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Independent Living vs. Assisted Living

Independent living is typically unlicensed housing in Wisconsin. Assisted living is a Wisconsin DHS-licensed CBRF or RCAC.

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Short answer

Independent living is typically unlicensed in Wisconsin, since no personal care is provided -- it is housing plus services like dining and transportation. Assisted living in Wisconsin is licensed by DHS's Bureau of Assisted Living, almost always as a Community-Based Residential Facility (CBRF) or Residential Care Apartment Complex (RCAC).

The practical line

If help with bathing, dressing, medication management or mobility is already needed, independent living is the wrong category, regardless of what a community offers to arrange through an outside caregiver. Several Milwaukee-area campuses combine both levels on one site, letting a resident move from independent living into a licensed CBRF or RCAC without leaving the community.

Questions families ask

What happens if I have a complaint about a Milwaukee-area facility's care?

A complaint about a licensed facility's quality of care can be directed to DHS's Bureau of Assisted Living (608-266-8482), and residents of licensed long-term-care facilities can also contact the Wisconsin Board on Aging and Long-Term Care Ombudsman Program at 1-800-815-0015.

Does Wisconsin have a separate memory-care license or certification?

No. Wisconsin requires neither a separate memory-care state certification nor a formal statutory disclosure-statement requirement specific to dementia care. What's marketed as 'memory care' is almost always a CBRF or RCAC that has documented dementia as an admissible client group in its DHS program statement.

How do I know if a Milwaukee memory-care unit's staff are actually trained in dementia care?

Wis. Admin. Code DHS 83.21(2) requires client-group-specific staff training -- covering the characteristics of the group served, safety risks, environmental considerations, disease process, and communication skills -- within 90 days of hire, for staff working with dementia residents specifically.

What questions should I ask when touring a Milwaukee-area memory-care community?

Ask to see the facility's DHS program statement identifying dementia as an admissible client group, ask about its most recent DQA survey results, ask how the secured unit is staffed overnight, and ask specifically how staff are trained under DHS 83.21(2) within 90 days of hire.

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