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"I have been involved in Assisted Living and Skilled Nursing Facility Administration for over 30 years. I LOVE your website- the info is easy to use, and comprehensive. I typically write all of my own policies, procedures, forms etc. but since finding and joining Providers Web...I have so much more time to Direct our Operations....We have 7 licensed Homes for the Aged, Assisted Living Homes in the state of Michigan - a total of +/- 700 older persons, many with diagnoses of dementia. Just wanted to say thank you for making this information available, at such a reasonable cost!"

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Caring is a Form of Love

Types of Community Care Facilities

Housing arrangements providing non-medical services to seniors are known under several names. The terms used to describe the Residential Assisted Living industry varies from state to state, but it is commonly referred to as “assisted care,” “residential care,” or “assisted living.” Community Care Facilities provide services to vulnerable residents such as frail elderly, developmentally disabled, mentally ill, trouble teens, and others. Small Entrepreneurs to very large corporations own and operate facilities to provide care and services to these individuals.

These businesses maybe private-for-profit or non-profit and may be called by many names including: Assisted Living Facility, Adult Congregate Care, Residential Care, Personal Care Home, Residential Care Facility for the Elderly, Homes for the Aged, Domiciliary Care Homes, Adult Day Care Facility, Adult Residential Facility and others.

RCFs and ALFs form a major component of the nation's long-term care delivery system. The terms most used nationwide are Residential Care Facility and Assisted Living Facility. When used on this website Residential Care Facility (RCF) will basically refer to facilities which provide private rooms, or shared rooms, and community accommodations for dining and living rooms.

Assisted Living Facility (ALF) usually refers to the facilities in which the residents have individual apartments often with a kitchen and living room. Many Assisted Living Facilities have been converted from Retirement Communities due to the resident's "aging in place." Rather than lose these "aging in place residents", the retirement home will obtain a license and make the necessary structural changes needed to provide care services.

Both types of facilities, RCFs and ALFs, can provide the same degree of care services.

Negligent Admission
by Diane Morrow, LNHA

EmergencyAccepting a resident for admission when they are beyond the facility’s licensed level of care, and not ensuring that the resident’s care needs are being met is a serious negligent act and could be considered elder abuse. In addition to state licensing the facility must make sure they have the proper fire clearance to retain that resident, otherwise accepting a person that is for example transfer dependent, is also neglectful since it places the resident’s life in serious jeopardy should a fire occur.

Ultimately it is the administrator’s responsibility to make sure the residents’ needs are met per Pre-Admission information and Physician’s Report.

The facility’s Pre-Admission Appraisal form should be filled out as much as possible, and additional assessments should be utilized if needed, to ensure the facility can properly care for the person. See ProvidersWeb Assessments for examples of additional assessments.

As an expert witness, I review a lot of cases. I have seen several cases where the facility accepted someone who was not compatible with other residents in the facility or was beyond the facility’s level of care.

Why would a facility accept someone they could not provide proper care for? Usually, the reason is money – the facility needs their beds filled. It could be that the marketing/admission coordinator is pressured to get the beds filled, and will get a bonus for each resident admitted, or the facility is in financial trouble and needs more money, so they end up taking someone beyond their level of care.

If a facility cannot properly care for someone the resident could get hurt, or even die as a result of a negligent admission. It is not worth putting someone’s life into danger, nor is it worth the money or liability exposure.

To help ensure your admission is being done right, assess the prospective resident as much as possible before accepting them for admission, and follow the A to Z Admission Process.

General Documentation

DocumentationDocumentation is a vital tool to develop and should become a routine response to a variety of situations. Many of the supervisor’s duties will require written documentation. Employee Evaluations, training programs, Accident Exposure Investigation Analysis, Accident Incident Investigation Report, recording significant incidents, Disciplinary Actions, Job Descriptions, instructions and Company Communication Notes are just a few examples showing the need for good documentation skills.

When is comes to understanding what your resident’s needs are - conducting proper assessments is vital. See ProvidersWeb Assessments.

Any formal documentation should be a clear and precise record or account of the situation. We can not assume that we will remember an incident exactly as it happened A record should be made as soon as possible. When recording an occurrence, deal only with the facts. Second hand information is often misleading. Important facts could be left out simply because they didn’t seem significant at the time. When documenting consider some of these points:

  • Do Not Generalize - be accurate, record incidents as they actually happened.
  • Manager Review - be aware that a report might be reviewed by a third party.
  • Do Not Prejudge - It is not your duty to guess a motive, reason or make a moral judgment. Keep your personal feelings and opinions to yourself.

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Introducing ProvidersWeb’s
NEW ALZHEIMER’s and Dementia Care System

Isn’t About Time Someone Made Alzheimer’s and Dementia Care Easier?

EasyThe ProvidersWeb Service Team has been working very hard to create a new innovative way of providing individualized care for person’s suffering from Alzheimer’s or Dementia. BRAND NEW covering the latest industry trends, problems and issues! VERY EASY TO USE and UNDERSTAND. This wonderful CARE system can be utilized by care facilities and for at home care.

NEW and ONLY FROM PROVIDERSWEB, NO ONE ELSE HAS ANYTHING LIKE THIS. This dynamic assessment and care plan system is designed to help the caregiver track the resident’s digression, create a chronological history of decline and to help with developing ongoing easy plans to meet the resident’s needs as changes occur.

