NCI-AD 21-22 State Report: Missouri

What is NCI-AD?

Establish in 2015, National Core Indicators—Aging and Disabilities™ (NCI-AD™) is a voluntary effort by state aging and physical disability agencies to measure and track their performance using a standardized set of nationally validated measures. The effort is coordinated by Advancing States and Human Services Research Institute (HSRI). Learn more about our history here.

In 2021-22 a total of 19 states participated in NCI-AD. Not all participating states do all surveys every year.

What is the NCI-AD
Adult Consumer Survey?

The NCI-AD Adult Consumer Survey (ACS), is standardized survey conducted with a person receiving long term services and supports (LTSS) through state aging and physical disability systems. Surveys are conducted by trained surveyors through in-person, secure video meeting, or over-the-phone conversations with service participants. The main part of the survey contains subjective questions about how well services are supporting the person; these can only be answered by the person themselves. A subset of more objective questions may be answered by a proxy respondent if needed. In addition to the questions for service participants, the survey also collects background information on the person –demographic and service-related data – mainly from service agency records. In 2021-22, the survey included two state-optional modules:

Person-Centered Planning Module. This is a series of questions that ask about the person-centered planning process, including the person’s experience developing the service plan and the service planning meeting. The following states conducted the Person-Centered Planning Module: CO, DE, GA, IN, KS, MI, MN, MO, NJ, OK, TX, WA, WI.

COVID-19 Supplement. This included a series of questions of the person’s experience with services during COVID-19 and the overall impact of the pandemic on the person’s life. The following states conducted the COVID-19 Supplement: CO, DE, GA, IN, KS, MI, MN, MO, NJ, OK, TX, WA, WI.

Sampling

There is considerable variation in how states’ long-term services and supports (LTSS) programs serving older adults and adults with physical disabilities are organized, funded, and administered. The NCI-AD program allows states to include programs funded through Medicaid, the Older Americans Act, Program of All-Inclusive Care for the Elderly (PACE), state-only funds, and/or other state- and federal-blended funds. The NCI-AD project team works closely with each participating NCI-AD state to advise and track which LTSS program populations and sub-populations are included in the state’s sampling strategy, how that sample is designed and how many surveys are targeted for completion. See detailed information on state sample frames here.

Missouri Specific Sample

Total Sample Frame: 71868

Total surveys completed: 2028

Overall Margin of Error 2.15%

Program Category

Table 1. Classification of 2021-22 State programs

STATE	Program	Funding Source	Description of Program	Total Population Eligible for NCI-AD	Total Usable Surveys Collected	MoE (95%Confidence, 0.5 Distribution)	MoE (95%Confidence, 0.7 Distribution)
MO	Consumer Directed Services	Medicaid (Title XIX of the Social Security Act) through MO HealthNet Division (MHD); and General Revenue (GR) through the DHSS/DSDS	State Plan Personal Care, which includes but is not limited to: personal Care, toileting, health, housekeeping, meals, and transportation	38507	383	5.01%	4.59%
MO	Independent Living Waiver	Medicaid 1915 (c) Waiver	Independent Living Waiver (ILW) – this program offers additional services beyond the limitations of the Consumer Directed State Plan Personal Care program to a limited number of eligible consumers. ILW services include case management, personal care, environmental accessibility adaptations and specialized medical equipment and supplies.	674	238	6.35%	5.82%
MO	Personal Care – Agency Model	State general revenue and/or Medicaid 1915 (c) Waiver	Personal Care - (Agency Model) (PC) services are generally medically oriented tasks provided as an alternative to nursing facility care, and designed to meet the maintenance needs of individuals with chronic health conditions. PC services must be reasonable according to the condition and functional capacity of the participant.	11118	375	5.06%	4.64%
MO	Aged and Disabled Waiver	Medicaid 1915 (c) Waiver	Older adults above age 65, and individuals with physical disabilities ages 63-64.	15883	367	5.12%	4.69%
MO	Adult Day Care Waiver	Medicaid 1915 (c) Waiver	Individuals with physical and other disabilities ages 18-63 years.	1602	311	5.56%	5.09%
MO	Residential Care Facility / Assisted Living Facility	State general revenue and/or Medicaid 1915 (c) Waiver	Personal Care (PC) services are maintenance services provided to residents of Residential Care Facilities (RCF) or Assisted Living Facilities (ALF) to assist with activities of daily living (ADL). Services are authorized to eligible residents when the needs of the resident exceed the minimum obligations of the facility as established in the licensure requirements.	4909	354	5.21%	4.77%

What is included in this report?

This report presents Missouri 2021-22 ACS demographics and outcomes results. Data are shown for the overall statewide average, broken out by program sampled, and include the weighted NCI-AD Average.

Please note: Extreme caution should be used when interpreting results where the number of valid responses is small. Each program’s valid number of responses (valid Ns) is shown in every chart and table in this report.

To protect people’s privacy we do not show the data when 20 or fewer people from a state or within a program responded to a question, however their data are included in the overall state average.

Presentation of Data

Data may be viewed as bar charts or in tables by clicking the appropriate tab for each outcome. Data presented in charts are “collapsed” meaning that data grouped by response options to what is considered to reflect a positive outcome and all other responses. Tables represent the un-collapsed data outcomes.

All NCI-AD data are collapsed “yes” responses only, unless otherwise noted.

All state and NCI-AD averages throughout this report are “weighted” to account for any non-proportional sampling of programs and to “rebalance” the states’ sample sizes according to their populations of survey-eligible service recipients. See more details on weighting in Part II of this report.

Results

Demographics

Table 2. Average age (reported for those under 90 years old)

Program	Age	N
Consumer Directed Services	60.0	376
Independent Living Waiver	48.3	236
Personal Care – Agency Model	62.5	361
Aged and Disabled Waiver	73.0	343
Adult Day Care Waiver	45.3	310
Residential Care Facility / Assisted Living Facility	57.3	333
Overall State Average	62.6	1959
NCI-AD Weighted Average	66.8	12847

Table 3. Age Category (including those 90 and older)

Program	18-44	45-64	65-89	90+	N
Consumer Directed Services	11%	54%	35%	1%	379
Independent Living Waiver	39%	54%	6%	0%	237
Personal Care – Agency Model	12%	35%	49%	3%	372
Aged and Disabled Waiver	1%	7%	86%	5%	362
Adult Day Care Waiver	46%	52%	1%	0%	310
Residential Care Facility / Assisted Living Facility	20%	44%	33%	2%	340
Overall State Average	10%	40%	47%	2%	2000
NCI-AD Weighted Average	8%	27%	58%	6%	13593

Table 4. Gender

Program	Male	Female	Other	Don’t know or unclear	N
Consumer Directed Services	32%	68%	0%	0%	383
Independent Living Waiver	49%	51%	0%	0%	237
Personal Care – Agency Model	33%	67%	0%	0%	373
Aged and Disabled Waiver	29%	71%	0%	0%	364
Adult Day Care Waiver	47%	53%	0%	0%	307
Residential Care Facility / Assisted Living Facility	52%	48%	0%	0%	346
Overall State Average	33%	67%	0%	0%	2010
NCI-AD Weighted Average	32%	68%	0%	0%	13595

Table 5. Race and ethnicity

Program	American Indian or Alaska Native	Asian	Black or African American	Pacific Islander	White	Hispanic or Latino	Other	Don’t know	Unclear/Refused/No Response	N
Consumer Directed Services	1%	2%	48%	0%	42%	1%	1%	1%	6%	352
Independent Living Waiver	0%	1%	37%	0%	52%	1%	1%	0%	8%	221
Personal Care – Agency Model	3%	1%	30%	0%	60%	2%	2%	0%	4%	336
Aged and Disabled Waiver	1%	0%	35%	1%	57%	0%	2%	1%	6%	331
Adult Day Care Waiver	0%	0%	63%	0%	28%	0%	2%	1%	6%	265
Residential Care Facility / Assisted Living Facility	2%	1%	16%	0%	81%	3%	0%	1%	0%	270
Overall State Average	1%	1%	41%	0%	50%	1%	1%	1%	5%	1775
NCI-AD Weighted Average	2%	5%	23%	0%	60%	9%	2%	3%	2%	13134

Table 6. Marital Status

Program	Single, never married	Married or in domestic partnership	Separated or divorced	Widowed	Don’t know or unclear	N
Consumer Directed Services	42%	13%	27%	18%	0%	358
Independent Living Waiver	67%	6%	18%	9%	0%	224
Personal Care – Agency Model	37%	13%	28%	23%	0%	345
Aged and Disabled Waiver	25%	13%	32%	30%	0%	334
Adult Day Care Waiver	87%	3%	7%	3%	0%	293
Residential Care Facility / Assisted Living Facility	60%	2%	16%	10%	12%	336
Overall State Average	40%	12%	27%	20%	1%	1890
NCI-AD Weighted Average	28%	15%	27%	25%	4%	13114

Table 7. Preferred Language

Program	English	Spanish	Other	Don’t know or unclear	N
Consumer Directed Services	96%	1%	4%	0%	367
Independent Living Waiver	99%	1%	0%	0%	229
Personal Care – Agency Model	97%	1%	3%	0%	349
Aged and Disabled Waiver	98%	0%	2%	0%	349
Adult Day Care Waiver	99%	0%	0%	0%	292
Residential Care Facility / Assisted Living Facility	100%	0%	0%	0%	338
Overall State Average	97%	0%	3%	0%	1924
NCI-AD Weighted Average	89%	4%	7%	0%	13409

Table 8. Residential Designation

Categories created using zip codes and corresponding RUCA codes

Program	Metropolitan	Micropolitan	Rural	Small Town	N
Consumer Directed Services	70%	12%	9%	8%	328
Independent Living Waiver	74%	9%	6%	12%	199
Personal Care – Agency Model	55%	20%	9%	15%	318
Aged and Disabled Waiver	66%	14%	9%	11%	311
Adult Day Care Waiver	94%	2%	0%	2%	244
Residential Care Facility / Assisted Living Facility *	53%	26%	4%	9%	234
Overall State Average	67%	14%	9%	10%	1634
NCI-AD Weighted Average	72%	14%	6%	9%	13085

Table 9. Median Income (based on zip code)

Newly reported in 2021-2022

Program	$0- $9,999	$10,000- $19,999	$20,000- $29,999	$30,000- $39,999	$40,000- $49,999	$50,000- $59,999	$60,000- $69,999	$70,000- $79,999	$80,000- $89,999	$90,000- $99,999	$100,000 and over	N
Consumer Directed Services	0%	4%	17%	46%	18%	9%	4%	1%	1%	0%	1%	327
Independent Living Waiver	0%	4%	10%	46%	19%	10%	7%	5%	0%	0%	1%	198
Personal Care – Agency Model	0%	0%	13%	48%	19%	12%	4%	2%	1%	0%	1%	316
Aged and Disabled Waiver	0%	2%	14%	47%	16%	12%	3%	2%	4%	0%	0%	309
Adult Day Care Waiver	0%	3%	13%	47%	16%	15%	2%	2%	2%	1%	0%	243
Residential Care Facility / Assisted Living Facility *	0%	1%	2%	53%	33%	5%	4%	2%	0%	0%	0%	215
Overall State Average	0%	3%	15%	47%	18%	10%	4%	1%	1%	0%	0%	1608
NCI-AD Weighted Average	0%	1%	9%	27%	27%	16%	9%	5%	3%	1%	1%	12977

