Sosena Nursing Solutions

When Must a Washington AFH Update a Negotiated Care Plan?

A negotiated care plan must continue to reflect the resident’s current assessed needs and preferences. Washington identifies several events that trigger review and revision.

What the rule requires

  • After an assessment identifies a significant change in the resident’s physical or mental condition
  • When the plan, or part of the plan, no longer addresses the resident’s needs and preferences
  • At the resident’s or resident representative’s request
  • At least every 12 months

What this means for an AFH

The home should not rely only on an annual calendar reminder. A significant change, an outdated instruction, or a resident request can require earlier review and revision.

How SNS can help

SNS can provide annual reassessment, care-plan update, and significant-change assessment support. This work can provide current clinical information and updated care-plan content; the AFH remains responsible for its ongoing review and regulatory process.

This resource is provided for general informational purposes. Washington requirements may change. Providers should review the current WAC and DSHS guidance applicable to their circumstances.

Related SNS Service

An annual review and update of the resident’s individualized or negotiated care plan.

View Annual Care Plan Update

SNS Guide

Initial Assessment vs. Annual Reassessment

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

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SNS Guide

When Is a Significant-Change Assessment Needed?

Learn when a focused RN reassessment may be appropriate after a significant change in an AFH resident’s needs.

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WAC 388-76-10375

Negotiated Care Plan Signature Requirements for Washington AFHs

Learn who must agree to, sign, and date a completed negotiated care plan in a Washington Adult Family Home.

Read Guide

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SNS provides professional RN assessments and individualized or negotiated care plans for Adult Family Homes, care teams, referral professionals, assisted living communities, and families.

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