F-Tag Library On-Demand Series-F656 Develop/Implement Comprehensive Care Plan

Video Transcription

Video Summary

This presentation on F656, Developing and Implementing a Comprehensive Care Plan, reviews regulatory requirements from Appendix PP of SOM Guidelines mandating that facilities create individualized, person-centered care plans for each resident. These plans must reflect residents’ rights, preferences, measurable goals, and address medical, physical, mental, psychosocial, cultural, and trauma-related needs. Care plans must also document refusals of care and discharge preferences. Surveyors assess compliance by evaluating whether care plans meet assessment findings, include goals, interventions, and timelines, and incorporate PASR recommendations. Deficiencies occur if plans are incomplete, lack measurable objectives, or fail to respect resident choices and rights. To regain compliance, facilities must conduct root cause analyses, implement corrective actions for affected and potential residents, update policies, train staff, and monitor effectiveness with specific timelines. Continual quality review by QAPI/QAA committees and staff competency checks are crucial. Resources and guidance are available from APACA and CMS to support compliance efforts.

Keywords

F656

Comprehensive Care Plan

Appendix PP

Person-centered care

Regulatory compliance

QAPI/QAA committees