Table 10. Type of Residence

Program	Own or family house or apartment	Senior living apartment or complex	Group home, adult family home, foster home, host home	Assisted living facility, residential care facility	Nursing facility, nursing home	Homeless or temporary shelter	Other	Don’t know or unclear	N
Consumer Directed Services	91%	7%	0%	1%	1%	0%	1%	0%	371
Independent Living Waiver	96%	4%	0%	0%	0%	0%	0%	0%	228
Personal Care – Agency Model	80%	16%	0%	1%	1%	0%	1%	0%	356
Aged and Disabled Waiver	78%	18%	1%	1%	1%	0%	1%	0%	348
Adult Day Care Waiver	91%	6%	1%	1%	0%	0%	1%	0%	297
Residential Care Facility / Assisted Living Facility	0%	3%	3%	93%	1%	0%	0%	0%	349
Overall State Average	81%	11%	0%	6%	1%	0%	1%	0%	1949
NCI-AD Weighted Average	76%	7%	2%	7%	6%	0%	2%	1%	13448

Table 11. Who the person lives with

Program	No One – Lives Alone	Spouse or Partner	Other Family	Friend(s)	Live-in PCA	Others	Don’t know or unclear	N
Consumer Directed Services	46%	12%	40%	3%	1%	1%	0%	373
Independent Living Waiver	33%	8%	53%	3%	3%	1%	0%	229
Personal Care – Agency Model	57%	11%	29%	2%	0%	1%	0%	358
Aged and Disabled Waiver	61%	9%	26%	1%	1%	1%	0%	350
Adult Day Care Waiver	34%	3%	60%	2%	1%	1%	0%	294
Residential Care Facility / Assisted Living Facility	27%	1%	1%	14%	9%	56%	0%	349
Overall State Average	49%	10%	33%	3%	2%	4%	0%	1953
NCI-AD Weighted Average	47%	13%	28%	2%	2%	9%	1%	13355

Table 12. Address Change

Program	Yes	No	Don’t know or unclear	N
Consumer Directed Services	7%	93%	0%	364
Independent Living Waiver	9%	91%	0%	225
Personal Care – Agency Model	6%	93%	0%	354
Aged and Disabled Waiver	6%	93%	1%	343
Adult Day Care Waiver	11%	89%	0%	296
Residential Care Facility / Assisted Living Facility	1%	98%	0%	343
Overall State Average	7%	93%	0%	1925
NCI-AD Weighted Average	6%	92%	2%	12980

Program	No	Yes	N
Consumer Directed Services	93%	7%	363
Independent Living Waiver	91%	9%	225
Personal Care – Agency Model	93%	7%	353
Aged and Disabled Waiver	94%	6%	340
Adult Day Care Waiver	89%	11%	296
Residential Care Facility / Assisted Living Facility	99%	1%	342
Overall State Average	93%	7%	1919
NCI-AD Weighted Average	94%	6%	12752

Table 13. Where people moved from (if moved in the last 6 months)

Program	Own or family house or apartment	Senior living apartment or complex	Group home, adult family home, foster home, host home	Assisted living facility, residential care facility	Nursing facility, nursing home	Homeless or temporary shelter	Other	Don’t know or unclear	N
Consumer Directed Services	67%	5%	5%	0%	0%	5%	19%	0%	21
Personal Care – Agency Model	62%	5%	0%	0%	14%	0%	14%	5%	21
Adult Day Care Waiver	81%	0%	0%	0%	0%	0%	19%	0%	26
Overall State Average	70%	4%	3%	2%	3%	3%	16%	1%	100
NCI-AD Weighted Average	63%	5%	4%	5%	5%	3%	14%	1%	689
* The following programs had an N of less than 20 and were not shown: Independent Living Waiver, Aged and Disabled Waiver, Residential Care Facility / Assisted Living Facility

Table 14. Diagnoses

All categories except ‘physical disability’, ‘intellectual or other developmental disability’, and ’Alzheimer’s disease or other dementia are new in 2021-22. Categories are not mutually exclusive; therefore, N is not shown.

Program	Physical Disability	Traumatic brain injury or other acquired brain injury	Intellectual or other developmental disability	Alzheimer’s disease or dementia	Heart Disease	Cancer	Chronic Obstructive pulmonary disease (COPD)	Stroke	Diabetes	Hypertension (or high blood pressure
Consumer Directed Services	80%	8%	9%	4%	36%	12%	30%	21%	41%	69%
Independent Living Waiver	97%	18%	16%	2%	17%	11%	18%	15%	28%	39%
Personal Care – Agency Model	76%	11%	18%	6%	38%	17%	30%	21%	38%	66%
Aged and Disabled Waiver	71%	10%	6%	12%	38%	17%	35%	22%	42%	71%
Adult Day Care Waiver	65%	17%	53%	5%	18%	5%	11%	17%	23%	50%
Residential Care Facility / Assisted Living Facility	43%	11%	17%	5%	13%	9%	17%	11%	28%	37%
Overall State Average	75%	9%	11%	6%	35%	13%	30%	21%	39%	66%
NCI-AD Weighted Average	70%	11%	8%	11%	33%	12%	23%	20%	37%	60%

Table 15. Person has chronic psychiatric or mental health diagnosis

Program	Yes	No	Don’t know or unclear	N
Consumer Directed Services	33%	65%	1%	356
Independent Living Waiver	30%	69%	1%	227
Personal Care – Agency Model	39%	59%	2%	341
Aged and Disabled Waiver	29%	68%	3%	328
Adult Day Care Waiver	39%	60%	1%	285
Residential Care Facility / Assisted Living Facility	61%	35%	3%	322
Overall State Average	35%	63%	2%	1859
NCI-AD Weighted Average	35%	61%	3%	12828

Table 16. Level of Mobility

Categories are not mutually exclusive (except ‘Don’t know or unclear or unclear’).

Program	Non-Ambulatory	Moves self with wheelchair	Moves self with other aids	Moves self without aids	Don’t know or unclear	N
Consumer Directed Services	3%	15%	61%	37%	1%	368
Independent Living Waiver	16%	60%	31%	11%	0%	230
Personal Care – Agency Model	3%	25%	56%	35%	1%	358
Aged and Disabled Waiver	4%	20%	61%	34%	2%	346
Adult Day Care Waiver	2%	14%	32%	62%	0%	296
Residential Care Facility / Assisted Living Facility	1%	6%	26%	73%	1%	331
Overall State Average	3%	17%	58%	38%	1%	1929
NCI-AD Weighted Average	8%	21%	53%	27%	8%	13086

Table 17. Has history of frequent falls (more than two falls in a six-month period)

Program	Yes	No	Don’t know or unclear	N
Consumer Directed Services	35%	64%	1%	355
Independent Living Waiver	24%	76%	0%	228
Personal Care – Agency Model	34%	64%	3%	356
Aged and Disabled Waiver	40%	59%	1%	334
Adult Day Care Waiver	26%	74%	0%	292
Residential Care Facility / Assisted Living Facility	20%	78%	2%	324
Overall State Average	35%	64%	1%	1889
NCI-AD Weighted Average	28%	70%	1%	12866

Table 18. Receives Medicare

Program	Yes	No	Don’t know or unclear	N
Consumer Directed Services	70%	23%	7%	320
Independent Living Waiver	72%	26%	3%	196
Personal Care – Agency Model	74%	20%	5%	310
Aged and Disabled Waiver	83%	7%	9%	307
Adult Day Care Waiver *	62%	37%	2%	234
Residential Care Facility / Assisted Living Facility *	57%	19%	24%	262
Overall State Average *	73%	19%	8%	1629
NCI-AD Weighted Average	79%	18%	3%	12473

Table 19. Length of time receiving LTSS services in current program

Program	0 - 5 months	6 months – less than 1 year	1 year – less than 3 years	3 or more years	Don’t know or unclear	N
Consumer Directed Services *	5%	3%	20%	66%	5%	271
Independent Living Waiver *	2%	0%	14%	79%	5%	157
Personal Care – Agency Model *	6%	6%	23%	61%	5%	253
Aged and Disabled Waiver *	6%	5%	23%	59%	7%	254
Adult Day Care Waiver *	4%	4%	14%	74%	4%	180
Residential Care Facility / Assisted Living Facility *	1%	4%	12%	81%	2%	247
Overall State Average *	5%	4%	21%	65%	5%	1362
NCI-AD Weighted Average	7%	6%	28%	54%	5%	11942

Table 20. Person has legal guardian

Program	Yes	No	Don’t know or unclear	N
Consumer Directed Services *	8%	89%	3%	272
Independent Living Waiver *	22%	75%	3%	157
Personal Care – Agency Model *	17%	82%	2%	258
Aged and Disabled Waiver *	15%	82%	4%	255
Adult Day Care Waiver *	46%	52%	1%	183
Residential Care Facility / Assisted Living Facility *	34%	60%	6%	248
Overall State Average *	13%	84%	3%	1373
NCI-AD Weighted Average	15%	81%	3%	10462

Outcome Tables and
Comparisons across Programs

Community Participation

Table 21. Gets to do things outside of their home as much as they want to

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	60%	40%	282
Independent Living Waiver	65%	35%	172
Personal Care – Agency Model	56%	44%	265
Aged and Disabled Waiver	67%	33%	241
Adult Day Care Waiver	62%	38%	128
Residential Care Facility / Assisted Living Facility	67%	33%	219
Overall State Average	61%	39%	1307
NCI-AD Weighted Average	62%	38%	9950

Table 22. Takes part in activities with others as much as they want to (in-person or virtually)

Question changed in 2021-22

Bar chart

Table

Program	Yes	Sometimes	No	N
Consumer Directed Services	61%	13%	26%	280
Independent Living Waiver	65%	11%	24%	169
Personal Care – Agency Model	54%	14%	33%	259
Aged and Disabled Waiver	56%	11%	32%	235
Adult Day Care Waiver	60%	17%	24%	131
Residential Care Facility / Assisted Living Facility	70%	12%	18%	216
Overall State Average	59%	13%	28%	1290
NCI-AD Weighted Average	58%	11%	31%	9904

Table 23. Reasons cannot always take part in activities with others as much as they want to (in-person or virtually)

Bar chart

Table

Program	Cost or money	Transportation	Accessibility or lack of equipment	Health limitations	Not enough help, staffing,or personal assistance	Feeling unwelcome in the community	Feeling unsafe	No community activities outside of home available	Lack of information or doesn’t know what type of community activities are available	Does not have technology or equipment	Other	N
Consumer Directed Services	8%	35%	9%	50%	8%	2%	6%	3%	5%	14%	12%	104
Independent Living Waiver	2%	22%	11%	52%	4%	0%	6%	2%	7%	13%	15%	54
Personal Care – Agency Model	4%	38%	11%	43%	7%	2%	3%	4%	7%	13%	5%	114
Aged and Disabled Waiver	5%	34%	11%	47%	3%	1%	1%	1%	5%	14%	8%	93
Adult Day Care Waiver	8%	42%	6%	36%	4%	0%	4%	0%	10%	14%	16%	50
Residential Care Facility / Assisted Living Facility	31%	84%	2%	20%	9%	2%	2%	3%	5%	5%	6%	64
Overall State Average	7%	37%	9%	47%	7%	2%	4%	3%	5%	13%	10%	479
NCI-AD Weighted Average	11%	29%	6%	52%	5%	2%	4%	3%	6%	10%	19%	3908

Access to Community

Table 24. Has transportation to do the things they want outside of home

Proxy respondents were allowed for this question

Bar charts

Tables

Program	Yes	Sometimes	No	N
Consumer Directed Services	71%	13%	16%	329
Independent Living Waiver	73%	13%	13%	211
Personal Care – Agency Model	64%	17%	19%	338
Aged and Disabled Waiver	74%	14%	12%	318
Adult Day Care Waiver	79%	8%	12%	295
Residential Care Facility / Assisted Living Facility	64%	18%	18%	255
Overall State Average	70%	14%	16%	1746
NCI-AD Weighted Average	74%	11%	15%	12174

