Are you familiar with Federal Register 42CFR483.20. I don't what know what provisions other states have regarding care planning, but in New York, we abide by these guidelines.
In this guideline, it specifically says that a care plan must be developed 7 days after completing a comprehensive MDS assessment. Hence, if you chose the 5-day as your admission assessment, you will be compelled to develop a care plan by day 15th (assuming you completed the assm't on the 8th day). But if you chose the 14-day as the Admission assm't, you can get away w/o a comprehensive care plan up to the 20th day.
There is no regulation as to how a facility 's care plan should look or where it should be located.
This is just an excerpt of that regulation...
[Code of Federal Regulations] [Title 42, Volume 3] [Revised as of October 1, 2001] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR483.20] [Page 521-524] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES--(Continued) PART 483--REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES--Table of Contents Subpart B--Requirements for Long Term Care Facilities Sec. 483.20 Resident assessment.
(2) A comprehensive care plan must be-- (i) Developed within 7 days after completion of the comprehensive assessment; (ii) Prepared by an interdisciplinary team, that includes the attending physician, a registered nurse with responsibility for the resident, and other appropriate staff in disciplines as determined by the resident's needs, and, to the extent practicable, the participation of the resident, the resident's family or the resident's legal representative; and (iii) Periodically reviewed and revised by a team of qualified persons after each assessment. (3) The services provided or arranged by the facility must-- (i) Meet professional standards of quality; and (ii) Be provided by qualified persons in accordance with each resident's written plan of care.
This is the link to the entire document. I usually have problem opening it... takes a long time, too even w/ DSL.
I noticed too you posted a lot about MDS. Add these links to you favorites. They are a treasure in your type of job.
MDS Q&A link ...
Medicare Professional and Technical info...
MDS Information site...