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.
REGULATORY COMPLIANCE and CARE STANDARDS
Since 2004 ProvidersWeb has been delivering "best practice" information to assist care providers with Regulatory Compliance and meeting Care Standards for the community based care industry.
Bedsores — The Ugly Truth
By Diane Morrow, LNHA
The ugly truth is decubitus, pressure sores, also called bedsores or ulcers, are continuing to be a problem for residents residing in the various types of care facilities. Bedsores are usually preventable.
The even uglier truth is that research has found that if a person with a bedsore has other complications like pneumonia, septicemia or urinary tract infections, they have a 1 in 8 chance of dying. If they are admitted to the hospital mainly for a pressure sore, with no other complications, they have a 1 in 25 chance of dying.
The sad part is that if good care standards are followed, in most cases the pressure sores can be prevented in the first place. It does not take much to prevent a pressure sore compared to how much care it takes to try to heal one.
One of my first assignments as an administrator-in-training at a skilled nursing home was to measure and document the size changes of several pressure sores. I watched the sores either get better, or become worse. If they became a lot worse, the doctor would perform surgical debridement of the wound, which means the dead and infected tissue would be removed, and the wound cleaned. The open wound area would become larger due to the surgery. All the while, the resident would have terrible pain.
Referral Agencies – The Paying Truth
By Diane Morrow, LNHA
Referral agencies have been around a long time. Unfortunately there are referral agencies that take advantage of providers and sometimes the consumers (persons to be placed) for the love of money.
So what is the low down on referral agencies? There are basically two main types of referral agencies. The for-profit type usually deals with private pay elderly care placements, and the other type is usually ran by a non-profit or state agency and deals with consumers on government funds.
The problems associated with the For-Profit agencies can include but are not limited to:
Doubling the Fees
- Not Knowing Enough About The Consumer’s Health Condition to help find proper placement.
- Not Knowing Enough About The Care Facility they are sending the consumer to; the referral agency could easily send someone to a care facility that provides sub-standard care.
- Referring Only To The Care Facilities That Pay Large Referral Fees; and referring to the care facilities that pay them the fastest. Often times the fee is the first month’s rent or a large portion thereof which is around $1500 to $5000.
- Once a referral is made and the resident is placed, checking up on the resident to see if they are happy and if not they quickly assist them into moving to another facility, so they can earn another referral fee. Read More
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||Remember Write it Right:
“Not documented, not done” is the rule of thumb when
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by Industry Expert Diane (Downs) Morrow,
LNHA, the first teacher of the
required California State Residential Care Administrator Certification
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