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  • Florida Form 1823

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Resident s Name DOB: INSTRUCTIONS TO LICENSED HEALTH CARE PROVIDERS: AFTER COMPLETION OF ALL ITEMS IN SECTIONS 1 AND 2 OF THIS FORM (pages 1 through 4), PLEASE RETURN TO: FACILITY NAME: FACILITY ADDRESS: TELEPHONE NUMBER: CONTACT PERSON: SECTION 1: HEALTH ASSESSMENT (MUST BE COMPLETED BY A LICENSED HEALTH CARE PROVIDER BY MEANS OF A FACE-TO-FACE EXAMINATION WITH THE RESIDENT. ) Known Allergies: Height: Medical history and diagnoses: Physical or sensory limitations: Cognitive or behav.

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ing to Florida's Compendium of Residential Care and Assisted Living Regulations and Policy, an Extended Congregate Care license is issued for “residents to age in place in a residential environment despite mental or physical limitations that might otherwise disqualify them from residency under a standard or [ ...

En español | No, Medicare doesn't cover the cost of assisted living facilities or other long-term residential care, such as nursing homes or memory care facilities.

Assisted Living Licensing and Training Requirements - Florida be 21 years of age; have a high school diploma or a GED; take a 26 hour course (ALF Core training) from a trainer registered with the AHCA; pass a state competency exam; and. pass a level 2 background screening.

Private Pay Has Many Options In most families, the senior or their family pays for assisted living with funds from savings, pensions, Social Security benefits, or other financial assets. Sometimes the senior has a long-term care policy that helps pay some of the cost.

Eligibility Guidelines Persons aged 65 and older qualify if assistance is needed for four or more activities of daily living such as bathing, toileting or grooming. Individuals who do not require this level of assistance but are diagnosed with Alzheimer's or other progressive conditions may also qualify.

Assisted Living / Memory Care The average cost of assisted living in Florida, ing to Genworth's 2021 Cost of Care Survey, is $4,000 per month. However, the range of cost across the state varies greatly, with an average low of $2,350 / month and an average high of $5,300 / month.

Form 1823 is published by The Agency for Health Care Administration, the government entity that regulates assisted living communities. Form 1823, otherwise known as the Resident Health Assessment for Assisted Living Facilities, is used to establish eligibility for assisted living services.

Persons under 60 are not eligible regardless of their functional ability. Persons between the ages of 60-64 are eligible if they are considered disabled by Social Security. Persons aged 65 and older qualify if assistance is needed for four or more activities of daily living such as bathing, toileting or grooming.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232