Failure to Involve Residents in Care Plan Development
Penalty
Summary
The facility failed to ensure that residents were given the opportunity to participate in the development and implementation of their person-centered care plans. Multiple residents reported during interviews that they had never been invited to a care plan meeting and were unaware of what such meetings entailed. Review of the electronic health records for these residents confirmed the absence of documentation indicating that care plan meetings had been conducted in the past six months. Further investigation revealed that the staff member responsible for sending care plan meeting invitations had not done so since the departure of the Clinical Reimbursement Coordinator in October 2024. The Social Service Designee acknowledged that no invitations had been sent to residents or their responsible parties since that time. Facility policy requires that residents and their families be encouraged to participate in care planning, but this was not followed, as confirmed by both staff interviews and record review.