Failure to Timely Update and Review Resident Care Plans
Penalty
Summary
The facility failed to review and revise resident care plans (RCPs) and did not conduct care plan conferences as required for three sampled residents. For one resident with diagnoses including malignant neoplasm, chronic heart failure, and PTSD, the care plan was not updated within 5-7 days following several resident care conferences, despite the resident having no cognitive impairment and requiring significant assistance with daily activities. Interviews with facility staff confirmed that care plans were not updated in a timely manner after multiple care conferences, and staff could not provide reasons for these delays. Another resident, diagnosed with dementia, diabetes, and anxiety, had severe cognitive impairment and required moderate assistance with personal care. The care plan for this resident was also not updated within the required timeframe after several care conferences. Additionally, there was a significant gap between care conferences, exceeding the required quarterly schedule, which staff attributed to a change in staffing but could not otherwise explain. A third resident with hemiplegia, diabetes, and moderate cognitive impairment also experienced delays in care plan updates following care conferences. Facility policy requires care plans to be developed within 7 days of the comprehensive MDS and updated at least quarterly, but this was not consistently followed. Staff interviews confirmed the lapses in timely care plan updates and the inability to account for the missed deadlines.