Table 25. Has transportation to get to medical appointments

Proxy respondents were allowed for this question

Bar charts

Tables

Program	Yes	Sometimes	No	N
Consumer Directed Services	89%	7%	4%	342
Independent Living Waiver	85%	9%	6%	219
Personal Care – Agency Model	82%	11%	7%	351
Aged and Disabled Waiver	90%	7%	4%	318
Adult Day Care Waiver	94%	3%	3%	297
Residential Care Facility / Assisted Living Facility	94%	4%	2%	257
Overall State Average	88%	7%	5%	1784
NCI-AD Weighted Average	90%	6%	4%	12623

Everyday Living

Table 26. Needs at least some assistance with everyday activities (such as preparing meals, housework, shopping or taking their medications)

Proxy respondents were allowed for this question

Bar chart

Tables

Program	Some	A lot	None	N
Consumer Directed Services	33%	64%	4%	366
Independent Living Waiver	14%	85%	1%	235
Personal Care – Agency Model	34%	61%	5%	369
Aged and Disabled Waiver	36%	58%	6%	351
Adult Day Care Waiver	27%	70%	3%	304
Residential Care Facility / Assisted Living Facility	45%	32%	23%	311
Overall State Average	34%	61%	5%	1936
NCI-AD Weighted Average	39%	51%	11%	13376

Table 27. Gets enough support for everyday activities (if needs at least some assistance)

Proxy respondents were allowed for this question

Bar chart

Tables

Program	Yes, always	No, not always	N
Consumer Directed Services	77%	23%	348
Independent Living Waiver	77%	23%	230
Personal Care – Agency Model	65%	35%	347
Aged and Disabled Waiver	75%	25%	328
Adult Day Care Waiver	83%	17%	291
Residential Care Facility / Assisted Living Facility	89%	11%	231
Overall State Average	75%	25%	1775
NCI-AD Weighted Average	77%	23%	12059

Table 28. Needs at least some assistance with self-care (such as bathing, dressing, going to the bathroom, eating, or moving around their home)

Proxy respondents were allowed for this question

Bar chart

Tables

Program	Some	A lot	None	N
Consumer Directed Services	41%	45%	14%	367
Independent Living Waiver	13%	81%	5%	232
Personal Care – Agency Model	33%	42%	25%	363
Aged and Disabled Waiver	34%	41%	24%	353
Adult Day Care Waiver	30%	54%	17%	302
Residential Care Facility / Assisted Living Facility	37%	21%	42%	313
Overall State Average	38%	43%	20%	1930
NCI-AD Weighted Average	33%	38%	29%	13311

Table 29. Gets enough support for self-care (if needs at least some assistance)

Proxy respondents were allowed for this question

Bar chart

Tables

Program	Yes, always	No, not always	N
Consumer Directed Services	76%	24%	308
Independent Living Waiver	78%	22%	217
Personal Care – Agency Model	65%	35%	263
Aged and Disabled Waiver	78%	22%	259
Adult Day Care Waiver	87%	13%	246
Residential Care Facility / Assisted Living Facility	84%	16%	181
Overall State Average	76%	24%	1474
NCI-AD Weighted Average	78%	22%	9889

Work

Table 30. Has a paid job

Proxy respondents were allowed for this question

Bar chart

Tables

Program	Yes	No	N
Consumer Directed Services	2%	98%	310
Independent Living Waiver	3%	97%	211
Personal Care – Agency Model	2%	98%	329
Aged and Disabled Waiver	0%	100%	284
Adult Day Care Waiver	1%	99%	281
Residential Care Facility / Assisted Living Facility	10%	90%	259
Overall State Average	2%	98%	1674
NCI-AD Weighted Average	3%	97%	12708

Table 31. Wants a paid job (if they do not currently have one)

Bar chart

Tables

Program	Yes	Maybe, not sure	No	N
Consumer Directed Services	4%	4%	92%	250
Independent Living Waiver	7%	6%	87%	157
Personal Care – Agency Model	4%	3%	93%	236
Aged and Disabled Waiver	2%	1%	97%	209
Adult Day Care Waiver	12%	5%	83%	122
Residential Care Facility / Assisted Living Facility	7%	3%	90%	181
Overall State Average	4%	4%	93%	1155
NCI-AD Weighted Average	9%	5%	87%	9469

Table 32. Someone talked with them about job options (if they do not currently have a job but want one)

Bar chart

Tables

Program	Yes	No	N
Overall State Average	34%	66%	60
NCI-AD Weighted Average	33%	67%	932
* The following programs had an N of less than 20 and were not shown: Consumer Directed Services, Independent Living Waiver, Personal Care – Agency Model, Aged and Disabled Waiver, Adult Day Care Waiver, Residential Care Facility / Assisted Living Facility

Table 33. Person Volunteers

Proxy respondents were allowed for this question

Bar chart

Tables

Program	Yes	No	N
Consumer Directed Services	3%	97%	290
Independent Living Waiver	7%	93%	208
Personal Care – Agency Model	5%	95%	310
Aged and Disabled Waiver	3%	97%	274
Adult Day Care Waiver	6%	94%	269
Residential Care Facility / Assisted Living Facility	10%	90%	242
Overall State Average	4%	96%	1593
NCI-AD Weighted Average	7%	93%	12441

Table 34. Wants to volunteer (if they do not currently)

Bar chart

Tables

Program	Yes	Maybe, not sure	No	N
Consumer Directed Services	4%	6%	91%	234
Independent Living Waiver	3%	7%	90%	148
Personal Care – Agency Model	2%	6%	92%	213
Aged and Disabled Waiver	3%	5%	92%	197
Adult Day Care Waiver	11%	9%	80%	108
Residential Care Facility / Assisted Living Facility	3%	3%	93%	179
Overall State Average	4%	5%	91%	1079
NCI-AD Weighted Average	8%	9%	83%	8838

Relationships

Table 35. Has friends or family they do not live with who are a part of their life

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	93%	7%	328
Independent Living Waiver	94%	6%	197
Personal Care – Agency Model	90%	10%	286
Aged and Disabled Waiver	91%	9%	281
Adult Day Care Waiver	90%	10%	146
Residential Care Facility / Assisted Living Facility	84%	16%	299
Overall State Average	91%	9%	1537
NCI-AD Weighted Average	89%	11%	10739

Table 36. Able to see or talk to their friends and family when they want (if has friends or family they do not live with who are a part of their life)

Bar chart

Table

Program	Yes, always, or chooses not to	Most of the time, usually	No, only sometimes or rarely, or only some family and/or friends	N
Consumer Directed Services	88%	9%	2%	304
Independent Living Waiver	92%	5%	3%	186
Personal Care – Agency Model	84%	9%	7%	254
Aged and Disabled Waiver	86%	9%	4%	255
Adult Day Care Waiver	92%	7%	2%	130
Residential Care Facility / Assisted Living Facility	83%	10%	7%	251
Overall State Average	87%	9%	4%	1380
NCI-AD Weighted Average	85%	11%	5%	9699

Table 37. Reasons cannot always see or talk to friends or family

Bar chart

Table

Program	Availability of transportation	Accessibility	Staffing/personal assistance unavailable	Health limitations	Someone prevents from/rules against	No or limited access to a phone	No or limited access to the internet	Other	N
Consumer Directed Services	18%	6%	0%	12%	3%	3%	0%	3%	33
Personal Care – Agency Model	22%	10%	2%	15%	2%	2%	0%	25%	40
Aged and Disabled Waiver	29%	9%	3%	11%	3%	0%	0%	11%	35
Residential Care Facility / Assisted Living Facility	16%	0%	0%	5%	5%	0%	0%	14%	43
Overall State Average	21%	7%	1%	12%	3%	2%	0%	10%	175
NCI-AD Weighted Average	14%	4%	1%	12%	1%	1%	1%	20%	1389
* The following programs had an N of less than 20 and were not shown: Independent Living Waiver, Adult Day Care Waiver

Service Coordination

Table 38. How first found out about services they can get

Proxy respondents were allowed for this question

Bar chart

Table

Program	Friend	Family	Aging and disability resource center; area agency on aging; center for independent living	State or county agency	Case manager or care coordinator	Doctor, hospital, clinic	Other provider or provider agency	Media, newspaper, TV, radio, billboard, brochure, flyer, advertisement	Internet or website	Other	N
Consumer Directed Services	14%	19%	7%	15%	5%	24%	9%	4%	0%	2%	356
Independent Living Waiver	13%	15%	8%	10%	4%	34%	5%	3%	1%	4%	227
Personal Care – Agency Model	10%	18%	9%	11%	8%	26%	11%	2%	1%	2%	358
Aged and Disabled Waiver	11%	18%	14%	12%	6%	22%	7%	1%	1%	3%	338
Adult Day Care Waiver	15%	16%	8%	13%	11%	18%	6%	3%	1%	6%	298
Residential Care Facility / Assisted Living Facility	5%	16%	10%	9%	8%	28%	8%	0%	0%	2%	328
Overall State Average	12%	18%	9%	13%	6%	24%	9%	3%	1%	2%	1905
NCI-AD Weighted Average	9%	17%	14%	13%	11%	19%	10%	1%	1%	4%	13081

Table 39. Can Contact their case manager/care coordinator when needs to

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes, always	Most of the time, usually	No	N
Consumer Directed Services	85%	11%	5%	131
Independent Living Waiver	87%	10%	3%	108
Personal Care – Agency Model	82%	11%	6%	142
Aged and Disabled Waiver	87%	9%	5%	126
Adult Day Care Waiver	84%	6%	10%	141
Residential Care Facility / Assisted Living Facility	75%	19%	7%	165
Overall State Average	84%	11%	5%	813
NCI-AD Weighted Average	77%	15%	8%	8715

Table 40. Who helps person most often (if anyone helps on a regular basis)

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Paid support worker who is not a friend or relative	Paid family member or spouse or partner	Paid friend	Unpaid family member or spouse or partner	Unpaid friend or volunteer	Other	N
Consumer Directed Services	36%	45%	6%	13%	1%	0%	314
Independent Living Waiver	39%	41%	6%	11%	2%	0%	223
Personal Care – Agency Model	71%	9%	2%	16%	1%	1%	318
Aged and Disabled Waiver	59%	22%	2%	16%	1%	0%	296
Adult Day Care Waiver	42%	16%	2%	36%	3%	1%	266
Residential Care Facility / Assisted Living Facility	98%	0%	0%	1%	0%	1%	263
Overall State Average	50%	31%	4%	14%	1%	0%	1680
NCI-AD Weighted Average	54%	21%	2%	21%	2%	1%	11418

Table 41. Additional people who help person on a regular basis

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Paid support worker who is not a friend or relative	Paid family member or spouse/partner	Paid friend	Unpaid family member or spouse/partner	Unpaid friend or volunteer	Other	No one else provides additional support	N
Consumer Directed Services	9%	4%	1%	47%	9%	1%	38%	308
Independent Living Waiver	10%	10%	1%	47%	7%	0%	31%	217
Personal Care – Agency Model	17%	1%	0%	47%	10%	0%	34%	303
Aged and Disabled Waiver	10%	6%	0%	42%	6%	0%	40%	286
Adult Day Care Waiver	10%	4%	1%	42%	8%	2%	42%	255
Residential Care Facility / Assisted Living Facility	27%	1%	0%	12%	2%	0%	59%	171
Overall State Average	11%	4%	1%	45%	8%	0%	38%	1540
NCI-AD Weighted Average	19%	6%	1%	45%	10%	1%	29%	11159

Table 42. Paid support staff come and leave when they are supposed to

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes, all paid support workers, always or almost always	Some, or usually	No, never or rarely	N
Consumer Directed Services	95%	4%	1%	164
Independent Living Waiver	95%	5%	1%	111
Personal Care – Agency Model	87%	8%	5%	198
Aged and Disabled Waiver	90%	8%	2%	163
Adult Day Care Waiver	95%	3%	2%	106
Residential Care Facility / Assisted Living Facility	82%	16%	2%	112
Overall State Average	92%	6%	2%	854
NCI-AD Weighted Average	89%	8%	3%	6441

