Residential Care Facilities for the Elderly (RCFEs)

Residential Care Facilities for the Elderly (RCFEs) play a vital role in providing housing and care for older adults who need assistance with daily living. Here’s a comprehensive look at what RCFEs are, their purpose, and key considerations:

What are RCFEs?

RCFEs are non-medical facilities that offer housing, meals, and assistance with activities of daily living (ADLs) to seniors who need support but don’t require 24-hour skilled nursing care.
These facilities are also frequently referred to as “assisted living” or “board and care homes.”
In California, RCFEs are licensed and regulated by the California Department of Social Services, Community Care Licensing Division (CCLD).

Assistance with ADLs:
- This includes help with bathing, dressing, eating, toileting, and mobility.
Meals:
- RCFEs typically provide three meals a day, along with snacks.
Medication Management:
- Assistance with medication reminders and safe storage.
Housekeeping and Laundry:
- Services to maintain a clean and comfortable living environment.
Social and Recreational Activities:
- Programs designed to promote social interaction and engagement.
Supervision and Monitoring:
- 24-hour staff availability to provide support and assistance.

RCFEs vs. Skilled Nursing Facilities:
- RCFEs provide non-medical care, while skilled nursing facilities offer 24-hour medical care by licensed nurses.
- Skilled nursing facilities are designed for individuals with complex medical needs.
RCFEs vs. Independent Living:
- Independent living communities are designed for seniors who are still relatively independent and do not require assistance with ADLs.
- RCFEs provide support for those who need help with daily tasks.

Licensing and Regulation:
- Ensure that the RCFE is properly licensed and regulated by the appropriate state agency.
- Review inspection reports and any history of complaints.
Level of Care:
- Assess the individual’s needs to ensure that the RCFE can provide the necessary level of care.
- Consider whether the RCFE can accommodate any future changes in care needs.
Staffing:
- Inquire about the staff-to-resident ratio and the qualifications of the caregivers.
- Observe staff interactions with residents.
Environment and Amenities:
- Evaluate the cleanliness, comfort, and safety of the facility.
- Consider the availability of amenities such as social spaces, outdoor areas, and activity programs.
Cost:
- Understand the costs associated with living in the RCFE, including monthly fees and any additional charges.
- Explore available payment options, such as long-term care insurance or veterans’ benefits.

Key points to remember:

RCFE’s provide a valuable “middle ground” of care, filling the space between independent living and skilled nursing.
Regulations for RCFE’s are state based, so requirements will vary.
It is very important to research any facility you are considering, and to visit the location.

California Department of Social Services, Community Care Licensing Division (CCLD):
- Provides information on licensing and regulations for RCFEs in California.
- Information can be found by searching the Califonia DSS CCLD.
The National Long-Term Care Ombudsman Resource Center:
- Provides information and resources on long-term care advocacy.
- Information can be found by searching “The National Long-Term Care Ombudsman Resource Center”
AARP:
- Offers resources on assisted living and long-term care.
- Link: https://www.aarp.org/
The Eldercare Locator:
- Helps find local resources for seniors.
- Link: https://eldercare.acl.gov/
CANHR (Consumers Advocate for Nursing Home Reform):
- Offers advocacy information relating to long term care in California.
- Link: https://canhr.org/