Page:United States Statutes at Large Volume 124.djvu/810

124 STAT. 784 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(10) GRANT.—The term ‘grant’ includes a contract, coopera- tive agreement, or other mechanism for providing financial assistance. ‘‘(11) GUARDIANSHIP.—The term ‘guardianship’ means— ‘‘(A) the process by which a State court determines that an adult individual lacks capacity to make decisions about self-care or property, and appoints another individual or entity known as a guardian, as a conservator, or by a similar term, as a surrogate decisionmaker; ‘‘(B) the manner in which the court-appointed surrogate decisionmaker carries out duties to the individual and the court; or ‘‘(C) the manner in which the court exercises oversight of the surrogate decisionmaker. ‘‘(12) INDIAN TRIBE.— ‘‘(A) IN GENERAL.—The term ‘Indian tribe’ has the meaning given such term in section 4 of the Indian Self- Determination and Education Assistance Act (25 U.S.C. 450b). ‘‘(B) INCLUSION OF PUEBLO AND RANCHERIA.—The term ‘Indian tribe’ includes any Pueblo or Rancheria. ‘‘(13) LAW ENFORCEMENT.—The term ‘law enforcement’ means the full range of potential responders to elder abuse, neglect, and exploitation including— ‘‘(A) police, sheriffs, detectives, public safety officers, and corrections personnel; ‘‘(B) prosecutors; ‘‘(C) medical examiners; ‘‘(D) investigators; and ‘‘(E) coroners. ‘‘(14) LONG-TERM CARE.— ‘‘(A) IN GENERAL.—The term ‘long-term care’ means supportive and health services specified by the Secretary for individuals who need assistance because the individuals have a loss of capacity for self-care due to illness, disability, or vulnerability. ‘‘(B) LOSS OF CAPACITY FOR SELF-CARE.—For purposes of subparagraph (A), the term ‘loss of capacity for self- care’ means an inability to engage in 1 or more activities of daily living, including eating, dressing, bathing, manage- ment of one’s financial affairs, and other activities the Secretary determines appropriate. ‘‘(15) LONG-TERM CARE FACILITY.—The term ‘long-term care facility’ means a residential care provider that arranges for, or directly provides, long-term care. ‘‘(16) NEGLECT.—The term ‘neglect’ means— ‘‘(A) the failure of a caregiver or fiduciary to provide the goods or services that are necessary to maintain the health or safety of an elder; or ‘‘(B) self-neglect. ‘‘(17) NURSING FACILITY.— ‘‘(A) IN GENERAL.—The term ‘nursing facility’ has the meaning given such term under section 1919(a). ‘‘(B) INCLUSION OF SKILLED NURSING FACILITY.—The term ‘nursing facility’ includes a skilled nursing facility (as defined in section 1819(a)).