Failure to Conduct Timely Care Plan Meetings with Residents and Representatives
Penalty
Summary
The facility failed to ensure that care plan meetings were held with residents and their representatives in a timely manner for four residents. For one resident with multiple diagnoses including Parkinson's disease, dementia, and diabetes, there was no care plan meeting held during the second quarter between two documented meetings. Another resident with chronic conditions such as COPD, diabetes, and end stage renal disease did not have a care plan meeting for the fourth quarter between two documented meetings. In both cases, facility staff confirmed that the required meetings were not conducted during the specified periods. Additionally, a resident with Alzheimer's disease and other psychiatric and medical conditions did not have a care plan meeting during the second quarter, despite an MDS assessment being completed. The family was invited to a meeting but did not attend, and the facility did not reschedule or conduct the meeting. Another resident with respiratory failure, dementia, and other chronic illnesses did not have a care plan review meeting during the third quarter, even though an MDS assessment was completed. Facility policy required care plan reviews and revisions by the interdisciplinary team following each MDS assessment, but this was not followed for these residents.