If Mr. Williams needs his medications administered and the ALF does not employ a nurse, under what condition can he remain in the facility?

The correct condition for Mr. Williams to remain in the assisted living facility (ALF) without a nurse present is if he no longer meets the residency criteria for the ALF. This is because assisted living facilities are designed to provide care and support for individuals who can live somewhat independently but still require some level of assistance. When a resident no longer meets these criteria—typically because their health needs have escalated to a level that requires nursing care or because they need skilled medical services that the facility cannot provide—they must seek alternative arrangements, such as moving to a skilled nursing facility.

In this scenario, options relating to family members administering medications or private aides coming in do not sufficiently align with the operational standards of an ALF, which is set to ensure the safety and well-being of residents. Additionally, hospice care focuses on end-of-life support and may involve specialized care that the ALF is not equipped to provide without a nursing staff. Thus, for Mr. Williams to continue residing in the ALF without adequate medical support, he would need to still meet the necessary residency criteria.