A SUPER GREAT HELP FOR ANYONE PROVIDING CARE to someone affected by Alzheimer’s or Dementia. This new care system is designed to use for those residents with Alzheimer’s or Dementia in Stages 2 through 4. For Stage 1 use our Complete Care Plan Form. We have identified 15 common areas that often need to be addressed in Alzheimer’s and Dementia care plans:

1. COMMUNICATION
2. MEMORY & COGNITION
3. EMOTIONS
4. BEHAVIOR
5. WANDERING
6. INDEPENDENCE AND MOBILITY – including falls and transfer dependence.
7. ADLS ABILITIES
8. INCONTINENCE
9. DIETARY AND NUTRITION
10. SKIN INTEGRITY
11. SLEEPING AND BEDTIME ROUTINE
12. SOCIAL SEXUAL ISSUES
13. ACTIVITIES, SOCIALIZATION, RECREATION, OUTINGS AND COMMUNITY SKILLS
14. SAFETY ISSUES AND PERSONAL SAFETY AWARENESS
15. FAMILY SUPPORT

LOTS OF CHECK OFF BOXES. To assist the care giver we developed three primary tools that work together to help caregivers properly attend to these 15 areas to meet the person’s individualized care needs:

  • The NEW Alzheimer’s & Dementia Assessment/Retention Evaluation Form not only provides an initial assessment to help you determine if the resident is suitable for your care services, it also provides a vehicle for assessing ongoing needs and tracking abilities, challenges, problem areas and symptoms. ( 8 page Assessment used for pre-admission, admission, retention and history)
  • The NEW ALZ & Dementia Individualized Care Plan Form covers each of the 15 most common areas caregivers need to address when caring for Alzheimer’s and Dementia care persons. The form reveals the resident’s challenges, best approaches, and helps you design specific care plans that address the identified needs, triggers and ongoing changes for your resident. (12 page Care Service Plan with built in tips and target areas to cover.)
  • The NEW Alzheimer’s/Dementia Care Approaches and Interventions document provides techniques that can be utilized for proving good care in each of the 15 areas. These NEW documents link to almost 500 other helpful documents which will assist the care provider in providing quality care and reducing risks. (20 Care Service Guide describing best care standards and providing links to forms, documents and resources.)

ProvidersWeb.com – Over 24,150 members strong. Why? Our customers tell us they save hundreds of dollars by being able to use our ready to use forms, policies, procedures, checklists, audits, training programs, in-services and more.

New businesses find the paperwork they need to help them get licensed as an assisted living or residential care facility. People who have been in the business find great compliance audits, checklists, training programs, quality assurance and risk management plans, policy manuals and other paperwork that make it easy for them to do their jobs.

Our members include Administrators and Owners of various care businesses and: Caregivers, Nurses, Residential Care Mangers, Adult Foster Care Personnel, Nursing Home Administrators, Assisted Living Executive Directors, Family Home Care Parents, Home Health Nurses, RCF Certified Administrators and other personnel. These folks provide Elder Care, care for the Developmentally Disabled and Mentally Ill and care for Teenagers in Group Homes. These community care homes are licensed by the State. See ALF, RCFE, RCF, ARF Providers.

JOIN NOW! A paid subscription gives you access to over 800 FORMS, all the 3700+ online documents and all EBOOKS. We provide quality care and risk management easy-to-use how to documents. ProvidersWeb’s standards are totally focused on Quality Care for the residents using ethical care and service standards, safe and fair working environments for employees and reduced liability exposure (Risk Management) with decent profits for the owners.

Care Home Business - According to the Bureau of Labor Statistics, 8 of the 20 fastest growing occupations are in the healthcare field. Why work for someone else when you can work for yourself? We specialize in helping and supporting entrepreneurs. If you are looking to get into the care business or stay in the care business we can help. We give you the tools to help ensure Dependent People get great ethical care, the Caregivers enjoy providing the care and the Owners and Directors are able to sustain the care business well.

We are here to supply Caregivers the “how to” tools they need.

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Subscribing Members each have their own personal repository under “My Account Activity” and with one click of a button they can see if any of the documents they have downloaded have been updated. It helps staying in compliance easier.

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KEEP IN COMPLIANCE - We cover all kinds of subjects related to regulatory compliance for care and services for example:

  • Medication Aide & Manager Training
  • Dementia Care Training
  • Facility Manager Training
  • Missing Resident & Elopement Drills
  • Employee Orientation Mandates
  • Admission and Retention Policies
  • Supervisors’ Training
  • Laundry Safety Training
  • Dietary Aide & Dietary Supervisor Training
  • Housekeeping Safety Training

Flex Time Work Arrangements– Most care facilities are legally required to comply with certain basic standards such as providing written proof of: Read more...

Remember Write it Right:
“Not documented, not done” is the rule of thumb when providing care. Forms, written policies, procedures, care documentation, and written proof of training are standard requirements for all care facilities. Better documentation would prevent a lot of facilities from getting sued.

Created by Industry Expert Diane (Downs) Morrow, LNHA, the first teacher of the required California State Residential Care Administrator Certification Program. Diane is a Successful Author, Consultant, Educator, Advocate, Expert Witness, and 20+ year Care Facility Business Owner!

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