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Despite an initial hesitancy among seniors to seek assisted living situations, 73% of families report that a senior’s quality of life improves after a move to an assisted living facility. 

When seniors reach the stage of finally accepting assistance in their daily living routines, they embark on a new journey that can be extremely empowering and rewarding when managed correctly. 

Moving from their home of many decades to a Residential Care Facility for the Elderly (an RCFE) is often the first step in increasing or maintaining their current level of activity.

A well-trained RCFE administrator can help the individual see this transition as an opportunity to continue to enjoy the things they love as well as to explore new and exciting experiences.

With the support of an engaged caretaking staff, seniors can feel empowered to participate in activities that maintain mobility and an active lifestyle. This can often be key to a senior’s happiness, self-worth, and overall feelings of independence.

How an RCFE Administrator and Staff Can Help Seniors Stay Mentally and Physically Engaged

Start Out Small

For the RCFE staff involved in planning meaningful activities, the most important thing to keep in mind is that it’s not about you. 

Learn how to properly empower those under your care to encourage mental and physical enrichment on their own terms. You may have great ideas about activities seniors ought to pursue but without mutual agreement, your efforts will fail. 

For example, you may have concerns about extra pounds an individual has gained and you would like to see them set senior wellness, exercise, or weight-loss goals.

So you conduct research about food portion control and low-impact exercises, present your findings, and discover that your senior isn’t interested.  Not everyone has an interest in pursuing fitness even if it’s the healthy thing to do. A gradual approach towards change may get better results over time. 

Getting someone mentally engaged first tends to motivate them to become more physically engaged. 

Encouraging seniors to pursue exciting pet projects or to visit with a grandchild may lead to more physical activity in a natural way. You may later come to notice that the weight gain actually stemmed from a desire to snack out of boredom. 

So remember; when you can start out small, make it about them and set realistic expectations.

Take Time To Learn About Each Individual

Knowing what activities to offer is essential to keeping your seniors engaged and interested. Getting to know your residents will help you to match seniors with compatible activities. 

Have conversations. Ask residents about their interests and passions. You would be surprised how much you can take away from a brief conversation and then use that information to plan your activity selections in the future. 

As you become more familiar with your resident’s likes and interests, planning group activities will become easier. Mr. Jones may love playing cards but Mrs. Smith does not.

Most residents who move into an RCFE usually come alone. A new environment with new people can be stressful. 

Each resident that moves into your community comes with their own unique history and life stories. Some will assimilate well while others may struggle. Knowing the kind of activities that each resident might be interested in can be just the right catalyst to activity participation.

The families may also have ideas of how their loved ones should be spending their day doing activities. Large communities offer a variety of enrichment programs that a smaller community may not be able to. But no matter the size of the community, there needs to be an activity that a resident may be interested in.

But what about the resident who does not want to participate no matter how hard you try to encourage participation?  

Dig deeper: Was this resident outgoing and had varied interests before moving into the community? The family may expect Dorothy to become a social butterfly, but Dorothy may have no interest in venturing into a group activity. Explaining to the family that if the resident was not socially active prior to the move, they will most likely not be active after the move.

Pay Attention to Clues

Being observant can often pay dividends. Look for clues about a senior’s enthusiasm. Photos and reading materials often provide tip-offs and good conversation starters. 

Magazines and books typically reflect absorbing hobbies, interests, and values. If a well-used Bible rests on the bed stand, for example, it typically indicates an interest in religious matters, and attending a Bible study or volunteering at a church may be a good future activity.

Different Activities Fulfill Different Needs

When studying to become an RCFE administrator you have a wide range of curriculum to learn in order to meet state certification requirements and receive your RCFE certification. 

Part of that required curriculum covers the needs of the residents in many important areas including:

• Physical
• Intellectual
• Emotional
• Social
• Spiritual

The state-required RCFE administrator certification prepares future administrators on how to research, set up, and evaluate appropriate activities to help meet these needs. Online staff training and RCFE classes to meet administrator CEU requirements also provide additional resources for learning more ways to keep residents involved in fulfilling activities while meeting their different needs. 

The best way to know if you are fulfilling resident needs is to simply ask. Simple and proactive communication can go a long way in planning meaningful and entertaining activities. 

Help Seniors Set Goals

Writing down the desired goal and developing steps to accomplish it provides momentum for anyone, and this exercise can be especially helpful for seniors. 

