All-in-One ALF Forms Bundle- Policies, Procedures, and Resident Records | Templates | ALFs Texas | Life Safety | Personnel | Management

All-in-One ALF Forms Bundle - Policies, Procedures, and Resident Records

🧯Digital Document🧯

Introducing our comprehensive ALF Forms Bundle, a complete package to streamline operations, maintain legal compliance, and prioritize resident well-being. This bundle includes everything you need to enhance your assisted living facility's record-keeping, from emergency management plans to operational, residents, personnel, and other essential policies.

Key Features:

🔸 **Operational Forms**: Keep your facility organized with essential documents like Census, Daily Service Plan, and Kitchen Cleaning Checklists.

🔸 **Dietary Records**: Manage dietary services efficiently with dietary policies, monthly menus, and meal substitution records.

🔸 **Resident Records**: Maintain comprehensive resident records, from admission forms and health assessments to individual service plans and incident reports.

🔸 **Medication Management**: Streamline medication profiles, controlled drug monitoring, and medication policies for precise care.

🔸 **Disclosures**: Cover all legal bases with disclosure statements and Alzheimer’s Assisted Living Disclosure Forms.

🔸 **Personnel Documentation**: Keep your team organized with job application forms, personnel policies, and annual training certificates.

🔸 **Additional Policies**: Enhance safety and compliance with policies on exposure control, medical equipment, weapons, and more.

🔸 **Emergency Management**: Equip your facility with life safety code checklists, emergency procedures, and extreme temperature policies.

Our forms are thoughtfully designed for your convenience, and many are available as fillable PDFs or Google Docs for easy customization. Make record-keeping efficient, organized, and legally compliant with our all-in-one ALF Forms Bundle. Invest in the well-being of your residents and the smooth operation of your facility. Purchase today and take the first step toward a more streamlined and secure assisted living environment.

Detailed Table of Contents:
🔸 Life Safety Code Checklist for New Small Type B ALF (Form 2389-E)
🔸Checklist for Facility Tasks
🔸Blank Fire Drill Forms
🔸Utility Shut-Off in Emergency
🔸Fire Safety Plan
🔸Fire Safety Instruction for Residents
🔸Safe Handling and Storage of Oxygen
🔸Safety and Security Policy
🔸Smoking Policy
🔸Resident Room Policy
🔸Resident Procedures for Fire Drills
🔸Fire Sprinkler & Alarm System Failure Policy and Procedure
🔸Infection Control Policy/ TB/ Key Infectious Agents
🔸Fire Extinguisher Use Poster 8.5in x 11in
🔸Temperature logs (water/fridge/freezer)
🔸Emergency Management Plan
🔸Emergency Preparedness Checklist (Form 2393)
🔸Extreme Temperatures Policy –Heat Wave/Bitter Cold
🔸Emergency Procedures for Tornadoes and Weather-Related Storms
🔸Emergency Procedures for Bomb threats
🔸Emergency Procedures for Hazardous Materials Incidents
🔸Emergency Procedures for Pandemic
🔸Emergency Procedures for Power Outage
🔸Pest Control Policy and Contract/Log
🔸Medical Waste Policy: Biohazard Disposal Policy & Drug Disposal Policy and Contract(s)

POLICIES AND PROCEDURES SAMPLE TEMPLATES
SECTION 1:
OPERATIONAL

(HOME MANAGEMENT BINDER)

(Includes a link to My Favorite Dividers for the Home Management Binder)
🔹Census
🔹Planner
🔹Visitor Sign-In Sheets
🔹Daily Service Plan
🔹Vital Sign Form
🔹Employee Schedule
🔹Employee Assignments
🔹Activity Calendar
🔹Kitchen Cleaning Checklist

Dietary:
🔹Dietary Services Policy and Procedure
🔹Menus monthly
🔹Meal Substitution Record

SECTION 2:
RESIDENTS

(Includes a link to My favorite Resident Binder Divider Tabs!)

