HSM 454 Written Assignment Rubric
Criteria
Poor 5
Developing 10
Competent 15
Exemplary
20
Organization
Writing lacks logical
organization. It shows some
coherence but ideas lack
unity. Serious errors.
Writing is coherent and
logically organized. Some
points remain misplaced and
stray from the topic.
Transitions evident but not
used throughout assignment.
Writing is coherent and
logically organized with
transitions used between
ideas and paragraphs to create
coherence. Overall unity of
ideas is present.
Writing shows high degree of
attention to logic and reasoning of
points. Unity clearly leads the
reader to the conclusion and stirs
thought regarding
the topic.
Level of Content
Shows some thinking and
reasoning but most ideas are
underdeveloped and
unoriginal.
Content indicates thinking
and reasoning applied with
original thought on a few
ideas.
Content indicates original
thinking and develops ideas
with sufficient and firm
evidence.
Content indicates synthesis of ideas,
in-depth analysis and evidences
original thought and support for the
topic.
Grammar &
Mechanics
Spelling, punctuation, and
grammatical errors create
distraction, making reading
difficult; fragments, comma
splices, run-ons evident.
Errors are frequent.
Most spelling, punctuation,
and grammar correct allowing
reader to progress though
assignment. Some errors
remain.
Assignment has few spelling,
punctuation, and grammatical
errors allowing reader to
follow ideas clearly. Very
few fragments or run-ons.
Assignment
is
free
of
distracting
spelling,
punctuation, and grammatical
errors; absent of fragments,
comma splices, and run-ons.
Style
Mostly in elementary form
with little or no variety in
sentence structure, diction,
rhetorical devices or
emphasis.
Approaches college level
usage of some variety in
sentence patterns, diction, and
rhetorical devices.
Attains college level style;
tone is appropriate and
rhetorical devices used to
enhance content; sentence
variety used effectively.
Format and APA
compliance
Fails to follow APA format
(eg. in-text citations, reference
page) an assignment
requirements; incorrect
margins, spacing and
indentation; neatness of
assignment needs attention.
Meets assignment
requirements with several
APA (eg. in-text citations,
reference page) errors;
generally correct margins,
spacing, and indentations;
assignment is neat but may
have some assembly errors.
Meets assignment
Requirements with few APA
(eg. in-text citations,
reference page) errors;
margins, spacing, and
indentations are correct;
assignment is neat and
correctly assembled.
Shows outstanding style going
beyond usual college level;
rhetorical devices and tone used
effectively; creative use of
sentence
structure
and
coordination
Meets all APA (eg. in-text citations,
reference page) and assignment
requirements and evidences
attention to detail; all margins,
spacing and indentations are
correct; essay is neat and correctly
assembled with professional look.
Total Points
Total Points
staff, son
Services Provided
Assisted living residences typically provide or coordinate
Medica
While n
with ma
Social
Assiste
to fund
nursin
Super
Many
• 24-hour supervision
• Three meals a day plus snacks in a group dining room
• A range of services that promote resident quality of life and independence,
including:
• Personal care services (help with eating, bathing, dressing, toileting, etc.)
• Various healthcare services
Medication management
• Social services
Supervision of persons with cognitive disabilities
• Social and religious activities
• Arrangements for transportation
• Laundry and linen service
Housekeeping and maintenance (NCAL, 2013a)
While most assisted living facilities offer all of these services, it is not necessary to
every resident to utilize all of them. In fact, beyond the basic housing and supervision,
many
for only what they use. Residents are evaluated prior to, or at, time of admission to
determine the services they need or desire. A service plan, not unlike a carep
service plan can be revised as needed and is reviewed on a periodic basis.
a healthcare facility, is developed and used as the basis for delivery of services. I
the ex
indivi
low d
the el
other
A pe
exan
even
after
plan i
of th
care
Mec
Accreditation
served ro
of reside
all of his
Commission began accrediting assisted living in 2000 under its former name, the Joint
Assisted living facilities have a couple of options for accreditation. First, the Joint
tional (formerly the Commission on Accreditation of Rehabilitation Facilities) and the
Commission on Accreditation of Healthcare Organizations. In 2003, CARF Interna-
The pril
Continuing Care Accreditation Commission merged, combining
programs, enabling them to serve a wider variety of provider organizations.
their accreditation
more ex
care” b
care bec
Financing Assisted Living
As a segment of long-term care that is still evolving, assisted living is financed in a
number of ways-ways that are changing as time goes on. That includes both the ways
in which consumers are charged and the sources of reimbursement.
Medica
vices, p1
(HCBS)
Health
them to
require
Oth
ance an
Sta
Assistec
are som
Costs/Charges
Because assisted living facilities vary so in the extent of services provided and in just
how fancy those services and the living quarters are, costs also vary widely. Most ALFs
charge a basic fee for core services, which are defined as room and board. Nationally,
these basic rates averaged $3,550 monthly or $42,600 annually in 2012 (MetLife
Market Institute, 2012, p. 4) with added charges for other services used. For example,
the basic fee might cover one or two meals per day in a communal living room. Addi-
tional meals are prepared by many residents in their kitchens or kitchenettes. If they
are unable to do so, or do not want to, they can arrange for the additional meals in
the dining room at an added cost.
Services that are added, and bear additional costs, may be healthcare-related ser-
vices. Nursing care and/or monitoring are typically extras. Nursing services may
provided by in-house staff if the ALF is large enough or is affiliated with a
or other similar source
. Nonhealth services may include a barber or beauty shop.
Nature
While s.
be
nearby
those services are contracted with a home care agency
need to
custom
care is
Nursing
Alzhein
staff for
ness sta
Another, increasingly popular type of pricing is the tiered approach, whereby
several different bundles of services from which consumers can choose are offered.
A 2010 study of assisted living facilities found that about half of them use a tiered-
pricing model for bundled services, 24% use an all-inclusive rate model, and 17%
use a fee-for-service model (NCAL, 2013a). Charges vary considerably due to t
Custor
facility, size and type of unit, and location.
The foc
custom
found in
Private pay-use of an individual's own funds-remains the largest
bursement for assisted living. Medicare does not cover it, although in some cases, there
is some coverage under Social Security's Supplemental Security Income.
with cu
resident
much o
advanta
164
CHAPTER 6 Assisted Living
were receiving long-term care services paid by Medicaid. Overall, 43%
served residents were
oint
for that is the need for states to find cost-effective alternatives to
reason
oint
rna-
the
ation
The primary
Medicaid is a small, but growing source of reimbursement. In 2010, about 4 in 10
of residential care/assisted living facilities had at least one resident who had some or
all of his or her long-term care services paid by Medicaid (Park-Lee et al., 2011, p. 3).
more expensive nursing facility care. Assisted living (often referred to as "residential
care because of the lower requirement for expensive nursing care and therapies. State
care” by state Medicaid agencies) costs considerably less than does nursing facility
i agencies have several ways of paying for assisted living/residential care ser-
vices, primarily through the use of authorized Home and Community Based Services
(HCBS) waivers. Under this provision, states may apply to the U.S. Department of
Health and Human Services for a waiver of certain federal requirements, allowing
them to pay for home and community services for individuals who would otherwise
require services in a skilled nursing care facility (CMS, 2013).
Other reimbursement for assisted living comes from private long-term care insur-
ance and managed care organizations.
in a
ways
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