Once you’ve identified the individual’s special interest, help the person select a simple step to get started. In order to make sure the senior chooses a reasonable objective, you can introduce the concept of SMART goals. Here’s an example:

• Specific – Resident will participate in card games of choice
• Measurable – Attendance in 2 activities
• Achievable – Resident enjoys card games, needs minimal assistance to attend a card game 
• Relevant – Bridge and poker games will occur 1-2 times per week.
• Time-bound- Resident will attend 1 or more card games per week.

By checking that the initial target meets these guidelines, your senior can clearly define an achievable goal, and together you can track tangible progress. Remind the senior that baby steps are fine to start.

Plan Senior Activities at Different Skill Levels

Seniors can usually realize their limitations with familiar activities, but if they are starting a new hobby or interest, they may overestimate what they can accomplish. 

For example, the person may not realize how complicated a new knitting pattern or art project is to carry out. 

As a caretaker, it’s important to make sure that group activities are offered at various skill levels that are appropriate for different physical and mental abilities.

Hire Caring Staff Members

Whether you’re just learning how to start an assisted living facility or already running a busy community, you cannot perform every task yourself. You need to find the right people to help care for residents and train your employees to meet the needs of those residents. 

Keeping all the individuals in your facility involved in meaningful activities takes the time and patience of all staff members. Starting with a good team is essential.

Conclusion 

Every senior you care for in an RCFE will have unique interests, abilities, and needs. And like most everyone else, they will have ambitions and desires to fill their days with activities that match those interests and needs. 

With a little bit of planning and some time and patience, you can ensure that your residents are remaining active while getting the most out of their day-to-day activities. 

If you or your staff are interested in progressing your professional training please contact Assisted Living Education today. We are here to help!

People Also Ask:

How do seniors stay mentally active?
Mental fitness activities include learning something new, keeping stress under control and maintaining physical fitness and a healthy diet.

How can seniors keep busy?
The best activities are a blend of socializing, moving, creating and thinking. Activities might include: online learning, volunteering, participating in a book club or photography.

Estimates show that between 40-to-70% of caregivers experience significant symptoms of depression. 

While there are RCFE classes to learn how to care for others, it is equally as important for administrators to learn how to help their caregivers practice self-care in order to remain positive and productive in their caregiver role.

Being a caregiver can be an emotionally fulfilling occupation. Providing personal assistance to enhance a senior’s life can bring joy to the senior and to his family knowing their loved one is being properly taken care of. 

However, the job can carry with it many conflicting emotions such as fear, sadness, loneliness and underappreciation. The daily tasks of taking care of an elderly or ailing person can be very challenging. Because of the complexity of what it takes to take on the role of a caregiver, some doctors think of caregivers as “hidden patients.”

As an RCFE administrator, the best thing you can do for your staff’s physical and emotional well-being is to encourage caregivers to take time out for themselves. This helps prevent burnout and allows them to rejuvenate so that they can be the best caretaker they can be.

Warning Signs of Caregiver Burnout

How do you know if your employees are experiencing caregiver burnout? 

Look for common warning signs that indicate an individual needs to make changes in order to protect their physical and emotional health: 

• Experiencing overwhelming anxiety
• Fatigue that doesn’t improve with quality sleep
• Digestive problems
• Escalating unhealthy habits (i.e. smoking or drinking alcohol in excess) 
• Chronic backaches or headaches
• A change in personality or disposition 

Here is a list of 6 things you can share with employees, so they can be more positive and productive:

• Take time to do something you love – Being a caregiver does not mean that you have to deprive yourself of doing things you love. Participating in activities you enjoy such as reading, taking a walk outdoors or having lunch with a friend, is essential. Self-care is vital to avoiding caretaker burnout, so find something outside of caregiving that is satisfying to you. 
• Don’t neglect your physical well-being – Eating healthy foods, getting enough rest, exercising regularly and limiting alcohol and tobacco use are all important for both your physical and mental well-being. Taking care of yourself physically helps your overall emotional health and allows you to better take care of others. 
• Express Feelings & Emotions – Keeping your emotions bottled up is not healthy. When we suppress emotions such as grief, anger and frustration it can manifest itself into physical stress in the body. Joining a support group or confiding in a friend can be helpful ways to talk about your feelings and to connect with others going through similar situations. 
• Practice positivity  –  Create a journal where you take a few minutes each day to write down some things you are thankful for or that make you happy. Whether that’s a beloved pet, a funny cartoon or a favorite song, jot down those things that boost your spirits. Then review your list when you are feeling extra stressed to boost your mood and shift your perspective. 
• Keep humor in your life – Laughter has more benefits than you think. Laughter creates endorphins, reduces stress, stimulates circulation and helps to increase oxygen-rich air in your body. What makes you laugh? Whether it be a movie, a book, watching a comedy, or hanging out with a fun friend, increasing humor and laughter in your day-to-day activities will benefit you greatly. 
• Set Boundaries – Setting realistic expectations is important for everyone, but especially for caregivers. Know your limits and give yourself permission to say “no” to activities that you do not have time for right now. Remind yourself that it’s okay to set boundaries with your time and energy as a way to focus on your own mental well-being. 

