Sosena Nursing Solutions

When Is a Significant-Change Assessment Needed?

A significant-change assessment focuses on a meaningful new development that may affect health, function, safety, or the level of support required.

Common reasons for reassessment

  • Hospitalization or emergency-care episode
  • Functional or mobility decline
  • New cognitive or behavioral change
  • Significant fall
  • Major medication or treatment change
  • New level of personal-care support

Focused, but still person-centered

The RN evaluates the reported change within the resident’s broader clinical context and documents how current support or safety needs may be affected.

Care planning may also need review

When assessed needs change, the individualized or negotiated care plan may need to be updated so daily guidance remains current.

Related SNS Service

A focused RN reassessment after a significant change in health, function, cognition, behavior, mobility, or care needs.

View Significant-Change Assessment

SNS Guide

What Is a Negotiated Care Plan?

Learn how an individualized negotiated care plan connects assessed needs with practical daily-care guidance.

Read Guide

SNS Guide

Initial Assessment vs. Annual Reassessment

Compare an initial Adult Family Home RN assessment with an annual reassessment.

Read Guide

WAC 388-76-10380

When Must a Washington AFH Update a Negotiated Care Plan?

Review the events that require a Washington Adult Family Home to review and revise a negotiated care plan.

Read Guide

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.

Request an Assessment