Rancho Levels

Question 1

Level 1- no response

Answer 1

No response
Total assist

Question 2

Level 2- generalized response

Answer 2

Total assist
Responds inconsistently and non-purposefully to stim
Responses are uniform regardless of stim

Question 3

Level 3- localized response

Answer 3

Total assist
Responds inconsistently and specifically to ex stim
Responses are specific to stim
More responsive to familiar faces

Question 4

Level 4- confused and agitated

Answer 4

Max assist
Hyperactive
Bizarre and non-purposeful behavior
Agitation from internal confusion

Question 5

Level 5- confused in appropriate non-agitated

Answer 5

Max assist
Follow simple commands
Inappropriate behavior and vocalization
Memory is severely impaired
Can copy actions
No initiation

Question 6

Level 6- confused appropriate

Answer 6

Mod assist
Consistently follows simple commands
Retains learning for familiar tasks
Doesn’t learn new tasks
Increased self awareness but lack of their own safety concerns and limitations

Question 7

Level 7- automatic appropriate

Answer 7

Min assist for ADLs
Orientated in familiar settings
Automatically perform routines
Carry over learning
Lack of insight
Beginning to show interest in social and rec activities
Superficially aware of diagnosis

Question 8

Level 8- purposeful appropriate

Answer 8

Stand by assist
Consistently oriented
Awareness of specific impairments
Use assistive memory tools
Aware of others emotions but don’t respond appropriately
Improved memory
Depressed, irritable

Question 9

Level 9- purposeful appropriate

Answer 9

Stand by assist on request
Independently complete and switch between tasks
Use compensatory strategies
Anticipate obstacles
Depression and low frustration

Question 10

Level 10- purposeful appropriate

Answer 10

Mod independent
Multitasks with extra time
Create and use memory tools
Anticipate and adapt to obstacles
Make decisions and act appropriately
Intermittent depression and frustration
Appropriate social behavior