Failure to Complete and Document Quarterly Care Conferences with Interdisciplinary and Resident Participation
Penalty
Summary
The facility failed to ensure that care conferences were completed quarterly and that participation from the interdisciplinary team and the resident or their representative was documented, as required by facility policy. For one resident with vascular dementia, anxiety disorder, major depressive disorder, and chronic kidney disease, care conferences were documented on three occasions within a year, but there was no evidence of meeting documentation, participation by the resident or representative, or involvement of the interdisciplinary team. Additionally, there were no records of any quarterly care conferences after the last documented date. For another resident with diagnoses including dysphasia, dementia, Alzheimer's, insomnia, cognitive communication deficit, and Crohn's disease, the only care conference on record was completed by the admissions director, with no documentation of staff or resident/family attendance or discussion details. No further quarterly care conferences were documented for this resident. Staff interviews confirmed the lack of required documentation and participation, and the absence of recent quarterly care conferences for both residents.