Failure to Review and Revise Resident Care Plan Quarterly
Penalty
Summary
The facility failed to review and revise the care plan for one resident as required, specifically not conducting care conferences at least quarterly. According to the facility's policy, each resident should have a person-centered baseline care plan followed by a comprehensive care plan developed after the Minimum Data Set (MDS) and Care Area Assessment (CAA) are completed. For the resident in question, who was admitted with multiple diagnoses including a history of urinary tract infections, acute kidney failure, and generalized muscle weakness, the last documented care conference was held nearly a year prior to the survey. Staff interviews confirmed that there was no documentation of a care plan conference for this resident since the last recorded date. The MDS Coordinator acknowledged that turnover in the MDS and RAI teams contributed to delays in completing care plan conferences. As a result, the resident's care plan was not reviewed or revised in accordance with facility policy and regulatory requirements.