This assessment is to be utilized by a Registered Nurse (RN) in assessing adults with significant ID/DD challenges. This assessment is designed for individuals needing an ICF level of care or 24 hour staff supports. In addition, the Director of Nursing in any setting may decide to use this form in order to best assess an individual’s health care status. This assessment will enable the RN to develop desired health outcomes for the Health Care Management Plan (HCMP). The HCMP is the concluding part of this assessment, and is an integral part of it. No assessment will be considered complete unless the HCMP is attached.