Failure to Complete and Document Quarterly Care Plan Meetings
Penalty
Summary
The facility failed to ensure that quarterly care plan meetings addressing the specific needs of a resident were completed as required. Record review revealed that a resident with diagnoses including Huntington's Disease and epilepsy, who was cognitively impaired, did not have documentation of quarterly care plan meetings or evidence that the resident was notified and offered the opportunity to attend such meetings. Although the comprehensive care plan was reviewed and updated, there was no record of quarterly interdisciplinary team meetings or invitations extended to the resident or their representative. Interviews with the Social Services Director and the Administrator confirmed that while meetings with the resident did occur, these were focused on specific issues such as the resident's desire for more freedom and intimacy, rather than comprehensive care planning. The Administrator acknowledged that documentation did not reflect a specific care plan meeting addressing all of the resident's needs, as required by facility policy. The lack of documentation and formal quarterly care plan meetings constituted the deficiency.