01
Primary Service
Initial RN Assessment
A comprehensive nursing assessment for a new admission, placement, or transition to an Adult Family Home.
View RN assessmentRegistered nurse services in King County, Washington
Professional RN Assessments & Individualized Care Plans
Sosena Nursing Solutions provides professional RN assessments and individualized or negotiated care plans for adults entering or receiving care in Adult Family Homes.
Serving AFH providers, referral professionals, hospitals, assisted living communities, and families. Services are provided by Sosena Mekuria, RN.
Primary service area: King County. Additional locations may be available based on location, scheduling, and clinical needs.
Sosena Mekuria, RN
Founder and Registered Nurse
Primary services
Start with the clinical foundation
Two focused services establish current needs and practical daily-care guidance.
02
Primary Service
Negotiated Care Plan
An individualized care plan that turns assessed needs into clear, practical direction for daily care.
View care-plan detailsAssessment & Care Plan Updates
When assessments and care plans need updating
Common reasons to revisit an RN assessment or individualized care plan as needs change.
Annual Reassessment
An updated RN assessment reviewing current status and changes since the previous assessment.
Learn about annual reassessmentAnnual Care Plan Update
An annual review and update of the resident’s individualized or negotiated care plan.
Learn about care-plan updates90-Day Assessment & Care Plan Review
A focused RN review of the current assessment, care plan, support needs, and meaningful changes.
Learn about 90-day reviewSignificant-Change Assessment
A focused RN reassessment after a significant change in health, function, cognition, behavior, mobility, or care needs.
Learn about significant-change assessmentAnnual Reassessment
An updated RN assessment reviewing current status and changes since the previous assessment.
Learn about annual reassessmentAnnual Care Plan Update
An annual review and update of the resident’s individualized or negotiated care plan.
Learn about care-plan updates90-Day Assessment & Care Plan Review
A focused RN review of the current assessment, care plan, support needs, and meaningful changes.
Learn about 90-day reviewSignificant-Change Assessment
A focused RN reassessment after a significant change in health, function, cognition, behavior, mobility, or care needs.
Learn about significant-change assessmentSample Documents
See the clinical documentation SNS provides
Sosena Nursing Solutions provides clear, professional RN assessments and individualized care plans for authorized providers, professionals, and families. Review sample documents to better understand the type of documentation SNS prepares.
All samples below are for demonstration purposes only and use fictional, non-patient information.
Fictional sampleSample · Fictional Example
Sample RN Assessment
Preview a fictional SNS assessment showing the real document structure for demographics, health history, medications, screenings, physical systems, daily-living needs, safety, therapies, and emergency planning.
Preview Sample Assessment
Fictional sampleSample · Fictional Example
Sample Individualized Care Plan
Preview a fictional SNS care plan showing how assessed needs, resident strengths and preferences, and caregiver responsibilities are organized into practical daily-care guidance.
Preview Sample Care PlanWho we serve
Clinical support across care transitions
SNS works with authorized providers, professionals, care teams, and families who need a clear picture of an adult’s current care needs.
Who we serve
Adult Family Homes
RN assessments and care plans for prospective admissions, current residents, annual reassessments, and significant changes in care needs.
- Prospective admissions
- Current residents
- Annual reassessments
- Significant changes in care needs
Who we serve
Referral & Placement Professionals
Independent clinical documentation that helps authorized professionals and receiving providers understand assessed care needs during an AFH transition.
- Independent clinical documentation
- Authorized referral and placement professionals
- Receiving provider review
- Assessed care needs during an AFH transition
Who we serve
Hospitals & Discharge Teams
RN assessment support for adults preparing to discharge to an Adult Family Home or another residential care setting.
- Adults preparing for discharge
- Adult Family Home transitions
- Other residential care settings
- Authorized hospital and discharge teams
Who we serve
Assisted Living Communities
Updated assessment and care-planning support when needs change or an Adult Family Home transition is being considered.
- Updated assessment support
- Care-planning support
- Changes in current needs
- Adult Family Home transition planning
Who we serve
Families
Professional nursing assessment to help authorized family members understand and document a loved one’s current care needs.
- Professional nursing assessment
- Authorized family involvement
- Understanding current care needs
- Documenting current care needs
Service Area
King County & Surrounding Areas
SNS primarily serves King County. Services outside King County may be available based on location, scheduling, and clinical needs.
View Service AreaWhy choose SNS
Professional judgment with practical AFH understanding
RN-Led Clinical Expertise
Assessments and care plans are completed and reviewed by an experienced Registered Nurse.
Practical AFH Experience
Clinical documentation reflects an understanding of how Adult Family Homes provide day-to-day care.
Clear Documentation
Information is organized so authorized providers, caregivers, families, and care teams can understand it.
Responsive Communication
SNS communicates clearly with authorized contacts throughout the assessment process.
How it works
A clear four-step process
- 1
Request
Share basic contact, service, location, and timing information without sending clinical records.
- 2
Schedule
SNS confirms the appropriate service and coordinates with the authorized contact or care team.
- 3
Assess
Sosena Mekuria, RN completes the clinical assessment and reviews relevant records when available.
- 4
Plan & Deliver
SNS prepares the appropriate care plan and provides completed documentation to the authorized party.
Meet your RN
Meet Sosena Mekuria, RN
Sosena brings more than 10 years of healthcare experience and firsthand Adult Family Home provider and administrator experience. Through SNS, she focuses on professional RN assessments and individualized or negotiated care plans, including reassessments and updates when needs change.
Meet SosenaFrequently asked questions
Common questions about RN assessments
Adult Family Home providers, authorized referral or placement professionals, hospital care teams, assisted living communities, and families may contact SNS. Authorization is confirmed before clinical information is shared.
An assessment may be requested before admission to document health history, medications and allergies, cognition and communication, physical and behavioral needs, mobility and daily-living support, nutrition, safety, therapies, and emergency-evacuation needs for the receiving provider’s review.
Yes. An authorized referral or placement professional may coordinate an assessment for a client preparing for an Adult Family Home transition.
SNS can coordinate with an authorized hospital or assisted living contact based on the person’s needs, service location, access, and scheduling availability.
Start with basic contact, location, reason for the request, and authorization information. SNS provides separate instructions when relevant clinical records are needed.
Completed assessments and care plans are provided to the authorized party using the agreed delivery method. Clinical records are not collected through the public website.
No. SNS documents assessed care needs. The receiving Adult Family Home determines whether it can appropriately meet those needs.
Need an RN Assessment?
SNS provides professional RN assessments and individualized or negotiated care plans for Adult Family Homes, care teams, referral professionals, assisted living communities, and families.