{"data":{"id":"us-dc/d.c.-code-44-106.04","jurisdiction":"us-dc","citation":"D.C. Code § 44-106.04","heading":"Individualized Service Plans.","body":"(a)\n(1)\nAn ISP shall be developed for each resident prior to admission.\n(2)\nAn ISP shall be developed following the completion of the “post move-in” assessment.\n(3)\nThe ISP shall be written by a healthcare practitioner using information  from the assessment.\n(4)\nThe ISP shall be developed with the resident, or surrogate, as a full  partner.\n(5)\nThe ISP shall be signed by the resident, or surrogate, and a representative of the ALR.\n(6)\nThe ISP shall include a shared responsibility agreement when necessary.\n(7)\nThe ISP shall be based on such factors as:\n(A)\nThe medical, rehabilitation, and psychosocial assessment of the   resident;\n(B)\nThe functional assessment of the resident; and\n(C)\nThe reasonable accommodation of resident and, if necessary, surrogate   preferences.\n\n(b)\nThe ISP shall include the services to be provided, when and how often the services will be provided, and how and by whom all services will be provided and accessed.\n\n(c)\nDuring the ISP development process, the ALR shall confer with the prospective resident and, if necessary, the surrogate to arrive at a mutual agreement as to the responsibilities of each party in accessing care and achieving related outcomes.\n\n(d)\nThe ISP shall be reviewed 30 days after admission and at least every 6 months thereafter. The ISP shall be updated more frequently if there is a significant change in the resident’s condition. The resident and, if necessary, the surrogate shall be invited to participate in each reassessment. The review shall be conducted by an interdisciplinary team that includes the resident’s healthcare practitioner, the resident, the resident’s surrogate, if necessary, and the ALR.\n\n(e)\nAn ALR shall facilitate aging in place to the best of its ability with the understanding that there may be a point reached where adequate and appropriate services can not be marshalled to support the resident safely, making transfer to another setting necessary.","path":["Title 44. Charitable and Curative Institutions.","Chapter 1. Assisted Living Residence Regulation.","Subchapter VI. Admissions; Residential Agreements; Quality of Care; Discharge; Transfer."],"source_url":"https://code.dccouncil.gov/us/dc/council/code/sections/44-106.04","current_through":"2026-08-20 (D.C. Law 26-175)","vintage":"","retrieved_at":"2026-08-29T05:44:07Z","sha256":"b2733beebe55d2ee433a7202e25224f0e9e3d1afd53c67ab3c2559c14ae95ad5","source_id":"us-dc","stale":false,"prev":"us-dc/d.c.-code-44-106.03","next":"us-dc/d.c.-code-44-106.05"},"notice":"GroundRules: Original legal text. Not legal advice."}