Assisted Living Facility Missing Resident Report

When a resident goes missing from an assisted living facility, every minute counts. This missing resident report form is designed specifically for assisted living facilities, memory care units, and senior care communities to streamline the critical incident reporting process and coordinate an effective response.

Why assisted living facilities need a dedicated missing person form

Residents with cognitive impairments such as Alzheimer's disease, dementia, or other memory-related conditions require special consideration during search and recovery efforts. This form captures essential details about the resident's medical condition, typical behaviors, mobility limitations, and last known whereabouts to help first responders, family members, and search teams act quickly and appropriately.

Paperform makes crisis reporting faster and more organized. Instead of scrambling with phone calls, paper forms, and fragmented communication during an emergency, staff can complete a comprehensive digital report that automatically notifies the right people and triggers your facility's emergency response protocols through Stepper workflows (stepper.io). You can route the submission to management, alert local law enforcement, notify family contacts, and even pre-populate Silver Alert activation forms—all from one submission.

Key features for assisted living crisis management

This template includes sections for:

• Resident identification and demographics with photo upload capability
• Cognitive impairment details including diagnosis, severity, and behavioral patterns
• Physical description and clothing worn at time of disappearance
• Medical information including medications, mobility aids, and critical health conditions
• Last known location and timeline to establish search parameters
• Search coordination with staff assignments and area coverage
• Silver Alert activation checklist for state-wide emergency notifications
• Family and emergency contact notifications with automated alerts

Streamline your emergency response with Paperform + Stepper

Connect your missing person report to Stepper to automatically trigger your facility's emergency action plan. Send instant SMS and email notifications to family members, alert your administrator and on-call staff, create a case file in your incident management system, and generate a formatted PDF for law enforcement—all without manual data re-entry during a high-stress situation.

For assisted living facilities, memory care units, nursing homes, senior communities, and residential care providers, having a structured, accessible emergency reporting system isn't just about compliance—it's about resident safety and family peace of mind. This template helps your team respond consistently, thoroughly, and compassionately when seconds matter most.

Trusted by care facilities worldwide, Paperform is SOC 2 Type II compliant and designed for the workflows that matter in senior care. Start with this template and customize it to match your facility's specific protocols, state regulations, and emergency response procedures.