Welcome to ProvidersWeb! 30,862 members have joined us! 
Service Standards

Search Forms, Policies & Procedures What's This?



Subscribe and Access All
4,474 Documents

(approx. 1/3 are free)

Compliance Help
Activity Manual
Admissions
Business Essentials
Care Services
Dietary Services
Emergency Services
Forms
Household Maintenance
Medication Manual
Rights, Culture & Beliefs
Staff Management
QARM
Administrator's Monthly Plans
Owner's Monthly Plans
Risk Management
We Get Letters

"I have been involved in Assisted Living and Skilled Nursing Facility Administration for over 30 years. I LOVE your website- the info is easy to use, and comprehensive. I typically write all of my own policies, procedures, forms etc. but since finding and joining Providers Web...I have so much more time to Direct our Operations....We have 7 licensed Homes for the Aged, Assisted Living Homes in the state of Michigan - a total of +/- 700 older persons, many with diagnoses of dementia. Just wanted to say thank you for making this information available, at such a reasonable cost!"

Kathleen Garfield Sharkey
Director of Operations
Heritage Senior Communities

Resources
Care Giver's Ethics
Parent Care
Care Facility Dictionary
Providers Showcase
FAQs
State Pages
Company Info
Expert Witness
 
Can't find what you need? Let us know. Contact us.
Caring is a Form of Love

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.

IconREGULATORY 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.

Who is Responsible for the Deaths of the 8 Residents of Hollywood Hills???
By Diane Morrow, LNHA

tombstones The Nursing Home?

The Power Company?

The State of Florida?

The City of Hollywood Florida?

THE NURSING HOME? Most news reporters clearly blame the facility. They say once it got too hot for the residents (like over 84 degrees), the facility should have asked for assistance and transferred the residents out.

What is the required temperature for a nursing home? The law that the Center for MediCare/MediCaid Services (CMS) enforces states:

  • §483.73 (b) (1) (ii) Alternate sources of energy to maintain - Temperatures to protect resident health and safety and for the safe and sanitary storage of provisions;
  • §483.15(h) (6) Comfortable and safe temperature levels. Facilities initially certified after October 1, 1990 must maintain a temperature range of 71 - 81° F.

In Florida the State law states:

MINIMUM STANDARDS FOR NURSING HOMES Florida

  • (f) Comfortable and safe temperature levels;

The 2007 Florida CMS Inspection Checklist only asks:

  • Does the facility have power? If not, do the residents have a source of light (e.g., lamps on a generator or handheld flashlights)?

One could arguably state that 84 degrees is still a safe temperature level, whereas, I think most people would agree over 90 degrees is too hot for residents with frail health.

One thing to consider is that the Nursing Home Administrator (NHA) and Director of Nursing (DON) most likely delayed transferring everyone out due to being concerned with transfer trauma and finding an appropriate place for everyone.

Usually, it is better for the residents to shelter in place unless unsafe to do so. Transferring a person that is dependent on others for care is far more challenging that transferring someone that doesnâ??t have any health issues. Each resident has a person-centered plan of care which must be satisfied and therefore the receiving facility must be able to meet the residentâ??s needs. If the resident gets confused or their behavior drastically changes due to moving them, then extra help will be needed so that must be considered and factored in.

From my own personal experience of transferring people out at various types of nursing homes and community care homes I assure you there are always residents that are very difficult to place. Plus, I have seen a few cases where transfer trauma was a primary contributor to the residentâ??s death.

PowerlinesTHE POWER COMPANY? The power company said they were coming to restore the power and the facility called them multiple times when they didnâ??t show up. They finally showed up the next day around the time the residents were dying from heat exhaustion. Was the power company at fault for not making their appointment and not the nursing home a higher priority?

READ MORE

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

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.

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

 

ProvidersWeb.com – Over 30,850 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.

All Books

Subscribing Members each have their own personal repository under “My Account Activity” and with one click of a button they can see if any of the documents they have downloaded have been updated. It helps staying in compliance easier.

"Elderly Woman Care Giving

Free and Paid Posters

We believe caring is more than a job – it is a life path. To help our members along this caring path, we have an abundance of free and paid subscriber’s inspirational posters.

For more: Click Here

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!

Get Adobe ReaderProvidersWeb documents are published in Portable Document Format (PDF). To view, print or save our documents, you must have a current version of Adobe Reader, which is available at no charge.

Become a member NOW!

ProvidersWeb is an International Membership Association

Verisign PayPal
 
   
Contact Us | Terms & Conditions | Privacy Policy Copyright © 2004-2017 ProvidersWeb. Site by webdancers