POSITION SUMMARY

To conduct, collect data and coordinate to the development and completion of the resident
assessment in accordance with the federal, state, and local laws, guidelines, and regulations governing
the facility.

a. Conduct and collect information as well as coordinate in the development and completion
of the minimum data set (MDS) in accordance with current rules, regulations, and
guidelines that govern the resident assessment. Assist in the implementation of care area
triggers and resident care plan.
b. Participate in facility surveys made by authorized government agencies.
c. Work with the Interdisciplinary Team(IDT) developing a comprehensive resident
assessment and care plan for each resident.
d. Evaluate each resident’s condition and pertinent medical data to determine any need for
special assessment activities or a need to amend the admission assessment.
e. Contact and assist in scheduling participation by outside members of the care plan team,
including the resident’s representative and/or other interested family members.
f. Participate in the planning, conducting, and scheduling of timely in-service training
classes that include assessment skills or techniques needed to complete the assessment
functions of the facility.
g. Ensure that all members of the assessment team are aware of the importance of
completeness and accuracy in their assessment functions and that they are aware of the
penalties, including civil money penalties, for false certification.
h. Assist in coordinating the development of a written plan of care (preliminary and
comprehensive) for each resident that identifies the problems/needs of the resident,
indicates the care to be given, goals to be accomplished, and which professional service
is responsible for each element of care.
i. Ensure that the care plan includes measurable objectives and timetables to meet the
resident’s medical, nursing, and mental and psychosocial needs as identified in the
resident’s assessment.
j. Ensure that an initial resident assessment is completed according to the Resident
Assessment Instrument (RAI) manual’s timeframe.
k. Ensure that a comprehensive care plan is completed within twenty-one days of the
resident’s admission.
l. Assist the nursing staff in encouraging the resident and his/her family to participate in the
development and review of the resident’s plan of care.
m. Ensure that all types of MDS assessments and care plan reviews are made on a timely
basis.
n. Ensure that a complete resident assessment is conducted within fourteen days of a
significant change in the resident’s condition.
o. Ensure MDS assessments are transmitted timely to the appropriate agencies.
p. Attend departmental and staff meetings as directed or called.
q. Attend and participate in in-service educational classes and on-the-job training programs,
etc., as scheduled or directed.
r. Perform other related assignments as required