Failure to Conduct Routine Care Conferences as Required
Penalty
Summary
The facility failed to ensure that routine care conferences were conducted for residents as required. Specifically, two residents with significant medical histories, including coronary artery disease, heart failure, hypertension, diabetes, and renal insufficiency, did not receive care conferences every three months. Medical record reviews showed gaps between documented care conferences and the required quarterly schedule. Both residents were found to be cognitively intact at the time of the deficiency, and interviews with them confirmed that they had not participated in care conferences every three months as expected. Further interviews with the Social Services Designee revealed an acknowledgment that care conferences were supposed to be completed every three months, but the process was behind schedule. Review of the facility's policy confirmed that care plans should be reviewed and revised at least with each comprehensive and quarterly assessment, in line with Resident Assessment Instrument (RAI) requirements. The deficiency was identified through medical record review, resident and staff interviews, and policy review, demonstrating a failure to follow established protocols for care plan review and resident participation.