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Level of Care Descriptions

Care Level I Medication & Wellness Care Level II Minimal Assistance Care Level III Moderate Assistance Care Level IV Extensive Assistance
Bathing No supervision required. Minimal assistance with showering and bathing. To include setup of supplies and assistance with safe care moving in and out of tub or shower. Moderate assistance with showering and bathing (undressing, washing, drying and redressing). Assistance with safe care moving in and out of shower. Set up of supplies. Extensive assistance with showering and bathing (undressing, washing, drying and redressing). Assistance with safe care moving in and out of shower. Set up of supplies.
Personal Grooming No assistance required. Cues to initiate and complete grooming. May include set up of grooming materials. Hands-on assistance with shaving and denture care, if required. Moderate assistance to complete grooming. Extensive assistance to complete grooming.
Dressing No supervision required. Cues to initiate dressing. May have to offer and encourage proper selection of clothing choices. Moderate assistance with dressing, laying out clothing and cueing to get dressed or undressed. Extensive assistance with dressing.
Mobility No mobility impairments. No mobility impairments. Uses assistive device (cane, walker, etc.) for ambulation. May need to monitor for perceptual difficulties. Uses assistive device (cane, walker, etc.) for ambulation. May need to monitor for perceptual difficulties.
Toileting No assistance required. No assistance required. Moderate assistance with continence management. Reminders and limited assistance to maintain bladder/bowel continence Extensive assistance with incontinence management.
Eating No assistance required; however, accountability as to presence at mealtime. No assistance required; however, accountability as to presence at mealtime. Assistance to and from the dining room. Assistance with menu selection choices. May require moderate assistance with meals, such as cutting food or using condiments. Assistance to and from the dining room. Assistance with menu selection choices. May require moderate assistance with meals, such as cutting food or using condiments.
Medication Management Medication administration and coordination of medical appointments. Medication administration and coordination of medical appointments. Medication administration and coordination of medical appointments. Medication administration and coordination of medical appointments.
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