Failure to Include Residents and Representatives in Care Plan Meetings
Penalty
Summary
The facility failed to ensure that residents and their representatives were included in the development and implementation of person-centered care plans for two residents. For one resident, the Durable Power of Attorney (DPOA) reported not being notified or invited to a care plan meeting for approximately two years, and there was no documentation of care plan meetings after the resident's admission in 2023. The Director of Social Services confirmed that although the resident was scheduled for care plan meetings, there was no documentation or recollection of the meetings or of the DPOA being invited. For another resident, the DPOA attended only one care plan meeting since the resident's admission, with no documentation of additional meetings before or after that date. The DPOA expressed a desire to be present to understand the goals being set for the resident. Facility policy requires invitations to be sent in advance and documentation of care plan meetings, but records and staff interviews confirmed these steps were not consistently followed.