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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.


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.

Referral Agencies – The Paying Truth
By Diane Morrow, LNHA

ReferralsReferral 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:

  • 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.
Doubling the Fees - 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

Bug Repellants, Natural Cleaners and Things

EarthThere is no doubt that chemicals do bad things to the earth.  A recent article about Round Up was pretty upsetting. Link: http://www.scientificamerican.com/article/weed-whacking-herbicide-p/

With Earth Day coming this April 22nd why not look at some great alternatives to chemicals that you can make out of common household products and natural substances?

We here at ProvidersWeb have created the list below of homemade remedies to help you deal with common problems that nursing homes, assisted living facilities, residential care homes and community based care providers face.  We hope these suggestions help you to have a more chemical free care facility.


It seems no matter how hard you try to keep them out, flies come into care facilities.  One of the main reasons is that it takes longer for people using walkers and wheelchairs to get in or out of the doors.  Below are some homemade fly deterrents. Read more

ProvidersWebBecome a Paid Member today and get instant access to all 4000+ documents, which include sample admission agreements, forms and staff training tools designed to help reduce your liability exposure and improve your quality care.

Steps to Risk Management

We do risk management because it’s the right thing to do.

In order to establish your own good risk management program, you will need to take many steps, however the first steps are as follows:

RiskLearn About Risk Management

There is good information on the internet about risk management and several good books.  Do the research to help you develop your program.  It is essential to understand that risk management is not effective in businesses that do not think it’s important. 

If you want to reap the benefits of a great risk management program make it part of every weekly meeting, and let everyone that has a stake in the success of the plan contribute.  See Risk Management Programand Risk Management Handbook Table of Contents

Form a Risk Management Committee

To create a program first set up a Risk Management Committee and create standards, identify stakeholders, identify risks, analysis risks, create risk reduction treatment plans, establish policies, procedures, goals, terms, and a mission statement.  The Risk Management Committee will review all aspects of the business to help improve the quality of care and services. One important goal will be to establish a process for continual improvement.  See Risk Management Committee

Our decisions and actions in the present can
greatly influence the future.

Identify Stakeholders

These are the people who have a vested interest such as the residents, staff, visitors and the medical community.  If your risk management program is going to work, everyone must feel comfortable to openly communicate any problems, concerns or issues they feel need addressing.

Identify Risks

There are known risks already discovered for just about every business.  In the care service business, improper care, high staff turnover, and documentation problems are commonly known.  Read ProvidersWeb’s Risk Report and Citations to review common industry risks.  When identifying risks all stakeholders involved should be allowed input.  We have developed an awesome form to help you evaluate risks.  See Identifying the Risks

Be sure to review all currently available accident/incident injury reports and workers compensation reports, conduct reviews and assessments for each department.  Look for trends, errors and potential problem areas.  Once the risks have been identified, then the level of risk needs to be determined.  Some risks are severe, some serious and others are limited risks.  Each risk will have to be analyzed for its importance, cost impact and other considerations.

Create a Risk Reduction Treatment Plan

A strategy plan will need to be developed to avoid, reduce, accept or transfer the risk.  An appropriate response to the risk will need to be developed.  Staff and stakeholders will need to know what his/her role is and have input in developing his/her response.  Processes to reduce the risk will need to be defined in writing to lessen the chance of miscommunication.  See Risk Treatment Plan Form, Risk Reduction Treatment Evaluation, and Risk Preparedness

For more Information see:

Risk Management Benefits
Cost of Insurance

California Fires and Emergency Preparedness Plans

Fire and Disaster Preparedness

Findings and feedbackFires and disasters can happen anywhere.  The recent Butte and Valley fires in California were really destructive, lives and homes were lost.  We here at ProvidersWeb were under mandatory evacuation, so please excuse the delay in getting this newsletter out.  We learned a lot from the fire and would like to share the following:

EVACUATIONS:  When a fire or other type of disaster happens, you may be given 5 minutes or a few hours to evacuate.  Always be ready and when under mandatory evacuation, leave.  Some of the people that refused to evacuate were burned to death. Be sure to lock up and close all the windows and shut down the AC system if there is time to.  Community Care Facilities and Nursing Homes are required to have relocation plans.  Should evacuation be required, all types of care facilities should have real plans for the evacuation and transportation of residents; temporary housing for the residents; money to pay for evacuation expenses; emergency staffing; emergency food and water supplies and so many other things.  See ProvidersWeb’s Emergency Manual for more information.

RELOCATION AND NEWS:  We are grateful to Cal-Fire and all the wonderful firefighters for doing such a great job.  Cal-fire’s website had fire updates twice a day, maps, the list of mandatory evacuation areas, resources and more. We found the latest local updates on the fire, maps and where evacuation resources were on Facebook.  Several local people put up a Facebook pages dedicated to updates on the fire and resources and that was wonderful.  We found the local news, county website, police website, and City government websites to have useful information too.  Read More

Emergency Manual ProvidersWeb offers a comprehensive emergency service manual for all types of care facilities.  For more emergency information click here.


ProvidersWeb.com – Over 27,650 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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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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