Table 43. Has a backup plan if their paid support staff do not show up

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	57%	43%	164
Independent Living Waiver	73%	27%	114
Personal Care – Agency Model	53%	47%	196
Aged and Disabled Waiver	62%	38%	161
Adult Day Care Waiver	75%	25%	103
Residential Care Facility / Assisted Living Facility	75%	25%	109
Overall State Average	58%	42%	847
NCI-AD Weighted Average	66%	34%	6146

Table 44. Has an emergency plan in place in case of widescale emergency

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	72%	28%	330
Independent Living Waiver	70%	30%	214
Personal Care – Agency Model	64%	36%	332
Aged and Disabled Waiver	75%	25%	313
Adult Day Care Waiver	74%	26%	288
Residential Care Facility / Assisted Living Facility	87%	13%	256
Overall State Average	72%	28%	1733
NCI-AD Weighted Average	75%	25%	12241

Table 45. Knows whom to contact if they have a complaint about their services

Bar chart

Table

Program	Yes	Maybe, not sure	No	N
Consumer Directed Services	81%	7%	12%	259
Independent Living Waiver	87%	4%	9%	169
Personal Care – Agency Model	78%	8%	14%	233
Aged and Disabled Waiver	82%	7%	11%	222
Adult Day Care Waiver	82%	5%	14%	125
Residential Care Facility / Assisted Living Facility	86%	6%	8%	256
Overall State Average	81%	7%	12%	1264
NCI-AD Weighted Average	79%	7%	14%	8820

Table 46. Knows whom to contact if they want to make changes to services

Bar chart

Table

Program	Yes	Maybe, not sure	No	N
Consumer Directed Services	87%	6%	7%	263
Independent Living Waiver	84%	9%	7%	166
Personal Care – Agency Model	81%	10%	9%	234
Aged and Disabled Waiver	88%	6%	6%	221
Adult Day Care Waiver	87%	5%	9%	126
Residential Care Facility / Assisted Living Facility	68%	15%	17%	230
Overall State Average	85%	7%	8%	1240
NCI-AD Weighted Average	83%	7%	11%	8792

Table 47. Services meet all current needs and goals

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes, completely, all needs and goals	Some needs and goals	No, not all needs or goals are met	N
Consumer Directed Services	68%	26%	6%	302
Independent Living Waiver	65%	28%	7%	208
Personal Care – Agency Model	58%	30%	12%	306
Aged and Disabled Waiver	71%	19%	10%	279
Adult Day Care Waiver	67%	24%	9%	266
Residential Care Facility / Assisted Living Facility	85%	11%	4%	214
Overall State Average	68%	25%	8%	1575
NCI-AD Weighted Average	69%	23%	8%	11222

Table 48. Additional Services and Supports Needed

Proxy respondents were allowed for this question

Bar chart

Table

Program	Skilled nursing facility, nursing home services	Personal care assistance, personal care servces	Homemaker/ chore services	Companion services	Healthcare home services, home health	Home delivered meals	Adult day services	Transportation	Respite/family caregiver support	Health care	Mental health care	Dental care	Housing assistance	Heating/Cooling assistance	Hospice	Funeral planning	Other	N
Consumer Directed Services	2%	43%	41%	10%	11%	35%	3%	34%	12%	8%	14%	26%	34%	29%	2%	3%	27%	96
Independent Living Waiver	3%	37%	32%	10%	18%	27%	4%	36%	8%	11%	15%	11%	19%	8%	0%	0%	29%	73
Personal Care – Agency Model	3%	43%	38%	13%	14%	28%	6%	37%	12%	1%	7%	13%	19%	11%	0%	2%	20%	127
Aged and Disabled Waiver	5%	40%	38%	6%	12%	16%	5%	26%	10%	4%	10%	24%	20%	15%	0%	1%	25%	80
Adult Day Care Waiver	2%	44%	23%	13%	9%	14%	21%	33%	15%	1%	7%	13%	31%	6%	0%	0%	21%	87
Residential Care Facility / Assisted Living Facility	12%	9%	9%	9%	3%	0%	3%	16%	0%	3%	3%	6%	12%	0%	0%	0%	31%	32
Overall State Average	3%	41%	38%	10%	12%	29%	4%	33%	12%	6%	11%	22%	28%	21%	1%	2%	25%	495
NCI-AD Weighted Average	3%	30%	38%	14%	9%	14%	6%	27%	7%	5%	7%	16%	19%	9%	1%	2%	21%	3401

Table 49. Case manager talked to them about services that might help with their unmet needs (if all current needs and goals are not being met and has a case manager)

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	49%	51%	37
Independent Living Waiver	47%	53%	30
Personal Care – Agency Model	50%	50%	52
Aged and Disabled Waiver	58%	42%	24
Adult Day Care Waiver	42%	58%	38
Overall State Average	51%	49%	200
NCI-AD Weighted Average	51%	49%	2267
* The following programs had an N of less than 20 and were not shown: Residential Care Facility / Assisted Living Facility

Care Coordination

Table 50. Knows how to manage chronic conditions (if has at least one)

Bar chart

Table

Program	Yes	In-between, or some conditions	No	N
Consumer Directed Services	91%	8%	2%	261
Independent Living Waiver	87%	7%	6%	156
Personal Care – Agency Model	88%	8%	4%	243
Aged and Disabled Waiver	94%	4%	1%	213
Adult Day Care Waiver	85%	9%	6%	118
Residential Care Facility / Assisted Living Facility	70%	18%	12%	185
Overall State Average	90%	7%	2%	1176
NCI-AD Weighted Average	86%	10%	5%	9257

Table 51. Stayed overnight in a hospital or rehab/nursing facility in the past 12 months and was discharged to go home)

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	31%	69%	304
Independent Living Waiver	38%	62%	210
Personal Care – Agency Model	30%	70%	319
Aged and Disabled Waiver	33%	67%	281
Adult Day Care Waiver	19%	81%	280
Residential Care Facility / Assisted Living Facility	14%	86%	217
Overall State Average	30%	70%	1611
NCI-AD Weighted Average	28%	72%	12427

Table 52. Felt comfortable and supported enough to go home after stay in a hospital or rehab/nursing facility (if had an overnight stay in the past12 months and was discharged to go home)

Bar chart

Table

Program	Yes	In-between	No	N
Consumer Directed Services	86%	10%	4%	80
Independent Living Waiver	84%	8%	8%	64
Personal Care – Agency Model	73%	16%	11%	73
Aged and Disabled Waiver	90%	1%	9%	68
Adult Day Care Waiver	87%	3%	9%	32
Residential Care Facility / Assisted Living Facility	100%	0%	0%	25
Overall State Average	85%	9%	6%	342
NCI-AD Weighted Average	82%	8%	10%	2560

Table 53. Someone followed-up to make sure they had needed services and supports after stay in a hospital or rehab/nursing facility (if had an overnight stay in the past 12 months and was discharged to go home)

Proxy respondents were allowed for this question

Bar chart

Tables

Program	Yes	No	N
Consumer Directed Services	88%	12%	85
Independent Living Waiver	89%	11%	71
Personal Care – Agency Model	80%	20%	86
Aged and Disabled Waiver	85%	15%	88
Adult Day Care Waiver	84%	16%	50
Residential Care Facility / Assisted Living Facility	88%	12%	26
Overall State Average	86%	14%	406
NCI-AD Weighted Average	84%	16%	3068

Choice and Control

Table 54. Feels in control of their life

Bar chart

Table

Program	Yes, almost always, always	In-between, sometimes	No, rarely, never	N
Consumer Directed Services	72%	21%	7%	276
Independent Living Waiver	77%	16%	7%	178
Personal Care – Agency Model	70%	23%	7%	246
Aged and Disabled Waiver	74%	19%	7%	225
Adult Day Care Waiver	76%	20%	3%	123
Residential Care Facility / Assisted Living Facility	68%	24%	8%	189
Overall State Average	72%	21%	7%	1237
NCI-AD Weighted Average	72%	21%	7%	9877

Table 55. Able to furnish and decorate their room however they want to (if living in a group setting)

Bar chart

Table

Program	In all ways	In most ways	Only in some ways, or not at all	N
Residential Care Facility / Assisted Living Facility	61%	24%	15%	221
Overall State Average	61%	24%	15%	235
NCI-AD Weighted Average	60%	27%	13%	1484
* The following programs had an N of less than 20 and were not shown: Independent Living Waiver, Personal Care – Agency Model, Aged and Disabled Waiver, Adult Day Care Waiver

Table 56. Can choose or change their roommate (if living in a group setting and has a roommate)

Bar chart

Table

Program	Yes	No	N
Residential Care Facility / Assisted Living Facility	23%	77%	150
Overall State Average	22%	78%	154
NCI-AD Weighted Average	22%	78%	739
* The following programs had an N of less than 20 and were not shown: Aged and Disabled Waiver, Adult Day Care Waiver

Tables 57. Can get up and go to bed when they want to

Bar chart

Table

Program	Yes, always, or almost always	Somedays, sometimes	No, never	N
Consumer Directed Services	92%	7%	1%	280
Independent Living Waiver	80%	12%	8%	172
Personal Care – Agency Model	90%	8%	3%	252
Aged and Disabled Waiver	95%	5%	0%	236
Adult Day Care Waiver	92%	7%	1%	124
Residential Care Facility / Assisted Living Facility	86%	12%	1%	212
Overall State Average	92%	7%	1%	1276
NCI-AD Weighted Average	92%	6%	2%	10057

Tables 58. Can eat their meals when they want to

Bar chart

Table

Program	Yes, always, or almost always	Somedays, sometimes	No, never	N
Consumer Directed Services	95%	5%	0%	280
Independent Living Waiver	87%	8%	5%	172
Personal Care – Agency Model	90%	8%	2%	252
Aged and Disabled Waiver	95%	4%	1%	236
Adult Day Care Waiver	94%	6%	0%	126
Residential Care Facility / Assisted Living Facility	21%	13%	66%	215
Overall State Average	91%	5%	4%	1281
NCI-AD Weighted Average	90%	5%	5%	10050

Self Direction

Table 59. Uses self-directed supports option

Information may only come from existing records

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	84%	16%	249
Independent Living Waiver	78%	22%	147
Personal Care – Agency Model	45%	55%	234
Aged and Disabled Waiver	47%	53%	218
Adult Day Care Waiver	51%	49%	159
Residential Care Facility / Assisted Living Facility	10%	90%	219
Overall State Average	65%	35%	1226
NCI-AD Weighted Average	39%	61%	11585

Table 60. Can choose or change their services

Question changed in 2021-22; proxy respondents were allowed for this question

Bar chart

Table

Program	Yes, all services	Sometimes, or some services	No	N
Consumer Directed Services	82%	6%	11%	288
Independent Living Waiver	84%	6%	10%	202
Personal Care – Agency Model	77%	8%	15%	286
Aged and Disabled Waiver	83%	7%	10%	265
Adult Day Care Waiver	79%	6%	15%	259
Residential Care Facility / Assisted Living Facility	41%	17%	42%	265
Overall State Average	79%	7%	13%	1565
NCI-AD Weighted Average	76%	13%	11%	10199

Table 61. Can choose or change when and how often they receive services

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes, all services	Sometimes, or some services	No	N
Consumer Directed Services	75%	9%	16%	281
Independent Living Waiver	76%	11%	14%	199
Personal Care – Agency Model	69%	10%	21%	272
Aged and Disabled Waiver	81%	7%	11%	258
Adult Day Care Waiver	76%	8%	16%	254
Residential Care Facility / Assisted Living Facility	37%	18%	45%	258
Overall State Average	74%	9%	17%	1522
NCI-AD Weighted Average	71%	15%	14%	10144

