AL // Moving the Needle on Level of Care (LOC)
- Amy Chidester

- Jul 29
- 1 min read
The Challenge:
Assisted Living Level of Care (LOC) ratings are determined by the time and intensity required to support a resident. Incontinence is a major "LOC needle-mover" because it rarely exists in a vacuum—it is often tied to complications like skin breakdown, increased fall risk, and cognitive decline, all of which push a resident into more expensive care categories.
The eBrief Solution:
eBrief provides a clear window into how incontinence is impacting a resident's LOC score. By monitoring voiding patterns, you can identify when a resident is transitioning into a higher care tier before a crisis occurs. This allows for proactive care adjustments and ensures your billing stays ahead of the resident's actual clinical needs.
The Impact:
Accurate Tiering: Ensure every resident is placed in the correct LOC tier for their specific needs. For states that use different license types based on resident acuity, accurate tiering is an important practice to avoid penalties or violations during inspections for those specific state requirements.
Cost Management: Identify complications early to prevent costly "emergency" care interventions.
"Precision in LOC settings is the key to sustainable AL operations." — View the LOC Resource Guide at eBriefCommunity.com. Source: ALFA - Assisted Living Federation of America archives



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