A nursing facility shall provide services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident in accordance with a written plan of care for each resident which: 1.
(1)#
Describes the medical, nursing and psychosocial needs of the resident and how the needs shall be met;
(2)#
Is initially prepared, with participation to the extent practicable of the resident or the resident’s family or legal counsel, by a team which includes the resident’s attending physician and a registered professional nurse who has responsibility for the resident; and
(3)#
Is periodically reviewed and revised by the team in subd. 2. after the conduct of an assessment under par. (c).