Table 62. Can choose or change the people who provide paid supports if wants

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes, all services	Sometimes, or some services	No	N
Consumer Directed Services	91%	2%	8%	170
Independent Living Waiver	97%	0%	3%	121
Personal Care – Agency Model	86%	3%	11%	190
Aged and Disabled Waiver	90%	2%	7%	161
Adult Day Care Waiver	90%	2%	8%	103
Residential Care Facility / Assisted Living Facility	11%	18%	71%	132
Overall State Average	86%	3%	11%	877
NCI-AD Weighted Average	79%	7%	14%	6616

Satisfaction

Table 63. Services help them live the life they want

New question in 2021-2022

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	88%	12%	260
Independent Living Waiver	89%	11%	169
Personal Care – Agency Model	85%	15%	226
Aged and Disabled Waiver	88%	12%	217
Adult Day Care Waiver	89%	11%	122
Residential Care Facility / Assisted Living Facility	91%	9%	179
Overall State Average	87%	13%	1173
NCI-AD Weighted Average	89%	11%	8688

Table 64. Case manager/care coordinator changes too often

New question in 2021-2022

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	27%	73%	111
Independent Living Waiver	19%	81%	81
Personal Care – Agency Model	40%	60%	95
Aged and Disabled Waiver	36%	64%	87
Adult Day Care Waiver	27%	73%	64
Residential Care Facility / Assisted Living Facility	38%	62%	111
Overall State Average	31%	69%	549
NCI-AD Weighted Average	31%	69%	6060

Table 65. Paid support staff change too often

Bar chart

Table

Program	Yes	Sometimes	No	N
Consumer Directed Services	9%	3%	88%	149
Independent Living Waiver	13%	5%	82%	110
Personal Care – Agency Model	18%	12%	70%	164
Aged and Disabled Waiver	11%	12%	77%	142
Adult Day Care Waiver	6%	6%	89%	71
Residential Care Facility / Assisted Living Facility	29%	22%	49%	107
Overall State Average	12%	7%	80%	743
NCI-AD Weighted Average	13%	12%	75%	5521

Table 66. Likes where they live

Bar chart

Table

Program	Yes	In-between, most of the time	No	N
Consumer Directed Services	86%	6%	8%	318
Independent Living Waiver	89%	4%	7%	191
Personal Care – Agency Model	83%	5%	12%	284
Aged and Disabled Waiver	84%	5%	11%	281
Adult Day Care Waiver	78%	8%	14%	139
Residential Care Facility / Assisted Living Facility	75%	13%	12%	302
Overall State Average	84%	6%	10%	1515
NCI-AD Weighted Average	83%	8%	9%	10645

Table 67. Reasons does not like where they live (if does not always live where they live)

Bar chart

Table

Program	Accessibility of house/ building	Feels unsafe in/dislikes neighborhood	Feels unsafe in residence	Residence/ building needs repair/upkeep	Doesn’t feel like home	Layout/size of residence/ building	Problems with neighbors/ housemates/other residents	Problems with staff	Insufficient amount/type of staff	Wants more independence/ control	Wants more privacy	Wants to be closer to family/friends	Feels isolated from community/ feels lonely	Affordability/Cost of housing	Other	N
Consumer Directed Services	21%	21%	3%	13%	8%	8%	13%	8%	0%	0%	5%	5%	10%	5%	23%	39
Personal Care – Agency Model	11%	23%	5%	14%	25%	18%	16%	2%	2%	9%	16%	11%	7%	7%	11%	44
Aged and Disabled Waiver	14%	18%	5%	20%	16%	9%	7%	9%	0%	7%	16%	2%	2%	14%	20%	44
Adult Day Care Waiver	10%	27%	13%	23%	13%	3%	10%	7%	3%	10%	13%	7%	3%	10%	13%	30
Residential Care Facility / Assisted Living Facility	1%	1%	1%	7%	36%	4%	11%	11%	0%	24%	15%	13%	4%	0%	8%	75
Overall State Average	15%	19%	3%	14%	15%	9%	12%	7%	0%	6%	11%	6%	7%	7%	19%	252
NCI-AD Weighted Average	9%	16%	10%	16%	15%	9%	12%	9%	4%	9%	9%	8%	6%	7%	33%	1989

Table 68. Wants to live somewhere else

Bar chart

Table

Program	No	Maybe	Yes	N
Consumer Directed Services	71%	5%	24%	317
Independent Living Waiver	68%	7%	25%	188
Personal Care – Agency Model	70%	6%	25%	282
Aged and Disabled Waiver	72%	6%	21%	276
Adult Day Care Waiver	53%	8%	39%	138
Residential Care Facility / Assisted Living Facility	54%	9%	37%	297
Overall State Average	70%	6%	25%	1498
NCI-AD Weighted Average	68%	9%	23%	10479

Table 69. Where person would prefer to live (if wants to live somewhere else)

Question responses changed in 2021-2022

Bar chart

Table

Program	Different kind of home	Live independently	With or closer to family	In a different neighborhood	A different type of geography or climate	Other	N
Consumer Directed Services	44%	9%	11%	22%	18%	9%	93
Independent Living Waiver	38%	10%	9%	33%	16%	14%	60
Personal Care – Agency Model	48%	10%	11%	17%	22%	17%	86
Aged and Disabled Waiver	41%	13%	15%	24%	12%	19%	76
Adult Day Care Waiver	30%	12%	6%	42%	9%	12%	65
Residential Care Facility / Assisted Living Facility	26%	61%	19%	8%	2%	4%	137
Overall State Average	42%	15%	12%	21%	16%	12%	517
NCI-AD Weighted Average	33%	15%	12%	17%	20%	22%	3569

Table 70. Paid support staff do things the way they want them done

Bar chart

Table

Program	Yes, all paid support workiers, always, or almost always	Some, or usually	No, never or rarely	N
Consumer Directed Services	94%	4%	2%	159
Independent Living Waiver	95%	4%	1%	117
Personal Care – Agency Model	82%	14%	4%	165
Aged and Disabled Waiver	90%	9%	1%	147
Adult Day Care Waiver	92%	7%	1%	71
Residential Care Facility / Assisted Living Facility	77%	15%	7%	111
Overall State Average	90%	7%	2%	770
NCI-AD Weighted Average	85%	12%	4%	5908

Table 71. Usually likes how they spend their time during the day

Bar chart

Table

Program	No, never	Somedays, or sometimes	Yes, always, or almost always	N
Consumer Directed Services	11%	21%	68%	269
Independent Living Waiver	10%	22%	68%	164
Personal Care – Agency Model	8%	32%	60%	248
Aged and Disabled Waiver	10%	24%	66%	226
Adult Day Care Waiver	9%	23%	69%	124
Residential Care Facility / Assisted Living Facility	4%	25%	71%	211
Overall State Average	10%	24%	66%	1242
NCI-AD Weighted Average	9%	27%	64%	9928

Technology

Table 72. Has access to the internet

New question in 2021-22; proxy respondents were allowed for this question

Bar charts

Table

Program	Yes	Sometimes	No	N
Consumer Directed Services	67%	1%	32%	322
Independent Living Waiver	84%	0%	16%	218
Personal Care – Agency Model	54%	2%	43%	332
Aged and Disabled Waiver	53%	1%	46%	291
Adult Day Care Waiver	64%	3%	33%	282
Residential Care Facility / Assisted Living Facility	40%	2%	58%	243
Overall State Average	61%	1%	38%	1688
NCI-AD Weighted Average	64%	2%	34%	12364

Table 73. Frequency with which people use the internet

New question in 2021-22; proxy respondents were allowed for this question

Bar charts

Table

Program	Daily	Several times a week	Several times a month	Several times a year	Don’t use it at all	N
Consumer Directed Services	66%	14%	9%	2%	8%	212
Independent Living Waiver	77%	12%	3%	1%	7%	177
Personal Care – Agency Model	63%	9%	6%	4%	17%	179
Aged and Disabled Waiver	61%	12%	7%	3%	17%	145
Adult Day Care Waiver	53%	17%	6%	3%	20%	175
Residential Care Facility / Assisted Living Facility	56%	14%	10%	2%	18%	97
Overall State Average	64%	13%	8%	2%	12%	985
NCI-AD Weighted Average	58%	14%	6%	2%	19%	8098

Table 74. Always has a stable internet connection

New question in 2021-22; proxy respondents were allowed for this question

Bar charts

Table

Program	Always Works	Sometimes works	Rarely or never wrks	N
Consumer Directed Services	89%	11%	0%	209
Independent Living Waiver	89%	10%	1%	181
Personal Care – Agency Model	84%	13%	2%	171
Aged and Disabled Waiver	90%	9%	1%	149
Adult Day Care Waiver	93%	6%	1%	179
Residential Care Facility / Assisted Living Facility	78%	21%	1%	92
Overall State Average	88%	11%	1%	981
NCI-AD Weighted Average	85%	13%	1%	7644

Table 75. Has talked to health professionals using video conference/telehealth

New question in 2021-22; Proxy respondents were allowed for this question

Bar charts

Table

Program	Yes	No	N
Consumer Directed Services	39%	61%	301
Independent Living Waiver	44%	56%	201
Personal Care – Agency Model	36%	64%	302
Aged and Disabled Waiver	24%	76%	262
Adult Day Care Waiver	34%	66%	266
Residential Care Facility / Assisted Living Facility	32%	68%	203
Overall State Average	35%	65%	1535
NCI-AD Weighted Average	43%	57%	12171

Access to Needed Equipment

Table 76. Need for grab bars in the bathroom or elsewhere in their home

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	21%	6%	49%	24%	354
Independent Living Waiver	12%	6%	49%	33%	228
Personal Care – Agency Model	14%	5%	58%	23%	355
Aged and Disabled Waiver	13%	5%	64%	18%	336
Adult Day Care Waiver	14%	4%	36%	46%	298
Residential Care Facility / Assisted Living Facility	1%	1%	81%	17%	281
Overall State Average	17%	5%	55%	23%	1852
NCI-AD Weighted Average	11%	5%	65%	20%	13100

Table 77. Need for other bathroom modifications

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	18%	3%	20%	59%	340
Independent Living Waiver	19%	4%	34%	44%	225
Personal Care – Agency Model	16%	2%	27%	55%	347
Aged and Disabled Waiver	15%	1%	31%	54%	323
Adult Day Care Waiver	17%	2%	13%	67%	294
Residential Care Facility / Assisted Living Facility	1%	0%	41%	59%	269
Overall State Average	16%	2%	25%	57%	1798
NCI-AD Weighted Average	12%	4%	41%	43%	12720

Table 78. Need for a shower chair

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	14%	5%	51%	30%	325
Independent Living Waiver	10%	8%	52%	30%	220
Personal Care – Agency Model	7%	6%	57%	30%	334
Aged and Disabled Waiver	11%	4%	63%	22%	300
Adult Day Care Waiver	14%	4%	26%	57%	286
Residential Care Facility / Assisted Living Facility	1%	0%	33%	66%	252
Overall State Average	12%	5%	53%	31%	1717
NCI-AD Weighted Average	7%	6%	63%	24%	12618

Table 79. Need for a specialized bed

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	15%	2%	17%	65%	341
Independent Living Waiver	14%	9%	40%	37%	225
Personal Care – Agency Model	13%	3%	16%	68%	346
Aged and Disabled Waiver	12%	2%	20%	67%	320
Adult Day Care Waiver	9%	1%	11%	79%	289
Residential Care Facility / Assisted Living Facility	1%	0%	16%	83%	277
Overall State Average	13%	2%	17%	67%	1798
NCI-AD Weighted Average	8%	4%	25%	62%	12782

Table 80. Need for a ramp (either inside or outside of their residence)

