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.
Assisted Living & Residential Care News
Basic Standards of Protective Supervision
by Diane Morrow, LNHA
There is not a good definition on the internet for the current health care industry’s use of the term “protective supervision.” However, every licensed “care” facility provides some degree of “protective supervision”.
“Protective Supervision” in the “care” industry means observing people with various levels of care and supervision needs and intervening where necessary so they don’t hurt themselves.
Vulnerable children, mentally or physically impaired adults and seniors can all have a need for some degree of protective supervision. In the care industry, protective supervision means preventing a resident injuring his or her self or things like reducing the risk or preventing:
- a resident from falling;
- from wandering away;
- from ingesting something harmful;
- from walking into traffic, or turning on a stove etc...
If a care facility fails to protect a resident, under both state and federal health care & social service laws the licensing agency can issue a citation for “failure to protect from harm” or ‘failure to provide a safe environment.” Under the Civil Rights of Institutionalized Persons Act (CRIPA), the DOJ has the authority to seek a remedy for a pattern or practice of conduct that violates the constitutional or federal rights of residents who live in institutions. Read more
What Kind of Person Are You Caring For?
by Diane Morrow, LNHA
I cannot stress enough the importance of properly screening potential residents or clients. If you don’t know much about a person, how do you know if you can take care of them? You wouldn’t want someone to get hurt because you didn’t understand the resident, client, or family member could wander away, or be sexually inappropriate, or die from a bedsore. Without proper assessment you don’t know what you are in for.
As a Consultant, I would venture to say at least 75% of the lawsuits I have been involved with could have been prevented by proper pre-screening assessment.
Stop, and take time to evaluate. I know how busy working in a care facility can be. There can be a ton of things to do, but take the time, no matter how many hours it takes, and ask the questions that need to be asked. Write down the responses. I also know how rushed you can be when caring for many people at once.
However, ASSESSMENT is the key to successfully maintaining quality care and stay out of the courthouse. In this day and age of “get rich by suing” caregivers and care facilities need to make sure they can properly take care of the people they accept for care. Read More
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||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.
by Industry Expert Diane (Downs) Morrow,
LNHA, the first teacher of the
required California State Residential Care Administrator Certification
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