The Rancho Los Amigos Levels of Cognitive Functioning

Level 1— No Response: Person appears to be in a deep sleep.
Level 2— Generalized Response: Person reacts inconsistently and not directly in response to stimuli.
Level 3— Localized Response: Person reacts inconsistently and directly to stimuli.
Level 4— Confused/Agitated: Person is extremely agitated and confused.
Level 5— Confused-Inappropriate/Non-agitated: Person is confused and responses to commands are inaccurate.
Level 6— Confused-Appropriate: Person is confused and responds accurately to commands.
Level 7— Automatic-Appropriate: Person can go through the daily routine with minimal to no confusion.
Level 8— Purposeful-Appropriate: Person has the functioning memory and is aware of and responsive to their environment.
Level 9— Purposeful-Appropriate: Person can go through the daily routine while aware of a need for standby assistance.
Level 10— Purposeful-Appropriate/Modified Independent: Person can go through the daily routine but may require more time or compensatory strategies.

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