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	9%	3%	19%	69%	341
Independent Living Waiver	11%	4%	50%	35%	230
Personal Care – Agency Model	10%	3%	23%	64%	350
Aged and Disabled Waiver	10%	2%	20%	69%	325
Adult Day Care Waiver	7%	2%	14%	77%	294
Residential Care Facility / Assisted Living Facility	0%	0%	30%	70%	280
Overall State Average	9%	3%	20%	68%	1820
NCI-AD Weighted Average	7%	3%	29%	60%	12762

Table 81. Need for other home modifications

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	11%	2%	6%	80%	125
Independent Living Waiver	7%	1%	16%	76%	105
Personal Care – Agency Model	9%	2%	5%	85%	125
Aged and Disabled Waiver	9%	3%	2%	87%	126
Adult Day Care Waiver	8%	1%	8%	84%	104
Residential Care Facility / Assisted Living Facility	1%	0%	0%	99%	94
Overall State Average	10%	2%	5%	83%	679
NCI-AD Weighted Average	11%	3%	13%	73%	5525

Table 82. Need for a wheelchair

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	10%	4%	22%	65%	336
Independent Living Waiver	5%	14%	67%	15%	230
Personal Care – Agency Model	6%	6%	33%	56%	338
Aged and Disabled Waiver	7%	4%	28%	61%	313
Adult Day Care Waiver	5%	3%	16%	76%	294
Residential Care Facility / Assisted Living Facility	2%	0%	13%	86%	265
Overall State Average	8%	4%	25%	63%	1776
NCI-AD Weighted Average	5%	6%	32%	56%	12868

Table 83. Need for a scooter

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	10%	3%	6%	81%	337
Independent Living Waiver	5%	2%	8%	85%	221
Personal Care – Agency Model	9%	1%	8%	82%	332
Aged and Disabled Waiver	6%	1%	7%	87%	305
Adult Day Care Waiver	7%	1%	2%	90%	290
Residential Care Facility / Assisted Living Facility	2%	0%	2%	97%	264
Overall State Average	8%	2%	6%	84%	1749
NCI-AD Weighted Average	9%	2%	8%	82%	12713

Table 84. Need for a walker

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	9%	6%	47%	38%	339
Independent Living Waiver	2%	4%	28%	67%	225
Personal Care – Agency Model	3%	7%	49%	41%	341
Aged and Disabled Waiver	5%	4%	54%	37%	315
Adult Day Care Waiver	3%	3%	19%	75%	293
Residential Care Facility / Assisted Living Facility	0%	2%	26%	73%	262
Overall State Average	6%	6%	47%	41%	1775
NCI-AD Weighted Average	4%	6%	52%	38%	12927

Table 85. Need for hearing aids

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	7%	3%	8%	82%	325
Independent Living Waiver	2%	0%	6%	91%	216
Personal Care – Agency Model	7%	6%	11%	77%	333
Aged and Disabled Waiver	10%	3%	8%	79%	298
Adult Day Care Waiver	3%	2%	2%	92%	291
Residential Care Facility / Assisted Living Facility	2%	1%	6%	91%	257
Overall State Average	7%	3%	8%	81%	1720
NCI-AD Weighted Average	8%	4%	11%	77%	12598

Table 86. Need for glasses

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	9%	13%	55%	23%	326
Independent Living Waiver	2%	12%	51%	35%	213
Personal Care – Agency Model	7%	11%	62%	20%	328
Aged and Disabled Waiver	6%	17%	59%	19%	298
Adult Day Care Waiver	6%	10%	43%	41%	288
Residential Care Facility / Assisted Living Facility	1%	7%	65%	26%	261
Overall State Average	7%	13%	57%	22%	1714
NCI-AD Weighted Average	6%	15%	58%	21%	12584

Table 87. Need for personal emergency response system (PERS)

Proxy respondents were allowed for this question

Bar chart

Tables

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	27%	2%	19%	52%	327
Independent Living Waiver	20%	1%	15%	63%	216
Personal Care – Agency Model	23%	2%	23%	53%	329
Aged and Disabled Waiver	23%	2%	26%	50%	295
Adult Day Care Waiver	16%	1%	12%	71%	286
Residential Care Facility / Assisted Living Facility	7%	0%	47%	46%	256
Overall State Average	24%	2%	22%	52%	1709
NCI-AD Weighted Average	11%	3%	42%	43%	12608

Table 88. Need for an oxygen machine

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	3%	2%	13%	81%	324
Independent Living Waiver	1%	3%	21%	76%	218
Personal Care – Agency Model	2%	3%	15%	79%	326
Aged and Disabled Waiver	4%	1%	20%	75%	299
Adult Day Care Waiver	0%	1%	5%	94%	291
Residential Care Facility / Assisted Living Facility	0%	0%	7%	92%	261
Overall State Average	3%	2%	14%	80%	1719
NCI-AD Weighted Average	2%	1%	15%	81%	12609

Table 89. Need for other equipment

Proxy respondents were allowed for this question

Bar chart

Table

Program	Needs	Has but needs change or update	Has and does not need change or update	Does not need	N
Consumer Directed Services	4%	5%	18%	73%	124
Independent Living Waiver	5%	5%	16%	74%	96
Personal Care – Agency Model	6%	1%	8%	85%	117
Aged and Disabled Waiver	6%	2%	10%	83%	126
Adult Day Care Waiver	6%	3%	8%	83%	109
Residential Care Facility / Assisted Living Facility	0%	1%	0%	99%	95
Overall State Average	5%	3%	13%	79%	667
NCI-AD Weighted Average	11%	5%	19%	64%	5807

Medications

Table 90. Knows what prescription medications are for

Bar charts

Tables

Program	Yes	In-between, or some medications	No	N
Consumer Directed Services	94%	4%	1%	270
Independent Living Waiver	91%	4%	5%	164
Personal Care – Agency Model	87%	10%	2%	247
Aged and Disabled Waiver	93%	6%	1%	222
Adult Day Care Waiver	85%	10%	4%	124
Residential Care Facility / Assisted Living Facility	68%	18%	14%	189
Overall State Average	92%	6%	2%	1216
NCI-AD Weighted Average	86%	9%	5%	9730

Table 91. Takes medication to help feel less sad or depressed

Proxy respondents were allowed for this question.

Bar charts

Tables

Program	Yes	No	N
Consumer Directed Services	41%	59%	319
Independent Living Waiver	37%	63%	209
Personal Care – Agency Model	53%	47%	316
Aged and Disabled Waiver	46%	54%	282
Adult Day Care Waiver	42%	58%	273
Residential Care Facility / Assisted Living Facility	79%	21%	232
Overall State Average	46%	54%	1631
NCI-AD Weighted Average	41%	59%	11913

Healthcare

Table 92. Has access to mental health services if they want them

Bar chart

Table

Program	Yes	Sometimes	No	N
Consumer Directed Services	93%	1%	7%	260
Independent Living Waiver	87%	1%	13%	165
Personal Care – Agency Model	88%	0%	12%	229
Aged and Disabled Waiver	91%	2%	7%	193
Adult Day Care Waiver	86%	0%	14%	118
Residential Care Facility / Assisted Living Facility	96%	1%	3%	181
Overall State Average	92%	1%	7%	1146
NCI-AD Weighted Average	89%	1%	10%	8807

Table 93. Can get an appointment to see or talk to their primary care doctor when they need to

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes,always	Usually	No, only sometimes or rarely	N
Consumer Directed Services	82%	13%	4%	322
Independent Living Waiver	87%	9%	4%	212
Personal Care – Agency Model	79%	15%	6%	339
Aged and Disabled Waiver	85%	11%	4%	299
Adult Day Care Waiver	82%	15%	3%	287
Residential Care Facility / Assisted Living Facility	84%	11%	5%	231
Overall State Average	82%	13%	5%	1690
NCI-AD Weighted Average	83%	12%	6%	12510

Table 94. Went to the emergency room for any reason in the past 12 months

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	45%	55%	318
Independent Living Waiver	49%	51%	217
Personal Care – Agency Model	44%	56%	320
Aged and Disabled Waiver	38%	62%	289
Adult Day Care Waiver	31%	69%	285
Residential Care Facility / Assisted Living Facility	23%	77%	224
Overall State Average	42%	58%	1653
NCI-AD Weighted Average	39%	61%	12558

Table 95. Has gone to the emergency room in the past 12 months due to falling or losing balance

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	21%	79%	140
Independent Living Waiver	22%	78%	102
Personal Care – Agency Model	29%	71%	137
Aged and Disabled Waiver	31%	69%	108
Adult Day Care Waiver	17%	83%	88
Residential Care Facility / Assisted Living Facility	31%	69%	52
Overall State Average	25%	75%	627
NCI-AD Weighted Average	30%	70%	4817

Table 96. Has gone to the emergency room in the past 12 months due to tooth or mouth pain

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	1%	99%	140
Independent Living Waiver	4%	96%	102
Personal Care – Agency Model	0%	100%	134
Aged and Disabled Waiver	3%	97%	107
Adult Day Care Waiver	6%	94%	86
Residential Care Facility / Assisted Living Facility	0%	100%	52
Overall State Average	2%	98%	621
NCI-AD Weighted Average	2%	98%	4768

Table 97. Has gone to the emergency room in the past 12 months due to not being able to see their primary care physician

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	4%	96%	137
Independent Living Waiver	6%	94%	102
Personal Care – Agency Model	4%	96%	133
Aged and Disabled Waiver	2%	98%	107
Adult Day Care Waiver	6%	94%	86
Residential Care Facility / Assisted Living Facility	0%	100%	52
Overall State Average	3%	97%	617
NCI-AD Weighted Average	8%	92%	4748

Table 98. Had a physical exam/wellness visit in the past 12 months

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	88%	12%	316
Independent Living Waiver	80%	20%	202
Personal Care – Agency Model	88%	12%	323
Aged and Disabled Waiver	90%	10%	279
Adult Day Care Waiver	83%	17%	275
Residential Care Facility / Assisted Living Facility	85%	15%	222
Overall State Average	88%	12%	1617
NCI-AD Weighted Average	84%	16%	12256

Table 99. Had a hearing exam in the past 12 months

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	28%	72%	306
Independent Living Waiver	28%	72%	200
Personal Care – Agency Model	23%	77%	308
Aged and Disabled Waiver	30%	70%	266
Adult Day Care Waiver	27%	73%	272
Residential Care Facility / Assisted Living Facility	24%	76%	209
Overall State Average	27%	73%	1561
NCI-AD Weighted Average	32%	68%	11907

Table 100. Had a vision exam in the past 12 months

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	54%	46%	314
Independent Living Waiver	47%	53%	204
Personal Care – Agency Model	54%	46%	319
Aged and Disabled Waiver	55%	45%	278
Adult Day Care Waiver	46%	54%	277
Residential Care Facility / Assisted Living Facility	69%	31%	218
Overall State Average	55%	45%	1610
NCI-AD Weighted Average	60%	40%	12140

Table 101. Had a dental visit in the past 12 months

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	33%	67%	309
Independent Living Waiver	36%	64%	202
Personal Care – Agency Model	32%	68%	302
Aged and Disabled Waiver	32%	68%	266
Adult Day Care Waiver	47%	53%	275
Residential Care Facility / Assisted Living Facility	51%	49%	214
Overall State Average	34%	66%	1568
NCI-AD Weighted Average	45%	55%	11839

Table 102. Had a flu shot in the past 12 months

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	59%	41%	310
Independent Living Waiver	52%	48%	202
Personal Care – Agency Model	68%	32%	323
Aged and Disabled Waiver	71%	29%	277
Adult Day Care Waiver	64%	36%	280
Residential Care Facility / Assisted Living Facility	86%	14%	214
Overall State Average	64%	36%	1606
NCI-AD Weighted Average	71%	29%	12191

