Resident Not Included in Person-Centered Care Plan Meetings
Penalty
Summary
A deficiency occurred when the facility failed to ensure a resident's right to participate in the development and implementation of his person-centered plan of care. The resident, who had diagnoses including peripheral neuropathy, hypertension, dysphagia, osteomyelitis, and benign prostatic hyperplasia, was found to have intact cognition based on a BIMS score of 15. Despite this, the resident reported not being invited to a care plan meeting for a long time and had only attended one meeting the previous year. Record review confirmed that the last care plan meeting attended by the resident was in August 2024. Interviews with facility staff, including the MDS Nurse, DON, and Administrator, revealed that while the resident's responsible party (his son) was invited to care plan meetings, the resident himself was not invited, despite being cognitively able to participate. Facility policy states that residents and their representatives are encouraged to participate in care planning and should be informed in advance of meetings. The failure to invite and include the resident in care plan meetings was verified through review of care plan signature sheets and staff interviews.