Every resident’s care level and billing tier on one record, each change dated — the activities calendar with who took part, respite stays booked, handed over and handed back, and a halfway home’s programme: goals met, privileges earned, the next step named.
For a senior-care, assisted-living or nursing home, and for a psychiatric halfway home. The home writes its own care levels — independent, assisted, memory care, nursing, or whatever it calls them — each with its monthly rate; nothing is filled in for it. A resident is moved in on a level, with their room, and every later change of level is a dated row with the reason and who decided, so the level on any past day is on the record rather than in someone’s memory. A change can only follow the last one, and can be planned up to a month ahead. A change may carry the Katz Index of Independence in Activities of Daily Living (Katz et al., 1963) — six activities, a point each for doing it without help — kept beside the decision; the score never chooses the level. Each month, once it has ended, is billed day by day at the level in effect (the monthly rate divided by the month’s days) onto the resident’s bill, and no change may then be back-dated into it. Moving out is dated with the reason; the day someone leaves is not billed. Activities: the home’s week of activities — exercise, social, creative, spiritual, outings, memory and thinking — on a calendar with a time, a place and who leads, repeated weekly if wanted; once each has started, attendance is taken per resident (took part, came and watched, declined, unwell, away) and kept as first recorded, and residents who have joined nothing for a fortnight show first, so a home can show a family or an inspector engagement rather than a timetable. Respite stays: a short stay booked so a family caregiver can take a planned break — the senior, the days, the room, the care level it is billed at and the caregiver taking the break; on arrival the senior moves in as a resident like any other, billed the same way, until the booked day; a nurse or carer takes the family’s account of the routine, food, medicines as the family gives them, moving about, sleep and what to watch for, kept as recorded; and the stay ends only when the senior is handed back to the family with how it went. A room another stay shares those days is shown, never refused. Programme: a halfway home runs each stay as a staged path toward living independently. The home writes its own stages in order — the privileges a resident has at each and what moves someone on; none ship. A resident is placed on a stage with the reason and the next step toward independent living named, and every later move is dated with who decided. Goals are set at the stage the resident is on, each met or dropped once with a note; a move to a later stage waits until every goal at the current one is met or dropped, so privileges are earned as goals are met. A step back is recorded with its reason, and the path so far reads as a timeline.
/residentsresident.readWhat it does not do, by design. A listing with only benefits is an advertisement.
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