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The Interim Care Plan is used to provide an overview of the resident s needs. F655 ( 483.21(a) of the Requirements of Participation, effective November 28, 2017, requires Baseline Care Plans to be developed and implemented within 48 hours of the resident s admission to the LTC facility. Please reference Briggs Baseline Care Plan - 801P for compliance with these requirements.
11" x 8 ", white 100# tag, black ink, printed two sides different, 5-hole punched top and side, wrapped in 100s.

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Interim Plan of Care Form