RCFE Operations Toolkit:

This toolkit is to assisted Residential Care Facilities of the Elderly during daily operations. Over 50 documents to assist with operations. All documents will be provided in electronic format via email. Documents to help you work smarter not harder, increase revenue, be a more effective leader, improve your professional profile, and stay in compliance. Below is a list of documents that our included.

Discovery & Move-In Documents 

• Inquiry Form
• Pre-Placement Appraisal Form – LIC603
• Resident Appraisal Form – LIC603A
• Self-Medication Management Assessment Form
• Physicians Report – LIC602A
• Common Issues with Dementia Checklist
• Mini-Mental State Exam Form
• Louis University Mental Status Exam
• Power of Attorney – Financial
• Power of Attorney – Healthcare
• POLST Form
• Life Story Form
• House Rules
• Resident Handbook
• Resident Personal Rights – LIC613C-2
• Room-Ready Checklist
• Slums Examination 

Resident-Related Documents 

• Behavior Tracking Form
• Care Points/Cost Form
• Elopement Plan & Report
• Fall Detail Report
• INTERACT Stop and Watch Form
• Internal Incident Report
• Resident Monthly Invoice Form
• Resident Theft & Loss Form – LIC9060
• Needs and Service Plan – LIC625 

HR Documents 

• Employee Documents
  • Acknowledgement of Meal & Rest Periods
  • Employee Handbook
  • Employee Rights – LIC9052
  • Time Exception Form
• Hiring Tools
  • Employment Application
  • Telephone Interview Screening Questions
  • Behavioral Interview Questions
• Performance Tools
  • 360 Evaluation
  • Employee of the Month Flyer
    • Employee of the Month Tracking Form
  • Performance Notes Form
  • Performance Correction Notice Form
  • Employee Evaluation Form
  • SMART Goals Worksheet
• Training Tools
  • Dementia Sensitivity Training Exercises
  • Documentation of Training Form
  • Training Completion Certificate
• Workers Compensation Documents
  • Modified Duty / Temporary Job Description Form
  • Refusal of Medical Treatment Waiver Form
  • State Workers Compensation Form 

Facility-Related Documents

• Activities Outline / Calendar Form – LIC623
• Alarm Check Log
• Annual Survey Compliance Checklist – LIC9201
• CCLD Record Keeping Requirements
• Centrally Stored Medication and Destruction Log – LIC622
• Daily Assignment Sheet Template
• Death Report – LIC624A
• Expense Report Form
• Incident Report – LIC624
• Maintenance Log Form
• MAR Form – LIC622A
• Preventative Maintenance Calendar
• Professional Visitor Log Template
• RCFE Self-Assessment Form
• ARF Title 22
• RCFE Title 22
  • Part 1
  • Part 2
  • Part 3
  • Part 4
• Visitor Log Template
• Water Temperature Log