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Forms > 03 Business Essentials (171 docs)

03 Business Essentials (171 docs)

Free Forms, caregiving nursing forms, policies, Licensing, Training, Management, Elder Care, Assisted Living, Alzheimer's, ALF

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Documents in 03 Business Essentials (171 docs) (173)

A form used in community based care homes and various types of assisted living facilities to report accidents, incidents, and/or injury to an employee. Accident Incident Injury Report Form - Employee
This great form is used by various types of community based care facilities to report an accident, incident, and/or injury to a resident. This detailed form takes the care provider step-by-step through essential information needed when this type of occurrence takes place.  This form also contains recheck information.  

If the accident, incident or injury causes a legal action to be filed, then the information on this form could be very instrumental in showing the steps the care provider took after the event to ensure for the resident's well being. Accident Incident Injury Report Form - Resident Community Care Homes Assisted Living
Form used to document details of an accident and/or incident involving a resident residing in a community based care facility. Accident Incident Investigation Report
Form used to plan and review Administrative Goals in a Care Facility. Administration Goals for Community Based Care Businesses and Nursing Homes
A great list of examples of times you would want to contact the administrator of a care facility after hours. This is great to distribute to employees to clarify necessary after hour contact. Also included is a link to a communication note to be used by employees as an alternative to directly notifying the administrator about minor incidents. 

Excerpt:
It is our policy that the Administrator be notified when a significant event occurs, such as an incident, accident, and/or injury to a resident or staff member after hours or on weekends.

The following are considered significant events:..... Administrator After Hours/Weekends
Administrator's Business Administration Check Up - for residential care homes and assisted living facilities.  This document is a list of administration areas to be checked and reviewed by facility administration. Helpful document for all types of homes for the elderly, mentally ill and developmentally disabled. 

