3 out of 4 small Florida ALFs were cited in the last 3 years.
Most of those citations are paperwork rather than care. Alfie holds the resident files, the staff files and the med records a surveyor asks for, each one matched to the AHCA tag it answers. We build for homes of 16 beds and under, and for nothing else.
Start your home Setup done for you. $149 a month, flat.
What gets small homes cited
AHCA surveys, 2023 to 2026
We pulled every AHCA inspection of the 1,171 Florida homes licensed for 16 beds or fewer. That is 5,659 citations over three years. Most of them are not care problems. They are paperwork, and the same ten tags come up again and again. Here are the ten, in order, and each one opens the paper its rule asks for. The full count has all 25 and how we did it.
| Tag | Topic | Times cited | Homes hit |
|---|---|---|---|
| A0162 | Resident records | 384 | 337 |
| A0078 | Staff files | 349 | 312 |
| A0152 | Physical plant | 273 | 249 |
| A0160 | Facility records | 246 | 222 |
| A0081 | Staff training | 210 | 191 |
| A0052 | Medication self-admin | 210 | 200 |
| A0054 | Medication records (MAR) | 196 | 182 |
| A0030 | Resident rights | 194 | 177 |
| A0055 | Medication storage | 194 | 175 |
| A0200 | Emergency power | 177 | 163 |
Built from that data, Alfie’s checklist covers 25 tags and 101 documents, and it tells you which documents are absent and which have expired. What it won’t do is score you. A number out of 101 would suggest we know how your survey will go, and we don’t.
The med pass
A caregiver signs in to the tablet with a PIN and works down the round, one resident at a time. Each dose gets one of four marks: taken, missed, refused, or error. Never administered: your staff assist with self-administration, and under 429.256 that is not the same thing, so the record uses the rule’s word instead of the convenient one.
So a shift ends with no blank boxes to explain. And when a surveyor wants the record on paper, you print the month.
What needs doing, worst first
Open Alfie on your phone and the top of the page is whatever is late. Then once a month, if something has expired or is close to it, we email you a count and a date, and nothing else: not a resident’s name, not what the document was. We leave that out because email is not a safe place for it. Once it is sent we have no say in who reads it, and it sits in a mailbox for years.
Ask for one resident’s records and Alfie exports everything: every field, every page, and the trail of who has looked at it. Cancel, and you get that same export for every resident in the home.
We type in your binders
Moving off paper is the part that stops people. So we take the hard half. You photograph what we ask for, a page at a time, and we do the typing, the dates and the checking. What comes back is your binders typed in, with every expiry date set.
Those pages are protected health information, and we hold them under a signed agreement with your home. The medical detail stays inside the photograph: we type in a name, a date of birth, and the dates somebody moved in or out.
There’s no setup fee. The person who does that typing is the person who answers your calls afterwards, so they already know what is in your files.
$149 a month, flat.
One price for the whole home, whether that home has 4 beds or 16. There’s no per-resident math to do and no contract to sign, and you can cancel in any month you like.
A 6-bed home with 4 staff has 36 renewals a year. That is three a month, and the dates are already in your binder. Wait three months and nine more have come due.
What software can’t do
An app doesn’t supervise residents at 3am, and it won’t stop an elopement. The serious citations, class 1 and 2, are staffing problems. We aren’t going to pretend otherwise to sell you something. Alfie does a smaller job: it keeps your records in order, so you don’t collect paperwork citations on top of whatever else a surveyor finds.
Who is behind this
Alfie is founder-run and made in Florida. We read all 37,263 citations AHCA wrote in the state before writing a line of code, to find out exactly where small homes get hurt.
The person who wrote the software answers your calls. Call or text (407) 349-7220.