Federal regulations require a comprehensive person-centered care plan for each resident, developed by an interdisciplinary team with resident and family participation. It must address the needs identified in the comprehensive assessment and specify measurable objectives and interventions.

Plans must be reviewed and revised after each assessment and following any significant change.

Alternative Names:

Comprehensive Care Plan, Plan of Care

Why it Matters?

The care plan is the central document in nearly every nursing home case because it states what the facility itself decided was necessary. Liability analysis follows a simple chain: was the risk assessed, was an intervention planned, was it documented as performed, and was the plan revised after an adverse event. A break anywhere in that chain is the plaintiff's case, and an intact chain is the defense.

Frequently Confused with

Related terms

Frequently asked questions

Who develops the care plan?

Who develops the care plan?

An interdisciplinary team including nursing, dietary, social services, and therapy staff, with participation from the resident or their representative.

What is the most common care plan failure in litigation?

What is the most common care plan failure in litigation?

An identified risk with a planned intervention that the record does not show was actually implemented, or a plan never revised after a prior incident.