Excerpt:
Below is a list of linked documents to help administrators review their business administration practices: Administrator's Residential Care Business Administration Check Up and Review
Form used to prepare balance sheet for licensing process. Balance Sheet Form
This document can be used to display the prices of various services available to the residents. Beauty Salon Price List
A calendar to track the due dates of bills received. Every care business administrator should know when the bills are due, this form is a written copy of when the bills are due in a month's period of time. Bills Due Calendar
Form used to prepare budget for licensing purposes. Budget Information Form
It is very important to set goals for your community-based care business, this form is used to help you plan your business goals. Business Department Goals & Plans
This form is designed to be part of the assisted living facility or residential care home's Emergency Fire and Disaster Plan.  It covers essential emergency contact information, and other important business information that should be used during an emergency. Business Emergency Plan Information
Audit of the business office of a care facility. Business Quality Assurance Audit
Suggested time frame to retain business records. Business Retention Schedule
This form is used by Licensing Program Anaysists CA DSS CCL Facility Inspection Check List
A check off list of Care Facility Administrator's Check Off List - as needed Audits
A check off list of daily duties performed by the Administrator. Care Facility Administrator's Check Off List - Daily
A check off list of basic standard monthly duties a Care Home Facility Administrator can follow. Group Homes, Skilled Nursing Facilities and all types of community based care businesses. Care Facility Administrator's Check Off List - Monthly
A check off list of basic standard duties often performed by the care facility Administrator on a quarterly basis. Used in residential care, assisted living and other types of community based care businesses. Care Facility Administrator's Check Off List - Quarterly
A check off list of suggested weekly duties performed by the Administrator of a care facility.  Depending on the size of the business will depend on how frequently these duties will be performed. Care Facility Administrator's Check Off List - Weekly
This form is designed to help administrators of residential care and assisted living facilities track the various fall in their facilities, which can help them see if there are any patterns or trends, or other information that can help them reduce residents falls. Care Facility Administrator's Fall Tracking Record - Community and Residential Care
A free check of the care facility's policies and procedures, which contains a list of topics for the Administrator or Facility Manager to review, check and update for quality assurance and risk management purposes.  The areas to review in April are Rights, Cultures and Beliefs. Care Facility Administrator's Monthly Plan - April QA-RM
A free list of forms, check lists, audits, policies, procedures and topics for the Administrator or Facility Manager working at an assisted living or residential care home to review, check and update for quality assurance and risk management purposes.  The special area to review in December is Household Maintenance. Care Facility Administrator's Monthly Plan - December QA-RM
A free check of the care facility's policies and procedures, which contains a list of topics for the Administrator or Facility Manager to review, check and update for quality assurance and risk management purposes.  The area to review in February is Staff Management. Care Facility Administrator's Monthly Plan - February QA-RM
A free check of the care facility's policies and procedures, which contains a list of topics for the Administrator or Facility Manager to review, check and update for quality assurance and risk management purposes.  The areas to review in January are Emergency Services. Care Facility Administrator's Monthly Plan - January QA-RM
A free review of the care facility's policies and procedures, which contains a list of topics for the Administrator or Facility Manager to check and update for quality assurance and risk management purposes.  The areas to review in July are Emergency Services. Care Facility Administrator's Monthly Plan - July QA-RM Care Facility Administration
This quality assurance and risk management review is designed to assist the care facility administrator to review essential audits, checklists, reports, policies and procedures.  The areas to review in June are Household Maintenance and Fall Prevention.   Household Maintenance includes: Auto Safety Procedures
Auto Accident Procedures, Monthly Auto Safety Check, Monthly Maintenance Check and Service, Housekeeping Laundry Procedures, Housekeeping Responsibilities, Housekeeping Safety, Fall Prevention includes: Preventing Falls, Falls and Injuries Procedures, Fall Prevention and Safety Check Off List
Administrator's Fall Tracking Record, Resident Fall Tracking Record and other additional documents and forms. Care Facility Administrator's Monthly Plan - June QA-RM
A free check of the assisted living or care facility's policies and procedures, which contains a suggested list of topics for the Administrator or Facility Manager to review, check and update for quality assurance and risk management purposes.  The area to review in March is Care Services. Care Facility Administrator's Monthly Plan - March QA-RM
This free suggested risk management plan is designed to help administrators manage the various areas of the facility.  It includes sample policies and procedures, audits, checklists and more. This list of topics for the Administrator or Facility Manager to review, check and update - help the facility keep in compliance using quality assurance and risk management practices.  The areas to review in May are Dietary and Medications. Care Facility Administrator's Monthly Plan - May QA-RM
A free check of the care facilities policies and procedures, which contains a list of topics for the Administrator or Facility Manager to review, check and update for quality assurance and risk management purposes.  The areas to review in November are Dietary and Medications. Care Facility Administrator's Monthly Plan - November QA-RM
A free check of the care facility's policies and procedures, which contains a list of topics for the Administrator or Facility Manager to review, check and update for quality assurance and risk management purposes.  The areas to review in October are Rights, Cultures and Beliefs. Care Facility Administrator's Monthly Plan - October QA-RM
A free check of the care facility's policies and procedures, which contains a list of topics for the Administrator or Facility Manager to review, check and update for quality assurance and risk management purposes.  The area to review in September is Care Services. Care Facility Administrator's Monthly Plan - September QA-RM
Each administrator responsible for the well-being of residents and staff.  Each administrator should check the care businesses' policies, procedures, training programs, forms and more to help ensure compliance.

