Missed Quarterly Care Conferences for Resident
Penalty
Summary
The facility failed to ensure that quarterly care conferences were completed for a resident with diagnoses of COPD, depression, and pressure ulcers. Documentation showed that the resident had care conferences on two occasions, but no further conferences were documented as required. The resident reported only recalling one care conference since admission. The social services director confirmed that the last care conference occurred several months prior and acknowledged that subsequent conferences were missed, possibly due to the resident's hospitalizations. The director of nursing stated that care conferences should occur quarterly and after a change in condition, emphasizing their importance in developing individualized care plans. Facility policy requires quarterly interdisciplinary care plan reviews and conferences, but this was not followed for the resident in question.