Failure to Develop Person-Centered Comprehensive Care Plans
Penalty
Summary
The facility failed to develop accurate, person-centered comprehensive care plans for two residents, as required. For one resident, the Annual MDS Assessment documented personal preferences for activities, but these preferences were not included in the resident's care plan. The Activities Director confirmed that the care plan did not reflect the resident's stated preferences from the MDS Assessment. For another resident, documentation showed that the resident is a Jehovah's Witness and values religious practices, as indicated in both the Activities Initial Review and the MDS Assessment. However, the care plan did not include information about the resident's religion, specific beliefs, or which activities the resident could or could not participate in. The MDS Coordinator confirmed that this information was communicated by the resident and documented elsewhere, but was not incorporated into the comprehensive care plan.