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.
REGULATORY COMPLIANCE and CARE STANDARDS
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Care Home Emails & Electronic Media
THE GOOD, THE BAD and THE UGLY
By Diane Morrow, LNHA
Emails can make communications with doctors, nurses,
pharmacies, family members, caseworkers, hospitals, and
placement agencies easy. Fast and easy communication helps
assisted living facilities, nursing homes, and residential care
homes take better care of their residents.
THE GOOD: Better communication always equates to better care. In this modern age emails and smart phones have become an essential part of our lives. Emails are a form of
documentation for example: if you send the physician an email stating the resident fell or has
a urinary tract infection, you have a written record and proof you notified the doctor of the
issue. Keep in mind that just notifying the doctor is not enough. You will need to follow up
with the doctor to find out what is to be done about the fall or urinary tract infection. We
recommend you keep a phone call log and document each phone call you make.
As to "smart phones" smart phones allow the user to take pictures and videos - some even feature uploading to the Internet immediately. The family members, responsible parties,
placement workers and others can email one another about conditions at a facility, sharing
what a great or bad place it is.
Now at anytime someone can video poor care conditions, such as bedsores, or resident behavior problems and immediately share it with the doctors, state licensing and others. They
can also share a fun activity event at the facility showing how much fun everyone is having -
it can go either way. Whatever the way, it's hard to deny video evidence. This ability to
video the problem will improve care and make the care homes more accountable.
THE BAD: emails can contain gossip, untruths, and slander plus once they are mailed, it is impossible to retract them. Disgruntled employees can do some damage to the facility's
reputation using emails or videos. ALSO make sure all your employee understand videos and picture of residents are not allowed to be uploaded to social media without the resident or their responsible party's permission.
THE UGLY: The care home as a business has certain "media" responsibilities. For example you don't want your night staff person to be using your company computer for viewing
pornography, especially when they should have been assisting a resident. You don't want
staff using it to send out Spam emails to sell Viagra... LOL... okay, hopefully that will never
happen, but you never know.
At my facility I did find my staff emailing one another bad-mouthing my administrator, and stating all the bad things they would like to happen to her - which was grounds for dismissal in my book. That is why it is essential to have Cell Phone & Voice Mail and Email & Internet Policies and Procedures.
Referral Agencies – The Paying Truth
By Diane Morrow, LNHA
Referral 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:
Doubling the Fees
- 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.
- 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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||Remember Write it Right:
“Not documented, not done” is the rule of thumb when
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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,
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