Failure to Revise and Update Resident Care Plans as Required
Penalty
Summary
The facility failed to ensure that care plans were revised and updated as required for six residents. Specifically, staff did not conduct quarterly care plan meetings for five residents in accordance with their admission and Minimum Data Set (MDS) assessments. Record reviews showed that the intervals between care plan meetings exceeded the required quarterly schedule for these residents, as confirmed by the Director of Nursing. The care plan meetings were not held within the expected 90-day timeframe, resulting in lapses in the review and updating of residents' care plans. Additionally, the facility did not update the care plan for a resident with a colostomy to reflect that the resident and the resident's family were providing colostomy care. Physician orders indicated that nursing staff were responsible for changing the colostomy wafer and pouch, but interviews with the resident's family and the Assistant Director of Nursing confirmed that the family frequently performed this care. This information was not included in the resident's care plan, despite staff awareness of the family's involvement.