An Assisted Living Policy and Procedure Manual typically includes comprehensive guidelines for the operation and management of assisted living facilities. It outlines specific requirements for resident care, staff responsibilities, regulatory compliance, and operational procedures to ensure high-quality care and services for residents in a supportive living environment.
WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
ASSISTED LIVING POLICY AND PROCEDURE MANUAL
Discover the Assisted Living Policy and Procedure Manual from Waiver Consulting Group. Tailored for assisted living facilities in all states, our manual ensures safety and care for residents, visitors, and staff. Aligned with CARF standards and where required, specific State’s regulations, it's your comprehensive guide for excellence in care. Sample File C HANGES T ABLE OF C ONTENTS - TJC S TANDARDS T ABLE OF C ONTENTS - CARF R EGULATIONS
C OPYRIGHT D ISCLAIMER I NTRODUCTION
Section 01 - Emergency Management
AL1001 - Emergency Management Program (EMP) AL1002 - Emergency Operations Plan (EOP) AL1003 - Hazard Vulnerability Analysis (HVA)
AL1004 - Communication Plan During an Emergency/Disaster AL1005 - Resident Roster and Emergency Contact Information AL1006 - Resident Emergency Roster Form AL1007 - Insert your Facility Diagram
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL1008 - Evacuation AL1009 - Emergency Numbers List AL1010 - General Staff Training AL1011 - Emergency Management Training Record Form AL1012 - Electrical Power - Failure AL1013 - Water Distribution System - Failure Section 02 - Environment of Care AL2001 - Safety Management Plan AL2002 - Risk Assessment Program AL2003 - Electrical Safety AL2004 - Equipment Condition and Safety AL2005 - Equipment Safety - Reporting Malfunction AL2006 - External Health and Safety Inspection AL2007 - Fire Safety - Staff Responsibilities for General Fire Prevention
AL2008 - Use of a Fire Extinguisher AL2009 - Fire Extinguisher Check AL2010 - Fire Extinguisher Log AL2011 - Types of Fire Extinguishers AL2012 - Fire Drill Policy AL2013 - Fire Drills - Duties and Responsibilities AL2014 - Fire Drill Evacuation Form AL2015 - Oxygen Use, Handling, and Storage AL2016 - Body Mechanics Training
AL2017 - Body Mechanics - Staff Education Handout AL2018 - Hazardous Materials and Waste - Training AL2019 - How to Read Safety Data Sheets (SDS) AL2020 - New Employee Chemical Inservice Sample Memo AL2021 - Chemical Training Record Form AL2022 - Hazard Communication Employee Training Record Form AL2023 - Utilities System Management Plan
AL2024 - Emergency Power Systems Maintenance AL2025 - Dining and Resident Activity Rooms AL2026 - Functional Environment AL2027 - Safety Orientation and Inservice
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL2028 - Safety Continuing Education AL2029 - Security Inservice - Facility wide AL2030 - Staff Safety Education Report Form AL2031 - Workplace Violence Prevention Plan AL2032 - Workplace Violence Prevention Training Outline AL2033 - Recognizing Inappropriate Behavior AL2034 - Lost and Found Items AL2035 - Grounds Safety AL2036 - Pest Control Program AL2037 - Routine Facility Safety Rounds
Section 03 - Human Resources
Job Description AL3101 - Position Description/Performance Evaluation - Assisted Living Care Administrator AL3102 - Annual Competency Clinical Skills Assessment - Assisted Living Care Administrator AL3103 - Position Description/Performance Evaluation - Assisted Living Nurse Manager AL3104 - Annual Competency Clinical Skills Assessment - Assisted Living Nurse Manager AL3105 - Performance Evaluation - Age-Related Competency - Assisted Living Nurse Manager AL3106 - Position Description/Performance Evaluation - Assisted Living Registered Nurse AL3107 - Annual Competency Clinical Skills Assessment - Assisted Living Registered Nurse AL3108 - Performance Evaluation - Age-Related Competency - Assisted Living Registered Nurse AL3109 - Position Description/Performance Evaluation - Assisted Living LPN/LVN AL3110 - Annual Competency Clinical Skills Assessment - Assisted Living LPN/LVN AL3111 - Performance Evaluation - Age-Related Competency - Assisted Living LPN/LVN
