The Minimum Data Set (MDS) is part of a federally mandated process for clinical assessments of all residents in Medicare or Medicaid certified nursing homes.  This process entails a comprehensive, standardized assessment of each resident's functional capabilities and health needs. Similar to the hospitality industry, facilities are awarded 1 to 5 (highest possible) star range that enhances the lives of those aging with dignity.

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Patients are accepted for treatment on the reasonable expectation that a Long Term Care Facility can meet their medical, nursing, rehabilitative, and social needs.  Each patient must receive an individualized written plan of care, maintained with the utmost diligence to include revisions or additions to the plan of care in real time.

This is where we come in. 

The individualized plan of care must specify the level of care and services needed to meet the patient specific needs as identified in the comprehensive assessment, including identification of the responsible disciple(s), and the measurable outcomes that the Long Term Care facilities anticipates will occur as a result of implementing and coordinating the plan of care.  The individualized plan of care must also specify the patient and caregiver education and training, so that services meet accepted standards of practice.