Failure to Offer or Complete Quarterly Care Plan Meetings
Penalty
Summary
The facility failed to ensure that quarterly care plan meetings were offered or completed for a resident with multiple complex medical conditions, including cerebral infarction, neuromuscular dysfunction of the bladder, obstructive and reflux uropathy, and muscle weakness. Record review showed that the resident was cognitively intact but required significant assistance with daily activities and had an indwelling catheter. There was no documentation of care plan meetings or refusals for the resident over a period of twelve months, despite facility policy requiring such meetings and encouraging participation by residents and their representatives. Interviews with the resident, her responsible party, and facility staff revealed that care plan meetings were not scheduled or documented as required. The social worker confirmed that no care plan meeting had been held in the past seven months, citing scheduling conflicts with the resident's daughter and a lack of documentation of attempts to schedule meetings. The responsible party reported only two care plan meetings in five years and described instances where meetings were canceled or not rescheduled due to facility requirements or scheduling difficulties. The administrator confirmed that care conferences could be held by phone or without the resident present if preferred, but there was no evidence that these options were offered or documented for the resident in question.