The Lott Assisted Living Residence Care Management Team meets daily five days a week to plan and discuss the care management of residents. The Care Management Team includes the Director of Resident Care; the Wellness Director also an RN; Case Managers, both of whom are LMSWs; the Coordinator of Personal Care Aides; the Dining Room Manager; the Activities Director; the full time Physician; and the Administrator. Weekly update reports are provided by the Lott Home Care Agency, the Nutritionist and Fox Rehab, a Private Therapy provider. This collaborative process has had a dramatic effect in reducing hospital admissions, Emergency Room visits and resident falls. The daily care management meetings and concerted communication with hospital staff has served to anticipate resident discharge from acute care and return residents to Lott rather than transfer to nursing homes. This continuous communication and collaboration provides for constant monitoring of our residents to assure that their personal and medical needs are fulfilled.