Pursuant to §483.70(e) (F838), each facility must conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. The facility must review and update that assessment, as necessary, and at least annually. The assessment must be presented to surveyors during the annual survey within four hours of entrance. Surveyors will review the assessment to determine the level to which care and resources have been thoroughly evaluated to make thoughtful decisions on resource allocations, staffing levels, and staff competencies required to meet the needs of your unique resident population. The Facility Assessment can seem overwhelming with the expectation to thoroughly examine your resident population, the resources you have available to meet the needs of your resident population, and the level of competency of all personnel providing services to your residents.