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F0553
D

Failure to Involve Residents in Person-Centered Care Plan Meetings

Jackson, Tennessee Survey Completed on 04-16-2025

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 plan conference meetings were held at least quarterly for three residents who were cognitively intact and eligible to participate in their person-centered care planning. Policy review indicated that residents and their representatives should be invited to participate in care plan meetings, with documentation maintained by the social services director or designee. However, medical record reviews for three residents with various diagnoses, including end stage renal disease, osteomyelitis, atrial fibrillation, heart failure, cerebrovascular disease, and dementia, revealed that neither the residents nor their representatives were invited to or attended care plan meetings following multiple Minimum Data Set (MDS) assessments. Documentation of invitations or attendance was missing for several quarterly and annual care plan meetings. Interviews with the residents confirmed that they were not aware of or had not attended any care plan meetings. Staff interviews further confirmed that the responsibility for inviting residents and documenting attendance was not fulfilled, and that meeting notes did not reflect resident participation or signatures. The facility was also unable to provide documentation for at least one required care plan meeting. These findings demonstrate a failure to involve residents in the development and implementation of their person-centered care plans as required by facility policy.

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