Assisted Living Facility Staff Code of Conduct Form
About this free form template

Professional Care Standards for Assisted Living Staff

Maintaining the highest standards of care in assisted living facilities requires clear communication of expectations and a commitment from every team member. This Assisted Living Facility Staff Code of Conduct Form provides a structured way to ensure all staff members understand and acknowledge their responsibilities regarding resident dignity, medication administration, family communication, and ethical care practices.

Why this template matters for senior care facilities

In the senior care industry, staff conduct directly impacts resident safety, dignity, and quality of life. This template helps assisted living facilities, nursing homes, memory care units, and residential care communities establish clear behavioral and ethical standards while creating an auditable record of staff acknowledgment.

Whether you're an assisted living administrator, HR manager, director of nursing, or senior care operator, this template ensures your team understands the critical standards that protect both residents and your organization.

Built for the unique needs of assisted living communities

Unlike generic employee conduct forms, this template addresses the specific challenges of senior care environments:

  • Resident dignity and rights: Clear standards for respectful communication, privacy protection, and person-centered care approaches
  • Medication administration protocols: Acknowledgment of proper procedures, documentation requirements, and safety checks
  • Family communication guidelines: Professional boundaries, timely updates, and transparent care coordination
  • Confidentiality and HIPAA compliance: Understanding of protected health information and privacy requirements
  • Reporting obligations: Procedures for documenting incidents, suspected abuse, and safety concerns

Streamline compliance and onboarding with Paperform

This code of conduct form works seamlessly within your existing onboarding and compliance workflows. Staff members can review and sign electronically from any device, with submissions automatically stored for audit purposes. Use conditional logic to show role-specific sections (nursing staff see medication protocols, activities coordinators see engagement standards), and integrate with your HR systems to track completion.

For facilities that need signed acknowledgments for regulatory compliance, pair this form with Papersign to collect legally binding eSignatures and maintain a complete chain of custody. To automate follow-up reminders for annual re-acknowledgment or trigger training assignments based on responses, connect to Stepper for no-code workflow automation.

Trusted by senior care professionals

Paperform is trusted by healthcare administrators, senior living communities, and care facilities worldwide to create professional, compliant forms that protect residents and staff alike. With SOC 2 Type II compliance and secure data handling, you can confidently collect sensitive acknowledgments while maintaining the trust your families place in your care.

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suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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