Failure to Timely Review and Revise Care Plans by IDT After MDS Assessments
Penalty
Summary
The facility failed to review and revise care plans by an interdisciplinary team (IDT) within 7 days following each Minimum Data Set (MDS) assessment for three residents. For one resident, the medical record showed multiple MDS assessments, including a Significant Change MDS and several Quarterly MDSs, without evidence of IDT meetings being held within the required timeframe; the last documented IDT meeting was several months prior. Another resident's record also lacked evidence of timely IDT meetings after MDS assessments, and although an IDT meeting was held after admission, the resident's family representative was not present, nor was there documentation that the representative was invited or provided a copy of the care plan. For a third resident, the record similarly lacked evidence of an IDT meeting within 7 days of a Quarterly MDS assessment, and the Social Services Director confirmed there was no established process for scheduling IDT meetings or notifying residents and their representatives in advance.