AL3112 - Position Description/Performance Evaluation - Assisted Living Qualified Medication Administration Personnel (QMAP) AL3113 - Annual Competency Clinical Skills Assessment - Assisted Living Qualified Medication Administration Personnel (QMAP) AL3114 - Performance Evaluation - Age-Related Competency - Assisted Living Qualified Medication Administration Personnel (QMAP) AL3115 - Position Description/Performance Evaluation - Assisted Living Certified Nursing Assistant (CNA) AL3116 - Annual Competency Clinical Skills Assessment - Assisted Living Certified Nursing Assistant (CNA) AL3117 - Performance Evaluation - Age-Related Competency - Assisted Living Certified Nursing Assistant (CNA)
AL3118 - Position Description/Performance Evaluation - Assisted Living Admissions Coordinator AL3119 - Annual Competency Clinical Skills Assessment - Assisted Living Admissions Coordinator AL3120 - Performance Evaluation - Age-Related Competency - Assisted Living Admissions Coordinator AL3121 - Position Description/Performance Evaluation - Assisted Living Social Worker
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL3122 - Annual Competency Clinical Skills Assessment - Assisted Living Social Worker AL3123 - Performance Evaluation - Age-Related Competency - Assisted Living Social Worker AL3124 - Position Description/Performance Evaluation - Assisted Living Unit Secretary AL3125 - Annual Competency Clinical Skills Assessment - Assisted Living Unit Secretary AL3126 - Performance Evaluation - Age-Related Competency - Assisted Living Unit Secretary AL3127 - Position Description/Performance Evaluation - Assisted Living Activities Coordinator AL3128 - Annual Competency Clinical Skills Assessment - Assisted Living Activities Coordinator AL3129 - Performance Evaluation - Age-Related Competency - Assisted Living Activities Coordinator AL3130 - Position Description/Performance Evaluation - Assisted Living CNA Activity Assistant AL3131 - Annual Competency Clinical Skills Assessment - Assisted Living CNA Activity Assistant AL3132 - Performance Evaluation - Age-Related Competency - Assisted Living CNA Activity Assistant AL3133 - Position Description/Performance Evaluation - Assisted Living Volunteer Staff AL3134 - Annual Competency Clinical Skills Assessment - Assisted Living Volunteer Staff AL3135 - Performance Evaluation - Age-Related Competency - Assisted Living Volunteer Staff AL3136 - Position Description/Performance Evaluation - Assisted Living Environmental Services Manager AL3137 - Annual Competency Clinical Skills Assessment - Assisted Living Environmental Services Manager AL3138 - Performance Evaluation - Age-Related Competency - Assisted Living Environmental Services Manager AL3139 - Position Description/Performance Evaluation - Assisted Living Housekeeping Aide AL3140 - Annual Competency Clinical Skills Assessment - Assisted Living Housekeeping Aide AL3141 - Performance Evaluation - Age-Related Competency - Assisted Living Housekeeping Aide AL3142 - Position Description/Performance Evaluation - Assisted Living Maintenance Mechanic AL3143 - Annual Competency Clinical Skills Assessment - Assisted Living Maintenance Mechanic AL3144 - Performance Evaluation - Age-Related Competency - Assisted Living Maintenance Mechanic General
AL3001 - Staff Qualifications and Competency AL3002 - Agency and Contracted Nurse Staffing AL3003 - Agency and Contracted Staff Compliance Checklist