Wellness

Table 103. Has access to healthy foods when they want them

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes, often	Sometimes	No	N
Consumer Directed Services	84%	11%	5%	309
Independent Living Waiver	87%	9%	4%	203
Personal Care – Agency Model	80%	14%	6%	320
Aged and Disabled Waiver	86%	10%	4%	285
Adult Day Care Waiver	85%	8%	7%	278
Residential Care Facility / Assisted Living Facility	83%	14%	3%	242
Overall State Average	84%	11%	5%	1637
NCI-AD Weighted Average	86%	10%	4%	12479

Table 104. Overall Health

Proxy respondents were allowed for this question

Bar chart

Table

Program	Poor	Fair	Good	Very Good	Excellent	N
Consumer Directed Services	21%	47%	24%	6%	2%	324
Independent Living Waiver	17%	35%	28%	14%	5%	209
Personal Care – Agency Model	20%	44%	28%	6%	2%	329
Aged and Disabled Waiver	19%	39%	33%	7%	3%	304
Adult Day Care Waiver	8%	31%	36%	16%	8%	286
Residential Care Facility / Assisted Living Facility	7%	27%	36%	19%	12%	245
Overall State Average	19%	43%	28%	7%	3%	1697
NCI-AD Weighted Average	18%	39%	31%	10%	3%	12815

Table 105. Health is better than 12 months ago

Proxy respondents were allowed for this question

Bar chart

Table

Program	Much worse	Somewhat worse	About the same	Somewhat better	Much better	N
Consumer Directed Services	11%	26%	49%	12%	2%	320
Independent Living Waiver	8%	22%	55%	10%	4%	210
Personal Care – Agency Model	10%	28%	48%	9%	6%	327
Aged and Disabled Waiver	8%	26%	50%	12%	4%	302
Adult Day Care Waiver	3%	13%	68%	12%	4%	288
Residential Care Facility / Assisted Living Facility	2%	13%	63%	16%	5%	243
Overall State Average	10%	26%	50%	11%	3%	1690
NCI-AD Weighted Average	8%	27%	47%	13%	5%	12714

Table 106. In the past 12 months, forget things more often than before

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	38%	62%	313
Independent Living Waiver	24%	76%	204
Personal Care – Agency Model	45%	55%	319
Aged and Disabled Waiver	45%	55%	284
Adult Day Care Waiver	33%	67%	273
Residential Care Facility / Assisted Living Facility	29%	71%	225
Overall State Average	40%	60%	1618
NCI-AD Weighted Average	43%	57%	12136

Table 107. Has discussed forgetting things with a doctor or a nurse (if they have been forgetting things more often in the past 12 months)

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	70%	30%	120
Independent Living Waiver	56%	44%	45
Personal Care – Agency Model	72%	28%	138
Aged and Disabled Waiver	73%	27%	125
Adult Day Care Waiver	75%	25%	87
Residential Care Facility / Assisted Living Facility	63%	37%	63
Overall State Average	71%	29%	578
NCI-AD Weighted Average	70%	30%	5400

Table 108. Often feels lonely

Bar chart

Table

Program	Yes, often	Sometimes	Not often, never or almost never	N
Consumer Directed Services	19%	29%	52%	258
Independent Living Waiver	21%	30%	49%	154
Personal Care – Agency Model	23%	37%	40%	229
Aged and Disabled Waiver	16%	36%	48%	203
Adult Day Care Waiver	22%	29%	50%	115
Residential Care Facility / Assisted Living Facility	12%	48%	40%	199
Overall State Average	19%	32%	49%	1158
NCI-AD Weighted Average	20%	35%	45%	9584

Affordability

Table 109. Ever had to skip meals due to financial worries

Proxy respondents were allowed for this question

Bar chart

Tables

Program	Yes, often	Sometimes	No	N
Consumer Directed Services	11%	10%	79%	308
Independent Living Waiver	6%	6%	88%	200
Personal Care – Agency Model	7%	10%	83%	318
Aged and Disabled Waiver	4%	5%	91%	283
Adult Day Care Waiver	6%	7%	87%	280
Residential Care Facility / Assisted Living Facility	3%	2%	96%	251
Overall State Average	8%	9%	83%	1640
NCI-AD Weighted Average	5%	6%	89%	12415

Safety

Tables 110. They or someone else has concerns about falling or being unstable

Proxy respondents were allowed for this question.

Bar chart

Table

Program	No	Sometimes	Yes, often	N
Consumer Directed Services	48%	17%	35%	340
Independent Living Waiver	68%	9%	24%	223
Personal Care – Agency Model	48%	15%	37%	351
Aged and Disabled Waiver	44%	18%	39%	329
Adult Day Care Waiver	61%	17%	22%	299
Residential Care Facility / Assisted Living Facility	71%	15%	14%	266
Overall State Average	49%	17%	35%	1808
NCI-AD Weighted Average	46%	18%	37%	13019

Tables 111. Has worked with someone to reduce risk of falls (if someone has concerns about them falling or being unstable)

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	84%	16%	171
Independent Living Waiver	83%	17%	70
Personal Care – Agency Model	88%	12%	180
Aged and Disabled Waiver	85%	15%	179
Adult Day Care Waiver	84%	16%	112
Residential Care Facility / Assisted Living Facility	88%	12%	77
Overall State Average	85%	15%	789
NCI-AD Weighted Average	84%	16%	7083

Tables 112. Able to get to safety quickly in case of an emergency

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	85%	15%	320
Independent Living Waiver	73%	27%	215
Personal Care – Agency Model	80%	20%	334
Aged and Disabled Waiver	88%	12%	308
Adult Day Care Waiver	87%	13%	292
Residential Care Facility / Assisted Living Facility	93%	7%	264
Overall State Average	85%	15%	1733
NCI-AD Weighted Average	82%	18%	12179

Table 113. Knows who to talk to if they are mistreated or neglected

Bar chart

Table

Program	Yes	Maybe, not sure	No	N
Consumer Directed Services	84%	3%	13%	286
Independent Living Waiver	81%	8%	11%	180
Personal Care – Agency Model	77%	6%	17%	266
Aged and Disabled Waiver	80%	5%	14%	244
Adult Day Care Waiver	82%	7%	11%	135
Residential Care Facility / Assisted Living Facility	76%	7%	17%	225
Overall State Average	82%	4%	14%	1336
NCI-AD Weighted Average	74%	5%	21%	9896

Table 114. Are ever worried for the security of their personal belongings

Bar chart

Table

Program	Yes, at least sometimes	No, never	N
Consumer Directed Services	9%	91%	292
Independent Living Waiver	6%	94%	183
Personal Care – Agency Model	12%	88%	269
Aged and Disabled Waiver	8%	92%	254
Adult Day Care Waiver	14%	86%	135
Residential Care Facility / Assisted Living Facility	26%	74%	232
Overall State Average	10%	90%	1365
NCI-AD Weighted Average	15%	85%	10188

Table 115. Someone used or took their money without their permission in the past 12 months

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	4%	96%	292
Independent Living Waiver	4%	96%	181
Personal Care – Agency Model	9%	91%	264
Aged and Disabled Waiver	4%	96%	246
Adult Day Care Waiver	6%	94%	135
Residential Care Facility / Assisted Living Facility	7%	93%	228
Overall State Average	5%	95%	1346
NCI-AD Weighted Average	6%	94%	10050

Table 116. Feels safe around support staff

Bar chart

Table

Program	Yes, all paid support workers, always	No, not all workers, or not always	N
Consumer Directed Services	98%	2%	161
Independent Living Waiver	97%	3%	116
Personal Care – Agency Model	97%	3%	168
Aged and Disabled Waiver	99%	1%	148
Adult Day Care Waiver	100%	0%	71
Residential Care Facility / Assisted Living Facility	89%	11%	113
Overall State Average	98%	2%	777
NCI-AD Weighted Average	96%	4%	5949

Rights and Respect

Table 117. Gets information about services in their preferred language (if preferred language is not English)

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes, all information	Some information	No	N
Consumer Directed Services	93%	7%	1%	107
Independent Living Waiver	100%	0%	0%	64
Personal Care – Agency Model	95%	2%	3%	94
Aged and Disabled Waiver	96%	2%	2%	101
Adult Day Care Waiver	97%	2%	2%	121
Residential Care Facility / Assisted Living Facility	95%	1%	4%	82
Overall State Average	94%	4%	2%	569
NCI-AD Weighted Average	84%	9%	7%	3738

Table 118. Services and supports are delivered in a way that is respectful of their culture

New question in 2021-2022

Bar chart

Table

Program	Yes	Sometimes or some services	No	N
Consumer Directed Services	99%	1%	0%	279
Independent Living Waiver	98%	1%	2%	176
Personal Care – Agency Model	97%	3%	0%	237
Aged and Disabled Waiver	96%	3%	1%	234
Adult Day Care Waiver	98%	1%	2%	131
Residential Care Facility / Assisted Living Facility	97%	2%	2%	263
Overall State Average	98%	2%	1%	1320
NCI-AD Weighted Average	96%	3%	1%	9067

Table 119. Paid support staff treat them with respect

Bar chart

Table

Program	Yes, all paid support workers, always or or almost always	Some, or usually	No, never or rarely	N
Consumer Directed Services	97%	2%	1%	159
Independent Living Waiver	97%	2%	2%	116
Personal Care – Agency Model	92%	7%	1%	169
Aged and Disabled Waiver	97%	1%	1%	148
Adult Day Care Waiver	97%	3%	0%	70
Residential Care Facility / Assisted Living Facility	83%	13%	4%	113
Overall State Average	96%	3%	1%	775
NCI-AD Weighted Average	92%	7%	1%	5939

Table 120. Other ask before coming into their home/room (if living in a group setting)

Bar chart

Table

Program	Yes, always	Usually, but not always	Sometimes, rarely, or never	N
Residential Care Facility / Assisted Living Facility	72%	15%	14%	234
Overall State Average	73%	15%	12%	248
NCI-AD Weighted Average	70%	19%	12%	1537
* The following programs had an N of less than 20 and were not shown: Independent Living Waiver, Personal Care – Agency Model, Aged and Disabled Waiver, Adult Day Care Waiver

Table 121. Able to lock doors to room (if living in a group setting)

Bar chart

Table

Program	Yes	No	N
Residential Care Facility / Assisted Living Facility	50%	50%	224
Overall State Average	52%	48%	238
NCI-AD Weighted Average	59%	41%	1457
* The following programs had an N of less than 20 and were not shown: Independent Living Waiver, Personal Care – Agency Model, Aged and Disabled Waiver, Adult Day Care Waiver

Table 122. Has enough privacy where lives (if living in a group setting)

Bar chart

Table

Program	Yes, always	Usually, but not always	Sometimes, rarely, or never	N
Residential Care Facility / Assisted Living Facility	71%	15%	14%	231
Overall State Average	72%	16%	12%	245
NCI-AD Weighted Average	74%	16%	10%	1544
* The following programs had an N of less than 20 and were not shown: Independent Living Waiver, Personal Care – Agency Model, Aged and Disabled Waiver, Adult Day Care Waiver

Table 123. Can have visitors at any time (if living in a group setting)

Bar chart

Table

Program	Yes	No	N
Residential Care Facility / Assisted Living Facility	67%	33%	227
Overall State Average	66%	34%	240
NCI-AD Weighted Average	71%	29%	1459
* The following programs had an N of less than 20 and were not shown: Independent Living Waiver, Personal Care – Agency Model, Aged and Disabled Waiver, Adult Day Care Waiver

Table 124. Can get something to eat or grab a snack anytime they (if living in a group setting)

