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F0657
D

Failure to Hold and Document Quarterly IDT Care Conferences

Stockton, California Survey Completed on 07-16-2025

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 conduct and document quarterly Interdisciplinary Team (IDT) care conferences for a resident who was admitted with diagnoses including cerebral infarction and quadriplegia, and who was dependent on staff for all activities of daily living. Review of the resident's records showed that no IDT care conferences were held or documented after quarterly assessments were completed for the first and second quarters of the year. The responsible party for the resident reported not receiving any communication from the facility regarding the resident's care, and expressed concern that it seemed no one cared about the resident. Interviews with facility staff, including the MDS Coordinator and the Administrator, confirmed that the expectation was for quarterly IDT care conferences to be held for long-term residents, but acknowledged that these meetings did not occur for some residents, including the one in question. Facility policy indicated that the IDT is responsible for developing and revising individualized care plans with input from the resident and their family or representative, but this process was not followed as required for the resident during the specified time period.

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