Failure to Conduct Required Quarterly Care Conferences
Penalty
Summary
The facility failed to conduct quarterly care conferences as required for three out of four residents reviewed for care planning. For one resident with severe cognitive impairment and multiple diagnoses including dementia, schizophrenia, bipolar disorder, and diabetes, there was no documented quarterly care conference for the first, second, and third quarters of the year, with only one care conference recorded in the fourth quarter. Another resident with Parkinson's disease and dementia, who had intact cognition and required staff assistance with ADLs, did not have any care conference conducted during the year. A third resident with chronic obstructive pulmonary disease, hypertension, and atrial fibrillation, also with intact cognition and requiring staff assistance, did not have a care conference in the first quarter of the year. Interviews with the Social Services Directors confirmed that quarterly care conferences were not conducted as required for these residents. Review of the facility's policy indicated that care planning should include the resident and/or their representative and that meetings should be scheduled at a convenient time, but this process was not followed for the affected residents.