Failure to Conduct and Document Required IDT Care Plan Meetings
Penalty
Summary
The facility failed to ensure that two of four sampled residents were provided with Interdisciplinary Team (IDT) meetings to discuss their person-centered plan of care and discharge goals. For one resident, the admission record indicated diagnoses including dementia, bipolar disorder, and Type II Diabetes Mellitus, with mild cognitive impairment and significant assistance required for daily activities. Although an IDT meeting was reportedly conducted with the resident's representative over the phone, the Social Service Director (SSD) stated that the documentation of this meeting was not included in the medical record, as it was kept exclusively by her and not entered into the chart. For another resident, who had diagnoses including dementia, a fracture, and traumatic subarachnoid hemorrhage, and was cognitively intact, the SSD confirmed that an IDT meeting was not conducted, despite facility policy requiring such meetings within 72 hours of admission. The Director of Nursing (DON) also confirmed that IDT meetings are necessary to address the resident's plan of care and that failure to conduct these meetings could result in residents' problems not being addressed. The facility's policy specifies that the IDT should include various professionals and, to the extent practicable, the resident or their representative.