This free form is a check of the care facility's policies and procedures, which contains a list of topics for the Administrator or Facility Manager to review, check and update for quality assurance and risk management purposes.  The areas to review in August are Staff Management. Care Facility Administrator's Monthly Risk Management & QA Plan - August QA-RM
List of topics for the facility owner or committee to review, check and update for quality assurance and risk management purposes.  This is a sample of the audit form that may be used. Care Facility Owner's Monthly Plan
A free check of the care facility's policies and procedures, which contains a list of topics for the facility owner or committee to review, check and update for quality assurance and risk management purposes.  The areas to review in April are Emergency Services and Staff Management. Care Facility Owner's Monthly Plan - April QA-RM
This wonderful free document provides a list of topics, check lists, audits, documents, policies, procedures and forms for the residential care facility, assisted living community, or adult residential facility owner or committee to review, check and update for quality assurance and risk management purposes.  The area to review in December is Care Services. Care Facility Owner's Monthly Plan - December QA-RM
A free check of the care facility's policies and procedures, which contains a list of topics for the facility owner or committee to review, check and update for quality assurance and risk management purposes.  The areas to review in February are Business Operations and Medications. Care Facility Owner's Monthly Plan - February QA-RM
A free check of the care facility's policies and procedures, which contains a list of topics for the facility owner or committee to review, check and update for quality assurance and risk management purposes.  The areas to review in January are Rights, Cultures and Beliefs. Care Facility Owner's Monthly Plan - January QA-RM
A free review of the care facility's policies and procedures, which contains a list of topics for the facility owner or committee to check and update for quality assurance and risk management purposes.  The areas to review in July are Rights, Cultures and Beliefs. Care Facility Owner's Monthly Plan - July QA-RM Facility Administration
The quality assurance and risk management audit is designed to help care facility Owners and Executive Directors check up on their administrators.  It includes a review of essential care service areas including: Bedridden Audit,
State Care Service Regulations Review, Facility Manager Check List, 
Jobs Not Done and Refusals, Resident's Incident Follow Up Report, 
Resident's Complaint or Concern Form and Resident's Health Concern Form
Appraisal Needs and Service Plan (Form), Resident Vital Signs Record, 
Care and Service Schedule, Resident Care Service Notes and Routine Care Notes, plus additional information.
Levels of Care Assessment Form
Care Service Plan Record
Care Service Quality Assurance Check
Care Service Department Goals and Plans
Updating Care and Complete Care Plan)

Other Audits & Review Areas:
Owner's Review - Incident Tracking Report
Quarterly Elopement Drill
Wandering, Elopement or Missing Resident Procedures Care Facility Owner's Monthly Plan - June QA-RM
A free check of the assisted living or care facility's policies and procedures, which contains a suggested list of topics for the facility owner or committee to review, check and update for quality assurance and risk management purposes.  The areas to review in March are Maintenance, Public Safety, Housekeeping and Dietary Services. Care Facility Owner's Monthly Plan - March QA-RM
A free check of the care facilities policies and procedures, which contains a list of topics for the care facility owner or committee to review, check and update for quality assurance and risk management purposes.  The area to review in May is Staff Management. Care Facility Owner's Monthly Plan - May QA-RM
A free check of the care facilities policies and procedures, which contains a list of topics for the facility owner or committee to review, check and update for quality assurance and risk management purposes.  The areas to review in November are Staff Management. Care Facility Owner's Monthly Plan - November QA-RM
A free check of the care facility's policies and procedures, which contains a list of topics for the facility owner or committee to review, check and update for quality assurance and risk management purposes.  The areas to review in October are Activities and Admissions. Care Facility Owner's Monthly Plan - October QA-RM
A great check off list for Owners to help keep their facility in compliance and updated for quality assurance and risk management purposes.  

The areas to review in September are Emergency Services, Maintenance, Public Safety, and Laundry.  

Excerpt:
Review and update the following areas:
Accident, Incident and Injury Report Forms
Emergency Procedures
Fire Prevention and Safety Procedures
Emergency Care Guidelines
Personal Safety in Emergencies 
Emergency Disaster Plan
Wandering or Missing Resident Procedures
Resident Fire Safety Rules and Policies  ... Care Facility Owner's Monthly Plan - September QA-RM
This free quality assurance risk management monthly audit form is designed to assist assisted living facilities, nursing homes and residential care homes in reviewing policies, procedures, training programs and more.

