Resident Not Provided Opportunity to Participate in Care Planning
Penalty
Summary
A deficiency occurred when the facility failed to provide a resident with the opportunity to participate in the development and implementation of her person-centered plan of care. The resident, who was cognitively intact with a Brief Interview for Mental Status score of 15 out of 15 and had diagnoses including soft tissue disorders, shortness of breath, and myositis, reported not being invited to care plan meetings. Review of the medical record and interviews confirmed that while invitation letters for care plan meetings were typically sent, an invitation for the May meeting was not provided after the resident returned from a hospital stay. The invitation had been marked as 'D/C' (discharged) when the resident was transferred to the hospital, and no new invitation was issued upon her readmission. Facility policy and the resident handbook both emphasized the importance of resident participation in care planning, including holding meetings at times convenient for the resident and encouraging input from the resident and family. Despite these policies, the resident was not given the opportunity to participate in the care planning process following her return to the facility, as the scheduled meeting was not held and no alternative arrangements were made.