The Master Regulatory Topics
Course Content
1. Philosophy of Assisted Living
2. Aging Process and Its Impact
3. Admission and Discharge Criteria
4. Assessment and Level of Care Waiver
5. Service Planning
6. Clinical Management
7. Nutrition and Food Safety
8. Dementia, Mental health, and Behavior Management
9. End of Life
10. Management and Operation
11. Emergency Planning
12. Quality Assurance
13. Survey Process
Cheat Sheet for ALM Certification Course.
THE "BIG 3" EMERGENCY NUMBERS
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Life-Threatening: 911
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Abuse/Neglect Reporting: OHCQ & Police (Report within 24 Hours) +1-401- 402-8015
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Poison Control: 1-800-222-1222
(Post these next to every phone)
CRITICAL TIMELINES (The "When")
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Resident Agreement: Signed PRIOR TO or AT admission.
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Service Plan: Completed within 30 days of admission. Reviewed every 6 months (or if condition changes).
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Medication Review: Delegating Nurse (DN) reviews residents on meds every 45 days.
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Menus: Posted 1 week in advance; kept on file for 6 months.
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Fire Drills: Conducted Quarterly on EACH shift (Day, Evening, Night).
VITAL RANGES (The "Safe Zone")
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Food Safety "Danger Zone": 41°F – 135°F (Keep cold foods below 41°, hot foods above 135°).
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Fridge Temp: Below 40°F.
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Freezer Temp: 0°F or below.
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Hot Water (Resident Taps): 100°F – 120°F (Check weekly to prevent burns).
MEDICATION SAFETY (The "5 Rights")
Before giving any pill, check these 5 things:
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Resident
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Medication
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Dose
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Time
Route (Mouth, Skin, Eye, etc.)
Schedule II Narcotics: Must be under double-lock and counted at every shift change.
R.A.C.E. (Fire Procedure)
R - RESCUE anyone in immediate danger.
A - ALARM (Pull the lever / Call 911).
C - CONTAIN (Close doors/windows to stop smoke).
E - EXTINGUISH (Only if small) or EVACUATE.
STAFFING RATIOS (HR)The Rule: Sufficient staff to meet the needs of residents 24/7.
Awake Overnight? Required if you have residents with Level 3 needs or specific waivers.
Delegating Nurse (DN): REQUIRED if residents need medication administration or nursing tasks.
Success Metrics:
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You know the residents' life stories, not just their diagnoses.
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You knock before entering and treat the suite as the resident's private home.
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Residents are groomed according to their style, not yours.
STOP! DO NOT ADMIT IF...(Unless you have a specific Waiver)
They have active Tuberculosis (TB).
They require a Ventilator.
They require General Anesthesia on-site.
They are a danger to themselves or others.
The woods care (stage 3 or 4)
New 2025 OHCQ Regulatory update:
1) Trauma-Informed Care.
2) Representative Payee Restrictions.
3) Food Menu Planning Cycle.
4) Infection Control.