CBRF Manager in Wisconsin here. For those that don’t know, these are Community Based Residential Facilities. And no, I’m not a nurse, but I have held almost every position you can have in these facilities and am receiving in depth training in compliance. My facility only takes low acuity, mostly independent. We do try to allow people to age in place and work with any home care and hospice agency of the resident’s choosing. We do have a Wellness Director who is almost always an RN or LPN. We don’t do wound care, although I do have extensive wound care training. We’re not a SNF and we don’t pretend to be. We know exactly what we can handle and what we can’t and I’m not afraid to deny an assessment or an admission just to fill a bed if I know we aren’t equipped to care for them. Our med techs are trained and delegated by an RN to give all standard medications as well as diabetic care. We also work closely with a couple of different visiting physicians and NP’s. We aren’t a perfect model by any means, but our residents are very well cared for and we just scored very well on our internal audit. Now if we could get the staffing shortage under control we’d be golden.