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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.

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Falls in Home and Community Based Care Facilities
By Diane Morrow, LNHA

FallenAs much as we don’t want our residents to fall, according to the Center for Disease Control (CDC) one out of every three seniors will fall each year and falls are the leading cause of fatal and non-fatal injuries amongst the elderly. Falls also happen frequently at homes and programs for the developmentally disabled and mentally ill.

Falls can happen for a variety of reasons and it is the job of the doctor and/or home health to figure out why someone is falling and what can be done about it.

Home and Community Based Fall Care Standards
The standard of care for residential care, community care and assisted living facilities pertaining to falls dictates that:

  1. the resident’s physician each time the resident falls and document that notification. The doctor has ultimate authority over the resident’s medical care;
  2. the facility is to notify the responsible party each time the resident falls and document that notification;
  3. document and track all falls in the residents record;
  4. increase overall supervision and exercise for the resident;
  5. request medical professionals to conduct assessments to determine causes of the fall(s) and design intervention plans;
  6. provide a fall safe environment;
  7. upgrade the care plan as needed with the responsible party and medical providers to meet the resident’s specific fall prevention and care needs;
  8. train the staff to carry out the care plan and updated care plans.

Typical interventions prescribed or recommended by the doctor include but are not limited to using low beds; hip protectors; landing pads; postural supports, alarms and utilizing Home Health’s Nursing and Physical Therapy to medical care services, provide staff training, gait balance and strengthening exercises.

With elderly care if the Resident/Responsible Party wants to privately pay for one-on-one supervision from a Private Duty Caregiver/Sitter to prevent falls they can do so. In Homes for the developmentally disabled usually the one-on-one supervision has to be approved by the regional center or funding agency.

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

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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.

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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
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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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