Resident Assessment42 CFR §483.21(b)

F0656 — Develop/Implement Comprehensive Care Plan

F0656 requires the facility to develop and implement a comprehensive, person-centered care plan for each resident that includes measurable objectives and timeframes, based on the comprehensive assessment. It's a foundational tag since care plan gaps often underlie citations in other categories.

Common Deficiency Examples

Care plan not updated following a significant change in condition
Interventions in the care plan not actually implemented by staff
Care plan lacking measurable objectives or timeframes
Interdisciplinary team input missing from the care planning process

What Your Plan of Correction Needs

F0656 PoCs often connect to whatever clinical area triggered the finding — the fix should address both the specific care plan and the broader process:

Gap identifiedspecific care plan element missing, outdated, or not implemented

Immediate actioncare plan review and correction for the affected resident

Systemic fixcare plan review triggers (change of condition, quarterly review) and interdisciplinary process

Monitoring plancare plan audit against implementation at a defined frequency

See the four required elements of every Plan of Correction →

Frequently Asked Questions

How often must a care plan be reviewed?+

Care plans require review at defined intervals and upon significant change in condition — confirm current required timeframes rather than assuming a single fixed schedule applies to every plan element.