Failure to Facilitate Resident Participation in Care Planning
Penalty
Summary
Crawford Care Center was found to be non-compliant with the federal regulation 42 CFR Part 483, Subpart B, specifically regarding the residents' right to participate in the planning of their care. The facility failed to ensure that residents and/or their representatives were offered the opportunity to participate in the development, review, and revision of their person-centered care plans. This deficiency was identified through a review of facility policies, clinical records, and staff interviews, which revealed that care plan meetings were not held for residents between May 1, 2024, and October 1, 2024. Three residents were specifically noted in the findings. One resident, admitted in September 2020, had an annual MDS assessment in September 2024, but there was no evidence of a care plan meeting. Another resident, admitted in October 2021, had a quarterly MDS assessment in September 2024, also lacking evidence of a care plan meeting. The third resident, admitted in August 2022, had a quarterly MDS assessment in September 2024, with no record of a care plan meeting. Interviews with the Social Worker and Nursing Home Administrator confirmed the absence of care plan meetings during the specified period.
Plan Of Correction
1. Resident #1 had a care plan meeting invite sent/phoned to resident and/or responsible party and a care plan conference was held on 1/21/25. Resident #2 had a care plan meeting invite sent/phoned to resident and/or responsible party and a care plan conference was held on 11/19/24. A Social Service Progress note reflects the care plan being held with the responsible party. Resident #3 had a care plan meeting invite sent/phoned to resident and/or responsible party and a care plan conference will be held on 1/27/25. 2. All residents were reviewed to ensure that the resident and/or responsible party were invited to participate in planning of care meeting by Social Worker and residents that had not had in last 3 months were identified. Care plan conferences for any residents and/or responsible party that had not had a right to participate in their plan of care will have one completed. 3. All interdisciplinary team were educated by the Vice President of Clinical Services on the policy related to care planning. The Nursing Home Administrator and/or designee will audit and review 20 residents weekly x 4 weeks and to ensure all residents and/or responsible party receive and invite to participate in plan of care. 4. Findings will be presented to Quality Assurance Performance Improvement Committee for review and recommendations.