F-Tag Library On-Demand Series-F657 Care Plan Timing and Revision

Video Transcription

Video Summary

This presentation addresses F657, focusing on care planning, timing, and revision requirements in long-term care facilities. Per Appendix PP of the SOM guidelines, a comprehensive, person-centered care plan must be developed within seven days after the completion of a comprehensive assessment by an interdisciplinary team (IDT) including a physician, nurse, nurse aide, food and nutrition staff, resident or representative, and others as needed. The care plan must be reviewed and revised after each assessment to reflect changes in the resident’s needs. Resident participation is encouraged but not mandatory when impractical, with documentation required if excluded. Noncompliance elements include delays in care plan development, lack of IDT or resident participation, and failure to revise care plans as needed. Corrective action involves root cause analysis, policy review, staff training, and specific monitoring plans to ensure sustained compliance. Facilities are urged to use CMS resources and APACN tools for support and to maintain thorough documentation of all processes and corrective measures.

Keywords

F657

care planning

long-term care facilities

interdisciplinary team

resident participation

care plan revision