Failure to Revise Care Plan for Discharge Planning
Penalty
Summary
The facility failed to ensure that care plans were revised in a timely manner concerning discharge planning for a resident. The resident, who was admitted to the facility with diagnoses including bipolar disorder, alcohol dependence, and chronic pain, received a discharge notice due to non-payment. Despite the issuance of this notice, the resident's care plan, developed earlier in the year, still indicated plans for long-term care placement at the facility. Interviews with the Nursing Home Administrator and the social worker revealed that social services had been working with the resident to find suitable housing since February. However, the care plan was not updated to reflect the change in discharge planning status, indicating a lapse in the facility's adherence to regulatory requirements for timely care plan revisions.
Plan Of Correction
Resident R2 careplan has been updated to reflect the change in discharge planning status. An initial audit of current residents has been conducted to ensure the discharge careplan is reflective of the residents discharge planning status. New admissions will be reviewed during clinical meeting to ensure the discharge planning status is current and/or updated as indicated with changes. The DON or designee will re-inservice the Social Workers on the Discharge Policy with the focus on careplans. The Social Worker or designee will conduct weekly audits of 10 residents to verify discharge careplans are reflective of the residents current discharge planning status. Results of the audits will be presented at the QAPI meetings for review and/or recommendations.