Failure to Timely Update and Revise Care Plans Following Changes in Condition and Medication
Penalty
Summary
The facility failed to revise and update care plan interventions in a timely manner for multiple residents, as required by federal regulations. For one resident, who had a history of vision impairment, abnormal gait, and need for assistance with personal care, there were two incidents of falls, one of which was unwitnessed and another witnessed. Despite these incidents and a physician's order for regular monitoring, the resident's care plan was not updated to reflect the new fall events or to add interventions addressing the specific circumstances of the falls, such as issues with wheelchair safety and transfer assistance. Interviews with staff revealed confusion about who was responsible for updating care plans after such incidents, with some staff believing it was the responsibility of management or the MDS team, and others stating that interventions were updated but not always dated or reflected in the care plan documentation. Another resident, who was readmitted after a hospital transfer, had multiple medication orders, including psychotropic medications, some of which were discontinued. The care plans for this resident did not reflect current diagnoses or changes in medication regimens. Specifically, there were care plans referencing medications and diagnoses that were not present in the resident's medical record, and interventions were not updated to reflect the discontinuation of medications or the absence of certain diagnoses. Staff interviews confirmed that care plans were not consistently updated to match the resident's current medication orders and diagnoses, and there was acknowledgment from the Social Services Director and MDS staff that care plans were missing or not properly revised. Additionally, the same resident did not have a care plan developed to address and provide care for a specific medical condition present at the time of assessment. Both the Regional MDS Coordinator and the Assistant MDS Coordinator confirmed during interviews that there was no care plan in place for this condition. The lack of timely and accurate care plan updates and development for these residents demonstrates a failure to comply with regulatory requirements for comprehensive, person-centered care planning based on current assessments, diagnoses, and medication regimens.
Plan Of Correction
The statements made on this plan of correction are not an admission to and do not constitute an agreement with alleged deficiencies herein. To remain compliant with all federal and state regulations, the facility has taken actions set forth in the plan of correction. The plan of correction constitutes the facility's allegation of compliance such as the deficiencies cited have been corrected by the date certain. On , the DON updated the care plan and added the appropriate intervention for resident #92. On , the regional reimbursement coordinator revised and updated the care plans for the changes of diagnosis and medications for resident #76. On , the regional reimbursement coordinator initiated the care plan for resident #76. On , the Regional Nurse Consultant conducted a quality review of residents who have had a in the past 30 days to ensure that interventions are added to the care plan timely. Follow up based on findings. On , the Regional Reimbursement Coordinator conducted a quality review of residents with new active diagnosis or medication changes in the past two weeks to ensure that care plans were appropriately developed or updated. Follow up based on findings. On , the Regional Nurse Consultant conducted a quality review of current residents with the diagnosis of to ensure that appropriate care plans have been developed. No additional findings noted. By , the licensed nurses including the MDS nurses were educated by the Staff Development Coordinator on the components of F657 with an emphasis on accurate revisions and updating of care plans. As a systematic change, newly hired licensed nurses, including MDS nurses, will be educated on the components of F657 with an emphasis on accurate revisions and updating of care plans. DON/designee will conduct quality monitoring audits of 10 random residents weekly x 4 weeks then 10 random residents monthly x 2 months to ensure proper revision and updating of the care plans. The findings of these quality monitoring to be reported to the Quality Assurance/Performance Improvement Committee monthly until the committee determines substantial compliance has been met. F 657