HOPE Guidance Manual v1.02, Item A1905

Timepoint(s) Item Completed

Admission (ADM)

Item-Specific Instructions

• Patient and/or caregiver interview, clinical record, referral information, and observation can be used to

code this item.

• Enter the code that best describes the patient’s current living arrangements at the time of the assessment.

• Code 1, Alone (no other residents in home), if there are no other residents in the home at the

time of the assessment. For example, the patient lives alone in a home, in their own apartment, or in

their own room at a boarding house.

• Code 2, With others in the home (e.g., family, friends, or paid caregiver), if there are others

such as family, friends or paid caregivers living with them in the home at the time of the assessment.

• Code 3, Congregate home (e.g., assisted living or

residential care home), examples include ALF or residential

care home.

• Code 4, Inpatient facility (e.g., skilled nursing facility,

nursing home, inpatient hospice, hospital), examples

include skilled nursing facility, nursing home, inpatient hospice,

hospital.

• Code 5, Does not have a permanent home, examples include unstable housing, or the individual

is experiencing homelessness.

Coding Tips

• If more than one code applies, select the code with the greater numeric value. For example, if the patient

lives with their spouse in an ALF, select Code 3, Person lives in a congregate home.

Examples

4. At the admission assessment, the nurse notes that the patient shares a room with their spouse in an ALF.

Coding: Code A1905, Living Arrangements = 3.

Rationale: The patient lives with their spouse in an ALF. An ALF is considered a congregate facility.

DEFINITION

CONGREGATE HOME

A home in which assistance,

supervision and/or oversight

are provided as part of the

living arrangement.