KaraLe Causey, CPA, LLC

02/19/2026

We just passed 100 followers! 🥳 Thank you so much for the support. I’m excited to keep sharing insights and practical guidance for long-term care and post-acute providers.

02/18/2026

Resident trust funds (RPFA) rarely get an Administrator’s attention — until something goes wrong.

In Louisiana, Medicaid audits always include a full review of the RPFA. Weak internal controls can lead to audit findings, fines, and in worst-case situations, criminal charges.

A recent case in Ohio involved alleged theft of more than $300,000 in resident trust funds over several years. Situations like that are rare — but they highlight the importance of strong oversight.

The most powerful safeguard?
A properly prepared and independently reviewed monthly reconciliation.

We’ve published a short article explaining why RPFA may be the biggest hidden financial risk in a nursing home — and the #1 internal control every facility should implement.

You can also access our RPFA Risk Self-Assessment Tool on the page.

There are many concerns that will keep an administrator awake at night: census, cash flow, survey preparation, and staffing, to name just a few. Rarely is the Resident Personal Fund Account (RPFA) on that list of nightly anxieties. As a former nursing home administrator, the value of a good night’...

01/29/2026

Over the past few days, I’ve been thinking about the conversation around nursing home staffing mandates.

It’s often framed in terms of politics or power. From inside nursing homes, it’s something else entirely — a systems problem shaped by staffing realities, funding, regulation, and lived experience.

I shared a reflection grounded in more than 30 years in long-term care, including what COVID changed, what culture change taught us, and why mandates alone miss the point.

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A Moment to Step Back Today, I read two very different articles about the same issue. One, published by The New York Times, framed the failure of the federal nursing home staffing mandates through the lens of political influence. Another post from the provider perspective, argued just as firmly that...

10/13/2025

Like many Louisiana families, mine depends on our cars every day — and we trust our insurance to protect us when it counts.
I recently learned about some new State Farm policy and rating changes that could affect coverage and cost for families and small businesses across the state.
As a CPA, I wanted to translate what this means in plain terms — and share 8 ways to stay protected and avoid paying for risk that isn’t really there.

Learn how recent State Farm auto insurance changes in Louisiana could affect your coverage and premiums. CPA KaraLe Causey explains new “regular driver” rules, rate changes, and eight steps to protect your wallet.

09/18/2025

📢 We’re Hiring! (Position filled)

Come count all the numbers,
come sort through the sums,
Bring out your ledgers,
your pencils, your thumbs!

We balance, we budget,
we add and subtract—
We’re looking for YOU
to help keep us on track!

So if you love numbers
and keeping things neat,
Apply for this job—
our team can’t be beat!

At KaraLe Causey, CPA, LLC, we’re a very small team with a big heart for our clients — nursing homes and elder-focused organizations. We’re hiring a Part-Time Accountant who enjoys variety, likes being hands-on, and wants to work closely with a small group of dedicated professionals. If you value relationships and meaningful work, you’ll love it here.

🔗 Apply here:
https://www.linkedin.com/jobs/view/4302225439/

01/30/2024

Welcome to KaraLe Causey, CPA, LLC, a niche accounting and consulting firm. Our firm specializes in providing services to post-acute care providers, such as nursing homes and assisted living. Our strategic accounting, operational and technology consulting services are all tailored for aging care service organizations. KaraLe Causey, CPA's specialized expertise in long-term care synergistically combines with a solid understanding of the needs and services required by the aging population. This focused approach ensures that your organization receives comprehensive financial, operational and technological support, vital for success in the field of senior care and services.