It contains a list of topics for the facility owner or committee to review, check and update for quality assurance and risk management purposes.  The areas to review in August are Medications and Dietary Services. Care Facility Owner's Monthly Risk Management & QA Plan - August QA-RM
Report used to track complaints and concerns by the owner/committee. Care Facility Owner's Review - Complaint Tracking Report
Tracking form for owners review of falls in the facility. Used by administrators, facility managers, and caregivers in assisted living, residential care and community based care homes. Care Facility Owner's Review - Fall Tracking Report
Form used for tracking resident incidents in community care facilities. Care Facility Owner's Review - Incident Tracking Report
Tracking form for residential care and assisted living facility management; this form help to review residents' infections over a one year time period at the facility. Care Facility Owner's Review - Infection Tracking Report
Form for tracking medication errors in the owners review of Quality Assurance and Risk Management (QA-RM) Program. Care Facility Owner's Review - Medication Tracking Report
A free form used to verify that all audits and reviews were completed for the year. Care Facility Owner's Year End QA-RM Review
This Care Facility Resident Retention Review Form is used to compute the residents' average length of stay at a residential care facility, skilled nuring facility, assisted living community or any other type of community based care facility. Care Facility Resident Retention Review Form
A great form for helping to ensure your care facility business is employing people following the letter of the law.  This two page form contains the basic record standards for a care facility to comply with for care home employees. 

Excerpt:
Is there a current copy of his/her First Aid Training card on file? (see First Aid)

If CPR Training is required is there a current copy of his/her card on file?

Are Licenses and/or Training Certificates on file (i.e. Certified Nurses Aide) for the positions held by the employee? Care Facility Staff Records Review Form
An audit to be performed by the Committee and/or Owner of a Residential Care Facility or Adult Assisted Living Facility to make sure their care service documentation meets state and federal laws and regulations. Care Service Documentation Audit
This form is used by the Administrator and/or Owner of a care facility to check with the resident's regarding the quality of care he/she receives.  

Excerpt:
If yes, what do you like about the care you receive?

If no, what can we do to improve the quality of care you receive? Care Service Quality Assurance Check
Form for resident to complete with setting up goals of where they want to be in life.

Excerpt:
Who has a negative effect in my life?

Who taps my resources and how are they repaying me?

Who can help me achieve my goals? Choosing to Choose
A suggested check off list of yearly duties performed by the Administrator.  Basic standards for residential care, assisted living, group homes, nursing homes, and other community based care communities. Community Care Facility and Nursing Home Administrator's Check Off List - Yearly
List of community contacts for Developmentally Disabled care homes. Community Contacts Worksheet - Developmentally Disabled
List of community contacts for Children & Teen care homes. Community Contacts Worksheet - Group Homes
List of community contacts for Mentally Ill care homes. Community Contacts Worksheet - Mentally Ill
A survey which is completed by a residents family member or responsible party, volunteers, church groups, health care professionals, etc. to let the owner determine how well they are doing and if there are any problems that need to be corrected. Community Quality Services Survey
This form was developed to take minutes during a community meeting to set goals and make plans. Community Vision
Form used to conduct and in-house investigation of a complaint.  This document is useful for all residential care, assisted living and nursing homes administrators. Complaint Investigation Report - For Care Facility In-House Complaint Investigation
The Complaint Log is a form used to document and track complaints from residents and staff from beginning date to resolution. Complaint Log
This form is used when filing a discrimination or harassment claim. Designed for various types of community based care businesses. Complaint of Discrimination/Harassment Form
Form completed and signed by staff and residents of a facility regarding the use of it's computers. Computer Use Agreement
Form used to keep accurate records of Consultant and Service Contractors used by the facility. Consultant and Service Contractors
An audit for the Administrator of a Residential Care Facility or Adult Assisted Living Facility to perform to check the competency of the facilities Certified Personal Care Aides and/or Care Attendants to do their jobs properly. CPCA & Care Attendant Competency Assessment
This form is for documenting statements from employees, such as resolving conflicts or during investigations. Declaration Statement
A form used to designate the responsible person for the facility licensing process. Designation of Facility Responsibility
An audit to be performed by the Administrator or Owner to assist them in following proper policies and procedures in the Dietary Department to help make sure their food service meets state and federal laws and regulations. Great form for community based care facilities, assisted living and residential care homes. Dietary Service Monthly Audit
Form used to document, the release of PCBI and RMCI information, including the method of release, reason, date, and person of authority information was released to. Disclosure PCBI and Risk Management Record
As a part of Quality Assurance and Risk Management, an audit of the employee's dress code should be performed. This is a great form to be used to thoroughly assess employee appearance and compliance. Dress Code Audit
Very simple basic Emergency Disaster Plan Form, that may be used in some states as an Emergency Disaster plan.  Full emergency plans encompass more than what can be written on this simple form.  Please see the Table of Contents for the Emergency Service Manual for additional emergency and disaster documents. Emergency Disaster Plan Form
An evaluation form for a care facility to check the staff knowledge of the procedures to follow when sending a resident out of the facility in an emergency. The form is good for most all types of residential care and community care facilities. Emergency Transfer Procedure Skills Evaluation
Promissory Note for loans made to employee's. Employee Note
Form used to document employee's general complaints or concerns. Employee's Complaint or Concern Form
Government form used to verify an employee's eligibility to work in this country. Employment Eligibility Verification Form (I-9)
Audit used to test exempt employee status and make sure they meet the legal requirements for exempt status. For home and community based service care facilities and businesses.  Caregiver Wages, Salaried Employee Wages. Exempt Employee Audit
Form to draw facility floor plan for licensing purposes. Facility Sketch
A form used by care facilities to audit and review Fire Equipment and Safety. Fire Equipment and Safety Review
A helpful form which is used as an agreement for scheduling flexible work-time arrangement week(s), covers an entire month. Flexible Work - Time Arrangement - One Month Agreement
Government form used to obtain an employer identification number. Form SS-4
Government form for employee's to complete which includes their filing status and number of exemptions claimed. Form W-4
Government form to be used for independent contractors  which includes their social security number or employer identification number. Form W-9
Can you pass this free test for care providers?  Take our challenge:  If you can answer these questions to this self-test, then you are one of the smartest care providers around and we are sure that your business is a success.  

