Nursing homes or other healthcare facilities must prioritize identifying what each resident's highest practicable well-being is in each of the areas of physical, mental and psychosocial health. Care plans must reflect person-centered care, taking into account the resident's choices, preferences, goals, concerns/needs, and services and care needed to maintain or improve the resident's highest practicable physical, mental and psychosocial well-being. In addition, facilities must review and/or revise care plans as the resident's status changes, and must provide ongoing and consistent oral care and skin integrity care, as well as medical treatment and diagnosis, in accordance with the resident's choices. These changes will help ensure that residents receive quality care and services tailored to meet their individual needs.

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