> ## Documentation Index
> Fetch the complete documentation index at: https://docs.imaracare.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Escalation Contacts

> Configure who to notify when a resident's care needs exceed the facility's scope.

## Overview

Boarding homes provide supervision and assistance with self-administered medications — they do not provide personal care (bathing, dressing, eating, or mobility assistance). When a resident's needs escalate beyond this scope, designated escalation contacts must be notified immediately.

ImaraCare lets you configure a list of escalation contacts per facility and automatically flags which ones to notify when a care-level mismatch or self-neglect situation is identified.

## Adding an escalation contact

1. Go to **Compliance → Assessments** and open the **Escalation Contacts** tab.
2. Click **Add Contact**.
3. Select the contact's **role**: Guardian, Family Contact, DFPS, Health Authority, Regulatory Hotline, or Other.
4. Enter name, phone, and email.
5. Choose which events trigger notification:
   * **Notify when personal care flag is set** — recommended for guardians and health authorities
   * **Notify when self-neglect flag is set** — recommended for DFPS and regulatory contacts
6. Click **Add Contact**.

## Editing or removing contacts

Click **Edit** or **Remove** next to any contact in the list. Removed contacts are deactivated (not deleted) so their historical record is preserved.

## When escalation contacts are notified

ImaraCare records a notification for each relevant escalation contact whenever:

* A resident assessment sets the **personal care flag** (indicating the resident now needs personal care beyond the facility's permitted scope)
* A **self-neglect flag** is set on a resident assessment

Notifications appear in ImaraCare's notification center and, if email is configured, are sent by email.

<Warning>
  Timely notification of guardians and relevant authorities is a licensing requirement. Ensure escalation contacts are kept up to date and reviewed at least quarterly.
</Warning>