Alternative Care Facilities

The following assessment tools are offered to assist facilities in performing robust assessment processes prior to admission decisions.  These assessment tools are not required, but are provided for optional use by Assisted Living Residences (ALRs) and Alternative Care Facilities (ACFs).

Disclaimer: Use of these documents does not constitute nor imply any compliance with Federal or State rules and regulations.  All facilities must follow their own internal guidelines and policies for admission.  All facilities are responsible for gathering the appropriate information required to ensure the facility is able to meet the needs of each individual admitted.

Choose the version that works best for your agency.

• Cooking Assessment - Word fillable form version | Word 97-2003 print only version
  • Cooking Assessment Instructions
     
• Fall Risk Assessment - Word fillable form version | Word 97-2003 print only version
  • Fall Risk Assessment Instructions
     
• Individual - Family Evaluation - Word fillable form version | Word 97-2003 print only version
  • Individual Family Evaluation Instructions
     
• Initial Resident Assessment Team Determination - Word fillable form version | Word 97-2003 print only version
  • ​Initial Resident Assessment Team Determination Instructions
     
• Physician/Physician Assistant/Nurse Practitioner Evaluation - Word fillable form version | Word 97-2003 print only version
  • Physician/Physician Assistant/Nurse Practitioner Evaluation Instructions
     
• Pre-Admission Assessment - Word fillable form version | Word 97-2003 print only version
  • Pre-Admission Assessment Instructions
     
• St. Louis University Mental Status Examination (SLUMS)

• HCBS Settings Final Rule Website - All ACFs must comply with the federal HCBS Settings Final Rule
  • HCBS Settings Final Rule - FAQ Part I - General Questions - January 2018
• ACF Room & Board Rate Increase Provider Letter - December 2017
• HOPE Model - March 2013
• Rules - All ACFs must comply with waiver requirements found in Section 1902(c) of the Social Security Act,  6 C.C.R. 1011-1, Chapter VII §1.102 of the Colorado Department of Public Health and Environment Regulations for Assisted Living Residences and 10 C.C.R. 2505-10, §8.495 of the Colorado Department of Health Care Policy and Financing requirements for Alternative Care Facilities
• Long-Term Services and Supports Programs