Bar chart

Table

Program	Yes	No	N
Residential Care Facility / Assisted Living Facility	72%	28%	231
Overall State Average	74%	26%	245
NCI-AD Weighted Average	86%	14%	1506
* The following programs had an N of less than 20 and were not shown: Independent Living Waiver, Personal Care – Agency Model, Aged and Disabled Waiver, Adult Day Care Waiver

Person-Centered Planning (State Optional Module)

Table 125. Involvement in making decisions about what is in the service plan

Newly reported in 2021-2022

Bar chart

Table

Program	Very or fully involved	Somewhat	Very little	Not at all	N
Consumer Directed Services	87%	11%	3%	0%	75
Independent Living Waiver	80%	16%	0%	4%	70
Personal Care – Agency Model	77%	15%	5%	3%	65
Aged and Disabled Waiver	78%	20%	0%	2%	59
Adult Day Care Waiver	89%	11%	0%	0%	35
Residential Care Facility / Assisted Living Facility	62%	10%	4%	24%	50
Overall State Average	82%	13%	2%	2%	354
NCI-AD Weighted Average	79%	17%	3%	1%	3018

Table 126. Service planning meeting took place at a time that was good for them

Newly reported in 2021-2022

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	98%	2%	60
Independent Living Waiver	98%	2%	55
Personal Care – Agency Model	100%	0%	42
Aged and Disabled Waiver	100%	0%	51
Adult Day Care Waiver	100%	0%	26
Residential Care Facility / Assisted Living Facility	100%	0%	31
Overall State Average	99%	1%	265
NCI-AD Weighted Average	99%	1%	2331

Table 127. Service planning meeting took place in a place that was good for them

Newly reported in 2021-2022

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	98%	2%	60
Independent Living Waiver	98%	2%	55
Personal Care – Agency Model	100%	0%	42
Aged and Disabled Waiver	100%	0%	52
Adult Day Care Waiver	100%	0%	26
Residential Care Facility / Assisted Living Facility	100%	0%	31
Overall State Average	99%	1%	266
NCI-AD Weighted Average	99%	1%	2328

Table 128. Service planning meeting included the people they wanted to be there

Newly reported in 2021-2022

Bar chart

Table

Program	Yes	Some People	No	N
Consumer Directed Services	95%	2%	3%	60
Independent Living Waiver	93%	2%	6%	54
Personal Care – Agency Model	97%	0%	3%	39
Aged and Disabled Waiver	100%	0%	0%	51
Adult Day Care Waiver	96%	0%	4%	26
Residential Care Facility / Assisted Living Facility	100%	0%	0%	31
Overall State Average	97%	1%	2%	261
NCI-AD Weighted Average	97%	1%	2%	2323

Table 129. People at the service planning meeting listened to needs and preferences

Newly reported in 2021-2022

Bar chart

Table

Program	Completely	Mostly	Somewhat	Very little	Not at all	N
Consumer Directed Services	73%	17%	7%	3%	0%	59
Independent Living Waiver	69%	22%	5%	0%	4%	55
Personal Care – Agency Model	85%	12%	2%	0%	0%	41
Aged and Disabled Waiver	77%	17%	6%	0%	0%	52
Adult Day Care Waiver	92%	8%	0%	0%	0%	26
Residential Care Facility / Assisted Living Facility	97%	3%	0%	0%	0%	31
Overall State Average	76%	16%	6%	2%	0%	264
NCI-AD Weighted Average	72%	21%	5%	1%	0%	2331

Table 130. Received a copy of the service plan after the service planning meeting

Newly reported in 2021-2022

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	92%	8%	53
Independent Living Waiver	94%	6%	52
Personal Care – Agency Model	86%	14%	37
Aged and Disabled Waiver	90%	10%	41
Adult Day Care Waiver	91%	9%	22
Residential Care Facility / Assisted Living Facility	97%	3%	29
Overall State Average	91%	9%	234
NCI-AD Weighted Average	90%	10%	2134

Table 131. Service plan reflects what was talked about at the service plan meeting

Newly reported in 2021-2022

Bar chart

Table

Program	Yes, completely	Yes, in part	No	N
Consumer Directed Services	74%	22%	4%	54
Independent Living Waiver	84%	12%	4%	51
Personal Care – Agency Model	86%	14%	0%	36
Aged and Disabled Waiver	82%	18%	0%	40
Residential Care Facility / Assisted Living Facility	100%	0%	0%	31
Overall State Average	79%	19%	2%	231
NCI-AD Weighted Average	85%	13%	2%	2163
* The following programs had an N of less than 20 and were not shown: Adult Day Care Waiver

Table 132. Choices and preferences are reflected in current service plan

Bar chart

Table

Program	Yes, completely	Yes, in part	No	N
Consumer Directed Services	72%	23%	4%	69
Independent Living Waiver	78%	19%	3%	64
Personal Care – Agency Model	79%	21%	0%	58
Aged and Disabled Waiver	79%	21%	0%	47
Adult Day Care Waiver	88%	12%	0%	25
Residential Care Facility / Assisted Living Facility	92%	2%	5%	40
Overall State Average	76%	21%	3%	303
NCI-AD Weighted Average	78%	20%	2%	2793

Covid-19 Supplement (State Optional)

Table 133. Had to move due to COVID-19

Proxy respondents were allowed for this question

Bar chart

Table

Program	No, did not have to move	Yes, permanently	Yes, temporarily and has not moved back to permanent residence	Yes, temporarily and moved back to permanent residence	Yes, unsure if temporary or permanent	N
Consumer Directed Services	98%	1%	0%	1%	0%	290
Independent Living Waiver	96%	1%	0%	2%	0%	216
Personal Care – Agency Model	99%	0%	0%	1%	1%	320
Aged and Disabled Waiver	97%	1%	1%	0%	0%	296
Adult Day Care Waiver	97%	1%	0%	1%	0%	284
Residential Care Facility / Assisted Living Facility	100%	0%	0%	0%	0%	219
Overall State Average	98%	1%	0%	1%	0%	1625
NCI-AD Weighted Average	97%	1%	0%	1%	0%	11441

Table 134. There were changes to service and supports due to COVID-19

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	21%	79%	286
Independent Living Waiver	22%	78%	214
Personal Care – Agency Model	31%	69%	306
Aged and Disabled Waiver	25%	75%	278
Adult Day Care Waiver	40%	60%	283
Residential Care Facility / Assisted Living Facility	30%	70%	205
Overall State Average	24%	76%	1572
NCI-AD Weighted Average	31%	69%	10959

Table 135. Services and supports went back to how they were before COVID-19 (if there were changes due to COVID-19)

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes, all services have gone back to how they were before covid-19	Some services have gone back	No, no services have gone back to how they were before covid-19	Other	N
Consumer Directed Services	40%	23%	37%	0%	57
Independent Living Waiver	36%	28%	36%	0%	47
Personal Care – Agency Model	34%	23%	43%	0%	94
Aged and Disabled Waiver	30%	22%	48%	0%	67
Adult Day Care Waiver	53%	19%	27%	1%	111
Residential Care Facility / Assisted Living Facility	51%	25%	25%	0%	53
Overall State Average	38%	23%	40%	0%	429
NCI-AD Weighted Average	40%	32%	28%	1%	3343

Table 136. Liked at least some of the changes to services and supports (if there were changes due to COVID-19)

Bar chart

Table

Program	Yes	Some	No	N
Consumer Directed Services	16%	16%	67%	43
Independent Living Waiver	11%	11%	79%	38
Personal Care – Agency Model	17%	11%	71%	63
Aged and Disabled Waiver	15%	8%	77%	48
Adult Day Care Waiver	17%	8%	75%	36
Residential Care Facility / Assisted Living Facility	11%	0%	89%	37
Overall State Average	16%	12%	72%	265
NCI-AD Weighted Average	17%	21%	62%	2527

Table 137. Was able to keep changes to services they liked

Bar chart

Table

Program	Yes	Some	No	N
Overall State Average	63%	24%	12%	58
NCI-AD Weighted Average	52%	34%	13%	907
* The following programs had an N of less than 20 and were not shown: Consumer Directed Services, Independent Living Waiver, Personal Care – Agency Model, Aged and Disabled Waiver, Adult Day Care Waiver, Residential Care Facility / Assisted Living Facility

Table 138. There were times when they did not have helped needed due to COVID-19

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes	Some	No	N
Consumer Directed Services	19%	9%	72%	279
Independent Living Waiver	22%	5%	73%	211
Personal Care – Agency Model	30%	8%	63%	304
Aged and Disabled Waiver	20%	8%	71%	284
Adult Day Care Waiver	32%	6%	62%	276
Residential Care Facility / Assisted Living Facility	10%	9%	82%	195
Overall State Average	21%	8%	71%	1549
NCI-AD Weighted Average	19%	7%	73%	10895

Table 139. Staff did things to keep them healthy and safe from COVID-19 like wash their hands, wear a mask, or help sanitize surroundings

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes	Sometimes, some staff	No	N
Consumer Directed Services	96%	1%	4%	273
Independent Living Waiver	96%	1%	2%	206
Personal Care – Agency Model	94%	4%	3%	293
Aged and Disabled Waiver	96%	2%	3%	261
Adult Day Care Waiver	97%	1%	2%	275
Residential Care Facility / Assisted Living Facility	90%	8%	2%	205
Overall State Average	95%	2%	3%	1513
NCI-AD Weighted Average	93%	4%	3%	10699

Table 140. Can get supplies to stay healthy and safe from COVID-19 like masks, or hand sanitizer

Proxy respondents were allowed for this question.

Bar chart

Table

Program	Yes	Sometimes, some supplies	No	N
Consumer Directed Services	94%	2%	4%	278
Independent Living Waiver	92%	5%	2%	205
Personal Care – Agency Model	95%	4%	1%	296
Aged and Disabled Waiver	94%	4%	2%	266
Adult Day Care Waiver	95%	2%	2%	282
Residential Care Facility / Assisted Living Facility	94%	5%	1%	204
Overall State Average	94%	3%	3%	1531
NCI-AD Weighted Average	94%	3%	3%	10916

Table 141. Received a COVID-19 vaccine

Proxy respondents were allowed for this question; note, booster shots were not available at the time survey was developed

Bar chart

Table

Program	Yes, fully vaccinated	Yes, partially	No	N
Consumer Directed Services	70%	5%	25%	294
Independent Living Waiver	59%	2%	39%	218
Personal Care – Agency Model	76%	2%	22%	325
Aged and Disabled Waiver	75%	3%	22%	287
Adult Day Care Waiver	80%	3%	17%	291
Residential Care Facility / Assisted Living Facility	92%	0%	7%	211
Overall State Average	73%	4%	23%	1626
NCI-AD Weighted Average	82%	2%	16%	11357

Table 142. Can get a COVID-19 vaccine if they want it (if they were not fully vaccinated)

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	No	N
Consumer Directed Services	88%	12%	85
Independent Living Waiver	85%	15%	86
Personal Care – Agency Model	85%	15%	75
Aged and Disabled Waiver	92%	8%	73
Adult Day Care Waiver	87%	13%	52
Overall State Average	89%	11%	389
NCI-AD Weighted Average	91%	9%	2052
* The following programs had an N of less than 20 and were not shown: Residential Care Facility / Assisted Living Facility

Table 143. Were satisfied with the response of service providers during COVID-19

Proxy respondents were allowed for this question

Bar chart

Table

Program	Yes	Sometimes, some providers	No	N
Consumer Directed Services	90%	6%	4%	218
Independent Living Waiver	88%	8%	4%	161
Personal Care – Agency Model	81%	12%	6%	216
Aged and Disabled Waiver	90%	6%	3%	186
Adult Day Care Waiver	86%	10%	4%	110
Residential Care Facility / Assisted Living Facility	94%	6%	0%	171
Overall State Average	89%	7%	4%	1062
NCI-AD Weighted Average	83%	12%	5%	8423