If you don't know most of the answers - then you might want to become a subscribing member of ProvidersWeb, we are here to help you be a success. Free Assisted Living Management Test
Form with questions for teens to answer and a staff members response. Group Home Staff Prepared Responses
A form used to list phone numbers that will be used in small care homes. House Service Providers
A form used to track communication and phone calls regarding incidents that concern the care business or care facility in general. Incident Call and Communication Log - Company
A form used by a Care Facility or Care Business to track communication and phone calls regarding accidents, incidents and/or injuries that concern a resident. Incident Call and Communication Log - Resident
Independent Contractor Agreement Form. Independent Contractor Agreement
Independent Contractor Agreement sample to show how the form should be completed. Independent Contractor Agreement (Sample)
A thorough form covering payment, schedules, services to be performed, contractor tax identification number, etc. when using an Independent Contractor in your organization. Independent Contractor Questionnaire
Form used to track individual customers contacted. Individual Tracking Form
A report used to report information to various state agencies. Information Report
Form used to keep track of the facility's inventory. Inventory Form
The document is a list of linked investigation forms and documents to assist care facility personnel in conducting investigations. Investigation Report Forms and Documents for Care Facilities
Description of job duties and responsibilities of an Administrator in a care facility. 

Excerpt:
Purpose of this Position:
 -To Job Description - Facility Administrator
When and how to issue late notices to your residents or responsible parties. Late Notices
A checklist and links to documents focusing on legal items that may be used in the residential care facility business. 

