Failure to Hold and Document Required Quarterly Care Plan Meetings
Penalty
Summary
Facility staff failed to conduct quarterly care plan meetings for a resident diagnosed with dementia, as required following comprehensive and quarterly MDS assessments. The medical record review showed that while quarterly MDS assessments were completed, there was only documentation of a care plan meeting in April and a scheduled meeting in September, with no evidence of meetings in January and July. Additionally, there was no documentation summarizing or detailing what was discussed during the April and September care plan meetings. The resident's representative expressed concerns about the facility's lack of communication. The Director of Nursing confirmed that the required quarterly care plan meetings were not held for the resident in January and July, and that documentation of the content of the meetings that did occur was missing from the medical record.