Assessment & Care Planning

F0271 Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0272 Conduct initial and periodic assessments of each resident's functional capacity. F0273 Assess in a timely manner the resident when the resident enters the nursing home. F0274 Review or revise the resident's care plan after any major change in physical or mental health. F0275 Completely assess the resident at least every twelve months. F0276 Assure that each resident’s assessment is updated at least once every 3 months. F0278 Ensure each resident receives an accurate assessment by a qualified health professional. F0279 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0280 Allow residents the right to participate in the planning or revision of care and treatment. F0281 Ensure services provided by the nursing facility meet professional standards of quality. F0282 Provide care by qualified persons according to each resident's written plan of care. F0283 Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. F0284 Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. F0285 Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. F0286 Maintain 15 months of resident assessments in the resident's active clinical record. F0287 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0635 Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0637 Assess the resident when there is a significant change in condition F0638 Assure that each resident’s assessment is updated at least once every 3 months. F0639 Maintain 15 months of resident assessments in the resident's active clinical record. F0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0641 Ensure each resident receives an accurate assessment. F0642 Ensure a qualified health professional conducts resident assessments. F0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0645 PASARR screening for Mental disorders or Intellectual Disabilities F0646 Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. F0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0658 Ensure services provided by the nursing facility meet professional standards of quality. F0659 Provide care by qualified persons according to each resident's written plan of care. F0660 Plan the resident's discharge to meet the resident's goals and needs. F0661 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.