Excerpt:
 At Will Employment - Make certain your employment agreements and any employee handbooks specify employment is Legal Employment Checklist for Business
Sample of a letter of recommendation for a former employee. Letter of Recommendation - Sample
Guidelines for the preparation of business letters. Letter Preparations Guidelines
Form to list any risks at the care facility that may be limited or minimal. List of Limited and Minimal Risks
Form to list any risks at the care facility that may be severe or serious. List of Severe and Serious Risks
An estimate of how much capital may be needed to start your own business in this industry. List of Start-up Costs Estimate
A checklist designed to help you market your care business, care facility, care community or care home. Marketing Review
Form used to tally the number of responses received from various advertising sources. For home and community based care businesses, nursing homes and various types of assisted care facilities. Marketing Summary Form
Medical Exam Form for Commercial Drivers Medical Exam Form for Commercial Drivers
A form used by a Residential Care Facility, Adult Day Care, or Adult Assisted Living Facility to assess by observation and oral questions the Medication Aide's abilities and competency to complete the assigned tasks, signed by the evaluator. Medication Aide Competency Assessment
A form used to lists all bills due each month. Monthly Master Bill List
Form to prepare the Monthly Operating Statement for licensing purposes. Monthly Operating Statement
Form used to document high priority tasks, due date, contact info, and date done. Monthly Tickler Form A - High Priority
Form used to track bills to be paid. Monthly Tickler Form B - Bills
Form used to document pending jobs/tasks that still need to be completed. Monthly Tickler Form C - Pending
Form used to document jobs to be performed, what needs to be done, how it will be done and date task was completed. Monthly Tickler Job Duties
This form should be completed for all new employees of a care facility for the business office records, which will allow them to complete all required documentation for state and federal regulations, payroll, etc. New Employee Record Form - for Care Businesses
This form was developed with questions to think about when planning goals for community based care homes, nursing homes and residential care businesses. New Year Plan Form
Notification of Rate Increases and Service Rates for RCFEs, ALFs, ARFs

