Failure to Routinely Provide Scheduled Care Plan Conferences
Penalty
Summary
The facility failed to ensure that care plan conferences were routinely offered and provided as required for two residents. Medical record review showed that one resident, who was cognitively intact and had multiple diagnoses including hypertensive heart and chronic kidney disease, diabetes, and major depressive disorder, had not had a documented care conference since a specific date. Another cognitively intact resident with diagnoses such as hypertensive heart and chronic kidney disease, schizophrenia, diabetes with polyneuropathy, peripheral vascular disease, osteoarthritis, and depression, had not had any care conferences since admission. Interviews with Social Services staff confirmed that the facility did not schedule regular care conferences, instead offering them only as an open invitation or upon request by the resident or their representative. Review of the facility's policy indicated that care plans should be reviewed and updated at least quarterly and in conjunction with the quarterly MDS assessment, as well as during significant changes in condition or after hospital readmission. The lack of scheduled care conferences was inconsistent with this policy.