Making Sure 1823 Form Is Properly Filled Out!

Completing the AHCA Form 1823, the Florida Resident Health Assessment, correctly means ensuring each section is filled out fully by the appropriate party and that the assessment accurately reflects the resident's current health status. A licensed health care provider—such as a physician, physician assistant, or advanced practice registered nurse—must examine the resident and complete the medical portions, documenting diagnoses, medications, ability to perform activities of daily living, any need for assistance, and whether the resident poses a danger to self or others. The facility must confirm that no sections are left blank, that the provider has signed and dated the form, and that the information supports the resident's suitability for assisted living. Whatever the medical professional records on the 1823 governs the care the facility must provide, so the form must be legible, complete, and consistent with the resident's service plan. A properly completed 1823 protects the facility and ensures residents receive appropriate care.

The 1823 form can get your assisted living facility in trouble as a matter of fact it’s the number one cited document by AHCA.

Here is a good example of a completely filled 1823.

 

Example 1 No Dr signature, No signed date.

Let’s take a look at different examples that can get you cited by AHCA.
The most cited 1823 issue is the form not being completely filled out. Here is an example of a correct form. Every field is filled out.
Believe it or not the item most often not filled in is the Health care provider information section.

 

 

Example 2 No Height and Weight

Other areas often left blank include Height and Weight fields

 

Example 3 Does the resident need assistance with medications?
In this example,

I’m going to show you two possible mistakes. The first one is that the medications are not listed. The 2nd is medication administration was checked off. Unlicensed staff aka med techs are NOT allowed to administer medications. Sometimes no selection will be checked off.

 

 

Example Can the resident’s needs be met by the facility?

Many times DR’s check off NO. Also, they will check off needs 24 nursing care. Also, remember you can not admit a resident with a stage 4 wound.

 

Example Not Checking off if a resident is on a regular or special diet.

 

 

 

Example Last Page Not Filled In By The Facility

 

 

 

Things To Look Out For. Remember whatever the medical professional has written on the 1823 form you as a facility are on the hook for. For example, if they have written that the resident is an elopement risk then you must perform the required items in the regs regarding elopement risk residents (picture and they must have identification on them)  As well as if any special diets have been filled in you must make sure you are taking steps to make sure the diet is being met.

 

 

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