AL3004 - Job Description AL3005 - New Hire Policy AL3006 - New Hire Processing Checklist AL3007 - Licensure, Certification, and Registration Verification and Control Systems AL3008 - Background Screening AL3009 - Medical Evaluations for Healthcare Personnel AL3010 - Health Questionnaire for Positive Tuberculosis Skin Test Reactions AL3011 - Bordetella Pertussis AL3012 - Measles, Rubella, and Varicella Disease Screening - Staff
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL3013 - Varicella Zoster AL3014 - New Employee Orientation AL3015 - New Employee Orientation Checklist - Clinical Staff
AL3016 - New Student/Volunteer Orientation AL3017 - Inservices/Continuing Education AL3018 - Inservice Meetings - Mandatory AL3019 - Inservice Meetings - Voluntary AL3020 - Inservice Program Documentation AL3021 - Inservice Record - Departmental
AL3022 - Inservice and Continuing Education Record Form AL3023 - Inservice and Continuing Education Program Form AL3024 - Training Requirements AL3024A - Dementia Training and Education AL3025 - Psychotropic Medications - Staff Education AL3026 - Performance Evaluations AL3027 - Trading Days AL3028 - Attendance and Tardiness AL3028A - Physician and Licensed Practitioner Orientation AL3029 - Staffing AL3030 - Qualified Medication Administration Personnel (QMAP)
Section 04 - Infection Prevention and Control Infection Prevention and Control Plan AL4001 - Infection Prevention and Control Program AL4002 - Infection Prevention and Control Practices - Nutritional Services AL4003 - Position Description/Performance Evaluation - Infection Prevention Coordinator AL4004 - Annual Competency Clinical Skills Assessment - Infection Prevention Coordinator AL4005 - Performance Evaluation - Age-Related Competency - Infection Prevention Coordinator AL4006 - Infection Risk Assessment AL4007 - Infection Prevention and Control Incident Tracking AL4008 - National Notifiable Infectious Conditions AL4009 - Standard Precautions AL4010 - Hand Hygiene - CDC Guidelines AL4011 - Hand Hygiene - CDC Guidelines - Nutritional Services
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL4012 - Hand Hygiene/Glove Use Director/Overt Observation Form AL4013 - Respiratory Hygiene/Cough Etiquette in Healthcare Settings
AL4014 - Personal Protective Equipment - Use of AL4015 - Personal Protective Equipment - Training AL4016 - Order for Putting on and Removing PPE AL4017 - Infection Prevention and Control - Laundry AL4018 - Personal Laundry
AL4019 - Infection Prevention and Control - Environmental Services AL4020 - Infection Prevention and Control - Nutritional Services AL4021 - Influenza Vaccination AL4022 - Influenza Outbreaks - Management of AL4023 - Pneumococcal Vaccinations AL4024 - Norovirus Outbreak - Cleaning and Disinfection AL4025 - Norovirus - Management of Blood Borne Pathogens and Exposure Control Program AL4101 - Exposure Control Plan AL4102 - Sharps Injury Protection Plan AL4103 - Sharps Injury Log Form AL4104 - Accidental Blood or Body Fluid Exposure/Contamination - Management of AL4105 - Accidental Exposure to Blood/Body Fluids - Employee Follow-Up Instruction Sheet AL4106 - Refusal of Treatment Statement AL4107 - Definition of Biohazardous Waste AL4108 - Handling of Biohazardous Waste Employee Health AL4201 - Illness Reporting AL4202 - Workplace Injury, Illness, or Fatality Reporting AL4203 - Employee Reporting and Work Restrictions Due to Exposure to Communicable Diseases AL4204 - Annual Employee TB Screening
AL4205 - Health Questionnaire for Positive Tuberculosis Skin Test Reactions AL4206 - Baseline and Follow-up Testing for M. Tuberculosis Infection
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
Section 05 - Information Management