How Attitude Can Make a Difference for Caregivers

The National Institute of Health (NIH) maintains that caregivers have both positive and negative responses to their role. Your goal as an administrator is to show that caregiving doesn’t have to be a burden. Caregiving is a worthy profession and can be very uplifting. 

When it comes to caregiving it is important to release the need for perfection and adjust expectations to reflect reality. Being realistic about what can and cannot be controlled in a given situation is essential. 

While caregivers cannot control the chronic or progressive disease of the person they are caring for, or the impact it will have on that person, they can control how they respond to the situation. 

As an RCFE administrator, you can help reduce burnout and stress for employees by giving them tools to help them recognize and manage stress. 

Caregiver attitude can be the biggest factor when it comes to self-care and job performance. 

Here are helpful ways caregivers can keep a realistic and positive mindset:

• Acknowledge your limitations
• Listen to your body
• Stay connected with the outside world
• Learn the signs of chronic depression
• Insist on getting respite care
• Remain in the present

Help Caregivers to Better Help Others

Teach caregivers how to take care of themselves and remain positive. While the demands of being an RCFE Administrator are many, guiding staff through potentially overwhelming circumstances can decrease turnover and increase job satisfaction for all.

Assisted Living Education is the leading provider of RCFE certification classes, licensing, products, and services for assisted living. Our teachers are industry professionals with many years of experience that are engaging, entertaining, and highly informative. Learn more about how we help RCFE professionals.

According to the Kaiser Family Foundation, almost 25% of adults 65 years and older have experienced some level of depression or anxiety during the COVID-19 pandemic. 

When running an RCFE, there is no standard solution to depression that will work with all your residents. Caregivers need to recognize that every senior is one-of-a-kind. 

Each case of elderly depression is also different. An approach that is effective with one individual may not work with the next.

This post will explore several effective ways to deal with senior depression in an RCFE setting.

Implement Strategies to Assist Seniors Dealing With Depression

Although the COVID pandemic certainly contributed to depression in elderly citizens, the easing of restrictions may not instantly make those anxious and depressed feelings go away. 

Every RCFE administrator may want to put some of these suggestions into play to help their residents recover from these difficult times.

1. Adjusting Communication Skills and Activity Planning 

One of the most important things you can do when someone in your care is experiencing depression is to listen. Often what an elderly individual needs most is someone to just hear them and pay attention to the feelings they are experiencing.

By listening carefully you will often hear clues to some of the causes of their anxiety and depression.

As moods start to normalize, let your residents express preferences and help plan new ventures. It’s vital for residents to feel they still have some control over their lives.

Start simple and focus on positive activities that can have a direct reflection on their mental health like exercise, nutrition or even starting a new hobby.

As Covid restrictions ease more and more, perhaps consult with a local senior center to see what group activities and social engagements are being planned.

A safe reemergence back into a social stream can quickly resume normalcy that may spark positive emotional results.

2. Foster a Positive Mental Outlook 

If you are a caregiver to an empathetic resident, it can sometimes be tempting to unload your problems and/or stresses on this captive audience. 

While there are times you may need or want to share personal feelings, talking about issues with your job or personal life can cause worry or increase low spirits for an already emotionally compromised senior.

As much as possible, keep conversations upbeat. 

It can be something simple, such as a home repair you successfully accomplished or a new recipe that turned out well. 

Don’t forget to ask your residents to also name something they recently enjoyed. This helps to direct their focus towards something positive.

3. Help Develop Purpose 

None of us enjoy feeling useless or unwanted. 

