Here’s some more specific information about the CMS Final Rule as a follow-up to last week’s Note:
Home and Community-based settings must have the following qualities:
- It must be integrated into the community, including opportunities to seek employment in competitive integrated settings and engage in the community.
- The setting has to be selected by the individual.
- The setting has to ensure privacy, dignity and respect and freedom from coercion and restraint.
- The setting has to optimize individual initiate, autonomy and independence in life choices.
- The setting will facilitate individual choice regarding services and supports, including who provides them.
More specifically, in homes owned by KenCrest:
- There needs to be a typical landlord-tenant agreement
- Individuals must have privacy in their living and sleeping units, meaning that:
- Units must have lockable doors
- Individuals must have choice if there is a roommate
- Individuals control their own schedules, including access to food at any time
- Individuals can have visitors at any time
- The setting is physically accessible to the individual
- There is a process in the Final Rule that allows for modifications to the above rules for a variety of reasons but any modification requires written justification and must be supported by a specific assessed need and justified in the person-centered plan.