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. Author manuscript; available in PMC: 2013 May 14.
Published in final edited form as: Nurs Res. 2008 Jul-Aug;57(4):271–282. doi: 10.1097/01.NNR.0000313493.79659.8f

TABLE 3.

F-Tags and Regulations Related to the Care Planning Process

F-Tag Regulation
Assessment
  F272 The facility must conduct initially and periodically a comprehensive, accurate, standardized reproducible assessment of each resident’s functional capacity (using the Resident Assessment Instrument specified by the state).
  F274 A facility must conduct a comprehensive assessment of a resident within 14 days after the facility determines, or should have determined, that there has been a significant change in the resident’s physical or mental condition.
  F276 A facility must assess a resident using the quarterly review instrument specified by the state and approved by the HCFA not less frequently than once every 3 months.
  F278 The assessment must reflect the resident’s status accurately. A registered nurse must conduct or coordinate each assessment with the appropriate participation of health professionals.
Comprehensive care plan
  F279 The facility must develop a comprehensive care plan for each resident that includes measurable objectives and timetables to meet a resident’s medical, nursing, and mental and psychological needs that are identified in the comprehensive assessment.
  F280 A comprehensive care plan must be:

  • Developed within 7 days after the completion of the comprehensive assessment;

  • Prepared by an interdisciplinary team that includes the attending physician, a registered nurse with responsibility for the resident, and other appropriate staff in disciplines as determined by the resident’s needs and, to the extent practicable, the participation of the resident, the resident’s family, or the resident’s legal representative; and

  • Periodically reviewed and revised by a team of qualified persons after each assessment.
Services
  F281 The services provided or arranged by the facility must meet professional standards of quality.
  F282 The services must be provided by qualified persons in accordance with each resident’s written plan of care.
  F309 Each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care.

Note. HCFA = Health Care Financing Administration. From OBRA, 2001.