Which Type of Facility Are You?
Which Type of Facility Are You?
Four Facility Types, Not One
The same four-category model built for ASF's Hospital standard applies here, with one deliberate change: Small is anchored to resident capacity, not bed count or staff count — the number of people actually living in the facility is what genuinely determines what a long-term care facility can realistically offer.
Standard (ST)
A fully resourced, functioning long-term care facility — full clinical support, dedicated activities and social programming, no adaptation needed.
Small (SM) — where staffing depth, not crisis or poverty, is the defining constraint
Fewer than 60 residents is the confirmed anchor — a genuine, externally established research threshold for small long-term care facilities, not ASF's own invented figure. A facility below this size is otherwise stable, but genuinely limited by scale in what it can offer.
Transitional (TR)
Real national resource or infrastructure limitation, no active conflict — the same World Bank-anchored logic used throughout ASF's standards.
Crisis (CR)
Active conflict or humanitarian emergency — overrides every other consideration, exactly as in the Hospital standard.
The Universal Floor
A small number of criteria apply in full, in every one of the four types, with no exceptions: correct resident identification, genuine hand hygiene, real informed consent — by the resident or their legal representative — dignity and non-discrimination, and — specific to long-term residential care — freedom from abuse and neglect, verified directly, not assumed from the absence of a complaint.
Which Type of Long-Term Care Facility Are You?
Answer these questions in order, top to bottom. The moment you answer YES, stop — that is your answer. If you reach the end still answering NO, you are Standard.
| WORK DOWN THIS LIST. STOP AT YOUR FIRST YES. | |||
|---|---|---|---|
| 1 | Is your country in an active war, armed conflict, or a declared humanitarian emergency right now? This means fighting, displacement, or a declared emergency is actually happening now — not that things are generally difficult. |
☐ YES → CR CRISIS |
☐ NO → next question |
| 2 | Does your national government struggle badly to fund healthcare, or is national power or medicine supply unreliable — even though there is no war or crisis? This is about your country as a whole, not just your own facility. |
☐ YES → TR TRANSITIONAL |
☐ NO → next question |
| 3 | Does your facility have fewer than 60 residents, and is that small size the main reason you cannot offer certain services — for example, a dedicated activities director, an on-site physician, or a specialized dementia care unit? This applies even in a stable, well-funded country. The limit here is your own size, nothing else. |
☐ YES → SM SMALL |
☐ NO → next question |
| If you answered NO to all three questions above: You are STANDARD (ST) — no crisis, no national constraint, and staffing depth is not holding you back. |
|||
THIS IS ME
| My type: ☐ CR ☐ TR ☐ SM ☐ ST |
Example: A residential care home in Lebanon — no active conflict, so NO to question 1. National power and funding are genuinely unreliable, so YES to question 2. Stop there. This facility is TR.
Long-Term Care Standards — overviewFacility Classification — Which Type of Facility Are You?Standard 1 — Admission & Resident RightsStandard 2 — Living Environment & SafetyStandard 3 — Personal Care & Daily LivingStandard 4 — Clinical & Medical CareStandard 5 — Cognitive & Behavioral CareStandard 6 — End-of-Life & Palliative CareStandard 7 — Governance & StaffingStandard 8 — Medical TourismStandard 9 — Health & MigrationReferences & Index
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