Effective Nov. 28, 2017, skilled nursing facilities that participate in the Medicare and/or Medicaid programs must complete and implement a baseline care plan within 48 hours of a resident’s admission, as well as provide a baseline care plan summary to the resident (and representative if necessary) by the completion of the comprehensive care plan. Baseline care plans are required to address, at a minimum, the following:
- Initial goals based on admission orders.
- Physician orders.
- Dietary orders.
- Therapy services.
- Social services.
- PASARR recommendation, if applicable.
If your facility is currently in the process of implementing new policies and procedures to roll out the baseline care planning process please feel free to use the general Baseline SigmaCare Template as a foundation to get started.
For instructions on how to add a new Care Plan into the SigmaCare library please review the Updating Care Plans In The Care Plan Library - CM article.
The facility must provide the resident and the representative, if applicable, with a written summary of the baseline care plan by completion of the comprehensive care plan. The format and location of the summary is at the facility’s discretion, however, the medical record must contain evidence that the summary was given to the resident and resident/representative, if applicable.
To print the Care Plan to include the Signature Page please review the Printing Out a Care Plan to Include the Resident Signature Page - CM article.
To add a progress note and tag to indicate that the care plan has been provided to the resident/representative and reviewed please review the Adding Progress Note Tags - CM article.