; (ii) a nursing facility (as defined in section 1919(a) of such Act ( 42 U.S.C. 1396r(a) )); (iii) a long-term care hospital (as described in section 1886(d)(1)(B)(iv) of such Act ( 42 U.S.C. 1395ww(d)(1)(B)(iv) )); (iv) a facility described in section 1905(d) of such Act ( 42 U.S.C. 1396d(d) ); (v) an institution which is a psychiatric hospital (as defined in section 1861(f) of such Act ( 42 U.S.C. 1395x(f) )) or that provides in-patient psychiatric services in a residential setting specified by the Secretary; (vi) an institution described in section 1905(i) of such Act ( 42 U.S.C. 1396d(i) ); and (vii) any congregate setting that is not community-based or that has the effect of isolating individuals with disabilities from the community. (B) Institutionalization The term institutionalization , used with respect to an individual with an LTSS disability, refers to the individual living or receiving services or supports in a setting that is not community-based. (10) Instrumental activities of daily living The term instrumental activities of daily living means one or more activities related to living independently in the community, including activities related to— (A) nutrition, such as preparing meals or special diets, monitoring to prevent choking or aspiration, or assisting with special utensils; (B) household chores and environmental maintenance tasks; (C) communication and interpersonal skills, such as— (i) using the telephone or other communications devices; (ii) forming and maintaining interpersonal relationships; or (iii) securing opportunities to participate in group support or peer-to-peer support arrangements; (D) travel and community participation, such as shopping, arranging appointments, or moving around the community; (E) care of others, such as raising children, taking care of pets, or selecting caregivers; or (F) management of personal property and personal safety, such as— (i) taking medication; (ii) handling or managing money