Table 3.

Nursing levels according to the German long-term care legislation [16]

Level I	Support is necessary for at least two activities in the areas of personal hygiene, nutrition and mobility (at least once a day) as well as housekeeping (at least several times a week) with an overall average duration of at least 90 min/day
Level II	Support is necessary at least three times a day with an overall average duration of at least 3 h/day
Level III	Support is necessary around the clock including nights with an overall average duration of at least 5 h/day
Level III+	Cases of hardship with exceptionally high need for support