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F0657
D

Failure to Complete Quarterly Care Planning Conferences with Full IDT Participation

Warren, Ohio Survey Completed on 05-08-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that care planning conferences were completed quarterly and that the interdisciplinary team (IDT) was properly involved in the care planning process for two residents. For one resident with severe dementia, schizophrenia, and other behavioral and cognitive impairments, care planning conferences were not held at the required intervals, and only the Social Service Designee and Assistant Director of Nursing attended the meetings. Other required IDT members, such as the MDS nurse, floor nurse, dietary, and activities staff, were not notified or invited to participate in the conferences. Another resident with Alzheimer's disease, aortic graft leakage, COPD, and anemia had only one care planning conference documented, with no evidence of additional required conferences. The facility's policy required regular care plan discussions with the resident or their representative at scheduled intervals and after significant changes, but this was not followed. These findings were confirmed through record review, policy review, and staff interviews.

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