AL5001 - Information Management Plan AL5013 - Accounting of Disclosures of Protected Health Information AL5021 - Internet Access AL5020 - Unacceptable Abbreviation and Symbol List AL5019 - Documentation and the Use of Abbreviations, Acronyms, and Symbols AL5018 - Intentional Destruction of Medical Records AL5017 - Health Information Management Department Fire Plan AL5016 - Contingency Plan for Water Damaged Medical Records AL5015 - Medical Records Destroyed by Man-Made or Natural Disaster AL5014 - Amendment of Protected Health Information AL5012 - Uses and Disclosures of Protected Health Information - General Rules AL5002 - Healthcare Confidentiality Principles AL5011 - Removal of Records AL5010 - Release of Resident Information Consent Form AL5009 - Release of Medical Information AL5008 - Resident Access to Medical Records AL5007 - Secure Filing of Medical Records AL5006 - Health Data Integrity AL5005 - Confidentiality of Information - Electronic Health Records AL5004 - Confidentiality of Information - General Issues AL5003 - Computer Interruption/Malfunction/Destruction Plan AL5022 - Social Media - Guidelines for Use
Section 06 – Leadership
AL6001 - Governing Body AL6039 - Marketing Practices
AL6029 - Facility Program, Service, Site, Department Leadership AL6030 - Development of Departmental Policies and Procedures AL6031 - Development of Interdepartmental Policies and Procedures AL6032 - Space, Equipment, and Resources AL6033 - Conflict of Interest AL6034 - Conflict of Interest Disclosure Letter - Sample AL6035 - Conflict Management Among Leadership Groups
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL6036 - Admission Policy AL6037 - Financial Incentives/Clinical Decision Making AL6038 - Billing Practices AL6040 - Staff Rights and Ethical Dilemmas in Resident Care AL6027 - Budget - Capital Expenditure Form AL6041 - Facility Assessment AL6042 - Community Needs Assessment AL6043 - Community Needs Assessment Survey Tool/Questionnaire AL6044 - Oversight of Contractual Agreements AL6045 - Standards of Resident Service AL6046 - Contracted Services List
AL6047 - Contracted Service Provider Evaluation Form AL6048 - Outside Reference Laboratory Authorization AL6049 - Resident Safety Plan AL6050 - Resident Safety Program Checklist AL6051 - Proactive Risk Assessment
AL6028 - Governing Body Financial Meeting Agenda AL6026 - Budget - Capital Request Memorandum Form AL6002 - Administrator AL6012 - Disruptive and Inappropriate Behavior AL6003 - Absence of the Administrator AL6004 - Mission, Vision, Values, and Goals Statement AL6005 - Organizational Strategic Plan AL6006 - Plan for the Provision of Resident Care and Services AL6007 - Staff Retention and Recruitment Plan AL6008 - Facility Closure AL6009 - Communication Process - Staff, Residents, and Community AL6010 - Culture of Safety and Quality AL6010A - Employee Wellness Program AL6011 - Code of Conduct - Sample AL6013 - Disruptive Staff Member Incident Report Form - Sample AL6025 - Purchases, Capital Expenditures - Equipment, Renovation, Supplies AL6014 - Departmental Staff Meetings
AL6015 - Departmental/Unit Staff Meeting Format AL6016 - Facility Annual Review - Course Objectives AL6017 - Facility Annual Review Class Agenda AL6018 - Annual Review - Course Evaluation Form
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL6019 - Post Test - Facility Annual Review AL6020 - Federal and State Regulations AL6021 - License/Certificates/Permits AL6022 - Compliance Plan for Assisted Living Facilities
AL6023 - Code of Ethics AL6024 - Budget Process AL6052 - Risk Management Plan Section 07 - Life Safety AL7001 - Life Safety Management Plan AL7011 - Fire Protection Systems - Inspecting, Testing, and Maintaining Guidelines AL7017 - Means of Escape
AL7016 - Portable Space Heaters AL7015 - Decorations - Fire Safety AL7014 - Smoking by Residents AL7013 - Fire Safety - Linen and Trash Chutes
AL7012 - Automatic Sprinklers AL7010 - Fire Extinguisher Check
AL7002 - Life Safety Code Compliance AL7009 - Fire Alarm System Check Form AL7008 - Fire Alarm System Testing and Inspection AL7007 - Fire Alarm Systems
