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Assisted Living Facility Resident Characteristic Roster and Sample Selection - Attachment D - dshs w

Assisted Living Facility Resident Characteristic Roster and Sample Selection - Attachment D - dshs w 2025

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The document is a detailed roster and coding guide for assisted living facility residents, capturing essential characteristics such as medical needs, mobility issues, dietary requirements, and behavioral concerns. It includes sections for resident identification, care services received, and specific health conditions, while emphasizing confidentiality and proper coding for accurate communication of resident characteristics.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the resident's information in the designated fields, including their ID number, name, room, and admit date. Ensure accuracy as this data is crucial for record-keeping.
Proceed to fill out the medical and care needs section. Mark relevant boxes for conditions such as oxygen therapy, recent hospitalizations, and any special dietary needs. Use the coding legend provided to ensure correct entries.
In the mobility and assistance section, indicate if the resident requires help with activities of daily living (ADLs) or has mobility issues. This helps staff understand the level of support needed.
Finally, review all entries for completeness and accuracy before saving your work. Utilize our platform’s features to easily share or print the completed form as needed.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Who regulates assisted living facilities in Washington state?

The Washington State Department of Social and Health Services (DSHS), Aging and Long-Term Support Administration (Department) licenses assisted living facilities (ALFs), which provide room and board and help with activities of daily living (ADLs) to seven or more residents.

What are the criteria for assisted living?

Residents: predictability and stability is a must If a resident is predictable, stable, and doesnt need 24/7 monitoring or a high level of care, theyre eligible for assisted living. To clarify, residents can receive a high level of care in assisted living.

What are the description of staff resident interactions in assisted living?

Care interactions (also referred to as interactions or staff-resident interactions) are any verbal or non-verbal interactions between staff and residents that occur during social or physical care activities such as bathing, grooming, mealtime assistance, medication administration, exercise, walking, and transfers.

What are the three characteristics that refer to an assisted living facility?

A: Three characteristics that refer to an assisted living facility are independence, autonomy, and personal dignity. In an assisted living facility, its important that residents are given the healthy independence they deserve. The goal is to provide residents with the ability to make their own choices.

What three key challenges should be considered when looking at an assisted living facility?

This section highlights three key challenges to consider: financial considerations, location and accessibility, and quality of care and services.

What are the three principles of assisted living?

What Are the Three Principles of Assisted Living? Person-Centered Care. With this guiding principle in place, loved ones can always expect to get care that is centered on their individual needs. Practice Ethics at All Times. Every assisted living community should operate on a foundation of trust. Mission Statement.

What is Level 3 care in assisted living?

In level three, older adults often need help completing most tasks of daily life. Caregivers complete most ADLs for residents. Some assisted living facilities offer extra help beyond level three. In these facilities, many caregivers, frequent assessments, and round-the-clock care are provided to residents.