Consumer Support Assisted Living Info

What is an RCFE?

Consumer support / Assisted Living Information

Residential Care Facility for the Elderly, or RCFE,  is California's term for an "assisted living" facility.  Across the nation, different states refer to this type of supportive housing and care using different terms.  "Assisted Living" is the most commonly used term within the industry for these facilities.  In California, the regulations refer to these facilities as RCFEs. 

An RCFE is defined by Title 22,§87101(r)(5)  as ". . . a housing arrangement chosen voluntarily by the resident, the resident's guardian, conservator or other responsible person; where 75% of the residents are sixty years of age or older and where varying levels of care and supervision are provided, as agreed to at time of admission or as determined necessary at subsequent times of reappraisal.  Any younger residents must have needs compatible with other residents."   

Independent Living: What is it and Who Regulates It?

Consumer support / Assisted Living Information

Who regulates "independent living"?  A murky subject indeed.  This topic was misunderstood in the media's coverage of the Bayless story (See "Benefits of Bayless"). It was widely reported that Ms. Bayless lived in an Independent Living unit of the Brookdale Senior Living Residential Care Facility for the Elderly (RCFE) in Bakersfield, and that Independent Living was not regulated if the independent living units were not part of a Continuing Care Retirement Community (CCRC).  Au contraire. There is a variety of independent living models, some regulated, some not, so CARR thought this would be a good time to shine a spotlight on the topic.

INTERACT: A Protocol for Delivering Better Care

Consumer support / Assisted Living Information

CARR's mission is to improve resident care in assisted living by educating consumers and providers.  One of the ways we can achieve that is by promoting tools providers can use to elevate the quality-of-care they deliver, while educating consumers that they should be asking providers whether they use the INTERACT protocol.  And if not, why not?

INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program that is a product of a contract between the Georgia Medical Care Foundation and the Centers of Medicare & Medicaid Services (CMS). Funding for adaptation of INTERACT for assisted living and home health settings was provided by a CMS Innovation Award.  

Flu Season in Assisted Living, Tips for Residents & Families

Consumer support / Assisted Living Information

When it's flu season'Tis the season.  Flu season, that is.  And for the elderly, this means additional vigilance to safeguard their health. How well prepared is your facility as we enter flu season?  What preventive measures is the facility taking?  Is the facility prepared to handle an outbreak?

It is well known seniors are at a greater risk of complications should they contract influenza.  And group settings, like assisted living facilities, may increase a senior's exposure to contagious diseases. According to the CDC, it is estimated that between 80-90% of seasonal flu-related deaths occur in people 65 years and older and between 50-70% of seasonal flu-related hospitalizations occur within this same age group.  

CCL's Centralized Complaint Hotline

Consumer support / Assisted Living Information

Department of Social Services, Community Care Licensing Division (DSS/CCLD) launched its new centralized complaint hotline this past week. The hotline's objective is to streamline the complaint process for consumers, and to assure information about complaints is consistently collected across all complaint report types.  Once a complaint is filed through the central call office, it is reviewed by a field-seasoned CCL inspector; within a few hours after the complaint has been reported, it is directed to the appropriate regional field office for investigation.  Once in the regional office, the agency must initiate its investigation within the 10-day regulatory time frame. 

Need A Crash Course in Assisted Living 101? Watch Our Webinar.

Consumer support / Assisted Living Information

CARR was recently invited to share what we know about California's assisted living industry by the Caregiver Coalition.  The Caregiver Coalition of San Diego offers a series of webinars focused on topics relevant to those caring for an aging relative and professionals in the field of aging.

You can now access valuable information about assisted living in California and making an informed placement decision anywhere you can access the internet at a time convenient for you.

Find An Ombudsman in California

Consumer support / Assisted Living Information

Statewide Ombudsman Program Offices

Ombudsman are available in every county in California.  To find the office nearest you, check out our list. and click the underlined blue link to access contact information.  The California State Long-Term Care Ombudsman Program is authorized by the federal Older Americans Act and its State companion, the Older Californians Act. The primary responsibility of the program is to investigate and endeavor to resolve complaints made by, or on behalf of, individual residents in long-term care facilities. These facilities include nursing homes, residential care facilities for the elderly, and assisted living facilities. The Long-Term Care Ombudsman Program investigates elder abuse complaints in long-term care facilities and in residential care facilities for the elderly.

RCFE & Skilled Nursing Facility: Is There a Difference?

Consumer support / Assisted Living Information

he table below shows the primary differences between an RCFE (aka Assisted Living) and a Skilled Nursing Facility.  We are hopeful the content will help your differentiate between the two.  

A Residential Care Facility for the Elderly (RCFE) is the name in California's Title 22 regulations that refers to a "housing arrangement chosen voluntarily" by a resident or his guardian or other responsible party, where 75% of the residents are 60+, where care and supervision is provided to the residents in a manner consistent with their particular needs. In the vernacular, it is often called assisted living or supportive housing.  It is non-medical in

OMBUDSMAN: Resident Advocate

Consumer support / Assisted Living Information

The role of the Ombudsman is to ensure dignity, quality-of-life, and care for all long-term care residents (both in RCFEs as well as in Skilled Nursing Facilities [SNFs]), through empowerment and advocacy.   Ombudsman are community volunteers who attend training before being certified for entry into the program.  

The Long Term Care Ombudsman Program exists in all states under the authorization of the Older American’s Act. (Title Title VII, Chapter 2,§ 711-713). Statewide, there are 35 Ombudsman Program Coordinators;  in San Diego, the program operates under the County of San Diego, Health and Human Services Agency, office of Aging and Independence Services (858) 560-2507. Program staff and trained volunteers have an ongoing presence in long term care facilities (RCFEs and skilled nursing facilities).  

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