Community-Based Residential Facilities (CBRF’s) are state licensed supportive living facilities where five or more unrelated adults reside. CBRF’s provide assisted living and health care services above normal room and board such as assistance with bathing, dressing, toileting, mobility, nutrition, medications, health monitoring, safety and security, socilization and companionship in an environment that promotes and enhances independence.

Assisted living services may be provided up to 24 hours per day, seven days per week. Skilled nursing care (nursing procedures that legallly may only be provided by a registered or licensed nurse) may be provided 3 hours per week. For residents requiring more that 3 hours per week of skilled nursing care, the Department of Health and Family Services may be contacted by the facility to grant an exemption. The philosophy of a CBRF is to provide a home-like environment and to keep each resident as dignified and independent as possible, while maintaining a feeling of safety and security.

CBRF’s provide assistance with activities of daily living to help residents maintain as independent a lifestyle as possible. Typical services offered include meals, housekeeping, laundry, linen exchange, medication monitoring and assistance with dressing and bathing. CBRF’s also offer residents the opportunity to socialize. Each facility will offer some level of organized activity based on resident interests. For the socially isolated senior, the move to a CBRF can be a wonderful experience.

CBRF’s provide an innovative approach to residential living for older adults. Supportive living programs come in all shapes and sizes. The environment may be a house that has been renovated to provide personal care for a small number of people or a newly constructed building with private apartments for a large number of residents. Some facilities furnish all but the residents clothing whereas others have the resident fully furnish the apartment and even offer the opportunity for customized decorating.

CBRF’s are identified by licensure level or class. These licensure levels are included in the website listings. The licensure level determines the type of residents that may reside in the facility. Critical to those exploring CBRF options is the ability of the program to handle residents with a diagnosis of dementia- /Alzheimer’s disease, specific ambulation difficulties and the need for stand-by assistance. Certain facilities are designated as dementia- /Alzheimer’s specialty facilities. Some may also provide respite care when short term stays are needed.

CBRF’s also differ in terms of pricing structures. It is critical to fully understand whether the program being explored has an all-inclusive fee, (room, board and all personal care included in the cost) an ala-cart program, (a fee for rent and all services are added to the monthly billing) or a modified fee program, (rent and some services included in the monthly fee and some personal care services added on). There may also be upfront costs in the form of an entrance fee, endowment fee, application fee or security deposit.

Financial assistance for CBRF living may come in the form of Community Options Program (COP) or Family Care funds. These funds are administered by each county’s Aging & Disability Resource Center. In order to become eligible for funding, you must apply with the Aging & Disability Resource Center in the county in which the facility you desire to live in is located, not necessarily the county in which you live. Although a facility may accept COP or Family Care funds, they do not have any control over availability or access of same.

Licensure Level or Class:

Class AA: A Class A Ambulatory CBRF may serve only residents who are ambulatory and are mentally and physically capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or physical prompting.

Class AS: A Class A Semiambulatory CBRF may serve only residents who are ambulatory or semiambulatory and are mentally and physically capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or physical prompting.

Class ANA: A Class A Nonambulatory CBRF may serve residents who are ambulatory, semiambulatory or nonambulatory, but only if they are mentally and physically capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or physical prompting.

Class CA: A Class C Ambulatory CBRF may serve only residents who are ambulatory, but one or more of whom are not mentally or physically capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or physical prompting.

Class CS: A Class C Semiambulatory CBRF may serve only residents who are ambulatory or semiambulatory, but one or more of whom are not mentally or physically capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or physical prompting.

Class CNA: A Class C Nonambulatory CBRF may serve residents who are ambulatory, semiambulatory or nonambulatory, but one or more of whom are not mentally or physically capable of responding to an electronic fire alarm and exiting the facility without any help or verbal or physical prompting.

Source: Kari Ajack, Administrator, Avalon Square