Healthcare Facility Regulation (HFR) Referral Form Instructions

This form shall be used as formal documentation when APS Central Intake forwards a referral to Healthcare Facility Regulation for investigation.

Criteria for Forwarding to HFR

ANE is of a disabled adult/elder person is alleged and the victim is a resident of, or is receiving care in the following settings, and the alleged perpetrator is an employee or affiliated with an employee.

Facilities Regulated by HFR

  • Nursing Home

  • Rehabilitation Facility

  • Personal Care Home

  • Assisted Living

  • Community Living Arrangement

  • Group Home

Settings Regulated by HFR

  • Hospitals,

  • Clinics,

  • Drug Abuse Treatment Programs,

  • Hospice,

  • Kidney Dialysis Centers,

  • Narcotics Treatment Programs,

  • Private Home Care Providers,

  • Psychiatric Residential Treatment Facilities

  • X-Ray Facilities,

  • Ambulatory Surgical Treatment Center

  • Birth Center

  • Comprehensive Outpatient Rehabilitation,

  • Eye Banks,

  • Home Health Agencies,

  • Health Maintenance Organizations

  • Intermediate Care Facilities for the Mentally Retarded

  • Traumatic Brain Injury Facility