Who needs HCA Form 1823?
This form is used by the licensed health care providers to make the examination of the patients in assisted living facilities.
What is HCA Form 1823 for?
The form 1823 is an assessment filed with the Agency for Health Care Administration. The licensed health care provider has to examine the patients in the assisted living facility once a year.
Which sections should be filled in HCA Form 1823?
The administration of the assisted facility is to indicate the resident’s name, sign and date the form.
The health care provider has to fill out the following sections:
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Health assessment (known allergies, medical history, health limitations, cognitive or behavioral status, nursing requirements, degree of patient’s need of assistance, diet instructions, special condition requirements, )
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Self-care and general oversight assessment (ability to perform self-care tasks, general oversight, additional observations, prescribed medications)
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Services offered or arranged by the facility for the resident
The provider must also type the facility name, address, and number