Failure to Involve Resident Representative in Care Planning
Penalty
Summary
The facility failed to ensure that a resident's representative was given the opportunity to participate in the care planning process, as required by facility policy. The policy states that residents and/or their legal representatives should receive advance communication about scheduled care conferences for the development of individualized care plans. In the case reviewed, the resident had severe cognitive impairment, as indicated by a BIMS score of 7, and was dependent on staff for socialization and activities due to dementia, physical limitations, and hearing impairment. Despite these needs, the resident's representative was not invited to participate in the care planning meeting and was not provided with a copy of the comprehensive care plan. Documentation showed that a care review was completed, and the resident refused to participate, but there was no evidence that the representative was notified or involved. Interviews with the representative and the Social Services Director confirmed the lack of invitation and absence of documentation regarding the representative's participation or receipt of the care plan.