Allen Cognitive Scale

The Allen Cognitive Scale is just one of several tools we use to create a personalized recommendation for care. Created by occupational therapist Claudia Allen, it’s a sophisticated way to identify a resident’s abilities, monitor change over time, help plan treatment and guide placement in our residences.

There are six levels in the Allen Scale:

  • Level 6: independent in daily care, finances and decision-making skills; is comfortable learning information
  • Level 5: independent in daily care; may need assistance with finances, decision making and organizational skills; may encounter subtle problems with memory; is comfortable learning new information
  • Level 4: physically independent with daily care, but needs assistance to initiate or monitor quality of care; needs increased assistance with all cognitive skills; memory challenges have increased; may not anticipate possible dangers or consequences; success is noted with structure and repetition; needs assistance to live in the community 
  • Level 3: Full assistance is required with daily care, including cognitive skills such as initiating, sequencing, judging, problem solving and decision making; has significant memory impairment; has difficulty with language and expressing needs, as well as understanding others; requires 24-hour supervision
  • Level 2: Dependent on care providers; has significant impairment of all cognitive skills, including loss of language skills, and a decrease in motor, visual and perceptual skills. requires 24-hour supervision
  • Level 1: All basic needs must be met by a caregiver

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I will never forget the time we returned our mother to Emerald Crest after a day of shopping. My mother wanted to stay out longer but just couldn't. We all felt sad taking her back. When we entered,  immediately two nurse's assistants enveloped my mom in a huge hug. Her face immediately had a smile and off she was to stay and talk to these beautiful assistants. My mother truly feels the wonderful love of these dedicated workers.

— Theresa, daughter of resident

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