Skilled Nursing Facilities (SNF), Intermediate Care Facilities (ICF), Congregate Health Living Facility (CHLF), and Drug and Alcohol Rehabilitation Centers.
Skilled Nursing Facilities (SNF): This type of care is usually funded through Medicaid/ Medi-Cal, Medicare and private insurance. A Skilled nursing facility is a health facility or a distinct part of a hospital which provides continuous skilled nursing care and supportive care to patients whose primary need is for availability of skilled nursing care on an extended basis. A skilled nursing facility provides 24-hours inpatient care and, as a minimum, includes physician, skilled nursing, dietary, pharmaceutical services and an activity program.
Intermediate Care Facility – Developmentally Disabled Habilitative (ICF-DDH)
Intermediate care facility for the developmentally disabled habilitative is a health facility with a capacity of 4 to 15 beds which provides 24-hours personal care, habilitation, developmental, and supportive health services to 15 or fewer developmentally disabled person with intermittent recurring needs for nursing services, but have been certified by a physician and surgeon as not requiring availability of continuous skilled nursing care. These facilities are usually funded through Medi-Cal, Regional Centers and/or Medi-Cal Manage Care.
Congregate Health Living Facility (CHLF):
Congregate living health facility is a residential home with a capacity of no more than 12 beds (except those operated by a city or county which may have a capacity of 59 beds), that provides inpatient care, including the following basic services: medical supervision, 24-hour skilled nursing and supportive care, pharmacy, dietary, social, recreational, and at least one type of the following services: services for persons who are mentally alert, physically disabled persons, who may be ventilator dependent; services for persons who have a diagnosis of terminal illness, a diagnosis of a life threatening illness, or both; services for persons who are catastrophically and severely disabled. The primary need of congregate living health facility residents shall be for availability of skilled nursing care on a recurring, intermittent, extended, or continuous basis. This care is generally less intense than that provided in general acute care hospitals but more intense than that provided in skilled nursing facilities. These facilities are usually funded through Medi-Cal, Medicare, private insurance and workmans compensation.
Drug and Alcohol Rehabilitation Facilities:
The Department of Health Care Services (DHCS) has sole authority to license facilities providing 24-hour residential nonmedical services to eligible adults who are recovering from problems related to alcohol or other drug (AOD) misuse or abuse. Licensure is required when at least one of the following services is provided: detoxification, group sessions, individual sessions, educational sessions, or alcoholism or drug abuse recovery or treatment planning. Additionally, facilities may be subject to other types of permits, clearances, business taxes or local fees that may be required by the cities or counties in which the facilities are located. You may also want to check with your county alcohol and drug program office to ensure compliance with any requirements they might have.
Many facilities licensed by DHCS are also certified. Certification by DHCS identifies those facilities which exceed minimum levels of service quality and are in substantial compliance with State program standards, specifically the Alcohol and/or Other Drug Certification Standards. Funding sources include private insurance, private pay, and County Contracts.
- Intermediate Care Facility (ICF): A Register Nurse with over 25 years of experience operating several ICF facilities was looking for an exit plan to start her retirement. A-Med Realty Group was able to find her a single buyer that was just as passionate about caring for individuals with developmental disabilities as she was. Buyer was an executive at a fortune 500 company, married to a registered nurse and had a son that was developmentally disabled. Buyer acquired all her ICF facilities.