Southern CareWorks
Personal Care Home & Assisted Living Compliance & Inspection Readiness Toolkit (All States)
Personal Care Home & Assisted Living Compliance & Inspection Readiness Toolkit (All States)
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Instant download · Free updates when rules change · Official sources cited
Get your personal care home or assisted living community inspection-ready and audit-ready, in any state. Medicaid fraud enforcement is putting residential care providers under closer review. This 199-page toolkit helps you make sure your care logs, staffing records, resident funds and billing line up.
Written by a Healthcare Compliance Officer and Healthcare Facility Owner, for small, owner-operated personal care homes, assisted living facilities and other residential care settings (names vary by state).
What's inside
- Federal rules in plain language: False Claims Act, Anti-Kickback Statute, OIG exclusions, the 60-day overpayment rule, Medicaid enrollment, HCBS residential setting requirements and 2024 Access Rule dates, EVV and HIPAA
- Residential care risk areas: billing waiver services not provided, staffing gaps, resident funds, admission and retention, referral kickbacks, abuse and exploitation prevention
- Care-log and payroll-to-billing reconciliation step by step
- 140-item residential care mock inspection tool with scoring and plan of correction log
- OIG's seven compliance program elements, sized for small businesses
- 28 ready-to-adapt policies (20 core compliance + 8 residential care) and 22 forms and logs
- State Requirements Verification Worksheet for your state's rules
Running more than one type of care business? See the comprehensive National Edition, which covers adult day, personal care homes/assisted living and outpatient therapy.
Digital download (PDF). Educational information, not legal advice; it does not guarantee any inspection or audit outcome. Licensed for single-organization use.
Who wrote this
Who wrote this
Prachi, Healthcare Compliance Officer and Healthcare Facility Owner, with more than 20 years in healthcare. She has opened and run adult day and rehab centers and been through licensing and surveys first-hand. Read her story.
What exactly do I get, and in what format?
What exactly do I get, and in what format?
An instant download as soon as you check out. Every file is a PDF. State kits come as a ZIP with your state guide and the core kit. Checklists are a single PDF. All forms are fillable: type into them on screen, save a copy and print.
Can I edit the policies?
Can I edit the policies?
The forms are fully fillable. The policy and procedure manual is a PDF, so you can't retype it in place. Each policy is written to be adapted: copy the text you need into your own document, add your facility's name and details, and keep the signed copy in your policy binder.
Why do some state kits mention Georgia rules?
Why do some state kits mention Georgia rules?
The core kit was first written to Georgia rules and still cites them. Every state kit includes a separate state guide that lists each requirement that is different in your state, with official sources and a table showing exactly what to change in the core kit before you apply. We're working on full state editions of the core kits, and buyers will get them free as part of our update promise.
Do I get updates when rules change?
Do I get updates when rules change?
Yes, free. When a state rule covered by your product changes, we post a plain-language rule update on our blog and email you an update notice that explains what changed and what to update in your policies. We also update the product files, at no cost to you.
Do I still need a consultant?
Do I still need a consultant?
Not always. Our kits are do-it-yourself: a licensing roadmap, a complete policy manual written to adapt, fillable forms and your state's rules with official sources. Published consultant prices include $2,995 for one custom policy manual and $150 an hour for compliance consulting.
If you want personal advice, use the kit to do most of the work first, then pay a consultant for a short review. Most owners spend far less that way. See the full comparison and sources.
Are the rules current?
Are the rules current?
Each guide and checklist links to the official sources and shows the date they were checked. Rules change, so always confirm current requirements with your state licensing agency before you submit anything. These are educational resources, not legal advice.
Can my staff use it?
Can my staff use it?
Yes. Your purchase is licensed for use by one organization, so your team can use and print it inside your business. Please don't share, resell or post the files outside your organization.
What if something is wrong with my download?
What if something is wrong with my download?
Email us and we'll make it right. If a file won't open or download, or you bought the wrong state or toolkit by mistake, contact us within 14 days. See our refund policy for details.
Who can I contact with questions?
Who can I contact with questions?
Email southerncareworks01@gmail.com, use the chat button on this page, or send a message through our contact page.
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