➡️Checklist for Resident Records
➡️Admission Record (Fillable PDF)
➡️Admission Record (Google Doc)
➡️TB Symptom Screening (Fillable)
➡️TB Symptom Screening(Google Doc)
➡️Comprehensive Resident Assessment (Fillable)
➡️Comprehensive Resident Assessment (Google Doc)
➡️Annual Resident Assessment (Google Doc)
➡️Annual Resident Assessment (Fillable)
➡️Individual Service Plan (Fillable)
➡️Individual Service Plan (Google Doc)
➡️Health Exam (Fillable)
➡️Physician Orders Form (Fillable)
➡️Physician Orders Form (Google Doc)
➡️AEM (form 3100) Information Regarding Authorized Electronic Monitoring &
➡️Roommate Consent (form 0067)
➡️Disclosures Receipt (Fillable)
➡️Disclosures Receipt (Google Doc)
➡️Admission Agreement (Fillable)
➡️Admission Agreement (Google Doc)
➡️HIPAA Form (Fillable)
➡️HIPAA Form (Google Doc)
➡️Incident Report Form (Fillable)
➡️Incident Report Form (Google Doc)
➡️Observation Notes (Fillable)
➡️Observation Notes (Google Doc)
➡️RN Designation of Health Maintenance Activities(Fillable)
➡️RN Designation of Health Maintenance Activities (Google Doc)
➡️Resident Financial Record (Fillable)
➡️Resident Financial Record (Google Spreadsheet-Editable)

Medications:
➡️Medication Profile (Fillable)
➡️Medication Profile (Google Doc)
➡️Medication Profile/MAR Medication Administration Record (Google Doc)
➡️Medication Profile/MAR (Medication Administration Record) (Fillable)-Coming Soon
➡️Controlled Drug Monitoring Form (Fillable)
➡️Medication Self- Administration Assessment (PDF-not fillable online yet)
➡️Medication Self-Admin Counseling (PDF-not fillable online yet)
➡️Release of Medication & Release of Liability (Google Doc)
➡️Medical Refusal (Google Doc)
➡️Medication Policy and Procedure (Google Doc)

Disclosures:
➡️Disclosure Statement 3647 (PDF-Not fillable online yet)
➡️Memory Care Disclosure Statement 3650 (PDF-Not fillable online yet)
➡️Alzheimer’s Assisted Living Disclosure Statement 3641

Other Policies:
➡️Discharge Transfer Form (Google Doc)
➡️Advance Directives Policy (Google Doc)
➡️Bill of Rights for Provider/Residents(Google Doc)
➡️Resident Policies Incl. Admission, Types of Residents, Records & Discharge Policy (Google Doc)
➡️Sample Death of a Resident Procedure (Google Doc)
➡️Sample Restraints and Seclusion Policy (Google Doc)
➡️Sample Abuse, Neglect or Exploitation Policy (Google Doc)
➡️Sample Sex Offender Registry Search Policy (Google Doc)
➡️Change of Condition Notification Form (Google Doc)
➡️Insulin Administration Policy (Google Doc)
➡️Waiver of Dietary Responsibility (Google Doc)
➡️Medical Emergency Policy (Google Doc)
➡️Operational Policy (Google Doc)

SECTION 3:
PERSONNEL

(Includes a link to My Favorite Dividers for the Personnel Binders)

📌Designation of Facility Management
📌Checklist for Manager Records & Checklist for Personnel Records
📌Application for Employment
📌Form 3649 Disclosure Statement for Applicants for Employment
📌Job Offer Letter &
📌Employee Acceptance of Job Offer
📌Onboarding New Personnel Policy & Procedure
📌W-4
📌I-9
📌Vaccine-Preventable Diseases Policy (includes Rapid Flu Test and Flu Vaccine Policy)
📌Employee Annual Training Certificate
📌Personnel Policies
📌Employee Acceptance of Policies & Procedures
📌Employee Orientation and Training Record
📌Direct Deposit Authorization
📌Verification of Criminal History Checks
📌Medication Administration Delegation
📌Change of Condition Notification


SECTION 4- Other Policies

✏️Exposure Control Policy and Procedure
✏️Medical Equipment Aid Policy
✏️Weapon Policy
✏️Self Administering Medication Counseling Form
✏️Discharged Medication Form
✏️Checklist for Facility Tasks
✏️Caregiver Agreement for Independent Contractors
✏️COVID-19 Response Plan
✏️HMA Consent
-------------------------------------
🧰Fillable = the form contains fields that you can fill in using the Acrobat desktop app.
⚙️Google Doc= You can make a copy of the form, and edit any details of your copy. These are usually printed, then filled out.
🧲PDF-Not fillable online yet= These forms cannot be edited. They can be printed and then filled out.
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Senior Care Lab - www.etsy.com/shop/seniorcarelab
Last Updated: March 1, 2023
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