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
by Diane Morrow, LNHA
Accepting 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.
Documentation 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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||Remember Write it Right:
“Not documented, not done” is the rule of thumb when
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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
Program. Diane is a Successful Author, Consultant, Educator,
Advocate, Expert Witness, and 20+ year Care Facility Business Owner!
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