38. The operator must draw up an individualized intervention plan for each resident, including, in particular, (1) the target objectives, the methods to be used in meeting the objectives, and a timeframe for meeting the objectives;
(2) details on participation by the resident and, if applicable, by the resident’s immediate circle, in the drafting and revision of the intervention plan;
(3) the revision of the intervention plan for a stay that extends beyond 3 months; and
(4) the name of the case worker responsible for the intervention plan and, if applicable, the follow-up plan established with community organizations.