Failure to Develop and Update Discharge Care Plans for Two Residents
Penalty
Summary
The facility failed to ensure that discharge care plans were developed and updated for two residents who were discharged from the facility. One resident, admitted with a history of stroke, was discharged without an updated discharge care plan. Another resident, admitted with dementia, was discharged without any evidence of a discharge care plan being developed. These deficiencies were identified through clinical record reviews and staff interviews. Interviews with the Social Service Director and Social Services Assistant confirmed that they were responsible for developing and updating discharge care plans but did not do so for these residents. The Director of Nursing also acknowledged that discharge care plans should have been developed to meet the residents' needs. The facility's policy requires social services staff to prepare discharge summaries and post-discharge plans of care in coordination with the interdisciplinary team, which was not followed in these cases.