Some ALFs claim not to have a mixed population so they do not have to meet the additional requirements.  This helps the family and resident in that they do not have to move out of their home when the dementia progresses, but the facility does not meet the residents’ needs or provide the additional staff, training, and environmental precautions required for facilities with a mixed population.  This will help address the needs of the increasing number of frail, ill, and cognitively impaired residents whose conditions would previously have required nursing home placement but who are now residing in ALFs.