This is a form used to notify the resident, responsible party and/or public about the facility's rates and service fees, plus an rate increase percentages. Notification of Rate Increases and Service Rates for RCFEs, ALFs, ARFs
Agreement used between employee and employer regarding payment for meal time worked. On-Duty Meal Period Agreement
A sample of what your mission statement might look like for your facility. Our Mission - Facility Sample
This form is used for approval of overtime. Overtime Consent Form
This form notifies the employee of normal pay days. Pay Day Notice
Authorization the employee uses to have deductions made from their paychecks. Payroll Deduction Authorization
Form used to conduct a personal interview with staff, residents or visitors during risk management investigations. ALF, RCF, GH, RCFE, CCF Personal Interview Form
Form to keep track of petty cash for administrative, maintenance, and activities. Petty Cash Report
A form used to help plan for a funeral. Planning a Funeral Form
The best of ProvidersWeb's Surveys and Questionnaires in an eBook.  ISBN 1-889226-26-2 ProvidersWeb's "14 Surveys and Questionnaires" eBook - ISBN 1-889226-26-2
The best of ProvidersWeb's Check Lists, Audits, and Inspections in an eBook.  ISBN 1-889226-30-0 ProvidersWeb's "Check Lists, Audits, and Inspections" eBook - ISBN 1-889226-30-0
The best of ProvidersWeb's Quality Assurance Forms and Documents in an eBook.  ISBN 1-889226-28-9 ProvidersWeb's "Quality Assurance" Forms and Documents eBook - ISBN 1-889226-28-9
The best of ProvidersWeb's Report Forms in eBook form.  ISBN 1-889226-25-4 ProvidersWeb's "Report" Forms eBook - ISBN 1-889226-25-4
Are you marketing your care facility or care business correctly? Are you keeping your beds full?  This audit will give pointers and good information for marketing.  This document is a useful tool for all types of care facilities. Publicity Audit - Marketing Assisted Living and Residential Care Services
A form used to order and purchase goods from a vendor. Purchase Order
A form used by various departments for requesting goods to be purchased. Purchase Requisition
A form used to review and question homes for the Developmentally Disabled before placement. Although it is designed to help Consumers find a quality care facility, it is also useful for facilities to review their own business from the eyes of the Consumer. QA Home Review - Developmentally Disabled
Form to document QARM goals on a monthly basis. QA-RM Goals
Month by month list of basic quality assurance risk management QA-RM Yearly Management Plan
A resident survey used to check quality assurance of the activities program. Quality Assurance Activities Program - ARF (Resident Survey)
A resident survey used to check quality assurance of the activities program. Quality Assurance Activities Program - GH (Resident Survey)
This form is designed to be a tool to explain to residents and responsible parties of the facility's types of rate increases.  It is used as an addendum to the admission agreement. ALF, RCFE, ARF, RCF Rate Increase Agreement - Addendum - For Community Care Facilities
A sample letter for increasing the resident's board and care rate. Rate Increase Letter - Sample
Form for the Administrator to complete to track facility infections among the residents. Residential Care Homes, Assisted Living Facilities tracking record of infections. RCF ALF Administrator's Facility Infection Record
A form used to keep track of resident's residing in the facility on a daily basis for the month. Resident Census for Assisted Living Communities and Residential Care Homes
Form used to keep track of individual resident's reimbursable expenses incurred during the month for billing purposes. Resident Expenses Form
Form used by the owner/committee to follow-up on resident incidents in care facilities and nursing homes. Resident Incident Analysis
A form used by a Residential or Community Care Facility to follow-up on any unusual incidents, accidents, or even wandering away which involves a resident of the residental care facility. Useful tool for care staff. Resident Incident Follow Up Report for Care Facilities and Care Businesses
Resident Inquiry Form - this form is used to track a potential resident admission, and to check on your marketing program's effectiveness. Resident Inquiry Form
A list of the resident's room numbers. Resident Room List
A form used to keep track of each resident's room rate and level of care for monthly billing purposes. Resident Room Rate List
A form used to keep track of the resident's transportation for billing purposes. Resident Transportation Form
A form used by a residential care facility to list the resident's personal property valued at $25 or less, such as clothing. Resident's Clothing and Property List
Form used to document resident's general complaints or concerns from residents living at a community care facility or in an assisted living community. Resident's Complaint or Concern Form for Community Care Facilities
Form used to document resident's health concerns. Resident's Health Concern Form
A form used to audit the resident's cash in safekeeping. Used in assisted living facilities and all types of community based care homes. Resident's Safeguarded Cash Audit
A form used to document a resident's cash form in the care facility's possession. Used in all types of community based care homes. Resident's Safeguarded Cash Record Form
This form is used in a care facility to review and audit that the rights, culture and beliefs of the resident's are not being violated and are protected. Rights, Culture and Beliefs Facility Service Review
This form is used to document the follow-up taken when there has been an accident, incident, or injury in a care facility. Risk Management Follow-Up Analysis
Form used as minutes for a committee meeting in risk management. Risk Management Meeting Report
A form used to evaluate risks and brainstorm solutions. Risk Reduction Treatment Evaluation
Form used to make a plan regarding a potential risk to the care facility. Risk Treatment Plan Form
A form used to list a resident's personal property valued over $25, accounting for safeguarding property in a community care facility. Safeguarded Property List
Why should you care about making the staff happy?  Use this Staff Happiness Review to help you maintain a happy environment in your home that is well balanced. Staff Happiness Review
A list of staff members with their home phone numbers in case of emergency. Staff Phone List
This form is used to schedule and document work days and time off for staff of the facility. Staff Schedule Form
A form used to track the rate of staff turnover. Staff Turnover Report
A contract between the facility and an independent contractor who teaches the residents a class, such as computer skills, crafts, sewing, writing, etc. Teacher's Contract
A log used to keep track of any theft and/or loss in the facility. Theft and Loss Log
A form that should be signed upon admission as an acknowledgment of the Theft and Loss Policies for community care facilities. Theft and Loss Policies (Form)
Form used to help organize your thoughts and put them in visual format. Thinking Outline
A pre-made and clear time card used to document the hours an employee has worked. Time Card (Form)
A form used to outline the timetable of an investigation in an accident or incidence regarding a resident or employee. For all types of care facilities and care businesses. Timetable of Investigation
Travel Log used to document business travel expenses. Travel Log
Agreement between employee and employer regarding deductions from pay for rent/accommodations and/or meals. Voluntary Rent/Meal Deduction Agreement
 
   
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