AL7006 - Corridor Doors - Assisted Living AL7005 - Maintaining the Means of Egress AL7004 - Building Construction and Rehabilitation Fire Protection Features AL7003 - Interim Life Safety Measures (ILSMs) AL7018 - Exit Doors - Fire Safety Section 08 - Medication Management AL8001 - Provider Pharmacy Requirements AL8037 - Self-Administration off Medications by Residents AL8028 - Obtaining Medications (No On-Site Pharmacy) AL8029 - Medications Dispensed by Physician AL8030 - Drug Product Defects AL8031 - Unusable and Outdated Drugs
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL8032 - Medication Administration AL8033 - Safe Medication Practices AL8034 - Decreasing Medication Errors AL8035 - Food and Drug Interactions Guide - Resident Brochure AL8036 - Insulin Pens AL8038 - Assessment for Self-Administration of Medications Form AL8026 - Discharge Medications AL8039 - Monitoring Effects of Medications on Residents AL8040 - Monitoring Opioid Administration AL8041 - Medication Errors AL8042 - Medication Incident Report Form AL8043 - Medication Error Analysis Report AL8044 - Performance Improvement Analysis - Medication Incident Form AL8045 - Adverse Drug Reaction Reporting AL8046 - Potential Adverse Drug Reaction Form AL8047 - Adverse Drug Reaction (ADR) Reporting Form (Internal)
AL8048 - Facility Adverse Drug Reaction Report Form AL8027 - Acknowledgment of Receipt of Medications AL8025 - Resident Immunization Record Form AL8002 - Consultant Pharmacist Services AL8012 - Drug Acquisitions/Storage/Inspection/Dispensing
AL8003 - Resident Drug Profiles AL8004 - Drug Regimen Review AL8005 - Psychotropic Medication Use AL8006 - High Alert Medication Management
AL8007 - Facility's List of High-Risk/High Alert Medications AL8008 - Look-Alike, Sound-Alike Medication Management AL8009 - Monthly Ordering of Medications (Provider Pharmacy) AL8010 - Ordering and Receiving Medications from an Alternate Pharmacy AL8011 - Notice of Intent to Purchase Medications from an Alternate Pharmacy Provider Form - Sample AL8013 - Controlled Drug Management AL8024 - Vaccine Information Statements (VISs) - Use of AL8014 - Narcotics AL8015 - Controlled Drug Sheet AL8016 - Disposal of Controlled Substance Patches AL8017 - Medication Reminder Boxes AL8018 - Resident's Own Medication (Usage)
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL8019 - Medication Storage AL8020 - Medication Disposal and Destruction AL8021 - Resident's Own Medication Log AL8022 - Tapering of Medications AL8023 - Residents' Use of Herbals and "Natural" Remedies AL8049 - Medication Management Program Section 09 - Nutritional Services ALF9001 - Nutritional Services ALF9002 - Menus ALF9003 - Therapeutic Diets ALF9004 - Resident Meal Rounds ALF9005 - Food From Non-Facility Sources ALF9006 - General Requirements - Food Supply ALF9007 - Food Storage ALF9008 - Refrigerator/Freezer Temperature Check Sheet ALF9009 - Food Temperatures
Section 10 - Performance Improvement AL10001 - Organizational Performance Improvement Plan AL10034 - Assisted Living Staff Development PI Outcome Evaluation AL10026 - Assisted Living Resident Safety PI Monitoring and Evaluation Plan AL10027 - Assisted Living Resident Safety PI Trending Sheet AL10028 - Assisted Living Resident Safety PI Outcome Evaluation AL10029 - Assisted Living Social Service PI Monitoring and Evaluation Plan
AL10030 - Assisted Living Social Service PI Trending Sheet AL10031 - Assisted Living Social Service PI Outcome Evaluation AL10032 - Assisted Living Staff Development PI Monitoring and Evaluation Plan AL10033 - Assisted Living Staff Development PI Trending Sheet AL10035 - Reduce the Risk of Influenza and Pneumococcal Disease - PI Outcome Monitoring AL10024 - Assisted Living Environmental Services PI Trending Sheet AL10036 - PI Outcome Monitoring - Prevent Healthcare-Associated Pressure Ulcers (Decubitus Ulcers) AL10037 - PI Outcome Monitoring - Reduce the Risk of Patient/Resident Harm Resulting from Falls AL10038 - Assisted Living Facility PI Volume Measures/Statistics
