TX HHS Form 1123. Review of Assisted Living Facility Type C

TX HHS Form 1123. Review of Assisted Living Facility Type C

The TX HHS Form 1123, Review of Assisted Living Facility Type C, is a crucial document for ensuring the quality of care provided in Adult Foster Care facilities. This form helps solve the problem of verifying that facility providers meet specific qualifications and responsibilities to ensure the well-being of consumers. The form is typically used during the renewal process of a Type C Assisted Living Facility license.

The form requires identifying information about the facility, including its name, address, telephone number, and ID number. It also assesses the provider's qualifications, ensuring they can communicate effectively with consumers and their families, have evidence of tuberculosis examination, and comply with other essential conditions. The form highlights key responsibilities, such as notifying employees about the Employee Misconduct Registry (EMR) and conducting annual EMR and Nurse Aide Registry (NAR) searches.

The TX HHS Form 1123 is an essential tool for Adult Foster Care facilities to demonstrate their ability to read and comprehend minimum standards, client and provider agreements, service plans, and HHSC directives. By completing this form, providers can ensure they meet the necessary requirements and comply with Chapter 250 of the Health and Safety Code. Key points to note include:

  • Ensuring direct communication with consumers and their families
  • Maintaining evidence of tuberculosis examination
  • Conducting annual EMR and NAR searches
  • Demonstrating ability to read and comprehend minimum standards and directives
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SourcePage: 
https://www.hhs.texas.gov/regulations/forms/1000-1999/form-1123-review-assisted-living-facility-type-c