Ramah Care Services, Inc.
Assisted Living Services
  • All services are provided in our Licensed Adult Residential Care Homes.
  • Waiver services are provided to persons 65 and older with a disability (blind or disabled) as
determined by the Disability Determination Unit utilizing Social Security Disability guidelines,
which reside in the community and for which an application for home and community-based
services has been registered.
  • To elderly persons (age 65 or older), or persons with a disability (blind or disabled) as
determined by the Disability Determination Unit utilizing Social Security guidelines, who are
institutionalized or at risk of institutionalization.
  • Persons meet the required level of care provided in a Medicaid certified  nursing facility
(Nursing Home).
  • Service to individuals who may currently reside in alternative placements in the community.
  • Services provided in an Assisted Living facility are pursuant to the Individual Service Plan (ISP)
as developed by the Interdisciplinary Team (IDT) and authorized by the Long Term Care &
Restorative Services Division of the Department of Health.
  • Waiver recipients requesting Assisted Living services into an agreement with Ramah Care
Services, Inc. that details all aspects of care to be provided, including identified risk factors.
  • Case Managers must submit Individualized Service Plans which request Assisted Living as a
service option to the Department of Health for review and authorization.
  • The Facility Director will participate as a member of the Interdisciplinary Team (IDT).
  • Assisted Living is a special combination of housing and personalized health care services
designed to respond to the individual needs of waiver recipients who require assistance with:
    • Activities of Daily Living (ADL's, e.g., ability to perform tasks that are essential for self-care
such as bathing, feeding oneself, dressing, toileting and transferring).
    • Instrumental Activities of Daily Living (IADL's e.g., ability to care for household and soical
tasks to meet individual needs within the community).
  • Assisted living is based on the following fundamental principles of practice and are packaged per
individual recipients needs:
    • individuality
    • independence
    • privacy
    • dignity
    • choice
    • home-like environment
  • Core services provide minimum to moderate assistance to the recipient by meeting a broad range 
of activities of daily living, and must include at a minimum:
    • Bathing, dressing, eating, personal hygiene, behavior management, opportunities for individual
and group interaction, housekeeping, laundry, transportation, meal preparation and dining.
    • Twenty-four (24) hour staff available on site response capability to meet routine care as well as
unscheduled, unpredictable needs of the recipient.
    • Service coordination capability to arrange access to services not provided directly
    • Direct service provision may be provided by the assisted living facility or may be provided
by another approved Disabled & Elderly waiver provider and in either case would be identified
on the recipient's plan of care.