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL10039 - Staffing Effectiveness - Assisted Living AL10040 - Incident Summary Report Form AL10041 - Narrative Notification Summary Report Form
AL10042 - Performance Improvement Governing Body Quarterly Summary Form AL10043 - Performance Improvement Governing Body Quarterly Report Form AL10025 - Assisted Living Environmental Services PI Outcome Evaluation AL10023 - Assisted Living Environmental Services PI Monitoring and Evaluation Plan AL10002 - Performance Improvement Monitoring and Evaluation Plan (Blank) AL10011 - Resident Satisfaction Survey Results Form AL10003 - Performance Improvement Trending Sheet (Blank) (TJC PI.01.01.01) AL10004 - Performance Improvement Outcome Evaluation (Blank) AL10005 - Performance Improvement Volume Measures/Statistics (Blank) AL10006 - Facilitywide Performance and Outcome Measures - Examples AL10007 - Reporting of Potentially Compensable Events AL10008 - Incident Report Form (Internal) AL10009 - Survey Assessment Tools AL10010 - Resident Satisfaction Questionnaire AL10012 - Resident Satisfaction Questionnaire Trending Sheet
AL10022 - Assisted Living Activities Department PI Outcome Evaluation AL10013 - Resident Satisfaction Survey - Individual Comment Report Form AL10014 - Resident's Negative Perceptions Identification on the Resident Satisfaction Questionnaires Form AL10015 - Communication Survey Form AL10016 - Performance Improvement Project Priority Determination Form AL10017 - CQI Team Project AL10018 - CQI Small Team Minute Format AL10019 - Continuous Quality Improvement Team Activity Report Form AL10020 - Assisted Living Activities Department PI Monitoring and Evaluation Plan
AL10021 - Assisted Living Activities Department PI Trending Sheet AL10044 - Performance Improvement Program Annual Evaluation Form
Section 11 - Record of Care, Treatment, and Services
AL11001 - Health Information Record - Admitting AL11002 - Health Information Record - General Information AL11003 - Health Information Record - Resident Discharge/Transfer AL11004 - Health Information Record Content
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL11005 - Health Information Record Documentation - Activities Program AL11006 - Health Information Record Documentation - Social Service AL11007 - Health Information Record Documentation - Resident/Family Education AL11008 - Health Information Record Documentation - Care of Residents by Off-Site Sources
AL11009 - Health Information Record Retention AL11010 - Verbal and Written Orders - General
Section 12 - Resident Care
Care, Treatment and Services AL12101 - Pain Assessment, Reassessment, and Management AL12116 - Pastoral Care AL12127 - Vision and Hearing AL12126 - Small Adaptive Devices for ADLs AL12125 - Range of Motion Exercises AL12124 - Increasing Resident Independence AL12123 - Restorative Program AL12122 - Alternatives to Physical or Chemical Restraints AL12121 - Wound Assessment and Reassessment AL12120 - Pressure Injury (Ulcer) Prevention Program AL12119A - Preventative Care AL12119 - Pet Therapy AL12118 - Dentures AL12117 - Dental Services
AL12115 - Assistance With Feeding and Dining AL12102 - Behavior Management - Unmet Needs AL12114 - Notification of Change in Resident's Condition - Food Consumption AL12113 - Notification of Change in Resident's Condition AL12112 - Family Participation
AL12111 - Emergency Supplies and Equipment AL12110 - Cardiopulmonary Resuscitation (CPR) AL12109 - Hospice Services
AL12108 - Resident Elopement AL12107 - Resident Safety Checks AL12106 - Group Activities