Seniors are no exception. They need a sense of purpose.

Brainstorm ways to target goals and objectives for your residents. Hobbies are a great start. Tying them into ways to help others also adds a big dose of purpose to the activity. 

Interests and abilities may differ, but everyone likes to feel like they are making a difference. 

Small examples could include installing a hummingbird feeder. 

Even planting a few vegetable or flower seeds can create a sense of daily purpose and fruition as your resident watches his or her garden grow. 

Encourage your residents to focus on simple projects for family members or even local charities. A senior in full control of their faculties might want to consider writing a family history or personal memoir for their children or grandchildren. 

Senior care residents will often respond positively to contributing through creative efforts, utilizing their existing skills or even just volunteering their time.

4. Address Sleep Issues

Starting the day right is difficult if you’ve had a lousy night’s sleep. Working to improve your residents’ sleeping patterns and helping to overcome insomnia issues will go a long way towards helping to stabilize their moods.

You may also consider some environmental factors like eliminating caffeine after midday, omitting afternoon naps and avoiding heavy evening meals to help ensure a good night’s sleep.

5. Get Your Senior Involved With Exercise or Movement

Exercise is a great way to get endorphins flowing. 

For some seniors, this can be a “slam-dunk”, but others may express that they are not interested or that they have earned the right to just “sit back and relax”. 

Unfortunately, inactivity often goes hand-in-hand with sleep issues and depression. Try to encourage some activity and exercise while also taking care to address valid reasons for inactivity, such as pain or disabilities.

Solicit suggestions for appropriate exercise activities from a medical provider or physical therapist. 

Many RCFE continuing education classes also provide some limited information and training in this area. For example, when dealing with seniors with limited ability, try chair exercises or a pedal device for leg movement while sitting.

6. Begin or Increase Social Activities

This looks different for every senior, depending on capabilities and personal preference, but you’ll notice that most residents will enjoy informal visits with family members or other persons who share similar interests. 

For the more shy or introverted residents, start small. 

Having morning coffee with a friend or neighbor, participating in a group activity or even just a FaceTime session with a family member can make a real emotional impact.

7. Keep Up With Technology

Speaking of FaceTime, seniors who learned to make use of web conferencing through services like Zoom or who used video chat apps such as FaceTime during the pandemic should continue to utilize them regularly. 

Getting to stay connected, even virtually, with family and friends can be a huge morale booster to most residents.

Try to introduce tech-weary seniors to things like YouTube where they can watch how-to videos, live church services and other events they might otherwise be missing. 

Technology remains a good way to interact with others and help residents stay connected to the outside world. Learning new technology also helps keep a senior’s mind stimulated.

Not only does the resident feel as if they are growing mentally, but that they’re also evolving with the ever-changing times and not just feeling like they’re a relic to the past.

Devise a Plan To Help Seniors Adjust to Post-Pandemic Life

Although many factors can contribute to depression in older adults, the fear of Covid-19, the stress of the stringent lockdowns, and just the overall impact it has had on this demographic certainly intensified the problem. 

As the number of vaccinated citizens continues to increase, and the country starts to open up again, it is important for RCFE administrators and their staff to plan a smooth transition and return to normal protocols with the differing needs of elderly individuals in mind.

Even though the CDC, as well as state and local health departments, dictates many details of the gradual reopening, an RCFE administrator should still be ready to acknowledge that residents may need to adjust on their own timelines.

Part of any transition plan should include appropriate training of all caregiving staff on the signs and symptoms of depression and the appropriate ways to report and intercede. Online training is available for facilities to use to expand caregiver knowledge and meet required CDSS requirements. 

Does Your RCFE Need Help With Senior Depression?

If your assisted living facility is struggling with Post-Pandemic depression issues, or even just a general loss in community morale, please don’t hesitate to reach out for support. Assisted Living Education is here to help and support you while we all journey together on the path to recovery.

In 2020, the average life expectancy in the United States was nearly 79 years, as compared to the life expectancy in 2000 of 77 years. 

The good news is Americans are living longer, the bad news is our nation is not fully prepared for the challenge of meeting the increased needs of an aging population that will be almost 25% of the U.S. population by 2030. 

This is why more Residential Care Facility for the Elderly (RCFE) will be needed. 

About RCFEs 

The core services that an RCFE provides to people who are 60 years or older includes: safe and healthful living accommodations; personal assistance and care; observation and supervision; planned activities; food service; and arrangements for obtaining incidental medical and dental care. 

