Get Assisted Living Program Nursing/functional/social Assessment. Assisted Living Program

Completing the Assisted Living Program Nursing/Functional/Social Assessment is an essential process for determining the care needs of individuals in assisted living facilities. This guide provides users with clear, step-by-step instructions to fill out the assessment effectively.

Follow the steps to accurately complete the assessment form.

1. Use the ‘Get Form’ button to obtain the assessment document and open it for filling out.
2. Begin by entering the individual's name, date of birth, and Social Security number in the provided fields.
3. Indicate whether the individual requires assistance with the listed activities by checking 'Yes' or 'No' for each item. Include the description, frequency, and duration of the assistance needed.
4. Complete the community support section by indicating the organization currently serving the individual, the type of service provided, and relevant contact information.
5. Answer the questions regarding the individual’s health and safety needs to determine if they can be met through an Assisted Living Program.
6. Provide a narrative in the designated space to describe any care needs or aspects of the individual’s situation that were not covered in previous sections.
7. Sign the document as required by the CHHA/LTHHP RN and the ALP RN, including their names and telephone numbers.
8. Once all sections are complete, save your changes, and review the document for accuracy. You can then download, print, or share the form as needed.

Complete your assisted living assessment online today for efficient care planning.