present during each day shift. This includes facilities certified to deliver skilled nursing care under Medicare and Medicaid. Sample business functions include convalescent homes with continuous nursing care, extended care facilities, mental retardation hospitals, and skilled nursing homes.

Establishments primarily engaged in providing inpatient nursing and rehabilitative services on a non-continuous basis. These facilities must have 24-hour personnel, with a licensed nurse on duty full-time during each day shift, and must receive consultation from a registered nurse on the delivery of care at least once a week. Included are facilities certified to provide intermediate care under the Medicaid program. Sample business functions include intermediate care facilities and intermediate care nursing homes.

Organizations that provide alternative living arrangements for individuals needing care, supervision, and support either 24 hours a day or during part of the day. This classification is used for organizations providing residential or custodial care when the specific type of facility is unclear or when multiple facility types are operated under one organization.

Facilities, typically located in residential neighborhoods, that offer 24-hour non-medical care for individuals with disabilities who require supervision and/or assistance with activities of daily living.