Most facilities also assist with storing and distributing medications that a resident can self-administer. 

This type of facility is for a person who is no longer able to live alone but does not require 24 hour skilled nursing care. RCFEs are considered a social model and skilled nursing facilities (SNF) are medical models. A RCFE is not required to have a licensed nurse on staff. 

Another difference between the two different levels of care is which licensing entity they report to. RCFE’s report to the Department of Social Services (CDSS) and SNF’s report to the Department of Health Care Services (DHCS).

So what does it take to become a RCFE owner? Find a building to own or rent and submit an RCFE License Application to CDSS. You should also take the 80 hour RCFE Administrator certification course to become the administrator who will oversee the day to day operations. If you do not want to do hands on oversight, you can hire an administrator. 

So what are the 5 strategies to operate a successful RCFE?

1 – Location, Location, Location. 

Do you know the area you are thinking about opening a building in? How saturated is the area with RCFE’s? Does the city have a significant senior population to support your facility? 

The CDSS website, www.cdss.ca.gov, has all facilities listed by address, city or zipcode. The Census Bureau can help to identify the makeup of a given age population in a particular area. You should “secret shop” the competition. What are they doing right? How does the facility look and smell? What are the residents and staff doing while you are touring? 

Families are looking for a clean, safe and engaging place to move their loved one. Is the facility close to a hospital and physician offices? How far from a freeway is the building? Have you selected a neighborhood that also has well maintained homes? Is the building clean and well lit? First impressions are everything.

2 – So What Is Your Plan? 

Finding a building in the right neighborhood is really the easy part (you may not think so as you go through the process). Your lender will want to see your business plan. How much experience do you and your employees have in the area of senior care? Are you hiring an administrator with experience? What is your budget? 

You will need a corporate entity, such as a Limited Liability Corporation (LLC) at the time you submit the license application to CDSS and a budget is included. Do you have three months of operating costs plus funds for repairs while you get started. This is a business that can not operate on a “shoestring budget”. Creating a business plan will help you to execute a successful business model.

3 – Hire the Right Staff 

Hiring great employees is going to be the most problematic and stress inducing process you will experience. You will find employees, but are they Great employees? 

Finding residents will not be your main problem. You may purchase a facility in which staff are already in place. Interview them, do not assume they are staying or that you want to retain them. Staff will make or break your business! 

Are you going to hire an assisted living administrator? Is an administrator in place if you buy an existing RCFE? Does the staff respect the administrator? This person sets the tone of the building. 

Once you own the building, speak to families and see what their concerns are. They often do not want to see the staff leave, as the staff “knows” what the residents’ needs are. Communication is the key to happy relations with the families. Family members are often your second biggest challenge.

4 – Know Your Licensing Entity 

Once you submit the license application, you will get a notification that the Licensing Program Analyst (LPA) assigned to your area is going to interview you and tour the facility before the license is approved. You do not want to get on the bad side of the LPA. How do you stay in her/his good graces? You follow the regulations. It is that simple. 

Provide safe and healthful care. 

Train the staff properly. 

Communicate when something goes wrong (you learn what those forms are in the Administrator course). All the LPA wants is that the residents are safe, eating well, have meaningful activities and they are not being abused. 

Those should be the same reasons you decided to enter the Elder Care field. 

5 – Market Your Services 

How are you going to get a resident to move in now that you own the RCFE? The facility may have been operating for a long time and may already have a reputation in the community. Referral agents, discharge planners and social workers need to know there is a change in ownership, which might be a good thing. 

Reach out to your competitors and let them know that you are the new owner and you can help each other fill those empty beds. Do not underestimate the power of networking. 

Join a local assisted living association, attend conferences, and network with hospitals and doctors who provide referrals to your services. 

The need for elderly care is expected to increase in the years to come. This need will require RCFEs operating under capable leadership and providing quality care at an affordable cost. If you have been considering opening an RCFE, now is a good time to execute your vision. You can begin by understanding the qualifications and receiving the appropriate training to become a certified administrator. 

When you’re ready to provide the necessary care for the need that exists, learn how Assisted Living Education can prepare you for operating a successful RCFE. The satisfaction of caring for seniors in need makes the life of an RCFE owner one that will prove both rewarding and life affirming.

