When Residents Choose Risk: Documentation, Compliance, and Best Practices

As resident-centered care continues to evolve, providers are increasingly faced with situations where residents and families choose options that involve varying degrees of risk. Whether related to mobility, medication management, dining choices, community access, or other aspects of daily living, these decisions can create tension between honoring individual autonomy and meeting organizational obligations for safety and regulatory compliance.


This session explores the effective use of negotiated risk agreements and other practical tools that support informed choice, shared decision-making, and person-centered care. Participants will examine strategies for documenting resident preferences, facilitating meaningful conversations with residents and families, assessing and communicating risk, and creating collaborative plans that respect individual rights while promoting safety and quality of life.


Beyond negotiated risk agreements, the session will address broader risk management considerations, including clinical, operational, legal, regulatory, reputational, and organizational risks that arise when residents choose to live with risk. Attendees will gain practical approaches for navigating complex situations, reducing conflict, strengthening documentation, and fostering partnerships with residents and families.