Failure to Conduct Required IDT Meeting Prior to Resident Discharge
Penalty
Summary
The facility failed to ensure that the discharge planning process for one resident included an interdisciplinary team (IDT) meeting prior to the resident's transfer to a board and care facility. The resident in question had significant medical needs, including quadriplegia, sepsis, a stage 4 pressure ulcer, a colostomy, and a urinary tract infection, and was dependent on staff for all activities of daily living. Despite these complex care requirements, there was no documentation or evidence that an IDT meeting was conducted to assess discharge readiness or the appropriateness of the receiving facility. Interviews with the DON and the Administrator confirmed that, according to the facility's policy and procedure, an IDT meeting should have been held before the resident's discharge. Review of the facility's policy indicated that the discharge process should involve the IDT to ensure the resident's needs are met and to facilitate a safe and appropriate transition. The absence of this required meeting was acknowledged by facility leadership and was not supported by any documentation in the resident's clinical record.