In California, one option for seniors 60 years or older requiring long term care is a “social model” that provides room, meals, personal care assistance, supervision, observation, housekeeping and planned activities. A Residential Care Facility for the Elderly (RCFE) can care for one or more persons and must be licensed by the State of California to provide care services.

RCFEs operate as a bridge for those who require some level of assistance that prevents them from living on their own but who do not require 24-hour medical care, service, or supervision.

RCFE’s vary in size but there are basically two models: 16+ residents or 1-15 residents. The 16+ are owned or operated by Sunrise, Brookdale and Atria to name a few. The 1-15 model is typically a home in a residential area and often called a “board and care”. Unlike nursing homes, RCFEs may have licensed professionals as personnel, but it is not required to do so.

RCFE Administrator Certification and Licensing

The administrator is responsible for the care and supervision of residents, staff management, and adhering to regulations, policies and procedures. Regulations require the administrator to complete an 80-hour certification course and pass a 100 question state examination with a score of 70% or better to receive a certificate. 

The administrator must complete 40 hours of continuing education units (CEUs) every two years. Fortunately, Assisted Living Education (ALE) is one of 15 vendors that provide RCFE administrator certification classes. Additionally, the RCFE itself must be licensed. The process involves completing an RCFE license application, which ALE offers assistance with your RCFE application and licensing. An RCFE license is renewed annually and must be inspected by DSS yearly.

RCFE Staff Requirements

California laws require RCFE’s to ensure that the community has “sufficient staff at all times and competent to provide the services necessary to meet resident needs.” There is no detailed requirement of how a community is to interpret this regulation. 

The resident care needs indicate how many staff are required to render care. The communities with 1-15 residents usually have two to three caregivers during the day and one caregiver at night. There are no resident ratios. The administrator or a qualified designated substitute must be on-site 24 hours a day.

California regulations require the following:

• Employees who provide direct care to the residents and employees who supervise employees must be 18 years or older. 
• The administrator must be 21 years or older.
• The administrator must have a high school diploma or GED for 1-15 residents; 15 college units and one year of experience for 16-49 residents; 2 years of college and three years experience for a community with 50 or more residents. 
• At least one staff member must be CPR certified and on the premises 24 hours per day. 
• Any personnel who provide care to the residents must have first-aid certification.  
• All personnel and some volunteers must have a Criminal Record Clearance before employment approval. 
• All personnel must have a health screen and negative TB test.
• Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. 

RCFE Staff Training Requirements

All personnel assisting residents with ADL’s must complete 20 hours of initial training prior to assisting a resident and an additional 20 hours of training within the first four weeks of employment. 

The topics include: the aging process; personal care; physical limitation; ADL’s; resident rights; medication policies and procedures; psychosocial needs of the elderly; recognizing signs and symptoms of dementia; 12 hours of dementia training; postural supports; hospice care; restricted health conditions; LGBT; elder and dependent adult abuse reporting; theft and loss; disaster training; food service and safety; and care of a bedridden resident.

Staff are also taught required subjects by the Occupational Health and Safety Administration (OSHA) that includes universal precautions, Hepatitis B, bloodborne pathogens, Personal Protective Equipment (PPE), and Safety Data Sheets (MDS).

All staff assisting residents with self-administration of medications must receive 10 hours of training for 1-15 residents and 24 hours for 16 or more residents and all communities must provide an additional 8 hours training each year.

ALE provides online training for employees that allows the employee to progress at his/her pace. The following link will provide information about ALE’s training products for staff training. 

RCFE Policies and Procedures

Once the facility is licensed, RCFEs are required to have a Plan of Operation that includes: policies and procedures for admissions; staffing plan, qualifications and duties; plan for training staff; organizational chart; sketches of the floorplan and the yard; policy for family visits and communication. ALE has created an assisted living policies and procedures manual. 

The topics covered here provide you a high-level overview of RCFE staffing requirements in California along with links to helpful resources. Thank you for the essential care RCFE’s deliver to the aging community, and we hope the information here will help you continue to achieve that goal. 

People Also Ask

What is the difference between ARF and RCFE? An ARF (Adult Residential Facilities) are non-medical that provide basic care and may include housekeeping, supervision, personal care assistance, and the like. ARF provides 24-hour non-medical care. RCFEs provide non-medical care to people who need assistance with activities of daily living (ADLs). RCFE care does not require 24-hour nursing care.