Care Plans & EHR

Care Documentation, Done Right for Assisted Living

Complete guided assessments for each resident, and a full electronic health record — care plan, ISP, and vitals — comes together as you go. Survey-ready and built around each resident's real needs.

The assessment is the care plan

Move through structured assessment categories — Functional, ADL, Psychosocial, and Wellness. As you finish them, the care plan and ISP assemble themselves. No blank page, nothing left out.

How It Works

1

Work through the assessment sections

Each area is a guided form that asks the right questions in order.

2

The plan builds as you go

Every answer flows straight into the care plan and ISP.

3

Finish the sections — the plan is ready

A complete, individualized care plan. No blank page.

4

Update as needs change

Revisit a section and the plan updates with it.

Base Assessment Categories

Each is a guided form. Together, they add up to a complete care plan.

Functional

Physical function and mobility.

ADL

Activities of daily living.

Psychosocial

Mood, behavior, and social needs.

Wellness

Overall health and wellbeing.

Why the Guided Approach Wins

Nothing gets missed

Every care area is considered for every resident.

Consistent across staff

Same guided process, same quality documentation.

Survey-ready by default

Exactly what Wisconsin surveyors expect to see.

Person-centered

Built from a real assessment, not a template.

Connected to daily care

Ties into ADL tracking and the eMAR.

No blank-page paralysis

New staff answer questions; the plan assembles itself.

Built to Hold Up Under Survey

Individualized, person-centered care plans aren't just good practice — they're what surveyors expect. Our care plans and ISPs are structured so your documentation holds up at inspection time, whatever state you're in.

We know regulations down to the detail. In Wisconsin, that means assessments and ISPs aligned with DHS 83.35 — the state's assessment and individual service plan rule — and its push toward person-centered planning. We bring the same rigor to facilities in other states.

See our Wisconsin-specific details

"We have received compliments and referrals from the residents' care managers due to the quality of our care plans and resident ISPs."

Care Plan & EHR FAQs

Is ALChartsPlus an EHR?

In practice, yes. ALChartsPlus keeps an electronic health record (EHR) for every resident — assessments, care plans and ISPs, medications, ADLs, progress notes, and vital signs like blood pressure, pulse, respirations, temperature, and weight. What it isn’t is a hospital-grade clinical EHR built for large health systems, so you get the resident records you actually need without the complexity or the price tag.

How are care plans created in ALChartsPlus?

From guided assessments. You work through structured categories — Functional, ADL, Psychosocial, and Wellness — and the care plan and ISP come together as you complete them.

Is this built for Wisconsin CBRFs?

Yes — developed with Wisconsin DHS regulations in mind, including CBRF requirements under ch. DHS 83, and aligned with the state’s emphasis on person-centered care planning.

What’s the difference between a care plan and an ISP?

The ISP documents the specific services a resident receives; the care plan is the broader picture of their needs and goals. Both come from the same guided assessment, so they stay consistent.

Do plans update when a resident’s needs change?

Yes. Revisit the relevant section and the care plan and ISP update. Progress and interdisciplinary notes preserve the history.

Can new staff create care plans without heavy training?

Yes — that’s the point. Staff answer structured questions instead of writing from scratch, and training is included in setup.

Does it connect to medication and ADL tracking?

Yes. Medication needs connect to the eMAR, and care plans work alongside ADL tracking so the plan and daily documentation stay in sync.

See Care Planning That Builds Itself

Watch the guided assessments turn into a complete care plan in a free demo — or sign up today.

Or call 866-234-2891