ASSISTED LIVING

ASSISTED LIVING POLICIES AND PROCEDURES MANUAL TABLE OF CONTENTS

Organization and Administration

• Accountability and inspection policy
• Governing body
• Organizational structure
• Organizational chart
• Postings at the facility

Human Resources

• Authorization to work in the us
• Communication
• Criminal background check
• Disciplinary action
• Employee conflict
• Employee qualifications and training
• Employee responsibilities and conduct
• Employment application process
• Employment at will policy
• Equal employment opportunity statement
• Evaluation and classification of personnel
• Grievance policy
• Health status
• Job description- activities director/coordinator
• Job description administrator
• Job description- bus driver
• Job description- business manager
• Job description- community rn
• Job description- dietary manager
• Job description- housekeeping & laundry associate
• Job description- maintenance assistant
• Job description- maintenance supervisor
• Job description- quality assurance coordinator
• Job description- resident care director
• Job description- senior resident assistant
• Job description policy
• Job description- food service associate
• License and certification verification policy
• Performance evaluation policy
• Personnel record policy
• References verification policy
• Sexual harassment
• Staffing requirements policy
• Substance abuse policy
• Termination of employment
• Volunteer policy

resident care policies

• Accident and incident policy
• Admission agreement policy
• Admission policy
• Advance directives
• Behavior management policy
• Changes in resident condition policy
• Confidentiality & privacy of resident information
• Cpr and first aid policy
• Delegating nurse policy
• Emergency telephone numbers
• Fall prevention
• Family council
• Firearms and weapons
• Flu vaccination policy
• Immediate transfer of residents policy
• Infection control policy
• Medication administration policy
• Missing resident policy
• Nutrition policy
• Pets policy
• Quality improvement policy
• Registration policy
• Resident complaints and grievances
• Resident death policy
• Resident discharge policy
• Resident council
• Resident file policy
• Rights and responsibilities
• Service description policy
• Smoking policy
• Visitation policy

maintenance and facility management

• Building inspection
• Building orientation
• Equipment inspection
• Landscape maintenance
• Maintenance of kitchen equipment
• Maintenance of the residence van
• Maintenance work area and supplies
• Maintenance work orders
• Outside contractors
• Pest control
• Preventive maintenance
• Room maintenance
• Room repair and replacement
• Safety guidelines
• Touch-up painting procedures

Emergency Preparednessplan

• Mitigation
  1. Identification of hazards and vulnerabilities
  2. Hazard and vulnerability mitigation
• Preparedness
  1. Incident command system/national incident management system
  2. Incident command center
  3. Integration with community-wide response
  4. Coordination with government response agencies
  5. Roles and responsibilities
  6. The manager role and responsibilities
  7. The residence staff roles and responsibilities
• Notifications
  1. Internal contacts
  2. External contacts
• Emergency resources
  1. Personnel
  2. Non-perisable food and water/pharmaceuticals / medical supplies / medical equipment
  3. Personal protective equipment (ppe)
• Training, exercises and plan maintenance drills and exercises
• Response
  1. Response priorities
  2. Alert, warning and notification
  3. Response activation and initial actions
• Evacuation procedures
  1. Decision on the residence operational status
  2. Shelter-in-place
• Actions to be taken by staff during a disaster
  1. Severe weather
  2. Floods:
  3. Power-outage procedure
  4. Bomb threat action plan
  5. Suspicious mail
  6. Fire safety
  7. Recovery
• Accounting for disaster-related expenses

financial management

• Budget policy
• Capital equipment budget
• Capitalization policy
• Capitalization, depreciation and amortization
• Charge determination
• Chart of accounts
• Computer file back-up
• Development of budget
• Fee setting and collection policy
• Financial monitoring
• Insurance coverage policy
• Legal responsibility of facility and staff
• Petty cash
• Procedures for accounting & business department
• Purchasing
• Refunds
• Resident personal spending
• Review of financial and budget reports

sales and marketing

• Assisted living marketing plan
• Code of business conduct and ethics
• Marketing plan policy
• Media relations policy

memory care unit policies

• Admission and discharge criteria for memory care residents
• Admission requirements and individualized service policy
• Elopement risk policy
• Memory care resident assessment form
• Memory care service policy
• Memory care staff job descriptions
• Philosophy and mission statement
• Staff training policy
• Wandering assessment form

forms and templates

• Accident and incident notification form
• Accident and incident report form
• Activities questionnaire form
• Activity calendar form
• Advance directives form
• Appendix a1 hazard vulnerability analysis tool
• Appendix a2 environment safety survey form
• Appendix b1 staff call list
• Appendix b1a resident rooster
• Appendix c1 vendor contact list
• Appendix c2 disaster contacts
• Appendix c3 list of memorandum of understanding
• Authorized payroll deduction form
• Auto mileage and expense log
• Background check release form
• Behavior management plan form
• Communication notes form
• Consultant pharmacist contract form
• Contaminated medication destruction sheet
• Controlled substance count record
• Controlled substance daily tracking sheet
• Cycle menu form
• Daily census report
• Diet clarification and consultation form
• Disaster plan preparation checklist
• Drug regimen review for recommendation and reporting
• Drug testing consent form
• Emergency contact numbers
• Employee work schedule
• Employee consultation form
• Employee emergency information form
• Employee training record form
• Employee at risk of exposure to blood borne and other infectious diseases
• Employee termination contract form
• Evaluation of employee form
• Expenditure worksheet for assisted living
• Exposure and contamination report
• Exposure to infectious diseases incident form
• Fire drill schedule
• Fire plan
• Food pyramid guide
• General diabetic diet sheet
• Hep b immunization consent form
• Interview process guide form for al
• Inventory report on vending purchases form
• Job application form
• Maintenance work request form
• Managed risk agreement form
• Mandatory infectious disease control training form
• Medical appointment visit form
• Medication administration clinical checklist
• Medication administration quality assurance checklist
• Mars
• Medication error report
• Medication management compliance checklist
• Medication reaction report
• Medication record for destruction
• Medication review receipt of record
• Menu substitution recordform
• Missing resident preplanning form
• Modified diet list
• Monthly admission and discharge form
• Monthly recap of deposits form
• Monthly temperature qc log
• Narcotic count sheet
• New employee orientation form
• Notice to employee of suspension w/o pay
• Notification of rate change
• Order for self administration of medication
• Performance evaluation form
• Personal care service log
• Personnel file checklist
• Personnel responsible for administration of infection and control policy and procedure form
• Pest control form
• Petty cash form
• Physician certification form
• Physician order form for prn
• Planned outing form
• Pre-employment checklist
• Preventive maintenance checklist
• Prn medication record form
• Quality improvement form
• Record for unused medication
• recruitment and implementation of a volunteer program
• Refrigerator temperature log
• Release of information form
• Resident agreement handbook
• Resident assessment form
• Resident care plan
• Resident census form
• Resident consultation for modified diet
• Resident diet history form
• Resident flu vaccination form
• Resident medication for leave of absence form
• Resident move in and move out checklist
• Resident petty cash sheet
• Resident profile form
• Resident record and report checklist
• Resident refund report
• Resident right notice
• Resident sign in and sign register form
• Resident treatment record
• Resident weight monitoring form
• Responsible party notification objection for accidents and incidents
• Sample interview checklist
• Sample job offer letter
• Six months activity evaluation form
• Staff approved for medication administration
• Termination of contract form
• Time off request form
• Time sheet for cost report
• Travel log form
• Visitor log form
• Written warning statement