Form 1823 for Assisted Living: Essential Steps and Insights

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May 26, 2025

Last Updated on February 13, 2026 by Linda Mae Anderson

Updated February 2026: We have updated the article to reflect the latest regulatory trends in assisted living across the U.S., including 2025-2026 state-level changes emphasizing enhanced staff and administrator training to improve care plan development and support for residents with mobility or disability needs. The details for Florida’s Form 1823 remain current according to official AHCA sources, with no changes in requirements or form structure since 2021.

Form 1823 for Assisted Living in Florida: A Comprehensive Guide

Florida is home to one of the largest elderly populations in the United States, with nearly 20% of its residents aged 65 and older. This significant demographic underscores the critical need for comprehensive care and proper facility placement, particularly in assisted living. At the heart of this process is Form 1823, a vital document for anyone considering assisted living in the Sunshine State. According to the Agency for Health Care Administration (AHCA), Form 1823 serves as a cornerstone in ensuring that seniors receive the care they need while complying with state regulations.

Understanding the Purpose and Importance of Form 1823

Form 1823 plays a dual role: it determines eligibility for assisted living and helps establish care plans that reflect the resident’s medical needs and personal preferences. For example, Mary, an 82-year-old woman with mobility issues, was able to transition smoothly into an assisted living facility thanks to a tailored care plan based on her Form 1823 assessment. This form allowed the facility to organize her daily living activities effectively and ensure she received the right level of care. Real-life scenarios like Mary’s highlight the integral role Form 1823 plays in the lives of Florida’s senior citizens Sonata Senior Living. Recent regulatory updates in several U.S. states emphasize the importance of continuous staff education and administrator training to improve the development and implementation of personalized care plans based on assessments such as Form 1823, supporting the adaptation of facility practices to better meet residents’ needs NCAL.

Key Components and Completion Process of Form 1823

Form 1823 includes several sections, each crucial for a comprehensive assessment:

  • Health Assessment: Conducted during a face-to-face exam by licensed healthcare providers, this section evaluates the ability of seniors to perform Activities of Daily Living (ADLs), like bathing and dressing Agency for Health Care Administration.
  • Functional Assessment Rating Scale: Determines the level of assistance required, from independent to total care Miami-Dade County Health Assessment.
  • Medical Evaluation: Covers medical history, physical limitations, cognitive status, and other important health indicators ECP123.

Completing Form 1823 involves several steps:

  1. Medical Examination: Conducted within 60 days before or 30 days after admission Senior Justice AHCA.
  2. Form Documentation: Healthcare provider records findings and recommendations.
  3. Submission: The completed form is submitted to the assisted living facility ALF Boss.

Admission Criteria and Legal Implications

Florida’s Administrative Code outlines specific criteria for admission into an assisted living facility. These include being free from communicable diseases, being able to perform ADLs with or without assistance, and not requiring 24-hour mental health treatment. Form 1823 is legally significant as it documents the responsibilities and care obligations of the facility toward the resident, which can be pivotal in legal disputes regarding care ALF Boss. Non-compliance with this form can lead to severe legal and financial repercussions for assisted living facilities. While recent nationwide trends indicate a growing focus on enhanced training for direct care staff and administrators, Florida’s requirements for Form 1823 documentation and renewal every three years currently remain unchanged AHCA Florida AHCA NCAL.

Enhancing Independence and Safety in Assisted Living

Maintaining independence and safety is paramount in assisted living settings. By leveraging modern mobility aids such as VELA chairs, residents can achieve greater autonomy and comfort in their daily lives. These chairs offer adjustable height, ease of movement, and stability, all essential features that enable seniors to maintain a degree of independence. Managing the transition to assisted living can be daunting, but solutions like the VELA Independence Chair offer effective support for aging adults seeking to maintain autonomy. A medically approved mobility chair designed for home use, VELA provides enhanced safety, freedom of movement while seated, and supports daily activities like cooking, dressing, or transferring — all while easing the burden on informal caregivers. Mobility Solutions for Home Care.

Staying Independent at Home with Support

Aging in place is a vital choice for many older adults, offering emotional and physical comfort. VELA chairs are particularly transformative in supporting independent living, as they address common mobility and safety concerns. Features such as a central brake ensure stability, while the electric height adjustability offers ease during tasks like cooking or dusting. The ergonomic design facilitates smoother transitions and reduces caregiver dependency, allowing individuals to engage in activities with newfound confidence. By maintaining dignity and energy, seniors can often delay or even eliminate the need for nursing home care. While VELA is one promising option, its practical benefits in daily activities underscore its value in promoting a safe and fulfilling lifestyle at home.

FAQ

What is Form 1823 and why is it required for admission to assisted living facilities in Florida?

Form 1823 is a required health assessment document in Florida that determines eligibility for assisted living and helps create tailored care plans based on a resident’s medical needs and preferences. It ensures compliance with state regulations and plays a vital role in facilitating appropriate care for elderly residents in licensed facilities.

Who must complete Form 1823 for assisted living, and what does the assessment include?

Form 1823 must be completed by licensed healthcare providers through a face-to-face medical examination. The assessment includes a health evaluation, a Functional Assessment Rating Scale to measure the level of assistance required for daily tasks, and a medical evaluation that reviews medical history, cognitive status, and physical limitations.

How does Form 1823 determine the level of care and assistance needed in an assisted living community?

The form identifies the level of care needed by using tools like the Functional Assessment Rating Scale, which categorizes a resident's capabilities from independent to total care. This ensures that each person receives the appropriate support, such as assistance with Activities of Daily Living like bathing and dressing.

What is the timeframe for completing and submitting Form 1823 before or after assisted living admission?

The medical examination for Form 1823 must be conducted within 60 days prior to admission or within 30 days after admission to an assisted living facility. Once completed, the form should be submitted to the facility as part of the admission process.

Are there specific medical or health conditions that disqualify someone from assisted living according to Form 1823 criteria?

Yes. According to Florida’s Administrative Code, individuals with communicable diseases, those requiring 24-hour mental health treatment, or those completely unable to perform Activities of Daily Living—even with assistance—may not meet the criteria for assisted living admission as documented in Form 1823.

Can Form 1823 be used to challenge or clarify the responsibilities of an assisted living facility regarding resident care?

Yes. Form 1823 has legal significance as it formally documents the care needs of a resident and outlines the responsibilities of the assisted living facility. In legal disputes, it may serve as evidence regarding whether a facility fulfilled its duty of care.

How does the 1823 form affect the development of a personalized care plan for residents in assisted living?

Form 1823 directly informs the development of a personalized care plan by assessing a resident’s medical needs and daily living abilities. For example, one resident’s mobility challenges led to a customized care plan that facilitated her smooth transition into assisted living, ensuring her needs were met effectively from the start.

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Author

  • Senior Living Consultant & Occupational Therapist

    Linda Mae Anderson is a certified occupational therapist with over 20 years of experience working with seniors in both assisted living facilities and private home care settings. She holds a Master’s degree in Occupational Therapy from the University of North Carolina at Chapel Hill and has specialized in adaptive equipment and helping aids that support independence in aging populations.

    Originally from Des Moines, Iowa, Linda moved to the Blue Ridge Mountains for the community and the peaceful lifestyle — and stayed because she found a calling in helping seniors age with dignity and comfort.