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This article will help
https://www.goldencarers.com/identifying-needs-of-clients-entering-long-term-care/3331/
This article will help also
https://www.goldencarers.com/the-importance-of-documentation-for-activity-directors/5577/
You may want to use the tool kit
https://toolkit.goldencarers.com/plans/
Many places have their own forms which you must use
If you need more help let me know