Senior Living, Compliance, Regulations, Florida, Form 1823
Aug 9, 2023

Florida Form 1823: What Senior Living Communities Need to Know

Picture of Nicole Shelton
by Nicole Shelton

For senior living communities based in Florida, understanding the 1823 Form is vital to success and will help improve compliance. This article will go over Florida's 1823 Form, the act that created it, and the governing body that published it. Additionally, this article will offer tips on educating incoming residents and preparing for the next steps once the 1823 Form is received. 

What Is Florida 1823 Form in Senior Living?

Florida's 1823 Form is published by the Agency for Healthcare Administration or the AHCA. This agency serves as Florida's chief health policy and planning entity. AHCA is responsible for the licensure of Florida's 48,500 healthcare facilities and for sharing healthcare data through the Florida Center for Health Information and Policy Analysis. Additionally, the agency is responsible for Florida's estimated $25.2 billion Medicaid program.

The 1823 Form, or the Resident Health Assessment for Assisted Living Facilities, was produced due to the Assisted Living Facilities Act, Florida Statute 429.

The form is an assessment used to establish eligibility for senior living services. The evaluation documented in Form 1823 covers the extent an individual needs supervision or assistance with specified tasks, known conditions or requirements, medical history, and other medical observations. 

Who Needs to Complete Florida Senior Living Form 1823?

All residents need to have Form 1823 completed before being admitted to a long-term care facility in Florida. According to Florida Statute 429.26 (5), Each resident must have been examined by a licensed physician, a licensed physician assistant, or a licensed advanced practice registered nurse within 60 days before admission to the facility or 30 days after admission to the facility. The information from the medical examination must be recorded on the practitioner's form or a form adopted by agency rule. 

Form 1823 must be signed by the practitioner and then submitted to the owner or administrator of the chosen facility, who will use the information to assist in the determination of the appropriateness of the resident's admission to or continued residency in the facility. 

Why Do Residents Need to Complete Form 1823?

In Florida, owners and administrators are responsible for determining the appropriateness of admission and continuance. Florida Statute 229.26 states that determination is based upon an evaluation of:

  • Resident strengths, needs, and preferences 
  • Medical examination
  • Care and services offered or arranged for by the facility 
  • Any limitations in law or rule related to admission criteria or continued residency for the type of license held by the facility

While the form does not guarantee admission to or continued residency in a chosen facility, Form 1823 does serve as an informative tool to assist in determining care eligibility. Form 1823 may be requested upon inspection and should therefore become a permanent part of the facility's record of the resident.

How Can Senior Living Communities Prepare Potential Residents?

Senior living communities can prepare incoming residents by providing educational opportunities during open houses or community tours. For example, education about Florida's 1823 Form can be as simple as mentioning that residents must have a medical professional complete the form and providing additional resources during a tour. Alternatively, the education provided can be more in-depth by explaining the complete process and offering a checklist for guidance. Senior living communities can make a big difference in the minds of potential residents by providing resources that make the transition into the facility smoother.

How Can Senior Living Communities Prepare For Form 1823?

Florida Senior living communities can prepare before resident entrance by remaining aware of changes and utilizing software made to fit specific state requirements, such as Florida's 1823 Form. Senior living communities can easily and quickly create service plans from ECP's FL - Resident Health Assessment for ALF that follows the Florida 1823 Form.  

The Service Plan built from the 1823 Form allows communities to select care tasks to communicate how to provide resident-specific care based on the licensed medical professional's face-to-face assessment on the 1823 Form.

As part of the continued residency criteria, a resident must have a face-to-face medical examination by a healthcare provider at least every three years after the initial assessment or after a significant change, whichever comes first. To stay current, ECP users can use the Next due date feature to set a scheduled date for reassessment and create reminder alerts to stay on track. 

Additional Resources

About ECP

ECP is the leading web-based clinical, business, and compliance software provider to over 500 long-term care pharmacy partners, more than 6,500 assisted living communities and other long-term care providers. ECP's core clinical products include eMAR and electronic health records (EHR) used in assisted living communities, group homes, and intellectually and developmentally disabled care settings across the country and globally. ECP also offers a customer relationship management (CRM) that fully integrates with the core products. Its award-winning assisted living software program is user-friendly and customizable, accessible from anywhere, keeps data secure, helps communities remain compliant while improving efficiency, and is supported by genuinely personal customer care. 

Click here to learn more about ECP and receive a personalized demonstration.

The information provided on this website does not, and is not intended to, constitute legal advice; instead, all information, content, and materials available on this site are for general informational purposes only. ECP makes no warranties as to the accuracy of this content and does not commit to updating it as regulations change. Readers of this website should contact their attorney to obtain advice with respect to any particular legal or compliance matter.


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