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL12105 - Activities AL12104 - "Hand-off" Communication AL12103 - Resident Identification for Care and Treatment AL12128 - Urinary Incontinence
Resident and Family Education AL12301 - Education of Resident and Family AL12302 - Resident Educational Record Form Admission and Assessment AL12001 - Admission Policy AL12011 - Comprehensive Care Plan AL12019 - Latex Allergy Assessment Form AL12018 - Fall Prevention AL12017 - Dementia - Evaluation
AL12016 - Mandatory Tuberculosis Testing AL12015 - Medication Reconciliation Form AL12014 - Medication Reconciliation AL12013 - Medical Care and Designation of a Primary Care Provider AL12012 - Resident Emergency Information AL12010A - Resident Reassessment AL12002 - Admission Information AL12010 - Comprehensive Resident Assessment AL12009 - Social Evaluation Form AL12008 - Physical Health History Form AL12007 - Application for Admission Form - Sample AL12006 - Admission Checklist AL12005 - Pre-Admission Care Plan AL12004 - Pre-Admission Information Sheet AL12003 - Resident Agreement AL12020 - Latex Sensitive Resident - Care of AL12201 - Discharge or Transfer of Resident AL12202 - Transfer/Discharge Resident Notification Letter AL12203 - Resident Notice of Transfer or Discharge AL12204 - Transfer Agreement AL12205 - Transfer of Critically Ill Residents
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL12206 - Transfer of Mentally/Emotionally Disturbed or Difficult to Manage Residents AL12207 - Transfers Within the Facility
Section 13 - Rights and Responsibilities of the Individual
AL13001 - Resident Rights Given to Resident/Family at Admission AL13031 - Beauty Shop Information Sheet AL13024 - Mail AL13025 - Email, Video Communication, and Internet Use AL13026 - Resident's Citizenship Privileges AL13027 - Medical, Dental, and Licensed Independent Care Providers AL13028 - Dental Services AL13029 - Resident Right to Manage Financial Affairs AL13030 - Personal Funds AL13032 - Resident Complaint and Grievance Process AL13022 - Resident Environment AL13033 - Referrals to the Public Guardian's Office - Persons with Grave Disability AL13034 - Probate Conservatorship Guidelines AL13035 - Resident Advocacy Group List for Residents and Families
AL13036 - Visitation Rights AL13037 - Visiting Hours AL13038 - Work Therapy
AL13039 - Transportation Services AL13040 - Posting of Survey Results AL13023 - Telephone Service AL13021 - Recognizing and Reporting Elder Abuse/Neglect - Criteria AL13002 - Resident Rights AL13010 - Notification of Changes AL13003 - Resident Responsibilities AL13004 - Resident Representative AL13005 - Resident Council AL13006 - Statement of Legal Rights AL13007 - General Considerations for Arbitration Agreements
AL13008 - Items and Services - Medicaid AL13009 - Available Services and Charges AL13011 - Resident Rights to Privacy and Confidentiality
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WAIVER CONSULTING GROUP SAMPLE INSTRUMENT – ASSISTED LIVING POLICY & PROCEDURE
AL13020 - Child, Adult, Disabled Person, or Elderly Abuse - Recognition and Reporting AL13012 - Resident Communication Rights AL13013 - Spiritual Services Provided AL13014 - Recordings, Films, or Other Images of Residents AL13015 - Authorization and Consent Form - Recordings, Films, or Other Images and Publication AL13016 - Advance Directives AL13017 - Checklist - Advance Directives AL13018 - Sample Directives for Resuscitation Form
AL13019 - End of Life Issues AL13041 - CMS Definitions
Section 14 - Waived Testing
AL14001 - Waived Testing AL14002 - Blood Glucose Monitoring AL14003 - Blood Glucose Monitoring Competency Checklist AL14004 - Fecal Occult Blood Testing (Hemoccult)
Visit https://www.waivergroup.com/get-started to get started or call +1-302.888.9172
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